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
HB Rpr S/N/a/Gen/Trk12.6-20.0cm
Low
$134
Average
$439
Median
$433
High
$1.1k
Each hospital's average Healthpartners rate, under the methodology and billing class chosen below.
79 hospitals; the 90th percentile is 3.2× 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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158 hospital rates
iThe 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.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 2 | Aspirus St. Luke’s Hospital Duluth, MN fee schedule · outpatient | 1 | $429 | $429 | — | — | — | $429 – $429 |
| 3 | Avera Behavioral Health Hospital Sioux Falls, SD fee schedule · both | 1 | $199 | $199 | — | — | — | $199 – $199 |
| 4 | Avera Behavioral Health Hospital Sioux Falls, SD percent of total billed charges · outpatientfrom % of charges | 1 | $221 | $221 | — | — | — | $221 – $221 |
| 5 | Avera Creighton Hospital Creighton, NE fee schedule · both | 1 | $199 | $199 | — | — | — | $199 – $199 |
| 6 | Avera Creighton Hospital Creighton, NE percent of total billed charges · inpatientfrom % of charges | 1 | $479 | $479 | — | — | — | $479 – $479 |
| 7 | Avera Creighton Hospital Creighton, NE percent of total billed charges · outpatientfrom % of charges | 1 | $479 | $479 | — | — | — | $479 – $479 |
| 8 | Avera DeSmet De Smet, SD fee schedule · both | 1 | $199 | $199 | — | — | — | $199 – $199 |
| 9 | Avera DeSmet De Smet, SD percent of total billed charges · inpatientfrom % of charges | 1 | $339 | $339 | — | — | — | $339 – $339 |
| 10 | Avera DeSmet De Smet, SD percent of total billed charges · outpatientfrom % of charges | 1 | $339 | $339 | — | — | — | $339 – $339 |
| 11 | Avera Holy Family Hospital Estherville, IA fee schedule · both | 1 | $199 | $199 | — | — | — | $199 – $199 |
| 12 | Avera Holy Family Hospital Estherville, IA percent of total billed charges · inpatientfrom % of charges | 1 | $362 | $362 | — | — | — | $362 – $362 |
| 13 | Avera Holy Family Hospital Estherville, IA percent of total billed charges · outpatientfrom % of charges | 1 | $362 | $362 | — | — | — | $362 – $362 |
| 14 | Avera Marshall Hospital Marshall, MN fee schedule · both | 1 | $199 | $199 | — | — | — | $199 – $199 |
| 15 | Avera Marshall Hospital Marshall, MN percent of total billed charges · inpatientfrom % of charges | 1 | $322 | $322 | — | — | — | $322 – $322 |
| 16 | Avera Marshall Hospital Marshall, MN percent of total billed charges · outpatientfrom % of charges | 1 | $322 | $322 | — | — | — | $322 – $322 |
| 17 | Avera McKennan Hospital Sioux Falls, SD fee schedule · both | 1 | $199 | $199 | — | — | — | $199 – $199 |
| 18 | Avera McKennan Hospital Sioux Falls, SD percent of total billed charges · outpatientfrom % of charges | 1 | $221 | $221 | — | — | — | $221 – $221 |
| 19 | Avera Queen of Peace Mitchell, SD fee schedule · both | 1 | $199 | $199 | — | — | — | $199 – $199 |
| 20 | Avera Queen of Peace Mitchell, SD percent of total billed charges · outpatientfrom % of charges | 1 | $204 | $204 | — | — | — | $204 – $204 |
| 21 | Avera Specialty Hospital Sioux Falls, SD fee schedule · both | 1 | $199 | $199 | — | — | — | $199 – $199 |
| 22 | Avera Specialty Hospital Sioux Falls, SD percent of total billed charges · outpatientfrom % of charges | 1 | $221 | $221 | — | — | — | $221 – $221 |
| 23 | Avera St. Anthony's Hospital O'Neill, NE fee schedule · both | 1 | $199 | $199 | — | — | — | $199 – $199 |
| 24 | Avera St. Anthony's Hospital O'Neill, NE percent of total billed charges · inpatientfrom % of charges | 1 | $241 | $241 | — | — | — | $241 – $241 |
| 25 | Avera St. Anthony's Hospital O'Neill, NE percent of total billed charges · outpatientfrom % of charges | 1 | $241 | $241 | — | — | — | $241 – $241 |
← Payers reporting CPT 12005 · Snapshot 20261111T120946Z-9134e7f7