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
HB MOD SED < 5YRS 15 MIN
Low
$13
Average
$113
Median
$44
High
$769
Each hospital's average Wellmark rate, under the methodology and billing class chosen below.
41 hospitals; the 90th percentile is 5.2× 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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77 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 | Avera McKennan Hospital Sioux Falls, SD case rate · outpatient | 2 | $44 | $44 | — | — | 4–40 | $44 – $44 |
| 2 | Avera Merrill Pioneer Rock Rapids, IA case rate · outpatient | 2 | $29 | $29 | — | — | 2–20 | $29 – $29 |
| 3 | Monument Health Network Inc Custer, SD percent of total billed charges · outpatientfrom % of charges | 2 | $155 | $155 | $86 | 56% | 2–20 | $69 – $241 |
| 4 | Avera Queen of Peace Mitchell, SD outpatient | 1 | $35 | $35 | — | — | 1–10 | $35 – $35 |
| 5 | Avera Queen of Peace Mitchell, SD case rate · outpatient | 1 | $35 | $35 | — | — | 1–10 | $35 – $35 |
| 6 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · inpatient | 2 | $13 | $13 | — | — | — | $13 – $13 |
| 7 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · inpatient | 2 | $13 | $13 | — | — | — | $13 – $13 |
| 8 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 4 | $36 | $34 | $7 | 21% | — | $22 – $42 |
| 9 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · inpatientfrom % of charges | 1 | $722 | $722 | — | — | — | $722 – $722 |
| 10 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · outpatientfrom % of charges | 1 | $722 | $722 | — | — | — | $722 – $722 |
| 11 | Avera Behavioral Health Hospital Sioux Falls, SD fee schedule · both | 2 | $44 | $44 | — | — | — | $44 – $44 |
| 12 | Avera Gregory Hospital Gregory, SD fee schedule · both | 1 | $44 | $44 | — | — | — | $44 – $44 |
| 13 | Avera Gregory Hospital Gregory, SD percent of total billed charges · inpatientfrom % of charges | 1 | $129 | $129 | — | — | — | $129 – $129 |
| 14 | Avera Gregory Hospital Gregory, SD percent of total billed charges · outpatientfrom % of charges | 1 | $129 | $129 | — | — | — | $129 – $129 |
| 15 | Avera McKennan Hospital Sioux Falls, SD fee schedule · both | 2 | $44 | $44 | — | — | — | $44 – $44 |
| 16 | Avera Merrill Pioneer Rock Rapids, IA fee schedule · both | 2 | $39 | $39 | $3 | 8% | — | $36 – $42 |
| 17 | Avera Merrill Pioneer Rock Rapids, IA percent of total billed charges · inpatientfrom % of charges | 2 | $115 | $115 | — | — | — | $115 – $115 |
| 18 | Avera Queen of Peace Mitchell, SD fee schedule · both | 1 | $44 | $44 | — | — | — | $44 – $44 |
| 19 | Avera Sacred Heart Hospital Yankton, SD fee schedule · both | 1 | $44 | $44 | — | — | — | $44 – $44 |
| 20 | Avera Sacred Heart Hospital Yankton, SD percent of total billed charges · inpatientfrom % of charges | 1 | $129 | $129 | — | — | — | $129 – $129 |
| 21 | Avera Sacred Heart Hospital Yankton, SD percent of total billed charges · outpatientfrom % of charges | 1 | $129 | $129 | — | — | — | $129 – $129 |
| 22 | Avera Specialty Hospital Sioux Falls, SD fee schedule · both | 2 | $44 | $44 | — | — | — | $44 – $44 |
| 23 | Avera St. Mary's Hospital Pierre, SD fee schedule · both | 1 | $44 | $44 | — | — | — | $44 – $44 |
| 24 | Central Iowa Hospital Corporation Des Moines, IA fee schedule · both | 4 | $36 | $34 | $7 | 21% | — | $22 – $42 |
| 25 | Central Iowa Hospital Corporation West Des Moines, IA fee schedule · both | 4 | $36 | $34 | $7 | 21% | — | $22 – $42 |
← Payers reporting CPT 99151 · Snapshot 20261112T124536Z-e251e855