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
facility
Low
$91
Average
$361
Median
$289
High
$1.5k
Each hospital's average Wellmark rate, under the methodology and billing class chosen below.
100 hospitals; the 90th percentile is 4.6× 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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199 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 | Spencer Municipal Hospital Spencer, IA fee schedule · outpatient | 2 | $283 | $283 | $13 | 5% | 178 | $270 – $296 |
| 2 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · outpatient | 3 | $111 | $149 | $84 | 56% | 71–98 | $44 – $280 |
| 3 | Lakes Regional Hospital Spirit Lake, IA case rate · outpatient | 2 | $274 | $274 | — | — | 70 | $274 – $274 |
| 4 | Sioux Center Health Sioux Center, IA case rate · outpatient | 2 | $274 | $274 | — | — | 48 | $274 – $274 |
| 5 | Pella Regional Health Center Pella, IA other · outpatient | 2 | $238 | $238 | $4 | 2% | 34 | $233 – $242 |
| 6 | Sanford Sheldon Medical Center Sheldon, IA other · outpatient | 2 | $262 | $262 | $13 | 5% | 28–37 | $249 – $274 |
| 7 | Regional Health Services of Howard County Cresco, IA case rate · outpatient | 2 | $274 | $274 | — | — | 26 | $274 – $274 |
| 8 | Avera St. Anthony's Hospital O'Neill, NE inpatient | 1 | $616 | $616 | — | — | 25 | $616 – $616 |
| 9 | Avera St. Anthony's Hospital O'Neill, NE percent of total billed charges · inpatientfrom % of charges | 1 | $616 | $616 | — | — | 25 | $616 – $616 |
| 10 | Avera St. Benedicts Parkston, SD outpatient | 1 | $1.1k | $1.1k | — | — | 15 | $1.1k – $1.1k |
| 11 | Avera St. Benedicts Parkston, SD percent of total billed charges · outpatientfrom % of charges | 1 | $1.1k | $1.1k | — | — | 15 | $1.1k – $1.1k |
| 12 | Avera Merrill Pioneer Rock Rapids, IA case rate · outpatient | 2 | $298 | $298 | — | — | 2–20 | $298 – $298 |
| 13 | Monument Health Network Inc Custer, SD percent of total billed charges · outpatientfrom % of charges | 2 | $353 | $353 | $197 | 56% | 2–20 | $157 – $550 |
| 14 | Avera Milbank Hospital Milbank, SD outpatient | 1 | $341 | $341 | — | — | 1–10 | $341 – $341 |
| 15 | Avera Milbank Hospital Milbank, SD percent of total billed charges · outpatientfrom % of charges | 1 | $341 | $341 | — | — | 1–10 | $341 – $341 |
| 16 | Avera Queen of Peace Mitchell, SD outpatient | 1 | $331 | $331 | — | — | 1–10 | $331 – $331 |
| 17 | Avera Queen of Peace Mitchell, SD case rate · outpatient | 1 | $331 | $331 | — | — | 1–10 | $331 – $331 |
| 18 | Avera St. Luke's Aberdeen, SD outpatient | 1 | $271 | $271 | — | — | 1–10 | $271 – $271 |
| 19 | Avera St. Luke's Aberdeen, SD case rate · outpatient | 1 | $271 | $271 | — | — | 1–10 | $271 – $271 |
| 20 | Landmann-Jungman Hosp Scotland, SD outpatient | 1 | $550 | $550 | — | — | 1–10 | $550 – $550 |
| 21 | Landmann-Jungman Hosp Scotland, SD percent of total billed charges · outpatientfrom % of charges | 1 | $550 | $550 | — | — | 1–10 | $550 – $550 |
| 22 | Mercy Medical Center-Clinton Inc Clinton, IA facility · fee schedule · both | 2 | $107 | $107 | — | — | 1–10 | $107 – $107 |
| 23 | Sanford Canton Inwood Medical Center Canton, SD percent of total billed charges · outpatientfrom % of charges | 2 | $609 | $609 | $245 | 40% | 1–10 | $364 – $854 |
| 24 | Sanford Chamberlain Medical Center Chamberlain, SD percent of total billed charges · outpatientfrom % of charges | 2 | $706 | $706 | $284 | 40% | 1–10 | $422 – $990 |
| 25 | Sanford Vermillion Hospital Vermillion, SD percent of total billed charges · outpatientfrom % of charges | 2 | $566 | $566 | $271 | 48% | 1–10 | $296 – $837 |
← Payers reporting CPT 76805 · Snapshot 20261111T120946Z-9134e7f7