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
PR Interrogation Dev Eval Up to 90 Days Lead Icd W Interim Analysis
Low
$34
Average
$73
Median
$65
High
$296
Each hospital's average Wellmark rate, under the methodology and billing class chosen below.
37 hospitals; the 90th percentile is 3.5× 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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47 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 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · both | 3 | $71 | $65 | $19 | 29% | 3–30 | $34 – $84 |
| 2 | Mount Carmel East Reynoldsburg, OH professional · fee schedule · both | 1 | $127 | $127 | — | — | 1–10 | $127 – $127 |
| 3 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 4 | $71 | $65 | $19 | 29% | — | $34 – $84 |
| 4 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · both | 3 | $71 | $65 | $19 | 29% | — | $34 – $84 |
| 5 | Central Iowa Hospital Corporation Des Moines, IA fee schedule · both | 4 | $71 | $65 | $19 | 29% | — | $34 – $84 |
| 6 | Central Iowa Hospital Corporation West Des Moines, IA fee schedule · both | 4 | $71 | $65 | $19 | 29% | — | $34 – $84 |
| 7 | Grinnell Regional Medical Center Grinnell, IA fee schedule · both | 4 | $71 | $65 | $19 | 29% | — | $34 – $84 |
| 8 | Gundersen Palmer Lutheran Hospital and Clinic Inc West Union, IA facility · case rate · outpatient | 2 | $87 | $87 | $4 | 5% | — | $83 – $91 |
| 9 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · both | 2 | $60 | $52 | $11 | 21% | — | $37 – $60 |
| 10 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · both | 2 | $57 | $50 | $11 | 21% | — | $35 – $57 |
| 11 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · both | 2 | $57 | $50 | $11 | 21% | — | $35 – $57 |
| 12 | MercyOne Genesis Aledo Medical Center Aledo, IL facility · case rate · outpatient | 1 | $96 | $96 | — | — | — | $96 – $96 |
| 13 | MercyOne Genesis Silvis Medical Center Silvis, IL facility · case rate · outpatient | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 14 | Meriter Hospital, Inc Madison, WI case rate · both | 1 | $99 | $99 | — | — | — | $99 – $99 |
| 15 | Meriter Hospital, Inc Madison, WI percent of total billed charges · inpatientfrom % of charges | 1 | $395 | $395 | — | — | — | $395 – $395 |
| 16 | Meriter Hospital, Inc Madison, WI percent of total billed charges · outpatientfrom % of charges | 1 | $395 | $395 | — | — | — | $395 – $395 |
| 17 | Monument Health Network Inc Spearfish, SD fee schedule · outpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 18 | Monument Health Network Inc Deadwood, SD fee schedule · outpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 19 | Monument Health Network Inc Sturgis, SD fee schedule · outpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 20 | Monument Health Network Inc Custer, SD fee schedule · outpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 21 | Monument Health Rapid City Hospital Inc City, SD fee schedule · outpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 22 | Mount Carmel East Reynoldsburg, OH professional · percent of total billed charges · bothfrom % of charges | 1 | $136 | $136 | — | — | — | $136 – $136 |
| 23 | Mount Carmel Grove City Grove City, OH professional · percent of total billed charges · inpatientfrom % of charges | 1 | $136 | $136 | — | — | — | $136 – $136 |
| 24 | Mount Carmel Grove City Grove City, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $136 | $136 | — | — | — | $136 – $136 |
| 25 | Mount Carmel St Ann's Lewis Center, OH professional · fee schedule · both | 1 | $127 | $127 | — | — | — | $127 – $127 |
← Payers reporting CPT 93295 · Snapshot 20261111T120946Z-9134e7f7