Southeast Iowa Regional Medical Center West Burlington — price list

← Hospital overviewVerified from Southeast Iowa Regional Medical Center West Burlington’s published price file

Includes list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.

How to read these columns

List: The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
Cash: The discounted self-pay price for paying directly, without insurance.
Negotiated: Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.

These are the hospital’s published reference prices, not a personalized estimate of your bill.

1,090 prices shown.

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
.Cortisol, 30 min Stimulation Outpatient	1214312 CDM	$170	—	$95.20 – $158	—
.Cortisol, 30 min Stimulation Inpatient	1214312 CDM	$170	—	$95.20 – $158	—
.Cortisol, 60 min Stimulation Outpatient	1214313 CDM	$170	—	$95.20 – $158	—
.Cortisol, 60 min Stimulation Inpatient	1214313 CDM	$170	—	$95.20 – $158	—
.Cortisol, Baseline Outpatient	1216699 CDM	$170	—	$95.20 – $158	—
.Cortisol, Baseline Inpatient	1216699 CDM	$170	—	$95.20 – $158	—
.Glucose Tolerance Spec, 2 Hour Outpatient	1161764 CDM	$142	—	$79.52 – $132	—
.Glucose Tolerance Spec, 2 Hour Inpatient	1161764 CDM	$142	—	$79.52 – $132	—
.Glucose Tolerance Spec, 3 Hour Outpatient	1152263 CDM	$142	—	$79.52 – $132	—
.Glucose Tolerance Spec, 3 Hour Inpatient	1152263 CDM	$142	—	$79.52 – $132	—
.Glucose Tolerance Spec, 4 Hour Outpatient	1152264 CDM	$142	—	$79.52 – $132	—
.Glucose Tolerance Spec, 4 Hour Inpatient	1152264 CDM	$142	—	$79.52 – $132	—
.Glucose Tolerance Spec, 5 Hour Outpatient	1152265 CDM	$142	—	$79.52 – $132	—
.Glucose Tolerance Spec, 5 Hour Inpatient	1152265 CDM	$142	—	$79.52 – $132	—
.Glucose Tolerance Spec, 6 Hour Outpatient	1152266 CDM	$142	—	$79.52 – $132	—
.Glucose Tolerance Spec, 6 Hour Inpatient	1152266 CDM	$142	—	$79.52 – $132	—
.Group B Strep Culture Outpatient	1147770 CDM	$72.00	—	$40.32 – $66.96	—
.Group B Strep Culture Inpatient	1147770 CDM	$72.00	—	$40.32 – $66.96	—
88107 Cytopath Fluid Wash/Brush/Smear Outpatient	1210694 CDM	$129	—	$72.24 – $120	—
88107 Cytopath Fluid Wash/Brush/Smear Inpatient	1210694 CDM	$129	—	$72.24 – $120	—
88112 Cytopath Thin Prep Interp Outpatient	1210697 CDM	$246	—	$138 – $229	—
88112 Cytopath Thin Prep Interp Inpatient	1210697 CDM	$246	—	$138 – $229	—
88160 Cytopath Smear Other Outpatient	1210695 CDM	$86.00	—	$48.16 – $79.98	—
88160 Cytopath Smear Other Inpatient	1210695 CDM	$86.00	—	$48.16 – $79.98	—
88161 Cytopath Touch Prep Interp Outpatient	1210696 CDM	$142	—	$79.52 – $132	—
88161 Cytopath Touch Prep Interp Inpatient	1210696 CDM	$142	—	$79.52 – $132	—
88177 Immed. Eval ADEQ Diagnosis Outpatient	1210687 CDM	$139	—	$77.84 – $129	—
88177 Immed. Eval ADEQ Diagnosis Inpatient	1210687 CDM	$139	—	$77.84 – $129	—
88305 Bone Marrow Clot Interp Outpatient	1210689 CDM	$497	—	$278 – $462	—
88305 Bone Marrow Clot Interp Inpatient	1210689 CDM	$497	—	$278 – $462	—