Dallas County Hospital
Perry, IA · Critical Access Hospital
Posts prices for 57 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-08.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Breast lesion removal (open) (19120) | $3,456 | $5,317 | 0.9× |
| Shoulder arthroscopy with decompression (29826) | $1,253 | $1,927 | — |
| Knee arthroscopy with meniscectomy (29881) | $1,417 | $2,180 | 0.4× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) | $4,269 | $6,568 | 0.7× |
| Upper GI endoscopy (EGD), diagnostic (43235) range across 2 matching MRF lines |
$543–$621 | $836–$955 | varies |
| Upper GI endoscopy (EGD) with biopsy (43239) range across 2 matching MRF lines |
$361–$776 | $556–$1,194 | varies |
| Diagnostic colonoscopy (45378) | $788 | $1,212 | 0.9× |
| Colonoscopy with biopsy (45380) | $931 | $1,433 | 0.8× |
| Colonoscopy with lesion removal (45385) | $983 | $1,512 | 0.9× |
| Laparoscopic gallbladder removal (47562) likely a partial charge, not the full procedure |
$1,325 | $2,039 | 0.2× |
| Inguinal hernia repair (age 5+) (49505) | $1,046 | $1,609 | 0.3× |
| Epidural injection, lumbar/sacral (with imaging) (62322) | $307 | $473 | 0.4× |
| Transforaminal epidural injection, lumbar/sacral (64483) | $647 | $996 | 0.8× |
| Cataract removal with lens insertion (66984) | $5,714 | $8,790 | 2.6× |
| CT head/brain without contrast (70450) | $835 | $1,285 | 8.3× |
| MRI brain without contrast (70551) | $2,524 | $3,883 | 11.0× |
| MRI brain without and with contrast (70553) | $4,248 | $6,536 | 12.6× |
| X-ray lower spine, 4+ views (72110) range across 2 matching MRF lines |
$400–$431 | $615–$663 | varies |
| MRI lumbar spine without contrast (72148) | $2,428 | $3,735 | 10.5× |
| CT pelvis with contrast (72193) | $2,320 | $3,569 | 13.7× |
| MRI lower-extremity joint without contrast (73721) | $2,739 | $4,214 | 11.9× |
| CT abdomen and pelvis with contrast (74177) | $2,971 | $4,571 | 8.8× |
| Ultrasound, abdomen complete (76700) | $987 | $1,518 | 9.8× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) range across 2 matching MRF lines |
$287–$1,089 | $442–$1,676 | varies |
| Ultrasound, transvaginal (76830) | $1,066 | $1,640 | 10.6× |
| Mammography, one breast (diagnostic) (77065) range across 3 matching MRF lines |
$47–$1,100 | $73–$1,692 | varies |
| Mammography, both breasts (diagnostic) (77066) range across 2 matching MRF lines |
$303–$1,401 | $466–$2,156 | varies |
| Mammography, screening (bilateral) (77067) range across 4 matching MRF lines |
$47–$382 | $73–$588 | varies |
| Basic metabolic panel (80048) | $91 | $140 | 10.8× |
| Comprehensive metabolic panel (80053) | $145 | $223 | 13.7× |
| Lipid panel (80061) range across 4 matching MRF lines |
$91–$101 | $140–$156 | varies |
| Renal function panel (80069) | $99 | $153 | 11.4× |
| Hepatic function panel (80076) | $101 | $156 | 12.4× |
| Urinalysis, non-automated, with microscopy (81000) | $39 | $60 | 9.7× |
| Urinalysis, non-automated, without microscopy (81002) | $25 | $38 | 7.2× |
| PSA, total (84153) range across 5 matching MRF lines |
$109–$114 | $168–$175 | varies |
| Thyroid stimulating hormone (TSH) (84443) range across 5 matching MRF lines |
$97–$110 | $149–$169 | varies |
| CBC with automated differential (85025) | $73 | $113 | 9.4× |
| CBC, automated (85027) | $62 | $95 | 9.6× |
| Prothrombin time (PT) (85610) | $38 | $59 | 8.9× |
| Partial thromboplastin time (PTT) (85730) | $53 | $81 | 8.8× |
| Psychotherapy, 30 minutes (90832) | $436 | $671 | 2.5× |
| Psychotherapy, 45 minutes (90834) | $540 | $830 | 3.1× |
| Psychotherapy, 60 minutes (90837) | $551 | $847 | 3.2× |
| Family psychotherapy, without patient (50 min) (90846) | $543 | $835 | 3.2× |
| Family psychotherapy, with patient (50 min) (90847) | $570 | $877 | 3.3× |
| Group psychotherapy (90853) | $525 | $808 | 5.4× |
| Electrocardiogram (ECG), complete (93000) range across 3 matching MRF lines |
$72–$75 | $110–$116 | varies |
| Sleep study (attended polysomnography) (95810) range across 2 matching MRF lines |
$2,263–$3,599 | $3,482–$5,537 | varies |
| Physical therapy, therapeutic exercise (per 15 min) (97110) range across 6 matching MRF lines |
$67–$74 | $103–$114 | varies |
| Office visit, new patient (low complexity, ~30 min) (99203) range across 10 matching MRF lines |
$16–$156 | $25–$240 | varies |
| Office visit, new patient (moderate complexity, ~45 min) (99204) range across 9 matching MRF lines |
$47–$232 | $72–$357 | varies |
| Office visit, new patient (high complexity, ~60 min) (99205) range across 9 matching MRF lines |
$61–$309 | $94–$475 | varies |
| Office consultation (low complexity, ~30 min) (99243) range across 4 matching MRF lines |
$190–$229 | $292–$353 | varies |
| Office consultation (moderate complexity, ~40 min) (99244) range across 4 matching MRF lines |
$7–$322 | $11–$495 | varies |
| Preventive visit, new patient (age 18–39) (99385) | $183 | $282 | — |
| Preventive visit, new patient (age 40–64) (99386) | $220 | $338 | — |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.
As a Critical Access Hospital, Medicare pays this facility about 101% of its own costs. The × Medicare column compares the cash price against that cost-based benchmark, not a standard rate.
More prices at this hospital
- Imaging: 211 codes with posted prices and Medicare benchmarks
- Lab & pathology: 599 codes with posted prices and Medicare benchmarks
- Visits & medical services: 153 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 810 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 27 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (CSV, 31.6 MB) ↓ — captured 2026-09-08
File links point at the hospital's own hosting and sometimes rotate — if the download fails, use the hospital's transparency page.