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
Lig/Trnsxj Flp Tube Abdl/Vag Appr Uni/Bi
The 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.
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45 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | Allen Memorial Hospital Corporation Waterloo, IA case rate · outpatient | 1 | $2,990 | $2,990 – $2,990 |
| 2 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 4 | $645.55 | $339.29 – $830.70 |
| 3 | Central Iowa Hospital Corporation Des Moines, IA case rate · outpatient | 1 | $3,027 | $3,027 – $3,027 |
| 4 | Central Iowa Hospital Corporation Des Moines, IA fee schedule · both | 4 | $645.55 | $339.29 – $830.70 |
| 5 | Central Iowa Hospital Corporation West Des Moines, IA fee schedule · both | 4 | $645.55 | $339.29 – $830.70 |
| 6 | Grinnell Regional Medical Center Grinnell, IA case rate · outpatient | 1 | $3,027 | $3,027 – $3,027 |
| 7 | Grinnell Regional Medical Center Grinnell, IA fee schedule · both | 4 | $645.55 | $339.29 – $830.70 |
| 8 | Gundersen Palmer Lutheran Hospital and Clinic Inc West Union, IA facility · case rate · outpatient | 2 | $5,723 | $5,456 – $5,991 |
| 9 | MercyOne Genesis Aledo Medical Center Aledo, IL facility · case rate · inpatient | 1 | $6,319 | $6,319 – $6,319 |
| 10 | MercyOne Genesis Aledo Medical Center Aledo, IL facility · per diem · inpatient | 1 | $2,970 | $2,970 – $2,970 |
| 11 | MercyOne Genesis DeWitt Medical Center DeWitt, IA facility · per diem · inpatient | 2 | $1,804 | $928.00 – $2,679 |
| 12 | MercyOne Genesis Silvis Medical Center Silvis, IL facility · case rate · inpatient | 1 | $2,333 | $2,333 – $2,333 |
| 13 | Meriter Hospital, Inc Madison, WI case rate · both | 1 | $1,118 | $1,118 – $1,118 |
| 14 | Meriter Hospital, Inc Madison, WI per diem · outpatient | 1 | $5,028 | $5,028 – $5,028 |
| 15 | Monument Health Network Inc Spearfish, SD other · outpatient | 1 | $8,593 | $8,593 – $8,593 |
| 16 | Monument Health Network Inc Deadwood, SD percent of total billed charges · outpatientfrom % of charges | 2 | $4,725 | $2,492 – $6,958 |
| 17 | Monument Health Network Inc Sturgis, SD percent of total billed charges · outpatientfrom % of charges | 2 | $4,342 | $2,062 – $6,623 |
| 18 | Monument Health Network Inc Custer, SD percent of total billed charges · outpatientfrom % of charges | 2 | $4,847 | $2,149 – $7,545 |
| 19 | Monument Health Rapid City Hospital Inc City, SD other · outpatient | 1 | $8,593 | $8,593 – $8,593 |
| 20 | Northwest Iowa Hospital Corporation Sioux City, IA case rate · outpatient | 1 | $3,161 | $3,161 – $3,161 |
| 21 | Northwest Iowa Hospital Corporation Sioux City, IA fee schedule · both | 4 | $645.55 | $339.29 – $830.70 |
| 22 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · both | 2 | $47.33 | $23.98 – $59.01 |
| 23 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · inpatient | 2 | $295.85 | $149.90 – $368.82 |
| 24 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · outpatient | 2 | $295.85 | $149.90 – $368.82 |
| 25 | St Luke's Methodist Hospital Marion, IA case rate · outpatient | 1 | $3,007 | $3,007 – $3,007 |
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