▸ Hospital · IA · CCN 161323
Mitchell County Regional Health
616 N. 8TH STREET, OSAGE, IA, 50461-
25 bedsCritical Access Hospitals9
Compliance grade
D
67/100
Procedures tracked
131
of 209 target codes
Payers
5
with negotiated rates
Rates published
1,293
last crawl 2026-05-22
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychiatric diagnostic evaluation | CPT | 90791 | 0 | $456.9 | $411.21 | — | — | — |
| Psychotherapy 30 minutes | CPT | 90832 | 1 | $383 | $344.7 | $177.76 | $177.76 | $177.76 |
| Psychotherapy 45 minutes | CPT | 90834 | 1 | $412.45 | $371.21 | $189.57 | $189.57 | $189.57 |
| Psychotherapy 60 minutes | CPT | 90837 | 1 | $441.4 | $397.26 | $202.95 | $202.95 | $202.95 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 4 | $187.5 | $168.75 | $23.78 | $109.43 | $671.89 |
| ED visit level 2 | CPT | 99282 | 4 | $281.2 | $253.08 | $45.11 | $151.28 | $628.27 |
| ED visit level 3 | CPT | 99283 | 3 | $466.55 | $419.9 | $77 | $238.47 | $661.56 |
| ED visit level 4 | CPT | 99284 | 3 | $707.6 | $636.84 | $130.87 | $500.01 | $1,078.07 |
| ED visit level 5 | CPT | 99285 | 2 | $1,116.25 | $1,004.63 | $192.42 | $536.66 | $613.73 |
| Critical care, first hour | CPT | 99291 | 1 | $1,054.7 | $949.23 | $233.5 | $359.33 | $485.16 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 4 | $1,769.15 | $1,592.24 | $794.17 | $916.21 | $1,353.31 |
| CT head with contrast | CPT | 70460 | 0 | $1,978.6 | $1,780.74 | — | — | — |
| CT head with and without contrast | CPT | 70470 | 2 | $2,228.15 | $2,005.34 | $496.49 | $757.83 | $1,019.16 |
| CT neck with contrast | CPT | 70491 | 4 | $2,405.45 | $2,164.91 | $1,083.21 | $1,160.14 | $2,073.5 |
| MRI brain without contrast | CPT | 70551 | 2 | $2,590.25 | $2,331.23 | $694.12 | $933.97 | $1,173.81 |
| MRI brain with contrast | CPT | 70552 | 0 | $3,129.1 | $2,816.19 | — | — | — |
| MRI brain with and without contrast | CPT | 70553 | 4 | $4,120 | $3,708 | $1,194.62 | $1,977.12 | $3,551.44 |
| Chest X-ray single view | CPT | 71045 | 5 | $208.4 | $187.56 | $64.5 | $101.09 | $193.81 |
| Chest X-ray 2 views | CPT | 71046 | 5 | $294.6 | $265.14 | $65.36 | $133.91 | $218.41 |
| Chest X-ray 3 views | CPT | 71047 | 0 | $323.55 | $291.2 | — | — | — |
| CT chest without contrast | CPT | 71250 | 5 | $2,029.45 | $1,826.51 | $403.12 | $927.84 | $1,749.39 |
| CT chest with contrast | CPT | 71260 | 4 | $2,157.5 | $1,941.75 | $945.51 | $1,003.01 | $1,853.84 |
| CT chest with and without contrast | CPT | 71270 | 0 | $2,405.45 | $2,164.91 | — | — | — |
| MRI chest without contrast | CPT | 71550 | 0 | $2,527.6 | $2,274.84 | — | — | — |
| MRI chest with contrast | CPT | 71551 | 0 | $3,058.9 | $2,753.01 | — | — | — |
| MRI chest with and without contrast | CPT | 71552 | 0 | $4,124.8 | $3,712.32 | — | — | — |
| Lumbosacral spine X-ray | CPT | 72100 | 3 | $412.45 | $371.21 | $61.44 | $185.49 | $209.01 |
| CT cervical spine without contrast | CPT | 72125 | 3 | $2,029.45 | $1,826.51 | $251.45 | $925.71 | $1,027.58 |
| CT thoracic spine without contrast | CPT | 72128 | 2 | $2,029.45 | $1,826.51 | $457.17 | $694.13 | $931.09 |
| CT lumbar spine without contrast | CPT | 72131 | 4 | $2,029.45 | $1,826.51 | $228.59 | $978.89 | $1,749.39 |
| MRI cervical spine without contrast | CPT | 72141 | 4 | $2,793.3 | $2,513.97 | $830.18 | $1,346.25 | $2,407.82 |
| MRI thoracic spine without contrast | CPT | 72146 | 2 | $2,793.3 | $2,513.97 | $652.42 | $968.67 | $1,284.92 |
| MRI lumbar spine without contrast | CPT | 72148 | 4 | $2,590.25 | $2,331.23 | $858.38 | $1,226.75 | $1,304.89 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 2 | $3,411.4 | $3,070.26 | $1,113.56 | $1,336.97 | $1,560.37 |
| MRI cervical spine with and without contrast | CPT | 72156 | 2 | $4,493.8 | $4,044.42 | $556.78 | $1,424.31 | $2,291.84 |
| MRI lumbar spine with contrast | CPT | 72158 | 3 | $4,528.65 | $4,075.79 | $2,077.3 | $2,287.48 | $3,903.7 |
| CT pelvis without contrast | CPT | 72192 | 2 | $1,904.15 | $1,713.74 | $457.17 | $656.37 | $855.57 |
| CT pelvis with contrast | CPT | 72193 | 0 | $2,058.95 | $1,853.06 | — | — | — |
| Shoulder X-ray | CPT | 73030 | 4 | $383 | $344.7 | $55.69 | $127.24 | $239.64 |
| Humerus X-ray | CPT | 73060 | 1 | $383 | $344.7 | $113.47 | $113.58 | $113.69 |
| Hand X-ray 3 views | CPT | 73130 | 4 | $433.4 | $390.06 | $61.07 | $97.01 | $195.97 |
| MRI upper extremity joint without contrast | CPT | 73221 | 5 | $2,470.3 | $2,223.27 | $877.76 | $1,170.43 | $2,297.38 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 1 | $3,404.9 | $3,064.41 | $1,566.25 | $1,566.25 | $1,566.25 |
| Knee X-ray 1-2 views | CPT | 73560 | 4 | $416.2 | $374.58 | $59.02 | $94.75 | $191.18 |
| Ankle X-ray 3 views | CPT | 73610 | 5 | $412.45 | $371.21 | $60.7 | $107.35 | $219.2 |
| MRI lower extremity joint without contrast | CPT | 73721 | 4 | $2,425.3 | $2,182.77 | $95.03 | $1,104.42 | $2,090.61 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 3 | $3,404.9 | $3,064.41 | $1,188.02 | $1,561.83 | $1,719.86 |
| CT abdomen without contrast | CPT | 74150 | 0 | $2,080.9 | $1,872.81 | — | — | — |
| CT abdomen with contrast | CPT | 74160 | 2 | $2,264.6 | $2,038.14 | $496.49 | $534.22 | $571.94 |
| CT abdomen with and without contrast | CPT | 74170 | 1 | $2,470.3 | $2,223.27 | $2,129.4 | $2,129.4 | $2,129.4 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 5 | $3,982.3 | $3,584.07 | $973.42 | $1,838.09 | $3,703.54 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 4 | $4,243.15 | $3,818.84 | $934.64 | $1,830.08 | $3,151.2 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 5 | $4,573.1 | $4,115.79 | $983.94 | $2,309.93 | $4,252.98 |
| MRI abdomen without contrast | CPT | 74181 | 0 | $3,610.6 | $3,249.54 | — | — | — |
| MRI abdomen with and without contrast | CPT | 74183 | 3 | $4,000 | $3,600 | $1,200.43 | $1,812.65 | $1,895.2 |
| Abdominal ultrasound complete | CPT | 76700 | 4 | $831.3 | $748.17 | $311.68 | $375.01 | $716.58 |
| Abdominal ultrasound limited | CPT | 76705 | 4 | $590.8 | $531.72 | $180.12 | $285 | $509.27 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 4 | $712.4 | $641.16 | $315.15 | $343.81 | $475.82 |
| Obstetric ultrasound first trimester | CPT | 76801 | 2 | $738.65 | $664.79 | $183.85 | $279.61 | $375.37 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 2 | $882.7 | $794.43 | $184.8 | $316.77 | $448.74 |
| Transvaginal ultrasound | CPT | 76830 | 4 | $603.1 | $542.79 | $194.05 | $290.79 | $519.87 |
| Pelvic ultrasound complete | CPT | 76856 | 4 | $693.1 | $623.79 | $315.74 | $339.27 | $597.45 |
| Scrotal ultrasound | CPT | 76870 | 4 | $620.3 | $558.27 | $215.37 | $300.65 | $534.7 |
| Diagnostic mammography unilateral | CPT | 77065 | 3 | $429.6 | $386.64 | $111.9 | $197.51 | $219.1 |
| Diagnostic mammography bilateral | CPT | 77066 | 3 | $518.5 | $466.65 | $117.76 | $238.03 | $446.95 |
| Screening mammography bilateral | CPT | 77067 | 5 | $444.05 | $399.65 | $87 | $207.14 | $366.47 |
| EKG complete | CPT | 93000 | 0 | $87.9 | $79.11 | — | — | — |
| EKG tracing only | CPT | 93005 | 5 | $180.5 | $162.45 | $55.82 | $83.03 | $124.63 |
| EKG interpretation only | CPT | 93010 | 1 | $37 | $33.3 | $8.98 | $9.04 | $9.09 |
| Transthoracic echocardiogram complete | CPT | 93306 | 4 | $1,776.1 | $1,598.49 | $453 | $842.81 | $1,531 |
| Transthoracic echocardiogram | CPT | 93307 | 0 | $1,183.3 | $1,064.97 | — | — | — |
| Stress echocardiogram | CPT | 93350 | 2 | $1,952.85 | $1,757.57 | $208.08 | $553.2 | $898.31 |
| inpatient | ||||||||
| Initial hospital care, low complexity | CPT | 99221 | 0 | $229.8 | $206.82 | — | — | — |
| Initial hospital care, moderate complexity | CPT | 99222 | 0 | $319.8 | $287.82 | — | — | — |
| Initial hospital care, high complexity | CPT | 99223 | 0 | $469.2 | $422.28 | — | — | — |
| Hospital discharge, <30 min | CPT | 99238 | 0 | $195.5 | $175.95 | — | — | — |
| Hospital discharge, >30 min | CPT | 99239 | 0 | $264.1 | $237.69 | — | — | — |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 5 | $144.1 | $129.69 | $58.07 | $68.57 | $103.71 |
| General health panel | CPT | 80050 | 4 | $468.7 | $421.83 | $58.29 | $275.79 | $362.46 |
| Electrolyte panel | CPT | 80051 | 1 | $101.8 | $91.62 | $64.29 | $64.29 | $64.29 |
| Comprehensive metabolic panel | CPT | 80053 | 5 | $220.15 | $198.14 | $58.23 | $99.81 | $164.33 |
| Lipid panel | CPT | 80061 | 5 | $168.8 | $151.92 | $34.36 | $84.57 | $138.67 |
| Renal function panel | CPT | 80069 | 4 | $73.4 | $66.06 | $33.49 | $37.37 | $58.35 |
| Hepatic function panel | CPT | 80076 | 4 | $88.4 | $79.56 | $39.14 | $44.17 | $64.76 |
| Urinalysis automated | CPT | 81003 | 5 | $34.85 | $31.37 | $14.6 | $18.54 | $32.41 |
| Glucose quantitative | CPT | 82947 | 4 | $61.1 | $54.99 | $24.67 | $29.11 | $52.67 |
| Hemoglobin A1c | CPT | 83036 | 5 | $91.6 | $82.44 | $40.75 | $45.39 | $50.8 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 5 | $142.6 | $128.34 | $47.03 | $70.4 | $117.73 |
| Complete blood count with automated differential | CPT | 85025 | 5 | $106.1 | $95.49 | $29.13 | $47.91 | $79.05 |
| Complete blood count without differential | CPT | 85027 | 5 | $85.7 | $77.13 | $28.98 | $42.29 | $65.01 |
| Urine culture bacterial | CPT | 87086 | 4 | $114.65 | $103.19 | $26.31 | $49.53 | $59.41 |
| Tissue exam by pathologist level IV | CPT | 88305 | 5 | $319.8 | $287.82 | $63.83 | $154.02 | $272.36 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 0 | $115.7 | $104.13 | — | — | — |
| Routine obstetric care including vaginal delivery | CPT | 59400 | 0 | $4,699 | $4,229.1 | — | — | — |
| Vaginal delivery only | CPT | 59409 | 0 | $2,760.6 | $2,484.54 | — | — | — |
| Vaginal delivery with postpartum | CPT | 59410 | 0 | $3,054.6 | $2,749.14 | — | — | — |
| office | ||||||||
| Office visit, new patient, 15-29 min | CPT | 99202 | 0 | $177.9 | $160.11 | — | — | — |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 0 | $259.8 | $233.82 | — | — | — |
| Office visit, new patient, 45-59 min | CPT | 99204 | 0 | $370.7 | $333.63 | — | — | — |
| Office visit, new patient, 60-74 min | CPT | 99205 | 0 | $470.3 | $423.27 | — | — | — |
| Office visit, established patient, 5 min | CPT | 99211 | 2 | $227.65 | $204.89 | $51.36 | $86.66 | $115.55 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 1 | $155.9 | $140.31 | $122.22 | $122.22 | $122.22 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 0 | $247.5 | $222.75 | — | — | — |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 0 | $369.15 | $332.24 | — | — | — |
| Office visit, established patient, 40-54 min | CPT | 99215 | 0 | $328.4 | $295.56 | — | — | — |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 2 | $899.3 | $809.37 | $316.41 | $887.93 | $1,459.44 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 5 | $896.1 | $806.49 | $364.1 | $480.75 | $1,767.45 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 0 | $466 | $419.4 | — | — | — |
| Sigmoidoscopy with biopsy | CPT | 45331 | 0 | $466 | $419.4 | — | — | — |
| Colonoscopy diagnostic | CPT | 45378 | 4 | $1,091.05 | $981.95 | $588.04 | $841.34 | $2,470.8 |
| Colonoscopy with biopsy | CPT | 45380 | 4 | $1,371.75 | $1,234.58 | $235.39 | $1,143.66 | $2,457.75 |
| Colonoscopy with polyp removal | CPT | 45385 | 4 | $1,666.9 | $1,500.21 | $919.94 | $1,776.21 | $2,399.03 |
| surgery | ||||||||
| Total shoulder arthroplasty | CPT | 23472 | 0 | $6,417 | $5,775.3 | — | — | — |
| Hip hemiarthroplasty | CPT | 27125 | 0 | $6,417 | $5,775.3 | — | — | — |
| Total hip replacement | CPT | 27130 | 0 | $6,417 | $5,775.3 | — | — | — |
| Total knee replacement | CPT | 27447 | 1 | $6,417 | $5,775.3 | $21,397 | $21,397 | $21,397 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 1 | $820.6 | $738.54 | $2,612.93 | $2,612.93 | $2,612.93 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 0 | $1,614.6 | $1,453.14 | — | — | — |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 1 | $820.6 | $738.54 | $1,022.47 | $1,022.47 | $1,022.47 |
| Open appendectomy | CPT | 44950 | 0 | $2,643.25 | $2,378.93 | — | — | — |
| Laparoscopic appendectomy | CPT | 44970 | 2 | $2,485.8 | $2,237.22 | $2,995.02 | $6,259.21 | $9,523.4 |
| Laparoscopic cholecystectomy | CPT | 47562 | 3 | $2,397.4 | $2,157.66 | $2,353.87 | $2,584.72 | $9,523.4 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 2 | $3,646.5 | $3,281.85 | $2,342.12 | $5,932.76 | $9,523.4 |
| Open umbilical hernia repair | CPT | 49560 | 1 | $1,686.65 | $1,517.99 | $5,823.09 | $5,823.09 | $5,823.09 |
| Umbilical hernia repair age 5+ | CPT | 49585 | 3 | $1,208.9 | $1,088.01 | $1,245.4 | $2,463.25 | $6,754.65 |
| Total abdominal hysterectomy | CPT | 58150 | 0 | $2,400.65 | $2,160.59 | — | — | — |
| Vaginal hysterectomy | CPT | 58260 | 0 | $1,057.3 | $951.57 | — | — | — |
| Lap-assisted vaginal hysterectomy | CPT | 58550 | 0 | $1,626.7 | $1,464.03 | — | — | — |
| Lap salpingo-oophorectomy | CPT | 58661 | 0 | $1,626.7 | $1,464.03 | — | — | — |
| Complex cataract surgery | CPT | 66982 | 1 | $2,791.1 | $2,511.99 | $1,667.52 | $1,667.52 | $1,667.52 |
| Cataract surgery with lens implant | CPT | 66984 | 1 | $2,791.1 | $2,511.99 | $1,568.49 | $1,568.49 | $1,568.49 |
Payer mix (top 5)
| Payer | Codes covered | Median rate |
|---|---|---|
| Medicare | 83 | $218.23 |
| Blue Cross Blue Shield | 75 | $244.96 |
| payer negotiated charge: iowa total care | 59 | $300.52 |
| UnitedHealthcare | 55 | $428.58 |
| Aetna | 20 | $202.24 |