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 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.
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227 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 1 | $1,960 | $1,960 – $1,960 |
| 2 | Astera Health Wadena, MN fee schedule · inpatient | 3 | $267.00 | $197.48 – $301.76 |
| 3 | Astera Health Wadena, MN fee schedule · outpatient | 3 | $259.07 | $173.68 – $301.76 |
| 4 | Astera Health Wadena, MN percent of total billed charges · inpatientfrom % of charges | 1 | $708.21 | $708.21 – $708.21 |
| 5 | Astera Health Wadena, MN percent of total billed charges · outpatientfrom % of charges | 4 | $3,290 | $708.21 – $6,010 |
| 6 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · both | 3 | $129.89 | $92.46 – $188.49 |
| 7 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA professional · fee schedule · inpatient | 3 | $129.89 | $92.46 – $188.49 |
| 8 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA professional · fee schedule · outpatient | 3 | $129.89 | $92.46 – $188.49 |
| 9 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · both | 3 | $129.89 | $92.46 – $188.49 |
| 10 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · inpatient | 3 | $129.89 | $92.46 – $188.49 |
| 11 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · outpatient | 3 | $129.89 | $92.46 – $188.49 |
| 12 | Eisenhower Medical Center Rancho Mirage, CA other · both | 1 | $2,930 | $2,124 – $3,736 |
| 13 | Essentia Health Ada 201 9th St W Ada, MN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1,604 | $1,604 – $1,604 |
| 14 | Essentia Health Ada 201 9th St W Ada, MN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $1,387 | $1,170 – $1,604 |
| 15 | Essentia Health Duluth Duluth, MN facility · case rate · outpatient | 1 | $1,590 | $1,590 – $1,590 |
| 16 | Essentia Health Fargo 3000 32nd Ave S Fargo, ND facility · case rate · outpatient | 1 | $1,620 | $1,620 – $1,620 |
| 17 | Essentia Health Fosston 900 Hilligoss Blvd SE Fosston, MN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1,604 | $1,604 – $1,604 |
| 18 | Essentia Health Fosston 900 Hilligoss Blvd SE Fosston, MN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $1,412 | $1,219 – $1,604 |
| 19 | Essentia Health Holy Trinity Hospital Graceville, MN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1,604 | $1,604 – $1,604 |
| 20 | Essentia Health Holy Trinity Hospital Graceville, MN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $1,558 | $1,512 – $1,604 |
| 21 | Essentia Health Northern Pines 5211 Highway 110 Aurora, MN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1,604 | $1,604 – $1,604 |
| 22 | Essentia Health Northern Pines 5211 Highway 110 Aurora, MN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $1,278 | $950.82 – $1,604 |
| 23 | Essentia Health Sandstone 705 Lundorff Dr Sandstone, MN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1,604 | $1,604 – $1,604 |
| 24 | Essentia Health Sandstone 705 Lundorff Dr Sandstone, MN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $1,375 | $1,146 – $1,604 |
| 25 | Essentia Health St Marys Hospital-Superior 3500 Tower Ave Superior, WI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1,604 | $1,604 – $1,604 |
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