Telehealth originating site facility fee

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.

Generation details were not recorded for this description.

Original text from hospital filings

HC Telehealth Facility Fee

Wellmark pricing summary

Low

$12

Average

$90

Median

$45

High

$1.8k

Wellmark rate distribution

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163 hospital rates

#		Plans
1	Spencer Municipal Hospital Spencer, IA fee schedule · outpatient	2	$75	$75	$4	5%	522	$72 – $79
2	Avera Holy Family Hospital Estherville, IA case rate · outpatient	2	$31	$31	—	—	502	$31 – $31
3	Sioux Center Health Sioux Center, IA case rate · outpatient	2	$31	$31	—	—	472	$31 – $31
4	Avera St. Mary's Hospital Pierre, SD outpatient	1	$31	$31	—	—	371	$31 – $31
5	Avera St. Mary's Hospital Pierre, SD case rate · outpatient	1	$31	$31	—	—	371	$31 – $31
6	Lakes Regional Hospital Spirit Lake, IA case rate · outpatient	2	$31	$31	—	—	324	$31 – $31
7	Avera St. Luke's Aberdeen, SD outpatient	1	$61	$61	—	—	244	$61 – $61
8	Avera St. Luke's Aberdeen, SD case rate · outpatient	1	$61	$61	—	—	244	$61 – $61
9	Spencer Municipal Hospital Spencer, IA fee schedule · inpatient	2	$75	$75	$4	5%	108–126	$72 – $79
10	Avera Sacred Heart Hospital Yankton, SD outpatient	1	$66	$66	—	—	73	$66 – $66
11	Avera Sacred Heart Hospital Yankton, SD percent of total billed charges · outpatientfrom % of charges	1	$81	$81	$32	39%	73	$49 – $114
12	Avera St. Anthony's Hospital O'Neill, NE outpatient	1	$31	$31	—	—	60	$31 – $31
13	Avera St. Anthony's Hospital O'Neill, NE percent of total billed charges · outpatientfrom % of charges	1	$104	$104	—	—	60	$104 – $104
14	Avera Milbank Hospital Milbank, SD outpatient	1	$31	$31	—	—	59	$31 – $31
15	Avera Milbank Hospital Milbank, SD percent of total billed charges · outpatientfrom % of charges	1	$82	$82	$4	5%	59	$78 – $86
16	Avera Merrill Pioneer Rock Rapids, IA case rate · outpatient	2	$31	$31	—	—	40	$31 – $31
17	Avera St. Anthony's Hospital O'Neill, NE inpatient	1	$30	$30	—	—	40	$30 – $30
18	Avera St. Anthony's Hospital O'Neill, NE percent of total billed charges · inpatientfrom % of charges	1	$104	$104	—	—	40	$104 – $104
19	Regional Health Services of Howard County Cresco, IA case rate · outpatient	2	$30	$30	—	—	40	$30 – $30
20	Osceola Regional Health Center Sibley, IA case rate · outpatient	2	$63	$63	—	—	30	$63 – $63
21	Avera St. Benedicts Parkston, SD outpatient	1	$31	$31	—	—	29	$31 – $31
22	Avera St. Benedicts Parkston, SD percent of total billed charges · outpatientfrom % of charges	1	$57	$57	—	—	29	$57 – $57
23	Avera Gregory Hospital Gregory, SD outpatient	1	$31	$31	—	—	27	$31 – $31
24	Avera Gregory Hospital Gregory, SD percent of total billed charges · outpatientfrom % of charges	1	$81	$81	$32	39%	27	$49 – $114
25	Avera Missouri River Health Center Gettysburg, SD outpatient	1	$31	$31	—	—	27	$31 – $31

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HCPCS Q3014