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 Reverse T3 (Gva)
Low
$15
Average
$84
Median
$39
High
$517
Each hospital's average Wellmark rate, under the methodology and billing class chosen below.
122 hospitals; the 90th percentile is 14.0× 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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198 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 | $27 | $27 | — | — | 38 | $27 – $27 |
| 2 | Avera St. Luke's Aberdeen, SD outpatient | 1 | $24 | $24 | — | — | 26 | $24 – $24 |
| 3 | Avera St. Luke's Aberdeen, SD case rate · outpatient | 1 | $24 | $24 | — | — | 26 | $24 – $24 |
| 4 | Avera Holy Family Hospital Estherville, IA case rate · outpatient | 2 | $28 | $28 | — | — | 2–20 | $28 – $28 |
| 5 | Avera McKennan Hospital Sioux Falls, SD case rate · outpatient | 2 | $402 | $402 | — | — | 2–20 | $402 – $402 |
| 6 | Lakes Regional Hospital Spirit Lake, IA case rate · outpatient | 2 | $24 | $24 | — | — | 2–20 | $24 – $24 |
| 7 | Osceola Regional Health Center Sibley, IA case rate · outpatient | 2 | $27 | $27 | — | — | 2–20 | $27 – $27 |
| 8 | Spencer Municipal Hospital Spencer, IA fee schedule · outpatient | 3 | $47 | $38 | $16 | 42% | 2–20 | $16 – $52 |
| 9 | Avera DeSmet De Smet, SD outpatient | 1 | $119 | $119 | — | — | 1–10 | $119 – $119 |
| 10 | Avera DeSmet De Smet, SD percent of total billed charges · outpatientfrom % of charges | 1 | $149 | $149 | — | — | 1–10 | $149 – $149 |
| 11 | Avera Gregory Hospital Gregory, SD outpatient | 1 | $360 | $360 | — | — | 1–10 | $360 – $360 |
| 12 | Avera Gregory Hospital Gregory, SD percent of total billed charges · outpatientfrom % of charges | 1 | $354 | $354 | — | — | 1–10 | $354 – $354 |
| 13 | Avera Hand County Hospital Miller, SD outpatient | 1 | $114 | $114 | — | — | 1–10 | $114 – $114 |
| 14 | Avera Hand County Hospital Miller, SD percent of total billed charges · outpatientfrom % of charges | 1 | $114 | $114 | — | — | 1–10 | $114 – $114 |
| 15 | Avera Milbank Hospital Milbank, SD outpatient | 1 | $237 | $237 | — | — | 1–10 | $237 – $237 |
| 16 | Avera Milbank Hospital Milbank, SD percent of total billed charges · outpatientfrom % of charges | 1 | $154 | $154 | — | — | 1–10 | $154 – $154 |
| 17 | Avera Missouri River Health Center Gettysburg, SD outpatient | 1 | $360 | $360 | — | — | 1–10 | $360 – $360 |
| 18 | Avera Missouri River Health Center Gettysburg, SD percent of total billed charges · outpatientfrom % of charges | 1 | $378 | $378 | — | — | 1–10 | $378 – $378 |
| 19 | Avera Queen of Peace Mitchell, SD outpatient | 1 | $30 | $30 | — | — | 1–10 | $30 – $30 |
| 20 | Avera Queen of Peace Mitchell, SD case rate · outpatient | 1 | $30 | $30 | — | — | 1–10 | $30 – $30 |
| 21 | Avera Sacred Heart Hospital Yankton, SD outpatient | 1 | $23 | $23 | — | — | 1–10 | $23 – $23 |
| 22 | Avera Sacred Heart Hospital Yankton, SD percent of total billed charges · outpatientfrom % of charges | 1 | $354 | $354 | — | — | 1–10 | $354 – $354 |
| 23 | Avera St. Anthony's Hospital O'Neill, NE inpatient | 1 | $376 | $376 | — | — | 1–10 | $376 – $376 |
| 24 | Avera St. Anthony's Hospital O'Neill, NE outpatient | 1 | $123 | $123 | — | — | 1–10 | $123 – $123 |
| 25 | Avera St. Anthony's Hospital O'Neill, NE percent of total billed charges · inpatientfrom % of charges | 1 | $376 | $376 | — | — | 1–10 | $376 – $376 |
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