Hospital Pella, IA

Knoxville Hospital & Clinics

Listed in its price file as “Knoxville Community Hospital INC”.

Knoxville Hospital & Clinics in Knoxville, IA publishes cash prices for 166 common procedures listed here, from its own machine-readable price file updated Jan 24, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Iowa median for 138 of 166 procedures and above it for 26. By typical cash price it ranks #11 of 78 Iowa hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

1002 S Lincoln St Knoxville IA 50138 Collected Sep 27, 2026 Source price file (641) 842-2151

Critical access hospital (rural, 25 beds or fewer) Emergency department CMS star rating 2 of 5 CCN 161355 · CMS hospital register

Lab tests

ProcedureCash price List priceInsurers payvs IowaOff list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Liver enzyme (SGPT), level $40.80 $68.00 $28.86–$65.96 3% below 40%
AST (aspartate aminotransferase) enzyme test CPT 84450 Liver enzyme (SGOT), level $31.80 $53.00 $22.49–$51.41 18% below 40%
Allergy blood test, specific IgE, per allergen CPT 86003 Measurement of antibody (IgE) to allergic substance, crude allergen extract, each $20.40 $34.00 $14.43–$47.65 48% below 40%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Measurement of antibody for rheumatoid arthritis assessment $52.80 $88.00 $37.35–$85.36 24% below 40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Screening test for autoimmune disorder $57.00 $95.00 $40.32–$92.15 22% below 40%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Natriuretic peptide (heart and blood vessel protein) level $151.80 $253.00 $93.81–$245.41 3% below 40%
Basic metabolic panel (blood test) CPT 80048 Blood test, basic group of blood chemicals (Calcium, total) $93.60 $156.00 $53.79–$151.32 13% above 40%
Blood culture for bacteria CPT 87040 Bacterial blood culture $72.00 $120.00 $50.93–$116.40 17% below 40%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Insertion of needle into vein for collection of blood sample $12.00 $20.00 $8.49–$19.40 39% below 40%
Blood glucose (sugar) test CPT 82947 Blood glucose (sugar) level $29.40 $49.00 $20.80–$47.53 12% below 40%
Blood lead test CPT 83655 Lead level $34.80 $58.00 $24.62–$56.26 34% below 40%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Gonadotropin (reproductive hormone) analysis $34.80 $58.00 $24.62–$60.65 44% below 40%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood group typing (ABO) $53.40 $89.00 $37.77–$99.64 7% below 40%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Measurement C-reactive protein for detection of infection or inflammation $52.20 $87.00 $36.92–$84.39 9% below 40%
C. difficile toxin gene test (stool PCR) CPT 87493 Detection test by nucleic acid for clostridium difficile, amplified probe technique $98.40 $164.00 $43.30–$159.08 9% below 40%
CA 19-9 blood test (tumor marker) CPT 86301 Immunologic analysis for detection of tumor antigen, quantitative; CA 19-9 $42.60 $71.00 $30.13–$69.31 56% below 40%
CA-125 blood test (ovarian cancer marker) CPT 86304 Immunologic analysis for detection of tumor antigen, quantitative; CA 125 $82.20 $137.00 $58.14–$132.89 28% below 40%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Amplifed DNA or RNA probe detection of severe acute respiratory syndrome coronavirus 2 (Covid-19) antigen $66.00 $110.00 $46.68–$106.70 42% below 40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Detection test by nucleic acid for chlamydia trachomatis, amplified probe technique $89.40 $149.00 $43.30–$144.53 10% below 40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Blood test, lipids (cholesterol and triglycerides) $66.00 $110.00 $46.68–$106.70 23% below 40%
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 $47.40 $79.00 $27.55–$76.63 23% below 40%
Complete blood count (CBC), no differential CPT 85027 Complete blood cell count (red cells, white blood cell, platelets), automated test $36.60 $61.00 $25.89–$59.17 18% below 40%
Comprehensive metabolic panel (blood test) CPT 80053 Blood test, comprehensive group of blood chemicals $117.60 $196.00 $53.79–$190.12 1% below 40%
D-dimer blood test (blood clot marker) CPT 85379 Coagulation function measurement, D-dimer; quantitative $76.80 $128.00 $54.32–$124.16 9% below 40%
DHEA sulfate (DHEA-S) blood test CPT 82627 Dehydroepiandrosterone (DHEA-S) hormone level $39.60 $66.00 $28.01–$106.86 65% below 40%
Estradiol blood test CPT 82670 Measurement of total estradiol (hormone) $130.20 $217.00 $92.09–$210.49 at median 40%
FSH (follicle-stimulating hormone) test CPT 83001 Gonadotropin, follicle stimulating (reproductive hormone) level $79.20 $132.00 $56.02–$128.04 14% below 40%
Fecal calprotectin (stool inflammation test) CPT 83993 Stool calprotectin (protein) level $84.60 $141.00 $59.84–$136.77 47% below 40%
Ferritin blood test (iron stores) CPT 82728 Ferritin (blood protein) level $66.00 $110.00 $46.68–$106.70 23% below 40%
Folate (folic acid) blood test CPT 82746 Folic acid level, serum $103.80 $173.00 $55.10–$167.81 17% above 40%
Free T3 thyroid hormone test CPT 84481 Thyroid hormone, T3 measurement, free $69.00 $115.00 $48.81–$111.55 31% below 40%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine (thyroid chemical), free $49.20 $82.00 $34.80–$79.54 24% below 40%
Free testosterone test CPT 84402 Testosterone (hormone) level, free $108.60 $181.00 $76.82–$175.57 2% above 40%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 General health panel $234.00 $390.00 $53.79–$378.30 46% above 40%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Blood glucose (sugar) level after receiving dose of glucose $36.00 $60.00 $25.46–$58.20 at median 40%
Glucose tolerance test, 3 samples CPT 82951 Blood glucose (sugar) tolerance test, 3 specimens $66.00 $110.00 $46.68–$106.70 22% below 40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Detection test by nucleic acid for Neisseria gonorrhoeae (gonorrhoeae bacteria), amplified probe technique $79.20 $132.00 $56.02–$128.04 13% below 40%
H. pylori antibody blood test CPT 86677 Analysis for antibody to Helicobacter pylori (gastrointestinal bacteria) $59.40 $99.00 $42.02–$96.03 26% below 40%
H. pylori stool antigen test CPT 87338 Detection test by immunoassay technique for Helicobacter pylori (GI tract bacteria) in stool $48.00 $80.00 $33.95–$77.60 57% below 40%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Detection test by nucleic acid for HIV-1 virus, quantification $163.80 $273.00 $62.98–$264.81 39% below 40%
HIV-1 and HIV-2 antibody test CPT 86703 Analysis for antibody to HIV-1 and HIV-2 virus $43.20 $72.00 $30.56–$69.84 11% below 40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1C level $47.40 $79.00 $33.53–$76.63 22% below 40%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B surface antibody measurement $78.00 $130.00 $55.10–$126.10 15% above 40%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Detection test by immunoassay technique for hepatitis B surface antigen $52.80 $88.00 $37.35–$85.36 19% below 40%
Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C antibody measurement $66.00 $110.00 $46.68–$106.70 15% below 40%
Hepatitis C viral load (HCV RNA) test CPT 87522 Detection test by nucleic acid for Hepatitis C virus, quantification $347.40 $579.00 $62.98–$561.63 35% above 40%
Herpes blood test, HSV-1 antibody CPT 86695 Analysis for antibody to Herpes simplex virus, type 1 $33.00 $55.00 $23.34–$66.42 51% below 40%
Herpes blood test, HSV-2 antibody CPT 86696 Analysis for antibody to Herpes simplex virus, type 2 $39.60 $66.00 $28.01–$64.02 32% below 40%
High-sensitivity CRP (hs-CRP) test CPT 86141 Measurement C-reactive protein for detection of infection or inflammation, high sensitivity $30.60 $51.00 $21.64–$60.65 61% below 40%
Homocysteine blood test CPT 83090 Homocysteine (amino acid) level $56.40 $94.00 $39.89–$106.86 41% below 40%
Insulin blood test CPT 83525 Insulin measurement, total $36.00 $60.00 $25.46–$58.20 53% below 40%
Iron blood test (serum iron) CPT 83540 Iron level $34.80 $58.00 $24.62–$60.65 13% below 40%
Iron-binding capacity (TIBC) test CPT 83550 Iron binding capacity $44.40 $74.00 $31.41–$71.78 8% below 40%
Kidney function blood test panel CPT 80069 Kidney function blood test panel $103.80 $173.00 $53.79–$167.81 18% above 40%
LH (luteinizing hormone) test CPT 83002 Gonadotropin, luteinizing (reproductive hormone) level $52.80 $88.00 $37.35–$106.86 43% below 40%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase (fat enzyme) level $44.40 $74.00 $31.41–$71.78 30% below 40%
Liver function blood test panel CPT 80076 Liver function blood test panel $82.80 $138.00 $53.79–$133.86 2% below 40%
Lyme disease antibody test CPT 86618 Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) $39.60 $66.00 $28.01–$66.42 55% below 40%
Magnesium blood test CPT 83735 Magnesium level $33.60 $56.00 $23.77–$60.65 31% below 40%
Measles (rubeola) antibody test CPT 86765 Analysis for antibody to Rubeola (measles virus) $39.60 $66.00 $28.01–$64.02 28% below 40%
Mono test (heterophile antibody, Monospot) CPT 86308 Screening test for mononucleosis (mono) $41.40 $69.00 $29.28–$66.93 15% below 40%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA (prostate specific antigen) measurement, free $46.20 $77.00 $32.68–$74.69 53% below 40%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA (prostate specific antigen) measurement, total $96.60 $161.00 $55.10–$156.17 at median 40%
Parathyroid hormone (PTH) blood test CPT 83970 Parathormone (parathyroid hormone) level $196.80 $328.00 $97.09–$318.16 11% above 40%
Partial thromboplastin time (PTT) clotting test CPT 85730 Coagulation assessment blood test, plasma or whole blood $38.40 $64.00 $25.58–$62.08 15% below 40%
Progesterone blood test CPT 84144 Progesterone (reproductive hormone) level $70.20 $117.00 $49.65–$113.49 28% below 40%
Prolactin blood test CPT 84146 Prolactin (milk producing hormone) level $69.00 $115.00 $48.81–$111.55 31% below 40%
Prothrombin time (PT/INR) clotting test CPT 85610 Blood test, clotting time $27.60 $46.00 $19.52–$44.62 16% below 40%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Testing for presence of drug, read by direct observation $100.80 $168.00 $71.30–$162.96 40% above 40%
Rapid flu test (influenza antigen) CPT 87804 Detection test by immunoassay with direct visual observation for influenza virus $27.60 $46.00 $19.52–$44.62 41% below 40%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Detection test by immunoassay with direct visual observation for Streptococcus, group A (strep) $46.20 $77.00 $32.68–$74.69 8% below 40%
Rheumatoid factor (RF) test CPT 86431 Rheumatoid factor level $33.00 $55.00 $23.34–$53.35 32% below 40%
Rubella antibody test (immunity check) CPT 86762 Analysis for antibody to Rubella (German measles virus) $26.40 $44.00 $18.67–$47.65 55% below 40%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Red blood cell sedimentation rate, to detect inflammation, automated $24.60 $41.00 $17.40–$39.77 27% below 40%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 Semen evaluation volume, sperm count, motility and analysis $82.80 $138.00 $49.20–$133.86 47% above 40%
Stool ova and parasites exam CPT 87177 Smear for parasites $39.60 $66.00 $28.01–$64.02 16% below 40%
Stool test for hidden blood (guaiac FOBT) CPT 82270 Stool analysis for blood to screen for colon tumors $6.60 $11.00 $4.67–$60.65 80% below 40%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay $27.00 $45.00 $19.10–$43.65 53% below 40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Syphilis detection test $42.60 $71.00 $30.13–$68.87 12% below 40%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Tuberculosis test, gamma interferon $114.60 $191.00 $60.35–$185.27 27% below 40%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone (hormone) level, total $88.80 $148.00 $62.81–$143.56 14% below 40%
Thyroid peroxidase (TPO) antibody test CPT 86376 Microsomal antibodies (autoantibody) measurement $75.60 $126.00 $53.47–$122.22 at median 40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Blood test, thyroid stimulating hormone (TSH) $31.80 $53.00 $22.49–$54.87 67% below 40%
Uric acid blood test CPT 84550 Uric acid level, blood $34.80 $58.00 $24.62–$56.26 1% below 40%
Urinalysis with microscope exam, automated CPT 81001 Manual urinalysis test with examination using microscope, automated $45.00 $75.00 $21.65–$72.75 8% above 40%
Urinalysis with microscope exam, manual CPT 81000 Manual urinalysis test with examination using microscope, non-automated $23.40 $39.00 $16.55–$37.83 9% below 40%
Urinalysis without microscope exam, automated CPT 81003 Automated urinalysis test $23.40 $39.00 $16.55–$37.83 9% below 40%
Urinalysis without microscope exam, manual CPT 81002 Urinalysis, manual test $19.20 $32.00 $13.58–$31.04 17% below 40%
Urine culture for bacteria, with colony count CPT 87086 Bacterial colony count, urine $47.40 $79.00 $32.80–$76.63 19% below 40%
Urine pregnancy test, read by color change CPT 81025 Urine pregnancy test $28.80 $48.00 $20.37–$46.56 31% below 40%
Vitamin B12 (cobalamin) blood test CPT 82607 Cyanocobalamin (vitamin B-12) level $68.40 $114.00 $48.38–$110.58 18% below 40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D-3 level $120.60 $201.00 $85.30–$194.97 4% below 40%
Zinc blood test CPT 84630 Zinc level $30.00 $50.00 $21.22–$48.50 43% below 40%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Gonadotropin, chorionic (reproductive hormone) level $82.80 $138.00 $49.86–$133.86 7% below 40%

Surgery and procedures

ProcedureCash price List priceInsurers payvs IowaOff list
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Closed treatment of broken outside lower leg bone at ankle $546.00 $910.00 $386.20–$3,119.04 27% above 40%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 Closed treatment of broken outside lower leg bone at ankle $546.00 $910.00 $386.20–$3,119.04 — 40%
Cardioversion, elective (restoring heart rhythm) CPT 92960 External shock to heart to regulate heart beat $210.60 $351.00 $148.96–$1,524.14 74% below 40%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 External shock to heart to regulate heart beat $210.60 $351.00 $148.96–$1,524.14 — 40%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Closed treatment of broken forearm (radius) bone at the wrist area on the thumb side of the wrist without manipulation $593.40 $989.00 $419.73–$3,119.04 40% above 40%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 Closed treatment of broken forearm (radius) bone at the wrist area on the thumb side of the wrist without manipulation $593.40 $989.00 $419.73–$3,119.04 — 40%
Earwax removal by irrigation (rinsing), one ear CPT 69209 Removal of impacted ear wax by washing $27.00 $45.00 $19.10–$43.65 60% below 40%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 Removal of impacted ear wax by washing $27.00 $45.00 $19.10–$43.65 — 40%
Earwax removal with instruments, one ear CPT 69210 Removal of impacted ear wax $31.80 $53.00 $22.49–$51.41 69% below 40%
Earwax removal with instruments, one ear inpatient CPT 69210 Removal of impacted ear wax $31.80 $53.00 $22.49–$51.41 — 40%
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 $327.00 $545.00 $76.35–$572.25 74% below 40%
IUD insertion (the device itself billed separately) CPT 58300 Insertion of IUD for pregnancy prevention $714.60 $1,191.00 $256.50–$1,155.27 176% above 40%
Incision and drainage of a simple or single skin abscess CPT 10060 Simple or single drainage of skin abscess $71.40 $119.00 $50.50–$349.45 71% below 40%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Simple or single drainage of skin abscess $71.40 $119.00 $50.50–$349.45 — 40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Aspiration and/or injection of fluid from large joint $48.60 $81.00 $34.38–$740.77 86% below 40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Aspiration and/or injection of fluid from large joint $147.00 $245.00 $36.31–$257.25 57% below 40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Aspiration and/or injection of fluid from large joint $48.60 $81.00 $34.38–$740.77 — 40%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Aspiration and/or injection of fluid from small joint $34.80 $58.00 $24.62–$740.77 87% below 40%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Aspiration and/or injection of fluid from small joint $34.80 $58.00 $24.62–$740.77 — 40%
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 $295.20 $492.00 $208.80–$477.24 17% below 40%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less $295.20 $492.00 $208.80–$477.24 — 40%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Removal of noncancer skin growth of body, arms, or legs, 0.5 cm or less $152.40 $254.00 $107.80–$806.47 45% below 40%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 Removal of noncancer skin growth of body, arms, or legs, 0.5 cm or less $152.40 $254.00 $107.80–$806.47 — 40%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less $194.40 $324.00 $137.51–$806.47 56% below 40%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less $194.40 $324.00 $137.51–$806.47 — 40%
Nail removal (partial or complete), one nail CPT 11730 Simple separation of fingernail or toenail from nail bed, first nail $61.80 $103.00 $43.71–$99.91 71% below 40%
Nail removal (partial or complete), one nail inpatient CPT 11730 Simple separation of fingernail or toenail from nail bed, first nail $61.80 $103.00 $43.71–$99.91 — 40%
Occipital nerve block (injection for headaches) CPT 64405 Injection of anesthetic agent and/or steroid into upper neck and back of head nerve $122.40 $204.00 $86.58–$2,558.77 70% below 40%
Occipital nerve block (injection for headaches) inpatient CPT 64405 Injection of anesthetic agent and/or steroid into upper neck and back of head nerve $122.40 $204.00 $86.58–$2,558.77 — 40%
Paracentesis with imaging guidance CPT 49083 Drainage of fluid from abdominal cavity using imaging guidance $209.40 $349.00 $148.12–$1,542.19 81% below 40%
Paracentesis with imaging guidance inpatient CPT 49083 Drainage of fluid from abdominal cavity using imaging guidance $209.40 $349.00 $148.12–$1,542.19 — 40%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Permanent removal fingernail or toenail $190.80 $318.00 $134.96–$806.47 56% below 40%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Permanent removal fingernail or toenail $190.80 $318.00 $134.96–$806.47 — 40%
Removal of a foreign object under the skin, simple CPT 10120 Removal of foreign body from tissue, accessed beneath the skin, simple $93.60 $156.00 $66.21–$349.45 69% below 40%
Removal of a foreign object under the skin, simple inpatient CPT 10120 Removal of foreign body from tissue, accessed beneath the skin, simple $93.60 $156.00 $66.21–$349.45 — 40%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK $771.00 $1,285.00 $152.74–$1,349.25 21% below 40%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL AT HIGH RISK $771.00 $1,285.00 $85.00–$1,349.25 29% below 40%
Short arm cast (elbow to hand) CPT 29075 Application of elbow to finger cast $167.40 $279.00 $53.50–$292.95 26% below 40%
Short arm splint (forearm and hand) CPT 29125 Application of nonmoveable forearm to hand splint $43.20 $72.00 $30.56–$156.67 75% below 40%
Short arm splint (forearm and hand) inpatient CPT 29125 Application of nonmoveable forearm to hand splint $43.20 $72.00 $30.56–$156.67 — 40%
Short leg splint (calf to foot) CPT 29515 Application of short leg splint from calf to foot $95.40 $159.00 $67.48–$156.67 43% below 40%
Short leg splint (calf to foot) inpatient CPT 29515 Application of short leg splint from calf to foot $95.40 $159.00 $67.48–$156.67 — 40%
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 $63.00 $105.00 $44.56–$101.85 72% below 40%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.5 cm or less $63.00 $105.00 $44.56–$101.85 — 40%
Skin tag removal, up to 15 tags CPT 11200 Removal of skin tag, 1-15 skin tags $141.60 $236.00 $100.16–$228.92 18% below 40%
Skin tag removal, up to 15 tags inpatient CPT 11200 Removal of skin tag, 1-15 skin tags $141.60 $236.00 $100.16–$228.92 — 40%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Removal of cerebrospinal fluid with lower back spinal tap for diagnostic test $150.60 $251.00 $106.52–$243.47 69% below 40%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Removal of cerebrospinal fluid with lower back spinal tap for diagnostic test $288.60 $481.00 $52.15–$505.05 41% below 40%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Removal of cerebrospinal fluid with lower back spinal tap for diagnostic test $150.60 $251.00 $106.52–$243.47 — 40%
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 $73.80 $123.00 $52.20–$119.31 70% below 40%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.6-7.5 cm $73.80 $123.00 $52.20–$119.31 — 40%
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 $75.00 $125.00 $53.05–$121.25 70% below 40%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Simple repair of surface wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less $75.00 $125.00 $53.05–$121.25 — 40%
Thoracentesis with imaging guidance CPT 32555 Aspiration of fluid from chest cavity using imaging guidance $215.40 $359.00 $152.36–$1,886.59 77% below 40%
Thoracentesis with imaging guidance inpatient CPT 32555 Aspiration of fluid from chest cavity using imaging guidance $215.40 $359.00 $152.36–$1,886.59 — 40%
Trigger point injections, 1 or 2 muscles CPT 20552 Injection of trigger points, 1-2 muscles $115.20 $192.00 $33.31–$201.60 53% below 40%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Removal of skin and tissue, 20.0 sq cm or less $119.40 $199.00 $84.46–$193.03 72% below 40%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Removal of skin and tissue, 20.0 sq cm or less $119.40 $199.00 $84.46–$193.03 — 40%

Doctor visits and therapy

ProcedureCash price List priceInsurers payvs IowaOff list
Blood transfusion (giving blood or blood components) CPT 36430 Transfusion of blood or blood products $295.80 $493.00 $209.23–$498.18 46% below 40%
Chemotherapy IV infusion, first hour CPT 96413 Administration of chemotherapy into vein, 1 hour or less $252.00 $420.00 $178.25–$595.65 54% below 40%
Critical care, first 30 to 74 minutes CPT 99291 Critical care, first 30-74 minutes $307.20 $512.00 $217.29–$496.64 65% below 40%
Critical care, first 30 to 74 minutes inpatient CPT 99291 Critical care, first 30-74 minutes $307.20 $512.00 $217.29–$496.64 — 40%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Routine electrocardiogram (ECG) using at least 12 leads with tracing $86.40 $144.00 $61.11–$139.68 46% below 40%
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 $112.20 $187.00 $79.36–$181.39 66% above 40%
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 $112.20 $187.00 $79.36–$181.39 — 40%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emergency department visit with straightforward medical decision making $180.00 $300.00 $127.32–$291.00 26% above 40%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Emergency department visit with straightforward medical decision making $180.00 $300.00 $127.32–$291.00 — 40%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency department visit with low level of medical decision making $223.20 $372.00 $157.88–$360.84 20% below 40%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Emergency department visit with low level of medical decision making $223.20 $372.00 $157.88–$360.84 — 40%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Emergency department visit with moderate level of medical decision making $325.80 $543.00 $230.45–$526.71 38% below 40%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Emergency department visit with moderate level of medical decision making $325.80 $543.00 $230.45–$526.71 — 40%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emergency department visit with high level of medical decision making $478.20 $797.00 $338.25–$773.09 37% below 40%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Emergency department visit with high level of medical decision making $478.20 $797.00 $338.25–$773.09 — 40%
Exercise stress test, tracing only, the hospital charge CPT 93017 Exercise or drug-induced heart stress test with electrocardiogram (ECG) $489.60 $816.00 $346.31–$791.52 27% below 40%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Infusion into a vein for hydration, 31-60 minutes $129.60 $216.00 $91.67–$595.65 54% below 40%
IV infusion of a medicine, first hour CPT 96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less $144.60 $241.00 $102.28–$595.65 54% below 40%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection of drug or substance under skin or into muscle $44.40 $74.00 $14.37–$77.70 48% below 40%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection of drug or substance under skin or into muscle $44.40 $74.00 $31.41–$71.78 48% below 40%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Injection of drug or substance under skin or into muscle $44.40 $74.00 $31.41–$71.78 — 40%
Preventive checkup, new patient aged 18–39 CPT 99385 Initial new patient preventive medicine evaluation (18-39 years) $154.20 $257.00 $102.80–$269.85 22% below 40%
Preventive checkup, new patient aged 40–64 CPT 99386 Initial new patient preventive medicine evaluation (40-64 years) $177.60 $296.00 $118.40–$310.80 14% below 40%
Preventive checkup, new patient aged 65 or older CPT 99387 Initial new patient preventive medicine evaluation (65 years or older) $180.60 $301.00 $71.93–$316.05 27% below 40%
Preventive checkup, returning patient aged 18–39 CPT 99395 Established patient periodic preventive medicine examination (18-39 years) $52.20 $87.00 $34.80–$134.00 68% below 40%
Preventive checkup, returning patient aged 40–64 CPT 99396 Established patient periodic preventive medicine examination (40-64 years) $84.00 $140.00 $56.00–$147.00 55% below 40%
Preventive checkup, returning patient aged 65 or older CPT 99397 Established patient periodic preventive medicine examination (65 year old or older) $52.20 $87.00 $34.80–$154.00 75% below 40%
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 $138.00 $230.00 $97.61–$223.10 17% below 40%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Drawing of blood for a medical problem $187.20 $312.00 $132.41–$302.64 5% below 40%

Vaccines

ProcedureCash price List priceInsurers payvs IowaOff list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 Influenza vaccine, inactivated $51.00 $85.00 $36.07–$83.75 10% below 40%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 Severe acute respiratory syndrome coronavirus 2 (COVID-19) vaccine, mRNA-LNP, 50 mcg/0.5 mL dosage, for intramuscular use $218.18 $363.64 $154.33–$352.73 19% below 40%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Varicella vaccine $159.60 $266.00 $105.26–$258.02 at median 40%
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 $21.00 $35.00 $14.63–$33.95 3% below 40%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent $343.80 $573.00 $243.18–$555.81 17% above 40%
Hepatitis A vaccine, adult dose CPT 90632 Hepatitis A vaccine adult dosage $218.40 $364.00 $51.41–$353.08 70% above 40%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hepatitis B vaccine, adult dosage (3 dose schedule) $153.60 $256.00 $61.96–$248.32 38% above 40%
MMR vaccine (measles, mumps and rubella), live CPT 90707 Measles, mumps, and rubella vaccine $96.60 $161.00 $59.28–$156.17 8% below 40%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 Meningococcal vaccine, serogroups A, C, W, Y, diphtheria toxoid carrier vaccine $91.80 $153.00 $64.93–$148.41 61% below 40%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 Meningococcal recombinant protein and outer membrane vesicle vaccine, serogroup B $258.00 $430.00 $182.49–$417.10 5% above 40%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use $180.00 $300.00 $127.32–$291.00 64% below 40%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumococcal vaccine, 23-valent $156.00 $260.00 $80.78–$252.20 29% below 40%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 Respiratory syncytial virus antibody, 0.5 mL dosage for injection into muscle $842.00 $1,403.33 $595.57–$1,361.23 22% above 40%
Rabies vaccine, one dose CPT 90675 Rabies vaccine for injection into muscle $420.00 $700.00 $232.22–$679.00 40% below 40%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Shingles vaccine for injection into muscle $352.80 $588.00 $249.55–$570.36 49% above 40%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Diphtheria and tetanus vaccine (7 years or older) $61.80 $103.00 $22.78–$99.91 3% above 40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Diphtheria, tetanus, and acellular pertussis vaccine (7 years or older) $77.40 $129.00 $34.57–$125.13 8% below 40%
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 Typhoid vaccine for injection into muscle $115.20 $192.00 $71.14–$186.24 4% below 40%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Administration of vaccine $42.60 $71.00 $30.13–$68.87 22% above 40%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Administration of vaccine, each additional vaccine $21.00 $35.00 $14.85–$35.38 27% below 40%

Source file: https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbKnoxvilleIA&type=CDMWithoutLabel&fileType=CSV