MercyOne New Hampton Medical Center prices. From its own published file.

MercyOne New Hampton Medical Center in New Hampton, 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.

1,957prices published

Mar 2026file last updated

$3,664cash price for ct abdomen and pelvis with contrast (list $5,637)

Common services

Service	Cash price	List price	Insurers pay
Emergency visit, moderate (level 3) `99283`	$101	$148	$39.71–$927
Emergency visit, high (level 4) `99284`	$40.48	$253	$1.92–$1,280
Emergency visit, highest (level 5) `99285`	$367	$367	$9.09–$1,908
Comprehensive metabolic panel `80053`	$126	$194	$9.09–$194
Basic metabolic panel `80048`	$103	$159	$8.63–$159
Complete blood count (CBC) `85025`	$72.80	$112	$7.93–$112
Blood draw (venipuncture) `36415`	$19.00	$19.00	$2.69–$45.00
Urinalysis `81001`	$44.20	$68.00	$26.92–$68.00
Troponin (heart test) `84484`	$125	$192	$9.09–$192
EKG tracing `93005`	$15.60	$135	$5.46–$245
Chest X-ray, 2 views `71046`	$207	$318	$126–$318
CT head without contrast `70450`	$1,368	$2,105	$833–$2,105
CT abdomen and pelvis with contrast `74177`	$3,664	$5,637	$9.09–$5,637
MRI lower back without contrast `72148`	$2,599	$3,998	$1,583–$3,998
Ultrasound, abdomen `76700`	$693	$1,066	$422–$1,066
IV push, single drug `96374`	$202	$310	$26.00–$310
IV fluids, first hour `96360`	$240	$369	$1.38–$369
Ketorolac injection, 15 mg `J1885`	$2.60	$5.73	$0.29–$17.25
Ondansetron injection `J2405`	$3.00	$3.00	$0.36–$3.00
Colonoscopy, diagnostic `45378`	$671	—	$2.46–$671
Upper GI endoscopy with biopsy `43239`	$301	$301	$3.33–$1,386
Knee arthroscopy `29881`	$9,979	—	$0.96–$3.36

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: MercyOne New Hampton 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.