Sioux Center Health
Sioux Center, IA · Critical Access Hospital
Posts prices for 46 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) | $793.46 | $818 | 0.2× |
| Upper GI endoscopy (EGD), diagnostic (43235) | $826.44 | $852 | 0.9× |
| Upper GI endoscopy (EGD) with biopsy (43239) | $1,057.30 | $1,090 | 1.2× |
| Diagnostic colonoscopy (45378) | $983.58 | $1,014 | 1.1× |
| Colonoscopy with biopsy (45380) | $1,267.79 | $1,307 | 1.1× |
| Colonoscopy with lesion removal (45385) | $1,318.23 | $1,359 | 1.1× |
| Laparoscopic gallbladder removal (47562) unusually low: confirm this is the full procedure |
$1,825.54 | $1,882 | 0.3× |
| Inguinal hernia repair (age 5+) (49505) range across 3 matching MRF lines |
$1,453.06–$2,179.59 | $1,498–$2,247 | varies |
| Epidural injection, lumbar/sacral (with imaging) (62322) | $423.89 | $437 | 0.5× |
| Transforaminal epidural injection, lumbar/sacral (64483) range across 3 matching MRF lines |
$452.02–$752.72 | $466–$776 | varies |
| CT head/brain without contrast (70450) | $1,255.18 | $1,294 | 12.5× |
| MRI brain without contrast (70551) | $2,777.11 | $2,863 | 12.1× |
| MRI brain without and with contrast (70553) | $4,304.86 | $4,438 | 12.8× |
| X-ray lower spine, 4+ views (72110) | $225.04 | $232 | 2.2× |
| MRI lumbar spine without contrast (72148) | $2,655.86 | $2,738 | 11.6× |
| CT pelvis with contrast (72193) | $1,368.67 | $1,411 | 8.1× |
| MRI lower-extremity joint without contrast (73721) | $2,275.62 | $2,346 | 9.9× |
| CT abdomen and pelvis with contrast (74177) | $1,338.60 | $1,380 | 4.0× |
| Ultrasound, abdomen complete (76700) | $442.32 | $456 | 4.4× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) | $550.96 | $568 | 5.5× |
| Ultrasound, transvaginal (76830) | $308.46 | $318 | 3.1× |
| Mammography, one breast (diagnostic) (77065) | $308.46 | $318 | 3.6× |
| Mammography, both breasts (diagnostic) (77066) | $446.20 | $460 | 4.0× |
| Mammography, screening (bilateral) (77067) range across 4 matching MRF lines |
$318.16–$384.12 | $328–$396 | varies |
| Basic metabolic panel (80048) | $145.50 | $150 | 17.2× |
| Comprehensive metabolic panel (80053) | $171.69 | $177 | 16.3× |
| Lipid panel (80061) range across 2 matching MRF lines |
$87.30–$132.89 | $90–$137 | varies |
| Renal function panel (80069) | $164.90 | $170 | 19.0× |
| Hepatic function panel (80076) | $103.79 | $107 | 12.7× |
| PSA, total (84153) | $139.68 | $144 | 7.6× |
| Thyroid stimulating hormone (TSH) (84443) | $141.62 | $146 | 8.4× |
| CBC with automated differential (85025) range across 2 matching MRF lines |
$52.38–$105.73 | $54–$109 | varies |
| CBC, automated (85027) | $78.57 | $81 | 12.1× |
| Prothrombin time (PT) (85610) range across 3 matching MRF lines |
$41.71–$51.41 | $43–$53 | varies |
| Partial thromboplastin time (PTT) (85730) range across 2 matching MRF lines |
$65.96–$68.87 | $68–$71 | varies |
| Psychotherapy, 30 minutes (90832) | $57.23 | $59 | 0.3× |
| Psychotherapy, 45 minutes (90834) | $74.69 | $77 | 0.4× |
| Psychotherapy, 60 minutes (90837) | $111.55 | $115 | 0.7× |
| Group psychotherapy (90853) | $18.43 | $19 | 0.2× |
| Sleep study (attended polysomnography) (95810) | $3,012.82 | $3,106 | 3.6× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) range across 2 matching MRF lines |
$84.39–$106.70 | $87–$110 | varies |
| Office visit, new patient (low complexity, ~30 min) (99203) range across 2 matching MRF lines |
$94.09–$214.37 | $97–$221 | varies |
| Office visit, new patient (moderate complexity, ~45 min) (99204) | $140.65 | $145 | 1.1× |
| Office visit, new patient (high complexity, ~60 min) (99205) | $178.48 | $184 | 1.4× |
| Preventive visit, new patient (age 18–39) (99385) | $122.22 | $126 | — |
| Preventive visit, new patient (age 40–64) (99386) | $139.68 | $144 | — |
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: 167 codes with posted prices and Medicare benchmarks
- Lab & pathology: 428 codes with posted prices and Medicare benchmarks
- Visits & medical services: 104 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 210 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 30 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (CSV, 6.9 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.