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
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The hospitals that file a Bcbs Mn 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.
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29 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | Aspirus St. Luke’s Hospital Duluth, MN fee schedule · outpatient | 4 | $114.43 | $114.43 – $114.43 |
| 2 | Fairview Bethesda Hospital St. Paul, MN fee schedule · both | 2 | $115.46 | $114.43 – $116.49 |
| 3 | Fairview Bethesda Hospital St. Paul, MN fee schedule · outpatient | 1 | $117.10 | $117.10 – $117.10 |
| 4 | Fairview Health Services Edina, MN fee schedule · both | 2 | $115.46 | $114.43 – $116.49 |
| 5 | Fairview Health Services Edina, MN fee schedule · outpatient | 4 | $47.04 | $12.22 – $117.10 |
| 6 | Fairview Health Services Minneapolis, MN fee schedule · both | 3 | $115.12 | $114.43 – $116.49 |
| 7 | Fairview Health Services Minneapolis, MN fee schedule · outpatient | 5 | $43.46 | $12.22 – $117.10 |
| 8 | Fairview Health Services Burnsville, MN fee schedule · both | 2 | $115.46 | $114.43 – $116.49 |
| 9 | Fairview Health Services Burnsville, MN fee schedule · outpatient | 4 | $47.04 | $12.22 – $117.10 |
| 10 | Fairview Health Services Wyoming, MN fee schedule · both | 2 | $115.46 | $114.43 – $116.49 |
| 11 | Fairview Health Services Wyoming, MN fee schedule · outpatient | 4 | $47.04 | $12.22 – $117.10 |
| 12 | Fairview Health Services Princeton, MN fee schedule · both | 2 | $115.46 | $114.43 – $116.49 |
| 13 | Fairview Health Services Princeton, MN fee schedule · outpatient | 4 | $47.04 | $12.22 – $117.10 |
| 14 | Grand Itasca Clinic and Hospital Grand Rapids, MN facility · fee schedule · outpatient | 4 | $83.85 | $37.33 – $117.10 |
| 15 | Grand Itasca Clinic and Hospital Grand Rapids, MN professional · fee schedule · both | 2 | $115.46 | $114.43 – $116.49 |
| 16 | HealthEast St John's Hospital Maplewood, MN fee schedule · both | 2 | $115.46 | $114.43 – $116.49 |
| 17 | HealthEast St John's Hospital Maplewood, MN fee schedule · outpatient | 4 | $47.04 | $12.22 – $117.10 |
| 18 | HealthEast Woodwinds Hospital Woodbury, MN fee schedule · both | 2 | $115.46 | $114.43 – $116.49 |
| 19 | HealthEast Woodwinds Hospital Woodbury, MN fee schedule · outpatient | 4 | $47.04 | $12.22 – $117.10 |
| 20 | Range Regional Health Services Hibbing, MN facility · fee schedule · outpatient | 4 | $115.41 | $37.48 – $154.90 |
| 21 | Range Regional Health Services Hibbing, MN professional · fee schedule · both | 2 | $115.46 | $114.43 – $116.49 |
| 22 | Sanford Bemidji Medical Center Bemidji, MN case rate · outpatient | 1 | $117.86 | $117.86 – $117.86 |
| 23 | Sanford Bemidji Medical Center Bemidji, MN fee schedule · outpatient | 2 | $116.49 | $116.49 – $116.49 |
| 24 | Sanford Fargo Medical Center Fargo, ND case rate · outpatient | 1 | $117.86 | $117.86 – $117.86 |
| 25 | Sanford Fargo Medical Center Fargo, ND fee schedule · outpatient | 2 | $114.43 | $114.43 – $114.43 |
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