Does MercyOne Oelwein Medical Center have an emergency room?

Yes. Medicare (CMS) data lists emergency services at MercyOne Oelwein Medical Center. In a medical emergency, call 911.

Where is MercyOne Oelwein Medical Center?

201 Eighth Avenue SE, Oelwein, IA 50662, in Fayette County, Iowa.

What is the phone number of MercyOne Oelwein Medical Center?

(319) 283-6000, as listed by Medicare (CMS).

What is the Medicare star rating of MercyOne Oelwein Medical Center?

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.

MercyOne Oelwein Medical Center — Oelwein, IA

Quick answers

Does MercyOne Oelwein Medical Center have an emergency room?: Yes. Medicare (CMS) data lists emergency services at MercyOne Oelwein Medical Center. In a medical emergency, call 911.
Where is MercyOne Oelwein Medical Center?: 201 Eighth Avenue SE, Oelwein, IA 50662, in Fayette County, Iowa.
What is the phone number of MercyOne Oelwein Medical Center?: (319) 283-6000, as listed by Medicare (CMS).
What is the Medicare star rating of MercyOne Oelwein Medical Center?: 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]

Emergency Care
Imaging/Radiology
Laboratory services
Pulmonology/Respiratory Care
Endocrinology
Skilled Nursing
Heart and Vascular Care
Primary Care
Therapy and Rehabilitation
Urgent Care
Lab Services

Treatments^[4]

Diabetes education

Programs and centers^[4]

Senior Life Solutions
Diabetes Education

Emergency care (hospital website)^[4][5]

Emergency room	Yes
Open 24/7	Yes
Trauma designation	Level IV

Recognition^[4]

Community Level IV Trauma designation
Joint Commission designation

Doctors and clinicians (86)

86 doctors and other clinicians list MercyOne Oelwein Medical Center 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

And 62 more: the button below opens the full list.

Other emergency rooms nearby

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

Buchanan County Health Center14 mi · Independence, IA · Critical Access Hospital
Community Memorial Hospital Medical Center16 mi · Sumner, IA · Critical Access Hospital
Gundersen Palmer Lutheran Hospital and Clinics21 mi · West Union, IA · Critical Access Hospital
Allen Hospital24 mi · Waterloo, IA · Acute Care Hospital
Regional Medical Center26 mi · Manchester, IA · Critical Access Hospital

Other hospitals nearby

Mental Health Institute15 mi · Independence, IA · Psychiatric Hospital

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

Grandview Healthcare Center0.3 mi · Oelwein, IA · 4 of 5 stars
Oelwein Health Care Center0.4 mi · Oelwein, IA · 3 of 5 stars
Maple Crest Manor12 mi · Fayette, IA · 2 of 5 stars

All nursing homes in the state →

Hospice providers

St Croix Hospice20 mi · Strawberry Point, IA · 4 of 5 stars
UnityPoint Hospice21 mi · Waterloo, IA · 3 of 5 stars
Gundersen Palmer Lutheran Hosp and Clinics-Hospice22 mi · West Union, IA

All hospice providers in the state →

Home health agencies

Open Arms Home Health Care - Waterloo, LLC21 mi · Waterloo, IA
UnityPoint at Home21 mi · Waterloo, IA · 3 of 5 stars
Gundersen Palmer Lutheran Hosp & Clin-Home Health22 mi · West Union, IA

All home health agencies in the state →

Dialysis facilities

DaVita West Union Dialysis Center22 mi · West Union, IA · 5 of 5 stars

All dialysis facilities 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

Peoples Community Health Clinic25 mi · Waterloo, IA · Community health center

Clinics and urgent care

BCHC Family Medicine - Oelwein2.0 mi · Oelwein, IA · Rural health clinic
Gundersen Palmer Lutheran Hospital and Clinics - Fayette12 mi · Fayette, IA · Rural health clinic
Buchanan County Health Center14 mi · Independence, IA · Rural health clinic

Pharmacies

Hy-Vee Inc2.0 mi · Oelwein, IA · Community/retail pharmacy
Krasko Enterprises Inc2.0 mi · Oelwein, IA · Community/retail pharmacy
People's Memorial Hospital2.0 mi · Oelwein, IA · Community/retail pharmacy

Assisted living nearby

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

Arlington Place of Oelwein2.0 mi · Oelwein, IA
Parkview Assisted Living8.8 mi · Fairbank, IA
Maple Memory Lane12 mi · Fayette, IA
Maples Assisted Living12 mi · Fayette, IA

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 MercyOne Oelwein Medical Center 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.

Not reported to Medicare

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 surgery	Not reported to Medicare
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	Not reported to Medicare
Clostridioides difficile (C. diff) intestinal infections	Not 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 patients	Too few cases to report
Deaths within 30 days: heart failure patients	Too few cases to report
Deaths within 30 days: pneumonia patients	Too few cases to report
Deaths within 30 days: COPD patients	Too few cases to report
Deaths within 30 days: stroke patients	Too 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 replacement	Not 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 attack	Not reported to Medicare
Readmitted within 30 days: heart failure	Too few cases to report
Readmitted within 30 days: pneumonia	Too few cases to report
Readmitted within 30 days: COPD	Too few cases to report
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	Not 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)	123 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	Not reported to Medicare

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 Iowa Best hospitals in Iowa

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 43 common services exactly as MercyOne Oelwein Medical Center 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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Visit New Low Pro 30-44 Mins (Restricted Method II CAH)	$252	$163.80	$74.50 – $252
New patient office visit (about 30–44 minutes): 10 of 44 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $231.59 AETNA — AETNA: $231.59 AETNA DOMESTIC — AETNA: $231.59 AETNA EAP — AETNA: $231.59 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $77.26 ALLIED BENEFIT SYSTEMS — AETNA: $231.59 AMBETTER — AMBETTER MARKETPLACE: $173.58 AMISH HOSPITAL AID — AMISH HOSPITAL AID: $137.42 ASR HEALTH BENEFITS — AETNA: $231.59 AUXIANT — MIDLANDS CHOICE: $246.96
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Visit New Mod Pro 45-59 Mins (Restricted Method II CAH)	$386	$250.90	$121.61 – $386
New patient office visit (about 45–59 minutes): 10 of 44 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $354.73 AETNA — AETNA: $354.73 AETNA DOMESTIC — AETNA: $354.73 AETNA EAP — AETNA: $354.73 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $126.73 ALLIED BENEFIT SYSTEMS — AETNA: $354.73 AMBETTER — AMBETTER MARKETPLACE: $265.88 AMISH HOSPITAL AID — AMISH HOSPITAL AID: $210.49 ASR HEALTH BENEFITS — AETNA: $354.73 AUXIANT — MIDLANDS CHOICE: $378.28
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Visit New High Pro 60-74 Mins (Restricted Method II CAH)	$488	$317.20	$165.20 – $488
New patient office visit (about 60–74 minutes): 10 of 44 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $448.47 AETNA — AETNA: $448.47 AETNA DOMESTIC — AETNA: $448.47 AETNA EAP — AETNA: $448.47 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $172.96 ALLIED BENEFIT SYSTEMS — AETNA: $448.47 AMBETTER — AMBETTER MARKETPLACE: $336.13 AMISH HOSPITAL AID — AMISH HOSPITAL AID: $266.11 ASR HEALTH BENEFITS — AETNA: $448.47 AUXIANT — MIDLANDS CHOICE: $478.24
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Visit Office Outpatient Established Low Level	$141	$141	$30.61 – $141
Established patient office visit (about 20–29 minutes): 10 of 777 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $53.61 AETNA — AETNA: $120.87 AETNA MEDICAID — AETNA MEDICAID: $44.67 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $53.61 ALIGN SENIOR CARE — MEDICARE: $53.61 ALLIED BENEFIT SYSTEMS — MIDLANDS CHOICE: $111.69 ALLWELL MEDICAID ADVANTAGE — MEDICAID IOWA: $30.61 ALLWELL MEDICARE ADVANTAGE — MEDICARE: $53.61 AMBETTER — AMBETTER: $92.99 AMERICAN HEALTH PLAN — AMERICAN HEALTH MEDICARE ADVANTAGE: $56.29
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Visit Office Outpatient Established Low Level	$140	$140	$30.61 – $140
Established patient office visit (about 20–29 minutes): 10 of 777 insurance plan rates AETNA — AETNA: $120.87 AETNA DOMESTIC — AETNA: $120.87 AETNA MEDICAID — AETNA MEDICAID: $44.67 AETNA MEDICARE TRANSPLANT — MEDICARE: $53.61 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID IOWA: $30.61 ALIGN SENIOR CARE — MEDICARE: $53.61 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $53.61 ALLIED BENEFIT SYSTEMS — MIDLANDS CHOICE: $111.69 ALLWELL MEDICAID ADVANTAGE — MEDICAID IOWA: $30.61 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $53.61
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Visit Estab Low Pro 20-29 Mins (Restricted Method II CAH)	$182	$118.30	$60.36 – $182
Established patient office visit (about 20–29 minutes): 10 of 44 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $167.26 AETNA — AETNA: $167.26 AETNA DOMESTIC — AETNA: $167.26 AETNA EAP — AETNA: $167.26 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $62.91 ALLIED BENEFIT SYSTEMS — AETNA: $167.26 AMBETTER — AMBETTER MARKETPLACE: $125.36 AMISH HOSPITAL AID — AMISH HOSPITAL AID: $99.24 ASR HEALTH BENEFITS — AETNA: $167.26 AUXIANT — MIDLANDS CHOICE: $178.36
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Visit Office Outpatient Established Moderate Level	$209	$209	$49.07 – $209
Established patient office visit (about 30–39 minutes): 10 of 777 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $78.74 AETNA MEDICAID — AETNA MEDICAID: $65.79 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $78.74 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $78.74 AETNA MEDICARE TRANSPLANT — MEDICARE: $78.74 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID IOWA: $49.07 ALLWELL MEDICARE ADVANTAGE — MEDICARE: $78.74 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $78.74 ALLY ALIGN CARE ADV — MEDICARE: $78.74 AMERICAN HEALTH PLAN — AMERICAN HEALTH MEDICARE ADVANTAGE: $82.68
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Visit Office Outpatient Established Moderate Level	$207	$207	$49.07 – $207
Established patient office visit (about 30–39 minutes): 10 of 777 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $78.74 AETNA MEDICAID — AETNA MEDICAID: $65.79 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $78.74 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $78.74 AETNA MEDICARE TRANSPLANT — MEDICARE: $78.74 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID IOWA: $49.07 ALIGN SENIOR CARE — MEDICARE: $78.74 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $78.74 ALLWELL MEDICAID ADVANTAGE — MEDICAID IOWA: $49.07 ALLWELL MEDICARE ADVANTAGE — MEDICARE: $78.74
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Visit Estab Mod Pro 30-39 Mins (Restricted Method II CAH)	$258	$167.70	$88.83 – $258
Established patient office visit (about 30–39 minutes): 10 of 44 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $237.10 AETNA — AETNA: $237.10 AETNA DOMESTIC — AETNA: $237.10 AETNA EAP — AETNA: $237.10 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $92.40 ALLIED BENEFIT SYSTEMS — AETNA: $237.10 AMBETTER — AMBETTER MARKETPLACE: $177.71 AMISH HOSPITAL AID — AMISH HOSPITAL AID: $140.69 ASR HEALTH BENEFITS — AETNA: $237.10 AUXIANT — MIDLANDS CHOICE: $252.84
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Emergency Dept Visit Low	$148	$148	$44.30 – $148
Emergency room visit (moderate): 10 of 777 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $63.36 AETNA MEDICAID — AETNA MEDICAID: $49.16 AETNA MEDICARE TRANSPLANT — MEDICARE: $63.36 ALLWELL MEDICARE ADVANTAGE — MEDICARE: $63.36 AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $63.36 AMERIHEALTH MEDICARE — MEDICARE: $63.36 AMISH HOSPITAL AID — AMISH MEDICAL AID: $85.98 AMISH MENNONITE — MEDICAID IOWA: $59.12 AMPS — AMPS: $87.28 ANDRIE INC — WORKERS COMP: $148
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Emergency Dept Visit Low	$156	$156	$44.30 – $156
Emergency room visit (moderate): 10 of 777 insurance plan rates AETNA — AETNA: $130.91 AETNA DOMESTIC — AETNA: $130.91 AETNA MEDICAID — AETNA MEDICAID: $49.16 ALIGN SENIOR CARE — MEDICARE: $63.36 ALLIED BENEFIT SYSTEMS — MIDLANDS CHOICE: $134.51 ALLWELL MEDICAID ADVANTAGE — MEDICAID IOWA: $59.12 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $63.36 AMBETTER — AMBETTER: $109.91 AMERIHEALTH CARITAS MEDICAID — MEDICAID IOWA: $59.12 AMERIHEALTH MEDICARE — MEDICARE: $63.36
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED Type a Level 3	$927	$602.55	$179.65 – $927
Emergency room visit (moderate): 10 of 44 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $851.91 AETNA — AETNA: $851.91 AETNA DOMESTIC — AETNA: $851.91 AETNA EAP — AETNA: $851.91 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $437.08 ALLIED BENEFIT SYSTEMS — AETNA: $851.91 AMBETTER — AMBETTER MARKETPLACE: $638.52 AMISH HOSPITAL AID — AMISH HOSPITAL AID: $505.49 ASR HEALTH BENEFITS — AETNA: $851.91 AUXIANT — MIDLANDS CHOICE: $908.46
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Emergency Dept Visit Moderate	$253	$253	$75.40 – $253
Emergency room visit (moderately high): 10 of 777 insurance plan rates AETNA — AETNA: $221.33 AETNA MEDICAID — AETNA MEDICAID: $83.69 ALIGN SENIOR CARE — MEDICARE: $107.71 ALLIED BENEFIT SYSTEMS — MIDLANDS CHOICE: $225.78 ALLWELL MEDICAID ADVANTAGE — MEDICAID IOWA: $91.03 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $107.71 AMBETTER — AMBETTER: $186.85 AMERIGROUP MEDICAID — MEDICAID IOWA: $91.03 AMERIHEALTH CARITAS MEDICAID — MEDICAID IOWA: $91.03 AMERIHEALTH MEDICARE — MEDICARE: $107.71
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Emergency Dept Visit Moderate	$284	$284	$75.40 – $284
Emergency room visit (moderately high): 10 of 777 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $107.71 AETNA — AETNA: $221.33 AETNA MEDICAID — AETNA MEDICAID: $83.69 AETNA MEDICARE TRANSPLANT — MEDICARE: $107.71 ALLIED BENEFIT SYSTEMS — MIDLANDS CHOICE: $225.78 ALLWELL MEDICAID ADVANTAGE — MEDICAID IOWA: $91.03 ALLWELL MEDICARE ADVANTAGE — MEDICARE: $107.71 ALLWELL PA HEALTH & WELLNESS MEDICARE ADVANTAGE — MEDICARE: $107.71 AMBETTER — AMBETTER: $186.85 AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $107.71
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED Type a Level 4 Sane_Safe	$1,280	$832	$248.06 – $1,280
Emergency room visit (moderately high): 10 of 44 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $1,176.32 AETNA — AETNA: $1,176.32 AETNA DOMESTIC — AETNA: $1,176.32 AETNA EAP — AETNA: $1,176.32 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $603.52 ALLIED BENEFIT SYSTEMS — AETNA: $1,176.32 AMBETTER — AMBETTER MARKETPLACE: $881.66 AMISH HOSPITAL AID — AMISH HOSPITAL AID: $697.98 ASR HEALTH BENEFITS — AETNA: $1,176.32 AUXIANT — MIDLANDS CHOICE: $1,254.40
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: PR Emergency Dept Visit High	$367	$367	$109.27 – $367
Emergency room visit (high): 10 of 777 insurance plan rates ADVANTRA FREEDOM MEDICARE ADVANTAGE — MEDICARE: $156.63 AETNA — AETNA: $321.34 AETNA DOMESTIC — AETNA: $321.34 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $156.63 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID IOWA: $143.10 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID IOWA: $143.10 AMERICAN HEALTH PLAN — AMERICAN HEALTH MEDICARE ADVANTAGE: $164.47 AMERIGROUP MEDICAID — MEDICAID IOWA: $143.10 AMISH HOSPITAL AID — AMISH MEDICAL AID: $212.57 AMPS — AMPS: $215.77
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Doctor (professional) fee In the file: PR Emergency Dept Visit High	$412	$412	$109.27 – $412
Emergency room visit (high): 10 of 777 insurance plan rates AETNA DOMESTIC — AETNA: $321.34 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $156.63 AETNA MEDICARE ASSURE PREMIER HMO D-SNP — MEDICARE: $156.63 AETNA MEDICARE TRANSPLANT — MEDICARE: $156.63 AFFINITY HEALTH PLAN MEDICAID ADVANTAGE — MEDICAID IOWA: $143.10 ALBANY COUNTY CORRECTIONAL FACILITY — MEDICAID IOWA: $143.10 ALIGNMENT HEALTH PLAN MEDICARE ADVANTAGE — MEDICARE: $156.63 ALLWELL PA HEALTH & WELLNESS MEDICAID ADVANTAGE — MEDICAID IOWA: $143.10 ALLY ALIGN CARE ADV — MEDICARE: $156.63 AMERICAN HEALTH ADVANTAGE OF IDAHO — MEDICARE: $156.63
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: HC ED Type a Level 5	$1,475	$958.75	$563.75 – $1,475
Emergency room visit (high): 10 of 44 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $1,355.53 AETNA — AETNA: $1,355.53 AETNA DOMESTIC — AETNA: $1,355.53 AETNA EAP — AETNA: $1,355.53 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $695.46 ALLIED BENEFIT SYSTEMS — AETNA: $1,355.53 AMBETTER — AMBETTER MARKETPLACE: $1,015.98 AMISH HOSPITAL AID — AMISH HOSPITAL AID: $804.32 ASR HEALTH BENEFITS — AETNA: $1,355.53 AUXIANT — MIDLANDS CHOICE: $1,445.50

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Basic Metabolic Panel (Calcium Total)	$159	$103.35	$8.37 – $159
Basic metabolic panel (blood test): 10 of 44 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $146.12 AETNA — AETNA: $146.12 AETNA DOMESTIC — AETNA: $146.12 AETNA EAP — AETNA: $146.12 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $74.97 ALLIED BENEFIT SYSTEMS — AETNA: $146.12 AMBETTER — AMBETTER MARKETPLACE: $109.52 AMISH HOSPITAL AID — AMISH HOSPITAL AID: $86.70 ASR HEALTH BENEFITS — AETNA: $146.12 AUXIANT — MIDLANDS CHOICE: $155.82
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Basic Metabolic Panel (Calcium Total)	Not listed in the file	$374	$9.09
Basic metabolic panel (blood test): rates for 1 insurance plan IOWA DEPT OF PUBLIC HEALTH — CARE FOR YOURSELF: $9.09
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Comprehensive Metabolic Panel	$194	$126.10	$74.15 – $194
Comprehensive metabolic panel (blood test): 10 of 44 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $178.29 AETNA — AETNA: $178.29 AETNA DOMESTIC — AETNA: $178.29 AETNA EAP — AETNA: $178.29 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $91.47 ALLIED BENEFIT SYSTEMS — AETNA: $178.29 AMBETTER — AMBETTER MARKETPLACE: $133.63 AMISH HOSPITAL AID — AMISH HOSPITAL AID: $105.79 ASR HEALTH BENEFITS — AETNA: $178.29 AUXIANT — MIDLANDS CHOICE: $190.12
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Comprehensive Metabolic Panel	Not listed in the file	$688	$9.09
Comprehensive metabolic panel (blood test): rates for 1 insurance plan IOWA DEPT OF PUBLIC HEALTH — CARE FOR YOURSELF: $9.09
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Lipid Panel	$170	$110.50	$64.97 – $170
Cholesterol panel (lipid panel): 10 of 44 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $156.23 AETNA — AETNA: $156.23 AETNA DOMESTIC — AETNA: $156.23 AETNA EAP — AETNA: $156.23 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $80.16 ALLIED BENEFIT SYSTEMS — AETNA: $156.23 AMBETTER — AMBETTER MARKETPLACE: $117.10 AMISH HOSPITAL AID — AMISH HOSPITAL AID: $92.70 ASR HEALTH BENEFITS — AETNA: $156.23 AUXIANT — MIDLANDS CHOICE: $166.60
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Mayo Lmpp Lipid Panel	$170	$110.50	$64.97 – $170
Cholesterol panel (lipid panel): 10 of 44 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $156.23 AETNA — AETNA: $156.23 AETNA DOMESTIC — AETNA: $156.23 AETNA EAP — AETNA: $156.23 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $80.16 ALLIED BENEFIT SYSTEMS — AETNA: $156.23 AMBETTER — AMBETTER MARKETPLACE: $117.10 AMISH HOSPITAL AID — AMISH HOSPITAL AID: $92.70 ASR HEALTH BENEFITS — AETNA: $156.23 AUXIANT — MIDLANDS CHOICE: $166.60
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Lipid Panel	Not listed in the file	$695	$9.09
Cholesterol panel (lipid panel): rates for 1 insurance plan IOWA DEPT OF PUBLIC HEALTH — CARE FOR YOURSELF: $9.09
Kidney function panel CPT 80069 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Renal Function Panel	$145	$94.25	$55.42 – $145
Kidney function panel: 10 of 44 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $133.26 AETNA — AETNA: $133.26 AETNA DOMESTIC — AETNA: $133.26 AETNA EAP — AETNA: $133.26 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $68.37 ALLIED BENEFIT SYSTEMS — AETNA: $133.26 AMBETTER — AMBETTER MARKETPLACE: $99.88 AMISH HOSPITAL AID — AMISH HOSPITAL AID: $79.07 ASR HEALTH BENEFITS — AETNA: $133.26 AUXIANT — MIDLANDS CHOICE: $142.10
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Hepatic Function Panel	$170	$110.50	$64.97 – $170
Liver function panel: 10 of 44 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $156.23 AETNA — AETNA: $156.23 AETNA DOMESTIC — AETNA: $156.23 AETNA EAP — AETNA: $156.23 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $80.16 ALLIED BENEFIT SYSTEMS — AETNA: $156.23 AMBETTER — AMBETTER MARKETPLACE: $117.10 AMISH HOSPITAL AID — AMISH HOSPITAL AID: $92.70 ASR HEALTH BENEFITS — AETNA: $156.23 AUXIANT — MIDLANDS CHOICE: $166.60
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Urinalysis With Microscopy Automated	$68	$44.20	$25.99 – $68
Urine test (automated, with microscope): 10 of 44 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $62.49 AETNA — AETNA: $62.49 AETNA DOMESTIC — AETNA: $62.49 AETNA EAP — AETNA: $62.49 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $32.06 ALLIED BENEFIT SYSTEMS — AETNA: $62.49 AMBETTER — AMBETTER MARKETPLACE: $46.84 AMISH HOSPITAL AID — AMISH HOSPITAL AID: $37.08 ASR HEALTH BENEFITS — AETNA: $62.49 AUXIANT — MIDLANDS CHOICE: $66.64
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Urinalysis With Microscopy Automated	Not listed in the file	$392	$3.11 – $3.36
Urine test (automated, with microscope): rates for 7 insurance plans AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $3.17 BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE — WELLMARK MEDICARE ADVANTAGE: $3.14 HEALTH PARTNERS MEDICARE ADVANTAGE — UNITYPOINT HEALTH PARTNERS MEDICARE ADV: $3.20 MEDICARE MEDICAL ASSOCIATES HEALTH PLANS — MEDICAL ASSOCIATES MEDICARE ADVANTAGE: $3.11 MEDIGOLD MEDICARE ADVANTAGE — MERCYONE HEALTH PLAN MEDICARE ADVANTAGE: $3.29 UNITED HEALTHCARE MEDICARE — UNITED HEALTHCARE MEDICARE ADVANTAGE: $3.36 WELLPOINT MEDICARE ADVANTAGE — WELLPOINT MEDICARE ADVANTAGE: $3.23
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Urinalysis Without Microscopy Automated	$61	$39.65	$2.30 – $61
Urine test (automated, without microscope): 10 of 44 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $56.06 AETNA — AETNA: $56.06 AETNA DOMESTIC — AETNA: $56.06 AETNA EAP — AETNA: $56.06 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $28.76 ALLIED BENEFIT SYSTEMS — AETNA: $56.06 AMBETTER — AMBETTER MARKETPLACE: $42.02 AMISH HOSPITAL AID — AMISH HOSPITAL AID: $33.26 ASR HEALTH BENEFITS — AETNA: $56.06 AUXIANT — MIDLANDS CHOICE: $59.78
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Urinalysis Without Microscopy Automated	Not listed in the file	$385	$2.21 – $2.39
Urine test (automated, without microscope): rates for 7 insurance plans AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $2.25 BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE — WELLMARK MEDICARE ADVANTAGE: $2.23 HEALTH PARTNERS MEDICARE ADVANTAGE — UNITYPOINT HEALTH PARTNERS MEDICARE ADV: $2.27 MEDICARE MEDICAL ASSOCIATES HEALTH PLANS — MEDICAL ASSOCIATES MEDICARE ADVANTAGE: $2.21 MEDIGOLD MEDICARE ADVANTAGE — MERCYONE HEALTH PLAN MEDICARE ADVANTAGE: $2.34 UNITED HEALTHCARE MEDICARE — UNITED HEALTHCARE MEDICARE ADVANTAGE: $2.39 WELLPOINT MEDICARE ADVANTAGE — WELLPOINT MEDICARE ADVANTAGE: $2.30
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Mayo Psaft Prostate Specific Antigen Total	$188	$122.20	$71.85 – $188
PSA (prostate specific antigen) blood test: 10 of 44 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $172.77 AETNA — AETNA: $172.77 AETNA DOMESTIC — AETNA: $172.77 AETNA EAP — AETNA: $172.77 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $88.64 ALLIED BENEFIT SYSTEMS — AETNA: $172.77 AMBETTER — AMBETTER MARKETPLACE: $129.49 AMISH HOSPITAL AID — AMISH HOSPITAL AID: $102.52 ASR HEALTH BENEFITS — AETNA: $172.77 AUXIANT — MIDLANDS CHOICE: $184.24
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Mayo Prostate Specific Antigen Total Ultrasensitive	$188	$122.20	$71.85 – $188
PSA (prostate specific antigen) blood test: 10 of 44 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $172.77 AETNA — AETNA: $172.77 AETNA DOMESTIC — AETNA: $172.77 AETNA EAP — AETNA: $172.77 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $88.64 ALLIED BENEFIT SYSTEMS — AETNA: $172.77 AMBETTER — AMBETTER MARKETPLACE: $129.49 AMISH HOSPITAL AID — AMISH HOSPITAL AID: $102.52 ASR HEALTH BENEFITS — AETNA: $172.77 AUXIANT — MIDLANDS CHOICE: $184.24
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Warde 1012090 Prostate Specific Antigen Total	$188	$122.20	$71.85 – $188
PSA (prostate specific antigen) blood test: 10 of 44 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $172.77 AETNA — AETNA: $172.77 AETNA DOMESTIC — AETNA: $172.77 AETNA EAP — AETNA: $172.77 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $88.64 ALLIED BENEFIT SYSTEMS — AETNA: $172.77 AMBETTER — AMBETTER MARKETPLACE: $129.49 AMISH HOSPITAL AID — AMISH HOSPITAL AID: $102.52 ASR HEALTH BENEFITS — AETNA: $172.77 AUXIANT — MIDLANDS CHOICE: $184.24
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Thyroid Stimulating Hormone	$192	$124.80	$16.63 – $192
Thyroid stimulating hormone (TSH) test: 10 of 44 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $176.45 AETNA — AETNA: $176.45 AETNA DOMESTIC — AETNA: $176.45 AETNA EAP — AETNA: $176.45 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $90.53 ALLIED BENEFIT SYSTEMS — AETNA: $176.45 AMBETTER — AMBETTER MARKETPLACE: $132.25 AMISH HOSPITAL AID — AMISH HOSPITAL AID: $104.70 ASR HEALTH BENEFITS — AETNA: $176.45 AUXIANT — MIDLANDS CHOICE: $188.16
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Thyroid Stimulating Hormone	Not listed in the file	$810	$9.09
Thyroid stimulating hormone (TSH) test: rates for 1 insurance plan IOWA DEPT OF PUBLIC HEALTH — CARE FOR YOURSELF: $9.09
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Cbc Automated/Differential Wbc Automated	$112	$72.80	$7.93 – $112
Complete blood count (CBC) with differential: 10 of 44 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $102.93 AETNA — AETNA: $102.93 AETNA DOMESTIC — AETNA: $102.93 AETNA EAP — AETNA: $102.93 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $52.81 ALLIED BENEFIT SYSTEMS — AETNA: $102.93 AMBETTER — AMBETTER MARKETPLACE: $77.15 AMISH HOSPITAL AID — AMISH HOSPITAL AID: $61.07 ASR HEALTH BENEFITS — AETNA: $102.93 AUXIANT — MIDLANDS CHOICE: $109.76
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Cbc Automated/Differential Wbc Automated	Not listed in the file	$652	$7.61 – $8.24
Complete blood count (CBC) with differential: rates for 6 insurance plans AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $7.77 BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE — WELLMARK MEDICARE ADVANTAGE: $7.69 HEALTH PARTNERS MEDICARE ADVANTAGE — UNITYPOINT HEALTH PARTNERS MEDICARE ADV: $7.85 MEDICARE MEDICAL ASSOCIATES HEALTH PLANS — MEDICAL ASSOCIATES MEDICARE ADVANTAGE: $7.61 UNITED HEALTHCARE MEDICARE — UNITED HEALTHCARE MEDICARE ADVANTAGE: $8.24 WELLPOINT MEDICARE ADVANTAGE — WELLPOINT MEDICARE ADVANTAGE: $7.93
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Cbc Automated	$87	$56.55	$6.47 – $87
Complete blood count (CBC), automated: 10 of 44 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $79.95 AETNA — AETNA: $79.95 AETNA DOMESTIC — AETNA: $79.95 AETNA EAP — AETNA: $79.95 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $41.02 ALLIED BENEFIT SYSTEMS — AETNA: $79.95 AMBETTER — AMBETTER MARKETPLACE: $59.93 AMISH HOSPITAL AID — AMISH HOSPITAL AID: $47.44 ASR HEALTH BENEFITS — AETNA: $79.95 AUXIANT — MIDLANDS CHOICE: $85.26
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Cbc Automated	Not listed in the file	$688	$6.47
Complete blood count (CBC), automated: rates for 1 insurance plan IOWA DEPT OF PUBLIC HEALTH — CARE FOR YOURSELF: $6.47
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Prothrombin Time	$66	$42.90	$25.23 – $66
Blood clotting time test (prothrombin time, PT): 10 of 44 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $60.65 AETNA — AETNA: $60.65 AETNA DOMESTIC — AETNA: $60.65 AETNA EAP — AETNA: $60.65 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $31.12 ALLIED BENEFIT SYSTEMS — AETNA: $60.65 AMBETTER — AMBETTER MARKETPLACE: $45.46 AMISH HOSPITAL AID — AMISH HOSPITAL AID: $35.99 ASR HEALTH BENEFITS — AETNA: $60.65 AUXIANT — MIDLANDS CHOICE: $64.68
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Mayo Aathr Prothrombin Time	$66	$42.90	$25.23 – $66
Blood clotting time test (prothrombin time, PT): 10 of 44 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $60.65 AETNA — AETNA: $60.65 AETNA DOMESTIC — AETNA: $60.65 AETNA EAP — AETNA: $60.65 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $31.12 ALLIED BENEFIT SYSTEMS — AETNA: $60.65 AMBETTER — AMBETTER MARKETPLACE: $45.46 AMISH HOSPITAL AID — AMISH HOSPITAL AID: $35.99 ASR HEALTH BENEFITS — AETNA: $60.65 AUXIANT — MIDLANDS CHOICE: $64.68
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Prothrombin Time	Not listed in the file	$111	$9.09
Blood clotting time test (prothrombin time, PT): rates for 1 insurance plan IOWA DEPT OF PUBLIC HEALTH — CARE FOR YOURSELF: $9.09
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Thromboplastin Time Partial (Ptt)	$99	$64.35	$37.84 – $99
Blood clotting test (partial thromboplastin time, PTT): 10 of 44 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $90.98 AETNA — AETNA: $90.98 AETNA DOMESTIC — AETNA: $90.98 AETNA EAP — AETNA: $90.98 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $46.68 ALLIED BENEFIT SYSTEMS — AETNA: $90.98 AMBETTER — AMBETTER MARKETPLACE: $68.19 AMISH HOSPITAL AID — AMISH HOSPITAL AID: $53.98 ASR HEALTH BENEFITS — AETNA: $90.98 AUXIANT — MIDLANDS CHOICE: $97.02
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Mayo Aathr Thromboplastin Time Partial (Ptt)	$99	$64.35	$37.84 – $99
Blood clotting test (partial thromboplastin time, PTT): 10 of 44 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $90.98 AETNA — AETNA: $90.98 AETNA DOMESTIC — AETNA: $90.98 AETNA EAP — AETNA: $90.98 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $46.68 ALLIED BENEFIT SYSTEMS — AETNA: $90.98 AMBETTER — AMBETTER MARKETPLACE: $68.19 AMISH HOSPITAL AID — AMISH HOSPITAL AID: $53.98 ASR HEALTH BENEFITS — AETNA: $90.98 AUXIANT — MIDLANDS CHOICE: $97.02

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CT Head/Brain W/O Contrast	$2,105	$1,368.25	$804.53 – $2,105
CT scan of the head or brain, without contrast: 10 of 44 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $1,934.50 AETNA — AETNA: $1,934.50 AETNA DOMESTIC — AETNA: $1,934.50 AETNA EAP — AETNA: $1,934.50 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $992.51 ALLIED BENEFIT SYSTEMS — AETNA: $1,934.50 AMBETTER — AMBETTER MARKETPLACE: $1,449.92 AMISH HOSPITAL AID — AMISH HOSPITAL AID: $1,147.86 ASR HEALTH BENEFITS — AETNA: $1,934.50 AUXIANT — MIDLANDS CHOICE: $2,062.90
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI Brain W/O & W/Contrast	$5,549	$3,606.85	$2,120.83 – $5,549
MRI of the brain, before and after contrast: 10 of 44 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $5,099.53 AETNA — AETNA: $5,099.53 AETNA DOMESTIC — AETNA: $5,099.53 AETNA EAP — AETNA: $5,099.53 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $2,616.35 ALLIED BENEFIT SYSTEMS — AETNA: $5,099.53 AMBETTER — AMBETTER MARKETPLACE: $3,822.15 AMISH HOSPITAL AID — AMISH HOSPITAL AID: $3,025.87 ASR HEALTH BENEFITS — AETNA: $5,099.53 AUXIANT — MIDLANDS CHOICE: $5,438.02
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Xr Chest 2 Views	$318	$206.70	$121.54 – $318
Chest X-ray, 2 views: 10 of 44 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $292.24 AETNA — AETNA: $292.24 AETNA DOMESTIC — AETNA: $292.24 AETNA EAP — AETNA: $292.24 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $149.94 ALLIED BENEFIT SYSTEMS — AETNA: $292.24 AMBETTER — AMBETTER MARKETPLACE: $219.04 AMISH HOSPITAL AID — AMISH HOSPITAL AID: $173.41 ASR HEALTH BENEFITS — AETNA: $292.24 AUXIANT — MIDLANDS CHOICE: $311.64
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Xr Lumbosacral Spine >= 4 Views	$568	$369.20	$217.09 – $568
X-ray of the lower spine, at least 4 views: 10 of 44 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $521.99 AETNA — AETNA: $521.99 AETNA DOMESTIC — AETNA: $521.99 AETNA EAP — AETNA: $521.99 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $267.81 ALLIED BENEFIT SYSTEMS — AETNA: $521.99 AMBETTER — AMBETTER MARKETPLACE: $391.24 AMISH HOSPITAL AID — AMISH HOSPITAL AID: $309.73 ASR HEALTH BENEFITS — AETNA: $521.99 AUXIANT — MIDLANDS CHOICE: $556.64
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI Lumbar Spine W/O Contrast	$3,998	$2,598.70	$1,528.04 – $3,998
MRI of the lower back (lumbar spine), without contrast: 10 of 44 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $3,674.16 AETNA — AETNA: $3,674.16 AETNA DOMESTIC — AETNA: $3,674.16 AETNA EAP — AETNA: $3,674.16 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $1,885.06 ALLIED BENEFIT SYSTEMS — AETNA: $3,674.16 AMBETTER — AMBETTER MARKETPLACE: $2,753.82 AMISH HOSPITAL AID — AMISH HOSPITAL AID: $2,180.11 ASR HEALTH BENEFITS — AETNA: $3,674.16 AUXIANT — MIDLANDS CHOICE: $3,918.04
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI Lower Extremity Joint W/O Contrast Lt	$4,003	$2,601.95	$1,529.95 – $4,003
MRI of a leg joint (such as the knee), without contrast: 10 of 44 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $3,678.76 AETNA — AETNA: $3,678.76 AETNA DOMESTIC — AETNA: $3,678.76 AETNA EAP — AETNA: $3,678.76 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $1,887.41 ALLIED BENEFIT SYSTEMS — AETNA: $3,678.76 AMBETTER — AMBETTER MARKETPLACE: $2,757.27 AMISH HOSPITAL AID — AMISH HOSPITAL AID: $2,182.84 ASR HEALTH BENEFITS — AETNA: $3,678.76 AUXIANT — MIDLANDS CHOICE: $3,922.94
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI Lower Extremity Joint W/O Contrast Rt	$4,003	$2,601.95	$1,529.95 – $4,003
MRI of a leg joint (such as the knee), without contrast: 10 of 44 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $3,678.76 AETNA — AETNA: $3,678.76 AETNA DOMESTIC — AETNA: $3,678.76 AETNA EAP — AETNA: $3,678.76 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $1,887.41 ALLIED BENEFIT SYSTEMS — AETNA: $3,678.76 AMBETTER — AMBETTER MARKETPLACE: $2,757.27 AMISH HOSPITAL AID — AMISH HOSPITAL AID: $2,182.84 ASR HEALTH BENEFITS — AETNA: $3,678.76 AUXIANT — MIDLANDS CHOICE: $3,922.94
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: HC MRI Lower Extremity Joint W/O Contrast Bl	$6,005	$3,903.25	$2,295.11 – $6,005
MRI of a leg joint (such as the knee), without contrast: 10 of 44 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $5,518.60 AETNA — AETNA: $5,518.60 AETNA DOMESTIC — AETNA: $5,518.60 AETNA EAP — AETNA: $5,518.60 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $2,831.36 ALLIED BENEFIT SYSTEMS — AETNA: $5,518.60 AMBETTER — AMBETTER MARKETPLACE: $4,136.24 AMISH HOSPITAL AID — AMISH HOSPITAL AID: $3,274.53 ASR HEALTH BENEFITS — AETNA: $5,518.60 AUXIANT — MIDLANDS CHOICE: $5,884.90
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee In the file: HC CT Abdomen & Pelvis W/Contrast	$5,637	$3,664.05	$2,154.46 – $5,637
CT scan of the abdomen and pelvis, with contrast: 10 of 44 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $5,180.40 AETNA — AETNA: $5,180.40 AETNA DOMESTIC — AETNA: $5,180.40 AETNA EAP — AETNA: $5,180.40 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $2,657.85 ALLIED BENEFIT SYSTEMS — AETNA: $5,180.40 AMBETTER — AMBETTER MARKETPLACE: $3,882.77 AMISH HOSPITAL AID — AMISH HOSPITAL AID: $3,073.86 ASR HEALTH BENEFITS — AETNA: $5,180.40 AUXIANT — MIDLANDS CHOICE: $5,524.26
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: HC US Abdomen Complete	$1,066	$692.90	$407.43 – $1,066
Ultrasound of the abdomen, complete: 10 of 44 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $979.65 AETNA — AETNA: $979.65 AETNA DOMESTIC — AETNA: $979.65 AETNA EAP — AETNA: $979.65 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $502.62 ALLIED BENEFIT SYSTEMS — AETNA: $979.65 AMBETTER — AMBETTER MARKETPLACE: $734.26 AMISH HOSPITAL AID — AMISH HOSPITAL AID: $581.29 ASR HEALTH BENEFITS — AETNA: $979.65 AUXIANT — MIDLANDS CHOICE: $1,044.68
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: HC US Transvaginal Non Obstetric	$859	$558.35	$328.31 – $859
Transvaginal ultrasound: 10 of 44 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $789.42 AETNA — AETNA: $789.42 AETNA DOMESTIC — AETNA: $789.42 AETNA EAP — AETNA: $789.42 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $405.02 ALLIED BENEFIT SYSTEMS — AETNA: $789.42 AMBETTER — AMBETTER MARKETPLACE: $591.68 AMISH HOSPITAL AID — AMISH HOSPITAL AID: $468.41 ASR HEALTH BENEFITS — AETNA: $789.42 AUXIANT — MIDLANDS CHOICE: $841.82
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Mammography Diagnostic Unilateral Rt	$457	$297.05	$112.74 – $457
Diagnostic mammogram, one breast: 10 of 44 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $419.98 AETNA — AETNA: $419.98 AETNA DOMESTIC — AETNA: $419.98 AETNA EAP — AETNA: $419.98 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $215.48 ALLIED BENEFIT SYSTEMS — AETNA: $419.98 AMBETTER — AMBETTER MARKETPLACE: $314.78 AMISH HOSPITAL AID — AMISH HOSPITAL AID: $249.20 ASR HEALTH BENEFITS — AETNA: $419.98 AUXIANT — MIDLANDS CHOICE: $447.86
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Mammography Diagnostic Unilateral Lt	$457	$297.05	$112.74 – $457
Diagnostic mammogram, one breast: 10 of 44 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $419.98 AETNA — AETNA: $419.98 AETNA DOMESTIC — AETNA: $419.98 AETNA EAP — AETNA: $419.98 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $215.48 ALLIED BENEFIT SYSTEMS — AETNA: $419.98 AMBETTER — AMBETTER MARKETPLACE: $314.78 AMISH HOSPITAL AID — AMISH HOSPITAL AID: $249.20 ASR HEALTH BENEFITS — AETNA: $419.98 AUXIANT — MIDLANDS CHOICE: $447.86
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Mammography Diagnostic Bilateral	$686	$445.90	$142.21 – $686
Diagnostic mammogram, both breasts: 10 of 44 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $630.43 AETNA — AETNA: $630.43 AETNA DOMESTIC — AETNA: $630.43 AETNA EAP — AETNA: $630.43 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $323.45 ALLIED BENEFIT SYSTEMS — AETNA: $630.43 AMBETTER — AMBETTER MARKETPLACE: $472.52 AMISH HOSPITAL AID — AMISH HOSPITAL AID: $374.08 ASR HEALTH BENEFITS — AETNA: $630.43 AUXIANT — MIDLANDS CHOICE: $672.28
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Mammography Screen Bilateral	$710	$461.50	$81.59 – $710
Screening mammogram, both breasts: 10 of 44 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $652.49 AETNA — AETNA: $652.49 AETNA DOMESTIC — AETNA: $652.49 AETNA EAP — AETNA: $652.49 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $83.26 ALLIED BENEFIT SYSTEMS — AETNA: $652.49 AMBETTER — AMBETTER MARKETPLACE: $139.88 AMISH HOSPITAL AID — AMISH HOSPITAL AID: $110.74 ASR HEALTH BENEFITS — AETNA: $652.49 AUXIANT — MIDLANDS CHOICE: $695.80
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Mammography Screen Bl Reduced Service Unilateral Only Completed	$473	$307.45	$81.59 – $473
Screening mammogram, both breasts: 10 of 44 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $434.69 AETNA — AETNA: $434.69 AETNA DOMESTIC — AETNA: $434.69 AETNA EAP — AETNA: $434.69 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $83.26 ALLIED BENEFIT SYSTEMS — AETNA: $434.69 AMBETTER — AMBETTER MARKETPLACE: $139.88 AMISH HOSPITAL AID — AMISH HOSPITAL AID: $110.74 ASR HEALTH BENEFITS — AETNA: $434.69 AUXIANT — MIDLANDS CHOICE: $463.54

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Ecg 12 Lead Interpretation & Report	$125	$81.25	$12.88 – $125
Electrocardiogram (ECG/EKG) with reading: 10 of 44 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $114.88 AETNA — AETNA: $114.88 AETNA DOMESTIC — AETNA: $114.88 AETNA EAP — AETNA: $114.88 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $58.94 ALLIED BENEFIT SYSTEMS — AETNA: $114.88 AMBETTER — AMBETTER MARKETPLACE: $86.10 AMISH HOSPITAL AID — AMISH HOSPITAL AID: $68.16 ASR HEALTH BENEFITS — AETNA: $114.88 AUXIANT — MIDLANDS CHOICE: $122.50

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Ot Therapeutic Procedure >=1 Area Therapeutic Exercise Each 15 Minutes	$199	$129.35	$76.06 – $199
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 44 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $182.88 AETNA — AETNA: $182.88 AETNA DOMESTIC — AETNA: $182.88 AETNA EAP — AETNA: $182.88 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $93.83 ALLIED BENEFIT SYSTEMS — AETNA: $182.88 AMBETTER — AMBETTER MARKETPLACE: $137.07 AMISH HOSPITAL AID — AMISH HOSPITAL AID: $108.51 ASR HEALTH BENEFITS — AETNA: $182.88 AUXIANT — MIDLANDS CHOICE: $195.02
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Pt Therapeutic Procedure >=1 Area Therapeutic Exercise Each 15 Minutes	$199	$129.35	$76.06 – $199
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 44 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $182.88 AETNA — AETNA: $182.88 AETNA DOMESTIC — AETNA: $182.88 AETNA EAP — AETNA: $182.88 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $93.83 ALLIED BENEFIT SYSTEMS — AETNA: $182.88 AMBETTER — AMBETTER MARKETPLACE: $137.07 AMISH HOSPITAL AID — AMISH HOSPITAL AID: $108.51 ASR HEALTH BENEFITS — AETNA: $182.88 AUXIANT — MIDLANDS CHOICE: $195.02
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Pt Evaluation Low Complexity Patient/Family	$343	$222.95	$131.09 – $343
Physical therapy evaluation (low complexity): 10 of 44 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $315.22 AETNA — AETNA: $315.22 AETNA DOMESTIC — AETNA: $315.22 AETNA EAP — AETNA: $315.22 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $161.72 ALLIED BENEFIT SYSTEMS — AETNA: $315.22 AMBETTER — AMBETTER MARKETPLACE: $236.26 AMISH HOSPITAL AID — AMISH HOSPITAL AID: $187.04 ASR HEALTH BENEFITS — AETNA: $315.22 AUXIANT — MIDLANDS CHOICE: $336.14
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Pt Evaluation Moderate Complexity Patient/Family	$299	$194.35	$114.28 – $299
Physical therapy evaluation (moderate complexity): 10 of 44 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $274.78 AETNA — AETNA: $274.78 AETNA DOMESTIC — AETNA: $274.78 AETNA EAP — AETNA: $274.78 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $140.98 ALLIED BENEFIT SYSTEMS — AETNA: $274.78 AMBETTER — AMBETTER MARKETPLACE: $205.95 AMISH HOSPITAL AID — AMISH HOSPITAL AID: $163.04 ASR HEALTH BENEFITS — AETNA: $274.78 AUXIANT — MIDLANDS CHOICE: $293.02
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Psychotherapy Patient Individual Therapy 30 Minutes	$610	$396.50	$233.14 – $610
Psychotherapy, 30 minutes: 10 of 44 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $560.59 AETNA — AETNA: $560.59 AETNA DOMESTIC — AETNA: $560.59 AETNA EAP — AETNA: $560.59 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $287.62 ALLIED BENEFIT SYSTEMS — AETNA: $560.59 AMBETTER — AMBETTER MARKETPLACE: $420.17 AMISH HOSPITAL AID — AMISH HOSPITAL AID: $332.63 ASR HEALTH BENEFITS — AETNA: $560.59 AUXIANT — MIDLANDS CHOICE: $597.80
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Psychotherapy Patient Individual Therapy 45 Minutes	$755	$490.75	$288.56 – $755
Psychotherapy, 45 minutes: 10 of 44 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $693.85 AETNA — AETNA: $693.85 AETNA DOMESTIC — AETNA: $693.85 AETNA EAP — AETNA: $693.85 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $355.98 ALLIED BENEFIT SYSTEMS — AETNA: $693.85 AMBETTER — AMBETTER MARKETPLACE: $520.04 AMISH HOSPITAL AID — AMISH HOSPITAL AID: $411.70 ASR HEALTH BENEFITS — AETNA: $693.85 AUXIANT — MIDLANDS CHOICE: $739.90
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Psychotherapy Patient Individual Therapy 60 Minutes	$770	$500.50	$294.29 – $770
Psychotherapy, 60 minutes: 10 of 44 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $707.63 AETNA — AETNA: $707.63 AETNA DOMESTIC — AETNA: $707.63 AETNA EAP — AETNA: $707.63 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $363.06 ALLIED BENEFIT SYSTEMS — AETNA: $707.63 AMBETTER — AMBETTER MARKETPLACE: $530.38 AMISH HOSPITAL AID — AMISH HOSPITAL AID: $419.88 ASR HEALTH BENEFITS — AETNA: $707.63 AUXIANT — MIDLANDS CHOICE: $754.60
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Psychotherapy Family W/O Patient 50 Minutes	$435	$282.75	$166.26 – $435
Family psychotherapy, without the patient: 10 of 44 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $399.77 AETNA — AETNA: $399.77 AETNA DOMESTIC — AETNA: $399.77 AETNA EAP — AETNA: $399.77 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $205.10 ALLIED BENEFIT SYSTEMS — AETNA: $399.77 AMBETTER — AMBETTER MARKETPLACE: $299.63 AMISH HOSPITAL AID — AMISH HOSPITAL AID: $237.21 ASR HEALTH BENEFITS — AETNA: $399.77 AUXIANT — MIDLANDS CHOICE: $426.30
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Psychotherapy Family W/Patient 50 Minutes	$466	$302.90	$178.11 – $466
Family psychotherapy, with the patient: 10 of 44 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $428.25 AETNA — AETNA: $428.25 AETNA DOMESTIC — AETNA: $428.25 AETNA EAP — AETNA: $428.25 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $219.72 ALLIED BENEFIT SYSTEMS — AETNA: $428.25 AMBETTER — AMBETTER MARKETPLACE: $320.98 AMISH HOSPITAL AID — AMISH HOSPITAL AID: $254.11 ASR HEALTH BENEFITS — AETNA: $428.25 AUXIANT — MIDLANDS CHOICE: $456.68
Group psychotherapy CPT 90853 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Psychotherapy Group Therapy	$772	$501.80	$295.06 – $772
Group psychotherapy: 10 of 44 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $709.47 AETNA — AETNA: $709.47 AETNA DOMESTIC — AETNA: $709.47 AETNA EAP — AETNA: $709.47 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $364 ALLIED BENEFIT SYSTEMS — AETNA: $709.47 AMBETTER — AMBETTER MARKETPLACE: $531.75 AMISH HOSPITAL AID — AMISH HOSPITAL AID: $420.97 ASR HEALTH BENEFITS — AETNA: $709.47 AUXIANT — MIDLANDS CHOICE: $756.56
Group psychotherapy CPT 90853 · Inpatient or outpatient · Hospital (facility) fee In the file: HC Psychotherapy Group Therapy Msw	$772	$501.80	$295.06 – $772
Group psychotherapy: 10 of 44 insurance plan rates 1199 NATIONAL BENEFIT FUND — AETNA: $709.47 AETNA — AETNA: $709.47 AETNA DOMESTIC — AETNA: $709.47 AETNA EAP — AETNA: $709.47 AETNA MEDICARE ADVANTAGE — AETNA MEDICARE ADVANTAGE: $364 ALLIED BENEFIT SYSTEMS — AETNA: $709.47 AMBETTER — AMBETTER MARKETPLACE: $531.75 AMISH HOSPITAL AID — AMISH HOSPITAL AID: $420.97 ASR HEALTH BENEFITS — AETNA: $709.47 AUXIANT — MIDLANDS CHOICE: $756.56

Source: MercyOne Oelwein Medical Center’s standard charges file (hpt.trinity-health.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 type	Critical Access Hospital
Address	201 Eighth Avenue SE, Oelwein, IA 50662
County	Fayette County
State	Iowa
Phone	(319) 283‑6000
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	Not rated by CMS
CMS Certification Number	161338
Name in Medicare records	MERCYONE OELWEIN MEDICAL CENTER
Profile level	Medicare data + hospital website
Official website	mercyone.org
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

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

MercyOne Oelwein Medical Center — mercyone.org
MercyOne Oelwein Emergency Care | MercyOne — mercyone.org

MercyOne Oelwein Medical Center

Summary

Profile from official sources

At a glance