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
HC PRGRMG DEV EVAL LDLS PM SINGLE CAR CHAMBER IP
Low
$17
Average
$80
Median
$37
High
$239
Each hospital's average Wellmark rate, under the methodology and billing class chosen below.
27 hospitals; the 90th percentile is 5.6× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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32 hospital rates
iThe 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.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Allen Memorial Hospital Corporation Waterloo, IA case rate · outpatient | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 2 | Central Iowa Hospital Corporation Des Moines, IA case rate · outpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 3 | Grinnell Regional Medical Center Grinnell, IA case rate · outpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 4 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · percent of total billed charges · bothfrom % of charges | 1 | $69 | $69 | — | — | — | $69 – $69 |
| 5 | Mercy Fitzgerald Hospital Darby, PA facility · percent of total billed charges · bothfrom % of charges | 1 | $239 | $239 | — | — | — | $239 – $239 |
| 6 | Mercy Health Hackley Campus Muskogen, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 7 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · inpatient | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 8 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · outpatient | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 9 | MercyOne Genesis Aledo Medical Center Aledo, IL facility · case rate · outpatient | 1 | $96 | $96 | — | — | — | $96 – $96 |
| 10 | MercyOne Genesis Davenport Medical Center IA 52803; 2140 53rd Avenue Bettendorf, IA facility · fee schedule · outpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 11 | MercyOne Genesis Davenport West Medical Center Davenport, IA facility · fee schedule · outpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 12 | MercyOne Genesis Silvis Medical Center Silvis, IL facility · case rate · outpatient | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 13 | MercyOne Genesis Silvis Medical Center Silvis, IL facility · fee schedule · outpatient | 1 | $39 | $39 | — | — | — | $39 – $39 |
| 14 | Mount Carmel East Reynoldsburg, OH facility · other · both | 1 | $134 | $134 | — | — | — | $134 – $134 |
| 15 | Mount Carmel Grove City Grove City, OH facility · other · both | 1 | $134 | $134 | — | — | — | $134 – $134 |
| 16 | Mount Carmel St Ann's Lewis Center, OH facility · other · both | 1 | $134 | $134 | — | — | — | $134 – $134 |
| 17 | Nazareth Hospital Philadelphia, PA facility · percent of total billed charges · bothfrom % of charges | 1 | $239 | $239 | — | — | — | $239 – $239 |
| 18 | Northwest Iowa Hospital Corporation Sioux City, IA case rate · outpatient | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 19 | Saint Alphonsus Medical Center - Nampa Nampa, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $80 | $80 | — | — | — | $80 – $80 |
| 20 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $80 | $80 | — | — | — | $80 – $80 |
| 21 | St Joseph Mercy Livingston Hospital | Trinity Health Medical Center - Brighton Brighton, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 22 | St Luke's Methodist Hospital Marion, IA case rate · outpatient | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 23 | The Finley Hospital Dubuque, IA case rate · outpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 24 | Trinity Medical Center Rock Island, IL case rate · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 25 | Trinity Medical Center Bettendorf, IA case rate · outpatient | 1 | $35 | $35 | — | — | — | $35 – $35 |
← Payers reporting CPT 0826T · Snapshot 20261112T181611Z-3fa9fb76