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
HC Chg Gardner Vag, Dna Amp Probe
Low
$35
Average
$62
Median
$35
High
$177
Each hospital's average Wellmark rate, under the methodology and billing class chosen below.
26 hospitals; the 90th percentile is 4.3× 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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37 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 | Pella Regional Health Center Pella, IA other · outpatient | 1 | $52 | $52 | — | — | 1–10 | $52 – $52 |
| 2 | Allen Memorial Hospital Corporation Waterloo, IA case rate · outpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 3 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 3 | $35 | $35 | — | — | — | $35 – $35 |
| 4 | Central Iowa Hospital Corporation Des Moines, IA case rate · outpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 5 | Central Iowa Hospital Corporation Des Moines, IA fee schedule · both | 3 | $35 | $35 | — | — | — | $35 – $35 |
| 6 | Central Iowa Hospital Corporation West Des Moines, IA fee schedule · both | 3 | $35 | $35 | — | — | — | $35 – $35 |
| 7 | Grinnell Regional Medical Center Grinnell, IA case rate · outpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 8 | Grinnell Regional Medical Center Grinnell, IA fee schedule · both | 3 | $35 | $35 | — | — | — | $35 – $35 |
| 9 | Gundersen Palmer Lutheran Hospital and Clinic Inc West Union, IA facility · case rate · outpatient | 2 | $116 | $116 | $5 | 5% | — | $110 – $121 |
| 10 | Johnson Memorial Hospital Stafford Springs, CT facility · fee schedule · both | 1 | $75 | $75 | — | — | — | $75 – $75 |
| 11 | MercyOne Genesis Aledo Medical Center Aledo, IL facility · case rate · outpatient | 1 | $128 | $128 | — | — | — | $128 – $128 |
| 12 | MercyOne Genesis Davenport West Medical Center Davenport, IA facility · fee schedule · outpatient | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 13 | MercyOne Genesis Silvis Medical Center Silvis, IL facility · case rate · outpatient | 1 | $47 | $47 | — | — | — | $47 – $47 |
| 14 | Meriter Hospital, Inc Madison, WI case rate · outpatient | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 15 | Northwest Iowa Hospital Corporation Sioux City, IA case rate · outpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 16 | Northwest Iowa Hospital Corporation Sioux City, IA fee schedule · both | 3 | $35 | $35 | — | — | — | $35 – $35 |
| 17 | Saint Alphonsus Medical Center - Baker City Baker City, OR facility · fee schedule · both | 1 | $176 | $176 | — | — | — | $176 – $176 |
| 18 | Saint Alphonsus Medical Center - Nampa Nampa, ID facility · fee schedule · both | 1 | $177 | $177 | — | — | — | $177 – $177 |
| 19 | Saint Alphonsus Medical Center - Ontario Ontario, OR facility · fee schedule · both | 1 | $61 | $61 | — | — | — | $61 – $61 |
| 20 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · fee schedule · both | 1 | $177 | $177 | — | — | — | $177 – $177 |
| 21 | Saint Francis Hospital and Medical Center Hartford, CT facility · fee schedule · both | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 22 | Saint Marys Hospital Waterbury, CT facility · fee schedule · both | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 23 | St Luke's Methodist Hospital Marion, IA case rate · outpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 24 | St Luke's Methodist Hospital Marion, IA fee schedule · both | 3 | $35 | $35 | — | — | — | $35 – $35 |
| 25 | The Finley Hospital Dubuque, IA case rate · outpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
← Payers reporting CPT 87511 · Snapshot 20261112T124536Z-e251e855