Liver stiffness test using vibration

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC Motility Hepatic Elastography

Wellmark pricing summary

Low

$35

Average

$293

Median

$138

High

$1.8k

Wellmark rate distribution

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80 hospital rates

#		Plans
1	Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · other · both	1	$123	$123	—	—	1–10	$123 – $123
2	Allen Memorial Hospital Corporation Waterloo, IA case rate · outpatient	1	$147	$147	—	—	—	$147 – $147
3	Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both	4	$33	$35	$18	51%	—	$10 – $68
4	Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · inpatientfrom % of charges	1	$727	$727	—	—	—	$727 – $727
5	Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · outpatientfrom % of charges	1	$727	$727	—	—	—	$727 – $727
6	Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · both	2	$131	$131	—	—	—	$131 – $131
7	Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · fee schedule · both	2	$131	$131	—	—	—	$131 – $131
8	Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · other · both	1	$123	$123	—	—	—	$123 – $123
9	Central Iowa Hospital Corporation Des Moines, IA case rate · outpatient	1	$149	$149	—	—	—	$149 – $149
10	Central Iowa Hospital Corporation Des Moines, IA fee schedule · both	4	$33	$35	$18	51%	—	$10 – $68
11	Central Iowa Hospital Corporation West Des Moines, IA fee schedule · both	4	$33	$35	$18	51%	—	$10 – $68
12	Diley Ridge Medical Center Canal Winchester, OH facility · other · both	1	$463	$463	—	—	—	$463 – $463
13	Grinnell Regional Medical Center Grinnell, IA case rate · outpatient	1	$149	$149	—	—	—	$149 – $149
14	Grinnell Regional Medical Center Grinnell, IA fee schedule · both	4	$33	$35	$18	51%	—	$10 – $68
15	Gundersen Palmer Lutheran Hospital and Clinic Inc West Union, IA facility · case rate · outpatient	2	$263	$263	$12	5%	—	$251 – $275
16	Johnson Memorial Hospital Stafford Springs, CT facility · percent of total billed charges · bothfrom % of charges	1	$546	$546	—	—	—	$546 – $546
17	Mercy Fitzgerald Hospital Darby, PA facility · percent of total billed charges · bothfrom % of charges	1	$928	$928	—	—	—	$928 – $928
18	Mercy Fitzgerald Hospital Darby, PA professional · fee schedule · inpatient	2	$19	$19	$10	50%	—	$9 – $29
19	Mercy Fitzgerald Hospital Darby, PA professional · fee schedule · outpatient	2	$23	$24	$12	50%	—	$11 – $36
20	Mercy Health Hackley Campus Muskogen, MI facility · percent of total billed charges · bothfrom % of charges	1	$166	$166	—	—	—	$166 – $166
21	Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · both	2	$20	$24	$13	54%	—	$9 – $41
22	Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · inpatient	2	$27	$24	$5	19%	—	$17 – $27
23	Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · outpatient	2	$27	$24	$5	19%	—	$17 – $27
24	Mercy Health Saint Marys Rockford, MI facility · fee schedule · both	1	$77	$77	—	—	—	$77 – $77
25	Mercy Health Saint Marys Rockford, MI professional · fee schedule · both	2	$24	$29	$15	54%	—	$11 – $48

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← Payers reporting CPT 91200 · Snapshot 20261111T120946Z-9134e7f7

CPT 91200