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Hospital Profile Critical Access Hospitals Government - Local

Dallas County Hospital

610 10TH ST, Perry, IA 50220

CMS Overall Rating No CMS Rating
Factual Overview

Dallas County Hospital is a Critical Access Hospitals (Government - Local) operating in Perry, IA. Mapped commercial insurance prices across 93 procedures average 4.26x the Medicare baseline. CMS has not published a quality star rating for this facility.

Facility Overview

Setting: rural Bed Count: 25 Beds Teaching Status: Non-Teaching Annual Discharges: 71

Patient Experience

Recommendation Rate: N/A High Patient Rating: N/A ER Wait Time (Med): 110 min Readmission Rate: same

Pricing & Transparency

Procedures Mapped: 93 codes Avg Markup vs Medicare: 4.26x Price File In Index: Yes MRF Version: 3.0.0
Procedure & Code Cash Price Actions
Breast lump removal
CPT Code: 19120
 $3,456 Calc
Total knee replacement
CPT Code: 27447
 $4,416 Calc
Bunion correction surgery
CPT Code: 28296
 $5,486 Calc
Knee arthroscopy with meniscus repair
CPT Code: 29881
 $3,566 Calc
Blood transfusion
CPT Code: 36430
 $1,381 Calc
Upper endoscopy with biopsy
CPT Code: 43239
 $1,969 Calc
Colonoscopy (diagnostic)
CPT Code: 45378
 $1,873 Calc
Colonoscopy with biopsy
CPT Code: 45380
 $2,766 Calc
Gallbladder removal (laparoscopic)
CPT Code: 47562
 $5,233 Calc
Inguinal hernia repair
CPT Code: 49505
 $3,431 Calc
Cataract surgery with lens implant
CPT Code: 66984
 $5,714 Calc
CT scan, head (no contrast)
CPT Code: 70450
 $835 Calc
CT scan, head (with contrast)
CPT Code: 70460
 $1,344 Calc
CT scan, head (with and without contrast)
CPT Code: 70470
 $1,519 Calc
CT scan, sinuses
CPT Code: 70486
 $1,214 Calc
MRI, brain (no contrast)
CPT Code: 70551
 $2,524 Calc
MRI, brain (with and without contrast)
CPT Code: 70553
 $4,248 Calc
X-ray, chest (single view)
CPT Code: 71045
 $184 Calc
X-ray, chest (two views)
CPT Code: 71046
 $256 Calc
CT scan, chest (no contrast)
CPT Code: 71250
 $1,265 Calc
X-ray, neck (cervical spine)
CPT Code: 72040
 $317 Calc
X-ray, lower back
CPT Code: 72110
 $416 Calc
CT scan, neck (cervical spine)
CPT Code: 72125
 $1,327 Calc
CT scan, lower back (lumbar spine)
CPT Code: 72131
 $1,321 Calc
MRI, lower back (no contrast)
CPT Code: 72148
 $2,428 Calc
X-ray, pelvis
CPT Code: 72170
 $230 Calc
CT scan, pelvis
CPT Code: 72192
 $1,146 Calc
X-ray, shoulder
CPT Code: 73030
 $278 Calc
X-ray, hand
CPT Code: 73130
 $306 Calc
X-ray, hip
CPT Code: 73502
 $399 Calc
X-ray, ankle
CPT Code: 73610
 $306 Calc
X-ray, foot
CPT Code: 73630
 $284 Calc
MRI, knee or other leg joint
CPT Code: 73721
 $2,739 Calc
CT scan, abdomen and pelvis (no contrast)
CPT Code: 74176
 $1,418 Calc
CT scan, abdomen and pelvis (with contrast)
CPT Code: 74177
 $2,971 Calc
Ultrasound, thyroid and neck
CPT Code: 76536
 $1,056 Calc
Ultrasound, abdomen (complete)
CPT Code: 76700
 $987 Calc
Ultrasound, abdomen (limited)
CPT Code: 76705
 $722 Calc
Ultrasound, pelvis
CPT Code: 76856
 $907 Calc
Diagnostic mammogram (both breasts)
CPT Code: 77066
 $852 Calc
Screening mammogram (both breasts)
CPT Code: 77067
 $214 Calc
Blood test, basic metabolic panel
CPT Code: 80048
 $91 Calc
Blood test, comprehensive metabolic panel
CPT Code: 80053
 $145 Calc
Blood test, cholesterol (lipid panel)
CPT Code: 80061
 $96 Calc
Blood test, liver function panel
CPT Code: 80076
 $101 Calc
Urinalysis (automated, with microscopy)
CPT Code: 81001
 $39 Calc
Blood test, amylase
CPT Code: 82150
 $64 Calc
Blood test, vitamin D
CPT Code: 82306
 $79 Calc
Blood test, calcium
CPT Code: 82310
 $48 Calc
Blood test, creatinine (kidney)
CPT Code: 82565
 $42 Calc
Blood test, vitamin B12
CPT Code: 82607
 $94 Calc
Blood test, ferritin (iron stores)
CPT Code: 82728
 $92 Calc
Blood test, glucose (blood sugar)
CPT Code: 82947
 $40 Calc
Blood test, average blood sugar (A1c)
CPT Code: 83036
 $65 Calc
Blood test, lipase
CPT Code: 83690
 $118 Calc
Blood test, magnesium
CPT Code: 83735
 $66 Calc
Blood test, potassium
CPT Code: 84132
 $44 Calc
Blood test, PSA (prostate screen)
CPT Code: 84153
 $112 Calc
Blood test, sodium
CPT Code: 84295
 $38 Calc
Blood test, thyroid (TSH)
CPT Code: 84443
 $104 Calc
Blood test, urea nitrogen (BUN, kidney)
CPT Code: 84520
 $40 Calc
Blood test, hemoglobin
CPT Code: 85018
 $30 Calc
Blood test, complete blood count (CBC)
CPT Code: 85025
 $73 Calc
Blood test, clotting time (PT/INR)
CPT Code: 85610
 $38 Calc
Blood test, clotting time (PTT)
CPT Code: 85730
 $53 Calc
Hepatitis C antibody test
CPT Code: 86803
 $88 Calc
Blood antibody screen
CPT Code: 86850
 $76 Calc
Culture, blood
CPT Code: 87040
 $121 Calc
Culture, bacterial
CPT Code: 87070
 $83 Calc
Psychotherapy session (45 minutes)
CPT Code: 90834
 $540 Calc
Psychotherapy session (60 minutes)
CPT Code: 90837
 $551 Calc
Family therapy session
CPT Code: 90847
 $570 Calc
Group therapy session
CPT Code: 90853
 $525 Calc
Speech therapy (language evaluation)
CPT Code: 92507
 $176 Calc
Electrocardiogram (ECG/EKG)
CPT Code: 93000
 $72 Calc
Electrocardiogram (EKG, tracing only)
CPT Code: 93005
 $172 Calc
Echocardiogram (heart ultrasound)
CPT Code: 93306
 $1,684 Calc
Ultrasound, leg veins (duplex)
CPT Code: 93970
 $852 Calc
Breathing treatment (nebulizer)
CPT Code: 94640
 $99 Calc
Sleep study (overnight, in lab)
CPT Code: 95810
 $2,931 Calc
Neurobehavioral status check
CPT Code: 96116
 $78 Calc
Physical therapy (therapeutic exercise)
CPT Code: 97110
 $72 Calc
Physical therapy (neuromuscular re-education)
CPT Code: 97112
 $78 Calc
Physical therapy (gait training)
CPT Code: 97116
 $67 Calc
Physical therapy (manual therapy)
CPT Code: 97140
 $70 Calc
Occupational therapy (therapeutic activities)
CPT Code: 97530
 $73 Calc
Occupational therapy (self-care training)
CPT Code: 97535
 $71 Calc
Physical therapy (functional capacity test)
CPT Code: 97750
 $56 Calc
Orthotic fitting and training
CPT Code: 97760
 $81 Calc
Prosthetic fitting and training
CPT Code: 97761
 $44 Calc
New patient office visit (30-44 min)
CPT Code: 99203
 $113 Calc
Office visit, established patient (20-29 min)
CPT Code: 99213
 $68 Calc
Office visit, established patient (30-39 min)
CPT Code: 99214
 $96 Calc