Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
BONE SRGRY CMPTR FLUOR IMAGE
The hospitals that file a Wellmark rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.
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17 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 1 | $146.57 | $146.57 – $146.57 |
| 2 | Central Iowa Hospital Corporation Des Moines, IA fee schedule · both | 1 | $146.57 | $146.57 – $146.57 |
| 3 | Central Iowa Hospital Corporation West Des Moines, IA fee schedule · both | 1 | $146.57 | $146.57 – $146.57 |
| 4 | Grinnell Regional Medical Center Grinnell, IA fee schedule · both | 1 | $146.57 | $146.57 – $146.57 |
| 5 | Meriter Hospital, Inc Madison, WI case rate · both | 1 | $342.22 | $342.22 – $342.22 |
| 6 | Mishawaka Medical Center Mishawaka, IN facility · other · outpatient | 1 | $47,957 | $47,957 – $47,957 |
| 7 | Northwest Iowa Hospital Corporation Sioux City, IA fee schedule · both | 1 | $146.57 | $146.57 – $146.57 |
| 8 | Saint Alphonsus Medical Center - Nampa Nampa, ID facility · fee schedule · outpatient | 1 | $304.46 | $304.46 – $304.46 |
| 9 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · fee schedule · outpatient | 1 | $304.46 | $304.46 – $304.46 |
| 10 | St Luke's Methodist Hospital Marion, IA fee schedule · both | 1 | $146.57 | $146.57 – $146.57 |
| 11 | The Finley Hospital Dubuque, IA fee schedule · both | 1 | $146.57 | $146.57 – $146.57 |
| 12 | Trinity Medical Center Rock Island, IL fee schedule · both | 1 | $146.57 | $146.57 – $146.57 |
| 13 | Trinity Medical Center Bettendorf, IA fee schedule · both | 1 | $146.57 | $146.57 – $146.57 |
| 14 | Trinity Regional Medical Center Fort Dodge, IA fee schedule · both | 1 | $146.57 | $146.57 – $146.57 |
| 15 | Unity Healthcare Muscatine, IA fee schedule · both | 1 | $146.57 | $146.57 – $146.57 |
| 16 | UnityPoint Health - Jones Regional Medical Center Anamosa, IA fee schedule · both | 1 | $146.57 | $146.57 – $146.57 |
| 17 | UnityPoint Health Marshalltown Marshalltown, IA fee schedule · both | 1 | $146.57 | $146.57 – $146.57 |
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