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
Bronchography Bilateral
Low
$34
Average
$197
Median
$86
High
$1.0k
Each hospital's average Wellmark rate, under the methodology and billing class chosen below.
28 hospitals; the 90th percentile is 7.1× 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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35 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 | Sanford USD Medical Center Sioux Falls, SD other · outpatient | 1 | $110 | $110 | — | — | 4–40 | $110 – $110 |
| 2 | Allen Memorial Hospital Corporation Waterloo, IA case rate · outpatient | 1 | $83 | $83 | — | — | — | $83 – $83 |
| 3 | Central Iowa Hospital Corporation Des Moines, IA case rate · outpatient | 1 | $84 | $84 | — | — | — | $84 – $84 |
| 4 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · both | 2 | $89 | $89 | — | — | — | $89 – $89 |
| 5 | Covenant Medical Center Inc Waterloo, IA facility · other · both | 1 | $83 | $83 | — | — | — | $83 – $83 |
| 6 | Floyd Valley Healthcare Le Mars, IA percent of total billed charges · inpatientfrom % of charges | 2 | $34 | $34 | — | — | — | $34 – $34 |
| 7 | Freeman Regional Health Svcs. Freeman, SD percent of total billed charges · inpatientfrom % of charges | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 8 | Freeman Regional Health Svcs. Freeman, SD percent of total billed charges · outpatientfrom % of charges | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 9 | Grinnell Regional Medical Center Grinnell, IA case rate · outpatient | 1 | $84 | $84 | — | — | — | $84 – $84 |
| 10 | Gundersen Palmer Lutheran Hospital and Clinic Inc West Union, IA facility · case rate · outpatient | 2 | $134 | $134 | $6 | 5% | — | $128 – $140 |
| 11 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · case rate · both | 1 | $764 | $764 | — | — | — | $764 – $764 |
| 12 | MercyOne Genesis Aledo Medical Center Aledo, IL facility · case rate · outpatient | 1 | $148 | $148 | — | — | — | $148 – $148 |
| 13 | MercyOne Genesis Davenport Medical Center IA 52803; 2140 53rd Avenue Bettendorf, IA facility · fee schedule · outpatient | 1 | $84 | $84 | — | — | — | $84 – $84 |
| 14 | MercyOne Genesis Davenport West Medical Center Davenport, IA facility · fee schedule · outpatient | 1 | $84 | $84 | — | — | — | $84 – $84 |
| 15 | MercyOne Genesis Silvis Medical Center Silvis, IL facility · case rate · outpatient | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 16 | MercyOne Genesis Silvis Medical Center Silvis, IL facility · fee schedule · outpatient | 1 | $92 | $92 | — | — | — | $92 – $92 |
| 17 | Meriter Hospital, Inc Madison, WI case rate · outpatient | 1 | $85 | $85 | — | — | — | $85 – $85 |
| 18 | Northwest Iowa Hospital Corporation Sioux City, IA case rate · outpatient | 1 | $88 | $88 | — | — | — | $88 – $88 |
| 19 | Sanford Vermillion Hospital Vermillion, SD percent of total billed charges · inpatientfrom % of charges | 1 | $880 | $880 | — | — | — | $880 – $880 |
| 20 | Sanford Vermillion Hospital Vermillion, SD percent of total billed charges · outpatientfrom % of charges | 2 | $588 | $588 | $281 | 48% | — | $307 – $869 |
| 21 | Sartori Memorial Hospital Inc Cedar Falls, IA facility · fee schedule · both | 2 | $89 | $89 | — | — | — | $89 – $89 |
| 22 | Sartori Memorial Hospital Inc Cedar Falls, IA facility · other · both | 1 | $83 | $83 | — | — | — | $83 – $83 |
| 23 | St Luke's Methodist Hospital Marion, IA case rate · outpatient | 1 | $83 | $83 | — | — | — | $83 – $83 |
| 24 | St Mary Medical Center Langhorne, PA facility · percent of total billed charges · bothfrom % of charges | 1 | $512 | $512 | — | — | — | $512 – $512 |
| 25 | The Finley Hospital Dubuque, IA case rate · outpatient | 1 | $86 | $86 | — | — | — | $86 – $86 |
← Payers reporting CPT 76499 · Snapshot 20261112T124536Z-e251e855