Spencer Municipal Hospital prices. From its own published file.

Spencer Municipal Hospital in Spencer, 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.

1,622prices published

Jan 2026file last updated

$63.75cash price for iv fluids, first hour (list $747)

Common services

Service	Cash price	List price	Insurers pay
Emergency visit, moderate (level 3) `99283`	$244	$432	$260–$511
Emergency visit, high (level 4) `99284`	$362	$648	$386–$771
Emergency visit, highest (level 5) `99285`	$547	$973	$577–$1,155
Comprehensive metabolic panel `80053`	$105	$140	$10.56–$133
Basic metabolic panel `80048`	$82.50	$110	$8.46–$105
Complete blood count (CBC) `85025`	$30.00	$73.00	$7.77–$101
Blood draw (venipuncture) `36415`	$30.75	$41.00	$9.34–$38.95
Urinalysis `81001`	$51.75	$69.00	$3.17–$65.55
Troponin (heart test) `84484`	$144	$192	$12.47–$182
EKG tracing `93005`	$42.75	$166	$45.60–$261
Chest X-ray, 2 views `71046`	$149	$199	$82.85–$189
CT head without contrast `70450`	$860	$1,146	$100–$1,089
CT abdomen and pelvis with contrast `74177`	$1,635	$2,180	$336–$2,071
MRI lower back without contrast `72148`	$1,235	$1,646	$227–$1,564
Ultrasound, abdomen `76700`	$612	$816	$100–$775
IV push, single drug `96374`	$150	$200	$31.03–$202
IV fluids, first hour `96360`	$63.75	$747	$27.62–$710
Ketorolac injection, 15 mg `J1885`	$15.75	$25.50	$0.71–$237
Ondansetron injection `J2405`	$15.75	$21.00	$0.09–$237

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: Spencer Municipal Hospital 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.