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
HB Radiology Port Images(S)
Low
$28
Average
$168
Median
$48
High
$2.1k
Each hospital's average Wellmark rate, under the methodology and billing class chosen below.
45 hospitals; the 90th percentile is 14.5× 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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54 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 | $171 | $171 | — | — | 76 | $171 – $171 |
| 2 | Spencer Municipal Hospital Spencer, IA fee schedule · outpatient | 3 | $128 | $94 | $57 | 60% | 3–30 | $14 – $140 |
| 3 | Avera St. Luke's Aberdeen, SD outpatient | 1 | $480 | $480 | — | — | 1–10 | $480 – $480 |
| 4 | Avera St. Luke's Aberdeen, SD case rate · outpatient | 1 | $480 | $480 | — | — | 1–10 | $480 – $480 |
| 5 | Avera St. Mary's Hospital Pierre, SD outpatient | 1 | $480 | $480 | — | — | 1–10 | $480 – $480 |
| 6 | Avera St. Mary's Hospital Pierre, SD case rate · outpatient | 1 | $480 | $480 | — | — | 1–10 | $480 – $480 |
| 7 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 4 | $30 | $28 | $8 | 29% | — | $14 – $36 |
| 8 | Central Iowa Hospital Corporation Des Moines, IA fee schedule · both | 4 | $30 | $28 | $8 | 29% | — | $14 – $36 |
| 9 | Central Iowa Hospital Corporation West Des Moines, IA fee schedule · both | 4 | $30 | $28 | $8 | 29% | — | $14 – $36 |
| 10 | Grinnell Regional Medical Center Grinnell, IA fee schedule · both | 4 | $30 | $28 | $8 | 29% | — | $14 – $36 |
| 11 | Gundersen Palmer Lutheran Hospital and Clinic Inc West Union, IA facility · case rate · outpatient | 2 | $134 | $134 | $6 | 5% | — | $128 – $140 |
| 12 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $54 | $54 | — | — | — | $54 – $54 |
| 13 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · case rate · both | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 14 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 15 | Mercy Fitzgerald Hospital Darby, PA facility · fee schedule · both | 1 | $109 | $109 | — | — | — | $109 – $109 |
| 16 | Mercy Fitzgerald Hospital Darby, PA professional · fee schedule · inpatient | 2 | $13 | $9 | $6 | 65% | — | $1 – $13 |
| 17 | Mercy Fitzgerald Hospital Darby, PA professional · fee schedule · outpatient | 2 | $13 | $9 | $6 | 65% | — | $1 – $13 |
| 18 | Mercy Health Hackley Campus Muskogen, MI facility · fee schedule · both | 1 | $44 | $44 | — | — | — | $44 – $44 |
| 19 | Mercy Health Saint Marys Rockford, MI facility · fee schedule · both | 1 | $45 | $45 | — | — | — | $45 – $45 |
| 20 | MercyOne Genesis Aledo Medical Center Aledo, IL facility · case rate · outpatient | 1 | $148 | $148 | — | — | — | $148 – $148 |
| 21 | MercyOne Genesis Silvis Medical Center Silvis, IL facility · case rate · outpatient | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 22 | Monument Health Network Inc Spearfish, SD fee schedule · outpatient | 1 | $148 | $148 | — | — | — | $148 – $148 |
| 23 | Monument Health Network Inc Spearfish, SD other · outpatient | 1 | $675 | $675 | — | — | — | $675 – $675 |
| 24 | Monument Health Network Inc Deadwood, SD percent of total billed charges · outpatientfrom % of charges | 2 | $371 | $371 | $176 | 47% | — | $196 – $547 |
| 25 | Monument Health Network Inc Sturgis, SD percent of total billed charges · outpatientfrom % of charges | 2 | $341 | $341 | $179 | 53% | — | $162 – $521 |
← Payers reporting CPT 77417 · Snapshot 20261111T120946Z-9134e7f7