UnityPoint Health - Trinity Regional Medical Center
802 Kenyon Road, Fort Dodge, IA · UnityPoint Health · · NPI 1487759858
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Reconstruction tongue fold CPT 41520 | $873.60 | $1,092.00 | $227.40 – $2,764.11 | 9 |
| Reconstruct larynx & pharynx CPT 31395 | not published | not published | $2,621.95 – $7,044.68 | 7 |
| Reconstruct lip with flap CPT 40527 | $1,536.00 | $1,920.00 | $569.05 – $5,042.00 | 9 |
| Reconstruct lip w/local flap 40525 CPT 40525 | $1,368.80 | $1,711.00 | $497.51 – $2,764.11 | 9 |
| Reconstruct lower jaw bone CPT 21255 | not published | not published | $1,207.73 – $5,042.00 | 9 |
| Reconstruct lower jaw bone CPT 21247 | not published | not published | $1,434.49 – $3,815.66 | 7 |
| Reconstruct orbit/forehead CPT 21172 | $4,910.40 | $6,138.00 | $1,808.67 – $5,042.00 | 9 |
| Reconstruct shoulder joint CPT 23470 | $5,921.60 | $7,402.00 | $1,072.22 – $10,966.57 | 9 |
| Reconstruct shoulder joint CPT 23472 | $7,160.00 | $8,950.00 | $1,290.01 – $15,674.10 | 9 |
| Reconstruct ulna/radioulnar CPT 25337 | $4,368.00 | $5,460.00 | $807.97 – $6,088.70 | 9 |
| Reconstruct upper jaw bone CPT 21206 | $2,878.40 | $3,598.00 | $891.77 – $5,042.00 | 9 |
| Reconstruct urethra/bladder CPT 53431 | $2,916.00 | $3,645.00 | $1,040.41 – $4,332.84 | 9 |
| Reconstruct urethra stage 1 CPT 53420 | $2,125.60 | $2,657.00 | $760.80 – $4,332.84 | 9 |
| Reconstruct urethra stage 2 CPT 53425 | $2,367.20 | $2,959.00 | $846.18 – $4,332.84 | 9 |
| Reconstruct vena cava 34502 CPT 34502 | $3,786.40 | $4,733.00 | $1,335.11 – $3,565.31 | 7 |
| Reconstruct windpipe CPT 31780 | not published | not published | $1,079.62 – $2,886.27 | 7 |
| Reconstruct windpipe CPT 31781 | not published | not published | $1,292.78 – $3,457.30 | 7 |
| Rectal sensation test CPT 91120 | $1,041.60 | $1,302.00 | $44.08 – $265.41 | 9 |
| Red blood cells each unit HCPCS P9021 | $302.84 | $378.55 | $123.01 – $321.77 | 11 |
| Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit HCPCS P9057 | not published | not published | $182.28 – $768.54 | 8 |
| Red blood cells leukocytes reduced cmv negative irradiated each unit HCPCS P9058 | $302.84 | $378.55 | $175.27 – $352.88 | 11 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $302.84 | $378.55 | $155.12 – $321.77 | 11 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $302.84 | $378.55 | $175.27 – $345.33 | 11 |
| Red blood cells washed each unit HCPCS P9022 | $682.10 | $852.62 | $338.26 – $724.73 | 11 |
| Red cell mass multiple CPT 78121 | $229.60 | $287.00 | $13.75 – $458.77 | 9 |
| Red cell mass single CPT 78120 | $206.40 | $258.00 | $8.77 – $342.49 | 9 |
| Red cell sequestration CPT 78140 | $296.00 | $370.00 | $22.83 – $342.49 | 9 |
| Red cell survival kinetics CPT 78135 | not published | not published | $49.00 – $49.00 | 2 |
| Red cell survival study CPT 78130 | $348.80 | $436.00 | $22.83 – $342.49 | 9 |
| Redo compl cardiac anomaly CPT 33622 | not published | not published | $2,929.53 – $7,833.74 | 7 |
| Redo endovas vena cava filtr CPT 37192 | $3,249.60 | $4,062.00 | $292.15 – $2,682.66 | 9 |
| Reduce bowel obstruction 44050 CPT 44050 | $2,295.20 | $2,869.00 | $823.10 – $2,193.75 | 7 |
| Reduce testis torsion CPT 54600 | $2,283.20 | $2,854.00 | $412.67 – $2,939.60 | 9 |
| Reduction of facial bones CPT 21209 | $1,992.00 | $2,490.00 | $548.88 – $5,042.00 | 9 |
| Reduction of procidentia 45900 CPT 45900 | $516.80 | $646.00 | $188.28 – $777.06 | 9 |
| Reduction of skull defect CPT 62115 | not published | not published | $1,456.04 – $3,880.61 | 7 |
| Reduction of skull defect CPT 62117 | not published | not published | $1,681.36 – $4,485.84 | 7 |
| Re-exploration of chest 32120 CPT 32120 | $2,126.40 | $2,658.00 | $761.29 – $2,025.58 | 7 |
| Reexploration pelvic wound 49014 CPT 49014 | not published | not published | $329.35 – $877.18 | 7 |
| Re-explore parathyroids CPT 60502 | $3,178.40 | $3,973.00 | $1,152.00 – $5,042.00 | 9 |
| Refill maint impl spine pump CPT 95991 | $257.68 | $322.09 | $35.54 – $273.78 | 11 |
| Refill/maint pump/resvr syst CPT 96522 | $309.40 | $386.75 | $98.64 – $328.74 | 11 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | $68.80 | $86.00 | $3.39 – $17.62 | 8 |
| Reimplant artery each 35697 CPT 35697 | $360.80 | $451.00 | $124.07 – $331.65 | 7 |
| Reimplant ureter in bladder CPT 50782 | not published | not published | $970.57 – $2,586.61 | 7 |
| Reimplant ureter in bladder CPT 50783 | not published | not published | $1,016.91 – $2,710.92 | 7 |
| Reimplant ureter in bladder CPT 50785 | $6,118.40 | $7,648.00 | $1,093.29 – $2,910.65 | 7 |
| Reinforce clavicle CPT 23490 | $4,236.80 | $5,296.00 | $774.78 – $6,088.70 | 9 |
| Reinforced solid stirrup HCPCS L2260 | not published | not published | $112.67 – $316.17 | 7 |
| Reinforce eye wall CPT 67250 | $4,168.00 | $5,210.00 | $801.39 – $2,180.31 | 9 |
| Reinforce/graft eye wall CPT 67255 | $3,390.40 | $4,238.00 | $617.78 – $3,428.74 | 9 |
| Reinforce hip bones CPT 27187 | $2,448.80 | $3,061.00 | $894.61 – $2,379.67 | 7 |
| Reinforce shoulder bones CPT 23491 | $4,995.20 | $6,244.00 | $912.17 – $10,966.57 | 9 |
| Reinforce thigh CPT 27495 | $5,552.00 | $6,940.00 | $1,012.01 – $2,691.84 | 7 |
| Reinforce tibia CPT 27745 | $3,742.40 | $4,678.00 | $662.87 – $6,088.70 | 9 |
| Reinnervate larynx CPT 31590 | $2,147.20 | $2,684.00 | $832.92 – $5,042.00 | 9 |
| Reinsertion of spinal fixation device 22849 CPT 22849 | $3,148.00 | $3,935.00 | $1,144.23 – $3,047.69 | 7 |
| Reinsert ocular implant CPT 65155 | $4,473.60 | $5,592.00 | $859.77 – $3,214.08 | 9 |
| Release encircling material CPT 67115 | $2,470.40 | $3,088.00 | $447.93 – $3,428.74 | 9 |
| Release eye tissue CPT 67343 | $3,262.40 | $4,078.00 | $606.37 – $1,988.41 | 9 |
| Release facial nerve CPT 69720 | $5,812.80 | $7,266.00 | $1,054.69 – $5,042.00 | 9 |
| Release facial nerve CPT 69725 | $9,241.60 | $11,552.00 | $1,672.15 – $5,042.00 | 9 |
| Release facial nerve CPT 69955 | $9,729.60 | $12,162.00 | $1,758.97 – $5,042.00 | 9 |
| Release finger contracture CPT 26525 | $1,623.20 | $2,029.00 | $611.31 – $1,651.37 | 9 |
| Release forearm/hand tendon CPT 26449 | $1,707.20 | $2,134.00 | $639.36 – $2,765.43 | 9 |
| Release inner ear canal CPT 69960 | $9,392.00 | $11,740.00 | $1,687.80 – $5,042.00 | 9 |
| Release knuckle contracture CPT 26520 | $1,619.20 | $2,024.00 | $606.94 – $2,765.43 | 9 |
| Release middle ear bone CPT 69650 | $3,932.80 | $4,916.00 | $717.77 – $2,764.11 | 9 |
| Release muscles of hand CPT 26593 | $1,509.60 | $1,887.00 | $577.64 – $2,765.43 | 9 |
| Release of eye fluid CPT 67015 | $2,932.80 | $3,666.00 | $539.87 – $1,943.90 | 9 |
| Release of foot tendon CPT 28220 | $2,260.80 | $2,826.00 | $281.16 – $1,364.06 | 9 |
| Release of foot tendon 28225 CPT 28225 | $2,084.80 | $2,606.00 | $244.98 – $2,765.43 | 9 |
| Release of foot tendons CPT 28222 | $2,604.80 | $3,256.00 | $340.04 – $2,765.43 | 9 |
| Release of foot tendons CPT 28226 | $3,016.00 | $3,770.00 | $363.56 – $2,765.43 | 9 |
| Release of lower leg tendon CPT 27680 | $1,052.80 | $1,316.00 | $387.49 – $2,765.43 | 9 |
| Release of lower leg tendons CPT 27681 | $2,558.40 | $3,198.00 | $463.73 – $2,765.43 | 9 |
| Release of lung 32220 CPT 32220 | $7,740.80 | $9,676.00 | $1,387.22 – $3,701.55 | 7 |
| Release of midfoot joint CPT 28260 | $3,496.00 | $4,370.00 | $489.53 – $2,765.43 | 9 |
| Release of midfoot joint CPT 28264 | $4,968.00 | $6,210.00 | $625.22 – $1,626.09 | 9 |
| Release of shoulder ligament CPT 23415 | $3,425.60 | $4,282.00 | $633.93 – $6,088.70 | 9 |
| Release of skull seams CPT 61550 | not published | not published | $1,040.40 – $2,769.97 | 7 |
| Release of skull seams CPT 61552 | not published | not published | $1,283.28 – $3,419.14 | 7 |
| Release of ureter CPT 50715 | $5,984.00 | $7,480.00 | $1,077.01 – $2,873.32 | 7 |
| Release of ureter CPT 50722 | $2,571.20 | $3,214.00 | $911.14 – $2,442.21 | 7 |
| Release of ureter CPT 50940 | not published | not published | $803.55 – $2,140.94 | 7 |
| Release palm contracture CPT 26040 | $1,540.80 | $1,926.00 | $291.93 – $1,364.06 | 9 |
| Release palm contracture CPT 26121 | $2,947.20 | $3,684.00 | $547.16 – $2,765.43 | 9 |
| Release palm contracture CPT 26123 | $4,112.00 | $5,140.00 | $763.05 – $2,765.43 | 9 |
| Release palm contracture CPT 26125 | $674.40 | $843.00 | $238.44 – $634.09 | 7 |
| Release palm contracture 26045 CPT 26045 | $2,310.40 | $2,888.00 | $432.99 – $2,765.43 | 9 |
| Release palm & finger tendon CPT 26442 | $2,376.00 | $2,970.00 | $888.34 – $2,765.43 | 9 |
| Release palm/finger tendon CPT 26440 | $1,542.40 | $1,928.00 | $580.23 – $1,567.61 | 9 |
| Release/revise ureter CPT 50725 | not published | not published | $994.68 – $2,651.30 | 7 |
| Release spinal cord lumbar CPT 63200 | $3,609.60 | $4,512.00 | $1,334.94 – $3,527.23 | 7 |
| Release thumb contracture CPT 26508 | $3,179.20 | $3,974.00 | $606.28 – $2,765.43 | 9 |
| Release wrist/forearm tendon CPT 25295 | $1,296.00 | $1,620.00 | $481.85 – $2,765.43 | 9 |
| Relieve bladder contracture CPT 52640 | $795.20 | $994.00 | $295.38 – $2,939.60 | 9 |
| Relieve cranial pressure 61345 CPT 61345 | not published | not published | $1,750.59 – $4,667.98 | 7 |
| Relocation of testis(es) CPT 54680 | $3,979.20 | $4,974.00 | $713.61 – $2,939.60 | 9 |
| Relocation skin pocket aicd CPT 33223 | $3,341.76 | $4,177.20 | $354.57 – $3,550.62 | 11 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.