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
THER PROPH/DX NJX EA SEQL IV PUSH SBST/DRUG FAC
Low
$6
Average
$587
Median
$126
High
$21.5k
Each hospital's average Wellmark rate, under the methodology and billing class chosen below.
119 hospitals; the 90th percentile is 14.7× 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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212 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 | Sioux Center Health Sioux Center, IA case rate · outpatient | 2 | $42 | $42 | — | — | 310 | $42 – $42 |
| 2 | Spencer Municipal Hospital Spencer, IA fee schedule · outpatient | 2 | $41 | $41 | $2 | 5% | 290 | $39 – $43 |
| 3 | Lakes Regional Hospital Spirit Lake, IA case rate · outpatient | 2 | $130 | $130 | — | — | 240 | $130 – $130 |
| 4 | Avera McKennan Hospital Sioux Falls, SD case rate · outpatient | 2 | $168 | $168 | — | — | 76 | $168 – $168 |
| 5 | Community Memorial Hospital Redfield, SD outpatient | 1 | $176 | $176 | — | — | 60 | $176 – $176 |
| 6 | Community Memorial Hospital Redfield, SD percent of total billed charges · outpatientfrom % of charges | 1 | $179 | $179 | — | — | 60 | $179 – $179 |
| 7 | Avera Holy Family Hospital Estherville, IA case rate · outpatient | 2 | $145 | $145 | — | — | 48 | $145 – $145 |
| 8 | Platte Healthcare Platte, SD outpatient | 1 | $137 | $137 | — | — | 44 | $137 – $137 |
| 9 | Platte Healthcare Platte, SD percent of total billed charges · outpatientfrom % of charges | 1 | $137 | $137 | — | — | 44 | $137 – $137 |
| 10 | Monument Health Network Inc Custer, SD percent of total billed charges · outpatientfrom % of charges | 2 | $142 | $142 | $79 | 56% | 36 | $63 – $221 |
| 11 | Osceola Regional Health Center Sibley, IA case rate · outpatient | 2 | $189 | $189 | — | — | 28 | $189 – $189 |
| 12 | Avera Gregory Hospital Gregory, SD outpatient | 1 | $195 | $195 | — | — | 27 | $195 – $195 |
| 13 | Avera Gregory Hospital Gregory, SD percent of total billed charges · outpatientfrom % of charges | 1 | $171 | $171 | — | — | 27 | $171 – $171 |
| 14 | Avera Missouri River Health Center Gettysburg, SD outpatient | 1 | $195 | $195 | — | — | 27 | $195 – $195 |
| 15 | Avera Missouri River Health Center Gettysburg, SD percent of total billed charges · outpatientfrom % of charges | 1 | $206 | $206 | $11 | 5% | 27 | $195 – $216 |
| 16 | Avera Merrill Pioneer Rock Rapids, IA case rate · outpatient | 2 | $76 | $76 | — | — | 26 | $76 – $76 |
| 17 | Spencer Municipal Hospital Spencer, IA fee schedule · inpatient | 2 | $41 | $41 | $2 | 5% | 26–44 | $39 – $43 |
| 18 | Avera St. Benedicts Parkston, SD outpatient | 1 | $226 | $226 | — | — | 25 | $226 – $226 |
| 19 | Avera St. Benedicts Parkston, SD percent of total billed charges · outpatientfrom % of charges | 1 | $248 | $248 | — | — | 25 | $248 – $248 |
| 20 | Monument Health Network Inc Sturgis, SD percent of total billed charges · outpatientfrom % of charges | 2 | $127 | $127 | $67 | 53% | 24 | $60 – $194 |
| 21 | Regional Health Services of Howard County Cresco, IA case rate · outpatient | 2 | $72 | $72 | — | — | 24 | $72 – $72 |
| 22 | St Michael's Hospital Tyndall, SD outpatient | 1 | $188 | $188 | — | — | 23 | $188 – $188 |
| 23 | St Michael's Hospital Tyndall, SD percent of total billed charges · outpatientfrom % of charges | 1 | $188 | $188 | — | — | 23 | $188 – $188 |
| 24 | Avera St. Anthony's Hospital O'Neill, NE inpatient | 1 | $201 | $201 | — | — | 22 | $201 – $201 |
| 25 | Avera St. Anthony's Hospital O'Neill, NE percent of total billed charges · inpatientfrom % of charges | 1 | $209 | $209 | $38 | 18% | 22 | $170 – $247 |
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