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
DRUG SCRN DEF 9+CL NONCHR
Low
$86
Average
$179
Median
$157
High
$353
Each hospital's average Wellmark rate, under the methodology and billing class chosen below.
24 hospitals; the 90th percentile is 2.3× 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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43 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 St. Luke's Aberdeen, SD outpatient | 1 | $219 | $219 | — | — | 14 | $219 – $219 |
| 2 | Avera St. Luke's Aberdeen, SD case rate · outpatient | 1 | $219 | $219 | — | — | 14 | $219 – $219 |
| 3 | Allen Memorial Hospital Corporation Waterloo, IA case rate · outpatient | 1 | $160 | $160 | — | — | — | $160 – $160 |
| 4 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 3 | $157 | $157 | — | — | — | $157 – $157 |
| 5 | Avera Dell Rapids Hospital Dell Rapids, SD percent of total billed charges · inpatientfrom % of charges | 1 | $144 | $144 | — | — | — | $144 – $144 |
| 6 | Avera Dell Rapids Hospital Dell Rapids, SD percent of total billed charges · outpatientfrom % of charges | 1 | $144 | $144 | — | — | — | $144 – $144 |
| 7 | Central Iowa Hospital Corporation Des Moines, IA case rate · outpatient | 1 | $160 | $160 | — | — | — | $160 – $160 |
| 8 | Central Iowa Hospital Corporation Des Moines, IA fee schedule · both | 3 | $157 | $157 | — | — | — | $157 – $157 |
| 9 | Central Iowa Hospital Corporation West Des Moines, IA fee schedule · both | 3 | $157 | $157 | — | — | — | $157 – $157 |
| 10 | Floyd Valley Healthcare Le Mars, IA percent of total billed charges · inpatientfrom % of charges | 2 | $240 | $240 | — | — | — | $240 – $240 |
| 11 | Grinnell Regional Medical Center Grinnell, IA case rate · outpatient | 1 | $160 | $160 | — | — | — | $160 – $160 |
| 12 | Grinnell Regional Medical Center Grinnell, IA fee schedule · both | 3 | $157 | $157 | — | — | — | $157 – $157 |
| 13 | Grundy County Memorial Hospital Grundy Center, IA facility · percent of total billed charges · inpatientfrom % of charges | 2 | $318 | $318 | — | — | — | $318 – $318 |
| 14 | Gundersen Palmer Lutheran Hospital and Clinic Inc West Union, IA facility · case rate · outpatient | 2 | $320 | $320 | $15 | 5% | — | $305 – $335 |
| 15 | MercyOne Genesis Aledo Medical Center Aledo, IL facility · case rate · outpatient | 1 | $353 | $353 | — | — | — | $353 – $353 |
| 16 | MercyOne Genesis Davenport West Medical Center Davenport, IA facility · fee schedule · outpatient | 1 | $157 | $157 | — | — | — | $157 – $157 |
| 17 | MercyOne Genesis Silvis Medical Center Silvis, IL facility · case rate · outpatient | 1 | $131 | $131 | — | — | — | $131 – $131 |
| 18 | Meriter Hospital, Inc Madison, WI case rate · outpatient | 1 | $157 | $157 | — | — | — | $157 – $157 |
| 19 | Meriter Hospital, Inc Madison, WI percent of total billed charges · bothfrom % of charges | 1 | $111 | $111 | — | — | — | $111 – $111 |
| 20 | Meriter Hospital, Inc Madison, WI percent of total billed charges · inpatientfrom % of charges | 1 | $336 | $336 | — | — | — | $336 – $336 |
| 21 | Northwest Iowa Hospital Corporation Sioux City, IA case rate · outpatient | 1 | $160 | $160 | — | — | — | $160 – $160 |
| 22 | Northwest Iowa Hospital Corporation Sioux City, IA fee schedule · both | 3 | $157 | $157 | — | — | — | $157 – $157 |
| 23 | Osceola Regional Health Center Sibley, IA percent of total billed charges · inpatientfrom % of charges | 2 | $112 | $112 | — | — | — | $112 – $112 |
| 24 | Regional Health Services of Howard County Cresco, IA percent of total billed charges · inpatientfrom % of charges | 2 | $158 | $158 | — | — | — | $158 – $158 |
| 25 | St Luke's Methodist Hospital Marion, IA case rate · outpatient | 1 | $160 | $160 | — | — | — | $160 – $160 |
← Payers reporting HCPCS G0481 · Snapshot 20261111T120946Z-9134e7f7