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 PLACENTA ALPHA MICRO IG C/V
Low
$90
Average
$170
Median
$150
High
$407
Each hospital's average Wellmark rate, under the methodology and billing class chosen below.
70 hospitals; the 90th percentile is 3.1× 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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108 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 | 3 | $245 | $204 | $75 | 37% | 32 | $99 – $269 |
| 2 | Spencer Municipal Hospital Spencer, IA fee schedule · inpatient | 3 | $245 | $204 | $75 | 37% | 30 | $99 – $269 |
| 3 | Avera McKennan Hospital Sioux Falls, SD case rate · outpatient | 2 | $267 | $267 | — | — | 2–20 | $267 – $267 |
| 4 | Lakes Regional Hospital Spirit Lake, IA case rate · outpatient | 2 | $305 | $305 | — | — | 2–20 | $305 – $305 |
| 5 | Regional Health Services of Howard County Cresco, IA case rate · outpatient | 2 | $277 | $277 | — | — | 2–20 | $277 – $277 |
| 6 | Sioux Center Health Sioux Center, IA case rate · outpatient | 2 | $305 | $305 | — | — | 2–20 | $305 – $305 |
| 7 | Avera Queen of Peace Mitchell, SD outpatient | 1 | $407 | $407 | — | — | 1–10 | $407 – $407 |
| 8 | Avera Queen of Peace Mitchell, SD case rate · outpatient | 1 | $407 | $407 | — | — | 1–10 | $407 – $407 |
| 9 | Avera St. Anthony's Hospital O'Neill, NE inpatient | 1 | $219 | $219 | — | — | 1–10 | $219 – $219 |
| 10 | Avera St. Anthony's Hospital O'Neill, NE percent of total billed charges · inpatientfrom % of charges | 1 | $219 | $219 | — | — | 1–10 | $219 – $219 |
| 11 | Avera St. Benedicts Parkston, SD outpatient | 1 | $233 | $233 | — | — | 1–10 | $233 – $233 |
| 12 | Avera St. Benedicts Parkston, SD percent of total billed charges · outpatientfrom % of charges | 1 | $228 | $228 | — | — | 1–10 | $228 – $228 |
| 13 | Avera St. Luke's Aberdeen, SD outpatient | 1 | $201 | $201 | — | — | 1–10 | $201 – $201 |
| 14 | Avera St. Luke's Aberdeen, SD case rate · outpatient | 1 | $201 | $201 | — | — | 1–10 | $201 – $201 |
| 15 | Avera St. Mary's Hospital Pierre, SD outpatient | 1 | $273 | $273 | — | — | 1–10 | $273 – $273 |
| 16 | Avera St. Mary's Hospital Pierre, SD case rate · outpatient | 1 | $273 | $273 | — | — | 1–10 | $273 – $273 |
| 17 | Allen Memorial Hospital Corporation Waterloo, IA case rate · outpatient | 1 | $100 | $100 | — | — | — | $100 – $100 |
| 18 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 3 | $98 | $98 | — | — | — | $98 – $98 |
| 19 | Avera Milbank Hospital Milbank, SD percent of total billed charges · inpatientfrom % of charges | 1 | $139 | $139 | — | — | — | $139 – $139 |
| 20 | Avera Milbank Hospital Milbank, SD percent of total billed charges · outpatientfrom % of charges | 1 | $139 | $139 | — | — | — | $139 – $139 |
| 21 | Avera St. Anthony's Hospital O'Neill, NE percent of total billed charges · outpatientfrom % of charges | 1 | $219 | $219 | — | — | — | $219 – $219 |
| 22 | Avera St. Benedicts Parkston, SD percent of total billed charges · inpatientfrom % of charges | 1 | $228 | $228 | — | — | — | $228 – $228 |
| 23 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · both | 1 | $97 | $97 | — | — | — | $97 – $97 |
| 24 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · fee schedule · both | 1 | $97 | $97 | — | — | — | $97 – $97 |
| 25 | Central Community Hospital Elkader, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $165 | $165 | — | — | — | $165 – $165 |
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