Visits & medical services prices at Trinity Regional Medical Center

Fort Dodge, IA · every code in this section with a posted price and a Medicare benchmark.

197 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Actinotherapy Ultraviolet Light (96900) $118.93 $148.66 3.3×
Admn Sarscov2 Vacc 1 Dose (90480) $70.44 $88.05 1.8×
Airway Inhalation Treatment (94640)
range across 4 matching MRF lines
$42.11–$75.39 $52.63–$94.23 varies
Airway resistance by oscillometry (94728) $279.73 $349.66 2.3×
Analyze neurostim complex (95972) $589.40 $736.74 6.4×
Analyze neurostim no prog (95970) $777.80 $972.25 6.1×
Analyze Neurostim Simple (95971) $589.40 $736.74 6.4×
Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) $161.34 $201.67 0.8×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $97.52 $121.90 6.8×
Application Modality 1/> Areas Infrared (97026) $38.63 $48.28 5.8×
Application on-body injector (96377) $68.59 $85.73 1.5×
Assessment of aphasia per hr (96105) $328.26 $410.32 3.4×
Behavral qualit analys voice (92524) $298.41 $373.01 2.7×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $223.93 $279.91 0.6×
Caloric Vstblr Test W/Rec (92537) $289.36 $361.69 2.3×
Canalith repositioning proc (95992) $66.52 $83.14 1.6×
Car seat/bed test 60 min (94780) $162.57 $203.21 4.5×
Cardiac Stress Tst,Tracing Only (93017) $648.04 $810.04 3.1×
Cardiopulmonary resuscitation (92950) $396.76 $495.95 1.9×
Cardioversion (92960) $650.64 $813.29 1.0×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $11,575.32 $14,469.15 3.7×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $7,934.32 $9,917.89 2.5×
Cbt 1st hour (94644) $108.25 $135.31 0.8×
Chemo Anti-Neopl Sq/Im (96401) $101.69 $127.11 1.5×
Chemo Hormon Antineopl Sq/Im (96402) $101.69 $127.11 1.5×
Chemo IV infusion addl hr (96415) $101.69 $127.11 1.5×
Chemo IV push addl drug (96411) $101.69 $127.11 1.5×
Chemother Prolong Infuse W/Pump (96416) $488.88 $611.10 1.5×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $101.69 $127.11 1.5×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $488.88 $611.10 1.5×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $488.88 $611.10 1.5×
Chest Wall Manipulation (94668) $86.44 $108.05 0.7×
Color/duplex Doppler, complete (93975) $540.92 $676.14 2.4×
Color/duplex Doppler, limited (93976) $483.10 $603.87 4.8×
Community/Work Reintegration Trainj Ea 15 Min (97537) $109.80 $137.24 3.4×
Cont gluc mntr physician/qhp provided equiptment (95250) $417.56 $521.95 3.3×
Cont Gluc Mntr Pt Prov Eqp (95249) $138.87 $173.58 2.4×
Continuous Pulse Ox (94762) $146.67 $183.33 1.2×
Coronary Art/Grft Angio S&I (93455) $7,338.52 $9,173.14 2.4×
Coronary Artery Angio S&I (93454) $5,539.64 $6,924.54 1.8×
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 2 matching MRF lines
$1,327.29–$1,622.40 $1,659.11–$2,027.99 varies
Cpt initial (94667) $86.44 $108.05 0.7×
Critical care first hour (99291) $2,015.48 $2,519.34 2.5×
Debridement Open Wound 20 Sq Cm< (97597) $263.88 $329.84 1.4×
Dialysis One Evaluation (90945) $934.16 $1,167.70 2.3×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $540.92 $676.14 2.4×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $266.60 $333.25 2.7×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $679.09 $848.86 3.0×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $620.15 $775.18 6.2×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $666.42 $833.02 2.9×
Dup-scan xtr veins unilateral/limited study (93971) $627.48 $784.35 6.2×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $526.59 $658.23 2.3×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $266.60 $333.25 2.7×
Duplex Scan Hemodialysis Access (93990) $266.60 $333.25 2.7×
Duplex up extrem art bilat (93930) $676.51 $845.63 2.9×
Duplex up extrem art unilat/ltd (93931) $614.99 $768.73 6.1×
Echo Congenital Complete (93303) $1,185.52 $1,481.90 2.3×
Echo Heart Xthoracic,Limited (93308) $355.22 $444.02 1.5×
Echo transesophageal (93312) $1,008.83 $1,261.03 1.9×
Echo Transesophageal - Congenital Tee Complete (93315) $1,185.52 $1,481.90 2.3×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $1,251.71 $1,564.63 2.4×
Eeg 41-60 Minutes (95812) $852 $1,064.99 4.1×
EEG awake and asleep (95819) $687.84 $859.79 3.3×
EEG cerebral death evaluation (95824) $747.66 $934.57 2.1×
EEG extended monitoring 61-119 minutes (95813) $852 $1,064.99 4.1×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $516.88 $646.09 2.5×
Electrical Stimulation Ea 15 Min (97032) $129.31 $161.63 8.8×
Electrocardiogram Tracing (93005) $188.55 $235.68 3.3×
Electroconvulsive Therapy (90870) $867.11 $1,083.88 1.1×
Electrophysiology Evaluation (93642) $1,288.16 $1,610.20 1.1×
Emergency Dept Visit Level 2 (99282)
range across 2 matching MRF lines
$44–$237.64 $55–$297.05 varies
Emergency Dept Visit Level 3 (99283)
range across 2 matching MRF lines
$44–$416.72 $55–$520.90 varies
Emergency Dept Visit Level 4 (99284)
range across 2 matching MRF lines
$44–$648.43 $55–$810.53 varies
Ep & ablate supravent arrhyt (93653) $25,683.90 $32,104.87 1.0×
Ep & ablate ventric tachy (93654) $34,432.92 $43,041.14 1.4×
Er level 1 (99281)
range across 2 matching MRF lines
$44–$128.16 $55–$160.20 varies
Er level v (99285)
range across 2 matching MRF lines
$44–$931.05 $55–$1,163.81 varies
Evaluate pt use of inhaler (94664) $253.83 $317.28 1.2×
Evaluate Speech Production (92522) $298.41 $373.01 2.7×
Evaluate Swallowing Function (92610) $309.71 $387.13 3.7×
Evaluation of speech fluency (92521) $298.41 $373.01 2.2×
Evoked Auditory Test,Limited (92587) $103.71 $129.63 0.5×
Exercise test for bronchospasm (94617) $148.33 $185.41 1.2×
External Ecg Scanning Analysis Report (93226)
range across 2 matching MRF lines
$415.06–$830.12 $518.82–$1,037.64 varies
Extracranial Bilat Study (93880) $983.24 $1,229.04 4.3×
Extracranial Uni/Ltd Study (93882) $894.76 $1,118.44 8.9×
F-up/limited tthrc echo congenital car anomaly (93304) $1,185.52 $1,481.90 2.3×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $458.08 $572.60 0.6×
Group Therapeutic Procedures (97150) $69.80 $87.24 3.9×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $5,983.28 $7,479.09 1.9×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $956.12 $1,195.14 1.4×
Holter monitor recording (93225)
range across 2 matching MRF lines
$235.08–$470.16 $293.85–$587.70 varies
Immunization administration (90471) $57.53 $71.91 0.8×
Iontophoresis 15 min (97033) $131.58 $164.47 6.9×
Irrig Drug Delivery Device (96523) $88.29 $110.36 1.6×
IV infusion hydration each additional hour (96361) $68.59 $85.73 1.5×
IV infusion hydration initial 31 min-1 hour (96360) $309.40 $386.75 1.5×
IV infusion ther proph addl sequential to 1 hr (96367) $101.69 $127.11 1.5×
IV infusion therapy prophylaxis/dx ea hour (96366) $68.59 $85.73 1.5×
IV push initial (96374) $309.40 $386.75 1.5×
L Hrt Art/Grft Angio (93459) $9,488.69 $11,860.86 3.0×
Lwr Xtr Vasc Stdy Bilat (93924) $586.98 $733.72 2.8×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $32.92 $41.14 0.9×
Motion Fluoroscopy/Swallow (92611) $328.27 $410.33 3.6×
Multiple Sleep Latency Test (95805) $1,442.48 $1,803.09 1.7×
Nasopharyngoscopy (92511) $199.57 $249.46 1.0×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $333.56 $416.94 0.9×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $385.35 $481.68 1.0×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $238.58 $298.22 1.2×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $438.91 $548.63 1.1×
Neuromuscular Reeducation (97112) $107.32 $134.15 3.3×
Oral Function Therapy (92526) $265.43 $331.78 3.2×
Oral Speech Device Eval (92597) $328.26 $410.32 4.6×
Orthc/Prostc Mgmt Sbsq Enc (97763) $107.31 $134.13 2.1×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $107.32 $134.15 2.3×
Ot Contrast Bath Ea 15 Min (97034) $114.70 $143.37 8.2×
Ot eval high complexity (97167) $279.81 $349.76 2.8×
Ot Eval Low Complex (97165) $235.68 $294.59 2.3×
Ot Eval Moderate Complexity (97166) $257.74 $322.17 2.6×
Ot manual therapy 15 min (97140) $107.32 $134.15 3.9×
Ot paraffin bath (97018) $95.08 $118.84 15.8×
Ot Prosthetic Training, Each 15 Min (97761) $107.31 $134.13 2.7×
Ot Re-Eval Est Plan Care (97168) $118.28 $147.85 1.7×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $170.64 $213.29 1.4×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $170.64 $213.29 1.4×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $263.20 $328.99 1.3×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $7,727.77 $9,659.71 1.4×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $13,438.64 $16,798.29 1.2×
Phlebotomy therapeutic (99195) $265.01 $331.26 2.1×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $361.90 $452.37 6.4×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $361.90 $452.37 6.4×
Physical Performance Test (97750) $104.20 $130.25 3.1×
Plethysmography (94726) $562.09 $702.61 1.6×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $2,795.92 $3,494.90 3.4×
Prq Card Angio/Athrect 1 Art (92924) $15,575.58 $19,469.47 1.4×
Prq Card Stent W/Angio 1 Vsl (92928) $10,812.70 $13,515.87 1.0×
Prq Card Stent/Ath/Angio (92933) $13,637.24 $17,046.54 0.8×
Prq Revasc Byp Graft 1 Vsl (92937) $10,812.70 $13,515.87 1.0×
Pt Eval High Complex (97163) $257.74 $322.17 2.6×
Pt eval low complex 20 min (97161) $218.03 $272.53 2.2×
Pt Eval Mod Complex (97162) $235.68 $294.59 2.4×
Pt gait training 15 min (97116) $101.27 $126.58 3.5×
Pt mechanical traction (97012) $95.08 $118.84 6.6×
Pt Re-Eval Est Plan Care (97164) $125.34 $156.67 1.9×
Pulm function test by gas (94727) $279.73 $349.66 1.3×
Pulmonary Stress Testing (94618) $148.33 $185.41 1.2×
R Hrt Art/Grft Angio (93457) $11,639.76 $14,549.69 3.7×
R hrt coronary artery angio (93456) $9,974.16 $12,467.70 3.2×
R&L Hrt Cath W/Ventriclgrphy (93453) $7,338.52 $9,173.14 2.4×
Refill/Maint Portable Pump (96521) $309.40 $386.75 1.5×
Refill/Maint Pump/Resvr Syst (96522) $309.40 $386.75 1.5×
Rem mntr physiol param 1st dev supply ea 30 d (99454) $74.80 $93.50 2.1×
Rem mntr physiol param 1st set up pt educaj eqp (99453) $239.11 $298.88 1.9×
Remote 30 Day Ecg Rev/Report (93270) $709.86 $887.32 19.8×
Respiratory flow volume loop (94375) $351.39 $439.23 1.7×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $129.64 $162.04 2.3×
Right Heart Cath (93451) $5,569.64 $6,962.05 1.8×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $105.17 $131.46 0.5×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $328.27 $410.33 2.7×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $265.43 $331.78 5.6×
Self Care Mngment Training (97535) $109.80 $137.24 3.4×
Sensory Integration Ea 15 Min (97533) $109.80 $137.25 1.8×
Sleep study unattended (95806) $556.76 $695.95 2.7×
Speech sound lang comprehen (92523) $298.41 $373.01 1.3×
Spin/Brain Pump Refil & Main (95991) $257.68 $322.09 0.9×
Spirometry (94010) $203.75 $254.68 1.0×
Standardized Cognitive Performance Testing (96125) $328.26 $410.32 3.2×
Stress Tte Only (93350) $603.68 $754.59 1.1×
Temp transcutaneous pacing (92953) $467 $583.74 0.7×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $109.80 $137.24 4.9×
Ther Ivntj Ea Addl 15 Min (97130) $109.80 $137.24 5.2×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $87.84 $109.79 3.0×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $265.43 $331.78 2.6×
Ther/Proph/Diag Inj Ia (96373) $309.40 $386.75 1.5×
Ther/Proph/Diag Inj Sc/Im (96372) $101.69 $127.11 1.5×
Ther/Proph/Diag Iv Inf Init (96365) $309.40 $386.75 1.5×
Therapeutic Activities (97530) $109.80 $137.24 3.1×
Tobacco Use Cessation Intensive >10 Minutes (99407) $48.50 $60.62 1.3×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $48.50 $60.62 1.3×
Tte w/doppler, complete (93306) $1,789.17 $2,236.46 3.4×
Tte W/O Doppler Complete (93307) $997.40 $1,246.75 4.3×
Tx atrial fib pulm vein isol (93656) $28,245.40 $35,306.75 1.1×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $265.43 $331.78 3.5×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $132.65 $165.81 5.5×
Tx/Pro/Dx Inj New Drug Addon (96375) $68.59 $85.73 1.5×
Unlisted cardiovascular service/procedure (93799) $6,443.48 $8,054.35 52.1×
Unlisted noninvasive vascular diagnostic study (93998) $44.80 $55.99 1.6×
Upr/L Xtremity Art 2 Levels (93922) $120.64 $150.79 0.9×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $359.81 $449.76 1.7×
Vasopneumatic device (97016) $109.80 $137.24 9.1×
Veeg 2-12 hr unmonitored (95711) $585.78 $732.22 2.8×
Vent Mgmt Inpat Init Day (94002) $2,217.03 $2,771.28 3.7×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $2,136.12 $2,670.14 3.6×
Vital capacity, total (94150) $192.51 $240.63 1.6×
Wheelchair Mgmt Ea 15 Min (97542) $109.80 $137.24 3.5×
Whirlpool Therapy (97022) $109.80 $137.24 7.0×
Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) $111.75 $139.68 2.0×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.