| Procedure | Grinnell Regional Medical Center | Story County Hospital | Medicare |
|---|
| Abdominal ultrasound | $623 | $806 | $100 |
| Abdominal ultrasound (complete) | $835 | $957 | $114 |
| Abdominal ultrasound (limited) | $623 | $656 | $86 |
| Abscess drainage (complex or multiple) | $662 | $263 | $220 |
| Abscess drainage (simple) | $328 | $230 | $129 |
| Abscess incision and drainage | $422 | $233 | $174 |
| Achilles tendon repair | $5,383 | $2,174 | $624 |
| ACL knee reconstruction | $2,416 | $2,987 | $889 |
| Acupuncture | $73 | $31 | $38 |
| Acupuncture (each additional) | $62 | $16 | $28 |
| Albumin blood test | $34 | $16 | $5 |
| Aldosterone test | $109 | $68 | $41 |
| Alkaline phosphatase test | $34 | $16 | $5 |
| Allergy shots | $29 | $38 | $11 |
| Alpha-fetoprotein (AFP) test | $64 | $61 | $17 |
| ALT liver enzyme test | $34 | $43 | $5 |
| Ammonia blood test | $64 | $46 | $15 |
| Amniocentesis | $610 | $334 | $120 |
| Amylase test | $34 | $20 | $6 |
| Ankle fracture repair | $3,190 | $2,363 | $608 |
| Annual physical (established patient) | $220 | $201 | — |
| Annual physical (new patient) | $254 | $256 | — |
| Anoscopy | $252 | $352 | $129 |
| Antinuclear antibody (ANA) test | $49 | $38 | $12 |
| Arterial blood gas (ABG) | $86 | $67 | $26 |
| AST liver enzyme test | $34 | $43 | $5 |
| Barium swallow study | $415 | $427 | $107 |
| Bartholin cyst removal | $565 | $323 | $182 |
| Basic metabolic panel | $69 | $27 | $8 |
| Benign skin lesion removal | $416 | $358 | $171 |
| Bilirubin blood test | $34 | $18 | $5 |
| Bladder scope (cystoscopy) | $1,528 | $539 | $216 |
| Blood clotting test (PT/INR) | $33 | $14 | $4 |
| Blood crossmatch | $156 | $141 | — |
| Blood glucose test | $34 | $16 | $5 |
| Blood transfusion | $442 | $457 | $47 |
| Blood type and screen | $57 | $75 | $10 |
| Blood type test | $57 | $55 | $3 |
| Blood type test (ABO group) | $57 | $85 | $3 |
| Blood type test (Rh/D antigen) | $57 | $26 | $3 |
| BNP (heart failure) test | $86 | $103 | $39 |
| Bone density scan (DEXA) | $378 | $354 | $39 |
| Bone marrow biopsy | $4,245 | $234 | $172 |
| Bone scan (nuclear) | $1,573 | $1,169 | $259 |
| Botox for migraine | $358 | $181 | $157 |
| Breast ultrasound | $365 | $588 | $92 |
| Breast ultrasound (complete) | $365 | $662 | $100 |
| Breast ultrasound (limited) | $365 | $514 | $84 |
| Breathing tube insertion (intubation) | $565 | $370 | $133 |
| Bunion surgery (bunionectomy) | $2,614 | $1,568 | $883 |
| Burn dressing and debridement (medium) | $384 | $207 | $166 |
| Burn dressing and debridement (small) | $384 | $154 | $93 |
| Burn treatment | $384 | $194 | $129 |
| C-reactive protein (CRP) | $49 | $20 | $5 |
| CA 19-9 tumor marker test | $49 | $67 | $21 |
| CA-125 ovarian marker test | $49 | $49 | $21 |
| Calcium blood test | $34 | $17 | $5 |
| Cardiac rehabilitation | $214 | $277 | $26 |
| Cardiac stress test | $168 | $554 | $39 |
| Cardioversion | $1,379 | $331 | $155 |
| Carotid artery ultrasound | $662 | $1,055 | $156 |
| Carpal tunnel release | $2,139 | $1,118 | $483 |
| CEA tumor marker test | $64 | $40 | $19 |
| Celiac disease test | $49 | $37 | $12 |
| Central line placement | $2,457 | $598 | $238 |
| Cervical LEEP procedure | $778 | $842 | $325 |
| Chest tube insertion | $1,289 | $490 | $143 |
| Chest X-ray | $186 | $226 | $37 |
| Chest X-ray (1 view) | $186 | $212 | $25 |
| Chest X-ray (2 views) | $186 | $241 | $33 |
| Chickenpox (varicella) vaccine | $166 | $158 | — |
| CK-MB heart enzyme test | $64 | $27 | $12 |
| Clotting time test (PTT) | $33 | $20 | $6 |
| Colonoscopy | $1,047 | $1,008 | $480 |
| Colposcopy | $382 | $263 | $161 |
| Complete blood count (CBC) | $34 | $26 | $7 |
| Complete blood count (CBC) (complete) | $34 | $26 | $8 |
| Comprehensive metabolic panel | $69 | $34 | $11 |
| Contraceptive implant (Nexplanon) | $253 | $474 | $115 |
| Copper blood test | $32 | $44 | $12 |
| Cortisol test | $55 | $54 | $16 |
| COVID-19 PCR test | $67 | $78 | $51 |
| CPAP titration study | $844 | $192 | $69 |
| Creatine kinase (CK) test | $34 | $22 | $7 |
| CT angiography of the chest | $2,207 | $2,120 | $281 |
| CT angiography of the head | $2,401 | $1,770 | $274 |
| CT scan of the abdomen | $1,410 | $1,895 | $230 |
| CT scan of the abdomen and pelvis | $2,097 | $3,784 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $3,290 | $3,909 | $338 |
| CT scan of the abdomen and pelvis with contrast | $3,290 | $3,784 | $300 |
| CT scan of the abdomen and pelvis without contrast | $2,097 | $3,426 | $183 |
| CT scan of the abdomen with and without contrast | $2,357 | $1,953 | $259 |
| CT scan of the abdomen with contrast | $2,357 | $1,895 | $230 |
| CT scan of the abdomen without contrast | $1,410 | $1,714 | $136 |
| CT scan of the arm | $1,469 | $1,527 | $199 |
| CT scan of the arm with contrast | $2,000 | $1,562 | $199 |
| CT scan of the arm without contrast | $1,469 | $1,491 | $161 |
| CT scan of the chest | $1,263 | $1,719 | $167 |
| CT scan of the chest with and without contrast | $2,660 | $1,900 | $196 |
| CT scan of the chest with contrast | $2,381 | $1,719 | $167 |
| CT scan of the chest without contrast | $1,263 | $1,628 | $133 |
| CT scan of the head | $1,344 | $1,737 | $148 |
| CT scan of the head with and without contrast | $2,277 | $1,840 | $173 |
| CT scan of the head with contrast | $2,031 | $1,737 | $148 |
| CT scan of the head without contrast | $1,344 | $1,582 | $107 |
| CT scan of the leg | $1,205 | $1,496 | $166 |
| CT scan of the leg with contrast | $2,014 | $1,591 | $166 |
| CT scan of the leg without contrast | $1,205 | $1,401 | $130 |
| CT scan of the lower back (lumbar spine) | $1,568 | $1,628 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $2,342 | $1,788 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $2,121 | $1,573 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $1,568 | $1,628 | $130 |
| CT scan of the neck | $1,392 | $1,799 | $183 |
| CT scan of the neck (cervical spine) | $1,647 | $1,628 | $168 |
| CT scan of the neck (cervical spine) without contrast | $1,647 | $1,628 | $131 |
| CT scan of the neck with and without contrast | $1,952 | $1,902 | $220 |
| CT scan of the neck with contrast | $2,121 | $1,799 | $183 |
| CT scan of the neck without contrast | $1,392 | $1,628 | $150 |
| CT scan of the pelvis | $1,375 | $1,895 | $226 |
| CT scan of the pelvis with and without contrast | $2,298 | $1,958 | $251 |
| CT scan of the pelvis with contrast | $2,298 | $1,895 | $226 |
| CT scan of the pelvis without contrast | $1,375 | $1,714 | $133 |
| CT scan of the sinuses | $1,326 | $1,857 | $152 |
| CT scan of the sinuses with and without contrast | $1,824 | $1,902 | $184 |
| CT scan of the sinuses with contrast | $1,761 | $1,857 | $152 |
| CT scan of the sinuses without contrast | $1,326 | $1,699 | $128 |
| D-dimer test | $33 | $36 | $10 |
| Developmental screening (child) | $57 | $34 | — |
| DHEA-sulfate test | $55 | $46 | $22 |
| Drug screen (urine) | $72 | $46 | $17 |
| Ear pressure test (tympanometry) | $35 | $53 | $16 |
| Echocardiogram | $694 | $1,503 | $138 |
| Echocardiogram with and without contrast | $694 | $803 | $101 |
| EKG / ECG (tracing only) | $172 | $83 | $7 |
| Electrocardiogram (EKG) | $38 | $76 | $8 |
| Electrolyte panel | $69 | $23 | $7 |
| Emergency department visit | $130 | $202 | $69 |
| Emergency department visit (level 1) | $44 | $165 | $11 |
| Emergency department visit (level 2) | $396 | $175 | $40 |
| Emergency department visit (level 3) | $729 | $282 | $69 |
| Emergency department visit (level 5) | $319 | $782 | $171 |
| Endometrial biopsy | $241 | $290 | $98 |
| Epidural steroid injection | $621 | $374 | $275 |
| Estradiol (estrogen) test | $55 | $240 | $28 |
| Facet joint injection (spine) | $221 | $366 | $99 |
| Fallopian tube X-ray (HSG) | $454 | $302 | $164 |
| Fecal occult blood (stool) test | $37 | $50 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $34 | $22 | $4 |
| Fecal occult blood (stool) test (immunochemical, FIT) | $64 | $50 | $16 |
| Ferritin (iron) test | $64 | $51 | $14 |
| Fibrinogen test | $33 | $67 | $10 |
| Flexible sigmoidoscopy | $672 | $435 | $323 |
| Flu test | $39 | $51 | $17 |
| Flu vaccine | $22 | $39 | — |
| Folate (folic acid) test | $64 | $29 | $15 |
| Foreign body removal (skin) | $618 | $220 | $157 |
| Free T4 thyroid test | $55 | $26 | $9 |
| FSH hormone test | $55 | $67 | $19 |
| Gallbladder removal (laparoscopic) | $1,686 | $2,529 | $658 |
| Gallbladder scan (HIDA) | $1,327 | $1,561 | $334 |
| Ganglion cyst removal | $790 | $734 | $321 |
| GGT liver test | $34 | $90 | $7 |
| Glucose tolerance test | $34 | $20 | $8 |
| Hammertoe repair | $1,344 | $1,004 | $548 |
| HDL cholesterol test | $34 | $26 | $8 |
| Hematocrit test | $34 | $9 | $2 |
| Hemoglobin A1c (diabetes test) | $34 | $32 | $10 |
| Hepatitis A vaccine | $78 | $407 | — |
| Hepatitis B test | $39 | $46 | $10 |
| Hepatitis B vaccine | $106 | $150 | — |
| Hepatitis C test | $49 | $60 | $14 |
| Hip fracture repair | $4,537 | $3,718 | $1,120 |
| HIV test | $44 | $32 | $19 |
| HIV test (antibody) | $49 | $66 | $14 |
| HIV test (antigen/antibody combo) | $39 | $32 | $24 |
| Holter heart monitor | $180 | $246 | $26 |
| Home sleep apnea test | $482 | $518 | $123 |
| HPV vaccine | $278 | $372 | — |
| Hysteroscopy | $627 | $942 | $1,270 |
| Inguinal hernia repair | $1,357 | $1,284 | $538 |
| Iron blood test | $34 | $22 | $6 |
| IUD insertion | $303 | $206 | — |
| IUD removal | $303 | $262 | $112 |
| IV infusion therapy | $114 | $230 | $44 |
| IV infusion therapy (each additional) | $77 | $117 | $21 |
| IV infusion therapy (initial) | $371 | $384 | $67 |
| Joint aspiration (small/intermediate) | $322 | $141 | $57 |
| Joint aspiration or injection (mid-size joint) | $512 | $140 | $57 |
| Joint aspiration or injection (small joint) | $322 | $141 | $56 |
| Kidney ultrasound | $668 | $661 | $84 |
| Kidney ultrasound (limited) | $668 | $616 | $61 |
| Knee arthroscopy | $2,046 | $1,556 | $524 |
| Knee joint injection | $489 | $138 | $69 |
| Lactate test | $64 | $34 | $12 |
| LDH test | $34 | $16 | $6 |
| LDL cholesterol test | $34 | $12 | $11 |
| Leg vein ultrasound (Doppler) | $673 | $1,080 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $673 | $833 | $116 |
| LH hormone test | $55 | $46 | $19 |
| Lipase test | $34 | $23 | $7 |
| Lipid (cholesterol) panel | $69 | $44 | $13 |
| Liver function panel | $69 | $26 | $8 |
| Lung function test (PFT) | $125 | $119 | $37 |
| Lung scan (V/Q) | $1,668 | $2,425 | $291 |
| Magnesium blood test | $34 | $22 | $7 |
| Meniscus repair (knee) | $1,886 | $2,152 | $714 |
| MMR vaccine | $222 | $349 | — |
| MRA of the brain | $765 | $2,590 | $226 |
| MRA of the brain with contrast | $765 | $2,590 | $226 |
| MRA of the neck | $3,103 | $2,720 | $245 |
| MRA of the neck without contrast | $3,794 | $3,021 | $343 |
| MRI of the abdomen | $3,099 | $2,586 | $300 |
| MRI of the abdomen without contrast | $3,099 | $2,499 | $194 |
| MRI of the ankle | $2,952 | $2,864 | $261 |
| MRI of the ankle without contrast | $2,952 | $2,634 | $222 |
| MRI of the brain | $2,955 | $2,655 | $269 |
| MRI of the brain with contrast | $3,275 | $2,655 | $269 |
| MRI of the brain without contrast | $2,955 | $2,566 | $195 |
| MRI of the chest without contrast | $1,091 | $3,266 | $466 |
| MRI of the knee | $2,991 | $2,245 | $315 |
| MRI of the knee without contrast | $2,991 | $1,487 | $204 |
| MRI of the lower back (lumbar spine) | $2,943 | $3,091 | $270 |
| MRI of the lower back (lumbar spine) with contrast | $4,823 | $3,091 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $2,943 | $2,891 | $192 |
| MRI of the mid-back (thoracic spine) | $2,960 | $3,010 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $4,865 | $3,136 | $319 |
| MRI of the mid-back (thoracic spine) with contrast | $3,946 | $3,010 | $271 |
| MRI of the mid-back (thoracic spine) without contrast | $2,960 | $2,840 | $190 |
| MRI of the neck (cervical spine) | $3,084 | $2,840 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $4,636 | $3,010 | $318 |
| MRI of the neck (cervical spine) without contrast | $3,084 | $2,670 | $191 |
| MRI of the pelvis | $3,103 | $2,908 | $268 |
| MRI of the pelvis without contrast | $3,103 | $2,566 | $227 |
| MRI of the shoulder | $2,955 | $2,664 | $313 |
| MRI of the shoulder without contrast | $2,955 | $2,572 | $205 |
| MRI of the wrist | $2,432 | $2,257 | $330 |
| MRI of the wrist without contrast | $2,432 | $2,186 | $303 |
| Nebulizer breathing treatment | $106 | $60 | $9 |
| Newborn hospital care | $124 | $127 | $58 |
| Nuchal translucency ultrasound | $357 | $162 | $116 |
| Nuclear cardiac stress test | $3,054 | $2,310 | $428 |
| Occupational therapy evaluation | $191 | $122 | $101 |
| Occupational therapy evaluation (high complexity) | $234 | $122 | $101 |
| Occupational therapy evaluation (low complexity) | $173 | $122 | $101 |
| Occupational therapy evaluation (moderate complexity) | $218 | $122 | $101 |
| Office visit (established patient) | $176 | $128 | $115 |
| Office visit (new patient) | $290 | $191 | $177 |
| Office visit, established patient (level 3) | $161 | $107 | $95 |
| Office visit, established patient (level 4) | $192 | $128 | $136 |
| Office visit, new patient (level 3) | $190 | $142 | $118 |
| Office visit, new patient (level 4) | $290 | $211 | $177 |
| Office visit, new patient (level 5) | $367 | $196 | $237 |
| Orthopedic hardware removal | $1,506 | $1,318 | $632 |
| Pap smear (cervical screening) | $55 | $112 | $20 |
| Parathyroid hormone (PTH) test | $109 | $90 | $41 |
| Pelvic ultrasound | $366 | $522 | $78 |
| Pelvic ultrasound (complete) | $752 | $543 | $105 |
| Pelvic ultrasound (limited) | $366 | $456 | $51 |
| PET scan | $4,244 | $4,062 | — |
| Phosphorus blood test | $34 | $16 | $5 |
| Physical therapy evaluation | $187 | $118 | $98 |
| Physical therapy evaluation (high complexity) | $285 | $118 | $98 |
| Physical therapy evaluation (moderate complexity) | $214 | $118 | $98 |
| Platelet count | $34 | $14 | $4 |
| Pneumonia vaccine | $129 | $122 | — |
| Pregnancy blood test (hCG) | $34 | $36 | $8 |
| Pregnancy ultrasound | $634 | $411 | $126 |
| Pregnancy ultrasound (first trimester) | $634 | $386 | $117 |
| Pregnancy ultrasound (second or third trimester) | $760 | $411 | $136 |
| Procalcitonin test | $55 | $157 | $27 |
| Prolactin test | $55 | $51 | $19 |
| Prostate test (PSA) | $64 | $20 | $18 |
| Psychiatric evaluation | $320 | $222 | $188 |
| Psychotherapy session | $262 | $149 | $140 |
| Radiofrequency nerve ablation | $1,030 | $938 | $462 |
| Rheumatoid factor test | $49 | $27 | $6 |
| Rotator cuff repair | $2,636 | $2,476 | $792 |
| RSV vaccine | $403 | $306 | — |
| Sacroiliac joint injection | $401 | $344 | $176 |
| Scoliosis spine X-ray | $191 | $239 | $58 |
| Scoliosis spine X-ray (3 views) | $298 | $239 | $72 |
| Screening colonoscopy | $814 | $424 | $378 |
| Scrotal ultrasound | $511 | $622 | $99 |
| Sedimentation rate (ESR) test | $34 | $10 | $3 |
| Semen analysis | $56 | $116 | $12 |
| Sex hormone binding globulin test | $64 | $45 | $22 |
| Shingles vaccine | $212 | $255 | — |
| Shoulder replacement | $3,580 | $3,190 | $1,300 |
| Simple laceration repair (small, up to 2.5 cm) | $402 | $216 | $114 |
| Simple wound stitches | $402 | $232 | $127 |
| Skin biopsy | $308 | $278 | $121 |
| Skin biopsy (punch) | $308 | $170 | $121 |
| Skin cancer lesion removal | $607 | $517 | $240 |
| Skin lesion freezing (cryotherapy) | $88 | $41 | $36 |
| Skin tag removal | $170 | $198 | $92 |
| Sleep study (polysomnography) | $3,647 | $4,975 | $691 |
| Soft tissue ultrasound | $353 | $421 | $64 |
| Speech therapy | $249 | $192 | $76 |
| Spinal tap (lumbar puncture) | $950 | $204 | $165 |
| Spirometry (lung function test) | $123 | $96 | $30 |
| Spirometry with bronchodilator | $382 | $144 | $43 |
| Strep throat test | $39 | $42 | $17 |
| Stress echocardiogram | $390 | $368 | $209 |
| Stress echocardiogram (complete) | $330 | $209 | $233 |
| Swallow study | $94 | $230 | $85 |
| T3 thyroid test | $55 | $36 | $14 |
| Tdap (tetanus) vaccine | $146 | $137 | — |
| Testosterone test | $55 | $22 | $26 |
| Thyroid test (TSH) | $55 | $51 | $17 |
| Thyroid ultrasound | $617 | $662 | $109 |
| Thyroid uptake scan | $747 | $1,112 | $145 |
| Total IgE allergy test | $64 | $30 | $16 |
| Total protein test | $34 | $14 | $4 |
| Transvaginal ultrasound | $625 | $549 | $118 |
| Trigger finger release | $1,334 | $1,623 | $630 |
| Trigger point injection | $375 | $110 | $56 |
| Trigger point injection (1-2 muscles) | $375 | $92 | $52 |
| Triglycerides test | $34 | $34 | $6 |
| Troponin (heart) test | $64 | $30 | $12 |
| Tubal ligation | $920 | $1,420 | $333 |
| Turning a breech baby (version) | $1,764 | $246 | $94 |
| Ulnar nerve surgery (elbow) | $1,461 | $1,412 | $575 |
| Upper GI endoscopy (EGD) | $801 | $522 | $371 |
| Uric acid (gout) test | $34 | $15 | $5 |
| Urinalysis | $26 | $9 | $3 |
| Urine microalbumin test | $26 | $17 | $5 |
| Urine pregnancy test | $26 | $37 | $9 |
| Vaccine administration | $58 | $84 | $19 |
| Vaccine administration (each additional) | $58 | $41 | $16 |
| Vitamin B12 test | $55 | $46 | $15 |
| Vitamin D test | $86 | $24 | $30 |
| Wart removal | $297 | $212 | $121 |
| Well-child visit | $189 | $158 | — |
| Wound debridement | $732 | $354 | $186 |
| X-ray of the abdomen | $182 | $226 | $36 |
| X-ray of the ankle | $351 | $224 | $37 |
| X-ray of the collarbone | $186 | $212 | $33 |
| X-ray of the elbow | $318 | $212 | $33 |
| X-ray of the facial bones | $220 | $218 | $39 |
| X-ray of the foot | $333 | $224 | $34 |
| X-ray of the forearm | $302 | $184 | $29 |
| X-ray of the hand | $296 | $230 | $38 |
| X-ray of the hip | $193 | $164 | $49 |
| X-ray of the hip (1 view) | $193 | $192 | $34 |
| X-ray of the hip (3 views) | $193 | $136 | $49 |
| X-ray of the knee | $208 | $218 | $42 |
| X-ray of the knee (2 views) | $208 | $202 | $34 |
| X-ray of the knee (3 views) | $208 | $218 | $42 |
| X-ray of the knee (4+ views) | $251 | $230 | $49 |
| X-ray of the lower back (lumbar spine) | $338 | $260 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $338 | $241 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $338 | $279 | $53 |
| X-ray of the lower leg | $214 | $174 | $31 |
| X-ray of the mid-back (thoracic spine) | $271 | $258 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $271 | $253 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $271 | $263 | $39 |
| X-ray of the neck (cervical spine) | $321 | $272 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $321 | $260 | $40 |
| X-ray of the pelvis | $272 | $190 | $36 |
| X-ray of the pelvis (1 view) | $272 | $177 | $28 |
| X-ray of the ribs | $289 | $230 | $42 |
| X-ray of the ribs (2 views) | $337 | $195 | $36 |
| X-ray of the ribs (3 views) | $360 | $292 | $42 |
| X-ray of the shoulder | $322 | $218 | $36 |
| X-ray of the skull | $262 | $218 | $40 |
| X-ray of the upper arm | $292 | $167 | $32 |
| X-ray of the wrist | $316 | $230 | $43 |
| Zinc blood test | $32 | $33 | $11 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
