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
HC XR FOOT COMP MIN 3VW
Low
$36
Average
$210
Median
$142
High
$1.1k
Each hospital's average Wellmark rate, under the methodology and billing class chosen below.
127 hospitals; the 90th percentile is 8.9× 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.
Filter by billing methodology
Filter by billing class
311 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 | $339 | $339 | — | — | 486 | $339 – $339 |
| 2 | Pella Regional Health Center Pella, IA other · outpatient | 2 | $92 | $92 | $1 | 1% | 458 | $91 – $93 |
| 3 | Sioux Center Health Sioux Center, IA case rate · outpatient | 2 | $114 | $114 | — | — | 398 | $114 – $114 |
| 4 | Spencer Municipal Hospital Spencer, IA fee schedule · outpatient | 2 | $134 | $134 | $6 | 5% | 272 | $128 – $140 |
| 5 | Monument Health Network Inc Sturgis, SD percent of total billed charges · outpatientfrom % of charges | 2 | $188 | $188 | $98 | 53% | 242 | $89 – $286 |
| 6 | Lakes Regional Hospital Spirit Lake, IA case rate · outpatient | 2 | $127 | $127 | — | — | 218 | $127 – $127 |
| 7 | Avera Holy Family Hospital Estherville, IA case rate · outpatient | 2 | $122 | $122 | $7 | 5% | 194 | $115 – $128 |
| 8 | Monument Health Network Inc Custer, SD percent of total billed charges · outpatientfrom % of charges | 2 | $209 | $209 | $117 | 56% | 134 | $93 – $326 |
| 9 | Avera St. Luke's Aberdeen, SD outpatient | 1 | $83 | $83 | — | — | 106 | $83 – $83 |
| 10 | Avera St. Luke's Aberdeen, SD case rate · outpatient | 1 | $83 | $83 | — | — | 106 | $83 – $83 |
| 11 | Avera St. Mary's Hospital Pierre, SD outpatient | 1 | $135 | $135 | — | — | 75 | $135 – $135 |
| 12 | Avera St. Mary's Hospital Pierre, SD case rate · outpatient | 1 | $135 | $135 | — | — | 75 | $135 – $135 |
| 13 | Monument Health Network Inc Deadwood, SD percent of total billed charges · outpatientfrom % of charges | 2 | $204 | $204 | $96 | 47% | 64 | $108 – $300 |
| 14 | Avera Merrill Pioneer Rock Rapids, IA case rate · outpatient | 2 | $123 | $123 | $18 | 15% | 60 | $105 – $141 |
| 15 | Osceola Regional Health Center Sibley, IA case rate · outpatient | 2 | $114 | $114 | — | — | 50 | $114 – $114 |
| 16 | Sanford Sheldon Medical Center Sheldon, IA other · outpatient | 2 | $109 | $109 | $5 | 5% | 38–47 | $104 – $114 |
| 17 | Avera Milbank Hospital Milbank, SD outpatient | 1 | $136 | $136 | — | — | 36 | $136 – $136 |
| 18 | Avera Milbank Hospital Milbank, SD percent of total billed charges · outpatientfrom % of charges | 1 | $183 | $183 | — | — | 36 | $183 – $183 |
| 19 | Avera St. Anthony's Hospital O'Neill, NE inpatient | 1 | $268 | $268 | — | — | 34 | $268 – $268 |
| 20 | Avera St. Anthony's Hospital O'Neill, NE percent of total billed charges · inpatientfrom % of charges | 1 | $447 | $447 | — | — | 34 | $447 – $447 |
| 21 | Avera St. Benedicts Parkston, SD outpatient | 1 | $460 | $460 | — | — | 28 | $460 – $460 |
| 22 | Avera St. Benedicts Parkston, SD percent of total billed charges · outpatientfrom % of charges | 1 | $551 | $551 | — | — | 28 | $551 – $551 |
| 23 | Sanford Vermillion Hospital Vermillion, SD percent of total billed charges · outpatientfrom % of charges | 2 | $188 | $188 | $90 | 48% | 26 | $98 – $278 |
| 24 | Regional Health Services of Howard County Cresco, IA case rate · outpatient | 2 | $114 | $114 | — | — | 24–42 | $114 – $114 |
| 25 | Avera Queen of Peace Mitchell, SD outpatient | 1 | $116 | $116 | $11 | 9% | 22–31 | $105 – $126 |
← Payers reporting CPT 73630 · Snapshot 20261111T120946Z-9134e7f7