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
Clsd Tx Shoulder Dislc W/Manipulation Req Anes|BILATERAL PROCEDURE
Low
$226
Average
$1.2k
Median
$996
High
$3.5k
Each hospital's average Wellmark rate, under the methodology and billing class chosen below.
58 hospitals; the 90th percentile is 4.9× 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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113 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 | Monument Health Network Inc Deadwood, SD percent of total billed charges · outpatientfrom % of charges | 2 | $1.6k | $1.6k | $743 | 47% | 2–20 | $829 – $2.3k |
| 2 | Avera St. Luke's Aberdeen, SD outpatient | 1 | $2.4k | $2.4k | — | — | 1–10 | $2.4k – $2.4k |
| 3 | Avera St. Luke's Aberdeen, SD case rate · outpatient | 1 | $2.4k | $2.4k | — | — | 1–10 | $2.4k – $2.4k |
| 4 | Avera St. Mary's Hospital Pierre, SD outpatient | 1 | $2.7k | $2.7k | — | — | 1–10 | $2.7k – $2.7k |
| 5 | Avera St. Mary's Hospital Pierre, SD case rate · outpatient | 1 | $2.7k | $2.7k | — | — | 1–10 | $2.7k – $2.7k |
| 6 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · inpatient | 2 | $431 | $431 | $250 | 58% | — | $181 – $682 |
| 7 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · inpatient | 2 | $410 | $410 | $238 | 58% | — | $172 – $648 |
| 8 | Allen Memorial Hospital Corporation Waterloo, IA case rate · outpatient | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 9 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 4 | $814 | $742 | $216 | 29% | — | $381 – $958 |
| 10 | Avera Behavioral Health Hospital Sioux Falls, SD fee schedule · both | 2 | $996 | $996 | — | — | — | $996 – $996 |
| 11 | Avera McKennan Hospital Sioux Falls, SD fee schedule · both | 2 | $996 | $996 | — | — | — | $996 – $996 |
| 12 | Avera Queen of Peace Mitchell, SD fee schedule · both | 1 | $996 | $996 | — | — | — | $996 – $996 |
| 13 | Avera Specialty Hospital Sioux Falls, SD fee schedule · both | 2 | $996 | $996 | — | — | — | $996 – $996 |
| 14 | Avera St. Luke's Aberdeen, SD fee schedule · both | 1 | $996 | $996 | — | — | — | $996 – $996 |
| 15 | Avera St. Mary's Hospital Pierre, SD fee schedule · both | 1 | $996 | $996 | — | — | — | $996 – $996 |
| 16 | Central Iowa Hospital Corporation Des Moines, IA case rate · outpatient | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 17 | Central Iowa Hospital Corporation Des Moines, IA fee schedule · both | 4 | $814 | $742 | $216 | 29% | — | $381 – $958 |
| 18 | Central Iowa Hospital Corporation West Des Moines, IA fee schedule · both | 4 | $814 | $742 | $216 | 29% | — | $381 – $958 |
| 19 | Floyd Valley Healthcare Le Mars, IA fee schedule · both | 2 | $886 | $886 | $72 | 8% | — | $814 – $958 |
| 20 | Grinnell Regional Medical Center Grinnell, IA case rate · outpatient | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 21 | Grinnell Regional Medical Center Grinnell, IA fee schedule · both | 4 | $814 | $742 | $216 | 29% | — | $381 – $958 |
| 22 | Grundy County Memorial Hospital Grundy Center, IA facility · percent of total billed charges · inpatientfrom % of charges | 2 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 23 | Gundersen Palmer Lutheran Hospital and Clinic Inc West Union, IA facility · case rate · outpatient | 2 | $2.4k | $2.4k | $114 | 5% | — | $2.3k – $2.6k |
| 24 | Gundersen Palmer Lutheran Hospital and Clinic Inc West Union, IA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $711 | $711 | $7 | 1% | — | $704 – $718 |
| 25 | HAWARDEN REGIONAL HEALTHCARE HARWARDEN, IA other · outpatient | 2 | $784 | $888 | $423 | 48% | — | $431 – $1.5k |
← Payers reporting CPT 23655 · Snapshot 20261112T124536Z-e251e855