Shenandoah Medical Center prices. From its own published file.

Shenandoah Medical Center in Shenandoah, 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.

3,362prices published

Sep 2026file last updated

$2,560cash price for vaginal delivery, routine care (list $4,497)

Common services

Service	Cash price	List price	Insurers pay
Emergency visit, moderate (level 3) `99283`	$145	$223	$54.95–$648
Emergency visit, high (level 4) `99284`	$194	$298	$93.42–$1,005
Emergency visit, highest (level 5) `99285`	$281	$432	$136–$1,766
Comprehensive metabolic panel `80053`	$7.15	$112	$3.63–$208
Basic metabolic panel `80048`	$96.20	$148	$8.46–$145
Complete blood count (CBC) `85025`	$103	$158	$7.65–$155
Blood draw (venipuncture) `36415`	$5.85	$36.00	$2.97–$37.24
Urinalysis `81001`	$40.30	$67.00	$1.43–$65.66
Troponin (heart test) `84484`	$119	$183	$12.47–$181
EKG tracing `93005`	$350	$538	$36.75–$527
Chest X-ray, 2 views `71046`	$216	$332	$78.13–$325
CT head without contrast `70450`	$1,189	$1,829	$107–$1,792
CT abdomen and pelvis with contrast `74177`	$2,698	$4,151	$356–$4,068
MRI lower back without contrast `72148`	$2,006	$3,086	$244–$3,025
Ultrasound, abdomen `76700`	$598	$920	$107–$902
IV push, single drug `96374`	$141	$217	$64.34–$217
IV fluids, first hour `96360`	$141	$287	$71.61–$407
Ketorolac injection, 15 mg `J1885`	$11.25	$54.50	$0.29–$54.50
Ondansetron injection `J2405`	$1.57	$45.00	$0.09–$45.90
Colonoscopy, diagnostic `45378`	$725	$1,115	$130–$1,960
Upper GI endoscopy with biopsy `43239`	$629	$968	$97.77–$1,374
Knee arthroscopy `29881`	$1,424	$2,191	$397–$3,604
Vaginal delivery, routine care `59400`	$2,560	$4,497	$1,657–$4,587
Cesarean delivery, routine care `59510`	$3,196	$4,917	$1,832–$5,015

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: Shenandoah 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.