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
Lab Travel One Way per Trip Charge
Low
$2
Average
$10
Median
$9
High
$20
Each hospital's average Medica rate, under the methodology and billing class chosen below.
50 hospitals; the 90th percentile is 5.7× 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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76 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 | Monument Health Rapid City Hospital Inc City, SD percent of total billed charges · outpatientfrom % of charges | 3 | $1 | $2 | $1 | 57% | 244 | $1 – $3 |
| 2 | ALEGENT CREIGHTON HEALTH Plainview, NE fee schedule · inpatient | 4 | $2 | $2 | $0 | 3% | — | $2 – $2 |
| 3 | ALEGENT CREIGHTON HEALTH Plainview, NE fee schedule · outpatient | 5 | $2 | $2 | $0 | 15% | — | $1 – $2 |
| 4 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · inpatient | 4 | $2 | $2 | $0 | 3% | — | $2 – $2 |
| 5 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · outpatient | 5 | $2 | $2 | $0 | 25% | — | $1 – $2 |
| 6 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · inpatient | 4 | $2 | $2 | $0 | 3% | — | $2 – $2 |
| 7 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · outpatient | 5 | $2 | $2 | $0 | 29% | — | $1 – $2 |
| 8 | ALEGENT HEALTH MEMORIAL HOSPITAL, SCHUYLER Schuyler, NE fee schedule · inpatient | 4 | $2 | $2 | $0 | 3% | — | $2 – $2 |
| 9 | ALEGENT HEALTH MEMORIAL HOSPITAL, SCHUYLER Schuyler, NE fee schedule · outpatient | 5 | $2 | $2 | $0 | 20% | — | $1 – $2 |
| 10 | Allen Memorial Hospital Corporation Waterloo, IA percent of total billed charges · outpatientfrom % of charges | 1 | $12 | $12 | $1 | 6% | — | $11 – $12 |
| 11 | Altru Hospital Grand Forks, ND facility · fee schedule · outpatient | 4 | $5 | $6 | $3 | 47% | — | $4 – $10 |
| 12 | Altru Hospital Devils Lake Devils Lake, ND facility · fee schedule · outpatient | 4 | $5 | $6 | $3 | 47% | — | $4 – $10 |
| 13 | BSA Hospital Amarillo, TX facility · percent of total billed charges · bothfrom % of charges | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 14 | Central Iowa Hospital Corporation Des Moines, IA percent of total billed charges · outpatientfrom % of charges | 1 | $8 | $8 | $0 | 6% | — | $8 – $9 |
| 15 | Central Iowa Hospital Corporation West Des Moines, IA percent of total billed charges · outpatientfrom % of charges | 1 | $6 | $6 | $0 | 6% | — | $6 – $7 |
| 16 | Curators of the University of Missouri Jefferson City, MO facility · fee schedule · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 17 | Fairview Bethesda Hospital St. Paul, MN fee schedule · both | 7 | $21 | $19 | $5 | 25% | — | $11 – $23 |
| 18 | Fairview Health Services Edina, MN fee schedule · both | 7 | $21 | $19 | $5 | 25% | — | $11 – $23 |
| 19 | Fairview Health Services Edina, MN fee schedule · outpatient | 7 | $25 | $22 | $6 | 26% | — | $13 – $27 |
| 20 | Fairview Health Services Minneapolis, MN fee schedule · both | 7 | $21 | $19 | $5 | 25% | — | $11 – $23 |
| 21 | Fairview Health Services Minneapolis, MN fee schedule · outpatient | 7 | $24 | $21 | $5 | 25% | — | $13 – $26 |
| 22 | Fairview Health Services Burnsville, MN fee schedule · both | 7 | $21 | $19 | $5 | 25% | — | $11 – $23 |
| 23 | Fairview Health Services Burnsville, MN fee schedule · outpatient | 7 | $25 | $22 | $6 | 26% | — | $13 – $27 |
| 24 | Fairview Health Services Wyoming, MN fee schedule · both | 7 | $21 | $19 | $5 | 25% | — | $11 – $23 |
| 25 | Fairview Health Services Wyoming, MN fee schedule · outpatient | 7 | $22 | $20 | $5 | 23% | — | $13 – $25 |
← Payers reporting HCPCS P9604 · Snapshot 20261111T120946Z-9134e7f7