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
HB Intmd Rpr S/a/T/Ext 2.5 Cm/<
Low
$3
Average
$580
Median
$342
High
$7.5k
Each hospital's average Wellmark rate, under the methodology and billing class chosen below.
97 hospitals; the 90th percentile is 5.5× 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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225 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 | $456 | $456 | — | — | 4–40 | $456 – $456 |
| 2 | Lakes Regional Hospital Spirit Lake, IA case rate · outpatient | 2 | $1.2k | $1.2k | — | — | 4–40 | $1.2k – $1.2k |
| 3 | Avera St. Mary's Hospital Pierre, SD outpatient | 1 | $399 | $399 | — | — | 2–20 | $399 – $399 |
| 4 | Avera St. Mary's Hospital Pierre, SD case rate · outpatient | 1 | $399 | $399 | — | — | 2–20 | $399 – $399 |
| 5 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · outpatient | 3 | $135 | $123 | $37 | 30% | 2–20 | $61 – $159 |
| 6 | Monument Health Network Inc Deadwood, SD percent of total billed charges · outpatientfrom % of charges | 2 | $647 | $647 | $306 | 47% | 2–20 | $341 – $953 |
| 7 | Monument Health Network Inc Custer, SD percent of total billed charges · outpatientfrom % of charges | 2 | $664 | $664 | $369 | 56% | 2–20 | $294 – $1.0k |
| 8 | Regional Health Services of Howard County Cresco, IA case rate · outpatient | 2 | $1.0k | $1.0k | — | — | 2–20 | $1.0k – $1.0k |
| 9 | Sanford Sheldon Medical Center Sheldon, IA other · outpatient | 1 | $508 | $508 | — | — | 2–20 | $508 – $508 |
| 10 | Sanford USD Medical Center Sioux Falls, SD other · outpatient | 1 | $553 | $553 | — | — | 2–20 | $553 – $553 |
| 11 | Sioux Center Health Sioux Center, IA case rate · outpatient | 2 | $564 | $564 | — | — | 2–20 | $564 – $564 |
| 12 | Avera DeSmet De Smet, SD outpatient | 1 | $420 | $420 | — | — | 1–10 | $420 – $420 |
| 13 | Avera DeSmet De Smet, SD percent of total billed charges · outpatientfrom % of charges | 1 | $400 | $400 | — | — | 1–10 | $400 – $400 |
| 14 | Avera Queen of Peace Mitchell, SD outpatient | 1 | $332 | $332 | — | — | 1–10 | $332 – $332 |
| 15 | Avera Queen of Peace Mitchell, SD case rate · outpatient | 1 | $332 | $332 | — | — | 1–10 | $332 – $332 |
| 16 | Avera St. Anthony's Hospital O'Neill, NE outpatient | 1 | $137 | $137 | — | — | 1–10 | $137 – $137 |
| 17 | Avera St. Anthony's Hospital O'Neill, NE percent of total billed charges · outpatientfrom % of charges | 1 | $235 | $235 | — | — | 1–10 | $235 – $235 |
| 18 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · inpatient | 2 | $443 | $397 | $69 | 17% | — | $300 – $448 |
| 19 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · inpatient | 2 | $421 | $377 | $65 | 17% | — | $285 – $425 |
| 20 | Allen Memorial Hospital Corporation Waterloo, IA case rate · outpatient | 1 | $376 | $376 | — | — | — | $376 – $376 |
| 21 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 4 | $271 | $250 | $67 | 27% | — | $140 – $319 |
| 22 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · inpatientfrom % of charges | 1 | $707 | $707 | — | — | — | $707 – $707 |
| 23 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · outpatientfrom % of charges | 1 | $707 | $707 | — | — | — | $707 – $707 |
| 24 | Avera Behavioral Health Hospital Sioux Falls, SD fee schedule · both | 2 | $332 | $332 | — | — | — | $332 – $332 |
| 25 | Avera DeSmet De Smet, SD fee schedule · both | 1 | $332 | $332 | — | — | — | $332 – $332 |
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