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 T3 Free
Low
$16
Average
$84
Median
$61
High
$483
Each hospital's average Wellmark rate, under the methodology and billing class chosen below.
124 hospitals; the 90th percentile is 12.7× 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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214 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 | $47 | $39 | $15 | 40% | 221–230 | $17 – $52 |
| 2 | Sioux Center Health Sioux Center, IA case rate · outpatient | 2 | $27 | $27 | — | — | 202 | $27 – $27 |
| 3 | Avera St. Luke's Aberdeen, SD outpatient | 1 | $24 | $24 | — | — | 105 | $24 – $24 |
| 4 | Avera St. Luke's Aberdeen, SD case rate · outpatient | 1 | $24 | $24 | — | — | 105 | $24 – $24 |
| 5 | Avera McKennan Hospital Sioux Falls, SD case rate · outpatient | 2 | $214 | $214 | — | — | 100 | $214 – $214 |
| 6 | Pella Regional Health Center Pella, IA other · outpatient | 2 | $22 | $22 | $4 | 16% | 90 | $19 – $26 |
| 7 | Lakes Regional Hospital Spirit Lake, IA case rate · outpatient | 2 | $26 | $26 | — | — | 88 | $26 – $26 |
| 8 | Grundy County Memorial Hospital Grundy Center, IA facility · other · outpatient | 2 | $26 | $26 | $1 | 5% | 57 | $25 – $27 |
| 9 | Avera Sacred Heart Hospital Yankton, SD outpatient | 1 | $22 | $22 | — | — | 46 | $22 – $22 |
| 10 | Avera Sacred Heart Hospital Yankton, SD percent of total billed charges · outpatientfrom % of charges | 1 | $188 | $188 | — | — | 46 | $188 – $188 |
| 11 | Regional Health Services of Howard County Cresco, IA case rate · outpatient | 2 | $27 | $27 | — | — | 28 | $27 – $27 |
| 12 | Avera Merrill Pioneer Rock Rapids, IA case rate · outpatient | 2 | $26 | $26 | — | — | 22 | $26 – $26 |
| 13 | Avera Queen of Peace Mitchell, SD outpatient | 1 | $30 | $30 | — | — | 22 | $30 – $30 |
| 14 | Avera Queen of Peace Mitchell, SD case rate · outpatient | 1 | $30 | $30 | — | — | 22 | $30 – $30 |
| 15 | Avera Creighton Hospital Creighton, NE outpatient | 1 | $117 | $117 | — | — | 16 | $117 – $117 |
| 16 | Avera Creighton Hospital Creighton, NE percent of total billed charges · outpatientfrom % of charges | 1 | $190 | $190 | — | — | 16 | $190 – $190 |
| 17 | Avera Hand County Hospital Miller, SD outpatient | 1 | $219 | $219 | — | — | 16 | $219 – $219 |
| 18 | Avera Hand County Hospital Miller, SD percent of total billed charges · outpatientfrom % of charges | 1 | $217 | $217 | — | — | 16 | $217 – $217 |
| 19 | Avera St. Benedicts Parkston, SD outpatient | 1 | $148 | $148 | — | — | 14 | $148 – $148 |
| 20 | Avera St. Benedicts Parkston, SD percent of total billed charges · outpatientfrom % of charges | 1 | $148 | $148 | — | — | 14 | $148 – $148 |
| 21 | Avera St. Mary's Hospital Pierre, SD outpatient | 1 | $26 | $26 | — | — | 13 | $26 – $26 |
| 22 | Avera St. Mary's Hospital Pierre, SD case rate · outpatient | 1 | $26 | $26 | — | — | 13 | $26 – $26 |
| 23 | Avera Gregory Hospital Gregory, SD outpatient | 1 | $195 | $195 | — | — | 12 | $195 – $195 |
| 24 | Avera Gregory Hospital Gregory, SD percent of total billed charges · outpatientfrom % of charges | 1 | $188 | $188 | — | — | 12 | $188 – $188 |
| 25 | Avera Missouri River Health Center Gettysburg, SD outpatient | 1 | $195 | $195 | — | — | 12 | $195 – $195 |
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