Ely Bloomenson Community Hospital prices. From its own published file.

Ely Bloomenson Community Hospital in Ely, MN 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.

1,776prices published

Sep 2026file last updated

$3,649cash price for ct abdomen and pelvis with contrast (list $4,505)

Common services

Service	Cash price	List price	Insurers pay
Emergency visit, moderate (level 3) `99283`	$483	$606	$44.76–$741
Emergency visit, high (level 4) `99284`	$777	$1,033	$76.08–$1,107
Emergency visit, highest (level 5) `99285`	$1,221	$1,523	$110–$1,537
Comprehensive metabolic panel `80053`	$337	$416	$142–$416
Basic metabolic panel `80048`	$201	$248	$84.79–$248
Complete blood count (CBC) `85025`	$143	$176	$60.17–$176
Blood draw (venipuncture) `36415`	$51.03	$63.00	$21.54–$63.00
Urinalysis `81001`	$216	$267	$91.29–$267
Troponin (heart test) `84484`	$245	$303	$104–$303
EKG tracing `93005`	$254	$313	$107–$313
Chest X-ray, 2 views `71046`	$473	$584	$200–$584
CT head without contrast `70450`	$2,346	$2,896	$741–$2,896
CT abdomen and pelvis with contrast `74177`	$3,649	$4,505	$741–$4,505
MRI lower back without contrast `72148`	$3,013	$3,720	$987–$3,720
Ultrasound, abdomen `76700`	$498	$615	$210–$615
IV push, single drug `96374`	$220	$271	$92.65–$271
IV fluids, first hour `96360`	$220	$272	$93.00–$272
Ketorolac injection, 15 mg `J1885`	$6.65	$11.82	$2.81–$15.44
Ondansetron injection `J2405`	$5.86	$7.23	$2.47–$7.23
Colonoscopy, diagnostic `45378`	$1,021	$1,306	$115–$1,351
Upper GI endoscopy with biopsy `43239`	$2,011	$2,533	$86.37–$2,530

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: Ely Bloomenson Community 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.