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 PROGRAMMING DEV EVAL ICDS W/SS ELTRD IN PERSON
Low
$30
Average
$103
Median
$62
High
$494
Each hospital's average Ucare rate, under the methodology and billing class chosen below.
38 hospitals; the 90th percentile is 5.3× 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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39 hospital rates
iThe hospitals that file a Ucare 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 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 1 | $44 | $44 | — | — | — | $44 – $44 |
| 2 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · percent of total billed charges · bothfrom % of charges | 3 | $87 | $95 | $12 | 13% | — | $87 – $112 |
| 3 | Essentia Health Duluth Duluth, MN facility · case rate · outpatient | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 4 | Essentia Health Fargo 3000 32nd Ave S Fargo, ND facility · case rate · outpatient | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 5 | Essentia Health St. Joseph's Medical Center Brainerd, MN facility · case rate · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 6 | Essentia Health St. Mary's - Detroit Lakes 1027 Washington Ave. Detroit Lakes, MN facility · case rate · outpatient | 1 | $39 | $39 | — | — | — | $39 – $39 |
| 7 | Essentia Health St. Mary's Children's Hospital Duluth, MN facility · case rate · outpatient | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 8 | Essentia Health St. Mary's Medical Center Duluth, MN facility · case rate · outpatient | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 9 | Essentia Health Virginia 901 9th St N Virginia, MN facility · case rate · outpatient | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 10 | Fairview Bethesda Hospital St. Paul, MN fee schedule · outpatient | 3 | $65 | $63 | $20 | 31% | — | $38 – $85 |
| 11 | Fairview Health Services Edina, MN fee schedule · outpatient | 3 | $66 | $63 | $20 | 31% | — | $38 – $85 |
| 12 | Fairview Health Services Minneapolis, MN fee schedule · outpatient | 4 | $76 | $69 | $20 | 28% | — | $38 – $85 |
| 13 | Fairview Health Services Minneapolis, MN percent of total billed charges · bothfrom % of charges | 3 | $201 | $201 | — | — | — | $201 – $201 |
| 14 | Fairview Health Services Burnsville, MN fee schedule · outpatient | 3 | $65 | $62 | $19 | 31% | — | $37 – $83 |
| 15 | Fairview Health Services Wyoming, MN fee schedule · outpatient | 3 | $66 | $63 | $20 | 31% | — | $38 – $85 |
| 16 | Fairview Health Services Princeton, MN fee schedule · outpatient | 3 | $66 | $63 | $20 | 31% | — | $38 – $85 |
| 17 | GILLETTE CHILDREN'S SPECIALTY HEALTHCARE PAUL, MN facility · fee schedule · outpatient | 1 | $30 | $30 | — | — | — | $30 – $30 |
| 18 | Grand Itasca Clinic and Hospital Grand Rapids, MN facility · fee schedule · outpatient | 1 | $74 | $74 | — | — | — | $74 – $74 |
| 19 | Gundersen Luthern Medical Center Inc La Crosse, WI facility · fee schedule · outpatient | 3 | $36 | $37 | $1 | 2% | — | $36 – $38 |
| 20 | HealthEast St John's Hospital Maplewood, MN fee schedule · outpatient | 3 | $65 | $62 | $19 | 31% | — | $37 – $83 |
| 21 | HealthEast Woodwinds Hospital Woodbury, MN fee schedule · outpatient | 3 | $66 | $63 | $20 | 31% | — | $38 – $85 |
| 22 | Mahnomen Health Center Mahnomen, MN facility · case rate · outpatient | 1 | $39 | $39 | — | — | — | $39 – $39 |
| 23 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 4 | $502 | $494 | $22 | 5% | — | $465 – $528 |
| 24 | Mayo Clinic Health System Mankato 56001-4752 professional · percent of total billed charges · outpatientfrom % of charges | 2 | $197 | $198 | $11 | 6% | — | $184 – $212 |
| 25 | Mayo Clinic Health System Lake City 55041-1143 professional · percent of total billed charges · outpatientfrom % of charges | 1 | $187 | $187 | $4 | 2% | — | $184 – $191 |
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