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 PUNCH BX SKIN EA SEP/ADDL
Low
$28
Average
$229
Median
$101
High
$2.1k
Each hospital's average Wellmark rate, under the methodology and billing class chosen below.
64 hospitals; the 90th percentile is 12.3× 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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124 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 | Avera McKennan Hospital Sioux Falls, SD case rate · outpatient | 2 | $397 | $397 | — | — | 4–40 | $397 – $397 |
| 2 | Central Community Hospital Elkader, IA professional · fee schedule · outpatient | 3 | $106 | $98 | $26 | 26% | 2–20 | $55 – $124 |
| 3 | Monument Health Network Inc Custer, SD percent of total billed charges · outpatientfrom % of charges | 2 | $177 | $177 | $98 | 56% | 2–20 | $78 – $275 |
| 4 | Sioux Center Health Sioux Center, IA case rate · outpatient | 2 | $46 | $46 | — | — | 2–20 | $46 – $46 |
| 5 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 4 | $45 | $42 | $11 | 27% | — | $23 – $53 |
| 6 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · inpatientfrom % of charges | 1 | $142 | $142 | — | — | — | $142 – $142 |
| 7 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · outpatientfrom % of charges | 1 | $142 | $142 | — | — | — | $142 – $142 |
| 8 | Avera Queen of Peace Mitchell, SD fee schedule · both | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 9 | Avera St. Benedicts Parkston, SD fee schedule · both | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 10 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · inpatient | 3 | $45 | $41 | $13 | 31% | — | $19 – $53 |
| 11 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · outpatient | 3 | $45 | $41 | $13 | 31% | — | $19 – $53 |
| 12 | Central Community Hospital Elkader, IA professional · fee schedule · inpatient | 3 | $45 | $41 | $13 | 31% | — | $19 – $53 |
| 13 | Central Iowa Hospital Corporation Des Moines, IA fee schedule · both | 4 | $45 | $42 | $11 | 27% | — | $23 – $53 |
| 14 | Central Iowa Hospital Corporation West Des Moines, IA fee schedule · both | 4 | $45 | $42 | $11 | 27% | — | $23 – $53 |
| 15 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · outpatient | 2 | $415 | $415 | — | — | — | $415 – $415 |
| 16 | Covenant Medical Center Inc Waterloo, IA facility · other · outpatient | 1 | $387 | $387 | — | — | — | $387 – $387 |
| 17 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · both | 1 | $45 | $45 | — | — | — | $45 – $45 |
| 18 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · inpatient | 2 | $31 | $31 | $14 | 46% | — | $16 – $45 |
| 19 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · outpatient | 2 | $36 | $36 | $17 | 46% | — | $19 – $53 |
| 20 | Grinnell Regional Medical Center Grinnell, IA fee schedule · both | 4 | $45 | $42 | $11 | 27% | — | $23 – $53 |
| 21 | Grundy County Memorial Hospital Grundy Center, IA facility · percent of total billed charges · inpatientfrom % of charges | 2 | $194 | $194 | — | — | — | $194 – $194 |
| 22 | Gundersen Palmer Lutheran Hospital and Clinic Inc West Union, IA facility · case rate · outpatient | 2 | $1.0k | $1.0k | $49 | 5% | — | $993 – $1.1k |
| 23 | Gundersen Palmer Lutheran Hospital and Clinic Inc West Union, IA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $66 | $66 | $1 | 1% | — | $65 – $67 |
| 24 | HAWARDEN REGIONAL HEALTHCARE HARWARDEN, IA other · outpatient | 2 | $102 | $102 | — | — | — | $102 – $102 |
| 25 | Hegg Health Center Rock Valley, IA fee schedule · both | 2 | $49 | $49 | $4 | 8% | — | $45 – $53 |
← Payers reporting CPT 11105 · Snapshot 20261111T120946Z-9134e7f7