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
facility
Low
$19
Average
$70
Median
$55
High
$768
Each hospital's average Wellmark rate, under the methodology and billing class chosen below.
111 hospitals; the 90th percentile is 5.0× 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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183 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 | $19 | $19 | — | — | 290 | $19 – $19 |
| 2 | Spencer Municipal Hospital Spencer, IA fee schedule · outpatient | 3 | $34 | $32 | $6 | 18% | 270 | $24 – $38 |
| 3 | Avera McKennan Hospital Sioux Falls, SD case rate · outpatient | 2 | $38 | $38 | — | — | 106 | $38 – $38 |
| 4 | Regional Health Services of Howard County Cresco, IA case rate · outpatient | 2 | $19 | $19 | — | — | 44 | $19 – $19 |
| 5 | Avera Holy Family Hospital Estherville, IA case rate · outpatient | 2 | $38 | $38 | — | — | 4–40 | $38 – $38 |
| 6 | Avera Merrill Pioneer Rock Rapids, IA case rate · outpatient | 2 | $19 | $19 | — | — | 4–40 | $19 – $19 |
| 7 | Osceola Regional Health Center Sibley, IA case rate · outpatient | 2 | $19 | $19 | — | — | 4–40 | $19 – $19 |
| 8 | Spencer Municipal Hospital Spencer, IA fee schedule · inpatient | 3 | $34 | $32 | $6 | 18% | 4–40 | $24 – $38 |
| 9 | Avera Flandreau Hospital Flandreau, SD outpatient | 1 | $203 | $203 | — | — | 2–20 | $203 – $203 |
| 10 | Avera Flandreau Hospital Flandreau, SD percent of total billed charges · outpatientfrom % of charges | 1 | $98 | $98 | $50 | 51% | 2–20 | $48 – $148 |
| 11 | Avera Missouri River Health Center Gettysburg, SD outpatient | 1 | $69 | $69 | — | — | 2–20 | $69 – $69 |
| 12 | Avera Missouri River Health Center Gettysburg, SD percent of total billed charges · outpatientfrom % of charges | 1 | $146 | $146 | $77 | 53% | 2–20 | $69 – $223 |
| 13 | Avera St. Luke's Aberdeen, SD outpatient | 1 | $35 | $35 | — | — | 2–20 | $35 – $35 |
| 14 | Avera St. Luke's Aberdeen, SD case rate · outpatient | 1 | $35 | $35 | — | — | 2–20 | $35 – $35 |
| 15 | Avera St. Mary's Hospital Pierre, SD outpatient | 1 | $247 | $247 | — | — | 2–20 | $247 – $247 |
| 16 | Avera St. Mary's Hospital Pierre, SD case rate · outpatient | 1 | $247 | $247 | — | — | 2–20 | $247 – $247 |
| 17 | Community Memorial Hospital Redfield, SD outpatient | 1 | $209 | $209 | — | — | 2–20 | $209 – $209 |
| 18 | Community Memorial Hospital Redfield, SD percent of total billed charges · outpatientfrom % of charges | 1 | $180 | $180 | $40 | 22% | 2–20 | $140 – $220 |
| 19 | HAWARDEN REGIONAL HEALTHCARE HARWARDEN, IA other · outpatient | 2 | $23 | $23 | $6 | 25% | 2–20 | $18 – $29 |
| 20 | Landmann-Jungman Hosp Scotland, SD outpatient | 1 | $36 | $36 | — | — | 2–20 | $36 – $36 |
| 21 | Landmann-Jungman Hosp Scotland, SD percent of total billed charges · outpatientfrom % of charges | 1 | $43 | $43 | $7 | 17% | 2–20 | $36 – $51 |
| 22 | Pella Regional Health Center Pella, IA other · outpatient | 2 | $25 | $25 | $10 | 39% | 2–20 | $15 – $34 |
| 23 | Avera Creighton Hospital Creighton, NE inpatient | 1 | $54 | $54 | — | — | 1–10 | $54 – $54 |
| 24 | Avera Creighton Hospital Creighton, NE percent of total billed charges · inpatientfrom % of charges | 1 | $225 | $225 | — | — | 1–10 | $225 – $225 |
| 25 | Avera DeSmet De Smet, SD outpatient | 1 | $43 | $43 | — | — | 1–10 | $43 – $43 |
← Payers reporting CPT 87389 · Snapshot 20261111T120946Z-9134e7f7