Reported by 171 hospitals in the network under the case rate methodology.
Filter by billing methodology
Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.
Based on 4,122–4,248 billing samples across every hospital reporting.
Low
$0
Average
$739
Median
$12
High
$23.2k
| # | Hospital | Location | Approximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price. | |||||
|---|---|---|---|---|---|---|---|---|
| 1 | Regional Health Services of Howard County | Cresco, IA | $32 | $32 | — | 1,192 | $32 | $143 |
| 2 | Avera Heart Hospital | Sioux Falls, SD | $257 | $257 | — | 766 | $8 | $257 |
| 3 | Osceola Regional Health Center | Sibley, IA | $32 | $32 | — | 686 | $32 | $147 |
| 4 | Avera Merrill Pioneer | Rock Rapids, IA | $119 | $119 | — | 620 | $40 | $119 |
| 5 | Avera Queen of Peace | Mitchell, SD | $35 | $138 | $147 | 539–575 | $12 | $347 |
| 6 | Boston Children's Hospital | Boston, MA | $109 | $109 | — | 160 | $28 | $133 |
| 7 | Avera McKennan Hospital | Sioux Falls, SD | $141 | $140 | $128 | 96–114 | $8 | $268 |
| 8 | Avera Specialty Hospital | Sioux Falls, SD | $268 | $268 | — | 22 | $8 | $268 |
| 9 | Avera Behavioral Health Hospital | Sioux Falls, SD | $268 | $268 | — | 22 | $8 | $268 |
| 10 | Sioux Center Health | Sioux Center, IA | $109 | $109 | — | 4–40 | $35 | $109 |
Ask Claude or any MCP client for CPT 85025 pricing at a specific hospital — see how to connect.