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 Ref Calculi Risk Assessment Urine, Sodium (Arup)
Low
$5
Average
$38
Median
$25
High
$175
Each hospital's average Wellmark rate, under the methodology and billing class chosen below.
121 hospitals; the 90th percentile is 16.9× 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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191 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 | Sioux Center Health Sioux Center, IA case rate · outpatient | 2 | $58 | $58 | — | — | 28 | $58 – $58 |
| 2 | Spencer Municipal Hospital Spencer, IA fee schedule · outpatient | 3 | $32 | $24 | $14 | 56% | 25–34 | $5 – $35 |
| 3 | Spencer Municipal Hospital Spencer, IA fee schedule · inpatient | 3 | $32 | $24 | $14 | 56% | 23–32 | $5 – $35 |
| 4 | Grundy County Memorial Hospital Grundy Center, IA facility · other · outpatient | 2 | $16 | $16 | $0 | 2% | 6–60 | $16 – $17 |
| 5 | Avera McKennan Hospital Sioux Falls, SD case rate · outpatient | 2 | $129 | $129 | — | — | 4–40 | $129 – $129 |
| 6 | Lakes Regional Hospital Spirit Lake, IA case rate · outpatient | 2 | $80 | $80 | — | — | 4–40 | $80 – $80 |
| 7 | Monument Health Network Inc Sturgis, SD percent of total billed charges · outpatientfrom % of charges | 2 | $21 | $29 | $23 | 80% | 4–40 | $6 – $67 |
| 8 | Avera Holy Family Hospital Estherville, IA case rate · outpatient | 2 | $110 | $110 | — | — | 2–20 | $110 – $110 |
| 9 | Avera Queen of Peace Mitchell, SD outpatient | 1 | $20 | $20 | — | — | 2–20 | $20 – $20 |
| 10 | Avera Queen of Peace Mitchell, SD case rate · outpatient | 1 | $20 | $20 | — | — | 2–20 | $20 – $20 |
| 11 | Avera St. Luke's Aberdeen, SD outpatient | 1 | $16 | $16 | — | — | 2–20 | $16 – $16 |
| 12 | Avera St. Luke's Aberdeen, SD case rate · outpatient | 1 | $16 | $16 | — | — | 2–20 | $16 – $16 |
| 13 | Avera St. Mary's Hospital Pierre, SD outpatient | 1 | $175 | $175 | — | — | 2–20 | $175 – $175 |
| 14 | Avera St. Mary's Hospital Pierre, SD case rate · outpatient | 1 | $175 | $175 | — | — | 2–20 | $175 – $175 |
| 15 | Bowdle Healthcare Center Bowdle, SD outpatient | 1 | $92 | $92 | — | — | 2–20 | $92 – $92 |
| 16 | Bowdle Healthcare Center Bowdle, SD percent of total billed charges · outpatientfrom % of charges | 1 | $86 | $86 | $5 | 6% | 2–20 | $81 – $92 |
| 17 | Community Memorial Hospital Redfield, SD outpatient | 1 | $77 | $77 | — | — | 2–20 | $77 – $77 |
| 18 | Community Memorial Hospital Redfield, SD percent of total billed charges · outpatientfrom % of charges | 1 | $77 | $77 | — | — | 2–20 | $77 – $77 |
| 19 | Osceola Regional Health Center Sibley, IA case rate · outpatient | 2 | $18 | $18 | — | — | 2–20 | $18 – $18 |
| 20 | Pella Regional Health Center Pella, IA other · outpatient | 2 | $14 | $14 | $0 | 1% | 2–20 | $13 – $14 |
| 21 | Wagner Community Memorial Wagner, SD inpatient | 1 | $5 | $5 | — | — | 2–20 | $5 – $5 |
| 22 | Wagner Community Memorial Wagner, SD outpatient | 1 | $106 | $106 | — | — | 2–20 | $106 – $106 |
| 23 | Wagner Community Memorial Wagner, SD percent of total billed charges · inpatientfrom % of charges | 1 | $105 | $105 | $1 | 1% | 2–20 | $103 – $106 |
| 24 | Wagner Community Memorial Wagner, SD percent of total billed charges · outpatientfrom % of charges | 1 | $105 | $105 | $1 | 1% | 2–20 | $103 – $106 |
| 25 | Avera Gregory Hospital Gregory, SD outpatient | 1 | $166 | $166 | — | — | 1–10 | $166 – $166 |
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