Low
$74
Average
$143
Median
$74
High
$341
Each hospital's average Wellmark rate, under the methodology and billing class chosen below.
8 hospitals; the 90th percentile is 4.3× 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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8 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 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · both | 1 | $74 | $74 | — | — | 1–10 | $74 – $74 |
| 2 | Mercy Health Saint Marys Rockford, MI professional · fee schedule · both | 1 | $74 | $74 | — | — | 1–10 | $74 – $74 |
| 3 | Gundersen Palmer Lutheran Hospital and Clinic Inc West Union, IA facility · case rate · outpatient | 2 | $309 | $309 | $14 | 5% | — | $294 – $323 |
| 4 | Mercy Health Lakeshore Campus Shelby, MI professional · fee schedule · outpatient | 1 | $74 | $74 | — | — | — | $74 – $74 |
| 5 | MercyOne Genesis Aledo Medical Center Aledo, IL facility · case rate · outpatient | 1 | $341 | $341 | — | — | — | $341 – $341 |
| 6 | MercyOne Genesis Silvis Medical Center Silvis, IL facility · case rate · outpatient | 1 | $126 | $126 | — | — | — | $126 – $126 |
| 7 | St Joseph Mercy Ann Arbor Ypsilanti, MI professional · fee schedule · both | 1 | $74 | $74 | — | — | — | $74 – $74 |
| 8 | St Joseph Mercy Oakland Pontiac, MI professional · fee schedule · both | 1 | $74 | $74 | — | — | — | $74 – $74 |
← Payers reporting HCPCS G9002 · Snapshot 20261111T120946Z-9134e7f7