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Mercy Medical Center-New Hampton

308 North Maple Avenue, New Hampton, IA 50659 · (641) 394-4121

Critical Access HospitalsVoluntary non-profit - ChurchPart of Trinity Health · 52 hospitals

Price file

Prices published

File dated 2026-03-31

238,120 price rows for 48 procedures

Published prices

cash · negotiated range · list
Basic metabolic panel (blood test)

CPT 80048 · lowest of 20 lines

$103
cash
$3,664
cash
CT scan of the head, no contrast

CPT 70450 · lowest of 10 lines

$1,368
cash
CT scan of the pelvis, with contrast

CPT 72193 · lowest of 10 lines

$1,740
cash
Chlamydia test (DNA)

CPT 87491 · lowest of 10 lines

$201
cash
Colonoscopy (diagnostic)

CPT 45378 · lowest of 30 lines

$671
cash
Colonoscopy with biopsy

CPT 45380 · lowest of 40 lines

$730
cash
Colonoscopy with polyp removal

CPT 45385 · lowest of 40 lines

$551
cash
Complete blood count (CBC) with differential

CPT 85025 · lowest of 20 lines

$73
cash
Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 20 lines

$126
cash
Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 10 lines

$446
cash
Electrocardiogram (ECG) with interpretation

CPT 93000 · lowest of 40 lines

$32
cash
$235
cash
Family psychotherapy with the patient

CPT 90847 · lowest of 10 lines

$303
cash
Gonorrhea test (DNA)

CPT 87591 · lowest of 10 lines

$193
cash
Group psychotherapy

CPT 90853 · lowest of 20 lines

$502
cash
$7,055
cash
Knee arthroscopy with meniscus repair

CPT 29881 · lowest of 10 lines

$9,979
cash
Lipid panel (cholesterol test)

CPT 80061 · lowest of 30 lines

$111
cash
Liver function panel

CPT 80076 · lowest of 10 lines

$111
cash
MRI of the brain, with and without contrast

CPT 70553 · lowest of 10 lines

$3,607
cash
$2,602
cash
$2,599
cash
MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 10 lines

$2,547
cash
$321
cash
New patient office visit (about 30 minutes)

CPT 99203 · lowest of 50 lines

$164
cash
New patient office visit (about 45 minutes)

CPT 99204 · lowest of 50 lines

$251
cash
New patient office visit (about 60 minutes)

CPT 99205 · lowest of 30 lines

$317
cash
PSA test (prostate)

CPT 84153 · lowest of 20 lines

$122
cash
$64
cash
$129
cash
Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 10 lines

$733
cash
Preventive visit, new patient age 18 to 39

CPT 99385 · lowest of 30 lines

$196
cash
Preventive visit, new patient age 40 to 64

CPT 99386 · lowest of 30 lines

$227
cash
Prothrombin time (blood clotting test)

CPT 85610 · lowest of 40 lines

$9
cash
Psychotherapy, 30 minutes

CPT 90832 · lowest of 10 lines

$397
cash
Psychotherapy, 45 minutes

CPT 90834 · lowest of 10 lines

$491
cash
Psychotherapy, 60 minutes

CPT 90837 · lowest of 10 lines

$501
cash
Screening mammogram (both breasts)

CPT 77067 · lowest of 20 lines

$307
cash
Sleep study (overnight, attended)

CPT 95810 · lowest of 10 lines

$3,901
cash
$1,736
cash
$213
cash
TSH test (thyroid)

CPT 84443 · lowest of 10 lines

$125
cash
Transvaginal ultrasound

CPT 76830 · lowest of 10 lines

$558
cash
Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 10 lines

$693
cash
Upper endoscopy with biopsy

CPT 43239 · lowest of 40 lines

$301
cash
Urinalysis with microscope

CPT 81001 · lowest of 20 lines

$44
cash
X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 10 lines

$369
cash

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.