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
ANES PT EXTEME AGE<1 YR&>70
Low
$21
Average
$71
Median
$68
High
$138
Each hospital's average Wellmark rate, under the methodology and billing class chosen below.
31 hospitals; the 90th percentile is 1.3× 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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32 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 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · inpatient | 2 | $61 | $61 | $10 | 17% | — | $51 – $71 |
| 2 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · inpatient | 2 | $58 | $58 | $10 | 17% | — | $48 – $68 |
| 3 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 3 | $68 | $68 | — | — | — | $68 – $68 |
| 4 | Avera Creighton Hospital Creighton, NE percent of total billed charges · bothfrom % of charges | 1 | $138 | $138 | — | — | — | $138 – $138 |
| 5 | Avera Holy Family Hospital Estherville, IA fee schedule · both | 2 | $68 | $68 | — | — | — | $68 – $68 |
| 6 | Avera Merrill Pioneer Rock Rapids, IA fee schedule · both | 2 | $68 | $68 | — | — | — | $68 – $68 |
| 7 | Avera St. Anthony's Hospital O'Neill, NE percent of total billed charges · bothfrom % of charges | 1 | $126 | $126 | — | — | — | $126 – $126 |
| 8 | Avera St. Mary's Hospital Pierre, SD fee schedule · both | 1 | $74 | $74 | — | — | — | $74 – $74 |
| 9 | Central Iowa Hospital Corporation Des Moines, IA fee schedule · both | 3 | $68 | $68 | — | — | — | $68 – $68 |
| 10 | Central Iowa Hospital Corporation West Des Moines, IA fee schedule · both | 3 | $68 | $68 | — | — | — | $68 – $68 |
| 11 | Floyd Valley Healthcare Le Mars, IA fee schedule · both | 2 | $68 | $68 | — | — | — | $68 – $68 |
| 12 | Grinnell Regional Medical Center Grinnell, IA fee schedule · both | 3 | $68 | $68 | — | — | — | $68 – $68 |
| 13 | Gundersen Palmer Lutheran Hospital and Clinic Inc West Union, IA facility · case rate · outpatient | 2 | $53 | $53 | $2 | 5% | — | $50 – $55 |
| 14 | Hegg Health Center Rock Valley, IA fee schedule · both | 2 | $68 | $68 | — | — | — | $68 – $68 |
| 15 | MercyOne Genesis Aledo Medical Center Aledo, IL facility · case rate · outpatient | 1 | $58 | $58 | — | — | — | $58 – $58 |
| 16 | MercyOne Genesis Silvis Medical Center Silvis, IL facility · case rate · outpatient | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 17 | Northwest Iowa Hospital Corporation Sioux City, IA fee schedule · both | 3 | $68 | $68 | — | — | — | $68 – $68 |
| 18 | Osceola Regional Health Center Sibley, IA fee schedule · both | 2 | $68 | $68 | — | — | — | $68 – $68 |
| 19 | Platte Healthcare Platte, SD fee schedule · both | 1 | $74 | $74 | — | — | — | $74 – $74 |
| 20 | Regional Health Services of Howard County Cresco, IA fee schedule · both | 2 | $68 | $68 | — | — | — | $68 – $68 |
| 21 | Saint Alphonsus Medical Center - Baker City Baker City, OR professional · percent of total billed charges · inpatientfrom % of charges | 1 | $119 | $119 | — | — | — | $119 – $119 |
| 22 | Saint Alphonsus Medical Center - Baker City Baker City, OR professional · percent of total billed charges · outpatientfrom % of charges | 1 | $119 | $119 | — | — | — | $119 – $119 |
| 23 | St Luke's Methodist Hospital Marion, IA fee schedule · both | 3 | $68 | $68 | — | — | — | $68 – $68 |
| 24 | The Finley Hospital Dubuque, IA fee schedule · both | 3 | $68 | $68 | — | — | — | $68 – $68 |
| 25 | Trinity Medical Center Rock Island, IL fee schedule · both | 1 | $68 | $68 | — | — | — | $68 – $68 |
← Payers reporting CPT 99100 · Snapshot 20261112T181611Z-3fa9fb76