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
HC Rem Mntr Physiol Param 1st Dev Supply Ea 30 D
Low
$36
Average
$199
Median
$53
High
$1.8k
Each hospital's average Wellmark rate, under the methodology and billing class chosen below.
23 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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48 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 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · both | 3 | $63 | $58 | $9 | 15% | 23–32 | $43 – $63 |
| 2 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · other · both | 1 | $36 | $36 | — | — | 19 | $36 – $36 |
| 3 | Allen Memorial Hospital Corporation Waterloo, IA case rate · outpatient | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 4 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 4 | $63 | $57 | $10 | 17% | — | $40 – $63 |
| 5 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · both | 2 | $38 | $38 | — | — | — | $38 – $38 |
| 6 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · fee schedule · both | 2 | $38 | $38 | — | — | — | $38 – $38 |
| 7 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · other · both | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 8 | Central Iowa Hospital Corporation Des Moines, IA case rate · outpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 9 | Central Iowa Hospital Corporation Des Moines, IA fee schedule · both | 4 | $63 | $57 | $10 | 17% | — | $40 – $63 |
| 10 | Central Iowa Hospital Corporation West Des Moines, IA fee schedule · both | 4 | $63 | $57 | $10 | 17% | — | $40 – $63 |
| 11 | Grinnell Regional Medical Center Grinnell, IA case rate · outpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 12 | Grinnell Regional Medical Center Grinnell, IA fee schedule · both | 4 | $63 | $57 | $10 | 17% | — | $40 – $63 |
| 13 | Gundersen Palmer Lutheran Hospital and Clinic Inc West Union, IA facility · case rate · outpatient | 2 | $98 | $98 | $5 | 5% | — | $94 – $103 |
| 14 | MercyOne Genesis Aledo Medical Center Aledo, IL facility · case rate · inpatient | 1 | $108 | $108 | — | — | — | $108 – $108 |
| 15 | MercyOne Genesis Aledo Medical Center Aledo, IL facility · per diem · inpatient | 1 | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 16 | MercyOne Genesis Davenport West Medical Center Davenport, IA facility · fee schedule · outpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 17 | MercyOne Genesis DeWitt Medical Center DeWitt, IA facility · per diem · inpatient | 2 | $1.8k | $1.8k | $876 | 49% | — | $928 – $2.7k |
| 18 | MercyOne Genesis Silvis Medical Center Silvis, IL facility · case rate · inpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 19 | Meriter Hospital, Inc Madison, WI case rate · both | 1 | $107 | $107 | — | — | — | $107 – $107 |
| 20 | Meriter Hospital, Inc Madison, WI case rate · outpatient | 1 | $108 | $108 | — | — | — | $108 – $108 |
| 21 | Meriter Hospital, Inc Madison, WI percent of total billed charges · inpatientfrom % of charges | 1 | $132 | $132 | — | — | — | $132 – $132 |
| 22 | Northwest Iowa Hospital Corporation Sioux City, IA case rate · outpatient | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 23 | Northwest Iowa Hospital Corporation Sioux City, IA fee schedule · both | 4 | $63 | $57 | $10 | 17% | — | $40 – $63 |
| 24 | St Luke's Methodist Hospital Marion, IA case rate · outpatient | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 25 | St Luke's Methodist Hospital Marion, IA fee schedule · both | 4 | $63 | $57 | $10 | 17% | — | $40 – $63 |
← Payers reporting CPT 99454 · Snapshot 20261111T120946Z-9134e7f7