Buena Vista Regional Medical Center
Buena Vista Regional Medical Center in Storm Lake, IA publishes cash prices for 55 common procedures listed here, from its own machine-readable price file updated —. Click a procedure to compare it with other hospitals nearby.
1525 West 5th St Storm Lake, IA 50588 Collected Sep 22, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABDOMEN & PELVIS W CONTRAST | $2,172.80 | $2,716.00 | 20% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABDOMEN & PELVIS W CONTRAST | $2,172.80 | $2,716.00 | 20% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD OR BRAIN WO CONTRAST | $864.80 | $1,081.00 | 20% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD OR BRAIN WO CONTRAST | $864.80 | $1,081.00 | 20% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W CONTRAST | $1,088.00 | $1,360.00 | 20% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT PELVIS W CONTRAST | $1,088.00 | $1,360.00 | 20% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC DX MAMMO INCL CAD BILAT | $277.60 | $347.00 | 20% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC DX MAMMO INCL CAD BILAT | $277.60 | $347.00 | 20% |
| Diagnostic mammogram, one breast CPT 77065 PR DX MAMMO INCL CAD UNIL | $86.40 | $108.00 | 20% |
| Diagnostic mammogram, one breast CPT 77065 HC DX MAMMO INCL CAD UNIL | $277.60 | $347.00 | 20% |
| Diagnostic mammogram, one breast inpatient CPT 77065 HC DX MAMMO INCL CAD UNIL | $277.60 | $347.00 | 20% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI LOW EXTR ANY JOINT WO CONTRAST | $1,403.20 | $1,754.00 | 20% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI LOW EXTR ANY JOINT WO CONTRAST | $1,403.20 | $1,754.00 | 20% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI LOW EXTR ANY JOINT W WO CONTR | $2,057.60 | $2,572.00 | 20% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI LOW EXTR ANY JOINT W WO CONTR | $2,057.60 | $2,572.00 | 20% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN WO CONTRAST | $1,403.20 | $1,754.00 | 20% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN WO CONTRAST | $1,403.20 | $1,754.00 | 20% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN W WO CONTRAST | $2,057.60 | $2,572.00 | 20% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN W WO CONTRAST | $2,057.60 | $2,572.00 | 20% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI SPINE LUMBAR WO CONTRAST | $1,403.20 | $1,754.00 | 20% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI SPINE LUMBAR WO CONTRAST | $1,403.20 | $1,754.00 | 20% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US OB COMPLETE SNGL FETUS | $486.40 | $608.00 | 20% |
| Screening mammogram, both breasts both sides CPT 77067 HC SCR MAMMO INCL CAD BILAT | $277.60 | $347.00 | 20% |
| Sleep study in a lab (polysomnography) CPT 95810 HC PSS W 4/> PARAM W TECH 6+ YRS | $2,781.60 | $3,477.00 | 20% |
| Transvaginal pelvic ultrasound CPT 76830 HC US NON OB TRANSVAG | $318.40 | $398.00 | 20% |
| Ultrasound of the abdomen, complete CPT 76700 HC US EXAM ABDOMEN COMPLETE | $380.80 | $476.00 | 20% |
| X-ray of the lower back, 4 or more views CPT 72110 PR LUMBOSACR SPINE MIN 4 VIEWS | $100.80 | $126.00 | 20% |
| X-ray of the lower back, 4 or more views CPT 72110 HC LUMBOSACR SPINE MIN 4 VIEWS | $220.00 | $275.00 | 20% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC LUMBOSACR SPINE MIN 4 VIEWS | $220.00 | $275.00 | 20% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 CHG BASIC METABOLIC PANEL CALCIUM TOTAL | $12.00 | $15.00 | 20% |
| Basic metabolic panel (blood test) CPT 80048 HC METABOLIC PANEL TOTAL CA | $13.60 | $17.00 | 20% |
| Basic metabolic panel (blood test) inpatient CPT 80048 CHG BASIC METABOLIC PANEL CALCIUM TOTAL | $12.00 | $15.00 | 20% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC METABOLIC PANEL TOTAL CA | $13.60 | $17.00 | 20% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 CHG LIPID PANEL | $16.80 | $21.00 | 20% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL | $18.40 | $23.00 | 20% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 CHG LIPID PANEL | $16.80 | $21.00 | 20% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL | $18.40 | $23.00 | 20% |
| Complete blood count (CBC) with differential CPT 85025 CHG COMPLETE CBC & AUTO DIFF WBC | $11.20 | $14.00 | 20% |
| Complete blood count (CBC) with differential CPT 85025 HC COMPL CBC W PLT W AUTOM DIFF | $13.60 | $17.00 | 20% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CHG COMPLETE CBC & AUTO DIFF WBC | $11.20 | $14.00 | 20% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC COMPL CBC W PLT W AUTOM DIFF | $13.60 | $17.00 | 20% |
| Complete blood count (CBC), no differential CPT 85027 CHG COMPLETE CBC | $10.40 | $13.00 | 20% |
| Complete blood count (CBC), no differential CPT 85027 HC COMPL AUTOM CBC W PLT | $12.00 | $15.00 | 20% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CHG COMPLETE CBC | $10.40 | $13.00 | 20% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC COMPL AUTOM CBC W PLT | $12.00 | $15.00 | 20% |
| Comprehensive metabolic panel (blood test) CPT 80053 CHG METABOLIC PANEL,COMPREHENSIVE | $14.40 | $18.00 | 20% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHEN METABOLIC PANEL | $16.00 | $20.00 | 20% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 CHG METABOLIC PANEL,COMPREHENSIVE | $14.40 | $18.00 | 20% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHEN METABOLIC PANEL | $16.00 | $20.00 | 20% |
| Kidney function blood test panel CPT 80069 CHG RENAL FUNCTION PANEL | $12.00 | $15.00 | 20% |
| Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL | $13.60 | $17.00 | 20% |
| Kidney function blood test panel inpatient CPT 80069 CHG RENAL FUNCTION PANEL | $12.00 | $15.00 | 20% |
| Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL | $13.60 | $17.00 | 20% |
| Liver function blood test panel CPT 80076 CHG HEPATIC FUNCTION PANEL | $12.00 | $15.00 | 20% |
| Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL | $13.60 | $17.00 | 20% |
| Liver function blood test panel inpatient CPT 80076 CHG HEPATIC FUNCTION PANEL | $12.00 | $15.00 | 20% |
| Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL | $13.60 | $17.00 | 20% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 CHG THROMBOPLAS TIME PARTIAL | $9.60 | $12.00 | 20% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC PTT; PLASMA OR WHOLE BLOOD | $11.20 | $14.00 | 20% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 CHG THROMBOPLAS TIME PARTIAL | $9.60 | $12.00 | 20% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC PTT; PLASMA OR WHOLE BLOOD | $11.20 | $14.00 | 20% |
| Prothrombin time (PT/INR) clotting test CPT 85610 CHG PROTHROMBIN TIME | $8.00 | $10.00 | 20% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME | $8.80 | $11.00 | 20% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 CHG PROTHROMBIN TIME | $8.00 | $10.00 | 20% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME | $8.80 | $11.00 | 20% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC THYROID STIMULATING HORMONE | $13.60 | $17.00 | 20% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 CHG ASSAY THYROID STIM HORMONE | $20.00 | $25.00 | 20% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC THYROID STIMULATING HORMONE | $13.60 | $17.00 | 20% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 CHG ASSAY THYROID STIM HORMONE | $20.00 | $25.00 | 20% |
| Urinalysis with microscope exam, automated CPT 81001 CHG URINALYSIS, AUTO, W/SCOPE | $7.20 | $9.00 | 20% |
| Urinalysis with microscope exam, automated CPT 81001 HC AUTOM URINE DIP W MICRO | $8.00 | $10.00 | 20% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 CHG URINALYSIS, AUTO, W/SCOPE | $7.20 | $9.00 | 20% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC AUTOM URINE DIP W MICRO | $8.00 | $10.00 | 20% |
| Urinalysis without microscope exam, automated CPT 81003 CHG URINALYSIS, AUTO, W/O SCOPE | $6.40 | $8.00 | 20% |
| Urinalysis without microscope exam, automated CPT 81003 HC AUTOM URINALYSIS WO MICRO | $7.20 | $9.00 | 20% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 CHG URINALYSIS, AUTO, W/O SCOPE | $6.40 | $8.00 | 20% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC AUTOM URINALYSIS WO MICRO | $7.20 | $9.00 | 20% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Cesarean delivery, including prenatal and postpartum care CPT 59510 PR ROUTINE OB CARE INCL AP C-SECT PP | $3,784.00 | $4,730.00 | 20% |
| Colonoscopy with polyp removal CPT 45385 PR COLONOSCOPY FLEX W REM LESION BY SNARE | $661.60 | $827.00 | 20% |
| Colonoscopy with tissue sample CPT 45380 PR COLONOSCOPY FLEX W BX SGL/MULTI | $522.40 | $653.00 | 20% |
| Colonoscopy, diagnostic CPT 45378 PR COLONOSCOPY FLEX DX | $481.60 | $602.00 | 20% |
| Gallbladder removal, laparoscopic CPT 47562 PR LAPAROSCOPY CHOLECYSTECOMY | $1,599.20 | $1,999.00 | 20% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 PR REPAIR I/HERN INIT REDUC 5+ YR | $1,282.40 | $1,603.00 | 20% |
| Knee arthroscopy with meniscus trim CPT 29881 PR KNEE ARTHROSCOPY/SURGERY | $1,267.20 | $1,584.00 | 20% |
| Lower-back epidural injection, with imaging guidance CPT 62323 PR INJ INTERLAM L/S W IMG | $648.80 | $811.00 | 20% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC INJ INTERLAM L/S W IMG | $2,016.00 | $2,520.00 | 20% |
| Lower-back epidural injection, without imaging guidance CPT 62322 PR INJ INTERLAM L/S WO IMG | $519.20 | $649.00 | 20% |
| Lower-back epidural injection, without imaging guidance CPT 62322 HC INJ INTERLAM L/S WO IMG | $1,240.00 | $1,550.00 | 20% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 PR INJ(S) FORAMEN EPID L/S SGL LEV | $572.80 | $716.00 | 20% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC INJ(S) FORAMEN EPIDURAL L/S SGL LEV | $1,282.40 | $1,603.00 | 20% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC INJ(S) FORAMEN EPIDURAL L/S SGL LEV | $1,282.40 | $1,603.00 | 20% |
| Prostate biopsy CPT 55700 PR PROSTATE NEEDLE PUNCH BX | $292.00 | $365.00 | 20% |
| Prostate biopsy CPT 55700 HC BX PROSTATE NDLE PUNCH | $408.00 | $510.00 | 20% |
| Prostate biopsy inpatient CPT 55700 HC BX PROSTATE NDLE PUNCH | $408.00 | $510.00 | 20% |
| Removal of a breast lump, open surgery CPT 19120 PR REMOVE OF BREAST LESION 1+ | $1,015.20 | $1,269.00 | 20% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 PR SHOULDER ARTHROSCOPY/SURGERY | $414.40 | $518.00 | 20% |
| Tonsil and adenoid removal, child under 12 CPT 42820 PR REM TONSILS AND ADENOIDS <12 YRS | $707.20 | $884.00 | 20% |
| Total hip replacement CPT 27130 PR TOTAL HIP ARTHORPLASTY | $3,320.00 | $4,150.00 | 20% |
| Total knee replacement CPT 27447 PR TOTAL KNEE ARTHORPLASTY | $3,175.20 | $3,969.00 | 20% |
| Upper endoscopy (EGD) with biopsy CPT 43239 PR UGI W BX SGL/MULTIPLE | $348.00 | $435.00 | 20% |
| Upper endoscopy (EGD), diagnostic CPT 43235 PR UGI DIAGNOSTIC | $308.00 | $385.00 | 20% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| New patient office visit, about 30 minutes CPT 99203 HC O/P VISIT NEW LEVEL 3 | $24.80 | $31.00 | 20% |
| New patient office visit, about 30 minutes CPT 99203 PR OP VISIT NEW PT LEVEL 3 | $230.40 | $288.00 | 20% |
| New patient office visit, about 45 minutes CPT 99204 HC O/P VISIT NEW LEVEL 4 | $24.80 | $31.00 | 20% |
| New patient office visit, about 45 minutes CPT 99204 PR OP VISIT NEW PT LEVEL 4 | $349.60 | $437.00 | 20% |
| New patient office visit, about 60 minutes CPT 99205 PR OP VISIT NEW PT LEVEL 5 | $438.40 | $548.00 | 20% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THERAP EXERCISE ROM EA 15M | $150.40 | $188.00 | 20% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC THERAP EXERCISE ROM EA 15M | $150.40 | $188.00 | 20% |
| Psychotherapy session, 30 minutes CPT 90832 PR PSYTX W PT 30 MINUTES | $93.60 | $117.00 | 20% |
| Psychotherapy session, 45 minutes CPT 90834 PR PSYTX W PT 45 MINUTES | $120.80 | $151.00 | 20% |
| Psychotherapy session, 60 minutes CPT 90837 PR PSYTX W PT 60 MINUTES | $182.40 | $228.00 | 20% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 PR OFFICE CONSULT LVL 3 | $256.00 | $320.00 | 20% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 PR OFFICE CONSULT LVL 4 | $382.40 | $478.00 | 20% |
Source file: https://www.bvrmc.org/wp-content/uploads/2026/04/426037827_Buena-Vista-Regional-Medical-Center_StandardCharges.csv