Guthrie County Hospital
Guthrie County Hospital in Guthrie Center, IA publishes cash prices for 189 common procedures listed here, from its own machine-readable price file updated Sep 26, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Iowa median for 132 of 189 procedures and below it for 54. By typical cash price it ranks #59 of 78 Iowa hospitals and #4 of 8 hospitals in the Des Moines, IA area, cheapest first. Click a procedure to compare it with other hospitals nearby.
710 N 12th St Guthrie Center IA 50115 Collected Sep 27, 2026 Source price file (641) 747-2201
Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 161314 · CMS hospital register
The price file shows no self-pay discount
For 201 of the 201 prices listed here, the cash price in Guthrie County Hospital's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing.
CMS price transparency record
The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 2 actions for a hospital named Guthrie County Hospital in Guthrie Center, IA:
- Feb 27, 2024 Warning notice
- Jun 3, 2024 Case closed
Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Case closed: CMS closed the case after the hospital addressed the problems.
A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Iowa | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views CPT 73610 X-ray of ankle, minimum of 3 views | $183.00 | $183.00 | $59.52–$168.36 | 19% below | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Ultrasound study of arm and leg arteries | $438.00 | $438.00 | $266.74–$402.96 | 36% above | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 Single contrast X-ray of esophagus | $425.00 | $425.00 | $59.52–$391.00 | 16% above | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 Nuclear medicine study of bone and/or joint whole body | $1,286.00 | $1,286.00 | $783.17–$1,183.12 | 5% above | — |
| Breast ultrasound, complete, one breast CPT 76641 Complete ultrasound scan of 1 breast | $227.00 | $227.00 | $138.24–$210.74 | 38% below | — |
| Breast ultrasound, limited (one breast or one area) CPT 76642 Limited ultrasound scan of 1 breast | $484.00 | $484.00 | $191.58–$445.28 | 33% above | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT scan of blood vessels of chest with contrast | $2,763.00 | $2,763.00 | $709.28–$2,541.96 | 30% above | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT scan of abdomen and pelvis without contrast | $3,183.00 | $3,183.00 | $1,042.22–$2,928.36 | 13% above | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT scan of abdomen and pelvis with contrast | $3,879.00 | $3,879.00 | $1,042.22–$3,568.68 | 20% above | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT scan of abdomen and pelvis before and after contrast | $5,594.00 | $5,594.00 | $1,042.22–$5,146.48 | 56% above | — |
| CT scan of the abdomen with contrast CPT 74160 CT scan of abdomen with contrast | $2,254.00 | $2,254.00 | $1,042.22–$2,073.68 | 33% above | — |
| CT scan of the abdomen without contrast CPT 74150 CT scan of abdomen without contrast | $1,706.00 | $1,706.00 | $480.50–$1,569.52 | 26% above | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT scan of face without contrast | $1,639.00 | $1,639.00 | $480.50–$1,507.88 | 27% above | — |
| CT scan of the head or brain, no contrast dye CPT 70450 CT scan head or brain without contrast | $1,587.00 | $1,587.00 | $966.48–$1,460.04 | 16% above | — |
| CT scan of the head with contrast CPT 70460 CT scan head or brain with contrast | $2,077.00 | $2,077.00 | $1,042.22–$1,910.84 | 36% above | — |
| CT scan of the head without and with contrast CPT 70470 CT scan of head or brain before and after contrast | $2,367.00 | $2,367.00 | $1,042.22–$2,177.64 | 31% above | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT scan of lower spine without contrast | $1,714.00 | $1,714.00 | $480.50–$1,576.88 | 13% above | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT scan of upper spine without contrast | $1,714.00 | $1,714.00 | $480.50–$1,576.88 | 14% above | — |
| CT scan of the pelvis, with contrast dye CPT 72193 CT scan of pelvis with contrast | $2,302.00 | $2,302.00 | $1,042.22–$2,117.84 | 32% above | — |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 Ultrasound of both sides of head and neck blood flow | $1,309.00 | $1,309.00 | $191.58–$1,204.28 | 49% above | — |
| Chest X-ray, 2 views CPT 71046 X-ray of chest, 2 views | $207.00 | $207.00 | $59.52–$190.44 | at median | — |
| Chest X-ray, single view CPT 71045 X-ray of chest, 1 view | $179.00 | $179.00 | $59.52–$164.68 | 7% above | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Complete ultrasound scan behind abdominal cavity | $701.00 | $701.00 | $302.56–$644.92 | 14% above | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA bone density measurement of hip, pelvis, spine | $561.00 | $561.00 | $245.52–$516.12 | 43% above | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT scan of chest without contrast | $1,649.00 | $1,649.00 | $480.50–$1,517.08 | 17% above | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT scan of chest with contrast | $1,925.00 | $1,925.00 | $1,042.22–$1,771.00 | 6% above | — |
| Diagnostic mammogram, both breasts CPT 77066 Diagnostic mammography of both breasts | $769.00 | $769.00 | $221.34–$707.48 | 127% above | — |
| Diagnostic mammogram, one breast CPT 77065 Diagnostic mammography of 1 breast | $575.00 | $575.00 | $221.34–$529.00 | 97% above | — |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 Ultrasound of leg arteries or artery grafts | $888.00 | $888.00 | $302.56–$816.96 | 22% above | — |
| Duplex ultrasound of the leg veins, both legs CPT 93970 Ultrasound study of arm or leg veins with compression and maneuvers | $1,073.00 | $1,073.00 | $302.56–$987.16 | 20% above | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | $2,339.00 | $2,339.00 | $415.40–$2,151.88 | 53% above | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Nuclear medicine study of liver and bile duct system | $1,332.00 | $1,332.00 | $811.19–$1,225.44 | 13% above | — |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Sleep study including heart rate, breathing, airflow, and effort | $457.00 | $457.00 | $278.31–$1,226.92 | 18% below | — |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Sleep study in sleep lab with continuous airway pressure (6 years or older) | $4,131.00 | $4,131.00 | $1,115.38–$3,800.52 | 31% above | — |
| Knee X-ray, 3 views CPT 73562 X-ray of knee, 3 views | $351.00 | $351.00 | $59.52–$322.92 | 60% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Limited ultrasound scan of abdomen | $803.00 | $803.00 | $191.58–$738.76 | 63% above | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Low dose CT scan of chest for lung cancer screening | $632.00 | $632.00 | $384.89–$581.44 | 39% above | — |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI scan of leg joint without contrast | $2,666.00 | $2,666.00 | $983.32–$2,452.72 | 16% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI scan of leg joint before and after contrast | $3,750.00 | $3,750.00 | $1,233.80–$3,450.00 | 18% above | — |
| MRI of the abdomen without contrast CPT 74181 MRI scan of abdomen without contrast | $2,695.00 | $2,695.00 | $983.32–$2,479.40 | 30% above | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI scan of abdomen before and after contrast | $4,387.00 | $4,387.00 | $1,233.80–$4,036.04 | 28% above | — |
| MRI of the brain, no contrast dye CPT 70551 MRI scan of brain without contrast | $2,714.00 | $2,714.00 | $983.32–$2,496.88 | 19% above | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI scan of brain before and after contrast | $4,643.00 | $4,643.00 | $1,233.80–$4,271.56 | 29% above | — |
| MRI of the lower back, no contrast dye CPT 72148 MRI scan of lower spinal canal without contrast | $3,247.00 | $3,247.00 | $983.32–$2,987.24 | 35% above | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI scan of lower spinal canal before and after contrast | $4,577.00 | $4,577.00 | $1,233.80–$4,210.84 | 29% above | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI scan of middle spinal canal without contrast | $3,014.00 | $3,014.00 | $983.32–$2,772.88 | 28% above | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI scan of upper spinal canal before and after contrast | $4,032.00 | $4,032.00 | $1,233.80–$3,709.44 | 19% above | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI scan of upper spinal canal without contrast | $2,714.00 | $2,714.00 | $983.32–$2,496.88 | 19% above | — |
| MRI of the pelvis without and with contrast CPT 72197 MRI scan of pelvis before and after contrast | $3,227.00 | $3,227.00 | $1,233.80–$2,968.84 | at median | — |
| MRI of the pelvis, no contrast dye CPT 72195 MRI scan of pelvis without contrast | $2,365.00 | $2,365.00 | $983.32–$2,175.80 | 15% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI scan of arm joint without contrast | $2,596.00 | $2,596.00 | $983.32–$2,388.32 | 14% above | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Nuclear medicine studies of heart muscle at rest and with stress and SPECT | $3,611.00 | $3,611.00 | $1,657.26–$3,322.12 | 29% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Limited ultrasound scan of pelvis | $353.00 | $353.00 | $191.58–$324.76 | at median | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Complete ultrasound scan of pelvis | $690.00 | $690.00 | $302.56–$634.80 | 28% above | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Ultrasound scan of pregnant uterus (14 weeks or more), single or first fetus | $618.00 | $618.00 | $169.88–$568.56 | 12% above | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Ultrasound scan of pregnant uterus (less than 14 weeks), single or first fetus | $495.00 | $495.00 | $169.88–$455.40 | 8% above | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Limited ultrasound of pregnant uterus | $495.00 | $495.00 | $169.88–$455.40 | 45% above | — |
| Screening mammogram, both breasts CPT 77067 Screening mammography | $649.00 | $649.00 | $221.34–$597.08 | 111% above | — |
| Shoulder X-ray, complete, 2 or more views CPT 73030 X-ray of shoulder, minimum of 2 views | $254.00 | $254.00 | $59.52–$233.68 | 7% above | — |
| Sleep study in a lab (polysomnography) CPT 95810 Sleep study in sleep lab (6 years or older) | $3,699.00 | $3,699.00 | $1,115.38–$3,403.08 | 28% above | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 Imaging for evaluation of swallowing function | $397.00 | $397.00 | $178.56–$365.24 | 2% below | — |
| Transvaginal pelvic ultrasound CPT 76830 Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina | $658.00 | $658.00 | $191.58–$605.36 | 26% above | — |
| Transvaginal ultrasound during pregnancy CPT 76817 Vaginal ultrasound of pregnant uterus | $537.00 | $537.00 | $169.88–$494.04 | 18% above | — |
| Ultrasound of the abdomen, complete CPT 76700 Complete ultrasound scan of abdomen | $658.00 | $658.00 | $302.56–$605.36 | 5% below | — |
| Ultrasound of the scrotum and testicles CPT 76870 Ultrasound scan of scrotum | $515.00 | $515.00 | $191.58–$473.80 | 5% below | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Ultrasound scan of head and neck soft tissue | $468.00 | $468.00 | $191.58–$430.56 | 1% above | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Single contrast X-ray of upper digestive tract | $479.00 | $479.00 | $178.56–$440.68 | 12% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Ultrasound study of one arm or leg veins with compression and maneuvers | $760.00 | $760.00 | $191.58–$699.20 | 17% above | — |
| Wrist X-ray, complete, 3 or more views CPT 73110 X-ray of wrist, minimum of 3 views | $217.00 | $217.00 | $59.52–$199.64 | 4% below | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-ray of hip, 2-3 views | $204.00 | $204.00 | $59.52–$187.68 | 4% above | — |
| X-ray of the abdomen, 1 view CPT 74018 X-ray of abdomen, 1 view | $179.00 | $179.00 | $59.52–$164.68 | at median | — |
| X-ray of the ankle, 2 views CPT 73600 X-ray of ankle, 2 views | $162.00 | $162.00 | $59.52–$149.04 | 8% below | — |
| X-ray of the finger(s), 2 or more views CPT 73140 X-ray of finger, minimum of 2 views | $171.00 | $171.00 | $59.52–$157.32 | 1% above | — |
| X-ray of the foot, 2 views CPT 73620 X-ray of foot, 2 views | $162.00 | $162.00 | $59.52–$149.04 | 3% below | — |
| X-ray of the foot, complete, 3 or more views CPT 73630 X-ray of foot, minimum of 3 views | $179.00 | $179.00 | $59.52–$164.68 | 19% below | — |
| X-ray of the hand, 3 or more views CPT 73130 X-ray of hand, minimum of 3 views | $216.00 | $216.00 | $59.52–$198.72 | 5% above | — |
| X-ray of the knee, 1 or 2 views CPT 73560 X-ray of knee, 1-2 views | $295.00 | $295.00 | $59.52–$271.40 | 46% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-ray of lower and sacral spine, 2-3 views | $306.00 | $306.00 | $59.52–$281.52 | 7% above | — |
| X-ray of the lower back, 4 or more views CPT 72110 X-ray of lower and sacral spine, minimum of 4 views | $407.00 | $407.00 | $59.52–$374.44 | 15% above | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-ray of middle spine, 2 views | $257.00 | $257.00 | $59.52–$236.44 | 1% above | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 X-ray of nose bones, minimum of 3 views | $186.00 | $186.00 | $59.52–$171.12 | 9% below | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-ray of upper spine, 2-3 views | $276.00 | $276.00 | $59.52–$253.92 | 10% above | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 X-ray of pelvis, 1-2 views | $287.00 | $287.00 | $59.52–$264.04 | 45% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-ray of sacrum and tailbone, minimum of 2 views | $185.00 | $185.00 | $59.52–$170.20 | 17% below | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Iowa | Off list |
|---|---|---|---|---|---|
| Complete blood count (CBC) with differential CPT 85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | $117.00 | $117.00 | $32.86–$107.64 | 89% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Blood test, clotting time | $61.00 | $61.00 | $24.18–$56.12 | 86% above | — |
| Urinalysis without microscope exam, automated CPT 81003 Automated urinalysis test | $72.00 | $72.00 | $22.32–$66.24 | 180% above | — |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Iowa | Off list |
|---|---|---|---|---|---|
| Arthroscopic ACL reconstruction or repair of the knee CPT 29888 Repair of anterior cruciate ligament of knee using an endoscope | $2,972.00 | $2,972.00 | $806.03–$2,972.00 | 4% above | — |
| Arthroscopic rotator cuff repair of the shoulder CPT 29827 Repair of shoulder rotator cuff using an endoscope | $3,350.00 | $3,350.00 | $883.71–$3,350.00 | 9% above | — |
| Carpal tunnel release, open surgery CPT 64721 Release and/or relocation of hand nerve | $1,406.00 | $1,406.00 | $383.86–$1,406.00 | 19% below | — |
| Cataract surgery with lens implant CPT 66984 Removal of cataract with insertion of prosthetic lens | $1,777.00 | $1,777.00 | $434.29–$1,777.00 | 65% below | — |
| Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 Removal of foreskin (older than 28 days) | $626.00 | $626.00 | $167.58–$626.00 | 30% below | — |
| Colonoscopy with polyp removal CPT 45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare | $1,484.00 | $1,484.00 | $208.30–$1,484.00 | 3% above | — |
| Colonoscopy with tissue sample CPT 45380 Biopsy of large bowel using a flexible endoscope | $1,718.00 | $1,718.00 | $165.17–$1,718.00 | 23% above | — |
| Colonoscopy, diagnostic CPT 45378 Diagnostic exam of large bowel using a flexible endoscope | $1,560.00 | $1,560.00 | $152.60–$1,560.00 | 34% above | — |
| Complex cataract surgery with lens implant CPT 66982 Complex removal of cataract with insertion of prosthetic lens | $2,233.00 | $2,233.00 | $591.70–$2,233.00 | 51% below | — |
| Cystoscopy with ureteral stent placement CPT 52332 Insertion of stent in ureter using an endoscope | $1,290.00 | $1,290.00 | $129.33–$1,290.00 | 25% below | — |
| Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 Incision of eardrum with placement of eardrum tube under general anesthesia | $621.00 | $621.00 | $133.05–$621.00 | 71% below | — |
| Earwax removal with instruments, one ear CPT 69210 Removal of impacted ear wax | $152.00 | $152.00 | $92.57–$362.82 | 47% above | — |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Injection of substance into middle or upper spine canal using imaging guidance | $794.00 | $794.00 | $89.69–$794.00 | 35% below | — |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Injection of lower or sacral spine facet joint using imaging guidance, single level | $586.00 | $586.00 | $76.35–$586.00 | 54% below | — |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Diagnostic exam of lower portion of large bowel using a flexible endoscope | $635.00 | $635.00 | $49.46–$635.00 | 18% below | — |
| Gallbladder removal, laparoscopic CPT 47562 Removal of gallbladder using an endoscope | $2,146.00 | $2,146.00 | $561.02–$2,146.00 | 5% above | — |
| Hammertoe correction surgery CPT 28285 Correction of toe joint deformity | $1,800.00 | $1,800.00 | $344.07–$1,800.00 | 23% below | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 Simple or single drainage of skin abscess | $374.00 | $374.00 | $93.12–$374.00 | 51% above | — |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 Repair of groin hernia (5 years or older) | $2,356.00 | $2,356.00 | $451.41–$2,356.00 | 56% above | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Injection into tendon or ligament | $264.00 | $264.00 | $31.08–$264.00 | 7% above | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Aspiration and/or injection of fluid from large joint | $224.00 | $224.00 | $36.31–$224.00 | 37% below | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Aspiration and/or injection of fluid from medium joint | $177.00 | $177.00 | $29.83–$177.00 | 42% below | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Aspiration and/or injection of fluid from small joint | $170.00 | $170.00 | $29.16–$170.00 | 38% below | — |
| Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 Repair of inside or outside knee joint cartilage using an endoscope | $2,112.00 | $2,112.00 | $581.79–$2,112.00 | at median | — |
| Knee arthroscopy with meniscus trim CPT 29881 Removal of knee cartilage using an endoscope | $1,698.00 | $1,698.00 | $467.10–$1,698.00 | 30% below | — |
| Knee arthroscopy with removal of both torn meniscus parts CPT 29880 Removal of both knee cartilages using an endoscope | $1,766.00 | $1,766.00 | $482.80–$1,766.00 | 21% below | — |
| Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 Removal or shaving of knee joint cartilage using an endoscope | $1,986.00 | $1,986.00 | $531.22–$1,986.00 | 10% above | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less | $772.00 | $772.00 | $123.50–$772.00 | 117% above | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 Injection of substance into lower spine canal using imaging guidance | $780.00 | $780.00 | $83.66–$780.00 | 34% below | — |
| Lower-back epidural injection, without imaging guidance CPT 62322 Injection of substance into lower spine canal | $817.00 | $817.00 | $497.55–$1,487.44 | 6% above | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | $837.00 | $837.00 | $93.39–$837.00 | 36% below | — |
| Nail removal (partial or complete), one nail CPT 11730 Simple separation of fingernail or toenail from nail bed, first nail | $338.00 | $338.00 | $46.13–$338.00 | 59% above | — |
| Paracentesis with imaging guidance CPT 49083 Drainage of fluid from abdominal cavity using imaging guidance | $897.00 | $897.00 | $546.27–$1,351.72 | 21% below | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Permanent removal fingernail or toenail | $473.00 | $473.00 | $88.13–$473.00 | 9% above | — |
| Prostate biopsy CPT 55700 Biopsy of prostate gland | $773.00 | $773.00 | $235.00–$773.00 | 63% below | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | $1,334.00 | $1,334.00 | $162.49–$1,334.00 | 39% below | — |
| Removal of a foreign object under the skin, simple CPT 10120 Removal of foreign body from tissue, accessed beneath the skin, simple | $672.00 | $672.00 | $409.25–$1,014.13 | 118% above | — |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK | $1,560.00 | $1,560.00 | $152.74–$1,560.00 | 51% above | — |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL AT HIGH RISK | $1,560.00 | $1,560.00 | $152.60–$1,560.00 | 42% above | — |
| Short arm splint (forearm and hand) CPT 29125 Application of nonmoveable forearm to hand splint | $207.00 | $207.00 | $37.43–$207.00 | 16% above | — |
| Short leg cast (below the knee) CPT 29405 Application of short leg cast | $261.00 | $261.00 | $51.00–$261.00 | 8% above | — |
| Short leg splint (calf to foot) CPT 29515 Application of short leg splint from calf to foot | $224.00 | $224.00 | $45.48–$224.00 | 34% above | — |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 Shaving of part of shoulder bone and repair of ligament using an endoscope | $1,602.00 | $1,602.00 | $133.37–$1,602.00 | 66% above | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.5 cm or less | $277.00 | $277.00 | $39.56–$277.00 | 21% above | — |
| Skin tag removal, up to 15 tags CPT 11200 Removal of skin tag, 1-15 skin tags | $272.00 | $272.00 | $64.15–$272.00 | 58% above | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Removal of cerebrospinal fluid with lower back spinal tap for diagnostic test | $442.00 | $442.00 | $52.15–$442.00 | 9% below | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.6-7.5 cm | $336.00 | $336.00 | $51.57–$336.00 | 37% above | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Simple repair of surface wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less | $330.00 | $330.00 | $48.79–$330.00 | 31% above | — |
| Tonsil and adenoid removal, child under 12 CPT 42820 Removal of tonsils and adenoid glands (younger than 12 years) | $940.00 | $940.00 | $240.15–$940.00 | 73% below | — |
| Total hip replacement CPT 27130 Replacement of thigh bone and hip joint with prosthesis | $3,933.00 | $3,933.00 | $1,047.43–$3,933.00 | 30% below | — |
| Total knee replacement CPT 27447 Replacement of knee joint, both sides of knee | $4,311.00 | $4,311.00 | $1,045.50–$4,311.00 | 5% above | — |
| Trigger finger release surgery CPT 26055 Incision of tendon covering of finger | $1,799.00 | $1,799.00 | $261.70–$1,799.00 | 6% above | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 Injection of trigger points, 1-2 muscles | $184.00 | $184.00 | $33.31–$184.00 | 39% below | — |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | $3,854.00 | $3,854.00 | $126.88–$3,854.00 | 77% above | — |
| Upper endoscopy (EGD) with biopsy CPT 43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | $1,138.00 | $1,138.00 | $115.02–$1,138.00 | 18% below | — |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare | $1,605.00 | $1,605.00 | $161.16–$1,605.00 | 36% above | — |
| Upper endoscopy (EGD), diagnostic CPT 43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | $888.00 | $888.00 | $102.80–$888.00 | 19% below | — |
| Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 Crushing of stone of ureter using an endoscope | $1,226.00 | $1,226.00 | $319.14–$1,226.00 | 28% below | — |
| Wart removal, up to 14 warts CPT 17110 Destruction of skin growth, 1-14 growths | $463.00 | $463.00 | $57.87–$463.00 | 128% above | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Removal of skin and tissue, 20.0 sq cm or less | $380.00 | $380.00 | $51.57–$380.00 | 11% below | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Iowa | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 Transfusion of blood or blood products | $132.00 | $132.00 | $80.39–$1,444.48 | 77% below | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Inhalation treatment for airway obstruction or sputum production | $133.00 | $133.00 | $81.00–$360.78 | 16% above | — |
| Critical care, first 30 to 74 minutes CPT 99291 Critical care, first 30-74 minutes | $681.00 | $681.00 | $186.97–$681.00 | 23% below | — |
| Critical care, first 30 to 74 minutes CPT 99291 Critical care, first 30-74 minutes | $1,849.00 | $1,849.00 | $979.97–$1,701.08 | 110% above | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 Critical care, first 30-74 minutes | $1,849.00 | $1,849.00 | $979.97–$1,701.08 | — | — |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Routine electrocardiogram (ECG) using at least 12 leads with interpretation and report | $295.00 | $295.00 | $83.08–$271.40 | 203% above | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Routine electrocardiogram (ECG) using at least 12 leads with tracing | $258.00 | $258.00 | $83.08–$237.36 | 62% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emergency department visit for problem that may not require health care professional | $55.00 | $55.00 | $10.28–$34.00 | 22% below | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emergency department visit for problem that may not require health care professional | $480.00 | $480.00 | $254.40–$441.60 | 578% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Emergency department visit for problem that may not require health care professional | $480.00 | $480.00 | $254.40–$441.60 | — | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emergency department visit with straightforward medical decision making | $87.00 | $87.00 | $37.72–$87.00 | 44% below | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emergency department visit with straightforward medical decision making | $614.00 | $614.00 | $325.42–$564.88 | 292% above | — |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Emergency department visit with straightforward medical decision making | $614.00 | $614.00 | $325.42–$564.88 | — | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency department visit with low level of medical decision making | $169.00 | $169.00 | $64.65–$169.00 | 43% below | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency department visit with low level of medical decision making | $750.00 | $750.00 | $397.50–$690.00 | 153% above | — |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Emergency department visit with low level of medical decision making | $750.00 | $750.00 | $397.50–$690.00 | — | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Emergency department visit with moderate level of medical decision making | $256.00 | $256.00 | $109.91–$256.00 | 54% below | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Emergency department visit with moderate level of medical decision making | $1,024.00 | $1,024.00 | $542.72–$942.08 | 82% above | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Emergency department visit with moderate level of medical decision making | $1,024.00 | $1,024.00 | $542.72–$942.08 | — | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emergency department visit with high level of medical decision making | $389.00 | $389.00 | $159.83–$389.00 | 55% below | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emergency department visit with high level of medical decision making | $1,379.00 | $1,379.00 | $730.87–$1,268.68 | 60% above | — |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Emergency department visit with high level of medical decision making | $1,379.00 | $1,379.00 | $730.87–$1,268.68 | — | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Exercise or drug-induced heart stress test with electrocardiogram (ECG) | $554.00 | $554.00 | $337.39–$509.68 | 18% below | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Infusion into a vein for hydration, 31-60 minutes | $363.00 | $363.00 | $221.07–$610.39 | 29% above | — |
| IV infusion of a medicine, first hour CPT 96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less | $343.00 | $343.00 | $208.89–$610.39 | 9% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection of drug or substance under skin or into muscle | $79.00 | $79.00 | $41.87–$72.68 | 12% below | — |
| Neuromuscular re-education, 15 minutes CPT 97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | $104.00 | $104.00 | $63.34–$150.04 | 14% above | — |
| New patient office visit, about 30 minutes CPT 99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | $259.00 | $259.00 | $67.18–$259.00 | 62% above | — |
| New patient office visit, about 45 minutes CPT 99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $329.00 | $329.00 | $110.20–$329.00 | 35% above | — |
| New patient office visit, about 60 minutes CPT 99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | $345.00 | $345.00 | $150.40–$349.83 | 9% above | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more | $177.00 | $177.00 | $39.02–$177.00 | 77% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Therapy procedure for nutrition management, each 15 minutes | $40.00 | $40.00 | $24.36–$77.07 | 6% below | — |
| Occupational therapy evaluation, low complexity CPT 97165 Evaluation for occupational therapy, typically 30 minutes | $224.00 | $224.00 | $120.90–$206.08 | 25% above | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Evaluation for physical therapy, typically 45 minutes | $267.00 | $267.00 | $136.40–$245.64 | 25% above | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Evaluation for physical therapy, typically 20 minutes | $226.00 | $226.00 | $136.40–$207.92 | 16% above | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Evaluation for physical therapy, typically 30 minutes | $244.00 | $244.00 | $136.40–$224.48 | 22% above | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Therapy procedure using manual technique, each 15 minutes | $82.00 | $82.00 | $49.94–$150.04 | 15% below | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | $102.00 | $102.00 | $62.12–$150.04 | 9% above | — |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 Smoking and tobacco use intermediate counseling, 3-10 minutes | $48.00 | $48.00 | $17.98–$44.16 | 30% above | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | $272.00 | $272.00 | $119.23–$278.63 | 16% above | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more | $174.00 | $174.00 | $54.70–$174.00 | 47% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $223.00 | $223.00 | $80.35–$223.00 | 36% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | $130.00 | $130.00 | $29.37–$130.00 | 66% above | — |
| Speech and language evaluation CPT 92523 Evaluation of speech sound production with evaluation of language comprehension and expression | $339.00 | $339.00 | $128.96–$311.88 | 12% above | — |
| Speech therapy session, individual CPT 92507 Treatment of speech, language, voice, communication, and/or hearing processing disorder | $252.00 | $252.00 | $128.96–$231.84 | 16% above | — |
| Spirometry (breathing test) CPT 94010 Test to measure expiratory airflow and volume | $185.00 | $185.00 | $112.67–$282.35 | 8% below | — |
| Spirometry before and after a bronchodilator CPT 94060 Test to measure expiratory airflow and volume changes before and after medication administration | $408.00 | $408.00 | $248.47–$375.36 | 3% above | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Therapy procedure using functional activities | $92.00 | $92.00 | $56.03–$150.04 | 10% below | — |
| Treadmill or drug stress test with ECG, supervision and report CPT 93015 Exercise or drug-induced heart stress test with electrocardiogram (ECG) with supervision and review by physician | $616.00 | $616.00 | $375.14–$566.72 | 46% above | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Iowa | Off list |
|---|---|---|---|---|---|
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Influenza vaccine, trivalent, split virus, preservative-free, 0.5 mL dosage | $129.50 | $129.50 | $62.00–$119.14 | 497% above | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Influenza vaccine split virus, preservative free | $86.50 | $86.50 | $52.68–$79.58 | 9% above | — |
| Rabies vaccine, one dose CPT 90675 Rabies vaccine for injection into muscle | $957.00 | $957.00 | $207.70–$880.44 | 37% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Diphtheria and tetanus vaccine (7 years or older) | $177.50 | $177.50 | $62.00–$163.30 | 197% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Diphtheria, tetanus, and acellular pertussis vaccine (7 years or older) | $188.00 | $188.00 | $62.00–$172.96 | 124% above | — |
Source file: https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbGCHGUTHRIECENTERIA&type=CDMWithoutLabel&fileType=CSV