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Critical Access Hospital

Guttenberg Municipal Hospital

Guttenberg, Iowa · Clayton County · Emergency services listed

Summary

Guttenberg Municipal Hospital is a critical access hospital in Guttenberg, Iowa. Medicare data lists emergency services. Its official website lists 60 services, specialties and programs. Medicare lists 66 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is a critical access hospital?

A small rural hospital with 24-hour emergency care, designated by Medicare to keep care available far from big cities. More about hospital types

Call(563) 252‑1121 Directions Website Medicare profile
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Profile from official sources

Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-10-30). Every service links to the page that lists it. Services change: call the hospital to confirm before you go.

In a medical emergency, call 911.

At a glance

YesEmergency services
Not ratedNot rated by CMSMedicare rating
66Doctors and clinicians
60Services listed

Quick answers

Does Guttenberg Municipal Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Guttenberg Municipal Hospital. In a medical emergency, call 911.
Where is Guttenberg Municipal Hospital?
200 Main Street, Guttenberg, IA 52052, in Clayton County, Iowa.
What is the phone number of Guttenberg Municipal Hospital?
(563) 252-1121, as listed by Medicare (CMS).
What is the Medicare star rating of Guttenberg Municipal Hospital?
CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Specialties and care areas[4][5][7]

Conditions treated[8][11]

Treatments[5][11]

Procedures[5][8][9]

Programs and centers[4][5][6][13][15]

  • Inpatient Acute Care
  • Skilled Care
  • Family Resource Center
  • Emergency services (24/7)
  • Inpatient hospice care
  • SHIIP Medicare counseling

Emergency care (hospital website)[4][6]

Emergency roomYes
Open 24/7Yes
Trauma designationLevel IV

Visiting and practical information

VisitingBrief visits; visitors must be well and free of illness; check with nurse for patient restrictions; smoking not allowed[14]
ParkingPatients and visitors park in the main hospital parking lot; registration is just inside the main entrance[12]
Interpreters and languagesFree qualified interpreters, sign language interpreters, and documents in other languages; contact Compliance Officer Jill Knepper[12]
Patient portalMyChart

Recognition[4][6][8]

  • State-certified Level IV Trauma Facility
  • ACR certified mammography department

Doctors and clinicians (66)

66 doctors and other clinicians list Guttenberg Municipal Hospital as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

Doctors with a page on this site (66)

And 42 more: the button below opens the full list.

Other emergency rooms nearby

Hospitals that list emergency services, by straight-line distance (not driving distance).

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

Medicare-certified ambulatory surgery centers within 25 miles, by straight-line distance.

All outpatient surgery centers in the state →

Community care nearby

Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

Licensed homes from the official state licence list, by straight-line distance.

About the Medicare star rating

CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →

Medicare quality data

What Guttenberg Municipal Hospital reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.

Summary star rating (all survey topics)Not reported to Medicare
Overall rating of the hospitalNot reported to Medicare
Would recommend the hospitalNot reported to Medicare
Nurses communicated wellNot reported to Medicare
Doctors communicated wellNot reported to Medicare
Staff explained medicinesNot reported to Medicare
Information about recovery at homeNot reported to Medicare
Room and bathroom kept cleanNot reported to Medicare
Quiet at nightNot reported to Medicare
Rated the hospital 9 or 10 out of 1093%National average: 72%
Would definitely recommend the hospital87%National average: 71%
Nurses “always” communicated well92%National average: 80%
Doctors “always” communicated well90%National average: 80%
Staff “always” explained medicines before giving them76%National average: 62%
Were given information about recovery at home88%National average: 86%
Room and bathroom “always” clean84%National average: 74%
Area around the room “always” quiet at night70%National average: 60%
Completed surveys44Response rate: 26%

Source: Patient survey (HCAHPS) - Hospital — CMS, released July 22, 2026; patients discharged October 2024 to September 2025.

Infections caught in the hospital

What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.

Central line bloodstream infections (CLABSI)Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)Not reported to Medicare
Surgical site infections after colon surgeryNot reported to Medicare
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infectionsNot reported to Medicare
Clostridioides difficile (C. diff) intestinal infectionsNot reported to Medicare

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026.

Complications and deaths

What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.

Deaths within 30 days: heart attack patientsToo few cases to report
Deaths within 30 days: heart failure patientsToo few cases to report
Deaths within 30 days: pneumonia patientsToo few cases to report
Deaths within 30 days: COPD patientsToo few cases to report
Deaths within 30 days: stroke patientsToo few cases to report
Deaths within 30 days: coronary bypass surgery (CABG)Not reported to Medicare
Serious complications (patient safety indicator PSI-90)Not reported to Medicare
Complications after hip or knee replacementNot reported to Medicare

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026.

Return visits to the hospital (readmissions)

What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.

Returned to any hospital within 30 days (all patients)Not reported to Medicare
Readmitted within 30 days: heart attackToo few cases to report
Readmitted within 30 days: heart failureToo few cases to report
Readmitted within 30 days: pneumoniaToo few cases to report
Readmitted within 30 days: COPDToo few cases to report
Readmitted within 30 days: coronary bypass surgeryNot reported to Medicare
Readmitted within 30 days: hip or knee replacementNot reported to Medicare

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026.

Emergency room times and sepsis care

What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.

Emergency room volume (patients per year)Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)96 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)0%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)61%National average: 65%

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.

ER wait times in IowaBest hospitals in Iowa

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 51 common services exactly as Guttenberg Municipal Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean
Hospital charge
The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
Cash price
The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
Insurance rates
The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
Hospital and doctor fees
A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.

How to use hospital prices: estimates, financial assistance and your rights →

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC O/P VISIT NEW LEVEL 3 $394 $315.20 $204 – $394
New patient office visit (about 30–44 minutes): 10 of 17 insurance plan rates
  • AETNA — Medicare: $204.88
  • AETNA — Medicare HMO: $204.88
  • AETNA — Medicare PPO: $204.88
  • HEALTH CHOICES — Commercial: $338.84
  • HEALTH PARTNERS — Commercial: $275.80
  • HUMANA — Medicare: $217.28
  • IOWA TOTAL CARE — Medicaid: $236.10
  • MEDICAL ASSOCIATES — HMO: $295.50
  • MEDICAL ASSOCIATES — Medicare: $204.88
  • MIDLANDS CHOICE — Commercial: $275.80
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC O/P VISIT NEW LEVEL 3 $394 $315.20 $263 – $394
New patient office visit (about 30–44 minutes): 10 of 17 insurance plan rates
  • AETNA — Medicare: $394
  • AETNA — Medicare HMO: $394
  • AETNA — Medicare PPO: $394
  • HEALTH CHOICES — Commercial: $338.84
  • HEALTH PARTNERS — Commercial: $275.80
  • HUMANA — Medicare: $394
  • IOWA TOTAL CARE — Medicaid: $394
  • MEDICAL ASSOCIATES — HMO: $295.50
  • MEDICAL ASSOCIATES — Medicare: $394
  • MIDLANDS CHOICE — Commercial: $275.80
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR OP VISIT NEW PT LEVEL 3 $366 $292.80 $198 – $366
New patient office visit (about 30–44 minutes): rates for 5 insurance plans
  • IOWA TOTAL CARE — Medicaid: $366
  • MOLINA — Medicare: $198.95
  • QUARTZ — Commercial: $292.80
  • HUMANA — Medicare: 52% (a percentage in the contract, not a dollar amount)
  • MIDLANDS CHOICE — Commercial: 70% (a percentage in the contract, not a dollar amount)
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR OP VISIT NEW PT LEVEL 4 $561 $448.80 $304 – $561
New patient office visit (about 45–59 minutes): rates for 5 insurance plans
  • HUMANA — Medicare: $309.37
  • IOWA TOTAL CARE — Medicaid: $561
  • MIDLANDS CHOICE — Commercial: $392.70
  • MOLINA — Medicare: $304.95
  • QUARTZ — Commercial: $448.80
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR OP VISIT NEW PT LEVEL 5 $697 $557.60 $378 – $697
New patient office visit (about 60–74 minutes): rates for 5 insurance plans
  • HUMANA — Medicare: $384.37
  • IOWA TOTAL CARE — Medicaid: $697
  • MIDLANDS CHOICE — Commercial: $487.90
  • MOLINA — Medicare: $378.88
  • QUARTZ — Commercial: $557.60
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC O/P VISIT EST LEVEL 3 (20-29 MIN) $387 $309.60 $201 – $387
Established patient office visit (about 20–29 minutes): 10 of 17 insurance plan rates
  • AETNA — Medicare: $201.24
  • AETNA — Medicare HMO: $201.24
  • AETNA — Medicare PPO: $201.24
  • HEALTH CHOICES — Commercial: $332.82
  • HEALTH PARTNERS — Commercial: $270.90
  • HUMANA — Medicare: $213.42
  • MEDICAL ASSOCIATES — HMO: $290.25
  • MEDICAL ASSOCIATES — Medicare: $201.24
  • MIDLANDS CHOICE — Commercial: $270.90
  • MOLINA — Medicare: $210.37
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC O/P VISIT EST LEVEL 3 (20-29 MIN) $387 $309.60 $259 – $387
Established patient office visit (about 20–29 minutes): 10 of 17 insurance plan rates
  • AETNA — Medicare: $387
  • AETNA — Medicare HMO: $387
  • AETNA — Medicare PPO: $387
  • HEALTH CHOICES — Commercial: $332.82
  • HEALTH PARTNERS — Commercial: $270.90
  • HUMANA — Medicare: $387
  • IOWA TOTAL CARE — Medicaid: $387
  • MEDICAL ASSOCIATES — HMO: $290.25
  • MEDICAL ASSOCIATES — Medicare: $387
  • MIDLANDS CHOICE — Commercial: $270.90
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR OP VISIT EST PT LEVEL 3 $263 $210.40 $142 – $210
Established patient office visit (about 20–29 minutes): rates for 3 insurance plans
  • MOLINA — Medicare: $142.96
  • QUARTZ — Commercial: $210.40
  • HUMANA — Medicare: 52% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC O/P VISIT EST LEVEL 4 (30-39 MIN) $458 $366.40 $238 – $458
Established patient office visit (about 30–39 minutes): 10 of 17 insurance plan rates
  • AETNA — Medicare: $238.16
  • AETNA — Medicare HMO: $238.16
  • AETNA — Medicare PPO: $238.16
  • HEALTH CHOICES — Commercial: $393.88
  • HEALTH PARTNERS — Commercial: $320.60
  • HUMANA — Medicare: $252.57
  • IOWA TOTAL CARE — Medicaid: $274.46
  • MEDICAL ASSOCIATES — HMO: $343.50
  • MEDICAL ASSOCIATES — Medicare: $238.16
  • MIDLANDS CHOICE — Commercial: $320.60
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC O/P VISIT EST LEVEL 4 (30-39 MIN) $458 $366.40 $306 – $458
Established patient office visit (about 30–39 minutes): 10 of 17 insurance plan rates
  • AETNA — Medicare: $458
  • AETNA — Medicare HMO: $458
  • AETNA — Medicare PPO: $458
  • HEALTH CHOICES — Commercial: $393.88
  • HEALTH PARTNERS — Commercial: $320.60
  • HUMANA — Medicare: $458
  • IOWA TOTAL CARE — Medicaid: $458
  • MEDICAL ASSOCIATES — HMO: $343.50
  • MEDICAL ASSOCIATES — Medicare: $458
  • MIDLANDS CHOICE — Commercial: $320.60
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR OP VISIT EST PT LEVEL 4 $385 $308 $209 – $308
Established patient office visit (about 30–39 minutes): rates for 5 insurance plans
  • HUMANA — Medicare: $212.31
  • MOLINA — Medicare: $209.28
  • QUARTZ — Commercial: $308
  • IOWA TOTAL CARE — Medicaid: 57% (a percentage in the contract, not a dollar amount)
  • MIDLANDS CHOICE — Commercial: 70% (a percentage in the contract, not a dollar amount)
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR OFFICE CONSULT LVL 3 $432 $345.60 $234 – $432
Office consultation with a specialist (moderate): rates for 4 insurance plans
  • HUMANA — Medicare: $238.23
  • IOWA TOTAL CARE — Medicaid: $432
  • MOLINA — Medicare: $234.83
  • QUARTZ — Commercial: $345.60
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR OFFICE CONSULT LVL 4 $636 $508.80 $345 – $636
Office consultation with a specialist (moderate to high): rates for 4 insurance plans
  • HUMANA — Medicare: $350.73
  • IOWA TOTAL CARE — Medicaid: $636
  • MOLINA — Medicare: $345.72
  • QUARTZ — Commercial: $508.80
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ED LEVEL 3 VISIT $466 $372.80 $312 – $466
Emergency room visit (moderate): 10 of 17 insurance plan rates
  • AETNA — Medicare: $466
  • AETNA — Medicare HMO: $466
  • AETNA — Medicare PPO: $466
  • HEALTH CHOICES — Commercial: $400.76
  • HEALTH PARTNERS — Commercial: $326.20
  • HUMANA — Medicare: $466
  • IOWA TOTAL CARE — Medicaid: $466
  • MEDICAL ASSOCIATES — HMO: $349.50
  • MEDICAL ASSOCIATES — Medicare: $466
  • MIDLANDS CHOICE — Commercial: $326.20
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ED LEVEL 3 INIT ASSESS $33 $26.40 $22 – $33
Emergency room visit (moderate): 10 of 17 insurance plan rates
  • AETNA — Medicare: $33
  • AETNA — Medicare HMO: $33
  • AETNA — Medicare PPO: $33
  • HEALTH CHOICES — Commercial: $28.38
  • HEALTH PARTNERS — Commercial: $23.10
  • HUMANA — Medicare: $33
  • IOWA TOTAL CARE — Medicaid: $33
  • MEDICAL ASSOCIATES — HMO: $24.75
  • MEDICAL ASSOCIATES — Medicare: $33
  • MIDLANDS CHOICE — Commercial: $23.10
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ED LEVEL 3 VISIT $466 $372.80 $242 – $400
Emergency room visit (moderate): 10 of 15 insurance plan rates
  • AETNA — Medicare: $242.32
  • AETNA — Medicare HMO: $242.32
  • AETNA — Medicare PPO: $242.32
  • HEALTH CHOICES — Commercial: $400.76
  • MEDICAL ASSOCIATES — HMO: $349.50
  • MEDICAL ASSOCIATES — Medicare: $242.32
  • MOLINA — Medicare: $253.31
  • QUARTZ — Commercial: $372.80
  • WELLMARK — Medicare: $242.32
  • HEALTH PARTNERS — Commercial: 70% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ED LEVEL 4 VISIT $776 $620.80 $519 – $776
Emergency room visit (moderately high): 10 of 17 insurance plan rates
  • AETNA — Medicare: $776
  • AETNA — Medicare HMO: $776
  • AETNA — Medicare PPO: $776
  • HEALTH CHOICES — Commercial: $667.36
  • HEALTH PARTNERS — Commercial: $543.20
  • HUMANA — Medicare: $776
  • IOWA TOTAL CARE — Medicaid: $776
  • MEDICAL ASSOCIATES — HMO: $582
  • MEDICAL ASSOCIATES — Medicare: $776
  • MIDLANDS CHOICE — Commercial: $543.20
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ED LEVEL 4 INIT ASSESS $33 $26.40 $22 – $33
Emergency room visit (moderately high): 10 of 17 insurance plan rates
  • AETNA — Medicare: $33
  • AETNA — Medicare HMO: $33
  • AETNA — Medicare PPO: $33
  • HEALTH CHOICES — Commercial: $28.38
  • HEALTH PARTNERS — Commercial: $23.10
  • HUMANA — Medicare: $33
  • IOWA TOTAL CARE — Medicaid: $33
  • MEDICAL ASSOCIATES — HMO: $24.75
  • MEDICAL ASSOCIATES — Medicare: $33
  • MIDLANDS CHOICE — Commercial: $23.10
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ED LEVEL 4 VISIT $776 $620.80 $403 – $667
Emergency room visit (moderately high): 10 of 15 insurance plan rates
  • AETNA — Medicare: $403.52
  • AETNA — Medicare HMO: $403.52
  • AETNA — Medicare PPO: $403.52
  • HEALTH CHOICES — Commercial: $667.36
  • HUMANA — Medicare: $427.93
  • IOWA TOTAL CARE — Medicaid: $465.02
  • MEDICAL ASSOCIATES — HMO: $582
  • MEDICAL ASSOCIATES — Medicare: $403.52
  • MIDLANDS CHOICE — Commercial: $543.20
  • MOLINA — Medicare: $421.82
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ED LEVEL 5 VISIT $1,127 $901.60 $755 – $1,127
Emergency room visit (high): 10 of 17 insurance plan rates
  • AETNA — Medicare: $1,127
  • AETNA — Medicare HMO: $1,127
  • AETNA — Medicare PPO: $1,127
  • HEALTH CHOICES — Commercial: $969.22
  • HEALTH PARTNERS — Commercial: $788.90
  • HUMANA — Medicare: $1,127
  • IOWA TOTAL CARE — Medicaid: $1,127
  • MEDICAL ASSOCIATES — HMO: $845.25
  • MEDICAL ASSOCIATES — Medicare: $1,127
  • MIDLANDS CHOICE — Commercial: $788.90
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ED LEVEL 5 INIT ASSESS $33 $26.40 $22 – $33
Emergency room visit (high): 10 of 17 insurance plan rates
  • AETNA — Medicare: $33
  • AETNA — Medicare HMO: $33
  • AETNA — Medicare PPO: $33
  • HEALTH CHOICES — Commercial: $28.38
  • HEALTH PARTNERS — Commercial: $23.10
  • HUMANA — Medicare: $33
  • IOWA TOTAL CARE — Medicaid: $33
  • MEDICAL ASSOCIATES — HMO: $24.75
  • MEDICAL ASSOCIATES — Medicare: $33
  • MIDLANDS CHOICE — Commercial: $23.10
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ED LEVEL 5 VISIT $1,127 $901.60 $586 – $1,036
Emergency room visit (high): 10 of 16 insurance plan rates
  • AETNA — Medicare: $586.04
  • AETNA — Medicare HMO: $586.04
  • AETNA — Medicare PPO: $586.04
  • HEALTH CHOICES — Commercial: $969.22
  • HEALTH PARTNERS — Commercial: $788.90
  • IOWA TOTAL CARE — Medicaid: $675.35
  • MEDICAL ASSOCIATES — HMO: $845.25
  • MEDICAL ASSOCIATES — Medicare: $586.04
  • MIDLANDS CHOICE — Commercial: $788.90
  • MOLINA — Medicare: $612.62

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC AUTOM URINE DIP W MICRO $59 $47.20 $39 – $59
Urine test (automated, with microscope): 10 of 17 insurance plan rates
  • AETNA — Medicare: $59
  • AETNA — Medicare HMO: $59
  • AETNA — Medicare PPO: $59
  • HEALTH CHOICES — Commercial: $50.74
  • HEALTH PARTNERS — Commercial: $41.30
  • HUMANA — Medicare: $59
  • IOWA TOTAL CARE — Medicaid: $59
  • MEDICAL ASSOCIATES — HMO: $44.25
  • MEDICAL ASSOCIATES — Medicare: $59
  • MIDLANDS CHOICE — Commercial: $41.30
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC AUTOM URINE DIP W MICRO $59 $47.20 $30 – $50
Urine test (automated, with microscope): 10 of 14 insurance plan rates
  • AETNA — Medicare: $30.68
  • AETNA — Medicare HMO: $30.68
  • AETNA — Medicare PPO: $30.68
  • HEALTH CHOICES — Commercial: $50.74
  • MEDICAL ASSOCIATES — HMO: $44.25
  • MEDICAL ASSOCIATES — Medicare: $30.68
  • MIDLANDS CHOICE — Commercial: $41.30
  • MOLINA — Medicare: $32.07
  • QUARTZ — Commercial: $47.20
  • HEALTH PARTNERS — Commercial: 70% (a percentage in the contract, not a dollar amount)
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC N-AUTOM URINALYS WO MICRO $30 $24 $20 – $30
Urine test (manual, without microscope): 10 of 17 insurance plan rates
  • AETNA — Medicare: $30
  • AETNA — Medicare HMO: $30
  • AETNA — Medicare PPO: $30
  • HEALTH CHOICES — Commercial: $25.80
  • HEALTH PARTNERS — Commercial: $21
  • HUMANA — Medicare: $30
  • IOWA TOTAL CARE — Medicaid: $30
  • MEDICAL ASSOCIATES — HMO: $22.50
  • MEDICAL ASSOCIATES — Medicare: $30
  • MIDLANDS CHOICE — Commercial: $21
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC N-AUTOM URINALYS WO MICRO $30 $24 $15 – $30
Urine test (manual, without microscope): 10 of 16 insurance plan rates
  • AETNA — Medicare: $15.60
  • AETNA — Medicare HMO: $15.60
  • AETNA — Medicare PPO: $15.60
  • HEALTH CHOICES — Commercial: $25.80
  • HEALTH PARTNERS — Commercial: $21
  • HUMANA — Medicare: $16.54
  • IOWA TOTAL CARE — Medicaid: $17.98
  • MEDICAL ASSOCIATES — HMO: $22.50
  • MEDICAL ASSOCIATES — Medicare: $15.60
  • MIDLANDS CHOICE — Commercial: $21
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC AUTOM URINALYSIS WO MICRO $30 $24 $20 – $30
Urine test (automated, without microscope): 10 of 17 insurance plan rates
  • AETNA — Medicare: $30
  • AETNA — Medicare HMO: $30
  • AETNA — Medicare PPO: $30
  • HEALTH CHOICES — Commercial: $25.80
  • HEALTH PARTNERS — Commercial: $21
  • HUMANA — Medicare: $30
  • IOWA TOTAL CARE — Medicaid: $30
  • MEDICAL ASSOCIATES — HMO: $22.50
  • MEDICAL ASSOCIATES — Medicare: $30
  • MIDLANDS CHOICE — Commercial: $21
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC AUTOM URINALYSIS WO MICRO $30 $24 $15 – $25
Urine test (automated, without microscope): 10 of 14 insurance plan rates
  • AETNA — Medicare: $15.60
  • AETNA — Medicare HMO: $15.60
  • AETNA — Medicare PPO: $15.60
  • HEALTH CHOICES — Commercial: $25.80
  • HEALTH PARTNERS — Commercial: $21
  • MEDICAL ASSOCIATES — HMO: $22.50
  • MEDICAL ASSOCIATES — Medicare: $15.60
  • MIDLANDS CHOICE — Commercial: $21
  • MOLINA — Medicare: $16.31
  • QUARTZ — Commercial: $24
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PROTHROMBIN TIME $59 $47.20 $39 – $59
Blood clotting time test (prothrombin time, PT): 10 of 17 insurance plan rates
  • AETNA — Medicare: $59
  • AETNA — Medicare HMO: $59
  • AETNA — Medicare PPO: $59
  • HEALTH CHOICES — Commercial: $50.74
  • HEALTH PARTNERS — Commercial: $41.30
  • HUMANA — Medicare: $59
  • IOWA TOTAL CARE — Medicaid: $59
  • MEDICAL ASSOCIATES — HMO: $44.25
  • MEDICAL ASSOCIATES — Medicare: $59
  • MIDLANDS CHOICE — Commercial: $41.30
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROTHROMBIN TIME $59 $47.20 $30 – $50
Blood clotting time test (prothrombin time, PT): 10 of 14 insurance plan rates
  • AETNA — Medicare: $30.68
  • AETNA — Medicare HMO: $30.68
  • AETNA — Medicare PPO: $30.68
  • HEALTH CHOICES — Commercial: $50.74
  • HEALTH PARTNERS — Commercial: $41.30
  • MEDICAL ASSOCIATES — HMO: $44.25
  • MEDICAL ASSOCIATES — Medicare: $30.68
  • MIDLANDS CHOICE — Commercial: $41.30
  • MOLINA — Medicare: $32.07
  • QUARTZ — Commercial: $47.20

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT HEAD OR BRAIN WO CONTRAST $2,314 $1,851.20 $1,550 – $2,314
CT scan of the head or brain, without contrast: 10 of 17 insurance plan rates
  • AETNA — Medicare: $2,314
  • AETNA — Medicare HMO: $2,314
  • AETNA — Medicare PPO: $2,314
  • HEALTH CHOICES — Commercial: $1,990.04
  • HEALTH PARTNERS — Commercial: $1,619.80
  • HUMANA — Medicare: $2,314
  • IOWA TOTAL CARE — Medicaid: $2,314
  • MEDICAL ASSOCIATES — HMO: $1,735.50
  • MEDICAL ASSOCIATES — Medicare: $2,314
  • MIDLANDS CHOICE — Commercial: $1,619.80
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT HEAD OR BRAIN WO CONTRAST $2,314 $1,851.20 $1,203 – $1,990
CT scan of the head or brain, without contrast: 10 of 14 insurance plan rates
  • AETNA — Medicare: $1,203.28
  • AETNA — Medicare HMO: $1,203.28
  • AETNA — Medicare PPO: $1,203.28
  • HEALTH CHOICES — Commercial: $1,990.04
  • MEDICAL ASSOCIATES — HMO: $1,735.50
  • MEDICAL ASSOCIATES — Medicare: $1,203.28
  • MIDLANDS CHOICE — Commercial: $1,619.80
  • MOLINA — Medicare: $1,257.85
  • QUARTZ — Commercial: $1,851.20
  • HEALTH PARTNERS — Commercial: 70% (a percentage in the contract, not a dollar amount)
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI BRAIN W WO CONTRAST $6,172 $4,937.60 $4,135 – $6,172
MRI of the brain, before and after contrast: 10 of 17 insurance plan rates
  • AETNA — Medicare: $4,221
  • AETNA — Medicare HMO: $4,221
  • AETNA — Medicare PPO: $4,221
  • HEALTH CHOICES — Commercial: $5,307.92
  • HEALTH PARTNERS — Commercial: $4,320.40
  • HUMANA — Medicare: $4,432
  • IOWA TOTAL CARE — Medicaid: $6,172
  • MEDICAL ASSOCIATES — HMO: $4,629
  • MEDICAL ASSOCIATES — Medicare: $4,221
  • MIDLANDS CHOICE — Commercial: $4,320.40
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI BRAIN W WO CONTRAST $6,172 $4,937.60 $3,209 – $5,307
MRI of the brain, before and after contrast: 10 of 14 insurance plan rates
  • AETNA — Medicare: $3,209.44
  • AETNA — Medicare HMO: $3,209.44
  • AETNA — Medicare PPO: $3,209.44
  • HEALTH CHOICES — Commercial: $5,307.92
  • HEALTH PARTNERS — Commercial: $4,320.40
  • MEDICAL ASSOCIATES — HMO: $4,629
  • MEDICAL ASSOCIATES — Medicare: $3,209.44
  • MOLINA — Medicare: $3,354.99
  • QUARTZ — Commercial: $4,937.60
  • WELLMARK — Medicare: $3,209.44
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC X-RAY EXAM CHEST 2 VIEWS $357 $285.60 $239 – $357
Chest X-ray, 2 views: 10 of 17 insurance plan rates
  • AETNA — Medicare: $357
  • AETNA — Medicare HMO: $357
  • AETNA — Medicare PPO: $357
  • HEALTH CHOICES — Commercial: $307.02
  • HEALTH PARTNERS — Commercial: $249.90
  • HUMANA — Medicare: $357
  • IOWA TOTAL CARE — Medicaid: $357
  • MEDICAL ASSOCIATES — HMO: $267.75
  • MEDICAL ASSOCIATES — Medicare: $357
  • MIDLANDS CHOICE — Commercial: $249.90
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC X-RAY EXAM CHEST 2 VIEWS $357 $285.60 $185 – $307
Chest X-ray, 2 views: 10 of 14 insurance plan rates
  • AETNA — Medicare: $185.64
  • AETNA — Medicare HMO: $185.64
  • AETNA — Medicare PPO: $185.64
  • HEALTH CHOICES — Commercial: $307.02
  • MEDICAL ASSOCIATES — HMO: $267.75
  • MEDICAL ASSOCIATES — Medicare: $185.64
  • MIDLANDS CHOICE — Commercial: $249.90
  • MOLINA — Medicare: $194.06
  • QUARTZ — Commercial: $285.60
  • HEALTH PARTNERS — Commercial: 70% (a percentage in the contract, not a dollar amount)
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC LUMBOSACR SPINE MIN 4 VIEWS $521 $416.80 $349 – $521
X-ray of the lower spine, at least 4 views: 10 of 17 insurance plan rates
  • AETNA — Medicare: $521
  • AETNA — Medicare HMO: $521
  • AETNA — Medicare PPO: $521
  • HEALTH CHOICES — Commercial: $448.06
  • HEALTH PARTNERS — Commercial: $364.70
  • HUMANA — Medicare: $521
  • IOWA TOTAL CARE — Medicaid: $521
  • MEDICAL ASSOCIATES — HMO: $390.75
  • MEDICAL ASSOCIATES — Medicare: $521
  • MIDLANDS CHOICE — Commercial: $364.70
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LUMBOSACR SPINE MIN 4 VIEWS $521 $416.80 $270 – $521
X-ray of the lower spine, at least 4 views: 10 of 15 insurance plan rates
  • AETNA — Medicare: $270.92
  • AETNA — Medicare HMO: $270.92
  • AETNA — Medicare PPO: $270.92
  • HEALTH CHOICES — Commercial: $448.06
  • HEALTH PARTNERS — Commercial: $364.70
  • HUMANA — Medicare: $287.31
  • IOWA TOTAL CARE — Medicaid: $312.21
  • MEDICAL ASSOCIATES — HMO: $390.75
  • MEDICAL ASSOCIATES — Medicare: $270.92
  • MIDLANDS CHOICE — Commercial: $364.70
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI SPINE LUMBAR WO CONTRAST $3,407 $2,725.60 $2,282 – $3,407
MRI of the lower back (lumbar spine), without contrast: 10 of 17 insurance plan rates
  • AETNA — Medicare: $3,407
  • AETNA — Medicare HMO: $3,407
  • AETNA — Medicare PPO: $3,407
  • HEALTH CHOICES — Commercial: $2,930.02
  • HEALTH PARTNERS — Commercial: $2,384.90
  • HUMANA — Medicare: $3,407
  • IOWA TOTAL CARE — Medicaid: $3,407
  • MEDICAL ASSOCIATES — HMO: $2,555.25
  • MEDICAL ASSOCIATES — Medicare: $3,407
  • MIDLANDS CHOICE — Commercial: $2,384.90
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI SPINE LUMBAR WO CONTRAST $3,407 $2,725.60 $1,771 – $2,930
MRI of the lower back (lumbar spine), without contrast: 10 of 14 insurance plan rates
  • AETNA — Medicare: $1,771.64
  • AETNA — Medicare HMO: $1,771.64
  • AETNA — Medicare PPO: $1,771.64
  • HEALTH CHOICES — Commercial: $2,930.02
  • HEALTH PARTNERS — Commercial: $2,384.90
  • HUMANA — Medicare: $1,878.82
  • IOWA TOTAL CARE — Medicaid: $2,041.64
  • MEDICAL ASSOCIATES — HMO: $2,555.25
  • MEDICAL ASSOCIATES — Medicare: $1,771.64
  • MOLINA — Medicare: $1,851.98
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT PELVIS W CONTRAST $2,961 $2,368.80 $1,983 – $2,961
CT scan of the pelvis, with contrast: 10 of 17 insurance plan rates
  • AETNA — Medicare: $2,961
  • AETNA — Medicare HMO: $2,961
  • AETNA — Medicare PPO: $2,961
  • HEALTH CHOICES — Commercial: $2,546.46
  • HEALTH PARTNERS — Commercial: $2,072.70
  • HUMANA — Medicare: $2,961
  • IOWA TOTAL CARE — Medicaid: $2,961
  • MEDICAL ASSOCIATES — HMO: $2,220.75
  • MEDICAL ASSOCIATES — Medicare: $2,961
  • MIDLANDS CHOICE — Commercial: $2,072.70
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT PELVIS W CONTRAST $2,961 $2,368.80 $747 – $2,546
CT scan of the pelvis, with contrast: 10 of 15 insurance plan rates
  • AETNA — Medicare: $1,539.72
  • AETNA — Medicare HMO: $1,539.72
  • AETNA — Medicare PPO: $1,539.72
  • HEALTH CHOICES — Commercial: $2,546.46
  • HEALTH PARTNERS — Commercial: $2,072.70
  • IOWA TOTAL CARE — Medicaid: $1,774.38
  • MEDICAL ASSOCIATES — HMO: $2,220.75
  • MEDICAL ASSOCIATES — Medicare: $1,539.72
  • MIDLANDS CHOICE — Commercial: $2,072.70
  • MOLINA — Medicare: $1,609.55
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI LOW EXTR ANY JOINT WO CONTRAST $3,325 $2,660 $2,227 – $3,325
MRI of a leg joint (such as the knee), without contrast: 10 of 17 insurance plan rates
  • AETNA — Medicare: $3,325
  • AETNA — Medicare HMO: $3,325
  • AETNA — Medicare PPO: $3,325
  • HEALTH CHOICES — Commercial: $2,859.50
  • HEALTH PARTNERS — Commercial: $2,327.50
  • HUMANA — Medicare: $3,325
  • IOWA TOTAL CARE — Medicaid: $3,325
  • MEDICAL ASSOCIATES — HMO: $2,493.75
  • MEDICAL ASSOCIATES — Medicare: $3,325
  • MIDLANDS CHOICE — Commercial: $2,327.50
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI LOW EXTR ANY JOINT WO CONTRAST $3,325 $2,660 $747 – $2,859
MRI of a leg joint (such as the knee), without contrast: 10 of 16 insurance plan rates
  • AETNA — Medicare: $1,729
  • AETNA — Medicare HMO: $1,729
  • AETNA — Medicare PPO: $1,729
  • HEALTH CHOICES — Commercial: $2,859.50
  • HEALTH PARTNERS — Commercial: $2,327.50
  • HUMANA — Medicare: $1,833.60
  • IOWA TOTAL CARE — Medicaid: $1,992.50
  • MEDICAL ASSOCIATES — HMO: $2,493.75
  • MEDICAL ASSOCIATES — Medicare: $1,729
  • MIDLANDS CHOICE — Commercial: $2,327.50
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT ABDOMEN & PELVIS W CONTRAST $5,490 $4,392 $3,678 – $5,490
CT scan of the abdomen and pelvis, with contrast: 10 of 17 insurance plan rates
  • AETNA — Medicare: $4,221
  • AETNA — Medicare HMO: $4,221
  • AETNA — Medicare PPO: $4,221
  • HEALTH CHOICES — Commercial: $4,721.40
  • HEALTH PARTNERS — Commercial: $3,843
  • HUMANA — Medicare: $4,432
  • IOWA TOTAL CARE — Medicaid: $5,490
  • MEDICAL ASSOCIATES — HMO: $4,117.50
  • MEDICAL ASSOCIATES — Medicare: $4,221
  • MIDLANDS CHOICE — Commercial: $3,843
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT ABDOMEN & PELVIS W CONTRAST $5,490 $4,392 $2,854 – $4,721
CT scan of the abdomen and pelvis, with contrast: 10 of 14 insurance plan rates
  • AETNA — Medicare: $2,854.80
  • AETNA — Medicare HMO: $2,854.80
  • AETNA — Medicare PPO: $2,854.80
  • HEALTH CHOICES — Commercial: $4,721.40
  • MEDICAL ASSOCIATES — HMO: $4,117.50
  • MEDICAL ASSOCIATES — Medicare: $2,854.80
  • MOLINA — Medicare: $2,984.27
  • QUARTZ — Commercial: $4,392
  • HEALTH PARTNERS — Commercial: 70% (a percentage in the contract, not a dollar amount)
  • HUMANA — Medicare: 52% (a percentage in the contract, not a dollar amount)
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC US EXAM ABDOMEN COMPLETE $1,243 $994.40 $832 – $1,243
Ultrasound of the abdomen, complete: 10 of 17 insurance plan rates
  • AETNA — Medicare: $1,243
  • AETNA — Medicare HMO: $1,243
  • AETNA — Medicare PPO: $1,243
  • HEALTH CHOICES — Commercial: $1,068.98
  • HEALTH PARTNERS — Commercial: $870.10
  • HUMANA — Medicare: $1,243
  • IOWA TOTAL CARE — Medicaid: $1,243
  • MEDICAL ASSOCIATES — HMO: $932.25
  • MEDICAL ASSOCIATES — Medicare: $1,243
  • MIDLANDS CHOICE — Commercial: $870.10
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US EXAM ABDOMEN COMPLETE $1,243 $994.40 $646 – $1,068
Ultrasound of the abdomen, complete: 10 of 14 insurance plan rates
  • AETNA — Medicare: $646.36
  • AETNA — Medicare HMO: $646.36
  • AETNA — Medicare PPO: $646.36
  • HEALTH CHOICES — Commercial: $1,068.98
  • HEALTH PARTNERS — Commercial: $870.10
  • HUMANA — Medicare: $685.46
  • MEDICAL ASSOCIATES — HMO: $932.25
  • MEDICAL ASSOCIATES — Medicare: $646.36
  • MIDLANDS CHOICE — Commercial: $870.10
  • MOLINA — Medicare: $675.67
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC US OB COMPLETE SNGL FETUS $1,122 $897.60 $751 – $1,122
Pregnancy ultrasound (after the first trimester): 10 of 17 insurance plan rates
  • AETNA — Medicare: $1,122
  • AETNA — Medicare HMO: $1,122
  • AETNA — Medicare PPO: $1,122
  • HEALTH CHOICES — Commercial: $964.92
  • HEALTH PARTNERS — Commercial: $785.40
  • HUMANA — Medicare: $1,122
  • IOWA TOTAL CARE — Medicaid: $1,122
  • MEDICAL ASSOCIATES — HMO: $841.50
  • MEDICAL ASSOCIATES — Medicare: $1,122
  • MIDLANDS CHOICE — Commercial: $785.40
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US OB COMPLETE SNGL FETUS $1,122 $897.60 $583 – $964
Pregnancy ultrasound (after the first trimester): 10 of 16 insurance plan rates
  • AETNA — Medicare: $583.44
  • AETNA — Medicare HMO: $583.44
  • AETNA — Medicare PPO: $583.44
  • HEALTH CHOICES — Commercial: $964.92
  • HEALTH PARTNERS — Commercial: $785.40
  • HUMANA — Medicare: $618.74
  • IOWA TOTAL CARE — Medicaid: $672.36
  • MEDICAL ASSOCIATES — HMO: $841.50
  • MEDICAL ASSOCIATES — Medicare: $583.44
  • MIDLANDS CHOICE — Commercial: $785.40
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC US NON OB TRANSVAG $930 $744 $623 – $930
Transvaginal ultrasound: 10 of 17 insurance plan rates
  • AETNA — Medicare: $930
  • AETNA — Medicare HMO: $930
  • AETNA — Medicare PPO: $930
  • HEALTH CHOICES — Commercial: $799.80
  • HEALTH PARTNERS — Commercial: $651
  • HUMANA — Medicare: $930
  • IOWA TOTAL CARE — Medicaid: $930
  • MEDICAL ASSOCIATES — HMO: $697.50
  • MEDICAL ASSOCIATES — Medicare: $930
  • MIDLANDS CHOICE — Commercial: $651
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US NON OB TRANSVAG $930 $744 $483 – $799
Transvaginal ultrasound: 10 of 14 insurance plan rates
  • AETNA — Medicare: $483.60
  • AETNA — Medicare HMO: $483.60
  • AETNA — Medicare PPO: $483.60
  • HEALTH CHOICES — Commercial: $799.80
  • HEALTH PARTNERS — Commercial: $651
  • HUMANA — Medicare: $512.86
  • MEDICAL ASSOCIATES — HMO: $697.50
  • MEDICAL ASSOCIATES — Medicare: $483.60
  • MIDLANDS CHOICE — Commercial: $651
  • MOLINA — Medicare: $505.53
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC DX MAMMO INCL CAD UNIL $563 $450.40 $377 – $563
Diagnostic mammogram, one breast: 10 of 17 insurance plan rates
  • AETNA — Medicare: $563
  • AETNA — Medicare HMO: $563
  • AETNA — Medicare PPO: $563
  • HEALTH CHOICES — Commercial: $484.18
  • HEALTH PARTNERS — Commercial: $394.10
  • HUMANA — Medicare: $563
  • IOWA TOTAL CARE — Medicaid: $563
  • MEDICAL ASSOCIATES — HMO: $422.25
  • MEDICAL ASSOCIATES — Medicare: $563
  • MIDLANDS CHOICE — Commercial: $394.10
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC DX MAMMO INCL CAD UNIL $563 $450.40 $292 – $563
Diagnostic mammogram, one breast: 10 of 16 insurance plan rates
  • AETNA — Medicare: $292.76
  • AETNA — Medicare HMO: $292.76
  • AETNA — Medicare PPO: $292.76
  • HEALTH CHOICES — Commercial: $484.18
  • HEALTH PARTNERS — Commercial: $394.10
  • HUMANA — Medicare: $310.47
  • IOWA TOTAL CARE — Medicaid: $337.38
  • MEDICAL ASSOCIATES — HMO: $422.25
  • MEDICAL ASSOCIATES — Medicare: $292.76
  • MIDLANDS CHOICE — Commercial: $394.10
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC DX MAMMO INCL CAD BILAT $665 $532 $445 – $665
Diagnostic mammogram, both breasts: 10 of 17 insurance plan rates
  • AETNA — Medicare: $665
  • AETNA — Medicare HMO: $665
  • AETNA — Medicare PPO: $665
  • HEALTH CHOICES — Commercial: $571.90
  • HEALTH PARTNERS — Commercial: $465.50
  • HUMANA — Medicare: $665
  • IOWA TOTAL CARE — Medicaid: $665
  • MEDICAL ASSOCIATES — HMO: $498.75
  • MEDICAL ASSOCIATES — Medicare: $665
  • MIDLANDS CHOICE — Commercial: $465.50
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC DX MAMMO INCL CAD BILAT $665 $532 $345 – $665
Diagnostic mammogram, both breasts: 10 of 16 insurance plan rates
  • AETNA — Medicare: $345.80
  • AETNA — Medicare HMO: $345.80
  • AETNA — Medicare PPO: $345.80
  • HEALTH CHOICES — Commercial: $571.90
  • HEALTH PARTNERS — Commercial: $465.50
  • HUMANA — Medicare: $366.72
  • IOWA TOTAL CARE — Medicaid: $398.50
  • MEDICAL ASSOCIATES — HMO: $498.75
  • MEDICAL ASSOCIATES — Medicare: $345.80
  • MIDLANDS CHOICE — Commercial: $465.50
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC SCR MAMMO INCL CAD BILAT $609 $487.20 $408 – $609
Screening mammogram, both breasts: 10 of 17 insurance plan rates
  • AETNA — Medicare: $609
  • AETNA — Medicare HMO: $609
  • AETNA — Medicare PPO: $609
  • HEALTH CHOICES — Commercial: $523.74
  • HEALTH PARTNERS — Commercial: $426.30
  • HUMANA — Medicare: $609
  • IOWA TOTAL CARE — Medicaid: $609
  • MEDICAL ASSOCIATES — HMO: $456.75
  • MEDICAL ASSOCIATES — Medicare: $609
  • MIDLANDS CHOICE — Commercial: $426.30
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC SCR MAMMO INCL CAD BILAT $609 $487.20 $316 – $523
Screening mammogram, both breasts: 10 of 14 insurance plan rates
  • AETNA — Medicare: $316.68
  • AETNA — Medicare HMO: $316.68
  • AETNA — Medicare PPO: $316.68
  • HEALTH CHOICES — Commercial: $523.74
  • MEDICAL ASSOCIATES — HMO: $456.75
  • MEDICAL ASSOCIATES — Medicare: $316.68
  • MIDLANDS CHOICE — Commercial: $426.30
  • MOLINA — Medicare: $331.04
  • QUARTZ — Commercial: $487.20
  • HEALTH PARTNERS — Commercial: 70% (a percentage in the contract, not a dollar amount)
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee · modifier 52 In the file: HC SCR MAMMO INCL CAD UNIL $500 $400 $335 – $500
Screening mammogram, both breasts: 10 of 17 insurance plan rates
  • AETNA — Medicare: $500
  • AETNA — Medicare HMO: $500
  • AETNA — Medicare PPO: $500
  • HEALTH CHOICES — Commercial: $430
  • HEALTH PARTNERS — Commercial: $350
  • HUMANA — Medicare: $500
  • IOWA TOTAL CARE — Medicaid: $500
  • MEDICAL ASSOCIATES — HMO: $375
  • MEDICAL ASSOCIATES — Medicare: $500
  • MIDLANDS CHOICE — Commercial: $350

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSS W 4/> PARAM W TECH 6+ YRS $3,787 $3,029.60 $747 – $3,484
Sleep study (overnight, in a sleep lab): 10 of 17 insurance plan rates
  • AETNA — Medicare: $1,969.24
  • AETNA — Medicare HMO: $1,969.24
  • AETNA — Medicare PPO: $1,969.24
  • HEALTH CHOICES — Commercial: $3,256.82
  • HEALTH PARTNERS — Commercial: $2,650.90
  • HUMANA — Medicare: $2,088.38
  • IOWA TOTAL CARE — Medicaid: $2,269.36
  • MEDICAL ASSOCIATES — HMO: $2,840.25
  • MEDICAL ASSOCIATES — Medicare: $1,969.24
  • MIDLANDS CHOICE — Commercial: $2,650.90
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PSS W 4/> PARAM W TECH 6+ YRS $3,787 $3,029.60 $2,537 – $3,787
Sleep study (overnight, in a sleep lab): 10 of 17 insurance plan rates
  • AETNA — Medicare: $3,787
  • AETNA — Medicare HMO: $3,787
  • AETNA — Medicare PPO: $3,787
  • HEALTH CHOICES — Commercial: $3,256.82
  • HEALTH PARTNERS — Commercial: $2,650.90
  • HUMANA — Medicare: $3,787
  • IOWA TOTAL CARE — Medicaid: $3,787
  • MEDICAL ASSOCIATES — HMO: $2,840.25
  • MEDICAL ASSOCIATES — Medicare: $3,787
  • MIDLANDS CHOICE — Commercial: $2,650.90

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC THERAP EXERCISE ROM EA 15M $121 $96.80 $62 – $121
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 17 insurance plan rates
  • AETNA — Medicare: $62.92
  • AETNA — Medicare HMO: $62.92
  • AETNA — Medicare PPO: $62.92
  • HEALTH CHOICES — Commercial: $104.06
  • HEALTH PARTNERS — Commercial: $84.70
  • HUMANA — Medicare: $66.73
  • IOWA TOTAL CARE — Medicaid: $72.51
  • MEDICAL ASSOCIATES — HMO: $90.75
  • MEDICAL ASSOCIATES — Medicare: $62.92
  • MIDLANDS CHOICE — Commercial: $84.70
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC THERAP EXERCISE ROM EA 15M $121 $96.80 $81 – $121
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 17 insurance plan rates
  • AETNA — Medicare: $121
  • AETNA — Medicare HMO: $121
  • AETNA — Medicare PPO: $121
  • HEALTH CHOICES — Commercial: $104.06
  • HEALTH PARTNERS — Commercial: $84.70
  • HUMANA — Medicare: $121
  • IOWA TOTAL CARE — Medicaid: $121
  • MEDICAL ASSOCIATES — HMO: $90.75
  • MEDICAL ASSOCIATES — Medicare: $121
  • MIDLANDS CHOICE — Commercial: $84.70
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVAL LOW COMPLEX $213 $170.40 $110 – $213
Physical therapy evaluation (low complexity): 10 of 17 insurance plan rates
  • AETNA — Medicare: $110.76
  • AETNA — Medicare HMO: $110.76
  • AETNA — Medicare PPO: $110.76
  • HEALTH CHOICES — Commercial: $183.18
  • HEALTH PARTNERS — Commercial: $149.10
  • HUMANA — Medicare: $117.46
  • IOWA TOTAL CARE — Medicaid: $127.64
  • MEDICAL ASSOCIATES — HMO: $159.75
  • MEDICAL ASSOCIATES — Medicare: $110.76
  • MIDLANDS CHOICE — Commercial: $149.10
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT EVAL LOW COMPLEX $213 $170.40 $142 – $213
Physical therapy evaluation (low complexity): 10 of 17 insurance plan rates
  • AETNA — Medicare: $213
  • AETNA — Medicare HMO: $213
  • AETNA — Medicare PPO: $213
  • HEALTH CHOICES — Commercial: $183.18
  • HEALTH PARTNERS — Commercial: $149.10
  • HUMANA — Medicare: $213
  • IOWA TOTAL CARE — Medicaid: $213
  • MEDICAL ASSOCIATES — HMO: $159.75
  • MEDICAL ASSOCIATES — Medicare: $213
  • MIDLANDS CHOICE — Commercial: $149.10
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVAL MOD COMPLEX $253 $202.40 $131 – $253
Physical therapy evaluation (moderate complexity): 10 of 17 insurance plan rates
  • AETNA — Medicare: $131.56
  • AETNA — Medicare HMO: $131.56
  • AETNA — Medicare PPO: $131.56
  • HEALTH CHOICES — Commercial: $217.58
  • HEALTH PARTNERS — Commercial: $177.10
  • HUMANA — Medicare: $139.52
  • IOWA TOTAL CARE — Medicaid: $151.61
  • MEDICAL ASSOCIATES — HMO: $189.75
  • MEDICAL ASSOCIATES — Medicare: $131.56
  • MIDLANDS CHOICE — Commercial: $177.10
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT EVAL MOD COMPLEX $253 $202.40 $169 – $253
Physical therapy evaluation (moderate complexity): 10 of 17 insurance plan rates
  • AETNA — Medicare: $253
  • AETNA — Medicare HMO: $253
  • AETNA — Medicare PPO: $253
  • HEALTH CHOICES — Commercial: $217.58
  • HEALTH PARTNERS — Commercial: $177.10
  • HUMANA — Medicare: $253
  • IOWA TOTAL CARE — Medicaid: $253
  • MEDICAL ASSOCIATES — HMO: $189.75
  • MEDICAL ASSOCIATES — Medicare: $253
  • MIDLANDS CHOICE — Commercial: $177.10
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVAL HIGH COMPLEX $297 $237.60 $154 – $297
Physical therapy evaluation (high complexity): 10 of 17 insurance plan rates
  • AETNA — Medicare: $154.44
  • AETNA — Medicare HMO: $154.44
  • AETNA — Medicare PPO: $154.44
  • HEALTH CHOICES — Commercial: $255.42
  • HEALTH PARTNERS — Commercial: $207.90
  • HUMANA — Medicare: $163.78
  • IOWA TOTAL CARE — Medicaid: $177.98
  • MEDICAL ASSOCIATES — HMO: $222.75
  • MEDICAL ASSOCIATES — Medicare: $154.44
  • MIDLANDS CHOICE — Commercial: $207.90
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT EVAL HIGH COMPLEX $297 $237.60 $198 – $297
Physical therapy evaluation (high complexity): 10 of 17 insurance plan rates
  • AETNA — Medicare: $297
  • AETNA — Medicare HMO: $297
  • AETNA — Medicare PPO: $297
  • HEALTH CHOICES — Commercial: $255.42
  • HEALTH PARTNERS — Commercial: $207.90
  • HUMANA — Medicare: $297
  • IOWA TOTAL CARE — Medicaid: $297
  • MEDICAL ASSOCIATES — HMO: $222.75
  • MEDICAL ASSOCIATES — Medicare: $297
  • MIDLANDS CHOICE — Commercial: $207.90
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYTX W PT 30 MIN (16-37 MIN) $161 $128.80 $83 – $161
Psychotherapy, 30 minutes: 10 of 17 insurance plan rates
  • AETNA — Medicare: $83.72
  • AETNA — Medicare HMO: $83.72
  • AETNA — Medicare PPO: $83.72
  • HEALTH CHOICES — Commercial: $138.46
  • HEALTH PARTNERS — Commercial: $112.70
  • HUMANA — Medicare: $88.79
  • IOWA TOTAL CARE — Medicaid: $96.48
  • MEDICAL ASSOCIATES — HMO: $120.75
  • MEDICAL ASSOCIATES — Medicare: $83.72
  • MIDLANDS CHOICE — Commercial: $112.70
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PSYTX W PT 30 MIN (16-37 MIN) $161 $128.80 $107 – $161
Psychotherapy, 30 minutes: 10 of 17 insurance plan rates
  • AETNA — Medicare: $161
  • AETNA — Medicare HMO: $161
  • AETNA — Medicare PPO: $161
  • HEALTH CHOICES — Commercial: $138.46
  • HEALTH PARTNERS — Commercial: $112.70
  • HUMANA — Medicare: $161
  • IOWA TOTAL CARE — Medicaid: $161
  • MEDICAL ASSOCIATES — HMO: $120.75
  • MEDICAL ASSOCIATES — Medicare: $161
  • MIDLANDS CHOICE — Commercial: $112.70
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYTX W PT 45 MIN (38-52 MIN) $245 $196 $127 – $245
Psychotherapy, 45 minutes: 10 of 17 insurance plan rates
  • AETNA — Medicare: $127.40
  • AETNA — Medicare HMO: $127.40
  • AETNA — Medicare PPO: $127.40
  • HEALTH CHOICES — Commercial: $210.70
  • HEALTH PARTNERS — Commercial: $171.50
  • HUMANA — Medicare: $135.11
  • IOWA TOTAL CARE — Medicaid: $146.82
  • MEDICAL ASSOCIATES — HMO: $183.75
  • MEDICAL ASSOCIATES — Medicare: $127.40
  • MIDLANDS CHOICE — Commercial: $171.50
Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PSYTX W PT 45 MIN (38-52 MIN) $245 $196 $164 – $245
Psychotherapy, 45 minutes: 10 of 17 insurance plan rates
  • AETNA — Medicare: $245
  • AETNA — Medicare HMO: $245
  • AETNA — Medicare PPO: $245
  • HEALTH CHOICES — Commercial: $210.70
  • HEALTH PARTNERS — Commercial: $171.50
  • HUMANA — Medicare: $245
  • IOWA TOTAL CARE — Medicaid: $245
  • MEDICAL ASSOCIATES — HMO: $183.75
  • MEDICAL ASSOCIATES — Medicare: $245
  • MIDLANDS CHOICE — Commercial: $171.50
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYTX W PT 60 MIN (>53 MIN) $365 $292 $189 – $365
Psychotherapy, 60 minutes: 10 of 17 insurance plan rates
  • AETNA — Medicare: $189.80
  • AETNA — Medicare HMO: $189.80
  • AETNA — Medicare PPO: $189.80
  • HEALTH CHOICES — Commercial: $313.90
  • HEALTH PARTNERS — Commercial: $255.50
  • HUMANA — Medicare: $201.28
  • IOWA TOTAL CARE — Medicaid: $218.73
  • MEDICAL ASSOCIATES — HMO: $273.75
  • MEDICAL ASSOCIATES — Medicare: $189.80
  • MIDLANDS CHOICE — Commercial: $255.50
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PSYTX W PT 60 MIN (>53 MIN) $365 $292 $244 – $365
Psychotherapy, 60 minutes: 10 of 17 insurance plan rates
  • AETNA — Medicare: $365
  • AETNA — Medicare HMO: $365
  • AETNA — Medicare PPO: $365
  • HEALTH CHOICES — Commercial: $313.90
  • HEALTH PARTNERS — Commercial: $255.50
  • HUMANA — Medicare: $365
  • IOWA TOTAL CARE — Medicaid: $365
  • MEDICAL ASSOCIATES — HMO: $273.75
  • MEDICAL ASSOCIATES — Medicare: $365
  • MIDLANDS CHOICE — Commercial: $255.50
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC FAMILY THERAPY W PT 50 MIN $292 $233.60 $151 – $292
Family psychotherapy, with the patient: 10 of 17 insurance plan rates
  • AETNA — Medicare: $151.84
  • AETNA — Medicare HMO: $151.84
  • AETNA — Medicare PPO: $151.84
  • HEALTH CHOICES — Commercial: $251.12
  • HEALTH PARTNERS — Commercial: $204.40
  • HUMANA — Medicare: $161.03
  • IOWA TOTAL CARE — Medicaid: $174.98
  • MEDICAL ASSOCIATES — HMO: $219
  • MEDICAL ASSOCIATES — Medicare: $151.84
  • MIDLANDS CHOICE — Commercial: $204.40
Family psychotherapy, with the patient CPT 90847 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC FAMILY THERAPY W PT 50 MIN $292 $233.60 $195 – $292
Family psychotherapy, with the patient: 10 of 17 insurance plan rates
  • AETNA — Medicare: $292
  • AETNA — Medicare HMO: $292
  • AETNA — Medicare PPO: $292
  • HEALTH CHOICES — Commercial: $251.12
  • HEALTH PARTNERS — Commercial: $204.40
  • HUMANA — Medicare: $292
  • IOWA TOTAL CARE — Medicaid: $292
  • MEDICAL ASSOCIATES — HMO: $219
  • MEDICAL ASSOCIATES — Medicare: $292
  • MIDLANDS CHOICE — Commercial: $204.40

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR REMOVE OF BREAST LESION 1+ $1,799 $1,439.20 $977 – $1,799
Removal of breast growth (open surgery): rates for 4 insurance plans
  • HUMANA — Medicare: $992.08
  • IOWA TOTAL CARE — Medicaid: $1,799
  • MOLINA — Medicare: $977.90
  • QUARTZ — Commercial: $1,439.20
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC KNEE ARTHROSCOPY/SURGERY $3,615 $2,892 $747 – $3,325
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 17 insurance plan rates
  • AETNA — Medicare: $1,879.80
  • AETNA — Medicare HMO: $1,879.80
  • AETNA — Medicare PPO: $1,879.80
  • HEALTH CHOICES — Commercial: $3,108.90
  • HEALTH PARTNERS — Commercial: $2,530.50
  • HUMANA — Medicare: $1,993.53
  • IOWA TOTAL CARE — Medicaid: $2,166.29
  • MEDICAL ASSOCIATES — HMO: $2,711.25
  • MEDICAL ASSOCIATES — Medicare: $1,879.80
  • MIDLANDS CHOICE — Commercial: $2,530.50
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC KNEE ARTHROSCOPY/SURGERY $3,615 $2,892 $2,422 – $3,615
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 17 insurance plan rates
  • AETNA — Medicare: $3,615
  • AETNA — Medicare HMO: $3,615
  • AETNA — Medicare PPO: $3,615
  • HEALTH CHOICES — Commercial: $3,108.90
  • HEALTH PARTNERS — Commercial: $2,530.50
  • HUMANA — Medicare: $3,615
  • IOWA TOTAL CARE — Medicaid: $3,615
  • MEDICAL ASSOCIATES — HMO: $2,711.25
  • MEDICAL ASSOCIATES — Medicare: $3,615
  • MIDLANDS CHOICE — Commercial: $2,530.50
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR REM TONSILS AND ADENOIDS <12 YRS $1,072 $857.60 $582 – $1,072
Removal of tonsils and adenoids (under age 12): rates for 4 insurance plans
  • HUMANA — Medicare: $591.17
  • IOWA TOTAL CARE — Medicaid: $1,072
  • MOLINA — Medicare: $582.72
  • QUARTZ — Commercial: $857.60
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR UGI DIAGNOSTIC $1,071 $856.80 $582 – $1,071
Upper GI endoscopy (diagnostic): rates for 4 insurance plans
  • HUMANA — Medicare: $590.61
  • IOWA TOTAL CARE — Medicaid: $1,071
  • MOLINA — Medicare: $582.18
  • QUARTZ — Commercial: $856.80
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR UGI W BX SGL/MULTIPLE $1,223 $978.40 $664 – $978
Upper GI endoscopy with biopsy: rates for 3 insurance plans
  • HUMANA — Medicare: $674.44
  • MOLINA — Medicare: $664.80
  • QUARTZ — Commercial: $978.40
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR COLONOSCOPY FLEX DX $1,688 $1,350.40 $917 – $1,688
Colonoscopy (diagnostic): rates for 4 insurance plans
  • HUMANA — Medicare: $930.86
  • IOWA TOTAL CARE — Medicaid: $1,688
  • MOLINA — Medicare: $917.57
  • QUARTZ — Commercial: $1,350.40
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR COLONOSCOPY FLEX W BX SGL/MULTI $1,835 $1,468 $997 – $1,468
Colonoscopy with biopsy: rates for 3 insurance plans
  • HUMANA — Medicare: $1,011.93
  • MOLINA — Medicare: $997.47
  • QUARTZ — Commercial: $1,468
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR COLONOSCOPY FLEX W REM LESION BY SNARE $1,912 $1,529.60 $1,039 – $1,912
Colonoscopy with removal of polyps (snare): rates for 4 insurance plans
  • HUMANA — Medicare: $1,054.39
  • IOWA TOTAL CARE — Medicaid: $1,912
  • MOLINA — Medicare: $1,039.33
  • QUARTZ — Commercial: $1,529.60
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR SCREEN COLONOSCOPY PT NOT HIGH RISK $1,429 $1,143.20 $776 – $1,429
Screening colonoscopy (not high risk): rates for 4 insurance plans
  • HUMANA — Medicare: $788.04
  • IOWA TOTAL CARE — Medicaid: $1,429
  • MOLINA — Medicare: $776.78
  • QUARTZ — Commercial: $1,143.20
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR LAPAROSCOPY CHOLECYSTECOMY $2,588 $2,070.40 $1,406 – $2,588
Gallbladder removal by laparoscope: rates for 4 insurance plans
  • HUMANA — Medicare: $1,427.18
  • IOWA TOTAL CARE — Medicaid: $2,588
  • MOLINA — Medicare: $1,406.79
  • QUARTZ — Commercial: $2,070.40
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR REPAIR I/HERN INIT REDUC 5+ YR $1,886 $1,508.80 $1,025 – $1,886
Groin (inguinal) hernia repair, age 5 or older: rates for 4 insurance plans
  • HUMANA — Medicare: $1,040.05
  • IOWA TOTAL CARE — Medicaid: $1,886
  • MOLINA — Medicare: $1,025.20
  • QUARTZ — Commercial: $1,508.80
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC INJ INTERLAM L/S W IMG $2,366 $1,892.80 $1,585 – $2,366
Spinal injection, lower back (epidural), with imaging guidance: 10 of 17 insurance plan rates
  • AETNA — Medicare: $2,366
  • AETNA — Medicare HMO: $2,366
  • AETNA — Medicare PPO: $2,366
  • HEALTH CHOICES — Commercial: $2,034.76
  • HEALTH PARTNERS — Commercial: $1,656.20
  • HUMANA — Medicare: $2,366
  • IOWA TOTAL CARE — Medicaid: $2,366
  • MEDICAL ASSOCIATES — HMO: $1,774.50
  • MEDICAL ASSOCIATES — Medicare: $2,366
  • MIDLANDS CHOICE — Commercial: $1,656.20
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC INJ INTERLAM L/S W IMG $2,366 $1,892.80 $1,230 – $2,176
Spinal injection, lower back (epidural), with imaging guidance: 10 of 15 insurance plan rates
  • AETNA — Medicare: $1,230.32
  • AETNA — Medicare HMO: $1,230.32
  • AETNA — Medicare PPO: $1,230.32
  • HEALTH CHOICES — Commercial: $2,034.76
  • HEALTH PARTNERS — Commercial: $1,656.20
  • HUMANA — Medicare: $1,304.75
  • IOWA TOTAL CARE — Medicaid: $1,417.82
  • MEDICAL ASSOCIATES — HMO: $1,774.50
  • MEDICAL ASSOCIATES — Medicare: $1,230.32
  • MIDLANDS CHOICE — Commercial: $1,656.20
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR INJ INTERLAM L/S W IMG $709 $567.20 $385 – $709
Spinal injection, lower back (epidural), with imaging guidance: rates for 4 insurance plans
  • HUMANA — Medicare: $390.99
  • IOWA TOTAL CARE — Medicaid: $709
  • MOLINA — Medicare: $385.40
  • QUARTZ — Commercial: $567.20
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC INJ(S) FORAMEN EPIDURAL L/S SGL LEV $2,301 $1,840.80 $747 – $2,116
Nerve root injection, lower back, with imaging guidance: 10 of 17 insurance plan rates
  • AETNA — Medicare: $1,196.52
  • AETNA — Medicare HMO: $1,196.52
  • AETNA — Medicare PPO: $1,196.52
  • HEALTH CHOICES — Commercial: $1,978.86
  • HEALTH PARTNERS — Commercial: $1,610.70
  • HUMANA — Medicare: $1,268.91
  • IOWA TOTAL CARE — Medicaid: $1,378.87
  • MEDICAL ASSOCIATES — HMO: $1,725.75
  • MEDICAL ASSOCIATES — Medicare: $1,196.52
  • MIDLANDS CHOICE — Commercial: $1,610.70
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC INJ(S) FORAMEN EPIDURAL L/S SGL LEV $2,301 $1,840.80 $1,541 – $2,301
Nerve root injection, lower back, with imaging guidance: 10 of 17 insurance plan rates
  • AETNA — Medicare: $2,301
  • AETNA — Medicare HMO: $2,301
  • AETNA — Medicare PPO: $2,301
  • HEALTH CHOICES — Commercial: $1,978.86
  • HEALTH PARTNERS — Commercial: $1,610.70
  • HUMANA — Medicare: $2,301
  • IOWA TOTAL CARE — Medicaid: $2,301
  • MEDICAL ASSOCIATES — HMO: $1,725.75
  • MEDICAL ASSOCIATES — Medicare: $2,301
  • MIDLANDS CHOICE — Commercial: $1,610.70
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR INJ(S) FORAMEN EPID L/S SGL LEV $428 $342.40 $232 – $428
Nerve root injection, lower back, with imaging guidance: rates for 4 insurance plans
  • HUMANA — Medicare: $236.02
  • IOWA TOTAL CARE — Medicaid: $428
  • MOLINA — Medicare: $232.65
  • QUARTZ — Commercial: $342.40
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR NEUROPLASTY MEDIAN NERVE CARP TUNNEL $1,460 $1,168 $793 – $1,460
Carpal tunnel release: rates for 4 insurance plans
  • HUMANA — Medicare: $805.13
  • IOWA TOTAL CARE — Medicaid: $1,460
  • MOLINA — Medicare: $793.63
  • QUARTZ — Commercial: $1,168

Source: Guttenberg Municipal Hospital’s standard charges file (guttenberghospital.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 31, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.

Hospital information

Hospital typeCritical Access Hospital
Address200 Main Street, Guttenberg, IA 52052
CountyClayton County
StateIowa
Phone(563) 252‑1121
Emergency servicesYes
OwnershipGovernment - Local
Medicare overall ratingNot rated by CMS
CMS Certification Number161312
Name in Medicare recordsGUTTENBERG MUNICIPAL HOSPITAL
Profile levelMedicare data + hospital website
Name on the hospital’s websiteGuttenberg Hospital & Clinics
Official websiteguttenberghospital.org
CorrectionsReport an error or suggest an update →

Sources

  1. Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
  2. Medicare Care Compare — official Medicare profile of this hospital
  3. U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-10-30.

  1. Guttenberg Hospital & Clinics — guttenberghospital.org
  2. Services — guttenberghospital.org
  3. Emergency Services - Guttenberg Hospital — guttenberghospital.org
  4. Specialty Clinics - Guttenberg Hospital — guttenberghospital.org
  5. Radiology & Imaging Services - Guttenberg Hospital — guttenberghospital.org
  6. Surgical services and surgery in Guttenberg, Iowa - Guttenberg Hospital — guttenberghospital.org
  7. Behavioral Health - Guttenberg Hospital — guttenberghospital.org
  8. Patients & Visitors - Guttenberg Hospital — guttenberghospital.org
  9. Billing & Insurance - Guttenberg Hospital — guttenberghospital.org
  10. Visitors - Guttenberg Hospital — guttenberghospital.org
  11. Family Resource Center Services - Guttenberg Hospital — guttenberghospital.org