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 INFCT DS BCT VAGINOSIS&VAGINITIS DNA VAG FLU ALG
Low
$130
Average
$309
Median
$264
High
$952
Each hospital's average Wellmark rate, under the methodology and billing class chosen below.
27 hospitals; the 90th percentile is 1.4× 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
39 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 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · inpatient | 2 | $350 | $350 | — | — | — | $350 – $350 |
| 2 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · inpatient | 2 | $333 | $333 | — | — | — | $333 – $333 |
| 3 | Allen Memorial Hospital Corporation Waterloo, IA case rate · outpatient | 1 | $268 | $268 | — | — | — | $268 – $268 |
| 4 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 3 | $263 | $263 | — | — | — | $263 – $263 |
| 5 | Central Iowa Hospital Corporation Des Moines, IA case rate · outpatient | 1 | $268 | $268 | — | — | — | $268 – $268 |
| 6 | Central Iowa Hospital Corporation Des Moines, IA fee schedule · both | 3 | $263 | $263 | — | — | — | $263 – $263 |
| 7 | Central Iowa Hospital Corporation West Des Moines, IA fee schedule · both | 3 | $263 | $263 | — | — | — | $263 – $263 |
| 8 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · both | 1 | $260 | $260 | — | — | — | $260 – $260 |
| 9 | Grinnell Regional Medical Center Grinnell, IA case rate · outpatient | 1 | $268 | $268 | — | — | — | $268 – $268 |
| 10 | Grinnell Regional Medical Center Grinnell, IA fee schedule · both | 3 | $263 | $263 | — | — | — | $263 – $263 |
| 11 | Gundersen Palmer Lutheran Hospital and Clinic Inc West Union, IA facility · case rate · outpatient | 2 | $319 | $319 | $15 | 5% | — | $304 – $334 |
| 12 | MercyOne Genesis Aledo Medical Center Aledo, IL facility · case rate · outpatient | 1 | $352 | $352 | — | — | — | $352 – $352 |
| 13 | MercyOne Genesis Davenport West Medical Center Davenport, IA facility · fee schedule · outpatient | 1 | $263 | $263 | — | — | — | $263 – $263 |
| 14 | MercyOne Genesis Silvis Medical Center Silvis, IL facility · case rate · outpatient | 1 | $130 | $130 | — | — | — | $130 – $130 |
| 15 | Meriter Hospital, Inc Madison, WI case rate · outpatient | 1 | $263 | $263 | — | — | — | $263 – $263 |
| 16 | Monument Health Network Inc Spearfish, SD fee schedule · outpatient | 1 | $164 | $164 | — | — | — | $164 – $164 |
| 17 | Monument Health Network Inc Spearfish, SD other · outpatient | 1 | $809 | $809 | — | — | — | $809 – $809 |
| 18 | Monument Health Network Inc Sturgis, SD percent of total billed charges · outpatientfrom % of charges | 2 | $409 | $409 | $215 | 53% | — | $194 – $623 |
| 19 | Monument Health Rapid City Hospital Inc City, SD fee schedule · outpatient | 1 | $270 | $270 | — | — | — | $270 – $270 |
| 20 | Northwest Iowa Hospital Corporation Sioux City, IA case rate · outpatient | 1 | $268 | $268 | — | — | — | $268 – $268 |
| 21 | Northwest Iowa Hospital Corporation Sioux City, IA fee schedule · both | 3 | $263 | $263 | — | — | — | $263 – $263 |
| 22 | Samaritan Hospital Troy, NY facility · fee schedule · both | 3 | $965 | $952 | $214 | 22% | — | $684 – $1.2k |
| 23 | Sartori Memorial Hospital Inc Cedar Falls, IA facility · fee schedule · both | 1 | $260 | $260 | — | — | — | $260 – $260 |
| 24 | St Josephs Hospital Health Center Syracuse, NY facility · fee schedule · both | 2 | $263 | $251 | $17 | 7% | — | $227 – $263 |
| 25 | St Luke's Methodist Hospital Marion, IA case rate · outpatient | 1 | $268 | $268 | — | — | — | $268 – $268 |
← Payers reporting CPT 81514 · Snapshot 20261111T120946Z-9134e7f7