Office visit, new patient (level 4) cost in Iowa

Prices at 52 hospitals in Iowa, from their machine-readable files. Here the median cash price is $290 — 11% above the US median ($260), roughly 1.6× the Medicare rate.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
Cherokee Regional Medical Center Cherokee, IA $65 $72 ★ 2/5 132 min 14.8%
Community Memorial Hospital Medical Center Sumner, IA $91 118 min 14.7%
Methodist Jennie Edmundson Council Bluffs, IA $119 $261 ★ 3/5 149 min 15.8%
Lakes Regional Healthcare Spirit Lake, IA $143 $124 ★ 2/5 125 min 14.4%
Clarke County Hospital Osceola, IA $160 $140 ★ 5/5 104 min 14.8%
Spencer Municipal Hospital Spencer, IA $204 $232 ★ 4/5 118 min 14.4%
Story County Hospital Nevada, IA $211 $122 103 min 15.2%
Regional Medical Center Manchester, IA $218 $870 ★ 4/5 147 min 14.3%
Avera Holy Family Hospital Estherville, IA $218 $246 ★ 2/5 112 min 15.3%
Osceola Community Hospital Sibley, IA $224 $233 118 min 14.6%
Ringgold County Hospital Mount Ayr, IA $233 $60 140 min 14.7%
Sanford Sheldon Medical Center Sheldon, IA $244 $197 115 min 14.4%
CHI Health-Mercy Corning Corning, IA $246 $451 ★ 3/5 131 min 14.8%
CHI Health Missouri Valley Missouri Valley, IA $251 $451 ★ 4/5 102 min 14.9%
Mercy Medical Center-New Hampton New Hampton, IA $251 $93 109 min 15.5%
Mercyone Oelwein Medical Center Oelwein, IA $251 $355 144 min 14.7%
Mercyone Dyersville Medical Center Dyersville, IA $251 $319 103 min
Jackson County Regional Health Center Maquoketa, IA $270 $218 80 min 15.1%
Greene County Medical Center Jefferson, IA $275 $205 109 min 15.0%
Humboldt County Memorial Hospital Humboldt, IA $279 $223 96 min 14.8%
Pocahontas Community Hospital Pocahontas, IA $280 $266 121 min
Mercyone Elkader Medical Center Elkader, IA $285 $130 102 min 15.5%
Unitypoint Health-Marshalltown Marshalltown, IA $290 $189 ★ 3/5 154 min 15.2%
Trinity Muscatine Muscatine, IA $290 $202 ★ 4/5 135 min 13.9%
Trinity Regional Medical Center Fort Dodge, IA $290 $189 ★ 2/5 168 min 15.2%

CMS rating = overall hospital star rating (1–5); ER wait = median minutes in the emergency department; Readmit = 30-day readmission rate (lower is better) — all from Medicare’s Care Compare; “—” = not reported. Data last updated June 2026. Prices from hospitals’ machine-readable files (45 CFR §180); Medicare benchmark from CMS PFS/CLFS/IPPS. Prices below 15% of the median are excluded as likely partial or mis-coded charges. Estimates — confirm with the hospital. Report an incorrect price.

Price comparison (median)

Chargemaster (list price)
$362
Cash / self-pay
$290
Insurer-negotiated
$193
Medicare pays
$177
$200$432
Median cash $290  ·  Medicare $177  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $290 — about 1.6× the Medicare rate ($177). Reasonable. A fair cash price is usually within ~2× Medicare ($355).

💡 Asking for the cash price instead of the $362 list price could save about $72 (20%).

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Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.

Office visit, new patient (level 4) cost in other states

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