Hamilton County Public Hospital DBA Van Diest Medical Center prices. From its own published file.

Hamilton County Public Hospital DBA Van Diest Medical Center in Webster City, 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.

1,749prices published

Feb 2026file last updated

$423cash price for emergency visit, highest (level 5) (list $1,042)

Common services

Service	Cash price	List price	Insurers pay
Emergency visit, moderate (level 3) `99283`	$151	$438	$72.14–$394
Emergency visit, high (level 4) `99284`	$287	$711	$132–$640
Emergency visit, highest (level 5) `99285`	$423	$1,042	$191–$938
Comprehensive metabolic panel `80053`	$158	$198	$89.10–$178
Basic metabolic panel `80048`	$113	$141	$63.45–$127
Complete blood count (CBC) `85025`	$64.00	$80.00	$36.00–$72.00
Blood draw (venipuncture) `36415`	$16.80	$21.00	$9.45–$18.90
Troponin (heart test) `84484`	$124	$159	$69.75–$146
EKG tracing `93005`	$129	$161	$72.45–$145
Chest X-ray, 2 views `71046`	$134	$168	$75.60–$151
CT head without contrast `70450`	$727	$909	$409–$818
CT abdomen and pelvis with contrast `74177`	$1,936	$2,420	$1,089–$2,178
MRI lower back without contrast `72148`	$714	$892	$401–$803
Ultrasound, abdomen `76700`	$423	$529	$238–$476
IV push, single drug `96374`	$45.60	$108	$25.65–$97.20
IV fluids, first hour `96360`	$275	$344	$155–$310
Ketorolac injection, 15 mg `J1885`	$17.83	$23.23	$10.03–$23.80
Ondansetron injection `J2405`	$16.77	$20.96	$9.43–$18.87
Colonoscopy, diagnostic `45378`	$839	$1,049	$499–$787
Upper GI endoscopy with biopsy `43239`	$908	$1,135	$562–$851
Knee arthroscopy `29881`	$1,453	$1,816	$817–$1,362

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: Hamilton County Public Hospital DBA Van Diest Medical Center price transparency page.

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Common billing problems to look for

Billed above the posted cash priceIf you're paying yourself, ask the hospital to apply its published cash price.
Panels billed inside panelsA basic metabolic panel (80048) billed with a comprehensive one (80053) on the same day.
Duplicate linesThe same service billed twice without explanation.
No itemized billYou can ask for every line with its code, date and amount.