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
Medical Service
Low
$65
Average
$268
Median
$176
High
$1.8k
Each hospital's average Wellmark rate, under the methodology and billing class chosen below.
66 hospitals; the 90th percentile is 3.0× 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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119 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 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · both | 3 | $151 | $138 | $22 | 16% | 981–990 | $100 – $151 |
| 2 | Sioux Center Health Sioux Center, IA case rate · outpatient | 2 | $26 | $26 | — | — | 596 | $26 – $26 |
| 3 | Sanford USD Medical Center Sioux Falls, SD other · outpatient | 1 | $209 | $209 | — | — | 364 | $209 – $209 |
| 4 | Avera McKennan Hospital Sioux Falls, SD case rate · outpatient | 2 | $277 | $277 | — | — | 262 | $277 – $277 |
| 5 | Monument Health Network Inc Deadwood, SD percent of total billed charges · outpatientfrom % of charges | 2 | $259 | $259 | $123 | 47% | 62 | $137 – $382 |
| 6 | Wagner Community Memorial Wagner, SD outpatient | 1 | $64 | $64 | — | — | 39 | $64 – $64 |
| 7 | Wagner Community Memorial Wagner, SD percent of total billed charges · outpatientfrom % of charges | 1 | $90 | $90 | — | — | 39 | $90 – $90 |
| 8 | Avera Holy Family Hospital Estherville, IA case rate · outpatient | 2 | $480 | $480 | — | — | 2–20 | $480 – $480 |
| 9 | Monument Health Network Inc Sturgis, SD percent of total billed charges · outpatientfrom % of charges | 2 | $238 | $238 | $125 | 53% | 2–20 | $113 – $363 |
| 10 | Regional Health Services of Howard County Cresco, IA case rate · outpatient | 2 | $154 | $154 | — | — | 2–20 | $154 – $154 |
| 11 | Sioux Center Health Sioux Center, IA case rate · inpatient | 2 | $207 | $207 | — | — | 2–20 | $207 – $207 |
| 12 | Mishawaka Medical Center Mishawaka, IN professional · fee schedule · both | 2 | $160 | $160 | $0 | 0% | 1–10 | $160 – $160 |
| 13 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · inpatient | 2 | $208 | $208 | — | — | — | $208 – $208 |
| 14 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · inpatient | 2 | $198 | $198 | — | — | — | $198 – $198 |
| 15 | Allen Memorial Hospital Corporation Waterloo, IA case rate · outpatient | 1 | $151 | $151 | — | — | — | $151 – $151 |
| 16 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 4 | $196 | $181 | $27 | 15% | — | $135 – $196 |
| 17 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · inpatientfrom % of charges | 1 | $669 | $669 | — | — | — | $669 – $669 |
| 18 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · outpatientfrom % of charges | 1 | $669 | $669 | — | — | — | $669 – $669 |
| 19 | Avera Holy Family Hospital Estherville, IA percent of total billed charges · inpatientfrom % of charges | 2 | $282 | $282 | — | — | — | $282 – $282 |
| 20 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · both | 2 | $181 | $181 | — | — | — | $181 – $181 |
| 21 | Central Community Hospital Elkader, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $396 | $396 | — | — | — | $396 – $396 |
| 22 | Central Iowa Hospital Corporation Des Moines, IA case rate · outpatient | 1 | $153 | $153 | — | — | — | $153 – $153 |
| 23 | Central Iowa Hospital Corporation Des Moines, IA fee schedule · both | 4 | $196 | $181 | $27 | 15% | — | $135 – $196 |
| 24 | Central Iowa Hospital Corporation West Des Moines, IA fee schedule · both | 4 | $196 | $181 | $27 | 15% | — | $135 – $196 |
| 25 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · both | 2 | $181 | $181 | — | — | — | $181 – $181 |
← Payers reporting CPT 90837 · Snapshot 20261111T120946Z-9134e7f7