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Gundersen Palmer Lutheran Hospital and Clinic prices. From its own published file.

Gundersen Palmer Lutheran Hospital and Clinic in West Union, 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.

14,463prices published
Jun 2026file last updated
$1,913cash price for ct abdomen and pelvis with contrast (list $3,220)

Common services

ServiceCash priceList priceInsurers pay
Emergency visit, moderate (level 3)
99283
$347$585$247–$585
Emergency visit, high (level 4)
99284
$522$878$371–$878
Emergency visit, highest (level 5)
99285
$902$1,518$642–$1,518
Comprehensive metabolic panel
80053
$71.87$121$3.16–$117
Basic metabolic panel
80048
$57.62$97.00$3.16–$94.09
Complete blood count (CBC)
85025
$52.87$89.00$2.09–$86.33
Blood draw (venipuncture)
36415
$51.68$87.00$1.86–$84.39
Urinalysis
81001
$21.38$36.00$1.05–$34.92
Troponin (heart test)
84484
$84.94$143$4.25–$139
EKG tracing
93005
$138$232$11.76–$225
Chest X-ray, 2 views
71046
$169$285$24.82–$276
CT head without contrast
70450
$963$1,622$144–$1,573
CT abdomen and pelvis with contrast
74177
$1,913$3,220$144–$3,123
MRI lower back without contrast
72148
$1,581$2,661$107–$2,581
Ultrasound, abdomen
76700
$549$925$73.45–$897
IV push, single drug
96374
$208$350$22.55–$340
IV fluids, first hour
96360
$239$402$122–$717
Ketorolac injection, 15 mg
J1885
$11.88$20.00$0.33–$20.00
Ondansetron injection
J2405
$11.88$20.00$0.09–$20.00
Colonoscopy, diagnostic
45378
$1,849$3,113$444–$3,020
Upper GI endoscopy with biopsy
43239
$1,849$3,113$453–$3,020
Knee arthroscopy
29881
——$963–$6,686
Vaginal delivery, routine care
59400
——$1,060–$6,056
Cesarean delivery, routine care
59510
——$1,172–$6,698

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: Gundersen Palmer Lutheran Hospital and Clinic price transparency page.

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