Amberwell Hiawatha Association prices. From its own published file.

Amberwell Hiawatha Association 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.

2,950prices published

Aug 2026file last updated

$1,024cash price for emergency visit, highest (level 5) (list $1,717)

Common services

Service	Cash price	List price	Insurers pay
Emergency visit, moderate (level 3) `99283`	$399	$724	$40.48–$1,746
Emergency visit, high (level 4) `99284`	$687	$1,127	$105–$2,608
Emergency visit, highest (level 5) `99285`	$1,024	$1,717	$105–$4,013
Comprehensive metabolic panel `80053`	$105	$105	$21.55–$175
Basic metabolic panel `80048`	$84.00	$84.00	$18.67–$140
Complete blood count (CBC) `85025`	$47.00	$47.00	$12.69–$78.29
Blood draw (venipuncture) `36415`	$30.00	$30.00	$11.45–$49.97
Urinalysis `81001`	$33.00	$33.00	$9.23–$54.97
Troponin (heart test) `84484`	$98.00	$98.00	$39.20–$163
EKG tracing `93005`	$35.00	$35.00	$14.00–$785
Chest X-ray, 2 views `71046`	$434	$434	$143–$723
CT head without contrast `70450`	$1,156	$1,156	$456–$1,926
CT abdomen and pelvis with contrast `74177`	$3,613	$3,613	$456–$6,018
MRI lower back without contrast `72148`	$2,895	$2,895	$525–$4,822
Ultrasound, abdomen `76700`	$737	$737	$144–$1,228
IV push, single drug `96374`	$227	$651	$90.80–$1,084
IV fluids, first hour `96360`	$340	$651	$136–$1,084
Ketorolac injection, 15 mg `J1885`	$14.50	$14.50	$0.61–$41.64
Ondansetron injection `J2405`	$2.00	$12.00	$0.10–$41.64
Colonoscopy, diagnostic `45378`	$688	$688	$151–$662
Upper GI endoscopy with biopsy `43239`	$574	$574	$113–$535
Knee arthroscopy `29881`	$1,720	$1,720	$468–$1,196
Vaginal delivery, routine care `59400`	$4,013	$4,013	$243–$7,639
Cesarean delivery, routine care `59510`	$4,013	$4,013	$1,925–$3,946

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: Amberwell Hiawatha 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.