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
PR EXTRACORPOREAL SHOCK WAVE MUSCSKEL SYS NOS - 2 SITES
The hospitals that file a Sanford Health Plan 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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49 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | Altru Hospital Devils Lake Devils Lake, ND facility · fee schedule · outpatient | 1 | $344.67 | $294.30 – $395.04 |
| 2 | Essentia Health Duluth Duluth, MN facility · fee schedule · outpatient | 2 | $424.78 | $424.78 – $424.78 |
| 3 | Essentia Health Fargo 3000 32nd Ave S Fargo, ND facility · fee schedule · outpatient | 2 | $424.78 | $424.78 – $424.78 |
| 4 | Essentia Health St. Mary's Children's Hospital Duluth, MN facility · fee schedule · outpatient | 2 | $424.78 | $424.78 – $424.78 |
| 5 | Essentia Health St. Mary's Medical Center Duluth, MN facility · fee schedule · outpatient | 2 | $424.78 | $424.78 – $424.78 |
| 6 | Fairview Bethesda Hospital St. Paul, MN fee schedule · both | 1 | $333.18 | $333.18 – $333.18 |
| 7 | Fairview Bethesda Hospital St. Paul, MN fee schedule · outpatient | 1 | $238.78 | $238.78 – $238.78 |
| 8 | Fairview Health Services Edina, MN fee schedule · both | 1 | $333.18 | $333.18 – $333.18 |
| 9 | Fairview Health Services Edina, MN fee schedule · outpatient | 1 | $238.78 | $238.78 – $238.78 |
| 10 | Fairview Health Services Minneapolis, MN fee schedule · both | 1 | $333.18 | $333.18 – $333.18 |
| 11 | Fairview Health Services Minneapolis, MN fee schedule · outpatient | 1 | $238.78 | $238.78 – $238.78 |
| 12 | Fairview Health Services Burnsville, MN fee schedule · both | 1 | $333.18 | $333.18 – $333.18 |
| 13 | Fairview Health Services Burnsville, MN fee schedule · outpatient | 1 | $233.35 | $233.35 – $233.35 |
| 14 | Fairview Health Services Wyoming, MN fee schedule · both | 1 | $333.18 | $333.18 – $333.18 |
| 15 | Fairview Health Services Wyoming, MN fee schedule · outpatient | 1 | $238.78 | $238.78 – $238.78 |
| 16 | Fairview Health Services Princeton, MN fee schedule · both | 1 | $333.18 | $333.18 – $333.18 |
| 17 | Fairview Health Services Princeton, MN fee schedule · outpatient | 1 | $238.78 | $238.78 – $238.78 |
| 18 | Grand Itasca Clinic and Hospital Grand Rapids, MN facility · fee schedule · outpatient | 1 | $241.40 | $241.40 – $241.40 |
| 19 | Grand Itasca Clinic and Hospital Grand Rapids, MN professional · fee schedule · both | 1 | $333.18 | $333.18 – $333.18 |
| 20 | HealthEast St John's Hospital Maplewood, MN fee schedule · both | 1 | $333.18 | $333.18 – $333.18 |
| 21 | HealthEast St John's Hospital Maplewood, MN fee schedule · outpatient | 1 | $233.35 | $233.35 – $233.35 |
| 22 | HealthEast Woodwinds Hospital Woodbury, MN fee schedule · both | 1 | $333.18 | $333.18 – $333.18 |
| 23 | HealthEast Woodwinds Hospital Woodbury, MN fee schedule · outpatient | 1 | $238.78 | $238.78 – $238.78 |
| 24 | Mahnomen Health Center Mahnomen, MN facility · case rate · outpatient | 1 | $239.88 | $239.88 – $239.88 |
| 25 | Mayo Clinic Health System Mankato 56001-4752 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $148.68 | $118.75 – $178.60 |
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