Reported by 241 hospitals in the network under the case rate methodology.
Based on 8,080–8,116 billing samples across every hospital reporting.
Low
$0
Average
$473
Median
$10
High
$18.7k
Filter by billing methodology
Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.
Showing only prices reported under the case rate methodology. Choose another in the filter above to change the chart. 241 hospitals; the 90th percentile is 121.7× 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.
Click a bar to filter the hospitals table to that price range.
| # | 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 | Avera McKennan Hospital | Sioux Falls, SD | $69 | $68 | $62 | 1,769–1,778 | $2 | $130 |
| 2 | Sioux Center Health | Sioux Center, IA | $81 | $81 | — | 1,202 | $53 | $81 |
| 3 | Avera Holy Family Hospital | Estherville, IA | $101 | $101 | — | 1,176 | $19 | $102 |
| 4 | Avera Heart Hospital | Sioux Falls, SD | $75 | $75 | — | 672 | $6 | $75 |
| 5 | Avera St. Luke's | Aberdeen, SD | $16 | $16 | — | 561 | $10 | $126 |
| 6 | Avera Specialty Hospital | Sioux Falls, SD | $130 | $130 | — | 532 | $6 | $130 |
| 7 | Avera Behavioral Health Hospital | Sioux Falls, SD | $130 | $130 | — | 532 | $6 | $130 |
| 8 | Osceola Regional Health Center | Sibley, IA | $30 | $30 | — | 332 | $10 | $94 |
| 9 | Regional Health Services of Howard County | Cresco, IA | $30 | $30 | — | 256 | $30 | $128 |
| 10 | Lakes Regional Hospital | Spirit Lake, IA | $92 | $92 | — | 248 | $6 | $92 |
Ask Claude or any MCP client for CPT 85027 pricing at a specific hospital — see how to connect.