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
PR PERQ TCAT THER RX DLVR NTRAC RX BALO 1 MAJ C ART
Low
$2.9k
Average
$11.3k
Median
$8.2k
High
$39.1k
Each hospital's average Wellmark rate, under the methodology and billing class chosen below.
34 hospitals; the 90th percentile is 3.9× 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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50 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 | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 2 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · both | 2 | $11.8k | $11.8k | — | — | — | $11.8k – $11.8k |
| 3 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · other · both | 1 | $11.0k | $11.0k | — | — | — | $11.0k – $11.0k |
| 4 | Central Iowa Hospital Corporation Des Moines, IA case rate · outpatient | 1 | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 5 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · both | 2 | $11.8k | $11.8k | — | — | — | $11.8k – $11.8k |
| 6 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · outpatient | 2 | $11.8k | $11.8k | — | — | — | $11.8k – $11.8k |
| 7 | Covenant Medical Center Inc Waterloo, IA facility · other · both | 1 | $11.0k | $11.0k | — | — | — | $11.0k – $11.0k |
| 8 | Covenant Medical Center Inc Waterloo, IA facility · other · outpatient | 1 | $11.0k | $11.0k | — | — | — | $11.0k – $11.0k |
| 9 | Grinnell Regional Medical Center Grinnell, IA case rate · outpatient | 1 | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 10 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · case rate · both | 1 | $21.8k | $21.8k | — | — | — | $21.8k – $21.8k |
| 11 | Mercy Fitzgerald Hospital Darby, PA facility · percent of total billed charges · bothfrom % of charges | 1 | $39.1k | $39.1k | — | — | — | $39.1k – $39.1k |
| 12 | Mercy Health Services-Iowa Corp. Mason City, IA facility · fee schedule · both | 2 | $11.8k | $11.8k | — | — | — | $11.8k – $11.8k |
| 13 | Mercy Health Services-Iowa Corp. Mason City, IA facility · other · both | 1 | $12.3k | $12.3k | — | — | — | $12.3k – $12.3k |
| 14 | Mercy Medical Center - Dubuque Dubuque, IA facility · fee schedule · both | 2 | $11.8k | $11.8k | — | — | — | $11.8k – $11.8k |
| 15 | Mercy Medical Center - Dubuque Dubuque, IA facility · other · both | 1 | $11.4k | $11.4k | — | — | — | $11.4k – $11.4k |
| 16 | MercyOne Genesis Davenport Medical Center IA 52803; 2140 53rd Avenue Bettendorf, IA facility · fee schedule · outpatient | 1 | $5.5k | $5.5k | — | — | — | $5.5k – $5.5k |
| 17 | MercyOne Genesis Davenport West Medical Center Davenport, IA facility · fee schedule · outpatient | 1 | $5.5k | $5.5k | — | — | — | $5.5k – $5.5k |
| 18 | MercyOne Genesis Silvis Medical Center Silvis, IL facility · fee schedule · outpatient | 1 | $5.9k | $5.9k | — | — | — | $5.9k – $5.9k |
| 19 | Mishawaka Medical Center Mishawaka, IN facility · other · both | 1 | $21.3k | $21.3k | — | — | — | $21.3k – $21.3k |
| 20 | Mount Carmel East Reynoldsburg, OH facility · other · both | 1 | $20.5k | $20.5k | — | — | — | $20.5k – $20.5k |
| 21 | Mount Carmel Grove City Grove City, OH facility · other · both | 1 | $20.5k | $20.5k | — | — | — | $20.5k – $20.5k |
| 22 | Mount Carmel St Ann's Lewis Center, OH facility · other · both | 1 | $20.5k | $20.5k | — | — | — | $20.5k – $20.5k |
| 23 | Northwest Iowa Hospital Corporation Sioux City, IA case rate · outpatient | 1 | $5.7k | $5.7k | — | — | — | $5.7k – $5.7k |
| 24 | Saint Alphonsus Medical Center - Nampa Nampa, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $10.6k | $10.6k | — | — | — | $10.6k – $10.6k |
| 25 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $10.6k | $10.6k | — | — | — | $10.6k – $10.6k |
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