Doctor visits and therapy CPT 99291 Iowa Outpatient

Critical care (first hour) cost in Iowa

In Iowa, 89 hospitals publish a cash price for critical care, first 30 to 74 minutes: from $307.20 to $5,117.00, with a median of $1,268.96. The lowest price is at Knoxville Hospital & Clinics (Knoxville). The highest price is 16.7× the lowest.

  • The median here, $1,268.96, is 37% below the US median of $2,018.81.
  • That is 1.5× Medicare's 2026 national rate for the same service ($843.92).
  • Iowa ranks 10th of 49 states by median, cheapest first.
  • 10 of 89 hospitals list a cash price equal to their full list price, with no self-pay discount.

Outpatient cash prices, one line per hospital — its lowest listed price for code 99291. Prices for both sides of the body and inpatient prices are not mixed in. Collected Nov 7, 2026. See them on a map

Lowest$307.20Knoxville Hospital & Clinics
Median$1,268.96half of hospitals charge less
Highest$5,117.00in Iowa
Lowest saves$961.76vs the median

Hospitals in Iowa, cheapest first

HospitalCash priceList priceFile date
Knoxville Hospital & Clinics lowest Knoxville · Pella, IA Critical care, first 30-74 minutes $307.20 $512.00 Jan 24, 2026
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Sioux Center Health Sioux Center · Sioux Center, IA $454.93 $469.00 Apr 1, 2026
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Methodist Jennie Edmundson Hospital Council Bluffs · Omaha, NE-IA Critical Care Initial Hour $492.00 $1,640.00 Feb 15, 2026
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Rawford County Memorial Hospital Denison · Denison, IA Critical care, first 30-74 minutes $552.80 $691.00 Jul 27, 2026
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Humboldt County Memorial Hospital Humboldt · Humboldt, IA HC CRITICAL CARE 30-74 MIN $572.85 $636.50 Mar 30, 2026
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Washington County Hospital Washington · Iowa City, IA Critical care, first 30-74 minutes $579.75 $773.00 Oct 20, 2026
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Waverly Health Center Waverly · Waterloo-Cedar Falls, IA Critical care, first 30-74 minutes $584.48 $1,124.00 Oct 19, 2026
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Broadlawns Medical Center Des Moines · Des Moines-West Des Moines, IA Critical Care, 1st Hour $644.00 $644.00 Sep 1, 2026
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Avera Holy Family Hospital Estherville · Estherville, IA $649.90 $670.00 —
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Avera Merrill Pioneer Rock Rapids · Rock Rapids, IA $649.90 $670.00 —
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Shelby County Chris A Myrtue Memorial Hospital Harlan · Harlan, IA Critical care, first 30-74 minutes $652.50 $1,125.00 Apr 21, 2026
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Hancock County Health System Britt · Britt, IA Critical care, first 30-74 minutes $684.75 $913.00 Oct 20, 2026
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Monroe County Hospital Albia · Albia, IA Critical care, first 30-74 minutes $699.60 $1,166.00 Sep 9, 2026
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Veterans Memorial Hospital City of Waukon Ia Waukon · Waukon, IA Critical care, first 30-74 minutes $729.03 $1,279.00 Oct 8, 2026
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Wayne County Hospital Corydon · Corydon, IA Critical care, first 30-74 minutes $735.00 $735.00 Jun 10, 2026
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Floyd County Memorial Hospital Commission Charles City · Charles City, IA Critical care, first 30-74 minutes $747.10 $1,867.74 Sep 30, 2026
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Spencer Municipal Hospital Spencer · Spencer, IA Critical Care 1st 30-74 Min $747.75 $997.00 Jan 1, 2026
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Adair County Memorial Hospital Greenfield · Greenfield, IA Critical care, first 30-74 minutes $753.75 $1,005.00 Sep 2, 2026
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Loring Hospital Sac City · Sac City, IA HC CRITICAL CARE 30-74 MIN $831.20 $1,039.00 Aug 25, 2026
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Franklin General Hospital Hampton · Hampton, IA Critical care, first 30-74 minutes $891.00 $990.00 Nov 3, 2026
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Orange City Municipal Hospital Orange City · Orange City, IA Critical care, first 30-74 minutes $920.80 $1,151.00 Sep 23, 2026
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St Lukes Regional Medical Center Sioux City · Sioux City, IA-NE-SD HC CRITICAL CARE 30-74 MIN $932.09 $1,165.11 Nov 4, 2026
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Belmond Community Hospital Belmond · Belmond, IA Critical care, first 30-74 minutes $943.80 $1,573.00 Apr 22, 2026
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Palo Alto County Hospital Emmetsburg · Emmetsburg, IA Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes $960.00 $1,280.00 Mar 31, 2026
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Iowa Specialty Hospital-Clarion Clarion · Clarion, IA Critical care, first 30-74 minutes $966.60 $1,611.00 Jun 11, 2026
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Jefferson County Hospital Fairfield · Fairfield, IA Critical care, first 30-74 minutes $991.80 $1,653.00 Aug 20, 2026
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WinnMed Decorah · Decorah, IA Critical care, first 30-74 minutes $1,019.20 $1,456.00 Oct 13, 2026
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Van Buren County Hospital Keosauqua · Keosauqua, IA Critical care, first 30-74 minutes $1,039.50 $1,485.00 Jul 20, 2026
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Kossuth Regional Health Center Algona · Algona, IA Critical care, first 30-74 minutes $1,040.80 $1,301.00 Jul 16, 2026
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Lakes Regional Hospital Spirit Lake · Spirit Lake, IA $1,044.05 $1,099.00 Apr 1, 2026
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Story County Hospital Nevada · Ames, IA HC CRITICAL CARE 30-74 MIN $1,084.80 $1,356.00 Mar 30, 2026
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Audubon County Memorial Hospital Audubon · Audubon, IA Critical care, first 30-74 minutes $1,120.00 $1,120.00 Sep 14, 2026
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MercyOne Genesis Davenport West Medical Center Davenport · Davenport-Moline-Rock Island, IA-IL GHS CRIT CARE W/O PROC - 99291 $1,122.60 $1,871.00 Mar 31, 2026
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Jackson County Regional Health Center Maquoketa · Maquoketa, IA GHS NEONATALUNDER 31 DAYSCRITICAL CARE $1,125.00 $1,125.00 Aug 11, 2026
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Clarinda Regional Health Center Clarinda · Clarinda, IA Critical care, first 30-74 minutes $1,155.75 $1,541.00 Oct 23, 2026
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Van Diest Medical Center Webster City · Webster City, IA CRIT CARE 1ST 74 MINS $1,173.60 $1,467.00 Feb 5, 2026
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Cass County Memorial Hospital Atlantic · Atlantic, IA Critical care, first 30-74 minutes $1,180.20 $1,686.00 Jun 1, 2026
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Manning Regional Healthcare Center Manning · Carroll, IA Critical care, first 30-74 minutes $1,188.92 $1,774.50 Oct 16, 2026
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Decatur County Hospital Leon · Leon, IA Critical care, first 30-74 minutes $1,224.00 $1,530.00 Mar 4, 2026
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Mercy Medical Center - New Hampton New Hampton · New Hampton, IA HC Critical Care 30-74 Minutes $1,240.20 $1,908.00 Mar 31, 2026
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MercyOne Dyersville Medical Center Dyersville · Dubuque, IA HC Critical Care 30-74 Minutes $1,240.20 $1,908.00 Mar 31, 2026
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MercyOne Elkader Medical Center Elkader · Elkader, IA HC Critical Care 30-74 Minutes $1,240.20 $1,908.00 Mar 31, 2026
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MercyOne Newton Medical Center Newton · Des Moines-West Des Moines, IA HC Critical Care 30-74 Minutes $1,240.20 $1,908.00 Mar 31, 2026
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MercyOne Oelwein Medical Center Oelwein · Oelwein, IA HC Critical Care 30-74 Minutes $1,240.20 $1,908.00 Mar 31, 2026
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Greene County Medical Center Jefferson · Jefferson, IA HC CRITICAL CARE 30-74 MIN $1,268.96 $2,266.00 Mar 26, 2026
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Gundersen Palmer Lutheran Hospital and Clinic West Union · West Union, IA HCHG 99291 CRITICAL CARE 1ST 30-74 MIN $1,303.24 $2,194.00 Jun 27, 2026
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MercyOne Genesis Davenport Medical Center Davenport · Davenport-Moline-Rock Island, IA-IL GHS CRIT CARE W/O PROC - 99291 $1,356.00 $2,260.00 Mar 31, 2026
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MercyOne Genesis DeWitt Medical Center Dewitt · Clinton, IA GHS CRIT CARE W/O PROC - 99291 $1,356.00 $2,260.00 Mar 31, 2026
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Shenandoah Medical Center Shenandoah · Shenandoah, IA Critical care, first 30-74 minutes $1,423.50 $2,190.00 Sep 21, 2026
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UnityPoint Health - Jones Regional Medical Center Anamosa · Cedar Rapids, IA HC CRITICAL CARE 30-74 MIN $1,435.44 $1,794.29 Jan 28, 2026
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Hawarden Regional Healthcare Harwarden · Harwarden, IA ER-CLASS 6 $1,463.81 $1,722.13 Apr 24, 2026
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Pocahontas Community Hospital Pocahontas · Pocahontas, IA HC CRITICAL CARE 30-74 MIN $1,534.00 $1,534.00 Mar 29, 2026
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Regional Medical Center Manchester · Manchester, IA CRITICAL CARE FIRST HOUR $1,539.20 $1,924.00 Feb 20, 2026
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Boone County Hospital Boone · Ames, IA Critical care, first 30-74 minutes $1,569.68 $1,962.10 Jul 27, 2026
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MercyOne Waterloo Medical Center Waterloo · Waterloo-Cedar Falls, IA HC Critical Care 30-74 Minutes $1,570.40 $2,416.00 Mar 31, 2026
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Sartori Memorial Hospital Cedar Falls · Waterloo-Cedar Falls, IA HC Critical Care 30-74 Minutes $1,570.40 $2,416.00 Mar 31, 2026
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Stewart Memorial Community Hospital Lake City · Lake City, IA CRITICAL CARE 30-74 MIN $1,572.00 $1,965.00 Oct 8, 2024
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Dallas County Hospital Perry · Des Moines-West Des Moines, IA ED-CRITICAL CARE 30-74 MINS $1,603.00 $2,466.00 May 29, 2026
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Buena Vista Regional Medical Center Storm Lake · Storm Lake, IA HC CRITICAL CARE 30-74 MIN $1,636.80 $2,046.00 Mar 31, 2026
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Trinity - Bettendorf Bettendorf · Davenport-Moline-Rock Island, IA-IL HC CRITICAL CARE 30-74 MIN $1,645.25 $2,056.56 Nov 4, 2026
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Unity Healthcare Muscatine · Muscatine, IA HC CRITICAL CARE 30-74 MIN $1,645.25 $2,056.56 Nov 4, 2026
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Community Memorial Hospital Medical Center Sumner · Waterloo-Cedar Falls, IA HC CRITICAL CARE 30-74 MIN $1,671.01 $2,088.77 Jun 18, 2026
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Virginia Gay Hospital Vinton · Cedar Rapids, IA Critical care, first 30-74 minutes $1,699.09 $2,123.86 Aug 13, 2026
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Cherokee Regional Medical Center Cherokee · Cherokee, IA HC CRITICAL CARE 30-74 MIN $1,747.80 $1,942.00 Mar 31, 2026
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Hansen Family Hospital Iowa Falls · Iowa Falls, IA Critical care, first 30-74 minutes $1,762.00 $1,762.00 Jul 10, 2026
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The Finley Hospital Dubuque · Dubuque, IA HC CRITICAL CARE 30-74 MIN $1,766.44 $2,208.05 Nov 4, 2026
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Madison County Memorial Hospital Winterset · Des Moines-West Des Moines, IA Critical care, first 30-74 minutes $1,768.80 $2,211.00 Oct 21, 2026
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Guthrie County Hospital Guthrie Center · Des Moines-West Des Moines, IA Critical care, first 30-74 minutes $1,849.00 $1,849.00 Sep 26, 2026
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MercyOne Clinton Medical Center Clinton · Clinton, IA HC Critical Care 30-74 Minutes $1,872.65 $2,881.00 Mar 31, 2026
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MercyOne Centerville Medical Center Centerville · Centerville, IA HC Critical Care 30-74 Minutes $1,908.00 $1,908.00 Mar 31, 2026
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Grundy County Memorial Hospital Grundy Center · Waterloo-Cedar Falls, IA HC CRITICAL CARE 30-74 MIN $2,026.40 $2,533.00 Jun 29, 2026
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Guttenberg Municipal Hospital Guttenberg · Guttenberg, IA HC CRITICAL CARE 30-74 MIN $2,027.20 $2,534.00 Mar 31, 2026
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Trinity Regional Medical Center Fort Dodge · Fort Dodge, IA HC CRITICAL CARE 30-74 MIN $2,075.94 $2,594.92 Nov 4, 2026
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MercyOne Dubuque Medical Center Dubuque · Dubuque, IA HC Critical Care 30-74 Minutes $2,144.35 $3,299.00 Mar 31, 2026
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Alegent Health - Mercy Hospital, Corning Iowa Corning · Corning, IA HC OFFICE VISIT CRITICAL CARE $2,145.15 $4,767.00 Sep 30, 2026
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MercyOne North Iowa Medical Center Mason City · Mason City, IA HC Critical Care 30-74 Minutes $2,270.45 $3,493.00 Mar 31, 2026
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CHI Health Mercy Council Bluffs Council Bluffs · Omaha, NE-IA HC ER CRITICAL CARE CEN $2,303.94 $5,358.00 Sep 30, 2026
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Allen Hospital Waterloo · Waterloo-Cedar Falls, IA HC CRITICAL CARE 30-74 MIN $2,303.98 $2,879.97 Nov 4, 2026
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UnityPoint Health Marshalltown Marshalltown · Marshalltown, IA HC CRITICAL CARE 30-74 MIN $2,303.98 $2,879.97 Nov 4, 2026
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Alegent Health Community Memorial Hospital of Missouri Valley, Iowa Missouri Valley · Omaha, NE-IA HC ER CRITICAL CARE CEN $2,383.50 $4,767.00 Sep 30, 2026
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St Anthony Regional Hospital and Nursing Home Carroll · Carroll, IA Critical care, first 30-74 minutes $2,485.00 $2,485.00 Nov 3, 2026
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Grinnell Regional Medical Center Grinnell · Grinnell, IA HC CRITICAL CARE 30-74 MIN $2,601.90 $3,252.37 Nov 4, 2026
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Sanford Sheldon Medical Center Sheldon · Sheldon, IA ED 99291 CRITICAL CARE E&M 30-74 MIN $2,859.20 $3,574.00 Mar 4, 2026
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MercyOne Des Moines Medical Center Des Moines · Des Moines-West Des Moines, IA HC Critical Care 30-74 Minutes $3,294.20 $5,068.00 Mar 31, 2026
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University of Iowa Health Care Medical Center Down Iowa City · Iowa City, IA HB ER VISIT, LEVEL 6, CRITICAL CARE INITIAL 30-74 MINUTES (99291) $3,701.60 $5,288.00 Mar 11, 2026
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University of Iowa Hospital & Clinics Iowa City · Iowa City, IA HB ER VISIT, LEVEL 6, CRITICAL CARE INITIAL 30-74 MINUTES (99291) $3,701.60 $5,288.00 Mar 11, 2026
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UnityPoint Health - Des Moines Iowa Methodist Medical Des Moines · Des Moines-West Des Moines, IA HC CRITICAL CARE 30-74 MIN $3,908.59 $4,885.73 Nov 4, 2026
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St Luke's Methodist Hospital Cedar Rapids · Cedar Rapids, IA HC CRITICAL CARE 30-74 MIN $3,934.00 $4,917.49 Jan 28, 2026
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MercyOne West Des Moines Medical Center West Des Moines · Des Moines-West Des Moines, IA HC Critical Care 30-74 Minutes $5,117.00 $5,117.00 Mar 31, 2026
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Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
File date When the hospital last updated its price file, as the file says itself. A dash means the file gives no date.
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

By metro area

Each metro page compares every listing, including prices for both sides of the body.

Metro areaHospitalsLowestMedian
Des Moines-West Des Moines, IA 8 $644.00 $1,808.90
Waterloo-Cedar Falls, IA 6 $584.48 $1,620.70
Davenport-Moline-Rock Island, IA-IL 3 $1,122.60 $1,356.00
Dubuque, IA 3 $1,240.20 $1,766.44
Iowa City, IA 3 $579.75 $3,701.60
Omaha, NE-IA 3 $492.00 $2,303.94
Ames, IA 2 $1,084.80 $1,327.24
Carroll, IA 2 $1,188.92 $1,836.96
Cedar Rapids, IA 2 $1,435.44 $1,567.26
Clinton, IA 2 $1,356.00 $1,614.32
Albia, IA 1 $699.60 $699.60
Algona, IA 1 $1,040.80 $1,040.80
Atlantic, IA 1 $1,180.20 $1,180.20
Audubon, IA 1 $1,120.00 $1,120.00
Belmond, IA 1 $943.80 $943.80
Britt, IA 1 $684.75 $684.75
Cedar Rapids, IA 1 $3,934.00 $3,934.00
Centerville, IA 1 $1,908.00 $1,908.00
Charles City, IA 1 $747.10 $747.10
Cherokee, IA 1 $1,747.80 $1,747.80
Clarinda, IA 1 $1,155.75 $1,155.75
Clarion, IA 1 $966.60 $966.60
Corning, IA 1 $2,145.15 $2,145.15
Corydon, IA 1 $735.00 $735.00
Decorah, IA 1 $1,019.20 $1,019.20
Denison, IA 1 $552.80 $552.80
Elkader, IA 1 $1,240.20 $1,240.20
Emmetsburg, IA 1 $960.00 $960.00
Estherville, IA 1 $649.90 $649.90
Fairfield, IA 1 $991.80 $991.80
Fort Dodge, IA 1 $2,075.94 $2,075.94
Greenfield, IA 1 $753.75 $753.75
Grinnell, IA 1 $2,601.90 $2,601.90
Guttenberg, IA 1 $2,027.20 $2,027.20
Hampton, IA 1 $891.00 $891.00
Harlan, IA 1 $652.50 $652.50
Harwarden, IA 1 $1,463.81 $1,463.81
Humboldt, IA 1 $572.85 $572.85
Iowa Falls, IA 1 $1,762.00 $1,762.00
Jefferson, IA 1 $1,268.96 $1,268.96
Keosauqua, IA 1 $1,039.50 $1,039.50
Lake City, IA 1 $1,572.00 $1,572.00
Leon, IA 1 $1,224.00 $1,224.00
Manchester, IA 1 $1,539.20 $1,539.20
Maquoketa, IA 1 $1,125.00 $1,125.00
Marshalltown, IA 1 $2,303.98 $2,303.98
Mason City, IA 1 $2,270.45 $2,270.45
Muscatine, IA 1 $1,645.25 $1,645.25
New Hampton, IA 1 $1,240.20 $1,240.20
Oelwein, IA 1 $1,240.20 $1,240.20
Orange City, IA 1 $920.80 $920.80
Pocahontas, IA 1 $1,534.00 $1,534.00
Pella, IA 1 $307.20 $307.20
Rock Rapids, IA 1 $649.90 $649.90
Sac City, IA 1 $831.20 $831.20
Sheldon, IA 1 $2,859.20 $2,859.20
Shenandoah, IA 1 $1,423.50 $1,423.50
Sioux Center, IA 1 $454.93 $454.93
Sioux City, IA-NE-SD 1 $932.09 $932.09
Spencer, IA 1 $747.75 $747.75
Spirit Lake, IA 1 $1,044.05 $1,044.05
Storm Lake, IA 1 $1,636.80 $1,636.80
Waukon, IA 1 $729.03 $729.03
Webster City, IA 1 $1,173.60 $1,173.60
West Union, IA 1 $1,303.24 $1,303.24
Market A metro area (as the Census Bureau defines it) or, outside metro areas, a town. Each links to every hospital price there.
Hospitals How many hospitals publish a cash price for this code here. Each hospital counts once, at its lowest outpatient cash price.
Lowest The lowest cash price among those hospitals.
Median The middle cash price: half of the hospitals charge less, half charge more. One price per hospital. More

What critical care (first hour) is, what the price covers and why prices differ: Critical care (first hour) explained.

Critical care, first 30 to 74 minutes in other states

Median cash price across the state's hospitals.