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
CT Orb/Fos/Sel/Ear W/O Contrast
Low
$101
Average
$894
Median
$482
High
$4.3k
Each hospital's average Wellmark rate, under the methodology and billing class chosen below.
114 hospitals; the 90th percentile is 13.9× 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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220 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 St. Luke's Aberdeen, SD outpatient | 1 | $314 | $314 | — | — | 22 | $314 – $314 |
| 2 | Avera St. Luke's Aberdeen, SD case rate · outpatient | 1 | $314 | $314 | — | — | 22 | $314 – $314 |
| 3 | Avera McKennan Hospital Sioux Falls, SD case rate · outpatient | 2 | $339 | $339 | — | — | 2–20 | $339 – $339 |
| 4 | Lakes Regional Hospital Spirit Lake, IA case rate · outpatient | 2 | $344 | $344 | — | — | 2–20 | $344 – $344 |
| 5 | Monument Health Network Inc Deadwood, SD percent of total billed charges · outpatientfrom % of charges | 2 | $1.4k | $1.4k | $663 | 47% | 2–20 | $740 – $2.1k |
| 6 | Monument Health Network Inc Sturgis, SD percent of total billed charges · outpatientfrom % of charges | 2 | $1.3k | $1.3k | $677 | 53% | 2–20 | $612 – $2.0k |
| 7 | Monument Health Network Inc Custer, SD percent of total billed charges · outpatientfrom % of charges | 2 | $1.4k | $1.4k | $801 | 56% | 2–20 | $638 – $2.2k |
| 8 | Regional Health Services of Howard County Cresco, IA case rate · outpatient | 2 | $1.3k | $1.3k | — | — | 2–20 | $1.3k – $1.3k |
| 9 | Sioux Center Health Sioux Center, IA case rate · outpatient | 2 | $344 | $344 | — | — | 2–20 | $344 – $344 |
| 10 | Spencer Municipal Hospital Spencer, IA fee schedule · outpatient | 2 | $329 | $329 | $16 | 5% | 2–20 | $313 – $344 |
| 11 | Avera Milbank Hospital Milbank, SD outpatient | 1 | $1.4k | $1.4k | — | — | 1–10 | $1.4k – $1.4k |
| 12 | Avera Milbank Hospital Milbank, SD percent of total billed charges · outpatientfrom % of charges | 1 | $1.4k | $1.4k | — | — | 1–10 | $1.4k – $1.4k |
| 13 | Avera St. Anthony's Hospital O'Neill, NE inpatient | 1 | $2.8k | $2.8k | — | — | 1–10 | $2.8k – $2.8k |
| 14 | Avera St. Anthony's Hospital O'Neill, NE percent of total billed charges · inpatientfrom % of charges | 1 | $2.9k | $2.9k | — | — | 1–10 | $2.9k – $2.9k |
| 15 | Avera St. Mary's Hospital Pierre, SD outpatient | 1 | $343 | $343 | — | — | 1–10 | $343 – $343 |
| 16 | Avera St. Mary's Hospital Pierre, SD case rate · outpatient | 1 | $343 | $343 | — | — | 1–10 | $343 – $343 |
| 17 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · both | 2 | $107 | $107 | — | — | 1–10 | $107 – $107 |
| 18 | Community Memorial Hospital Redfield, SD outpatient | 1 | $2.4k | $2.4k | — | — | 1–10 | $2.4k – $2.4k |
| 19 | Community Memorial Hospital Redfield, SD percent of total billed charges · outpatientfrom % of charges | 1 | $2.5k | $2.5k | — | — | 1–10 | $2.5k – $2.5k |
| 20 | Mercy Health Services-Iowa Corp. Mason City, IA facility · other · both | 1 | $112 | $112 | — | — | 1–10 | $112 – $112 |
| 21 | Mercy Health Services-Iowa Corp. Mason City, IA facility · other · outpatient | 1 | $112 | $112 | — | — | 1–10 | $112 – $112 |
| 22 | Pella Regional Health Center Pella, IA other · outpatient | 1 | $101 | $101 | — | — | 1–10 | $101 – $101 |
| 23 | Sanford Aberdeen Medical Center Aberdeen, SD other · outpatient | 1 | $319 | $319 | — | — | 1–10 | $319 – $319 |
| 24 | Sanford Canton Inwood Medical Center Canton, SD percent of total billed charges · outpatientfrom % of charges | 2 | $1.3k | $1.3k | $518 | 40% | 1–10 | $772 – $1.8k |
| 25 | Sanford Chamberlain Medical Center Chamberlain, SD percent of total billed charges · outpatientfrom % of charges | 2 | $1.6k | $1.6k | $634 | 40% | 1–10 | $944 – $2.2k |
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