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 ASSAY OF BREATH ETHANOL
Low
$11
Average
$39
Median
$30
High
$121
Each hospital's average Wellmark rate, under the methodology and billing class chosen below.
30 hospitals; the 90th percentile is 2.6× 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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51 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 | Allen Memorial Hospital Corporation Waterloo, IA case rate · outpatient | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 2 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 3 | $30 | $30 | — | — | — | $30 – $30 |
| 3 | Central Community Hospital Elkader, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 4 | Central Iowa Hospital Corporation Des Moines, IA case rate · outpatient | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 5 | Central Iowa Hospital Corporation Des Moines, IA fee schedule · both | 3 | $30 | $30 | — | — | — | $30 – $30 |
| 6 | Central Iowa Hospital Corporation West Des Moines, IA fee schedule · both | 3 | $30 | $30 | — | — | — | $30 – $30 |
| 7 | Grinnell Regional Medical Center Grinnell, IA case rate · outpatient | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 8 | Grinnell Regional Medical Center Grinnell, IA fee schedule · both | 3 | $30 | $30 | — | — | — | $30 – $30 |
| 9 | Grundy County Memorial Hospital Grundy Center, IA facility · percent of total billed charges · inpatientfrom % of charges | 2 | $37 | $37 | — | — | — | $37 – $37 |
| 10 | Gundersen Palmer Lutheran Hospital and Clinic Inc West Union, IA facility · case rate · outpatient | 2 | $28 | $28 | $1 | 5% | — | $26 – $29 |
| 11 | Gundersen Palmer Lutheran Hospital and Clinic Inc West Union, IA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $177 | $177 | $2 | 1% | — | $175 – $179 |
| 12 | Mercy Health Lakeshore Campus Shelby, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $43 | $43 | — | — | — | $43 – $43 |
| 13 | Mercy Medical Center - New Hampton New Hampton, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 14 | MercyOne Genesis Aledo Medical Center Aledo, IL facility · case rate · outpatient | 1 | $30 | $30 | — | — | — | $30 – $30 |
| 15 | MercyOne Genesis Aledo Medical Center Aledo, IL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $22 | $22 | $0 | 1% | — | $21 – $22 |
| 16 | MercyOne Genesis Aledo Medical Center Aledo, IL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $18 | $18 | $0 | 1% | — | $17 – $18 |
| 17 | MercyOne Genesis Davenport West Medical Center Davenport, IA facility · fee schedule · outpatient | 1 | $30 | $30 | — | — | — | $30 – $30 |
| 18 | MercyOne Genesis Silvis Medical Center Silvis, IL facility · case rate · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 19 | Meriter Hospital, Inc Madison, WI case rate · outpatient | 1 | $30 | $30 | — | — | — | $30 – $30 |
| 20 | Monument Health Network Inc Spearfish, SD fee schedule · outpatient | 1 | $69 | $69 | — | — | — | $69 – $69 |
| 21 | Monument Health Network Inc Spearfish, SD other · outpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 22 | Monument Health Network Inc Sturgis, SD percent of total billed charges · outpatientfrom % of charges | 2 | $18 | $18 | $10 | 53% | — | $9 – $28 |
| 23 | Monument Health Rapid City Hospital Inc City, SD fee schedule · outpatient | 1 | $71 | $71 | — | — | — | $71 – $71 |
| 24 | Monument Health Rapid City Hospital Inc City, SD other · outpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 25 | Northwest Iowa Hospital Corporation Sioux City, IA case rate · outpatient | 1 | $31 | $31 | — | — | — | $31 – $31 |
← Payers reporting CPT 82075 · Snapshot 20261112T124536Z-e251e855