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 US GUIDE PLC NDL
Low
$41
Average
$497
Median
$328
High
$5.2k
Each hospital's average Wellmark rate, under the methodology and billing class chosen below.
90 hospitals; the 90th percentile is 15.5× 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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192 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 | $752 | $752 | — | — | 106 | $752 – $752 |
| 2 | Spencer Municipal Hospital Spencer, IA fee schedule · outpatient | 3 | $380 | $275 | $176 | 64% | 43–52 | $28 – $418 |
| 3 | Sioux Center Health Sioux Center, IA case rate · outpatient | 2 | $593 | $593 | — | — | 28 | $593 – $593 |
| 4 | Avera St. Luke's Aberdeen, SD outpatient | 1 | $1.4k | $1.4k | — | — | 26 | $1.4k – $1.4k |
| 5 | Avera St. Luke's Aberdeen, SD case rate · outpatient | 1 | $1.4k | $1.4k | — | — | 26 | $1.4k – $1.4k |
| 6 | Avera Holy Family Hospital Estherville, IA case rate · outpatient | 2 | $516 | $516 | — | — | 24 | $516 – $516 |
| 7 | Sanford USD Medical Center Sioux Falls, SD other · outpatient | 1 | $739 | $739 | — | — | 14 | $739 – $739 |
| 8 | Pella Regional Health Center Pella, IA other · outpatient | 2 | $556 | $556 | $138 | 25% | 12–120 | $418 – $694 |
| 9 | Avera Heart Hospital Sioux Falls, SD case rate · outpatient | 2 | $5.2k | $5.2k | — | — | 2–20 | $5.2k – $5.2k |
| 10 | Avera St. Mary's Hospital Pierre, SD outpatient | 1 | $579 | $579 | — | — | 2–20 | $579 – $579 |
| 11 | Avera St. Mary's Hospital Pierre, SD case rate · outpatient | 1 | $579 | $579 | — | — | 2–20 | $579 – $579 |
| 12 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · both | 3 | $105 | $98 | $24 | 24% | 2–20 | $59 – $124 |
| 13 | Osceola Regional Health Center Sibley, IA case rate · outpatient | 2 | $1.1k | $1.1k | — | — | 2–20 | $1.1k – $1.1k |
| 14 | Regional Health Services of Howard County Cresco, IA case rate · outpatient | 2 | $643 | $643 | — | — | 2–20 | $643 – $643 |
| 15 | Avera Gregory Hospital Gregory, SD outpatient | 1 | $1.4k | $1.4k | — | — | 1–10 | $1.4k – $1.4k |
| 16 | Avera Gregory Hospital Gregory, SD percent of total billed charges · outpatientfrom % of charges | 1 | $1.0k | $1.0k | — | — | 1–10 | $1.0k – $1.0k |
| 17 | Avera Missouri River Health Center Gettysburg, SD outpatient | 1 | $1.4k | $1.4k | — | — | 1–10 | $1.4k – $1.4k |
| 18 | Avera Missouri River Health Center Gettysburg, SD percent of total billed charges · outpatientfrom % of charges | 1 | $1.4k | $1.4k | — | — | 1–10 | $1.4k – $1.4k |
| 19 | Avera Queen of Peace Mitchell, SD outpatient | 1 | $467 | $467 | — | — | 1–10 | $467 – $467 |
| 20 | Avera Queen of Peace Mitchell, SD case rate · outpatient | 1 | $467 | $467 | — | — | 1–10 | $467 – $467 |
| 21 | Avera Sacred Heart Hospital Yankton, SD outpatient | 1 | $30 | $30 | — | — | 1–10 | $30 – $30 |
| 22 | Avera Sacred Heart Hospital Yankton, SD percent of total billed charges · outpatientfrom % of charges | 1 | $1.0k | $1.0k | — | — | 1–10 | $1.0k – $1.0k |
| 23 | Avera St. Anthony's Hospital O'Neill, NE outpatient | 1 | $987 | $987 | — | — | 1–10 | $987 – $987 |
| 24 | Avera St. Anthony's Hospital O'Neill, NE percent of total billed charges · outpatientfrom % of charges | 1 | $985 | $985 | — | — | 1–10 | $985 – $985 |
| 25 | Grundy County Memorial Hospital Grundy Center, IA facility · other · outpatient | 1 | $418 | $418 | — | — | 1–10 | $418 – $418 |
← Payers reporting CPT 76942 · Snapshot 20261111T120946Z-9134e7f7