Iowa Specialty Hospital - Belmond

Belmond, IA · Critical Access Hospital

Posts prices for 56 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-08.

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ProcedurePosted cashPosted gross× Medicare
Breast lesion removal (open) (19120) $979.80 $1,633 0.3×
Knee arthroscopy with meniscectomy (29881) $2,416.80 $4,028 0.8×
Tonsillectomy and adenoidectomy (under age 12) (42820)
likely a partial charge, not the full procedure
$600 $1,000 0.1×
Upper GI endoscopy (EGD), diagnostic (43235) $771 $1,285 0.9×
Upper GI endoscopy (EGD) with biopsy (43239) $778.80 $1,298 0.9×
Diagnostic colonoscopy (45378) $771 $1,285 0.9×
Colonoscopy with biopsy (45380) $841.80 $1,403 0.7×
Colonoscopy with lesion removal (45385) $1,080.60 $1,801 0.9×
Laparoscopic gallbladder removal (47562)
likely a partial charge, not the full procedure
$1,249.20 $2,082 0.2×
Inguinal hernia repair (age 5+) (49505) $1,191 $1,985 0.3×
Epidural injection, lumbar/sacral (with imaging) (62322)
range across 2 matching MRF lines
$389.40–$408.60 $649–$681 varies
Transforaminal epidural injection, lumbar/sacral (64483)
range across 2 matching MRF lines
$389.40–$1,915.80 $649–$3,193 varies
CT head/brain without contrast (70450)
range across 2 matching MRF lines
$122.40–$1,139.40 $204–$1,899 varies
MRI brain without contrast (70551)
range across 2 matching MRF lines
$248.40–$2,496 $414–$4,160 varies
MRI brain with contrast (70552)
range across 2 matching MRF lines
$162–$2,582.40 $270–$4,304 varies
MRI brain without and with contrast (70553)
range across 2 matching MRF lines
$393–$3,603 $655–$6,005 varies
X-ray lower spine, 4+ views (72110)
range across 2 matching MRF lines
$45–$290.40 $75–$484 varies
MRI lumbar spine without contrast (72148)
range across 2 matching MRF lines
$260.40–$2,556 $434–$4,260 varies
CT pelvis with contrast (72193)
range across 2 matching MRF lines
$153–$1,384.20 $255–$2,307 varies
MRI lower-extremity joint without contrast (73721)
range across 2 matching MRF lines
$174–$2,496 $290–$4,160 varies
CT abdomen and pelvis with contrast (74177)
range across 2 matching MRF lines
$212.40–$2,958 $354–$4,930 varies
Ultrasound, abdomen complete (76700)
range across 2 matching MRF lines
$150–$577.20 $250–$962 varies
Ultrasound, pregnant uterus (≥14 weeks) (76805)
range across 2 matching MRF lines
$129.60–$333.60 $216–$556 varies
Ultrasound, transvaginal (76830)
range across 2 matching MRF lines
$108.60–$383.40 $181–$639 varies
Mammography, one breast (diagnostic) (77065)
range across 4 matching MRF lines
$81–$331.20 $135–$552 varies
Mammography, both breasts (diagnostic) (77066)
range across 5 matching MRF lines
$103.80–$424.80 $173–$708 varies
Mammography, screening (bilateral) (77067)
range across 3 matching MRF lines
$85.20–$343.20 $142–$572 varies
Basic metabolic panel (80048)
range across 3 matching MRF lines
$9–$151.80 $15–$253 varies
Comprehensive metabolic panel (80053)
range across 5 matching MRF lines
$6.60–$219 $11–$365 varies
Obstetric panel (80055) $80.40 $134 1.7×
Lipid panel (80061)
range across 4 matching MRF lines
$6.60–$162.60 $11–$271 varies
Renal function panel (80069)
range across 3 matching MRF lines
$9–$145.80 $15–$243 varies
Hepatic function panel (80076)
range across 2 matching MRF lines
$7.20–$116.40 $12–$194 varies
Urinalysis, non-automated, without microscopy (81002)
range across 2 matching MRF lines
$7.20–$35.40 $12–$59 varies
PSA, total (84153)
range across 4 matching MRF lines
$13.20–$133.20 $22–$222 varies
Thyroid stimulating hormone (TSH) (84443)
range across 3 matching MRF lines
$15–$103.20 $25–$172 varies
CBC with automated differential (85025)
range across 5 matching MRF lines
$8.40–$94.20 $14–$157 varies
CBC, automated (85027)
range across 4 matching MRF lines
$6–$60 $10–$100 varies
Prothrombin time (PT) (85610)
range across 4 matching MRF lines
$3.60–$48.60 $6–$81 varies
Partial thromboplastin time (PTT) (85730) $48.60 $81 8.1×
Psychotherapy, 30 minutes (90832) $87 $145 0.5×
Psychotherapy, 45 minutes (90834) $100.80 $168 0.6×
Psychotherapy, 60 minutes (90837) $144.60 $241 0.8×
Family psychotherapy, without patient (50 min) (90846) $122.40 $204 0.7×
Family psychotherapy, with patient (50 min) (90847) $127.80 $213 0.7×
Group psychotherapy (90853)
range across 2 matching MRF lines
$48.60–$154.80 $81–$258 varies
Electrocardiogram (ECG), complete (93000)
range across 4 matching MRF lines
$72–$161.40 $120–$269 varies
Sleep study (attended polysomnography) (95810)
range across 3 matching MRF lines
$240–$2,496 $400–$4,160 varies
Physical therapy, therapeutic exercise (per 15 min) (97110)
range across 5 matching MRF lines
$55.20–$102 $92–$170 varies
Office visit, new patient (low complexity, ~30 min) (99203)
range across 2 matching MRF lines
$132.60–$136.80 $221–$228 varies
Office visit, new patient (moderate complexity, ~45 min) (99204)
range across 2 matching MRF lines
$197.40–$203.40 $329–$339 varies
Office visit, new patient (high complexity, ~60 min) (99205)
range across 2 matching MRF lines
$260.40–$268.20 $434–$447 varies
Office consultation (low complexity, ~30 min) (99243)
range across 2 matching MRF lines
$142.20–$144 $237–$240 varies
Office consultation (moderate complexity, ~40 min) (99244)
range across 2 matching MRF lines
$45.60–$216 $76–$360 varies
Preventive visit, new patient (age 18–39) (99385) $177 $295 —
Preventive visit, new patient (age 40–64) (99386) $204 $340 —

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

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Download the machine-readable file (CSV, 41.6 MB) ↓ — captured 2026-09-08

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