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
Exc B9 Les Mrgn Xcp Sk Tg T/a/L >4.0 Cm
The hospitals that file a Healthpartners 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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125 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 1 | $4,547 | $4,547 – $4,547 |
| 2 | Amery Hospital Amery, WI facility · fee schedule · both | 1 | $614.46 | $614.46 – $614.46 |
| 3 | Aspirus St. Luke’s Hospital Duluth, MN fee schedule · outpatient | 1 | $1,744 | $1,744 – $1,744 |
| 4 | Avera Behavioral Health Hospital Sioux Falls, SD percent of total billed charges · outpatientfrom % of charges | 1 | $785.54 | $785.54 – $785.54 |
| 5 | Avera Marshall Hospital Marshall, MN fee schedule · both | 1 | $553.94 | $553.94 – $553.94 |
| 6 | Avera Marshall Hospital Marshall, MN percent of total billed charges · inpatientfrom % of charges | 1 | $1,023 | $1,009 – $1,036 |
| 7 | Avera Marshall Hospital Marshall, MN percent of total billed charges · outpatientfrom % of charges | 1 | $1,023 | $1,009 – $1,036 |
| 8 | Avera McKennan Hospital Sioux Falls, SD percent of total billed charges · outpatientfrom % of charges | 1 | $785.54 | $785.54 – $785.54 |
| 9 | Avera Queen of Peace Mitchell, SD fee schedule · both | 1 | $553.94 | $553.94 – $553.94 |
| 10 | Avera Queen of Peace Mitchell, SD percent of total billed charges · outpatientfrom % of charges | 1 | $917.73 | $917.73 – $917.73 |
| 11 | Avera Specialty Hospital Sioux Falls, SD percent of total billed charges · outpatientfrom % of charges | 1 | $785.54 | $785.54 – $785.54 |
| 12 | Avera St. Anthony's Hospital O'Neill, NE fee schedule · both | 1 | $553.94 | $553.94 – $553.94 |
| 13 | Avera St. Luke's Aberdeen, SD percent of total billed charges · outpatientfrom % of charges | 1 | $1,035 | $1,035 – $1,035 |
| 14 | Avera St. Mary's Hospital Pierre, SD percent of total billed charges · outpatientfrom % of charges | 1 | $918.27 | $918.27 – $918.27 |
| 15 | BSA Hospital Amarillo, TX facility · percent of total billed charges · bothfrom % of charges | 1 | $4,633 | $3,706 – $5,559 |
| 16 | Benefis Hospitals Inc Helena, MT fee schedule · outpatient | 1 | $393.82 | $393.82 – $393.82 |
| 17 | Benefis Hospitals Inc Helena, MT percent of total billed charges · inpatientfrom % of charges | 1 | $1,995 | $556.20 – $3,629 |
| 18 | Essentia Health Ada 201 9th St W Ada, MN facility · percent of total billed charges · inpatientfrom % of charges | 3 | $1,418 | $948.38 – $1,621 |
| 19 | Essentia Health Ada 201 9th St W Ada, MN facility · percent of total billed charges · outpatientfrom % of charges | 4 | $1,369 | $948.38 – $1,621 |
| 20 | Essentia Health Deer River 115 10th Ave NE Deer River, MN facility · percent of total billed charges · inpatientfrom % of charges | 3 | $1,640 | $980.08 – $1,943 |
| 21 | Essentia Health Deer River 115 10th Ave NE Deer River, MN facility · percent of total billed charges · outpatientfrom % of charges | 4 | $1,496 | $980.08 – $1,902 |
| 22 | Essentia Health Duluth Duluth, MN facility · case rate · outpatient | 1 | $1,590 | $1,590 – $1,590 |
| 23 | Essentia Health Fargo 3000 32nd Ave S Fargo, ND facility · case rate · outpatient | 1 | $1,620 | $1,620 – $1,620 |
| 24 | Essentia Health Fosston 900 Hilligoss Blvd SE Fosston, MN facility · percent of total billed charges · inpatientfrom % of charges | 3 | $1,418 | $948.38 – $1,621 |
| 25 | Essentia Health Fosston 900 Hilligoss Blvd SE Fosston, MN facility · percent of total billed charges · outpatientfrom % of charges | 4 | $1,378 | $948.38 – $1,621 |
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