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Van Diest Medical Center

Iowa · 1,500 published self-pay prices, from $426 to $30,216.

These items are published without a standard CPT or HCPCS code, so they cannot be reliably matched against the same service at another hospital. They are shown exactly as this facility published them, and are excluded from every median, average and comparison elsewhere on this site.

Showing the 300 lowest-priced of 1,500 published items.

ItemCash priceSetting
1.0CC VISCOUS$1,584Inpatient
10061 ID ABSCESS COMPLEX$554Both
10061 ID ABSCESS COMPLEX/MULTIPLE$547Both
10121 ID SIMPLE$725Both
10140 ID HEMATOMA/SEROMA/FLUID$432Both
10180 ID CPLX POST OP WOUND INFECTION$653Both
11008 REMOVAL MESH ABDOMINAL WALL$744Both
11043 SUBQ MUSCLE FIRST 20 SQ CM$617Both
11044 SUBQ MUSCLE BONE FIRST 20 SQ CM$833Both
11402 Excision benign lesion- trunk arms legs 1.1 to 2.0 cm$444Both
11403 Excision benign lesion- trunk arms legs 2.1 to 3.0 cm$514Both
11404 Excision benign lesion incl margins 3.1-4.0cm$578Both
11406 Excision benign lesion- trunk arms legs over 4.0 cm$842Both
11422 Excision benign lesion scalp neck genitalia 1.1-2.0 cm$472Both
11423 Excision benign lesion incl margins 2.1-3.0cm$538Both
11424 Excision benign lesion incl margins 3.1-4.0cm$620Both
11426 Excision benign lesion neck over 4 cm$892Both
11443 Excision- B9 lesion: face ears eyelids nose lips 2.1-3.0 cm$602Both
11603 Excision malignant lesion trunk- 2.1- 3.0 cm$794Both
11623 Excision malignant lesion-scalp neck hands feet 2.1-3.0 cm$798Both
11643 Excision malignant lesion-face ears eyelids nose lips- 2.1-3.0 cm$848Both
11770 EXC PILONID CYST SIMPLE$832Both
11772 Excision of pilonidal cyst/sinus; complicated$1,955Both
12 HOLE LATERAL FIBULA PLATE SYMMETRIC$2,513Inpatient
12034 Repair intermediate wounds of scalp trunk extremities- 7.6-12.5 cm$846Both
13121 Repair complex scalp arms and/or legs 2.6-7.5 cm$1,144Both
13132 Repair complex forehead cheeks neck 2.6 to 7.5 cm$1,266Both
14000 Adjacent tissue transfer/rearrangement; trunk; 10 sq cm or less$1,670Both
14301 Adjacent tissue transfer any area 30.1 sq cm - 60 sq cm$2,880Both
15830 PANNICULECTOMY, EXCESSIVE SKIN/TISSUE REMOVAL$3,151Both
18MMX15MMX15MM SNIPER STAPLE$1,303Inpatient
19120 REMOVAL OF BREAST LESION$1,314Both
19301 MASTECTOMY PARTIAL$1,751Both
19302 MASTECTOMY PART W LYMPHADENECT$2,417Both
2.7MM TI VA LOCKING PLATE SM 58MM RIGHT$1,310Inpatient
2.7MM TI VA-LOCKING PLATE SMALL$1,310Inpatient
20670 Removal implant superficial (separate procedure)$982Both
20680 Removal implanted device deep$1,644Both
20690 APPLY BONE FIXATION DEVICE 1 PLATE$1,607Both
21116 Temporomandibular joint injection$525Both
21555 EXC NECK LES SUBQ LESS THAN 3 CM$1,106Both
22902 EXC ABD LES SUBQ LESS THAN 3 CM$1,169Both
24105 BURSECTOMY ELBOW$935Both
25000 Dequervains release$997Both
25111 Ganglion Cyst removal of Wrist$937Both
25112 Excision tumor soft tissue of neck/ant thorax sub q 3 cm +$1,200Both
25447 CMC arthroplasty$2,362Both
25607 ORIF distal radius- extra articular$2,109Both
25608 ORIF distal radius Intra articular 2 fragments$2,354Both
25609 ORIF distal radius 3 fragments$2,980Both
26055 Trigger finger release$1,662Both
26123 Dupuytrens$2,383Both
26125 Dupuytrens additional fingers$746Both
26160 Ganglion Cyst removal of fingers/hand$1,736Both
26480 CMC arthroplasty tendon interposition with separate incision$2,227Both
26605 Closed treatment of metacarpal fx; single with manipulation$862Both
26608 Closed reduction perc Pinning of it$1,385Both
26615 ORIF metacarpal fracture$1,645Both
26727 Treat finger fracture each$1,365Both
26735 Treat finger fracture each$1,700Both
26746 Treat finger fracture each$2,108Both
26756 Pin finger fracture each$1,222Both
26765 Treat finger fracture each$1,445Both
27130-Total Hip Arthoplasty$2,320Both
27134-Revision Hip Joint Replacement Both Components$3,440Both
27137-Revision Hip Joint Replacement Acetabular only$2,640Both
27138-Revision Hip Joint Replacement Femoral only$2,720Both
27232 CLOSED REDUCTION FEMUR FRACTURE$1,607Both
27331 Arthrotomy knee; inc exploration bx or removal of loose/foreign body$1,274Both
27415 Open osteochondral knee allograft$3,702Both
27427 Ligmamentous reconstruction knee; extra-articular$1,912Both
27445-Revision of Knee Joint Hinge$2,320Both
27446-Revision of Knee Joint Condyle and Plateau$2,080Both
27447-Total Knee Arthroplasty$2,320Both
27487-Revision Total Knee Joint$3,120Both
27650 Repair primary ruptured Achilles tendon$1,768Both
27652 Repair primary ruptured Achilles tendon; with graft$1,788Both
27654 Repair secondary achilles tendon with/without graft$1,917Both
27687 Gastrocnemius recession$1,219Both
27691 Transfer single tendon; deep foot$2,002Both
27698 Repair secondary disrupted ligament ankle collateral$1,716Both
27769 Open treatment posterior malleolus fracture$1,962Both
27792 Open treatment distal fibula fx including internal fixation$1,742Both
27822 Open treatment trimalleolar ankle fracture medial and/or lateral malleolus$2,331Both
27823 Open treatment trimalleolar ankle fracture medial and/or lateral malleolus$2,614Both
28035 Release tarsal tunnel- tibial nerve$1,417Both
28080 Excision interdigital morton neuroma single each$1,418Both
28090 Excision ganglion cyst- foot$1,268Both
28108 Excision/curettage of bone cyst/B9 tumor phalanges of foot$1,189Both
28112 Ostectomy complete other metatarsal head (2nd 3rd or 4th)$1,317Both
28122 Partial excision; tarsal/metatarsal bone$1,602Both
28234 Tenotomy open extensor foot or toe each tendon$1,102Both
28285 Correction hammertoe$1,446Both
28288 Ostectomy partial metatarsal head$1,642Both
28291 Hallux rigidus correction w/cheilectomy of 1st MTP w/ implant$1,961Both
28295 Correction hallux valgus/w sesmoidectomy w/ proximal metarsal osteotomy$2,662Both
28296 Correction hallux valgus (bunionectomy) w/sesamoidectomy$2,456Both
28308 Osteotomy w/or w/o lengthening shortening; metatarsal$1,533Both
28313 Recontruction angular deformity to toe soft tissue procedures only$1,403Both
28415 Open treatment of calcaneal fracture$3,001Both
28485 Open treatment of metatarsal fracture; includes internal fixation$1,462Both
28740 Arthrodesis midtarsal or tarsometatarsal single joint$2,258Both
28820 Amputate toe metatarsophalangeal joint$1,510Both
28825 Amputate toe interphalangeal joint$1,446Both
29807 Arthroscopy shoulder surgical repair of SLAP lesion$2,788Both
29826 Arthroscopy shoulder surgical; decompression of subacromial space$473Both
29827 Arthroscopy shoulder surgical; with rotator cuff repair$2,834Both
29867 Arthroscopy knee surgical; osteochondral allograft$3,449Both
29874 Arthroscopy; knee with removal of loose/foreign body$1,441Both
29877 Arthroscopy knee w/debridement/shaving of cartilage (chondroplasty)$1,670Both
29879 Arthroscopy knee surgical; abrasion arthroplasty-drilling/microfracture$1,778Both
29880 Arthroscopy; knee with meniscenctomy medial/lateral w/shaving$1,508Both
29881 Arthroscopy knee surgical; with meniscectomy (medial OR lateral)$1,453Both
29893 Endoscopic plantar fasciotomy$1,709Both
2cmx3cm THIN GRAFT$1,656Inpatient
3.4MM TWO-STEP HAMMER TOE IMPLANT 3.4X3.0X14$2,304Inpatient
3.4MMX3.0MMX16MM SPADE TWO-STEP HAMMER TOE IMPLANT$1,872Inpatient
3.4MMX3.0MMX8MM SPADE TWO STEP HAMMER$1,440Inpatient
3.5 x 26MM LOCKING SCREW$972Inpatient
32550 Insertion of indwelling tunnelled pleural catheter w/cuff$1,886Both
32555 Thoracentesis aspiration of the pleural space; w/imaging guidance$826Both
36556 INS NON-TUNNEL CV CATH 5 YRS/>$619Both
36561 INS TUNNELED CVAD W PORT AGE 5 YRS/>$2,886Both
36573 Insertion of PICC w/o port including imaging- age 5+$521Both
36590 Removal tunneled VAD w/sub q port/pump central/peripheral$593Both
36590 REMOVE TUNNELED CVAD W PORT/PUMP$593Both
37785 LIGATE/DIVIDE/EXCISE VEIN 1 LEG$952Both
38220 Bone marrow; aspiration only$445Both
38221 Bone marrow; biopsy needle or trocar- PROFEE$445Both
38500 LYMPH NODE BIOSPY/REMOVAL$886Both
3DMax Mesh, Large Left, 4X6 in$456Inpatient
3DMax Mesh, Large Right, 4X6 in$456Inpatient
4 HOLE POSTERIOR MALLEOALAR PLATE$1,872Inpatient
4-HOLE CUSTOM PLATE$1,742Inpatient
4.5MM X 34MM HEADED SHORT THREAD SCREW$432Inpatient
4.5x38MM STTCS HEADED SHORT THREAD SCREW$432Inpatient
43235 EGD DX BRUSHWASH (NO BX)$679Both
43239 EGD W/ BX (COLD FORCEPS)$908Both
43245 EGD W/ DILATION OF GASTRIC/DUODENAL STRICTURE W/ BALLO$1,462Both
43247 EGD WITH REMOVAL OF FOREIGN BODY$927Both
43248 EGD W/ DILATION INSERT GUIDEWIRE W/ PASSAGE OF DILATO$929Both
43249 ESOPH EGD DILATION <30 MM$2,690Both
43250 EGD W/ POLYPS REMOVAL VIA HOT FORCEPS$1,053Both
43251 EGD W/ SNARE POLYPECTOMY (HOT OR COLD SNARE)$1,166Both
43255 EGD with control of bleeding any method$1,751Both
43760 GASTROSTOMY CHANGE/REPOSITION$1,297Both
43830 GASTROSTOMY PEG$1,886Both
44005 ENTEROLYSIS LYSIS ADHESNS OPEN$2,961Both
44110 Excision of 1+ lesions of small/large intestine; single enterotomy$2,290Both
44120 RESECT SM INTESTINE W/ANASTOMOSIS ILCOST$3,309Both
44140 COLECTOMY PARTIAL W/ANATOMOSIS$3,628Both
44143 COLECTOMY PARTAL HARTMANNS PRC$4,504Both
44146 LOW ANTERIOR RESECTION$5,742Both
44210 COLECTOMY$4,821Both
44310 Ileostomy or jejunostomy non-tube$2,824Both
44320 COLOSTOMY$3,249Both
44346 HERNIA REPR PARACOLOSTOMY$3,200Both
44602 REPAIR BOWEL OR$3,820Both
44604 Suture of large intestine w/o colostomy$2,862Both
44620 CLOSURE ENTEROSTOMY$2,348Both
44800 EXC MECKEL DIVERTICULUM$2,067Both
44950 APPENDECTOMY OPEN$1,734Both
44960 APPENDECTOMY OPEN RUPTURED$2,362Both
44970 APPENDECTOMY LAPAROSCOPIC$1,622Both
45110 ABDOMINAL PERINIAL RESECTION$4,995Both
45331 SIGMOIDOSCOPY W/ BX (COLD FORECPS)$678Both
45333 SIGMOIDOSCOPY POLYPECTOMY$778Both
45334 Sigmoidoscopy w/ control of bleeding (any method)$1,434Both
45338 SIGMOIDOSCOPY W/ SNARE POLYPECTOMY (HOT OR COLD SNARE)$712Both
45378 COLONOSCOPY DX (NO BX)$839Both
45380 COLONOSCOPY W/ BX (COLD FORCEPS)$1,073Both
45381 COLONOSCOPY W/ DIRECT SUBMUCOSAL INJ (TATTOOING)$1,026Both
45382 Colonoscopy w control of bleeding any method$1,888Both
45384 COLONOSCOPY W/ DESTRUCT/CAUT OF POLIP (HOT BX FORCEPS)$1,190Both
45385 COLONOSCOPY W/ SNARE POLYPECTOMY (HOT OR COLD SNARE)$1,128Both
45398 Colonoscopy flexible w/ band ligation of hemorrhoids$1,819Both
45915 Removal fecal impaction or foreign body$896Both
46080 SPHINCTEROTOMY OR$662Both
46083 INCISN THROMBD HEMMRHOID EXTER$470Both
46200 FISSURECTOMY W-W/O SPHINCTRTMY$1,190Both
46220 EXCISE ANAL EXT TAG/PAPILLA$549Both
46221 Hemorrhoid ligation$720Both
46250 REMOVE EXT HEMORRHOID 2 OR MORE COLUMNS/GROUPS$1,235Both
46280 FISTULCTOMY COMPLX W-W/O SETON$1,262Both
46405 IncisionDrainage- superficial perianal abscess$1,167Both
46910 Destruction of lesion(s)- anus$690Both
46946 Hemorroidectomy internal by ligation; 2 or more colums/groups$856Both
47000 NEEDLE BX LIVER PERCUTANEOUS$812Both
47100 Biopsy of liver wedge$2,286Both
47562 CHOLECYSTECTOMY LAPAROSCOPIC$1,776Both
47563 CHOLECYSTECTOMY LAP W/CHOLANGI$1,929Both
47564 LAP CHOLE W/ EXPLOR OF COMMON DUCT$3,006Both
47600 CHOLECYSTECTOMY$2,883Both
47605 Cholecystectomy; with cholangiography$3,042Both
49000 LAPAROTOMY$2,080Both
49320 LAPAROSCOPY DIAGNOSTIC$878Both
49505 HERNIA REPR INIT INGUINAL>5YR$1,403Both
49507 Repair initial inguinal hernia age 5+ incarcerated/strangulated$1,583Both
49520 HERNIA REP RECUR INGNL REDC ANY AGE$1,705Both
49521 HERNIA REPR INIT HERNIA ANY AGE$1,934Both
49525 HERNIA INGUINAL SLIDING$1,546Both
49550 HERNIA - FEMORAL$1,552Both
49560 HERNIA REPR INIT INCIS/VEN R O$1,991Both
49561 HERNIA REPR INIT INC/VENT INCA$2,511Both
49565 HERNIA REPR RECUR INC/VENT REDUCIBLE$2,074Both
49566 HERNIA REPR REC INC VENT INC O$2,534Both
49568 HERNIA REPAIR WITH MESH IMPLANT$724Both
49570 HERNIA REP EPIGASTRIC$1,122Both
49585 HERNIA UMBILICAL > AGE 5$1,199Both
49587 HERNIA REPR UMBIL INCARC >5YR$1,280Both
49650 HERNIA REPR INGUINAL LAP INIT$1,154Both
49651 HERNIA REPR INGUINAL LAP RECUR$1,501Both
49652 HERNIA REPAIR LAP VENT/ABD$2,007Both
49653 Laparoscopic repair ventral umbilical epigastric hernia w/mesh; incarcerated$2,527Both
49654 Laparoscopic surgical repair incisional hernia reducible$2,282Both
51040 CATH SUPERPUBIC$779Both
51725 SIMPLE CYSTOMETROGRAM$497Both
52000 BLADDER CYSTOURETHROSCOPY$437Both
54001 SLIT PREPUCE DORSAL OR LAT; NOT NEWBORN$493Both
54161 CIRCUMCISION OR$530Both
54520 ORCHIECTOMY$879Both
54700 IncisionDrainage- epididymis testis/scrotum$575Both
55100 Drainage scrotal wall abscess$600Both
55520 EXCISE LESION OF SPERMATIC CORD$1,221Both
56440 Marsupialization of Bartholin's gland cyst$482Both
56700 Partial hymenectomy or revision of hymenal ring$502Both
57240 ANTERIOR COLPORRAHAPHY REP CYSTOCELE$1,783Both
57250 POSTERIOR COLP RECTOCELE$1,794Both
57260 COMB ANTROPOSTERIER COLP$2,209Both
57265 ANTER/POSTER COLP-ENTERCE$2,421Both
57267 VAGINAL INSERT MESH/SLING$682Both
57268 REPAIR ENTEROCELE/VAGINAL$1,285Both
57285 PARAVAGINAL DEFECT REPAIR - VAGINAL$1,787Both
57287 VAGINAL REMOVAL/REVISION OF SLING$1,814Both
57288 VAGINAL SLING FOR STRESS INCONTINENCE$1,906Both
57423 PARAVAGINAL DEFECT REPAIR - LAPARORS$2,421Both
57425 COLPOPEXY - LAPAROSCOPIC$2,578Both
57461 Colposcopy of cervix w/loop electrode conization of cervix$919Both
57520 CONIZATION OF CERVIX$817Both
57522 LEEP CERVIX$698Both
57550 EXCISION OF CERVICAL/VAGINAL APP$1,075Both
58120 DC DIAGNOSTIC OR TEHERAP NOT OB$685Both
58150 TOTAL ABDOMINAL HYSTERECTOMY$2,707Both
58180 SUPRACERVICAL ABD HYSTERECTOMY$2,369Both
58262 VAG HYS <250G W/REMOVAL T/O$2,443Both
58291 VAG HYST > 250G W/ REMOVAL T/O$3,290Both
58340 Catheterization/introduction of saline/contrast during hysterosalpingography$516Both
58541 LAP SUPRACERVICAL HYST <250G$1,901Both
58542 LAP SUPRACERVICAL HIST <250G T/O$2,171Both
58544 LAP SUPRACERVICAL HYST >250G$2,391Both
58552 LAVH <250G W/REMOVAL T/O$2,623Both
58554 LAVH >250G W/REMOVAL T/O$3,526Both
58555 HYSTEROSCOPY; DIAGNOSTIC$710Both
58559 HYSTEROSCOPY W/LYSIS OF ADHESION$773Both
58561 Hysteroscopy surgical; w/ removal of leiomyomata$961Both
58563 HSC W/ENDOMETRIAL ABLATION$4,196Both
58565 HSC W/BILAT/FALLOPIAN TUBE$4,961Both
58570 LAP TOTAL HYST FOR UTERUS <250G$2,070Both
58571 LAP TOTAL HYST W/REMOVAL TUBES AND/OR OVERIES$2,393Both
58600 TUBAL LIGATION$961Both
58605 TUBAL LIGATION POST PARTUM$870Both
58660 LAP W/LYSIS OF ADHESIONS-FEMALE$1,790Both
58661 LAP W/SALP-OOPHORECTOMY$1,728Both
58662 LAP W/FULGURATION OF LESION$1,888Both
58670 LAP TUBAL W/ DESTRUCTION OF OVIDUCTS$966Both
58671 Laparoscopy surgical; w/ occlusion of oviducts by device$958Both
58720 SALPINGO-OOPHORECTOMY$1,967Both
58925 OVARIAN CYSTECTOMY W/HYSTERECT$1,987Both
58940 OOPHORECTOMY$1,403Both
59160 DC POSTPARTUM$546Both
59514 C-SECTION$2,480Both
59820 SURG TX MISSED ABORT 1ST TRIMESTER$1,018Both
59820 Treatment of missed abortion- 1st trimester$1,016Both
6 HOLE PLATE MINI$1,181Inpatient
60220 THYROID LOBECTOMY TOTAL$1,896Both
62321 Spinal injection steroid- cervical/thoracic with fluoroscopic guidance$688Both
62323 Spinal injection steroid- lumbar/sacral with fluoroscopic guidance$646Both
64451 INJ AA/STRD Nerves NRVTG SI Joint W/IMG$559Both
64454 Injection genicular nerve branches incl/ imaging when guidance$565Both
64479 INJ Foramen Epidural C/T$678Both
64561 PERCUTANEOUS IMPLANT NEUROELECTRODES$2,186Both
64581 INCISION FOR IMPLANT NEUROELECTRODES$1,786Both
64590 INSERTION/REPLACEMENT OF NEUROSTIMULATOR GEN OR REC$706Both
64624 Destruction by neurolytic agent genicular nerve branches inc imaging guidance$1,080Both
64625 Radiofrequency ablation of sacroiliac joint$1,319Both
64633 Destruction by neurolytic agent paravertebral facet joint nerve w/imaging$1,114Both
64634 Destruction by neurolytic agent paravertebral facet (ea addl facet joint)$498Both
64635 Destruction by neurolytic agent paravertebral facet joint nerve w/imaging$1,100Both
64636 Destruction by neurolytic agent paravertebral facet (ea addl facet joint)$454Both
64640 Destruction by neurolytic agent; other perpheral nerve or branch$658Both
64718 Ulnar nerve at elbow - cubital tunnel$1,718Both
64721 Carpal tunnel$1,269Both
7 HOLE VL TIBIA PLATE$1,642Inpatient
77002 Fluoroscopic guidance for needle placement$588Inpatient
9 HOLE VL GRIDLOCK FIBULA PLATE$1,440Inpatient
95806 SLEEP STUDY UNATT AND RESP EFFT$526Outpatient
abatacept 250 mg IV Inj SDV [VDMC]$2,417Outpatient
ABD PARACENTESIS$550Outpatient
ABDOMEN SURGERY PROCEDURE$1,620Outpatient
Abdominal paracentesis w/ abdominal imaging$780Both

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