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
PR SPACER WITHOUT MASK
Low
$0
Average
$20
Median
$17
High
$78
Each hospital's average Humana rate, under the methodology and billing class chosen below.
24 hospitals; the 90th percentile is 4252.3× 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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31 hospital rates
iThe hospitals that file a Humana 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 | Benefis Community Hospitals, Inc Choteau, MT percent of total billed charges · bothfrom % of charges | 1 | $78 | $78 | — | — | — | $78 – $78 |
| 2 | Benefis Teton Medical Center Choteau, MT percent of total billed charges · bothfrom % of charges | 1 | $43 | $43 | — | — | — | $43 – $43 |
| 3 | Carle BroMenn Medical Center Normal, IL fee schedule · inpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 4 | Carle BroMenn Medical Center Normal, IL fee schedule · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 5 | Carle Eureka Hospital Eureka, IL fee schedule · inpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 6 | Carle Eureka Hospital Eureka, IL fee schedule · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 7 | Deaconess Health System Henderson Hospital Henderson, KY professional · fee schedule · both | 3 | $0 | $0 | — | — | — | $0 – $0 |
| 8 | Deaconess Health System Union County Hospital Morganfield, KY professional · fee schedule · both | 3 | $0 | $0 | — | — | — | $0 – $0 |
| 9 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 4 | $0 | $0 | — | — | — | $0 – $0 |
| 10 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 3 | $0 | $0 | — | — | — | $0 – $0 |
| 11 | Deaconess Illinois Crossroads Inc Mount Vernon, IL professional · fee schedule · both | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 12 | Deaconess Illinois Crossroads Inc Mount Vernon, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 13 | Deaconess Illinois Union County Hospital Inc Anna, IL professional · fee schedule · both | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 14 | Deaconess Regional Healthcare Services Illinois Inc Marion, IL professional · fee schedule · both | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 15 | Deaconess Regional Healthcare Services Illinois Inc Marion, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 16 | Mayo Clinic Health System Mankato 56001-4752 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 17 | Mayo Clinic Health System Lake City 55041-1143 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 18 | Mayo Clinic Health System Saint James 56081-5550 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 19 | Mayo Clinic Health System Fairmont 56031-4575 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 20 | Mayo Clinic Health System St, NE professional · percent of total billed charges · outpatientfrom % of charges | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 21 | Mayo Clinic Health System Owatonna 55060-5503 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 22 | Mayo Clinic Health System Waseca 56093-2811 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 23 | Mayo Clinic Health System Cannon Falls 55009-5003 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 24 | Methodist Medical Center of Illinois Peoria, IL fee schedule · inpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 25 | Methodist Medical Center of Illinois Peoria, IL fee schedule · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
← Payers reporting HCPCS S8100 · Snapshot 20261111T120946Z-9134e7f7