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
Dialyis Circuit Vasc Emboli Occls Evasc Img S&I
Low
$333
Average
$4.5k
Median
$3.2k
High
$26.5k
Each hospital's average Wellmark rate, under the methodology and billing class chosen below.
32 hospitals; the 90th percentile is 23.3× 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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47 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 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 4 | $391 | $355 | $106 | 30% | — | $178 – $460 |
| 2 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · inpatientfrom % of charges | 1 | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 3 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · outpatientfrom % of charges | 1 | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 4 | Central Iowa Hospital Corporation Des Moines, IA fee schedule · both | 4 | $391 | $355 | $106 | 30% | — | $178 – $460 |
| 5 | Central Iowa Hospital Corporation West Des Moines, IA fee schedule · both | 4 | $391 | $355 | $106 | 30% | — | $178 – $460 |
| 6 | Grinnell Regional Medical Center Grinnell, IA fee schedule · both | 4 | $391 | $355 | $106 | 30% | — | $178 – $460 |
| 7 | Gundersen Palmer Lutheran Hospital and Clinic Inc West Union, IA facility · case rate · outpatient | 2 | $26.5k | $26.5k | $1.2k | 5% | — | $25.3k – $27.7k |
| 8 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · percent of total billed charges · bothfrom % of charges | 1 | $8.2k | $8.2k | — | — | — | $8.2k – $8.2k |
| 9 | Mercy Health Hackley Campus Muskogen, MI facility · fee schedule · both | 1 | $8.1k | $8.1k | — | — | — | $8.1k – $8.1k |
| 10 | Mercy Health Hackley Campus Muskogen, MI facility · fee schedule · outpatient | 1 | $8.1k | $8.1k | — | — | — | $8.1k – $8.1k |
| 11 | Mercy Health Saint Marys Rockford, MI facility · fee schedule · both | 1 | $8.2k | $8.2k | — | — | — | $8.2k – $8.2k |
| 12 | MercyOne Genesis Aledo Medical Center Aledo, IL facility · case rate · inpatient | 1 | $29.3k | $29.3k | — | — | — | $29.3k – $29.3k |
| 13 | MercyOne Genesis Aledo Medical Center Aledo, IL facility · per diem · inpatient | 1 | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 14 | MercyOne Genesis DeWitt Medical Center DeWitt, IA facility · per diem · inpatient | 2 | $1.8k | $1.8k | $876 | 49% | — | $928 – $2.7k |
| 15 | MercyOne Genesis Silvis Medical Center Silvis, IL facility · case rate · inpatient | 1 | $10.8k | $10.8k | — | — | — | $10.8k – $10.8k |
| 16 | MercyOne Genesis Silvis Medical Center Silvis, IL facility · case rate · outpatient | 1 | $10.8k | $10.8k | — | — | — | $10.8k – $10.8k |
| 17 | MercyOne Genesis Silvis Medical Center Silvis, IL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $4.4k | $4.4k | — | — | — | $4.4k – $4.4k |
| 18 | Meriter Hospital, Inc Madison, WI case rate · both | 1 | $414 | $414 | — | — | — | $414 – $414 |
| 19 | Meriter Hospital, Inc Madison, WI percent of total billed charges · inpatientfrom % of charges | 1 | $8.6k | $8.6k | — | — | — | $8.6k – $8.6k |
| 20 | Meriter Hospital, Inc Madison, WI percent of total billed charges · outpatientfrom % of charges | 1 | $8.6k | $8.6k | — | — | — | $8.6k – $8.6k |
| 21 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · inpatient | 2 | $219 | $199 | $28 | 14% | — | $160 – $219 |
| 22 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · outpatient | 2 | $466 | $466 | — | — | — | $466 – $466 |
| 23 | Nazareth Hospital Philadelphia, PA facility · fee schedule · both | 1 | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
| 24 | Northwest Iowa Hospital Corporation Sioux City, IA fee schedule · both | 4 | $391 | $355 | $106 | 30% | — | $178 – $460 |
| 25 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
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