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
HB Peroral Endoscopic Myotomy G-Poem
Low
$505
Average
$2.3k
Median
$904
High
$19.7k
Each hospital's average Wellmark rate, under the methodology and billing class chosen below.
30 hospitals; the 90th percentile is 6.0× 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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34 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 case rate · outpatient | 1 | $882 | $882 | — | — | — | $882 – $882 |
| 2 | Central Iowa Hospital Corporation Des Moines, IA case rate · outpatient | 1 | $893 | $893 | — | — | — | $893 – $893 |
| 3 | Grinnell Regional Medical Center Grinnell, IA case rate · outpatient | 1 | $893 | $893 | — | — | — | $893 – $893 |
| 4 | Gundersen Palmer Lutheran Hospital and Clinic Inc West Union, IA facility · case rate · outpatient | 2 | $8.2k | $8.2k | $381 | 5% | — | $7.8k – $8.5k |
| 5 | Mercy Health Hackley Campus Muskogen, MI facility · fee schedule · outpatient | 1 | $759 | $759 | — | — | — | $759 – $759 |
| 6 | Mercy Health Saint Marys Rockford, MI facility · fee schedule · both | 1 | $771 | $771 | — | — | — | $771 – $771 |
| 7 | Mercy Health Saint Marys Rockford, MI facility · fee schedule · outpatient | 1 | $771 | $771 | — | — | — | $771 – $771 |
| 8 | MercyOne Genesis Aledo Medical Center Aledo, IL facility · case rate · inpatient | 1 | $9.0k | $9.0k | — | — | — | $9.0k – $9.0k |
| 9 | MercyOne Genesis Aledo Medical Center Aledo, IL facility · per diem · inpatient | 1 | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 10 | MercyOne Genesis DeWitt Medical Center DeWitt, IA facility · per diem · inpatient | 2 | $1.8k | $1.8k | $876 | 49% | — | $928 – $2.7k |
| 11 | MercyOne Genesis Silvis Medical Center Silvis, IL facility · case rate · inpatient | 1 | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
| 12 | Meriter Hospital, Inc Madison, WI per diem · outpatient | 1 | $19.7k | $19.7k | — | — | — | $19.7k – $19.7k |
| 13 | Monument Health Network Inc Spearfish, SD other · outpatient | 1 | $999 | $999 | — | — | — | $999 – $999 |
| 14 | Monument Health Network Inc Deadwood, SD percent of total billed charges · outpatientfrom % of charges | 2 | $550 | $550 | $260 | 47% | — | $290 – $809 |
| 15 | Monument Health Network Inc Sturgis, SD percent of total billed charges · outpatientfrom % of charges | 2 | $505 | $505 | $265 | 53% | — | $240 – $770 |
| 16 | Monument Health Network Inc Custer, SD percent of total billed charges · outpatientfrom % of charges | 2 | $564 | $564 | $314 | 56% | — | $250 – $878 |
| 17 | Monument Health Rapid City Hospital Inc City, SD other · outpatient | 1 | $999 | $999 | — | — | — | $999 – $999 |
| 18 | Mount Carmel East Reynoldsburg, OH facility · other · outpatient | 1 | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
| 19 | Mount Carmel Grove City Grove City, OH facility · other · outpatient | 1 | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
| 20 | Northwest Iowa Hospital Corporation Sioux City, IA case rate · outpatient | 1 | $932 | $932 | — | — | — | $932 – $932 |
| 21 | Saint Francis Hospital and Medical Center Hartford, CT facility · other · outpatient | 1 | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
| 22 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · fee schedule · outpatient | 1 | $727 | $727 | — | — | — | $727 – $727 |
| 23 | St Joseph Mercy Oakland Pontiac, MI facility · fee schedule · both | 1 | $681 | $681 | — | — | — | $681 – $681 |
| 24 | St Luke's Methodist Hospital Marion, IA case rate · outpatient | 1 | $887 | $887 | — | — | — | $887 – $887 |
| 25 | The Finley Hospital Dubuque, IA case rate · outpatient | 1 | $916 | $916 | — | — | — | $916 – $916 |
← Payers reporting CPT 43999 · Snapshot 20261111T120946Z-9134e7f7