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 SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM
Low
$24
Average
$239
Median
$237
High
$965
Each hospital's average Ucare rate, under the methodology and billing class chosen below.
108 hospitals; the 90th percentile is 12.6× 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.
Filter by billing methodology
Filter by billing class
237 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 | Fairview Health Services Minneapolis, MN other · inpatient | 2 | $139 | $139 | $24 | 17% | 20–47 | $115 – $162 |
| 2 | Fairview Health Services Burnsville, MN other · inpatient | 2 | $133 | $133 | $18 | 13% | 15–42 | $115 – $151 |
| 3 | Grand Itasca Clinic and Hospital Grand Rapids, MN facility · other · inpatient | 3 | $164 | $158 | $13 | 8% | 12–120 | $140 – $170 |
| 4 | Range Regional Health Services Hibbing, MN facility · other · inpatient | 3 | $164 | $158 | $13 | 8% | 12–120 | $140 – $170 |
| 5 | Fairview Health Services Edina, MN other · inpatient | 2 | $137 | $137 | $2 | 2% | 6–60 | $135 – $139 |
| 6 | Fairview Health Services Wyoming, MN other · inpatient | 2 | $139 | $139 | $0 | 0% | 6–60 | $139 – $140 |
| 7 | Fairview Health Services Princeton, MN other · inpatient | 2 | $113 | $113 | $22 | 20% | 6–60 | $90 – $135 |
| 8 | HealthEast Woodwinds Hospital Woodbury, MN other · inpatient | 1 | $199 | $199 | — | — | 3–30 | $199 – $199 |
| 9 | Regions Hospital St. Paul, MN facility · other · both | 1 | $196 | $196 | — | — | 2–20 | $196 – $196 |
| 10 | Sanford Tracy Hospital Tracy, MN percent of total billed charges · outpatientfrom % of charges | 2 | $320 | $320 | $114 | 36% | 1–10 | $206 – $433 |
| 11 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 1 | $238 | $238 | — | — | — | $238 – $238 |
| 12 | Aspirus St. Luke’s Hospital Duluth, MN fee schedule · both | 1 | $52 | $52 | — | — | — | $52 – $52 |
| 13 | Astera Health Wadena, MN fee schedule · inpatient | 3 | $110 | $88 | $31 | 36% | — | $43 – $110 |
| 14 | Astera Health Wadena, MN fee schedule · outpatient | 3 | $110 | $84 | $36 | 43% | — | $32 – $110 |
| 15 | Astera Health Wadena, MN per diem · inpatient | 3 | $5.4k | $4.2k | $1.7k | 42% | — | $1.7k – $5.4k |
| 16 | Astera Health Wadena, MN percent of total billed charges · inpatientfrom % of charges | 1 | $373 | $373 | $114 | 31% | — | $259 – $487 |
| 17 | Astera Health Wadena, MN percent of total billed charges · outpatientfrom % of charges | 4 | $259 | $256 | $113 | 44% | — | $127 – $522 |
| 18 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · inpatient | 3 | $25 | $30 | $10 | 34% | — | $20 – $43 |
| 19 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · outpatient | 3 | $25 | $30 | $10 | 34% | — | $20 – $43 |
| 20 | Central Community Hospital Elkader, IA professional · fee schedule · inpatient | 3 | $25 | $30 | $10 | 34% | — | $20 – $43 |
| 21 | Central Community Hospital Elkader, IA professional · fee schedule · outpatient | 3 | $25 | $30 | $10 | 34% | — | $20 – $43 |
| 22 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · both | 3 | $21 | $26 | $8 | 29% | — | $20 – $37 |
| 23 | Eisenhower Medical Center Rancho Mirage, CA other · both | 1 | $258 | $258 | — | — | — | $258 – $258 |
| 24 | Essentia Health Ada 201 9th St W Ada, MN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $333 | $333 | $52 | 16% | — | $281 – $385 |
| 25 | Essentia Health Duluth Duluth, MN facility · case rate · outpatient | 1 | $195 | $195 | — | — | — | $195 – $195 |
← Payers reporting CPT 12013 · Snapshot 20261111T120946Z-9134e7f7