Epidural steroid shot, lower back in Iowa
Below is what hospitals in Iowa charge if you pay cash, and the typical rate insurers negotiated.
Cash prices at 31 hospitals in Iowa run from $238 to $2,706. The typical hospital charges $1,299. Where a hospital sits on this scale matters more than the number alone:
typical: $1,299
Cheaper than most hospitalsPricier than most hospitals
32 hospitals. Sort by: Cash price ▲ · Negotiated median · Gross charge · Negotiated low
What these numbers mean.
Cash price is what the hospital lists for patients paying out of pocket.
Negotiated median is the middle of what insurance companies actually agreed to pay.
Gross charge is the sticker price — almost nobody pays it.
What you will actually pay is usually different from both numbers:
with insurance, your deductible, copay, or coinsurance decides what you owe —
the negotiated rate is what the insurer pays, not your bill.
A single line item may not be the whole cost: physician, anesthesia, pathology,
and facility fees can be billed separately.
Prices vary by hospital and change over time; always confirm with the hospital before you go.
| Hospital | Cash price | Where it sits | Insurance pays (typical) | Gross charge |
|---|---|---|---|---|
| Orange City Area Health System IA · Price file September 23, 2026 | $238Insurance typically pays $205Sticker price $298 | Lowest price of any hospital | $205 | $298 |
| Manning Regional Healthcare Center IA · Price file October 16, 2026 | $308Insurance typically pays $472Sticker price $460 | Cheaper than 97% of hospitals | $472 | $460 |
| Crawford County Memorial Hospital IA · Price file July 27, 2026 | $329Insurance typically pays $263Sticker price $411 | Cheaper than 93% of hospitals | $263 | $411 |
| Boone County Hospital IA · Price file July 27, 2026 | $447Insurance typically pays $152Sticker price $559 | Cheaper than 90% of hospitals | $152 | $559 |
| Knoxville Hospital & Clinics IA · Price file January 24, 2026 | $473Insurance typically pays $205Sticker price $788 | Cheaper than 87% of hospitals | $205 | $788 |
| Cass County Memorial Hospital IA · Price file June 1, 2026 | $476Insurance typically pays $136Sticker price $680 | Cheaper than 83% of hospitals | $136 | $680 |
| Shenandoah Medical Center IA · Price file September 21, 2026 | $597Insurance typically pays $340Sticker price $918 | Cheaper than 80% of hospitals | $340 | $918 |
| St Anthony Regional Hospital & Nursing Home IA · Price file November 3, 2026 | $634Insurance typically pays $133Sticker price $634 | Cheaper than 77% of hospitals | $133 | $634 |
| Van Diest Medical Center IA · Price file November 12, 2022 | $646Insurance typically pays $205Sticker price $808 | Cheaper than 73% of hospitals | $205 | $808 |
| Stewart Memorial Community Hospital IA | $782Insurance typically pays —Sticker price $978 | Cheaper than 70% of hospitals | — | $978 |
| Madison County Health Care System IA · Price file October 21, 2026 | $1,059Insurance typically pays $982Sticker price $1,324 | Cheaper than 67% of hospitals | $982 | $1,324 |
| Jefferson County Health Center IA · Price file August 20, 2026 | $1,140Insurance typically pays $741Sticker price $1,900 | Cheaper than 63% of hospitals | $741 | $1,900 |
| Broadlawns Medical Center IA | $1,208Insurance typically pays $349Sticker price $1,208 | Cheaper than 60% of hospitals | $349 | $1,208 |
| Virginia Gay Hospital IA · Price file August 13, 2026 | $1,222Insurance typically pays $738Sticker price $1,527 | Cheaper than 57% of hospitals | $738 | $1,527 |
| Iowa Specialty Hospital - Belmond IA · Price file April 22, 2026 | $1,299Insurance typically pays $956Sticker price $2,164 | Cheaper than 53% of hospitals | $956 | $2,164 |
| Iowa Specialty Hospital - Clarion IA · Price file June 11, 2026 | $1,299Insurance typically pays $926Sticker price $2,164 | Cheaper than 53% of hospitals | $926 | $2,164 |
| Grundy County Memorial Hospital IA · Price file June 29, 2026 | $1,377Insurance typically pays —Sticker price $1,721 | Pricier than 53% of hospitals | — | $1,721 |
| Hawarden Regional Healthcare IA | $1,443Insurance typically pays $857Sticker price $1,698 | Pricier than 57% of hospitals | $857 | $1,698 |
| Guthrie County Hospital IA · Price file September 26, 2026 | $1,663Insurance typically pays $1,013Sticker price $1,663 | Pricier than 60% of hospitals | $1,013 | $1,663 |
| Adair County Memorial Hospital IA · Price file September 2, 2026 | $1,819Insurance typically pays $1,462Sticker price $2,425 | Pricier than 63% of hospitals | $1,462 | $2,425 |
| Mercyone Des Moines Medical Center IA · Price file March 31, 2026 | $1,955Insurance typically pays $721Sticker price $3,008 | Pricier than 67% of hospitals | $721 | $3,008 |
| Unitypoint Health - Des Moines Iowa Methodist Medi IA · Price file November 4, 2026 | $2,706Insurance typically pays $667Sticker price $3,382 | Pricier than 70% of hospitals | $667 | $3,382 |
| Finley Hospital IA · Price file November 4, 2026 | $2,706Insurance typically pays $667Sticker price $3,382 | Pricier than 70% of hospitals | $667 | $3,382 |
| Trinity Muscatine IA · Price file November 4, 2026 | $2,706Insurance typically pays $667Sticker price $3,382 | Pricier than 70% of hospitals | $667 | $3,382 |
| Jones Regional Medical Center IA · Price file November 4, 2026 | $2,706Insurance typically pays $667Sticker price $3,382 | Pricier than 70% of hospitals | $667 | $3,382 |
| Grinnell Regional Medical Center IA · Price file November 4, 2026 | $2,706Insurance typically pays $667Sticker price $3,382 | Pricier than 70% of hospitals | $667 | $3,382 |
| St Lukes Hospital IA · Price file November 4, 2026 | $2,706Insurance typically pays $667Sticker price $3,382 | Pricier than 70% of hospitals | $667 | $3,382 |
| St Lukes Regional Medical Center IA · Price file November 4, 2026 | $2,706Insurance typically pays $667Sticker price $3,382 | Pricier than 70% of hospitals | $667 | $3,382 |
| Unitypoint Health - Marshalltown IA · Price file November 4, 2026 | $2,706Insurance typically pays $667Sticker price $3,382 | Pricier than 70% of hospitals | $667 | $3,382 |
| Trinity Regional Medical Center IA · Price file November 4, 2026 | $2,706Insurance typically pays $667Sticker price $3,382 | Pricier than 70% of hospitals | $667 | $3,382 |
| Allen Hospital IA · Price file November 4, 2026 | $2,706Insurance typically pays $667Sticker price $3,382 | Pricier than 70% of hospitals | $667 | $3,382 |
| Ottumwa Regional Health Center IA · Price file July 23, 2026 | —Insurance typically pays —Sticker price $4,843 | — | — | $4,843 |
Procedure code 62323. Prices are from each hospital's own published price file — see methodology.