43 hospital rates under fee schedule. One row per hospital and set of terms.
| Hospital | Terms | Plans | Average | Range |
|---|---|---|---|---|
| ALEGENT CREIGHTON HEALTH | fee schedule · outpatient | 1 | $1,249 | $1,249 to $1,249 |
| ALEGENT CREIGHTON HEALTH | fee schedule · outpatient | 1 | $1,249 | $1,249 to $1,249 |
| ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM | fee schedule · outpatient | 1 | $1,249 | $1,249 to $1,249 |
| ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM | fee schedule · outpatient | 1 | $1,249 | $1,249 to $1,249 |
| ALEGENT HEALTH IMMANUEL MEDICAL CENTER | fee schedule · outpatient | 1 | $1,249 |
Snapshot 20261108T055240Z-43b7dac7
| $1,249 to $1,249 |
| Altru Hospital | facility · fee schedule · outpatient | 4 | $1,126 | $397.62 to $2,382 |
| Altru Hospital Devils Lake | facility · fee schedule · outpatient | 4 | $1,126 | $397.62 to $2,382 |
| BELLEVUE MEDICAL CENTER LLC | fee schedule · outpatient | 4 | $1,105 | $370.50 to $1,726 |
| Fairview Bethesda Hospital | fee schedule · both | 8 | $1,578 | $493.62 to $2,273 |
| Fairview Bethesda Hospital | fee schedule · outpatient | 1 | $3,423 | $3,423 to $3,423 |
| Fairview Health Services | fee schedule · both | 8 | $1,578 | $493.62 to $2,273 |
| Fairview Health Services | fee schedule · outpatient | 1 | $3,423 | $3,423 to $3,423 |
| Fairview Health Services | fee schedule · both | 8 | $1,578 | $493.62 to $2,273 |
| Fairview Health Services | fee schedule · outpatient | 1 | $3,423 | $3,423 to $3,423 |
| Fairview Health Services | fee schedule · both | 8 | $1,578 | $493.62 to $2,273 |
| Fairview Health Services | fee schedule · outpatient | 1 | $3,346 | $3,346 to $3,346 |
| Fairview Health Services | fee schedule · both | 8 | $1,578 | $493.62 to $2,273 |
| Fairview Health Services | fee schedule · outpatient | 1 | $3,423 | $3,423 to $3,423 |
| Fairview Health Services | fee schedule · both | 8 | $1,578 | $493.62 to $2,273 |
| Fairview Health Services | fee schedule · outpatient | 1 | $3,423 | $3,423 to $3,423 |
| Fairview Maple Grove Surgery Center | fee schedule · both | 10 | $1,231 | $493.62 to $2,273 |
| Fairview Maple Grove Surgery Center | fee schedule · outpatient | 9 | $1,582 | $667.00 to $2,076 |
| GILLETTE CHILDREN'S SPECIALTY HEALTHCARE | professional · fee schedule · outpatient | 1 | $831.15 | $831.15 to $831.15 |
| GOOD SAMARITAN HOSPITAL | fee schedule · outpatient | 1 | $1,249 | $1,249 to $1,249 |
| Grand Itasca Clinic and Hospital | facility · fee schedule · outpatient | 1 | $3,461 | $3,461 to $3,461 |