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
So hard plas stabili pre ots
Low
$79
Average
$93
Median
$96
High
$105
Each hospital's average Medica rate, under the methodology and billing class chosen below.
5 hospitals; the 90th percentile is 1.3× 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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5 hospital rates
iThe hospitals that file a Medica 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 | Allen Memorial Hospital Corporation Waterloo, IA percent of total billed charges · outpatientfrom % of charges | 1 | $105 | $105 | $6 | 6% | — | $99 – $111 |
| 2 | Central Iowa Hospital Corporation Des Moines, IA percent of total billed charges · outpatientfrom % of charges | 1 | $101 | $101 | $6 | 6% | — | $95 – $107 |
| 3 | Central Iowa Hospital Corporation West Des Moines, IA percent of total billed charges · outpatientfrom % of charges | 1 | $79 | $79 | $5 | 6% | — | $75 – $84 |
| 4 | Northwest Iowa Hospital Corporation Sioux City, IA percent of total billed charges · outpatientfrom % of charges | 1 | $86 | $86 | $5 | 6% | — | $81 – $91 |
| 5 | UnityPoint Health Marshalltown Marshalltown, IA percent of total billed charges · outpatientfrom % of charges | 1 | $96 | $96 | $5 | 6% | — | $90 – $101 |
← Payers reporting HCPCS L3678 · Snapshot 20261113T090226Z-3ce6c0b8