RC 881
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
HC ULTRAFILTRATION
Low
$419
Average
$1.5k
Median
$1.0k
High
$3.6k
Each hospital's average Wellmark rate, under the methodology and billing class chosen below.
14 hospitals; the 90th percentile is 7.7× 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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20 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 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · inpatientfrom % of charges | 1 | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 2 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · outpatientfrom % of charges | 1 | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 3 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · both | 2 | $426 | $426 | — | — | — | $426 – $426 |
| 4 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · other · both | 1 | $399 | $399 | — | — | — | $399 – $399 |
| 5 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · fee schedule · both | 2 | $426 | $426 | — | — | — | $426 – $426 |
| 6 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · other · both | 1 | $399 | $399 | — | — | — | $399 – $399 |
| 7 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 8 | Mercy Health Services-Iowa Corp. Mason City, IA facility · fee schedule · both | 2 | $426 | $426 | — | — | — | $426 – $426 |
| 9 | Mercy Health Services-Iowa Corp. Mason City, IA facility · other · both | 1 | $445 | $445 | — | — | — | $445 – $445 |
| 10 | Monument Health Network Inc Spearfish, SD other · outpatient | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 11 | Monument Health Network Inc Deadwood, SD percent of total billed charges · outpatientfrom % of charges | 2 | $1.0k | $1.0k | $484 | 47% | — | $540 – $1.5k |
| 12 | Monument Health Network Inc Sturgis, SD percent of total billed charges · outpatientfrom % of charges | 2 | $942 | $942 | $495 | 53% | — | $447 – $1.4k |
| 13 | Monument Health Network Inc Custer, SD percent of total billed charges · outpatientfrom % of charges | 2 | $1.1k | $1.1k | $585 | 56% | — | $466 – $1.6k |
| 14 | Monument Health Rapid City Hospital Inc City, SD other · outpatient | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 15 | Samaritan Hospital Troy, NY facility · fee schedule · both | 2 | $343 | $343 | $38 | 11% | — | $305 – $381 |
| 16 | Samaritan Hospital Troy, NY facility · other · both | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 17 | St Peters Hospital Albany, NY facility · fee schedule · both | 2 | $343 | $343 | $38 | 11% | — | $305 – $381 |
| 18 | St Peters Hospital Albany, NY facility · other · both | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 19 | University of Iowa Health Care Medical Center Iowa City, IA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $3.0k | $3.3k | $1.3k | 40% | — | $1.3k – $6.3k |
| 20 | University of Iowa Health Care Medical Center Downtown Iowa City, IA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $3.0k | $3.3k | $1.3k | 40% | — | $1.3k – $6.3k |
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