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TRINITY REGIONAL MEDICAL CENTER

Hospital

802 KENYON RD

FORT DODGE, IA, 50501

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Procedure Prices at TRINITY REGIONAL MEDICAL CENTER

Blood Draw From Vein Using Needle

CPT 36415

$2.85

Lab Test - Complete Blood Cell Count With White Blood Cell Percentage

CPT 85025

$6.72

Lab Test - Comprehensive Metabolic Panel

CPT 80053

$10.03

Mechanical Traction

CPT 97012

$11.21

Therapeutic Exercises

CPT 97110

$23.33

Therapeutic Activities

CPT 97530

$29.06

EKG Tracing

CPT 93005

$33.81

ER Visit — Low-Moderate Complexity

CPT 99283

$48.88

Chest X-Ray (2 views)

CPT 71046

$58.58

Thoracic Spine X-Ray

CPT 72072

$59.45

Outpatient Clinic Visit Established Patient Level III

CPT 99213

$63.72

Chest X-Ray (1 view)

CPT 71045

$68.18

Retroperitoneal Ultrasound

CPT 76770

$99.18

Abdominal Ultrasound — Limited

CPT 76705

$100.68

Abdominal Ultrasound

CPT 76700

$100.89

OB Ultrasound

CPT 76805

$100.97

CT Chest

CPT 71250

$103.13

MRI Joint of Lower Extremity

CPT 73721

$213.11

MRI Brain w/o Contrast

CPT 70551

$213.17

ER Visit — High Complexity

CPT 99285

$275.86

ER Visit — Moderate Complexity

CPT 99284

$276.87

Upper GI Endoscopy w/ Biopsy

CPT 43239

$343.13

CT Abdomen & Pelvis

CPT 74177

$347.94

MRI Brain w/ Contrast

CPT 70553

$349.18

Colonoscopy w/ Biopsy

CPT 45380

$382.37

Echocardiogram w/ Doppler

CPT 93306

$413.93

Colonoscopy

CPT 45378

$445.08

Injection of Drug Into Lower Spinal Nerve Root With Imaging Guidance

CPT 64483

$763.46

Cataract Surgery

CPT 66984

$1,737.67

Cataract Surgery — Complex

CPT 66982

$1,925.93

Inguinal Hernia Repair

CPT 49505

$2,301.24

Knee Arthroscopy

CPT 29881

$2,342.39

Tonsillectomy & Adenoidectomy (12+)

CPT 42821

$2,456.38

Tonsillectomy & Adenoidectomy (under 12)

CPT 42820

$3,528.63

Laparoscopic Cholecystectomy

CPT 47562

$4,614.91

Recurrent Inguinal Hernia Repair

CPT 49520

$5,952.34

Repair of Shoulder Rotator Cuff Using Arthroscope

CPT 29827

$6,446.53

Knee Replacement

CPT 27447

$12,858.36

Laparoscopic Hernia Repair

CPT 49650

$18,516.74

Hip Replacement

CPT 27130

$21,563.45

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Prices sourced from federally mandated hospital price transparency files. Cash prices reflect self-pay discounted rates. Negotiated rates vary by insurance plan. Data may not reflect current pricing — always confirm with the hospital before scheduling.