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
TRAVEL ALLOWANCE ONE WAY IN CONNECTION WITH MEDICALLY NECESSARY LABORATORY SPECIMEN COLLECTION DRAWN FROM HOME BOUND OR NURSING HOME BOUND PATIENT; PRORATED MILES ACTUALLY TRAVELLED.
Low
$2
Average
$22
Median
$31
High
$31
Each hospital's average Wellmark rate, under the methodology and billing class chosen below.
17 hospitals; the 90th percentile is 9.0× 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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25 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 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 3 | $31 | $31 | — | — | — | $31 – $31 |
| 2 | Central Iowa Hospital Corporation Des Moines, IA fee schedule · both | 3 | $31 | $31 | — | — | — | $31 – $31 |
| 3 | Central Iowa Hospital Corporation West Des Moines, IA fee schedule · both | 3 | $31 | $31 | — | — | — | $31 – $31 |
| 4 | Grinnell Regional Medical Center Grinnell, IA fee schedule · both | 3 | $31 | $31 | — | — | — | $31 – $31 |
| 5 | Gundersen Palmer Lutheran Hospital and Clinic Inc West Union, IA facility · case rate · outpatient | 2 | $6 | $6 | $0 | 5% | — | $6 – $6 |
| 6 | MercyOne Genesis Aledo Medical Center Aledo, IL facility · case rate · outpatient | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 7 | MercyOne Genesis Aledo Medical Center Aledo, IL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 8 | MercyOne Genesis Aledo Medical Center Aledo, IL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 9 | MercyOne Genesis DeWitt Medical Center DeWitt, IA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 10 | MercyOne Genesis DeWitt Medical Center DeWitt, IA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $2 | $2 | $0 | 19% | — | $2 – $3 |
| 11 | MercyOne Genesis Silvis Medical Center Silvis, IL facility · case rate · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 12 | Northwest Iowa Hospital Corporation Sioux City, IA fee schedule · both | 3 | $31 | $31 | — | — | — | $31 – $31 |
| 13 | St Luke's Methodist Hospital Marion, IA fee schedule · both | 3 | $31 | $31 | — | — | — | $31 – $31 |
| 14 | The Finley Hospital Dubuque, IA fee schedule · both | 3 | $31 | $31 | — | — | — | $31 – $31 |
| 15 | Trinity Medical Center Rock Island, IL case rate · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 16 | Trinity Medical Center Rock Island, IL fee schedule · both | 2 | $18 | $18 | $12 | 65% | — | $6 – $31 |
| 17 | Trinity Medical Center Bettendorf, IA fee schedule · both | 3 | $31 | $31 | — | — | — | $31 – $31 |
| 18 | Trinity Regional Medical Center Fort Dodge, IA fee schedule · both | 3 | $31 | $31 | — | — | — | $31 – $31 |
| 19 | Unity Healthcare Muscatine, IA fee schedule · both | 3 | $31 | $31 | — | — | — | $31 – $31 |
| 20 | Unity Healthcare Muscatine, IA percent of total billed charges · inpatientfrom % of charges | 3 | $5 | $5 | — | — | — | $5 – $5 |
| 21 | UnityPoint Health - Jones Regional Medical Center Anamosa, IA fee schedule · both | 3 | $31 | $31 | — | — | — | $31 – $31 |
| 22 | UnityPoint Health - Jones Regional Medical Center Anamosa, IA percent of total billed charges · inpatientfrom % of charges | 3 | $12 | $12 | — | — | — | $12 – $12 |
| 23 | UnityPoint Health - Jones Regional Medical Center Anamosa, IA percent of total billed charges · outpatientfrom % of charges | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 24 | UnityPoint Health Marshalltown Marshalltown, IA fee schedule · both | 3 | $31 | $31 | — | — | — | $31 – $31 |
| 25 | UnityPoint Health Marshalltown Marshalltown, IA percent of total billed charges · inpatientfrom % of charges | 3 | $8 | $8 | — | — | — | $8 – $8 |
← Payers reporting HCPCS P9603 · Snapshot 20261111T120946Z-9134e7f7