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 Omt 3-4 Body Regions
Low
$24
Average
$88
Median
$48
High
$739
Each hospital's average Wellmark rate, under the methodology and billing class chosen below.
46 hospitals; the 90th percentile is 2.8× 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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94 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 | Lakes Regional Hospital Spirit Lake, IA case rate · outpatient | 2 | $46 | $46 | — | — | 4–40 | $46 – $46 |
| 2 | Avera St. Luke's Aberdeen, SD outpatient | 1 | $41 | $41 | — | — | 1–10 | $41 – $41 |
| 3 | Avera St. Luke's Aberdeen, SD case rate · outpatient | 1 | $41 | $41 | — | — | 1–10 | $41 – $41 |
| 4 | Allen Memorial Hospital Corporation Waterloo, IA case rate · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 5 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 4 | $52 | $49 | $10 | 21% | — | $32 – $61 |
| 6 | Central Iowa Hospital Corporation Des Moines, IA case rate · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 7 | Central Iowa Hospital Corporation Des Moines, IA fee schedule · both | 4 | $52 | $49 | $10 | 21% | — | $32 – $61 |
| 8 | Central Iowa Hospital Corporation West Des Moines, IA fee schedule · both | 4 | $52 | $49 | $10 | 21% | — | $32 – $61 |
| 9 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · both | 2 | $22 | $22 | — | — | — | $22 – $22 |
| 10 | Covenant Medical Center Inc Waterloo, IA facility · other · both | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 11 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · both | 3 | $52 | $48 | $12 | 25% | — | $28 – $61 |
| 12 | Floyd Valley Healthcare Le Mars, IA fee schedule · both | 2 | $56 | $56 | $5 | 8% | — | $52 – $61 |
| 13 | Floyd Valley Healthcare Le Mars, IA percent of total billed charges · inpatientfrom % of charges | 2 | $30 | $30 | — | — | — | $30 – $30 |
| 14 | Grinnell Regional Medical Center Grinnell, IA case rate · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 15 | Grinnell Regional Medical Center Grinnell, IA fee schedule · both | 4 | $52 | $49 | $10 | 21% | — | $32 – $61 |
| 16 | Gundersen Palmer Lutheran Hospital and Clinic Inc West Union, IA facility · case rate · outpatient | 2 | $68 | $68 | $3 | 5% | — | $65 – $71 |
| 17 | Hegg Health Center Rock Valley, IA fee schedule · both | 2 | $56 | $56 | $5 | 8% | — | $52 – $61 |
| 18 | Hegg Health Center Rock Valley, IA percent of total billed charges · inpatientfrom % of charges | 2 | $57 | $57 | — | — | — | $57 – $57 |
| 19 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · per diem · both | 1 | $763 | $763 | — | — | — | $763 – $763 |
| 20 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL professional · fee schedule · both | 2 | $45 | $40 | $7 | 17% | — | $30 – $45 |
| 21 | Lakes Regional Hospital Spirit Lake, IA fee schedule · both | 2 | $56 | $56 | $5 | 8% | — | $52 – $61 |
| 22 | Mercy Health Hackley Campus Muskogen, MI facility · fee schedule · both | 1 | $117 | $117 | — | — | — | $117 – $117 |
| 23 | Mercy Health Hackley Campus Muskogen, MI facility · fee schedule · outpatient | 1 | $117 | $117 | — | — | — | $117 – $117 |
| 24 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · both | 2 | $49 | $47 | $2 | 5% | — | $43 – $49 |
| 25 | Mercy Health Lakeshore Campus Shelby, MI professional · fee schedule · inpatient | 1 | $49 | $49 | — | — | — | $49 – $49 |
← Payers reporting CPT 98926 · Snapshot 20261111T120946Z-9134e7f7