Sioux Valley Memorial Hospital Association prices. From its own published file.

Sioux Valley Memorial Hospital Association in Cherokee, 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.

1,332prices published

Mar 2026file last updated

$50.40cash price for emergency visit, highest (level 5) (list $503)

Common services

Service	Cash price	List price	Insurers pay
Emergency visit, moderate (level 3) `99283`	$50.40	$227	$29.00–$227
Emergency visit, high (level 4) `99284`	$50.40	$339	$29.00–$380
Emergency visit, highest (level 5) `99285`	$50.40	$503	$29.00–$640
Blood draw (venipuncture) `36415`	$22.50	$25.00	$13.00–$13.75
EKG tracing `93005`	$182	$224	$107–$134
Chest X-ray, 2 views `71046`	$146	$162	$85.00–$89.10
CT head without contrast `70450`	$914	$1,016	$538–$559
CT abdomen and pelvis with contrast `74177`	$4,008	$4,453	$2,360–$2,449
MRI lower back without contrast `72148`	$1,958	$2,176	$1,153–$1,197
Ultrasound, abdomen `76700`	$452	$502	$266–$276
IV push, single drug `96374`	$200	$222	$117–$122
IV fluids, first hour `96360`	$140	$156	$82.00–$85.80
Ketorolac injection, 15 mg `J1885`	$25.85	$57.32	$13.00–$52.00
Ondansetron injection `J2405`	$21.36	$22.11	$11.00–$12.16
Colonoscopy, diagnostic `45378`	$1,189	$1,321	—
Upper GI endoscopy with biopsy `43239`	$1,109	$1,232	—

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: Sioux Valley Memorial Hospital Association 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.