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
PC TRNSCTH PLCMT RX-ELUT IC STNT;EA ADD BR MCA
Low
$0
Average
$12.8k
Median
$9.3k
High
$54.5k
Each hospital's average Wellmark rate, under the methodology and billing class chosen below.
25 hospitals; the 90th percentile is 970250.0× 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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28 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 | Gundersen Palmer Lutheran Hospital and Clinic Inc West Union, IA facility · case rate · outpatient | 2 | $20.6k | $20.6k | $963 | 5% | — | $19.7k – $21.6k |
| 2 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · case rate · both | 1 | $54.5k | $54.5k | — | — | — | $54.5k – $54.5k |
| 3 | Mercy Fitzgerald Hospital Darby, PA facility · fee schedule · both | 1 | $9.2k | $9.2k | — | — | — | $9.2k – $9.2k |
| 4 | Mercy Health Hackley Campus Muskogen, MI facility · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 5 | Mercy Health Saint Marys Rockford, MI facility · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 6 | MercyOne Genesis Aledo Medical Center Aledo, IL facility · case rate · outpatient | 1 | $22.8k | $22.8k | — | — | — | $22.8k – $22.8k |
| 7 | MercyOne Genesis Silvis Medical Center Silvis, IL facility · case rate · outpatient | 1 | $8.4k | $8.4k | — | — | — | $8.4k – $8.4k |
| 8 | Meriter Hospital, Inc Madison, WI case rate · outpatient | 1 | $37.2k | $37.2k | — | — | — | $37.2k – $37.2k |
| 9 | Meriter Hospital, Inc Madison, WI percent of total billed charges · inpatientfrom % of charges | 1 | $20.3k | $20.3k | — | — | — | $20.3k – $20.3k |
| 10 | Monument Health Network Inc Spearfish, SD fee schedule · outpatient | 1 | $18.8k | $18.8k | — | — | — | $18.8k – $18.8k |
| 11 | Monument Health Network Inc Spearfish, SD other · outpatient | 1 | $18.4k | $18.4k | — | — | — | $18.4k – $18.4k |
| 12 | Monument Health Network Inc Deadwood, SD percent of total billed charges · outpatientfrom % of charges | 2 | $10.1k | $10.1k | $4.8k | 47% | — | $5.3k – $14.9k |
| 13 | Monument Health Network Inc Sturgis, SD percent of total billed charges · outpatientfrom % of charges | 2 | $9.3k | $9.3k | $4.9k | 53% | — | $4.4k – $14.2k |
| 14 | Monument Health Network Inc Custer, SD percent of total billed charges · outpatientfrom % of charges | 2 | $10.4k | $10.4k | $5.8k | 56% | — | $4.6k – $16.1k |
| 15 | Monument Health Rapid City Hospital Inc City, SD fee schedule · outpatient | 1 | $19.1k | $19.1k | — | — | — | $19.1k – $19.1k |
| 16 | Monument Health Rapid City Hospital Inc City, SD other · outpatient | 1 | $18.4k | $18.4k | — | — | — | $18.4k – $18.4k |
| 17 | Nazareth Hospital Philadelphia, PA facility · fee schedule · both | 1 | $7.5k | $7.5k | — | — | — | $7.5k – $7.5k |
| 18 | Saint Alphonsus Medical Center - Nampa Nampa, ID facility · fee schedule · both | 1 | $13.1k | $13.1k | — | — | — | $13.1k – $13.1k |
| 19 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · fee schedule · both | 1 | $13.1k | $13.1k | — | — | — | $13.1k – $13.1k |
| 20 | Samaritan Hospital Troy, NY facility · other · both | 2 | $23.3k | $23.3k | $2.6k | 11% | — | $20.7k – $25.9k |
| 21 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 22 | St Joseph Mercy Oakland Pontiac, MI facility · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 23 | St Mary Medical Center Langhorne, PA facility · fee schedule · both | 1 | $6.8k | $6.8k | — | — | — | $6.8k – $6.8k |
| 24 | St Mary Mercy Livonia Livonia, MI facility · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 25 | St Peters Hospital Albany, NY facility · other · both | 2 | $23.3k | $23.3k | $2.6k | 11% | — | $20.7k – $25.9k |
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