Iowa / Trinity Regional Medical Center
CMS certification 160016 · Fort Dodge, IA
Trinity Regional Medical Center: charges and Medicare payments
Trinity Regional Medical Center reported 737 Medicare inpatient stays across 32 DRGs in 2024. Across them it charged 3.07 times what it was paid — mid-range in Iowa, number 18 of 27 hospitals with at least 100 stays (state median 3.32×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 151 stays at an average charge of $36,778, 59% below the national average. It also billed 1,365 outpatient services, charging 5.34 times what Medicare paid.
- 1Medicare inpatient stays 737
- 2Charge ÷ paid, inpatient 3.07×
- 3Rank in IA (highest ratio = 1) 18 of 27
- 4CMS price-transparency actions 0
Inpatient stays
For the 32 DRGs that can be compared with the national average, Trinity Regional Medical Center charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 151 | $36,778 | -59% | $14,526 |
| 291 Heart Failure and Shock with MCC | 103 | $29,302 | -48% | $9,506 |
| 189 Pulmonary Edema and Respiratory Failure | 40 | $30,582 | -47% | $8,993 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 28 | $55,199 | -52% | $13,176 |
| 193 Simple Pneumonia and Pleurisy with MCC | 27 | $23,672 | -60% | $9,606 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 27 | $27,546 | -57% | $8,507 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 25 | $26,020 | -47% | $7,548 |
| 177 Respiratory Infections and Inflammations with MCC | 18 | $34,667 | -51% | $12,340 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 17 | $28,436 | -49% | $7,402 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 17 | $46,474 | -59% | $15,691 |
| 481 Hip and Femur Procedures except Major Joint with CC | 17 | $57,546 | -43% | $15,028 |
| 552 Medical Back Problems without MCC | 17 | $20,607 | -58% | $7,002 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 15 | $27,964 | -54% | $10,064 |
| 682 Renal Failure with MCC | 15 | $38,024 | -42% | $10,905 |
| 690 Kidney and Urinary Tract Infections without MCC | 15 | $16,370 | -57% | $5,893 |
| 330 Major Small and Large Bowel Procedures with CC | 14 | $70,721 | -41% | $19,062 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 14 | $75,839 | -67% | $35,918 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 13 | $36,212 | -52% | $11,636 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 13 | $22,980 | -36% | $5,456 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 13 | $13,494 | -53% | $4,050 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 13 | $20,761 | -44% | $5,700 |
| 039 Extracranial Procedures without CC/MCC | 12 | $41,031 | -36% | $8,279 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 12 | $89,677 | -45% | $22,487 |
| 683 Renal Failure with CC | 12 | $18,291 | -55% | $6,539 |
| 689 Kidney and Urinary Tract Infections with MCC | 12 | $23,311 | -55% | $8,498 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 11 | $18,350 | -64% | $6,672 |
| 312 Syncope and Collapse | 11 | $21,287 | -53% | $6,262 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 11 | $19,557 | -51% | $5,745 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 11 | $75,262 | -46% | $21,321 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 11 | $54,267 | -47% | $15,313 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 11 | $19,168 | -55% | $7,988 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 11 | $55,437 | -44% | $14,786 |
Outpatient services
Against the Iowa average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Trinity Regional Medical Center charged $36,778 on average, 26% less than the Iowa average of $49,919, and was paid $14,526 against a state average of $14,771. For Heart Failure and Shock with MCC (DRG 291), Trinity Regional Medical Center charged $29,302 on average, 16% less than the Iowa average of $34,817, and was paid $9,506 against a state average of $9,846. For Pulmonary Edema and Respiratory Failure (DRG 189), Trinity Regional Medical Center charged $30,582 on average, 22% less than the Iowa average of $39,347, and was paid $8,993 against a state average of $10,151. For Percutaneous Cardiovascular Procedures with Intraluminal Device without MCC (DRG 322), Trinity Regional Medical Center charged $55,199 on average, 28% less than the Iowa average of $76,821, and was paid $13,176 against a state average of $13,590. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $9,409 was 1% below the state average of $9,485. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $11,623 was 41% below the state average of $19,798. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $14,364 was 18% below the state average of $17,461. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $9,724 was 33% below the state average of $14,513.
Price-transparency record
No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.