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, Upper Extrem W/O Contrast
Low
$102
Average
$999
Median
$584
High
$4.4k
Each hospital's average Wellmark rate, under the methodology and billing class chosen below.
121 hospitals; the 90th percentile is 14.9× 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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225 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 McKennan Hospital Sioux Falls, SD case rate · outpatient | 2 | $255 | $255 | $84 | 33% | 88 | $171 – $339 |
| 2 | Sanford USD Medical Center Sioux Falls, SD other · outpatient | 1 | $333 | $333 | — | — | 37 | $333 – $333 |
| 3 | Lakes Regional Hospital Spirit Lake, IA case rate · outpatient | 2 | $694 | $694 | $349 | 50% | 30–48 | $344 – $1.0k |
| 4 | Sioux Center Health Sioux Center, IA case rate · outpatient | 2 | $344 | $344 | $0 | 0% | 30–48 | $344 – $344 |
| 5 | Spencer Municipal Hospital Spencer, IA fee schedule · outpatient | 2 | $329 | $329 | $16 | 5% | 30–48 | $313 – $344 |
| 6 | Avera Holy Family Hospital Estherville, IA case rate · outpatient | 2 | $1.7k | $1.7k | $1.1k | 67% | 4–40 | $565 – $2.8k |
| 7 | Avera Merrill Pioneer Rock Rapids, IA case rate · outpatient | 2 | $3.1k | $3.1k | — | — | 2–20 | $3.1k – $3.1k |
| 8 | Avera Queen of Peace Mitchell, SD outpatient | 1 | $385 | $385 | — | — | 2–20 | $385 – $385 |
| 9 | Avera Queen of Peace Mitchell, SD case rate · outpatient | 1 | $385 | $385 | — | — | 2–20 | $385 – $385 |
| 10 | Avera St. Anthony's Hospital O'Neill, NE outpatient | 1 | $2.6k | $2.6k | — | — | 2–20 | $2.6k – $2.6k |
| 11 | Avera St. Anthony's Hospital O'Neill, NE percent of total billed charges · outpatientfrom % of charges | 1 | $2.6k | $2.6k | — | — | 2–20 | $2.6k – $2.6k |
| 12 | Avera St. Luke's Aberdeen, SD outpatient | 1 | $312 | $312 | $2 | 1% | 2–20 | $310 – $314 |
| 13 | Avera St. Luke's Aberdeen, SD case rate · outpatient | 1 | $312 | $312 | $2 | 1% | 2–20 | $310 – $314 |
| 14 | Avera St. Mary's Hospital Pierre, SD outpatient | 1 | $349 | $349 | — | — | 2–20 | $349 – $349 |
| 15 | Avera St. Mary's Hospital Pierre, SD case rate · outpatient | 1 | $349 | $349 | — | — | 2–20 | $349 – $349 |
| 16 | Monument Health Network Inc Deadwood, SD percent of total billed charges · outpatientfrom % of charges | 2 | $1.5k | $1.5k | $689 | 47% | 2–20 | $769 – $2.1k |
| 17 | Monument Health Network Inc Sturgis, SD percent of total billed charges · outpatientfrom % of charges | 2 | $1.3k | $1.3k | $703 | 53% | 2–20 | $636 – $2.0k |
| 18 | Monument Health Network Inc Custer, SD percent of total billed charges · outpatientfrom % of charges | 2 | $1.5k | $1.5k | $832 | 56% | 2–20 | $663 – $2.3k |
| 19 | Pella Regional Health Center Pella, IA other · outpatient | 1 | $275 | $275 | — | — | 2–20 | $275 – $275 |
| 20 | Platte Healthcare Platte, SD outpatient | 1 | $3.0k | $3.0k | $15 | 1% | 2–20 | $3.0k – $3k |
| 21 | Platte Healthcare Platte, SD percent of total billed charges · outpatientfrom % of charges | 1 | $3k | $3k | — | — | 2–20 | $3k – $3k |
| 22 | Regional Health Services of Howard County Cresco, IA case rate · outpatient | 2 | $344 | $344 | — | — | 2–20 | $344 – $344 |
| 23 | Spencer Municipal Hospital Spencer, IA case rate · outpatient | 1 | $101 | $101 | — | — | 2–20 | $101 – $101 |
| 24 | Avera Creighton Hospital Creighton, NE inpatient | 1 | $2.7k | $2.7k | — | — | 1–10 | $2.7k – $2.7k |
| 25 | Avera Creighton Hospital Creighton, NE outpatient | 1 | $2.9k | $2.9k | — | — | 1–10 | $2.9k – $2.9k |
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