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 MNT INIT INDV EA 15MIN
Low
$20
Average
$86
Median
$58
High
$637
Each hospital's average Wellmark rate, under the methodology and billing class chosen below.
99 hospitals; the 90th percentile is 4.4× 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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183 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 | $135 | $135 | — | — | 84 | $135 – $135 |
| 2 | Spencer Municipal Hospital Spencer, IA fee schedule · outpatient | 3 | $131 | $102 | $51 | 50% | 61–70 | $30 – $145 |
| 3 | Sanford USD Medical Center Sioux Falls, SD other · outpatient | 1 | $131 | $131 | — | — | 49 | $131 – $131 |
| 4 | Lakes Regional Hospital Spirit Lake, IA case rate · outpatient | 2 | $135 | $135 | — | — | 46 | $135 – $135 |
| 5 | Regional Health Services of Howard County Cresco, IA case rate · outpatient | 2 | $90 | $90 | — | — | 24 | $90 – $90 |
| 6 | Pella Regional Health Center Pella, IA other · outpatient | 2 | $95 | $95 | $7 | 7% | 16–160 | $88 – $102 |
| 7 | Avera St. Luke's Aberdeen, SD outpatient | 1 | $121 | $121 | — | — | 13 | $121 – $121 |
| 8 | Avera St. Luke's Aberdeen, SD case rate · outpatient | 1 | $121 | $121 | — | — | 13 | $121 – $121 |
| 9 | Avera Heart Hospital Sioux Falls, SD case rate · outpatient | 2 | $95 | $95 | — | — | 2–20 | $95 – $95 |
| 10 | Avera Holy Family Hospital Estherville, IA case rate · outpatient | 2 | $136 | $136 | — | — | 2–20 | $136 – $136 |
| 11 | Avera Merrill Pioneer Rock Rapids, IA case rate · outpatient | 2 | $145 | $145 | — | — | 2–20 | $145 – $145 |
| 12 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · outpatient | 3 | $49 | $44 | $13 | 31% | 2–20 | $21 – $57 |
| 13 | Grundy County Memorial Hospital Grundy Center, IA facility · other · outpatient | 2 | $133 | $133 | $2 | 1% | 2–20 | $131 – $135 |
| 14 | Monument Health Network Inc Custer, SD percent of total billed charges · outpatientfrom % of charges | 2 | $49 | $49 | $27 | 56% | 2–20 | $22 – $77 |
| 15 | Osceola Regional Health Center Sibley, IA case rate · outpatient | 2 | $123 | $123 | — | — | 2–20 | $123 – $123 |
| 16 | Avera Creighton Hospital Creighton, NE inpatient | 1 | $134 | $134 | — | — | 1–10 | $134 – $134 |
| 17 | Avera Creighton Hospital Creighton, NE percent of total billed charges · inpatientfrom % of charges | 1 | $47 | $47 | — | — | 1–10 | $47 – $47 |
| 18 | Avera Queen of Peace Mitchell, SD outpatient | 1 | $88 | $88 | — | — | 1–10 | $88 – $88 |
| 19 | Avera Queen of Peace Mitchell, SD case rate · outpatient | 1 | $88 | $88 | — | — | 1–10 | $88 – $88 |
| 20 | Avera St. Anthony's Hospital O'Neill, NE inpatient | 1 | $190 | $190 | — | — | 1–10 | $190 – $190 |
| 21 | Avera St. Anthony's Hospital O'Neill, NE percent of total billed charges · inpatientfrom % of charges | 1 | $48 | $48 | — | — | 1–10 | $48 – $48 |
| 22 | Avera St. Benedicts Parkston, SD outpatient | 1 | $184 | $184 | — | — | 1–10 | $184 – $184 |
| 23 | Avera St. Benedicts Parkston, SD percent of total billed charges · outpatientfrom % of charges | 1 | $46 | $46 | — | — | 1–10 | $46 – $46 |
| 24 | Avera St. Mary's Hospital Pierre, SD outpatient | 1 | $147 | $147 | — | — | 1–10 | $147 – $147 |
| 25 | Avera St. Mary's Hospital Pierre, SD case rate · outpatient | 1 | $147 | $147 | — | — | 1–10 | $147 – $147 |
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