RC 922
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
Motor&/Sens 3-4 Nrv Cndj Tst|BILATERAL PROCEDURE
Low
$81
Average
$556
Median
$376
High
$6.0k
Each hospital's average Wellmark rate, under the methodology and billing class chosen below.
62 hospitals; the 90th percentile is 5.5× 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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94 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 | Morrison Community Hospital District Morrison, IL facility · fee schedule · both | 2 | $193 | $223 | $138 | 62% | 6–60 | $72 – $553 |
| 2 | Mercy Health Services-Iowa Corp. Mason City, IA facility · other · both | 1 | $398 | $342 | $79 | 23% | 4–40 | $230 – $398 |
| 3 | Sanford USD Medical Center Sioux Falls, SD other · outpatient | 1 | $429 | $435 | $263 | 60% | 4–40 | $87 – $796 |
| 4 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · other · both | 1 | $206 | $230 | $96 | 42% | 3–30 | $123 – $357 |
| 5 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · other · outpatient | 1 | $206 | $187 | $157 | 84% | 2–20 | $6 – $357 |
| 6 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · inpatient | 2 | $184 | $195 | $112 | 57% | — | $50 – $432 |
| 7 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · inpatient | 2 | $174 | $185 | $106 | 57% | — | $47 – $410 |
| 8 | Allen Memorial Hospital Corporation Waterloo, IA case rate · outpatient | 1 | $147 | $183 | $73 | 40% | — | $121 – $293 |
| 9 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · inpatientfrom % of charges | 1 | $980 | $1.3k | $1.1k | 88% | — | $191 – $4.8k |
| 10 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · outpatientfrom % of charges | 1 | $980 | $1.3k | $1.1k | 88% | — | $191 – $4.8k |
| 11 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · both | 2 | $221 | $256 | $101 | 40% | — | $131 – $381 |
| 12 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · outpatient | 2 | $381 | $554 | $288 | 52% | — | $221 – $975 |
| 13 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · fee schedule · both | 2 | $381 | $381 | — | — | — | $381 – $381 |
| 14 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · other · both | 1 | $357 | $357 | — | — | — | $357 – $357 |
| 15 | Central Iowa Hospital Corporation Des Moines, IA case rate · outpatient | 1 | $149 | $168 | $65 | 39% | — | $123 – $296 |
| 16 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · both | 2 | $301 | $290 | $95 | 33% | — | $136 – $381 |
| 17 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · outpatient | 2 | $381 | $317 | $79 | 25% | — | $221 – $381 |
| 18 | Covenant Medical Center Inc Waterloo, IA facility · other · both | 1 | $205 | $254 | $95 | 37% | — | $127 – $355 |
| 19 | Covenant Medical Center Inc Waterloo, IA facility · other · outpatient | 1 | $355 | $295 | $73 | 25% | — | $205 – $355 |
| 20 | Diley Ridge Medical Center Canal Winchester, OH facility · other · both | 1 | $777 | $915 | $294 | 32% | — | $463 – $1.3k |
| 21 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $187 | $192 | $72 | 38% | — | $86 – $304 |
| 22 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · per diem · both | 1 | $763 | $763 | — | — | — | $763 – $763 |
| 23 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $186 | $206 | $79 | 39% | — | $93 – $330 |
| 24 | Mercy Health Hackley Campus Muskogen, MI facility · fee schedule · both | 1 | $495 | $564 | $243 | 43% | — | $314 – $1.4k |
| 25 | Mercy Health Hackley Campus Muskogen, MI facility · fee schedule · outpatient | 1 | $978 | $886 | $175 | 20% | — | $642 – $1.0k |
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