Lucas County Health Center
Chariton, IA · Critical Access Hospital
Posts prices for 42 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) | $834.30 | $927 | 0.2× |
| Upper GI endoscopy (EGD), diagnostic (43235) | $489.60 | $544 | 0.6× |
| Upper GI endoscopy (EGD) with biopsy (43239) | $489.60 | $544 | 0.6× |
| Diagnostic colonoscopy (45378) | $990 | $1,100 | 1.1× |
| Colonoscopy with biopsy (45380) | $1,170 | $1,300 | 1.0× |
| Colonoscopy with lesion removal (45385) | $1,170 | $1,300 | 1.0× |
| Laparoscopic gallbladder removal (47562) likely a partial charge, not the full procedure |
$1,112.40 | $1,236 | 0.2× |
| Transforaminal epidural injection, lumbar/sacral (64483) range across 2 matching MRF lines |
$580.50–$870.30 | $645–$967 | varies |
| CT head/brain without contrast (70450) | $1,422 | $1,580 | 14.1× |
| MRI brain without contrast (70551) | $2,250 | $2,500 | 9.8× |
| MRI brain without and with contrast (70553) | $3,600 | $4,000 | 10.7× |
| X-ray lower spine, 4+ views (72110) | $269.10 | $299 | 2.7× |
| MRI lumbar spine without contrast (72148) | $2,250 | $2,500 | 9.8× |
| CT pelvis with contrast (72193) | $1,620 | $1,800 | 9.6× |
| MRI lower-extremity joint without contrast (73721) range across 2 matching MRF lines |
$2,250–$4,500 | $2,500–$5,000 | varies |
| CT abdomen and pelvis with contrast (74177) | $3,732.30 | $4,147 | 11.1× |
| Ultrasound, abdomen complete (76700) | $686.70 | $763 | 6.8× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) | $630 | $700 | 6.3× |
| Ultrasound, transvaginal (76830) | $567 | $630 | 5.6× |
| Mammography, one breast (diagnostic) (77065) | $270 | $300 | 3.1× |
| Mammography, both breasts (diagnostic) (77066) | $360 | $400 | 3.3× |
| Mammography, screening (bilateral) (77067) | $360 | $400 | 3.9× |
| Basic metabolic panel (80048) | $75.60 | $84 | 8.9× |
| Comprehensive metabolic panel (80053) | $92.70 | $103 | 8.8× |
| Lipid panel (80061) range across 3 matching MRF lines |
$101.35–$116.10 | $112.61–$129 | varies |
| Renal function panel (80069) | $76.50 | $85 | 8.8× |
| Hepatic function panel (80076) | $72.90 | $81 | 8.9× |
| Urinalysis, non-automated, without microscopy (81002) | $18.90 | $21 | 5.4× |
| PSA, total (84153) | $158.40 | $176 | 8.6× |
| Thyroid stimulating hormone (TSH) (84443) | $144.90 | $161 | 8.6× |
| CBC with automated differential (85025) | $70.20 | $78 | 9.0× |
| CBC, automated (85027) | $70.20 | $78 | 10.9× |
| Prothrombin time (PT) (85610) range across 3 matching MRF lines |
$28.20–$31.65 | $31.33–$35.17 | varies |
| Partial thromboplastin time (PTT) (85730) | $47.70 | $53 | 7.9× |
| Electrocardiogram (ECG), complete (93000) | $180 | $200 | 3.2× |
| Sleep study (attended polysomnography) (95810) | $2,700 | $3,000 | 3.3× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) | $83.70 | $93 | 2.9× |
| Office visit, new patient (low complexity, ~30 min) (99203) range across 2 matching MRF lines |
$180–$194.40 | $200–$216 | varies |
| Office visit, new patient (moderate complexity, ~45 min) (99204) | $260.10 | $289 | 2.0× |
| Office visit, new patient (high complexity, ~60 min) (99205) | $322.20 | $358 | 2.5× |
| Preventive visit, new patient (age 18–39) (99385) | $204.30 | $227 | — |
| Preventive visit, new patient (age 40–64) (99386) | $233.10 | $259 | — |
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: 146 codes with posted prices and Medicare benchmarks
- Lab & pathology: 391 codes with posted prices and Medicare benchmarks
- Visits & medical services: 102 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 229 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 15 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (CSV, 15.6 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.