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 Viral Identification, ID by Non-Immunologic Method (Lc)
Low
$28
Average
$85
Median
$59
High
$277
Each hospital's average Wellmark rate, under the methodology and billing class chosen below.
50 hospitals; the 90th percentile is 5.1× 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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80 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 | Lakes Regional Hospital Spirit Lake, IA case rate · outpatient | 2 | $61 | $61 | — | — | 2–20 | $61 – $61 |
| 2 | Regional Health Services of Howard County Cresco, IA case rate · outpatient | 2 | $95 | $95 | — | — | 2–20 | $95 – $95 |
| 3 | Sioux Center Health Sioux Center, IA case rate · outpatient | 2 | $95 | $95 | — | — | 2–20 | $95 – $95 |
| 4 | Spencer Municipal Hospital Spencer, IA fee schedule · outpatient | 3 | $90 | $74 | $28 | 38% | 2–20 | $34 – $99 |
| 5 | Avera St. Luke's Aberdeen, SD outpatient | 1 | $90 | $90 | — | — | 1–10 | $90 – $90 |
| 6 | Avera St. Luke's Aberdeen, SD case rate · outpatient | 1 | $90 | $90 | — | — | 1–10 | $90 – $90 |
| 7 | Allen Memorial Hospital Corporation Waterloo, IA case rate · outpatient | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 8 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 3 | $34 | $34 | — | — | — | $34 – $34 |
| 9 | Avera Gregory Hospital Gregory, SD percent of total billed charges · inpatientfrom % of charges | 1 | $277 | $277 | — | — | — | $277 – $277 |
| 10 | Avera Gregory Hospital Gregory, SD percent of total billed charges · outpatientfrom % of charges | 1 | $277 | $277 | — | — | — | $277 – $277 |
| 11 | Avera Sacred Heart Hospital Yankton, SD percent of total billed charges · inpatientfrom % of charges | 1 | $277 | $277 | — | — | — | $277 – $277 |
| 12 | Avera Sacred Heart Hospital Yankton, SD percent of total billed charges · outpatientfrom % of charges | 1 | $277 | $277 | — | — | — | $277 – $277 |
| 13 | Central Iowa Hospital Corporation Des Moines, IA case rate · outpatient | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 14 | Central Iowa Hospital Corporation Des Moines, IA fee schedule · both | 3 | $34 | $34 | — | — | — | $34 – $34 |
| 15 | Central Iowa Hospital Corporation West Des Moines, IA fee schedule · both | 3 | $34 | $34 | — | — | — | $34 – $34 |
| 16 | Diley Ridge Medical Center Canal Winchester, OH facility · fee schedule · both | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 17 | Floyd Valley Healthcare Le Mars, IA percent of total billed charges · inpatientfrom % of charges | 2 | $72 | $72 | — | — | — | $72 – $72 |
| 18 | Grinnell Regional Medical Center Grinnell, IA case rate · outpatient | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 19 | Grinnell Regional Medical Center Grinnell, IA fee schedule · both | 3 | $34 | $34 | — | — | — | $34 – $34 |
| 20 | Gundersen Palmer Lutheran Hospital and Clinic Inc West Union, IA facility · case rate · outpatient | 2 | $116 | $116 | $5 | 5% | — | $110 – $121 |
| 21 | Hegg Health Center Rock Valley, IA percent of total billed charges · inpatientfrom % of charges | 2 | $57 | $57 | — | — | — | $57 – $57 |
| 22 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $123 | $123 | — | — | — | $123 – $123 |
| 23 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · case rate · both | 1 | $183 | $183 | — | — | — | $183 – $183 |
| 24 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · inpatient | 2 | $8 | $8 | — | — | — | $8 – $8 |
| 25 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · outpatient | 2 | $8 | $8 | — | — | — | $8 – $8 |
← Payers reporting CPT 87255 · Snapshot 20261111T120946Z-9134e7f7