| Hospital | Address | Code | Price | Last Updated |
|---|---|---|---|---|
| Hegg Health Center Avera | 1202 21St Ave, Rock Valley | 99214 | $224 [source] | 3 years ago |
| Chi Health Mercy | 1409 Clark St, Des Moines | 99214 | $231 [source] | 3 years ago |
| Sioux Center Health Avera | 1101 9Th St Se, Sioux Center | 99214 | $256 [source] | 3 years ago |
| Floyd Valley Healthcare | 714 Lincoln St Ne, Le Mars | 99214 | $296 [source] | 3 years ago |
| Chi Health Missouri Valley | 809 Elm St, Missouri Valley | 99214 | $332 [source] | 3 years ago |
| Chi Health Mercy Corning | 601 Rosary Dr, Corning | 99214 | $332 [source] | 3 years ago |
| Lakes Regional Healthcare | 2408 Zenith Avenue, Spirit Lake | 99214 | $418 [source] | 3 years ago |