Orange City Area Health System prices. From its own published file.

Orange City Area Health System in Orange 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.

1,691prices published

Sep 2026file last updated

$198cash price for mri lower back without contrast (list $1,256)

Common services

Service	Cash price	List price	Insurers pay
Emergency visit, moderate (level 3) `99283`	$121	$351	$88.80–$534
Emergency visit, high (level 4) `99284`	$204	$503	$167–$728
Emergency visit, highest (level 5) `99285`	$294	$809	$245–$1,213
Comprehensive metabolic panel `80053`	$72.00	$90.00	$52.08–$87.30
Basic metabolic panel `80048`	$47.20	$59.00	$52.08–$57.29
Complete blood count (CBC) `85025`	$46.40	$58.00	$32.86–$56.26
Blood draw (venipuncture) `36415`	$20.00	$25.00	$22.50–$45.69
Urinalysis `81001`	$24.00	$30.00	$22.32–$29.10
Troponin (heart test) `84484`	$56.00	$70.00	$45.88–$67.90
EKG tracing `93005`	$87.20	$109	$83.08–$106
Chest X-ray, 2 views `71046`	$25.60	$102	$13.74–$167
CT head without contrast `70450`	$97.60	$585	$50.49–$1,146
CT abdomen and pelvis with contrast `74177`	$212	$1,198	$110–$2,067
MRI lower back without contrast `72148`	$198	$1,256	$87.70–$2,196
Ultrasound, abdomen `76700`	$90.40	$287	$50.31–$447
IV push, single drug `96374`	$142	$177	$88.50–$172
IV fluids, first hour `96360`	$306	$383	$345–$610
Ketorolac injection, 15 mg `J1885`	$3.19	$9.89	$2.00–$14.94
Ondansetron injection `J2405`	$2.99	$13.90	$1.87–$23.28
Colonoscopy, diagnostic `45378`	$462	$578	$90.69–$585
Upper GI endoscopy with biopsy `43239`	$330	$413	$250–$650
Vaginal delivery, routine care `59400`	$3,821	$4,776	$2,619–$3,852

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: Orange City Area Health System 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.