CPT 39501
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
REPR LACERATION DIAPHRAGM ANY APPROACH
Low
$359
Average
$4.4k
Median
$825
High
$23.9k
Each hospital's average Sanford Health Plan rate, under the methodology and billing class chosen below.
31 hospitals; the 90th percentile is 33.1× 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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39 hospital rates
iThe hospitals that file a Sanford Health Plan 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 | Essentia Health Duluth Duluth, MN facility · case rate · outpatient | 2 | $23.9k | $23.9k | — | — | — | $23.9k – $23.9k |
| 2 | Essentia Health Fargo 3000 32nd Ave S Fargo, ND facility · case rate · outpatient | 2 | $23.9k | $23.9k | — | — | — | $23.9k – $23.9k |
| 3 | Essentia Health St. Mary's Children's Hospital Duluth, MN facility · case rate · outpatient | 2 | $23.9k | $23.9k | — | — | — | $23.9k – $23.9k |
| 4 | Essentia Health St. Mary's Medical Center Duluth, MN facility · case rate · outpatient | 2 | $23.9k | $23.9k | — | — | — | $23.9k – $23.9k |
| 5 | Fairview Bethesda Hospital St. Paul, MN fee schedule · both | 1 | $749 | $749 | — | — | — | $749 – $749 |
| 6 | Fairview Health Services Edina, MN fee schedule · both | 1 | $749 | $749 | — | — | — | $749 – $749 |
| 7 | Fairview Health Services Minneapolis, MN fee schedule · both | 1 | $749 | $749 | — | — | — | $749 – $749 |
| 8 | Fairview Health Services Burnsville, MN fee schedule · both | 1 | $749 | $749 | — | — | — | $749 – $749 |
| 9 | Fairview Health Services Wyoming, MN fee schedule · both | 1 | $749 | $749 | — | — | — | $749 – $749 |
| 10 | Fairview Health Services Princeton, MN fee schedule · both | 1 | $749 | $749 | — | — | — | $749 – $749 |
| 11 | Grand Itasca Clinic and Hospital Grand Rapids, MN professional · fee schedule · both | 1 | $749 | $749 | — | — | — | $749 – $749 |
| 12 | HealthEast St John's Hospital Maplewood, MN fee schedule · both | 1 | $749 | $749 | — | — | — | $749 – $749 |
| 13 | HealthEast Woodwinds Hospital Woodbury, MN fee schedule · both | 1 | $749 | $749 | — | — | — | $749 – $749 |
| 14 | Mayo Clinic Health System Osseo, WI professional · percent of total billed charges · outpatientfrom % of charges | 1 | $4.4k | $4.4k | — | — | — | $4.4k – $4.4k |
| 15 | Mayo Clinic Health System Menomonie, WI professional · percent of total billed charges · outpatientfrom % of charges | 1 | $4.4k | $4.4k | — | — | — | $4.4k – $4.4k |
| 16 | Mayo Clinic Health System Bloomer, WI professional · percent of total billed charges · outpatientfrom % of charges | 1 | $4.4k | $4.4k | — | — | — | $4.4k – $4.4k |
| 17 | Mayo Clinic Health System Barron, WI professional · percent of total billed charges · outpatientfrom % of charges | 1 | $4.4k | $4.4k | — | — | — | $4.4k – $4.4k |
| 18 | Mount Carmel East Reynoldsburg, OH professional · percent of total billed charges · inpatientfrom % of charges | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 19 | Mount Carmel East Reynoldsburg, OH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 20 | Range Regional Health Services Hibbing, MN professional · fee schedule · both | 1 | $749 | $749 | — | — | — | $749 – $749 |
| 21 | ST JOSEPH'S HOSPITAL AND HEALTH CENTER Dickinson, ND fee schedule · inpatient | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 22 | ST JOSEPH'S HOSPITAL AND HEALTH CENTER Dickinson, ND fee schedule · outpatient | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 23 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · inpatient | 1 | $359 | $359 | — | — | — | $359 – $359 |
| 24 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · outpatient | 1 | $359 | $359 | — | — | — | $359 – $359 |
| 25 | Saint Francis Hospital and Medical Center Hartford, CT professional · fee schedule · inpatient | 1 | $422 | $422 | — | — | — | $422 – $422 |
← Payers reporting CPT 39501 · Snapshot 20261113T090226Z-3ce6c0b8