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 Inj Paravert F Jnt L/S 1 Lev
Low
$160
Average
$1.2k
Median
$883
High
$3.3k
Each hospital's average Wellmark rate, under the methodology and billing class chosen below.
81 hospitals; the 90th percentile is 11.5× 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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187 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 | Pella Regional Health Center Pella, IA other · outpatient | 2 | $1.9k | $1.9k | $71 | 4% | 72–153 | $1.8k – $2.1k |
| 2 | Avera St. Mary's Hospital Pierre, SD outpatient | 1 | $1.7k | $1.6k | $64 | 4% | 22–40 | $1.5k – $1.7k |
| 3 | Avera St. Mary's Hospital Pierre, SD case rate · outpatient | 1 | $1.7k | $1.6k | $64 | 4% | 22–40 | $1.5k – $1.7k |
| 4 | Lakes Regional Hospital Spirit Lake, IA case rate · outpatient | 2 | $1.4k | $1.4k | $169 | 12% | 4–40 | $1.2k – $1.5k |
| 5 | Avera Queen of Peace Mitchell, SD outpatient | 1 | $2.2k | $2.2k | $431 | 20% | 2–20 | $1.7k – $2.6k |
| 6 | Avera Queen of Peace Mitchell, SD case rate · outpatient | 1 | $2.2k | $2.2k | $431 | 20% | 2–20 | $1.7k – $2.6k |
| 7 | Grundy County Memorial Hospital Grundy Center, IA facility · other · outpatient | 2 | $2.3k | $2.3k | $208 | 9% | 2–20 | $2.1k – $2.5k |
| 8 | Monument Health Network Inc Sturgis, SD percent of total billed charges · outpatientfrom % of charges | 2 | $1.3k | $1.3k | $675 | 53% | 2–20 | $610 – $2.0k |
| 9 | Spencer Municipal Hospital Spencer, IA fee schedule · outpatient | 2 | $1.5k | $1.5k | $69 | 5% | 2–20 | $1.4k – $1.5k |
| 10 | Sanford USD Medical Center Sioux Falls, SD other · outpatient | 1 | $1.8k | $1.8k | — | — | 1–10 | $1.8k – $1.8k |
| 11 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · inpatient | 2 | $666 | $666 | $368 | 55% | — | $298 – $1.0k |
| 12 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · inpatient | 2 | $633 | $633 | $349 | 55% | — | $283 – $982 |
| 13 | Allen Memorial Hospital Corporation Waterloo, IA case rate · outpatient | 1 | $837 | $837 | — | — | — | $837 – $837 |
| 14 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 4 | $175 | $160 | $46 | 29% | — | $84 – $206 |
| 15 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · inpatientfrom % of charges | 1 | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 16 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · outpatientfrom % of charges | 1 | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 17 | Avera Holy Family Hospital Estherville, IA fee schedule · both | 2 | $191 | $191 | $15 | 8% | — | $175 – $206 |
| 18 | Avera Missouri River Health Center Gettysburg, SD fee schedule · both | 1 | $214 | $214 | — | — | — | $214 – $214 |
| 19 | Avera St. Anthony's Hospital O'Neill, NE percent of total billed charges · bothfrom % of charges | 1 | $444 | $588 | $204 | 35% | — | $444 – $877 |
| 20 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · both | 2 | $904 | $904 | — | — | — | $904 – $904 |
| 21 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · outpatient | 2 | $904 | $904 | — | — | — | $904 – $904 |
| 22 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · other · both | 1 | $846 | $846 | — | — | — | $846 – $846 |
| 23 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · other · outpatient | 1 | $846 | $846 | — | — | — | $846 – $846 |
| 24 | Central Iowa Hospital Corporation Des Moines, IA case rate · outpatient | 1 | $848 | $848 | — | — | — | $848 – $848 |
| 25 | Central Iowa Hospital Corporation Des Moines, IA fee schedule · both | 4 | $175 | $160 | $46 | 29% | — | $84 – $206 |
← Payers reporting CPT 64493 · Snapshot 20261111T120946Z-9134e7f7