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Davis County Hospital prices. From its own published file.

Davis County Hospital in Bloomfield, IA publishes its standard charges as required by federal rule. Here's what it lists for common services, and how to check your bill against it.

1,887prices published
Jul 2026file last updated
$109cash price for ekg tracing (list $216)

Common services

ServiceCash priceList priceInsurers pay
Emergency visit, moderate (level 3)
99283
$180$269$64.65–$407
Emergency visit, high (level 4)
99284
$422$422$110–$649
Emergency visit, highest (level 5)
99285
$626$626$160–$978
Comprehensive metabolic panel
80053
$95.00$95.00$9.50–$90.25
Basic metabolic panel
80048
$77.00$77.00$9.50–$73.15
Complete blood count (CBC)
85025
$75.00$75.00$6.45–$71.25
Blood draw (venipuncture)
36415
$9.09$22.00$2.69–$20.90
Urinalysis
81001
$48.00$48.00$3.19–$45.60
Troponin (heart test)
84484
$119$119$12.41–$113
EKG tracing
93005
$109$216$30.98–$205
Chest X-ray, 2 views
71046
$441$441$65.87–$419
CT head without contrast
70450
$1,674$1,674$375–$1,590
CT abdomen and pelvis with contrast
74177
$3,662$3,662$375–$3,479
MRI lower back without contrast
72148
$2,632$2,632$295–$2,500
Ultrasound, abdomen
76700
$1,068$1,068$197–$1,015
IV push, single drug
96374
$166$166$54.24–$158
IV fluids, first hour
96360
$248$248$124–$378
Ketorolac injection, 15 mg
J1885
$15.00$22.50$7.50–$23.75
Ondansetron injection
J2405
$10.00$10.00$5.00–$9.50
Colonoscopy, diagnostic
45378
$1,029$1,029$153–$1,060
Upper GI endoscopy with biopsy
43239
$853$853$115–$879
Knee arthroscopy
29881
$1,597$1,597$67.00–$1,645

Cash price: the discounted price for self-pay patients. List price: the hospital's gross charge. Insurers pay: the lowest and highest rates it lists for insurance plans. Source: Davis County Hospital price transparency page.

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