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
Tte W or W/O Contr, Cont Ecg
Low
$622
Average
$1.6k
Median
$1.4k
High
$4.2k
Each hospital's average Wellmark rate, under the methodology and billing class chosen below.
48 hospitals; the 90th percentile is 3.9× 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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60 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 Heart Hospital Sioux Falls, SD case rate · outpatient | 2 | $701 | $701 | — | — | 2–20 | $701 – $701 |
| 2 | Avera St. Anthony's Hospital O'Neill, NE inpatient | 1 | $1.9k | $1.9k | — | — | 1–10 | $1.9k – $1.9k |
| 3 | Avera St. Anthony's Hospital O'Neill, NE outpatient | 1 | $408 | $408 | — | — | 1–10 | $408 – $408 |
| 4 | Avera St. Anthony's Hospital O'Neill, NE percent of total billed charges · inpatientfrom % of charges | 1 | $2.0k | $2.0k | — | — | 1–10 | $2.0k – $2.0k |
| 5 | Avera St. Anthony's Hospital O'Neill, NE percent of total billed charges · outpatientfrom % of charges | 1 | $2.0k | $2.0k | — | — | 1–10 | $2.0k – $2.0k |
| 6 | Mercy Health Services-Iowa Corp. Mason City, IA facility · fee schedule · both | 2 | $801 | $801 | — | — | 1–10 | $801 – $801 |
| 7 | Mercy Health Services-Iowa Corp. Mason City, IA facility · other · both | 1 | $836 | $836 | — | — | 1–10 | $836 – $836 |
| 8 | Sanford Aberdeen Medical Center Aberdeen, SD other · outpatient | 1 | $920 | $920 | — | — | 1–10 | $920 – $920 |
| 9 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · inpatient | 2 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 10 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · inpatient | 2 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 11 | Allen Memorial Hospital Corporation Waterloo, IA case rate · outpatient | 1 | $743 | $743 | — | — | — | $743 – $743 |
| 12 | Avera Creighton Hospital Creighton, NE percent of total billed charges · inpatientfrom % of charges | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 13 | Avera Creighton Hospital Creighton, NE percent of total billed charges · outpatientfrom % of charges | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 14 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · both | 2 | $801 | $801 | — | — | — | $801 – $801 |
| 15 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · other · both | 1 | $749 | $749 | — | — | — | $749 – $749 |
| 16 | Central Iowa Hospital Corporation Des Moines, IA case rate · outpatient | 1 | $752 | $752 | — | — | — | $752 – $752 |
| 17 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · both | 2 | $801 | $801 | — | — | — | $801 – $801 |
| 18 | Covenant Medical Center Inc Waterloo, IA facility · other · both | 1 | $746 | $746 | — | — | — | $746 – $746 |
| 19 | Floyd Valley Healthcare Le Mars, IA percent of total billed charges · inpatientfrom % of charges | 2 | $622 | $622 | — | — | — | $622 – $622 |
| 20 | Grinnell Regional Medical Center Grinnell, IA case rate · outpatient | 1 | $752 | $752 | — | — | — | $752 – $752 |
| 21 | Gundersen Palmer Lutheran Hospital and Clinic Inc West Union, IA facility · case rate · outpatient | 2 | $1.1k | $1.1k | $53 | 5% | — | $1.1k – $1.2k |
| 22 | Mercy Health Hackley Campus Muskogen, MI facility · fee schedule · both | 1 | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
| 23 | Mercy Health Saint Marys Rockford, MI facility · fee schedule · both | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 24 | MercyOne Genesis Aledo Medical Center Aledo, IL facility · case rate · outpatient | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 25 | MercyOne Genesis Davenport Medical Center IA 52803; 2140 53rd Avenue Bettendorf, IA facility · fee schedule · outpatient | 1 | $756 | $756 | — | — | — | $756 – $756 |
← Payers reporting HCPCS C8930 · Snapshot 20261111T120946Z-9134e7f7