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 CT/MRI IMAG
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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33 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 1 | $224.20 | $224.20 – $224.20 |
| 2 | Central Iowa Hospital Corporation Des Moines, IA fee schedule · both | 1 | $224.20 | $224.20 – $224.20 |
| 3 | Central Iowa Hospital Corporation West Des Moines, IA fee schedule · both | 1 | $224.20 | $224.20 – $224.20 |
| 4 | Grinnell Regional Medical Center Grinnell, IA fee schedule · both | 1 | $224.20 | $224.20 – $224.20 |
| 5 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · case rate · outpatient | 1 | $15,595 | $15,595 – $15,595 |
| 6 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · inpatient | 1 | $304.26 | $304.26 – $304.26 |
| 7 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · outpatient | 1 | $295.44 | $295.44 – $295.44 |
| 8 | Mercy Health Hackley Campus Muskogen, MI facility · fee schedule · outpatient | 1 | $20,452 | $20,452 – $20,452 |
| 9 | Mercy Health Saint Marys Rockford, MI facility · fee schedule · outpatient | 1 | $21,873 | $21,873 – $21,873 |
| 10 | Mercy Medical Center - Dubuque Dubuque, IA facility · fee schedule · outpatient | 2 | $9.00 | $9.00 – $9.00 |
| 11 | Mercy Medical Center - Dubuque Dubuque, IA facility · other · outpatient | 1 | $12,632 | $12,632 – $12,632 |
| 12 | Meriter Hospital, Inc Madison, WI case rate · both | 1 | $342.22 | $342.22 – $342.22 |
| 13 | Meriter Hospital, Inc Madison, WI percent of total billed charges · bothfrom % of charges | 1 | $317.50 | $317.50 – $317.50 |
| 14 | Mishawaka Medical Center Mishawaka, IN facility · other · outpatient | 1 | $47,957 | $47,957 – $47,957 |
| 15 | Northwest Iowa Hospital Corporation Sioux City, IA fee schedule · both | 1 | $224.20 | $224.20 – $224.20 |
| 16 | Saint Alphonsus Medical Center - Nampa Nampa, ID facility · fee schedule · outpatient | 1 | $10,737 | $10,737 – $10,737 |
| 17 | Saint Alphonsus Medical Center - Nampa Nampa, ID professional · fee schedule · inpatient | 1 | $196.99 | $196.99 – $196.99 |
| 18 | Saint Alphonsus Medical Center - Nampa Nampa, ID professional · fee schedule · outpatient | 1 | $196.99 | $196.99 – $196.99 |
| 19 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · inpatient | 1 | $196.99 | $196.99 – $196.99 |
| 20 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · outpatient | 1 | $196.99 | $196.99 – $196.99 |
| 21 | Saint Francis Hospital and Medical Center Hartford, CT facility · other · outpatient | 1 | $53,492 | $53,492 – $53,492 |
| 22 | Sartori Memorial Hospital Inc Cedar Falls, IA facility · fee schedule · outpatient | 2 | $13,117 | $13,117 – $13,117 |
| 23 | Sartori Memorial Hospital Inc Cedar Falls, IA facility · other · outpatient | 1 | $12,216 | $12,216 – $12,216 |
| 24 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · fee schedule · outpatient | 1 | $19,576 | $19,576 – $19,576 |
| 25 | St Josephs Hospital Health Center Syracuse, NY facility · other · outpatient | 2 | $27,942 | $13,845 – $34,990 |
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