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Critical Access Hospital

Wayne County Hospital

Corydon, Iowa · Wayne County · Emergency services listed

Wayne County Hospital is a critical access hospital at 417 South East Street, Corydon, IA 50060. Phone: (641) 872-2260. It has an emergency department.

Data as of October 26, 2026. Source: CMS Hospital General Information and the hospital’s website (checked October 30, 2026).

Summary

Wayne County Hospital is a critical access hospital in Corydon, Iowa. Medicare data lists emergency services. Its official website lists 18 services, specialties and programs. Medicare lists 78 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-10-26.

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

Compare

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
18Services listed

Quick answers

Does Wayne County Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Wayne County Hospital. In a medical emergency, call 911.
Where is Wayne County Hospital?
417 South East Street, Corydon, IA 50060, in Wayne County, Iowa.
What is the phone number of Wayne County Hospital?
(641) 872-2260, as listed by Medicare (CMS).
What is the Medicare star rating of Wayne County 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]

Treatments[4]

Procedures[4]

  • Surgery
  • Sleep disorders evaluation
  • DOT physical exam

Emergency care (hospital website)[5]

Emergency roomYes
Open 24/7Yes
Trauma designationLevel IV

Doctors and clinicians (78)

78 doctors and other clinicians list Wayne County 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 (78)

And 54 more: the button below opens the full list.

Other emergency rooms nearby

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

Find the closest emergency room to where you are → · Compare ER wait times

Other hospitals near Corydon

Hospitals in Wayne County · Hospitals near me

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 →

Home health agencies

All home health agencies in the state →

Dialysis facilities

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

Clinics and urgent care

Pharmacies

Assisted living nearby

Licensed homes from the official state license 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 Wayne County 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.

Rated the hospital 9 or 10 out of 1080%National average: 72%
Would definitely recommend the hospital87%National average: 71%
Nurses “always” communicated well81%National average: 80%
Doctors “always” communicated well82%National average: 80%
“Always” got help as soon as they wanted76%National average: 64%
Staff “always” explained medicines before giving them73%National average: 62%
Were given information about recovery at home90%National average: 86%
Room and bathroom “always” clean77%National average: 73%
Not reported to MedicareSummary star rating (all survey topics); Overall rating of the hospital; Would recommend the hospital; Nurses communicated well; Doctors communicated well; Patients got help quickly from staff; Staff explained medicines; Information about recovery at home; Room and bathroom kept clean; Restfulness of Environment; Care Coordination; Symptoms After Stay
Completed surveys77Response rate: 20%

Source: Patient survey (HCAHPS) - Hospital — CMS, released October 19, 2026; patients discharged January 2025 to December 2025.

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: pneumonia patients17.2%
Complications after hip or knee replacement3.6%
Not reported to MedicareDeaths within 30 days: heart attack patients; Deaths within 30 days: coronary bypass surgery (CABG); Serious complications (patient safety indicator PSI-90)
Too few cases to reportDeaths within 30 days: heart failure patients; Deaths within 30 days: COPD patients; Deaths within 30 days: stroke patients

Source: Complications and Deaths - Hospital — CMS, released October 20, 2026; data from July 2022 to June 2025.

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)15.6%
Readmitted within 30 days: heart failure21.1%
Readmitted within 30 days: pneumonia17%
Readmitted within 30 days: hip or knee replacement5.4%
Not reported to MedicareReadmitted within 30 days: heart attack; Readmitted within 30 days: coronary bypass surgery
Too few cases to reportReadmitted within 30 days: COPD

Source: Unplanned Hospital Visits - Hospital — CMS, released October 20, 2026; data from July 2024 to June 2025.

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.

Average (median) time patients spent in the emergency room before leaving (OP-18b)145 minutesNational average: 162 minutes
Not reported to MedicarePatients who left the emergency room before being seen (OP-22); Sepsis patients who got all the recommended early care (SEP-1)

Source: Timely and Effective Care - Hospital — CMS, released October 19, 2026; data from January 2025 to December 2025.

Not reported to Medicare: infections caught in the hospital. For these topics Medicare shows no result for this hospital (not reported, or too few cases).

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.

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 67 common services exactly as Wayne County 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 →

Show the prices of 67 common services

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more $390 $390 $73.07 – $390
New patient office visit (about 30–44 minutes): rates for 6 insurance plans
  • AETNA HMO — AETNA HMO: $73.07
  • AETNA MCR ADV — AETNA MCR ADV: $116.82
  • AETNA PPO-ALL OTHER PLANS — AETNA PPO-ALL OTHER PLANS: $73.07
  • UHC MEDICAID-ALL PLANS — UHC MEDICAID-ALL PLANS: $390
  • WELLMARK BCBS HMO — WELLMARK BCBS HMO: $116.10
  • WELLMARK BCBS PPO-ALL OTHER PLANS — WELLMARK BCBS PPO-ALL OTHER PLANS: $116.10
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more $311 $311 $118.23 – $311
New patient office visit (about 45–59 minutes): rates for 6 insurance plans
  • AETNA HMO — AETNA HMO: $118.23
  • AETNA MCR ADV — AETNA MCR ADV: $134.97
  • AETNA PPO-ALL OTHER PLANS — AETNA PPO-ALL OTHER PLANS: $118.23
  • UHC MEDICAID-ALL PLANS — UHC MEDICAID-ALL PLANS: $311
  • WELLMARK BCBS HMO — WELLMARK BCBS HMO: $189
  • WELLMARK BCBS PPO-ALL OTHER PLANS — WELLMARK BCBS PPO-ALL OTHER PLANS: $189
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more $599 $599 $197.67 – $581.03
New patient office visit (about 60–74 minutes): rates for 6 insurance plans
  • AETNA HMO — AETNA HMO: $581.03
  • AETNA MCR ADV — AETNA MCR ADV: $197.67
  • AETNA PPO-ALL OTHER PLANS — AETNA PPO-ALL OTHER PLANS: $581.03
  • UHC MEDICAID-ALL PLANS — UHC MEDICAID-ALL PLANS: $227.62
  • WELLMARK BCBS HMO — WELLMARK BCBS HMO: $257
  • WELLMARK BCBS PPO-ALL OTHER PLANS — WELLMARK BCBS PPO-ALL OTHER PLANS: $257
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more $213 $213 $58.76 – $213
Established patient office visit (about 20–29 minutes): rates for 6 insurance plans
  • AETNA HMO — AETNA HMO: $58.76
  • AETNA MCR ADV — AETNA MCR ADV: $47.52
  • AETNA PPO-ALL OTHER PLANS — AETNA PPO-ALL OTHER PLANS: $58.76
  • UHC MEDICAID-ALL PLANS — UHC MEDICAID-ALL PLANS: $213
  • WELLMARK BCBS HMO — WELLMARK BCBS HMO: $93.30
  • WELLMARK BCBS PPO-ALL OTHER PLANS — WELLMARK BCBS PPO-ALL OTHER PLANS: $93.30
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more $303 $303 $86.90 – $303
Established patient office visit (about 30–39 minutes): rates for 6 insurance plans
  • AETNA HMO — AETNA HMO: $86.90
  • AETNA MCR ADV — AETNA MCR ADV: $57.75
  • AETNA PPO-ALL OTHER PLANS — AETNA PPO-ALL OTHER PLANS: $86.90
  • UHC MEDICAID-ALL PLANS — UHC MEDICAID-ALL PLANS: $303
  • WELLMARK BCBS HMO — WELLMARK BCBS HMO: $137.60
  • WELLMARK BCBS PPO-ALL OTHER PLANS — WELLMARK BCBS PPO-ALL OTHER PLANS: $137.60
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) In the file: Office or other outpatient consultation with low level of medical decision making, if using time, 30 minutes or more $364 $364 $101.44 – $364
Office consultation with a specialist (moderate): rates for 6 insurance plans
  • AETNA HMO — AETNA HMO: $101.44
  • AETNA MCR ADV — AETNA MCR ADV: $120.12
  • AETNA PPO-ALL OTHER PLANS — AETNA PPO-ALL OTHER PLANS: $101.44
  • UHC MEDICAID-ALL PLANS — UHC MEDICAID-ALL PLANS: $364
  • WELLMARK BCBS HMO — WELLMARK BCBS HMO: $124.70
  • WELLMARK BCBS PPO-ALL OTHER PLANS — WELLMARK BCBS PPO-ALL OTHER PLANS: $124.70
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) In the file: Office or other outpatient consultation with moderate level of medical decision making, if using time, 40 minutes or more $529 $529 $154.62 – $529
Office consultation with a specialist (moderate to high): rates for 6 insurance plans
  • AETNA HMO — AETNA HMO: $154.62
  • AETNA MCR ADV — AETNA MCR ADV: $174.57
  • AETNA PPO-ALL OTHER PLANS — AETNA PPO-ALL OTHER PLANS: $154.62
  • UHC MEDICAID-ALL PLANS — UHC MEDICAID-ALL PLANS: $529
  • WELLMARK BCBS HMO — WELLMARK BCBS HMO: $189.90
  • WELLMARK BCBS PPO-ALL OTHER PLANS — WELLMARK BCBS PPO-ALL OTHER PLANS: $189.90
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) In the file: Initial new patient preventive medicine evaluation (18-39 years) $475 $475 $96.85 – $155.70
Preventive checkup, new patient, age 18–39: rates for 6 insurance plans
  • AETNA HMO — AETNA HMO: $96.85
  • AETNA MCR ADV — AETNA MCR ADV: $156.75
  • AETNA PPO-ALL OTHER PLANS — AETNA PPO-ALL OTHER PLANS: $96.85
  • UHC MEDICAID-ALL PLANS — UHC MEDICAID-ALL PLANS: $102.04
  • WELLMARK BCBS HMO — WELLMARK BCBS HMO: $155.70
  • WELLMARK BCBS PPO-ALL OTHER PLANS — WELLMARK BCBS PPO-ALL OTHER PLANS: $155.70
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) In the file: Initial new patient preventive medicine evaluation (40-64 years) $553 $553 $117.51 – $188.70
Preventive checkup, new patient, age 40–64: rates for 6 insurance plans
  • AETNA HMO — AETNA HMO: $117.51
  • AETNA MCR ADV — AETNA MCR ADV: $182.49
  • AETNA PPO-ALL OTHER PLANS — AETNA PPO-ALL OTHER PLANS: $117.51
  • UHC MEDICAID-ALL PLANS — UHC MEDICAID-ALL PLANS: $122.89
  • WELLMARK BCBS HMO — WELLMARK BCBS HMO: $188.70
  • WELLMARK BCBS PPO-ALL OTHER PLANS — WELLMARK BCBS PPO-ALL OTHER PLANS: $188.70
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: Emergency department visit with low level of medical decision making $311 $311 $63.64 – $311
Emergency room visit (moderate): rates for 6 insurance plans
  • AETNA HMO — AETNA HMO: $63.64
  • AETNA MCR ADV — AETNA MCR ADV: $64.65
  • AETNA PPO-ALL OTHER PLANS — AETNA PPO-ALL OTHER PLANS: $63.64
  • UHC MEDICAID-ALL PLANS — UHC MEDICAID-ALL PLANS: $311
  • WELLMARK BCBS HMO — WELLMARK BCBS HMO: $110.60
  • WELLMARK BCBS PPO-ALL OTHER PLANS — WELLMARK BCBS PPO-ALL OTHER PLANS: $110.60
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: Emergency department visit with low level of medical decision making $593 $593 $195.69 – $3,816
Emergency room visit (moderate): rates for 4 insurance plans
  • AETNA HMO — AETNA HMO: $3,816
  • AETNA MCR ADV — AETNA MCR ADV: $195.69
  • AETNA PPO-ALL OTHER PLANS — AETNA PPO-ALL OTHER PLANS: $3,816
  • UHC MEDICAID-ALL PLANS — UHC MEDICAID-ALL PLANS: $225.34
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: Emergency department visit with moderate level of medical decision making $588 $588 $107.60 – $588
Emergency room visit (moderately high): rates for 6 insurance plans
  • AETNA HMO — AETNA HMO: $107.60
  • AETNA MCR ADV — AETNA MCR ADV: $109.91
  • AETNA PPO-ALL OTHER PLANS — AETNA PPO-ALL OTHER PLANS: $107.60
  • UHC MEDICAID-ALL PLANS — UHC MEDICAID-ALL PLANS: $588
  • WELLMARK BCBS HMO — WELLMARK BCBS HMO: $188.20
  • WELLMARK BCBS PPO-ALL OTHER PLANS — WELLMARK BCBS PPO-ALL OTHER PLANS: $188.20
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: Emergency department visit with moderate level of medical decision making $722 $722 $238.26 – $5,320
Emergency room visit (moderately high): rates for 4 insurance plans
  • AETNA HMO — AETNA HMO: $5,320
  • AETNA MCR ADV — AETNA MCR ADV: $238.26
  • AETNA PPO-ALL OTHER PLANS — AETNA PPO-ALL OTHER PLANS: $5,320
  • UHC MEDICAID-ALL PLANS — UHC MEDICAID-ALL PLANS: $274.36
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: Emergency department visit with high level of medical decision making $864 $864 $156.22 – $864
Emergency room visit (high): rates for 6 insurance plans
  • AETNA HMO — AETNA HMO: $156.22
  • AETNA MCR ADV — AETNA MCR ADV: $159.83
  • AETNA PPO-ALL OTHER PLANS — AETNA PPO-ALL OTHER PLANS: $156.22
  • UHC MEDICAID-ALL PLANS — UHC MEDICAID-ALL PLANS: $864
  • WELLMARK BCBS HMO — WELLMARK BCBS HMO: $272.60
  • WELLMARK BCBS PPO-ALL OTHER PLANS — WELLMARK BCBS PPO-ALL OTHER PLANS: $272.60
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: Emergency department visit with high level of medical decision making $895 $895 $295.35 – $6,637
Emergency room visit (high): rates for 4 insurance plans
  • AETNA HMO — AETNA HMO: $6,637
  • AETNA MCR ADV — AETNA MCR ADV: $295.35
  • AETNA PPO-ALL OTHER PLANS — AETNA PPO-ALL OTHER PLANS: $6,637
  • UHC MEDICAID-ALL PLANS — UHC MEDICAID-ALL PLANS: $340.10

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: Blood test, basic group of blood chemicals (Calcium, total) $198 $198 $8.75 – $75.24
Basic metabolic panel (blood test): rates for 6 insurance plans
  • AETNA HMO — AETNA HMO: $19.99
  • AETNA MCR ADV — AETNA MCR ADV: $65.34
  • AETNA PPO-ALL OTHER PLANS — AETNA PPO-ALL OTHER PLANS: $19.99
  • UHC MEDICAID-ALL PLANS — UHC MEDICAID-ALL PLANS: $75.24
  • WELLMARK BCBS HMO — WELLMARK BCBS HMO: $8.75
  • WELLMARK BCBS PPO-ALL OTHER PLANS — WELLMARK BCBS PPO-ALL OTHER PLANS: $9.61
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: Blood test, comprehensive group of blood chemicals $216 $216 $8.75 – $82.08
Comprehensive metabolic panel (blood test): rates for 6 insurance plans
  • AETNA HMO — AETNA HMO: $24.96
  • AETNA MCR ADV — AETNA MCR ADV: $71.28
  • AETNA PPO-ALL OTHER PLANS — AETNA PPO-ALL OTHER PLANS: $24.96
  • UHC MEDICAID-ALL PLANS — UHC MEDICAID-ALL PLANS: $82.08
  • WELLMARK BCBS HMO — WELLMARK BCBS HMO: $8.75
  • WELLMARK BCBS PPO-ALL OTHER PLANS — WELLMARK BCBS PPO-ALL OTHER PLANS: $9.61
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: Blood test, lipids (cholesterol and triglycerides) $161 $161 $8.75 – $61.18
Cholesterol panel (lipid panel): rates for 6 insurance plans
  • AETNA HMO — AETNA HMO: $31.65
  • AETNA MCR ADV — AETNA MCR ADV: $53.13
  • AETNA PPO-ALL OTHER PLANS — AETNA PPO-ALL OTHER PLANS: $31.65
  • UHC MEDICAID-ALL PLANS — UHC MEDICAID-ALL PLANS: $61.18
  • WELLMARK BCBS HMO — WELLMARK BCBS HMO: $8.75
  • WELLMARK BCBS PPO-ALL OTHER PLANS — WELLMARK BCBS PPO-ALL OTHER PLANS: $9.61
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: Kidney function blood test panel $264 $264 $8.75 – $100.32
Kidney function panel: rates for 6 insurance plans
  • AETNA HMO — AETNA HMO: $20.51
  • AETNA MCR ADV — AETNA MCR ADV: $87.12
  • AETNA PPO-ALL OTHER PLANS — AETNA PPO-ALL OTHER PLANS: $20.51
  • UHC MEDICAID-ALL PLANS — UHC MEDICAID-ALL PLANS: $100.32
  • WELLMARK BCBS HMO — WELLMARK BCBS HMO: $8.75
  • WELLMARK BCBS PPO-ALL OTHER PLANS — WELLMARK BCBS PPO-ALL OTHER PLANS: $9.61
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: Liver function blood test panel $123 $123 $8.75 – $46.74
Liver function panel: rates for 6 insurance plans
  • AETNA HMO — AETNA HMO: $19.31
  • AETNA MCR ADV — AETNA MCR ADV: $40.59
  • AETNA PPO-ALL OTHER PLANS — AETNA PPO-ALL OTHER PLANS: $19.31
  • UHC MEDICAID-ALL PLANS — UHC MEDICAID-ALL PLANS: $46.74
  • WELLMARK BCBS HMO — WELLMARK BCBS HMO: $8.75
  • WELLMARK BCBS PPO-ALL OTHER PLANS — WELLMARK BCBS PPO-ALL OTHER PLANS: $9.61
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: Manual urinalysis test with examination using microscope, automated $46 $46 $2.94 – $17.48
Urine test (automated, with microscope): rates for 6 insurance plans
  • AETNA HMO — AETNA HMO: $7.49
  • AETNA MCR ADV — AETNA MCR ADV: $15.18
  • AETNA PPO-ALL OTHER PLANS — AETNA PPO-ALL OTHER PLANS: $7.49
  • UHC MEDICAID-ALL PLANS — UHC MEDICAID-ALL PLANS: $17.48
  • WELLMARK BCBS HMO — WELLMARK BCBS HMO: $2.94
  • WELLMARK BCBS PPO-ALL OTHER PLANS — WELLMARK BCBS PPO-ALL OTHER PLANS: $3.23
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: Urinalysis, manual test $8 $8 $2.94 – $8.23
Urine test (manual, without microscope): rates for 4 insurance plans
  • AETNA HMO — AETNA HMO: $8.23
  • AETNA PPO-ALL OTHER PLANS — AETNA PPO-ALL OTHER PLANS: $8.23
  • WELLMARK BCBS HMO — WELLMARK BCBS HMO: $2.94
  • WELLMARK BCBS PPO-ALL OTHER PLANS — WELLMARK BCBS PPO-ALL OTHER PLANS: $3.23
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: Automated urinalysis test $10 $10 $1.73 – $2.30
Urine test (automated, without microscope): rates for 6 insurance plans
  • AETNA HMO — AETNA HMO: $1.73
  • AETNA MCR ADV — AETNA MCR ADV: $2.25
  • AETNA PPO-ALL OTHER PLANS — AETNA PPO-ALL OTHER PLANS: $1.73
  • UHC MEDICAID-ALL PLANS — UHC MEDICAID-ALL PLANS: $2.14
  • WELLMARK BCBS HMO — WELLMARK BCBS HMO: $2.25
  • WELLMARK BCBS PPO-ALL OTHER PLANS — WELLMARK BCBS PPO-ALL OTHER PLANS: $2.30
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PSA (prostate specific antigen) measurement, total $185 $185 $11.43 – $70.30
PSA (prostate specific antigen) blood test: rates for 6 insurance plans
  • AETNA HMO — AETNA HMO: $43.47
  • AETNA MCR ADV — AETNA MCR ADV: $61.05
  • AETNA PPO-ALL OTHER PLANS — AETNA PPO-ALL OTHER PLANS: $43.47
  • UHC MEDICAID-ALL PLANS — UHC MEDICAID-ALL PLANS: $70.30
  • WELLMARK BCBS HMO — WELLMARK BCBS HMO: $11.43
  • WELLMARK BCBS PPO-ALL OTHER PLANS — WELLMARK BCBS PPO-ALL OTHER PLANS: $12.55
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: Blood test, thyroid stimulating hormone (TSH) $170 $170 $12.99 – $64.60
Thyroid stimulating hormone (TSH) test: rates for 6 insurance plans
  • AETNA HMO — AETNA HMO: $39.73
  • AETNA MCR ADV — AETNA MCR ADV: $56.10
  • AETNA PPO-ALL OTHER PLANS — AETNA PPO-ALL OTHER PLANS: $39.73
  • UHC MEDICAID-ALL PLANS — UHC MEDICAID-ALL PLANS: $64.60
  • WELLMARK BCBS HMO — WELLMARK BCBS HMO: $12.99
  • WELLMARK BCBS PPO-ALL OTHER PLANS — WELLMARK BCBS PPO-ALL OTHER PLANS: $14.27
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count $47 $47 $5.94 – $18.36
Complete blood count (CBC) with differential: rates for 6 insurance plans
  • AETNA HMO — AETNA HMO: $18.36
  • AETNA MCR ADV — AETNA MCR ADV: $15.51
  • AETNA PPO-ALL OTHER PLANS — AETNA PPO-ALL OTHER PLANS: $18.36
  • UHC MEDICAID-ALL PLANS — UHC MEDICAID-ALL PLANS: $17.86
  • WELLMARK BCBS HMO — WELLMARK BCBS HMO: $5.94
  • WELLMARK BCBS PPO-ALL OTHER PLANS — WELLMARK BCBS PPO-ALL OTHER PLANS: $6.52
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: Complete blood cell count (red cells, white blood cell, platelets), automated test $93 $93 $5.94 – $35.34
Complete blood count (CBC), automated: rates for 6 insurance plans
  • AETNA HMO — AETNA HMO: $15.29
  • AETNA MCR ADV — AETNA MCR ADV: $30.69
  • AETNA PPO-ALL OTHER PLANS — AETNA PPO-ALL OTHER PLANS: $15.29
  • UHC MEDICAID-ALL PLANS — UHC MEDICAID-ALL PLANS: $35.34
  • WELLMARK BCBS HMO — WELLMARK BCBS HMO: $5.94
  • WELLMARK BCBS PPO-ALL OTHER PLANS — WELLMARK BCBS PPO-ALL OTHER PLANS: $6.52
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: Blood test, clotting time $57 $57 $3.92 – $21.66
Blood clotting time test (prothrombin time, PT): rates for 6 insurance plans
  • AETNA HMO — AETNA HMO: $10.13
  • AETNA MCR ADV — AETNA MCR ADV: $18.81
  • AETNA PPO-ALL OTHER PLANS — AETNA PPO-ALL OTHER PLANS: $10.13
  • UHC MEDICAID-ALL PLANS — UHC MEDICAID-ALL PLANS: $21.66
  • WELLMARK BCBS HMO — WELLMARK BCBS HMO: $3.92
  • WELLMARK BCBS PPO-ALL OTHER PLANS — WELLMARK BCBS PPO-ALL OTHER PLANS: $4.30
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: Coagulation assessment blood test, plasma or whole blood $79 $79 $3.92 – $30.02
Blood clotting test (partial thromboplastin time, PTT): rates for 6 insurance plans
  • AETNA HMO — AETNA HMO: $14.21
  • AETNA MCR ADV — AETNA MCR ADV: $26.07
  • AETNA PPO-ALL OTHER PLANS — AETNA PPO-ALL OTHER PLANS: $14.21
  • UHC MEDICAID-ALL PLANS — UHC MEDICAID-ALL PLANS: $30.02
  • WELLMARK BCBS HMO — WELLMARK BCBS HMO: $3.92
  • WELLMARK BCBS PPO-ALL OTHER PLANS — WELLMARK BCBS PPO-ALL OTHER PLANS: $4.30

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: CT scan head or brain without contrast $1,847 $1,847 $123.20 – $701.86
CT scan of the head or brain, without contrast: rates for 6 insurance plans
  • AETNA HMO — AETNA HMO: $123.20
  • AETNA MCR ADV — AETNA MCR ADV: $609.51
  • AETNA PPO-ALL OTHER PLANS — AETNA PPO-ALL OTHER PLANS: $123.20
  • UHC MEDICAID-ALL PLANS — UHC MEDICAID-ALL PLANS: $701.86
  • WELLMARK BCBS HMO — WELLMARK BCBS HMO: $345.83
  • WELLMARK BCBS PPO-ALL OTHER PLANS — WELLMARK BCBS PPO-ALL OTHER PLANS: $379.72
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MRI scan of brain before and after contrast $3,901 $3,901 $351.33 – $1,482.38
MRI of the brain, before and after contrast: rates for 6 insurance plans
  • AETNA HMO — AETNA HMO: $351.33
  • AETNA MCR ADV — AETNA MCR ADV: $1,287.33
  • AETNA PPO-ALL OTHER PLANS — AETNA PPO-ALL OTHER PLANS: $351.33
  • UHC MEDICAID-ALL PLANS — UHC MEDICAID-ALL PLANS: $1,482.38
  • WELLMARK BCBS HMO — WELLMARK BCBS HMO: $465.20
  • WELLMARK BCBS PPO-ALL OTHER PLANS — WELLMARK BCBS PPO-ALL OTHER PLANS: $510.79
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: X-ray of chest, 2 views $160 $160 $28.77 – $66.61
Chest X-ray, 2 views: rates for 6 insurance plans
  • AETNA HMO — AETNA HMO: $28.77
  • AETNA MCR ADV — AETNA MCR ADV: $52.80
  • AETNA PPO-ALL OTHER PLANS — AETNA PPO-ALL OTHER PLANS: $28.77
  • UHC MEDICAID-ALL PLANS — UHC MEDICAID-ALL PLANS: $60.80
  • WELLMARK BCBS HMO — WELLMARK BCBS HMO: $60.66
  • WELLMARK BCBS PPO-ALL OTHER PLANS — WELLMARK BCBS PPO-ALL OTHER PLANS: $66.61
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: X-ray of lower and sacral spine, minimum of 4 views $327 $327 $34.38 – $124.26
X-ray of the lower spine, at least 4 views: rates for 6 insurance plans
  • AETNA HMO — AETNA HMO: $34.38
  • AETNA MCR ADV — AETNA MCR ADV: $107.91
  • AETNA PPO-ALL OTHER PLANS — AETNA PPO-ALL OTHER PLANS: $34.38
  • UHC MEDICAID-ALL PLANS — UHC MEDICAID-ALL PLANS: $124.26
  • WELLMARK BCBS HMO — WELLMARK BCBS HMO: $60.66
  • WELLMARK BCBS PPO-ALL OTHER PLANS — WELLMARK BCBS PPO-ALL OTHER PLANS: $66.61
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MRI scan of lower spinal canal without contrast $3,579 $3,579 $227.55 – $1,360.02
MRI of the lower back (lumbar spine), without contrast: rates for 6 insurance plans
  • AETNA HMO — AETNA HMO: $227.55
  • AETNA MCR ADV — AETNA MCR ADV: $1,181.07
  • AETNA PPO-ALL OTHER PLANS — AETNA PPO-ALL OTHER PLANS: $227.55
  • UHC MEDICAID-ALL PLANS — UHC MEDICAID-ALL PLANS: $1,360.02
  • WELLMARK BCBS HMO — WELLMARK BCBS HMO: $271.58
  • WELLMARK BCBS PPO-ALL OTHER PLANS — WELLMARK BCBS PPO-ALL OTHER PLANS: $298.20
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT scan of pelvis with contrast $2,202 $2,202 $168.08 – $836.76
CT scan of the pelvis, with contrast: rates for 6 insurance plans
  • AETNA HMO — AETNA HMO: $168.08
  • AETNA MCR ADV — AETNA MCR ADV: $726.66
  • AETNA PPO-ALL OTHER PLANS — AETNA PPO-ALL OTHER PLANS: $168.08
  • UHC MEDICAID-ALL PLANS — UHC MEDICAID-ALL PLANS: $836.76
  • WELLMARK BCBS HMO — WELLMARK BCBS HMO: $345.83
  • WELLMARK BCBS PPO-ALL OTHER PLANS — WELLMARK BCBS PPO-ALL OTHER PLANS: $379.72
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: MRI scan of leg joint without contrast $3,733 $3,733 $208.18 – $1,418.54
MRI of a leg joint (such as the knee), without contrast: rates for 6 insurance plans
  • AETNA HMO — AETNA HMO: $208.18
  • AETNA MCR ADV — AETNA MCR ADV: $1,231.89
  • AETNA PPO-ALL OTHER PLANS — AETNA PPO-ALL OTHER PLANS: $208.18
  • UHC MEDICAID-ALL PLANS — UHC MEDICAID-ALL PLANS: $1,418.54
  • WELLMARK BCBS HMO — WELLMARK BCBS HMO: $271.58
  • WELLMARK BCBS PPO-ALL OTHER PLANS — WELLMARK BCBS PPO-ALL OTHER PLANS: $298.20
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT scan of abdomen and pelvis with contrast $4,658 $4,658 $264.11 – $1,770.04
CT scan of the abdomen and pelvis, with contrast: rates for 6 insurance plans
  • AETNA HMO — AETNA HMO: $264.11
  • AETNA MCR ADV — AETNA MCR ADV: $1,537.14
  • AETNA PPO-ALL OTHER PLANS — AETNA PPO-ALL OTHER PLANS: $264.11
  • UHC MEDICAID-ALL PLANS — UHC MEDICAID-ALL PLANS: $1,770.04
  • WELLMARK BCBS HMO — WELLMARK BCBS HMO: $345.83
  • WELLMARK BCBS PPO-ALL OTHER PLANS — WELLMARK BCBS PPO-ALL OTHER PLANS: $379.72
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: Complete ultrasound scan of abdomen $811 $811 $105.61 – $308.18
Ultrasound of the abdomen, complete: rates for 6 insurance plans
  • AETNA HMO — AETNA HMO: $105.61
  • AETNA MCR ADV — AETNA MCR ADV: $267.63
  • AETNA PPO-ALL OTHER PLANS — AETNA PPO-ALL OTHER PLANS: $105.61
  • UHC MEDICAID-ALL PLANS — UHC MEDICAID-ALL PLANS: $308.18
  • WELLMARK BCBS HMO — WELLMARK BCBS HMO: $181.08
  • WELLMARK BCBS PPO-ALL OTHER PLANS — WELLMARK BCBS PPO-ALL OTHER PLANS: $198.82
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: Ultrasound scan of pregnant uterus (14 weeks or more), single or first fetus $821 $821 $109.44 – $311.98
Pregnancy ultrasound (after the first trimester): rates for 6 insurance plans
  • AETNA HMO — AETNA HMO: $130.94
  • AETNA MCR ADV — AETNA MCR ADV: $270.93
  • AETNA PPO-ALL OTHER PLANS — AETNA PPO-ALL OTHER PLANS: $130.94
  • UHC MEDICAID-ALL PLANS — UHC MEDICAID-ALL PLANS: $311.98
  • WELLMARK BCBS HMO — WELLMARK BCBS HMO: $109.44
  • WELLMARK BCBS PPO-ALL OTHER PLANS — WELLMARK BCBS PPO-ALL OTHER PLANS: $120.17
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: Ultrasound scan of pregnant uterus (14 weeks or more), single or first fetus $248 $248 $42.65 – $248
Pregnancy ultrasound (after the first trimester): rates for 6 insurance plans
  • AETNA HMO — AETNA HMO: $42.65
  • AETNA MCR ADV — AETNA MCR ADV: $44.98
  • AETNA PPO-ALL OTHER PLANS — AETNA PPO-ALL OTHER PLANS: $42.65
  • UHC MEDICAID-ALL PLANS — UHC MEDICAID-ALL PLANS: $248
  • WELLMARK BCBS HMO — WELLMARK BCBS HMO: $81.80
  • WELLMARK BCBS PPO-ALL OTHER PLANS — WELLMARK BCBS PPO-ALL OTHER PLANS: $96.30
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina $109 $109 $29.76 – $109
Transvaginal ultrasound: rates for 6 insurance plans
  • AETNA HMO — AETNA HMO: $29.76
  • AETNA MCR ADV — AETNA MCR ADV: $30.86
  • AETNA PPO-ALL OTHER PLANS — AETNA PPO-ALL OTHER PLANS: $29.76
  • UHC MEDICAID-ALL PLANS — UHC MEDICAID-ALL PLANS: $109
  • WELLMARK BCBS HMO — WELLMARK BCBS HMO: $56.70
  • WELLMARK BCBS PPO-ALL OTHER PLANS — WELLMARK BCBS PPO-ALL OTHER PLANS: $66.70
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: Diagnostic mammography of 1 breast $492 $492 $53.09 – $186.96
Diagnostic mammogram, one breast: rates for 6 insurance plans
  • AETNA HMO — AETNA HMO: $105.61
  • AETNA MCR ADV — AETNA MCR ADV: $162.36
  • AETNA PPO-ALL OTHER PLANS — AETNA PPO-ALL OTHER PLANS: $105.61
  • UHC MEDICAID-ALL PLANS — UHC MEDICAID-ALL PLANS: $186.96
  • WELLMARK BCBS HMO — WELLMARK BCBS HMO: $53.09
  • WELLMARK BCBS PPO-ALL OTHER PLANS — WELLMARK BCBS PPO-ALL OTHER PLANS: $58.29
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: Diagnostic mammography of both breasts $625 $625 $53.09 – $237.50
Diagnostic mammogram, both breasts: rates for 6 insurance plans
  • AETNA HMO — AETNA HMO: $130.17
  • AETNA MCR ADV — AETNA MCR ADV: $206.25
  • AETNA PPO-ALL OTHER PLANS — AETNA PPO-ALL OTHER PLANS: $130.17
  • UHC MEDICAID-ALL PLANS — UHC MEDICAID-ALL PLANS: $237.50
  • WELLMARK BCBS HMO — WELLMARK BCBS HMO: $53.09
  • WELLMARK BCBS PPO-ALL OTHER PLANS — WELLMARK BCBS PPO-ALL OTHER PLANS: $58.29
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: Screening mammography $520 $520 $53.09 – $197.60
Screening mammogram, both breasts: rates for 6 insurance plans
  • AETNA HMO — AETNA HMO: $99.90
  • AETNA MCR ADV — AETNA MCR ADV: $171.60
  • AETNA PPO-ALL OTHER PLANS — AETNA PPO-ALL OTHER PLANS: $99.90
  • UHC MEDICAID-ALL PLANS — UHC MEDICAID-ALL PLANS: $197.60
  • WELLMARK BCBS HMO — WELLMARK BCBS HMO: $53.09
  • WELLMARK BCBS PPO-ALL OTHER PLANS — WELLMARK BCBS PPO-ALL OTHER PLANS: $58.29

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) In the file: Routine electrocardiogram (ECG) using at least 12 leads with interpretation and report $61 $61 $20.13 – $59.93
Electrocardiogram (ECG/EKG) with reading: rates for 6 insurance plans
  • AETNA HMO — AETNA HMO: $59.93
  • AETNA MCR ADV — AETNA MCR ADV: $20.13
  • AETNA PPO-ALL OTHER PLANS — AETNA PPO-ALL OTHER PLANS: $59.93
  • UHC MEDICAID-ALL PLANS — UHC MEDICAID-ALL PLANS: $23.18
  • WELLMARK BCBS HMO — WELLMARK BCBS HMO: $28.54
  • WELLMARK BCBS PPO-ALL OTHER PLANS — WELLMARK BCBS PPO-ALL OTHER PLANS: $31.33
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: Sleep study in sleep lab (6 years or older) $3,331 $3,331 $381.75 – $1,265.78
Sleep study (overnight, in a sleep lab): rates for 6 insurance plans
  • AETNA HMO — AETNA HMO: $381.75
  • AETNA MCR ADV — AETNA MCR ADV: $1,099.23
  • AETNA PPO-ALL OTHER PLANS — AETNA PPO-ALL OTHER PLANS: $381.75
  • UHC MEDICAID-ALL PLANS — UHC MEDICAID-ALL PLANS: $1,265.78
  • WELLMARK BCBS HMO — WELLMARK BCBS HMO: $828.46
  • WELLMARK BCBS PPO-ALL OTHER PLANS — WELLMARK BCBS PPO-ALL OTHER PLANS: $909.66

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes $118 $118 $38.94 – $183.79
Physical therapy: therapeutic exercise (each 15 minutes): rates for 6 insurance plans
  • AETNA HMO — AETNA HMO: $102
  • AETNA MCR ADV — AETNA MCR ADV: $38.94
  • AETNA PPO-ALL OTHER PLANS — AETNA PPO-ALL OTHER PLANS: $102
  • UHC MEDICAID-ALL PLANS — UHC MEDICAID-ALL PLANS: $44.84
  • WELLMARK BCBS HMO — WELLMARK BCBS HMO: $167.38
  • WELLMARK BCBS PPO-ALL OTHER PLANS — WELLMARK BCBS PPO-ALL OTHER PLANS: $183.79
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: Evaluation for physical therapy, typically 20 minutes $314 $314 $102 – $287.16
Physical therapy evaluation (low complexity): rates for 6 insurance plans
  • AETNA HMO — AETNA HMO: $102
  • AETNA MCR ADV — AETNA MCR ADV: $103.62
  • AETNA PPO-ALL OTHER PLANS — AETNA PPO-ALL OTHER PLANS: $102
  • UHC MEDICAID-ALL PLANS — UHC MEDICAID-ALL PLANS: $119.32
  • WELLMARK BCBS HMO — WELLMARK BCBS HMO: $261.53
  • WELLMARK BCBS PPO-ALL OTHER PLANS — WELLMARK BCBS PPO-ALL OTHER PLANS: $287.16
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: Evaluation for physical therapy, typically 30 minutes $409 $409 $102 – $287.16
Physical therapy evaluation (moderate complexity): rates for 6 insurance plans
  • AETNA HMO — AETNA HMO: $102
  • AETNA MCR ADV — AETNA MCR ADV: $134.97
  • AETNA PPO-ALL OTHER PLANS — AETNA PPO-ALL OTHER PLANS: $102
  • UHC MEDICAID-ALL PLANS — UHC MEDICAID-ALL PLANS: $155.42
  • WELLMARK BCBS HMO — WELLMARK BCBS HMO: $261.53
  • WELLMARK BCBS PPO-ALL OTHER PLANS — WELLMARK BCBS PPO-ALL OTHER PLANS: $287.16
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: Evaluation for physical therapy, typically 45 minutes $409 $409 $102 – $287.16
Physical therapy evaluation (high complexity): rates for 6 insurance plans
  • AETNA HMO — AETNA HMO: $102
  • AETNA MCR ADV — AETNA MCR ADV: $134.97
  • AETNA PPO-ALL OTHER PLANS — AETNA PPO-ALL OTHER PLANS: $102
  • UHC MEDICAID-ALL PLANS — UHC MEDICAID-ALL PLANS: $155.42
  • WELLMARK BCBS HMO — WELLMARK BCBS HMO: $261.53
  • WELLMARK BCBS PPO-ALL OTHER PLANS — WELLMARK BCBS PPO-ALL OTHER PLANS: $287.16

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: Removal of growth and tissue of breast, duct, or nipple $1,585 $1,585 $364.45 – $1,585
Removal of breast growth (open surgery): rates for 6 insurance plans
  • AETNA HMO — AETNA HMO: $618.63
  • AETNA MCR ADV — AETNA MCR ADV: $364.45
  • AETNA PPO-ALL OTHER PLANS — AETNA PPO-ALL OTHER PLANS: $618.63
  • UHC MEDICAID-ALL PLANS — UHC MEDICAID-ALL PLANS: $1,585
  • WELLMARK BCBS HMO — WELLMARK BCBS HMO: $769.40
  • WELLMARK BCBS PPO-ALL OTHER PLANS — WELLMARK BCBS PPO-ALL OTHER PLANS: $905.20
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: Replacement of thigh bone and hip joint with prosthesis $5,593 $5,593 $1,047.43 – $5,593
Total hip replacement: rates for 6 insurance plans
  • AETNA HMO — AETNA HMO: $2,007.71
  • AETNA MCR ADV — AETNA MCR ADV: $1,047.43
  • AETNA PPO-ALL OTHER PLANS — AETNA PPO-ALL OTHER PLANS: $2,007.71
  • UHC MEDICAID-ALL PLANS — UHC MEDICAID-ALL PLANS: $5,593
  • WELLMARK BCBS HMO — WELLMARK BCBS HMO: $2,429.80
  • WELLMARK BCBS PPO-ALL OTHER PLANS — WELLMARK BCBS PPO-ALL OTHER PLANS: $2,858.60
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: Replacement of knee joint, both sides of knee $5,973 $5,973 $1,045.50 – $5,973
Total knee replacement: rates for 6 insurance plans
  • AETNA HMO — AETNA HMO: $2,005.88
  • AETNA MCR ADV — AETNA MCR ADV: $1,045.50
  • AETNA PPO-ALL OTHER PLANS — AETNA PPO-ALL OTHER PLANS: $2,005.88
  • UHC MEDICAID-ALL PLANS — UHC MEDICAID-ALL PLANS: $5,973
  • WELLMARK BCBS HMO — WELLMARK BCBS HMO: $2,426.10
  • WELLMARK BCBS PPO-ALL OTHER PLANS — WELLMARK BCBS PPO-ALL OTHER PLANS: $2,854.20
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: Shaving of part of shoulder bone and repair of ligament using an endoscope $677 $677 $133.37 – $677
Shoulder arthroscopy: shaving of shoulder bone: rates for 6 insurance plans
  • AETNA HMO — AETNA HMO: $267.77
  • AETNA MCR ADV — AETNA MCR ADV: $133.37
  • AETNA PPO-ALL OTHER PLANS — AETNA PPO-ALL OTHER PLANS: $267.77
  • UHC MEDICAID-ALL PLANS — UHC MEDICAID-ALL PLANS: $677
  • WELLMARK BCBS HMO — WELLMARK BCBS HMO: $320.80
  • WELLMARK BCBS PPO-ALL OTHER PLANS — WELLMARK BCBS PPO-ALL OTHER PLANS: $377.40
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: Removal of knee cartilage using an endoscope $2,120 $2,120 $467.10 – $2,120
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 6 insurance plans
  • AETNA HMO — AETNA HMO: $855.78
  • AETNA MCR ADV — AETNA MCR ADV: $467.10
  • AETNA PPO-ALL OTHER PLANS — AETNA PPO-ALL OTHER PLANS: $855.78
  • UHC MEDICAID-ALL PLANS — UHC MEDICAID-ALL PLANS: $2,120
  • WELLMARK BCBS HMO — WELLMARK BCBS HMO: $1,037.80
  • WELLMARK BCBS PPO-ALL OTHER PLANS — WELLMARK BCBS PPO-ALL OTHER PLANS: $1,221
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope $1,206 $1,206 $102.80 – $1,206
Upper GI endoscopy (diagnostic): rates for 6 insurance plans
  • AETNA HMO — AETNA HMO: $203.86
  • AETNA MCR ADV — AETNA MCR ADV: $102.80
  • AETNA PPO-ALL OTHER PLANS — AETNA PPO-ALL OTHER PLANS: $203.86
  • UHC MEDICAID-ALL PLANS — UHC MEDICAID-ALL PLANS: $1,206
  • WELLMARK BCBS HMO — WELLMARK BCBS HMO: $232.60
  • WELLMARK BCBS PPO-ALL OTHER PLANS — WELLMARK BCBS PPO-ALL OTHER PLANS: $273.70
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope $1,390 $1,390 $115.02 – $1,390
Upper GI endoscopy with biopsy: rates for 6 insurance plans
  • AETNA HMO — AETNA HMO: $230.18
  • AETNA MCR ADV — AETNA MCR ADV: $115.02
  • AETNA PPO-ALL OTHER PLANS — AETNA PPO-ALL OTHER PLANS: $230.18
  • UHC MEDICAID-ALL PLANS — UHC MEDICAID-ALL PLANS: $1,390
  • WELLMARK BCBS HMO — WELLMARK BCBS HMO: $262.80
  • WELLMARK BCBS PPO-ALL OTHER PLANS — WELLMARK BCBS PPO-ALL OTHER PLANS: $309.10
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Diagnostic exam of large bowel using a flexible endoscope $1,591 $1,591 $152.60 – $1,591
Colonoscopy (diagnostic): rates for 6 insurance plans
  • AETNA HMO — AETNA HMO: $306.73
  • AETNA MCR ADV — AETNA MCR ADV: $152.60
  • AETNA PPO-ALL OTHER PLANS — AETNA PPO-ALL OTHER PLANS: $306.73
  • UHC MEDICAID-ALL PLANS — UHC MEDICAID-ALL PLANS: $1,591
  • WELLMARK BCBS HMO — WELLMARK BCBS HMO: $349.30
  • WELLMARK BCBS PPO-ALL OTHER PLANS — WELLMARK BCBS PPO-ALL OTHER PLANS: $410.90
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Biopsy of large bowel using a flexible endoscope $1,898 $1,898 $165.17 – $1,898
Colonoscopy with biopsy: rates for 6 insurance plans
  • AETNA HMO — AETNA HMO: $333.89
  • AETNA MCR ADV — AETNA MCR ADV: $165.17
  • AETNA PPO-ALL OTHER PLANS — AETNA PPO-ALL OTHER PLANS: $333.89
  • UHC MEDICAID-ALL PLANS — UHC MEDICAID-ALL PLANS: $1,898
  • WELLMARK BCBS HMO — WELLMARK BCBS HMO: $379.40
  • WELLMARK BCBS PPO-ALL OTHER PLANS — WELLMARK BCBS PPO-ALL OTHER PLANS: $446.40
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: Removal of polyps or growths of large bowel using an endoscope with mechanical snare $2,137 $2,137 $208.30 – $2,137
Colonoscopy with removal of polyps (snare): rates for 6 insurance plans
  • AETNA HMO — AETNA HMO: $422.88
  • AETNA MCR ADV — AETNA MCR ADV: $208.30
  • AETNA PPO-ALL OTHER PLANS — AETNA PPO-ALL OTHER PLANS: $422.88
  • UHC MEDICAID-ALL PLANS — UHC MEDICAID-ALL PLANS: $2,137
  • WELLMARK BCBS HMO — WELLMARK BCBS HMO: $480
  • WELLMARK BCBS PPO-ALL OTHER PLANS — WELLMARK BCBS PPO-ALL OTHER PLANS: $564.70
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK $1,298 $1,298 $152.74 – $1,298
Screening colonoscopy (not high risk): rates for 6 insurance plans
  • AETNA HMO — AETNA HMO: $211.49
  • AETNA MCR ADV — AETNA MCR ADV: $152.74
  • AETNA PPO-ALL OTHER PLANS — AETNA PPO-ALL OTHER PLANS: $211.49
  • UHC MEDICAID-ALL PLANS — UHC MEDICAID-ALL PLANS: $1,298
  • WELLMARK BCBS HMO — WELLMARK BCBS HMO: $346.70
  • WELLMARK BCBS PPO-ALL OTHER PLANS — WELLMARK BCBS PPO-ALL OTHER PLANS: $411.10
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: Removal of gallbladder using an endoscope $2,864 $2,864 $561.02 – $2,864
Gallbladder removal by laparoscope: rates for 6 insurance plans
  • AETNA HMO — AETNA HMO: $1,081.06
  • AETNA MCR ADV — AETNA MCR ADV: $561.02
  • AETNA PPO-ALL OTHER PLANS — AETNA PPO-ALL OTHER PLANS: $1,081.06
  • UHC MEDICAID-ALL PLANS — UHC MEDICAID-ALL PLANS: $2,864
  • WELLMARK BCBS HMO — WELLMARK BCBS HMO: $1,276.70
  • WELLMARK BCBS PPO-ALL OTHER PLANS — WELLMARK BCBS PPO-ALL OTHER PLANS: $1,502
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: Repair of groin hernia (5 years or older) $1,987 $1,987 $451.41 – $1,987
Groin (inguinal) hernia repair, age 5 or older: rates for 6 insurance plans
  • AETNA HMO — AETNA HMO: $859.36
  • AETNA MCR ADV — AETNA MCR ADV: $451.41
  • AETNA PPO-ALL OTHER PLANS — AETNA PPO-ALL OTHER PLANS: $859.36
  • UHC MEDICAID-ALL PLANS — UHC MEDICAID-ALL PLANS: $1,987
  • WELLMARK BCBS HMO — WELLMARK BCBS HMO: $1,013.90
  • WELLMARK BCBS PPO-ALL OTHER PLANS — WELLMARK BCBS PPO-ALL OTHER PLANS: $1,192.80
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: Biopsy of lining of uterus and/or removal of polyp using an endoscope $3,703 $3,703 $186.14 – $3,703
Hysteroscopy with biopsy of the uterus lining: rates for 6 insurance plans
  • AETNA HMO — AETNA HMO: $278.49
  • AETNA MCR ADV — AETNA MCR ADV: $186.14
  • AETNA PPO-ALL OTHER PLANS — AETNA PPO-ALL OTHER PLANS: $278.49
  • UHC MEDICAID-ALL PLANS — UHC MEDICAID-ALL PLANS: $3,703
  • WELLMARK BCBS HMO — WELLMARK BCBS HMO: $435.30
  • WELLMARK BCBS PPO-ALL OTHER PLANS — WELLMARK BCBS PPO-ALL OTHER PLANS: $512.10
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: Injection of substance into lower spine canal using imaging guidance $1,126 $1,126 $83.66 – $1,126
Spinal injection, lower back (epidural), with imaging guidance: rates for 6 insurance plans
  • AETNA HMO — AETNA HMO: $141.79
  • AETNA MCR ADV — AETNA MCR ADV: $83.66
  • AETNA PPO-ALL OTHER PLANS — AETNA PPO-ALL OTHER PLANS: $141.79
  • UHC MEDICAID-ALL PLANS — UHC MEDICAID-ALL PLANS: $1,126
  • WELLMARK BCBS HMO — WELLMARK BCBS HMO: $185.40
  • WELLMARK BCBS PPO-ALL OTHER PLANS — WELLMARK BCBS PPO-ALL OTHER PLANS: $218.20
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level $1,335 $1,335 $93.39 – $1,335
Nerve root injection, lower back, with imaging guidance: rates for 6 insurance plans
  • AETNA HMO — AETNA HMO: $158.77
  • AETNA MCR ADV — AETNA MCR ADV: $93.39
  • AETNA PPO-ALL OTHER PLANS — AETNA PPO-ALL OTHER PLANS: $158.77
  • UHC MEDICAID-ALL PLANS — UHC MEDICAID-ALL PLANS: $1,335
  • WELLMARK BCBS HMO — WELLMARK BCBS HMO: $208
  • WELLMARK BCBS PPO-ALL OTHER PLANS — WELLMARK BCBS PPO-ALL OTHER PLANS: $244.70
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: Release and/or relocation of hand nerve $1,649 $1,649 $383.86 – $1,649
Carpal tunnel release: rates for 6 insurance plans
  • AETNA HMO — AETNA HMO: $622.40
  • AETNA MCR ADV — AETNA MCR ADV: $383.86
  • AETNA PPO-ALL OTHER PLANS — AETNA PPO-ALL OTHER PLANS: $622.40
  • UHC MEDICAID-ALL PLANS — UHC MEDICAID-ALL PLANS: $1,649
  • WELLMARK BCBS HMO — WELLMARK BCBS HMO: $837.60
  • WELLMARK BCBS PPO-ALL OTHER PLANS — WELLMARK BCBS PPO-ALL OTHER PLANS: $985.40

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) In the file: Vaginal delivery with care before and after delivery $4,099 $4,099 $2,372.09 – $3,976.03
Vaginal delivery, with care before and after: rates for 4 insurance plans
  • AETNA HMO — AETNA HMO: $3,976.03
  • AETNA PPO-ALL OTHER PLANS — AETNA PPO-ALL OTHER PLANS: $3,976.03
  • WELLMARK BCBS HMO — WELLMARK BCBS HMO: $2,372.09
  • WELLMARK BCBS PPO-ALL OTHER PLANS — WELLMARK BCBS PPO-ALL OTHER PLANS: $2,604.57
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) In the file: Cesarean delivery with care before and after delivery $6,651 $6,651 $2,154.73 – $6,651
Cesarean delivery (C-section), with care before and after: rates for 6 insurance plans
  • AETNA HMO — AETNA HMO: $3,768.99
  • AETNA MCR ADV — AETNA MCR ADV: $2,154.73
  • AETNA PPO-ALL OTHER PLANS — AETNA PPO-ALL OTHER PLANS: $3,768.99
  • UHC MEDICAID-ALL PLANS — UHC MEDICAID-ALL PLANS: $6,651
  • WELLMARK BCBS HMO — WELLMARK BCBS HMO: $3,294.50
  • WELLMARK BCBS PPO-ALL OTHER PLANS — WELLMARK BCBS PPO-ALL OTHER PLANS: $3,875.90
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) In the file: Vaginal delivery and care before and after delivery after previous cesarean delivery $4,192 $4,192 $2,372.09 – $4,066.24
Vaginal delivery after a previous C-section, with care before and after: rates for 4 insurance plans
  • AETNA HMO — AETNA HMO: $4,066.24
  • AETNA PPO-ALL OTHER PLANS — AETNA PPO-ALL OTHER PLANS: $4,066.24
  • WELLMARK BCBS HMO — WELLMARK BCBS HMO: $2,372.09
  • WELLMARK BCBS PPO-ALL OTHER PLANS — WELLMARK BCBS PPO-ALL OTHER PLANS: $2,604.57

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $37,395.31 $37,395.31 $2,370 – $18,681.63
Hip or knee replacement (major joint of the leg), without major complications: rates for 6 insurance plans
  • AETNA HMO — AETNA HMO: $2,370
  • AETNA MCR ADV — AETNA MCR ADV: $3,334
  • AETNA PPO-ALL OTHER PLANS — AETNA PPO-ALL OTHER PLANS: $2,370
  • UHC MEDICAID-ALL PLANS — UHC MEDICAID-ALL PLANS: $18,681.63
  • WELLMARK BCBS HMO — WELLMARK BCBS HMO: $17,949.75
  • WELLMARK BCBS PPO-ALL OTHER PLANS — WELLMARK BCBS PPO-ALL OTHER PLANS: $17,949.75

Source: Wayne County Hospital’s standard charges file (apps.para-hcfs.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on June 10, 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
Address417 South East Street, Corydon, IA 50060
CountyWayne County
StateIowa
Phone(641) 872‑2260
Emergency servicesYes
OwnershipGovernment - Local
Medicare overall ratingNot rated by CMS
CMS Certification Number161358
Name in Medicare recordsWAYNE COUNTY HOSPITAL
Profile levelMedicare data + hospital website
Official websitewaynecountyhospital.org
CorrectionsReport an error or suggest an update →

Sources

  1. Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
  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. Wayne County Hospital — waynecountyhospital.org
  2. Emergency Medical Services — waynecountyhospital.org