RC 424

Physical Therapy Evaluation or Reevaluation

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 PT EVAL LOW COMPLEX 20 MIN

Wellmark pricing summary

Low

$66

Average

$232

Median

$146

High

$4.4k

Wellmark rate distribution

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119 hospital rates

#		Plans
1	Sanford USD Medical Center Sioux Falls, SD other · outpatient	1	$236	$236	—	—	937	$236 – $236
2	Monument Health Network Inc Custer, SD percent of total billed charges · outpatientfrom % of charges	2	$150	$177	$102	58%	526–544	$61 – $295
3	Monument Health Network Inc Sturgis, SD percent of total billed charges · outpatientfrom % of charges	2	$135	$158	$86	54%	408–444	$59 – $259
4	Monument Health Network Inc Deadwood, SD percent of total billed charges · outpatientfrom % of charges	2	$148	$172	$85	49%	240–258	$71 – $272
5	Sanford Aberdeen Medical Center Aberdeen, SD other · outpatient	1	$226	$226	—	—	197–206	$226 – $226
6	Sanford Sheldon Medical Center Sheldon, IA other · outpatient	2	$233	$217	$43	20%	105–132	$122 – $244
7	Sanford Vermillion Hospital Vermillion, SD percent of total billed charges · outpatientfrom % of charges	2	$158	$177	$90	51%	67	$72 – $314
8	Sanford Canton Inwood Medical Center Canton, SD percent of total billed charges · outpatientfrom % of charges	2	$171	$193	$88	45%	27–54	$84 – $344
9	Sanford Chamberlain Medical Center Chamberlain, SD percent of total billed charges · outpatientfrom % of charges	2	$177	$207	$96	46%	27–45	$84 – $368
10	Sanford Webster Hospital Webster, SD percent of total billed charges · outpatientfrom % of charges	2	$178	$206	$103	50%	2–20	$80 – $388
11	Morrison Community Hospital District Morrison, IL facility · fee schedule · both	2	$87	$87	$40	46%	1–10	$47 – $127
12	ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · inpatient	2	$61	$80	$33	41%	—	$45 – $127
13	ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · inpatient	2	$58	$76	$31	41%	—	$43 – $121
14	Allen Memorial Hospital Corporation Waterloo, IA case rate · outpatient	1	$95	$88	$13	15%	—	$65 – $95
15	Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · inpatientfrom % of charges	1	$676	$651	$140	21%	—	$437 – $814
16	Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · outpatientfrom % of charges	1	$676	$651	$140	21%	—	$437 – $814
17	Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · both	1	$93	$86	$13	15%	—	$64 – $93
18	Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · outpatient	3	$13.1k	$7.9k	$6.4k	81%	—	$64 – $13.1k
19	Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · fee schedule · both	1	$93	$86	$13	15%	—	$64 – $93
20	Central Community Hospital Elkader, IA facility · percent of total billed charges · bothfrom % of charges	1	$155	$154	$17	11%	—	$129 – $177
21	Central Iowa Hospital Corporation Des Moines, IA case rate · outpatient	1	$95	$88	$13	15%	—	$65 – $95
22	Covenant Medical Center Inc Waterloo, IA facility · fee schedule · both	1	$93	$86	$13	15%	—	$64 – $93
23	Diley Ridge Medical Center Canal Winchester, OH facility · fee schedule · both	1	$123	$113	$17	15%	—	$84 – $123
24	Grinnell Regional Medical Center Grinnell, IA case rate · outpatient	1	$95	$88	$13	15%	—	$65 – $95
25	Grundy County Memorial Hospital Grundy Center, IA facility · percent of total billed charges · inpatientfrom % of charges	2	$199	$182	$49	27%	—	$101 – $228

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