RC 914
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
Office Visit, Established Pat
Low
$14
Average
$191
Median
$154
High
$763
Each hospital's average Wellmark rate, under the methodology and billing class chosen below.
56 hospitals; the 90th percentile is 6.9× 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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75 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 | Sanford USD Medical Center Sioux Falls, SD other · outpatient | 1 | $151 | $140 | $49 | 35% | 559–568 | $66 – $209 |
| 2 | Monument Health Network Inc Deadwood, SD percent of total billed charges · outpatientfrom % of charges | 2 | $193 | $223 | $113 | 51% | 88–124 | $87 – $403 |
| 3 | Sanford Chamberlain Medical Center Chamberlain, SD percent of total billed charges · outpatientfrom % of charges | 2 | $77 | $100 | $59 | 59% | 42–51 | $20 – $200 |
| 4 | Monument Health Network Inc Sturgis, SD percent of total billed charges · outpatientfrom % of charges | 2 | $175 | $205 | $115 | 56% | 4–40 | $72 – $383 |
| 5 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · inpatient | 2 | $208 | $162 | $80 | 49% | — | $25 – $208 |
| 6 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · inpatient | 2 | $198 | $154 | $76 | 49% | — | $23 – $198 |
| 7 | Allen Memorial Hospital Corporation Waterloo, IA case rate · outpatient | 1 | $58 | $58 | $29 | 51% | — | $28 – $87 |
| 8 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · inpatientfrom % of charges | 1 | $403 | $418 | $176 | 42% | — | $64 – $669 |
| 9 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · outpatientfrom % of charges | 1 | $403 | $418 | $176 | 42% | — | $64 – $669 |
| 10 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · both | 2 | $181 | $181 | — | — | — | $181 – $181 |
| 11 | Central Community Hospital Elkader, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $389 | $366 | $37 | 10% | — | $314 – $396 |
| 12 | Central Iowa Hospital Corporation Des Moines, IA case rate · outpatient | 1 | $58 | $58 | $30 | 51% | — | $28 – $88 |
| 13 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · both | 2 | $181 | $181 | — | — | — | $181 – $181 |
| 14 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · outpatient | 2 | $181 | $181 | — | — | — | $181 – $181 |
| 15 | Grinnell Regional Medical Center Grinnell, IA case rate · outpatient | 1 | $58 | $58 | $30 | 51% | — | $28 – $88 |
| 16 | Grundy County Memorial Hospital Grundy Center, IA facility · percent of total billed charges · inpatientfrom % of charges | 2 | $423 | $362 | $165 | 46% | — | $137 – $527 |
| 17 | Gundersen Palmer Lutheran Hospital and Clinic Inc West Union, IA facility · case rate · outpatient | 2 | $353 | $399 | $107 | 27% | — | $299 – $606 |
| 18 | Gundersen Palmer Lutheran Hospital and Clinic Inc West Union, IA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $189 | $190 | $54 | 28% | — | $117 – $268 |
| 19 | HAWARDEN REGIONAL HEALTHCARE HARWARDEN, IA other · outpatient | 2 | $345 | $310 | $102 | 33% | — | $96 – $389 |
| 20 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · per diem · both | 1 | $763 | $763 | — | — | — | $763 – $763 |
| 21 | Johnson Memorial Hospital Stafford Springs, CT facility · percent of total billed charges · bothfrom % of charges | 1 | $576 | $576 | — | — | — | $576 – $576 |
| 22 | Mercy Health Hackley Campus Muskogen, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $80 | $82 | $30 | 36% | — | $34 – $123 |
| 23 | Mercy Health Saint Marys Rockford, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $80 | $83 | $27 | 33% | — | $33 – $122 |
| 24 | Mercy Health Services-Iowa Corp. Mason City, IA facility · fee schedule · both | 2 | $181 | $181 | — | — | — | $181 – $181 |
| 25 | Mercy Hospital of Franciscan Sisters Inc Oelwein, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $248 | $246 | $70 | 28% | — | $118 – $312 |
← Payers reporting RC 914 · Snapshot 20261111T120946Z-9134e7f7