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.
Generation details were not recorded for this description.
Original text from hospital filings
PRO FEE I&D UPR A/E BURSA
Low
$90
Average
$1.1k
Median
$473
High
$3.9k
Each hospital's average Wellmark rate, under the methodology and billing class chosen below.
36 hospitals; the 90th percentile is 19.7× 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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62 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 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · inpatient | 2 | $485 | $485 | $29 | 6% | — | $456 – $514 |
| 2 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · inpatient | 2 | $461 | $461 | $28 | 6% | — | $433 – $488 |
| 3 | Allen Memorial Hospital Corporation Waterloo, IA case rate · outpatient | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 4 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 4 | $317 | $289 | $84 | 29% | — | $149 – $373 |
| 5 | Central Iowa Hospital Corporation Des Moines, IA case rate · outpatient | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 6 | Central Iowa Hospital Corporation Des Moines, IA fee schedule · both | 4 | $317 | $289 | $84 | 29% | — | $149 – $373 |
| 7 | Central Iowa Hospital Corporation West Des Moines, IA fee schedule · both | 4 | $317 | $289 | $84 | 29% | — | $149 – $373 |
| 8 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · inpatient | 3 | $159 | $144 | $43 | 30% | — | $71 – $187 |
| 9 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · outpatient | 3 | $159 | $134 | $42 | 32% | — | $61 – $159 |
| 10 | Grinnell Regional Medical Center Grinnell, IA case rate · outpatient | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 11 | Grinnell Regional Medical Center Grinnell, IA fee schedule · both | 4 | $317 | $289 | $84 | 29% | — | $149 – $373 |
| 12 | Gundersen Palmer Lutheran Hospital and Clinic Inc West Union, IA facility · case rate · outpatient | 2 | $4.4k | $4.4k | $206 | 5% | — | $4.2k – $4.6k |
| 13 | Gundersen Palmer Lutheran Hospital and Clinic Inc West Union, IA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $1.2k | $1.2k | $12 | 1% | — | $1.2k – $1.2k |
| 14 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · inpatient | 2 | $112 | $102 | $14 | 13% | — | $83 – $112 |
| 15 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · outpatient | 2 | $108 | $100 | $12 | 12% | — | $83 – $108 |
| 16 | Mercy Health Hackley Campus Muskogen, MI facility · fee schedule · both | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 17 | Mercy Health Saint Marys Rockford, MI facility · fee schedule · both | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 18 | MercyOne Genesis Aledo Medical Center Aledo, IL facility · case rate · inpatient | 1 | $4.9k | $4.9k | — | — | — | $4.9k – $4.9k |
| 19 | MercyOne Genesis Aledo Medical Center Aledo, IL facility · per diem · inpatient | 1 | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 20 | MercyOne Genesis DeWitt Medical Center DeWitt, IA facility · per diem · inpatient | 2 | $1.8k | $1.8k | $876 | 49% | — | $928 – $2.7k |
| 21 | MercyOne Genesis Silvis Medical Center Silvis, IL facility · case rate · inpatient | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 22 | Meriter Hospital, Inc Madison, WI case rate · both | 1 | $496 | $496 | — | — | — | $496 – $496 |
| 23 | Meriter Hospital, Inc Madison, WI per diem · outpatient | 1 | $5.0k | $5.0k | — | — | — | $5.0k – $5.0k |
| 24 | Meriter Hospital, Inc Madison, WI percent of total billed charges · inpatientfrom % of charges | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 25 | Monument Health Network Inc Spearfish, SD fee schedule · outpatient | 1 | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
← Payers reporting CPT 23931 · Snapshot 20261112T181611Z-3fa9fb76