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
APPLICATION OF LONG ARM SPLINT (SHOULDER TO HAND) - BILAT
Low
$22
Average
$219
Median
$150
High
$1.1k
Each hospital's average Wellmark rate, under the methodology and billing class chosen below.
106 hospitals; the 90th percentile is 7.9× 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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230 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 | $97 | $97 | $1 | 1% | 4–40 | $96 – $98 |
| 2 | Avera St. Mary's Hospital Pierre, SD outpatient | 1 | $96 | $96 | — | — | 4–40 | $96 – $96 |
| 3 | Avera St. Mary's Hospital Pierre, SD case rate · outpatient | 1 | $96 | $96 | — | — | 4–40 | $96 – $96 |
| 4 | Avera Queen of Peace Mitchell, SD outpatient | 1 | $96 | $97 | $1 | 1% | 3–30 | $96 – $98 |
| 5 | Avera Queen of Peace Mitchell, SD case rate · outpatient | 1 | $96 | $97 | $1 | 1% | 3–30 | $96 – $98 |
| 6 | Avera Holy Family Hospital Estherville, IA case rate · outpatient | 2 | $38 | $38 | — | — | 2–20 | $38 – $38 |
| 7 | Monument Health Network Inc Deadwood, SD percent of total billed charges · outpatientfrom % of charges | 2 | $282 | $282 | $133 | 47% | 2–20 | $149 – $415 |
| 8 | Monument Health Network Inc Sturgis, SD percent of total billed charges · outpatientfrom % of charges | 2 | $259 | $259 | $136 | 53% | 2–20 | $123 – $395 |
| 9 | Monument Health Network Inc Custer, SD percent of total billed charges · outpatientfrom % of charges | 2 | $289 | $289 | $161 | 56% | 2–20 | $128 – $450 |
| 10 | Sioux Center Health Sioux Center, IA case rate · outpatient | 2 | $37 | $37 | — | — | 2–20 | $37 – $37 |
| 11 | Sanford Sheldon Medical Center Sheldon, IA other · outpatient | 1 | $221 | $221 | — | — | 1–10 | $221 – $221 |
| 12 | Sanford USD Medical Center Sioux Falls, SD other · outpatient | 1 | $297 | $297 | — | — | 1–10 | $297 – $297 |
| 13 | Sanford Vermillion Hospital Vermillion, SD percent of total billed charges · outpatientfrom % of charges | 2 | $210 | $210 | $100 | 48% | 1–10 | $110 – $310 |
| 14 | Sanford Webster Hospital Webster, SD percent of total billed charges · outpatientfrom % of charges | 2 | $211 | $211 | $92 | 44% | 1–10 | $119 – $303 |
| 15 | Spencer Municipal Hospital Spencer, IA case rate · both | 1 | $150 | $150 | — | — | 1–10 | $150 – $150 |
| 16 | Wagner Community Memorial Wagner, SD outpatient | 1 | $72 | $72 | — | — | 1–10 | $72 – $72 |
| 17 | Wagner Community Memorial Wagner, SD percent of total billed charges · outpatientfrom % of charges | 1 | $386 | $386 | — | — | 1–10 | $386 – $386 |
| 18 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · inpatient | 2 | $134 | $140 | $73 | 52% | — | $54 – $232 |
| 19 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · inpatient | 2 | $127 | $133 | $69 | 52% | — | $51 – $221 |
| 20 | Allen Memorial Hospital Corporation Waterloo, IA case rate · outpatient | 1 | $148 | $148 | — | — | — | $148 – $148 |
| 21 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 4 | $80 | $73 | $21 | 29% | — | $38 – $94 |
| 22 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · inpatientfrom % of charges | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 23 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · outpatientfrom % of charges | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 24 | Avera Behavioral Health Hospital Sioux Falls, SD fee schedule · both | 2 | $98 | $98 | — | — | — | $98 – $98 |
| 25 | Avera Creighton Hospital Creighton, NE percent of total billed charges · bothfrom % of charges | 1 | $224 | $224 | — | — | — | $224 – $224 |
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