Palo Alto County Health System prices. From its own published file.

Palo Alto County Health System in Emmetsburg, 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.

1,252prices published

Mar 2026file last updated

$3,404cash price for ct abdomen and pelvis with contrast (list $4,702)

Common services

Service	Cash price	List price	Insurers pay
Emergency visit, moderate (level 3) `99283`	$232	$418	$97.00–$487
Emergency visit, high (level 4) `99284`	$347	$607	$174–$713
Emergency visit, highest (level 5) `99285`	$535	$808	$209–$857
Comprehensive metabolic panel `80053`	$117	$160	$36.00–$155
Basic metabolic panel `80048`	$101	$139	$31.00–$134
Complete blood count (CBC) `85025`	$81.00	$111	$25.00–$107
Blood draw (venipuncture) `36415`	$28.50	$38.00	$8.00–$36.10
Urinalysis `81001`	$50.25	$67.00	$15.00–$63.65
Troponin (heart test) `84484`	$110	$147	$34.00–$140
EKG tracing `93005`	$155	$207	$48.00–$197
Chest X-ray, 2 views `71046`	$270	$360	$83.00–$342
CT head without contrast `70450`	$1,460	$2,074	$453–$2,090
CT abdomen and pelvis with contrast `74177`	$3,404	$4,702	$1,056–$4,620
MRI lower back without contrast `72148`	$2,129	$2,839	$660–$2,697
Ultrasound, abdomen `76700`	$574	$765	$178–$727
IV push, single drug `96374`	$104	$139	$32.00–$132
IV fluids, first hour `96360`	$179	$238	$55.00–$226
Ketorolac injection, 15 mg `J1885`	$3.75	$35.22	$1.00–$38.00
Ondansetron injection `J2405`	$6.00	$21.15	$1.00–$32.00

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: Palo Alto County 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.