Davis County Hospital
Bloomfield, IA · Critical Access Hospital
Posts prices for 55 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) | $1,436.20 | $1,436.20 | 0.4× |
| Shoulder arthroscopy with decompression (29826) | $529 | $529 | — |
| Knee arthroscopy with meniscectomy (29881) | $1,597 | $1,597 | 0.5× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) likely a partial charge, not the full procedure |
$869 | $869 | 0.2× |
| Upper GI endoscopy (EGD), diagnostic (43235) | $773 | $773 | 0.9× |
| Upper GI endoscopy (EGD) with biopsy (43239) | $853 | $853 | 1.0× |
| Diagnostic colonoscopy (45378) | $1,029 | $1,029 | 1.2× |
| Colonoscopy with biopsy (45380) | $1,230 | $1,230 | 1.1× |
| Colonoscopy with lesion removal (45385) | $1,389 | $1,389 | 1.2× |
| Laparoscopic gallbladder removal (47562) unusually low: confirm this is the full procedure |
$2,455 | $2,455 | 0.4× |
| Inguinal hernia repair (age 5+) (49505) | $1,286 | $1,286 | 0.4× |
| Transforaminal epidural injection, lumbar/sacral (64483) range across 4 matching MRF lines |
$637–$3,632 | $637–$3,632 | varies |
| CT head/brain without contrast (70450) | $1,674 | $1,674 | 16.7× |
| MRI brain without contrast (70551) | $2,596 | $2,596 | 11.3× |
| MRI brain with contrast (70552) | $2,961 | $2,961 | 8.8× |
| MRI brain without and with contrast (70553) | $3,636 | $3,636 | 10.8× |
| X-ray lower spine, 4+ views (72110) | $494 | $494 | 4.9× |
| MRI lumbar spine without contrast (72148) | $2,632 | $2,632 | 11.5× |
| CT pelvis with contrast (72193) | $2,439 | $2,439 | 14.5× |
| MRI lower-extremity joint without contrast (73721) | $2,359 | $2,359 | 10.3× |
| CT abdomen and pelvis with contrast (74177) | $3,662 | $3,662 | 10.9× |
| Ultrasound, abdomen complete (76700) | $1,068 | $1,068 | 10.6× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) | $671 | $671 | 6.7× |
| Ultrasound, transvaginal (76830) | $671 | $671 | 6.7× |
| Mammography, one breast (diagnostic) (77065) | $494 | $494 | 5.7× |
| Mammography, both breasts (diagnostic) (77066) | $616 | $616 | 5.6× |
| Mammography, screening (bilateral) (77067) range across 2 matching MRF lines |
$316–$474 | $316–$474 | varies |
| Basic metabolic panel (80048) | $77 | $77 | 9.1× |
| Comprehensive metabolic panel (80053) | $95 | $95 | 9.0× |
| Lipid panel (80061) | $114 | $114 | 8.5× |
| Renal function panel (80069) | $88 | $88 | 10.1× |
| Hepatic function panel (80076) | $72 | $72 | 8.8× |
| Urinalysis, non-automated, without microscopy (81002) | $12 | $12 | 3.4× |
| PSA, total (84153) range across 2 matching MRF lines |
$166–$216 | $166–$216 | varies |
| Thyroid stimulating hormone (TSH) (84443) | $143 | $143 | 8.5× |
| CBC with automated differential (85025) | $75 | $75 | 9.7× |
| CBC, automated (85027) | $59 | $59 | 9.1× |
| Prothrombin time (PT) (85610) | $42 | $42 | 9.8× |
| Partial thromboplastin time (PTT) (85730) | $60 | $60 | 10.0× |
| Psychotherapy, 30 minutes (90832) | $335 | $335 | 2.0× |
| Psychotherapy, 45 minutes (90834) | $361 | $361 | 2.1× |
| Psychotherapy, 60 minutes (90837) | $386 | $386 | 2.3× |
| Family psychotherapy, without patient (50 min) (90846) | $386 | $386 | 2.3× |
| Family psychotherapy, with patient (50 min) (90847) | $386 | $386 | 2.3× |
| Group psychotherapy (90853) | $310 | $310 | 3.2× |
| Electrocardiogram (ECG), complete (93000) | $239 | $239 | 4.2× |
| Sleep study (attended polysomnography) (95810) | $3,720 | $3,720 | 4.5× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) | $115 | $115 | 4.0× |
| Office visit, new patient (low complexity, ~30 min) (99203) range across 3 matching MRF lines |
$31–$206 | $31–$206 | varies |
| Office visit, new patient (moderate complexity, ~45 min) (99204) range across 3 matching MRF lines |
$31–$309 | $31–$309 | varies |
| Office visit, new patient (high complexity, ~60 min) (99205) range across 3 matching MRF lines |
$31–$381 | $31–$381 | varies |
| Office consultation (low complexity, ~30 min) (99243) | $309 | $309 | 2.4× |
| Office consultation (moderate complexity, ~40 min) (99244) | $366 | $366 | 2.9× |
| Preventive visit, new patient (age 18–39) (99385) range across 3 matching MRF lines |
$30–$242 | $30–$242 | varies |
| Preventive visit, new patient (age 40–64) (99386) range across 3 matching MRF lines |
$30–$289 | $30–$289 | varies |
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: 225 codes with posted prices and Medicare benchmarks
- Lab & pathology: 417 codes with posted prices and Medicare benchmarks
- Visits & medical services: 155 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 609 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 34 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (CSV, 31.5 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.