The 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.
Filter by billing methodology
Filter by billing class
277 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · inpatient | 2 | $747.60 | $747.60 – $747.60 |
| 2 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · inpatient | 2 | $710.22 | $710.22 – $710.22 |
| 3 | Allen Memorial Hospital Corporation Waterloo, IA case rate · outpatient | 1 | $100.01 | $100.01 – $100.01 |
| 4 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 4 | $133.35 | $19.51 – $256.60 |
| 5 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · inpatientfrom % of charges | 1 | $2,188 | $2,188 – $2,188 |
| 6 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · outpatientfrom % of charges | 1 | $2,188 | $2,188 – $2,188 |
| 7 | Avera Behavioral Health Hospital Sioux Falls, SD fee schedule · both | 2 | $266.90 | $266.90 – $266.90 |
| 8 | Avera Creighton Hospital Creighton, NE inpatient | 1 | $744.56 | $73.61 – $1,416 |
| 9 | Avera Creighton Hospital Creighton, NE outpatient | 1 | $1,455 | $1,419 – $1,490 |
| 10 | Avera Creighton Hospital Creighton, NE percent of total billed charges · inpatientfrom % of charges | 1 | $1,401 | $1,401 – $1,401 |
| 11 | Avera Creighton Hospital Creighton, NE percent of total billed charges · outpatientfrom % of charges | 1 | $1,401 | $1,401 – $1,401 |
| 12 | Avera DeSmet De Smet, SD outpatient | 1 | $1,537 | $1,537 – $1,537 |
| 13 | Avera DeSmet De Smet, SD percent of total billed charges · inpatientfrom % of charges | 1 | $1,122 | $1,122 – $1,122 |
| 14 | Avera DeSmet De Smet, SD percent of total billed charges · outpatientfrom % of charges | 1 | $1,122 | $1,122 – $1,122 |
| 15 | Avera Dell Rapids Hospital Dell Rapids, SD percent of total billed charges · inpatientfrom % of charges | 1 | $1,282 | $1,282 – $1,282 |
| 16 | Avera Dell Rapids Hospital Dell Rapids, SD percent of total billed charges · outpatientfrom % of charges | 1 | $1,282 | $1,282 – $1,282 |
| 17 | Avera Flandreau Hospital Flandreau, SD percent of total billed charges · inpatientfrom % of charges | 1 | $679.65 | $679.65 – $679.65 |
| 18 | Avera Flandreau Hospital Flandreau, SD percent of total billed charges · outpatientfrom % of charges | 1 | $679.65 | $679.65 – $679.65 |
| 19 | Avera Gregory Hospital Gregory, SD percent of total billed charges · inpatientfrom % of charges | 1 | $953.92 | $953.92 – $953.92 |
| 20 | Avera Gregory Hospital Gregory, SD percent of total billed charges · outpatientfrom % of charges | 1 | $953.92 | $953.92 – $953.92 |
| 21 | Avera Hand County Hospital Miller, SD outpatient | 1 | $844.94 | $844.94 – $844.94 |
| 22 | Avera Hand County Hospital Miller, SD percent of total billed charges · inpatientfrom % of charges | 1 | $849.92 | $849.92 – $849.92 |
| 23 | Avera Hand County Hospital Miller, SD percent of total billed charges · outpatientfrom % of charges | 1 | $849.92 | $849.92 – $849.92 |
| 24 | Avera Heart Hospital Sioux Falls, SD case rate · outpatient | 2 | $203.21 | $203.21 – $203.21 |
| 25 | Avera Holy Family Hospital Estherville, IA case rate · outpatient | 2 | $276.28 | $267.92 – $284.63 |
← Payers reporting CPT 93971 · Snapshot 20261108T203506Z-bb90dbab