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
Rmvl F/B Foot Subcutaneous|RIGHT SIDE
Low
$71
Average
$734
Median
$549
High
$3.8k
Each hospital's average Wellmark rate, under the methodology and billing class chosen below.
84 hospitals; the 90th percentile is 4.5× 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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185 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 | Lakes Regional Hospital Spirit Lake, IA case rate · outpatient | 2 | $130 | $132 | $2 | 2% | 6–60 | $130 – $135 |
| 2 | Avera McKennan Hospital Sioux Falls, SD case rate · outpatient | 2 | $316 | $316 | — | — | 4–40 | $316 – $316 |
| 3 | Sioux Center Health Sioux Center, IA case rate · outpatient | 2 | $820 | $820 | — | — | 4–40 | $820 – $820 |
| 4 | Pella Regional Health Center Pella, IA other · outpatient | 1 | $548 | $548 | — | — | 3–30 | $548 – $548 |
| 5 | Avera St. Mary's Hospital Pierre, SD outpatient | 1 | $704 | $704 | — | — | 2–20 | $704 – $704 |
| 6 | Avera St. Mary's Hospital Pierre, SD case rate · outpatient | 1 | $704 | $704 | — | — | 2–20 | $704 – $704 |
| 7 | Regional Health Services of Howard County Cresco, IA case rate · outpatient | 2 | $798 | $798 | — | — | 2–20 | $798 – $798 |
| 8 | Avera Queen of Peace Mitchell, SD outpatient | 1 | $316 | $316 | — | — | 1–10 | $316 – $316 |
| 9 | Avera Queen of Peace Mitchell, SD case rate · outpatient | 1 | $316 | $316 | — | — | 1–10 | $316 – $316 |
| 10 | Sanford USD Medical Center Sioux Falls, SD other · outpatient | 1 | $718 | $718 | — | — | 1–10 | $718 – $718 |
| 11 | Sanford Vermillion Hospital Vermillion, SD percent of total billed charges · outpatientfrom % of charges | 2 | $1.1k | $1.1k | $509 | 48% | 1–10 | $557 – $1.6k |
| 12 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · inpatient | 2 | $378 | $378 | $34 | 9% | — | $344 – $412 |
| 13 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · inpatient | 2 | $359 | $359 | $32 | 9% | — | $327 – $392 |
| 14 | Allen Memorial Hospital Corporation Waterloo, IA case rate · outpatient | 1 | $662 | $662 | — | — | — | $662 – $662 |
| 15 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 4 | $258 | $236 | $67 | 29% | — | $124 – $304 |
| 16 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · inpatientfrom % of charges | 1 | $774 | $774 | — | — | — | $774 – $774 |
| 17 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · outpatientfrom % of charges | 1 | $774 | $774 | — | — | — | $774 – $774 |
| 18 | Avera Behavioral Health Hospital Sioux Falls, SD fee schedule · both | 2 | $316 | $316 | — | — | — | $316 – $316 |
| 19 | Avera Dell Rapids Hospital Dell Rapids, SD fee schedule · both | 1 | $316 | $316 | — | — | — | $316 – $316 |
| 20 | Avera Dell Rapids Hospital Dell Rapids, SD percent of total billed charges · inpatientfrom % of charges | 1 | $579 | $579 | — | — | — | $579 – $579 |
| 21 | Avera Dell Rapids Hospital Dell Rapids, SD percent of total billed charges · outpatientfrom % of charges | 1 | $579 | $579 | — | — | — | $579 – $579 |
| 22 | Avera Gregory Hospital Gregory, SD fee schedule · both | 1 | $316 | $316 | — | — | — | $316 – $316 |
| 23 | Avera Gregory Hospital Gregory, SD percent of total billed charges · inpatientfrom % of charges | 1 | $478 | $420 | $82 | 19% | — | $304 – $478 |
| 24 | Avera Gregory Hospital Gregory, SD percent of total billed charges · outpatientfrom % of charges | 1 | $478 | $420 | $82 | 19% | — | $304 – $478 |
| 25 | Avera Hand County Hospital Miller, SD fee schedule · both | 1 | $316 | $316 | — | — | — | $316 – $316 |
← Payers reporting CPT 28190 · Snapshot 20261111T120946Z-9134e7f7