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 Contrast Injection Perq Radiologic Eval GI Tube
Low
$13
Average
$395
Median
$411
High
$903
Each hospital's average Sanford Health Plan rate, under the methodology and billing class chosen below.
65 hospitals; the 90th percentile is 5.5× 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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152 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 | Altru Hospital Devils Lake Devils Lake, ND facility · fee schedule · outpatient | 1 | $333 | $333 | $49 | 15% | — | $285 – $382 |
| 2 | Astera Health Wadena, MN fee schedule · inpatient | 1 | $247 | $247 | — | — | — | $247 – $247 |
| 3 | Astera Health Wadena, MN fee schedule · outpatient | 1 | $276 | $276 | — | — | — | $276 – $276 |
| 4 | Astera Health Wadena, MN percent of total billed charges · inpatientfrom % of charges | 1 | $487 | $487 | — | — | — | $487 – $487 |
| 5 | Astera Health Wadena, MN percent of total billed charges · outpatientfrom % of charges | 1 | $487 | $487 | — | — | — | $487 – $487 |
| 6 | Essentia Health Duluth Duluth, MN facility · case rate · outpatient | 2 | $428 | $428 | — | — | — | $428 – $428 |
| 7 | Essentia Health Duluth Duluth, MN facility · percent of total billed charges · inpatientfrom % of charges | 2 | $313 | $313 | $8 | 3% | — | $305 – $321 |
| 8 | Essentia Health Duluth Duluth, MN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $313 | $313 | $8 | 3% | — | $305 – $321 |
| 9 | Essentia Health Fargo 3000 32nd Ave S Fargo, ND facility · case rate · outpatient | 2 | $428 | $428 | — | — | — | $428 – $428 |
| 10 | Essentia Health Fargo 3000 32nd Ave S Fargo, ND facility · percent of total billed charges · inpatientfrom % of charges | 2 | $145 | $145 | $4 | 3% | — | $142 – $149 |
| 11 | Essentia Health Fargo 3000 32nd Ave S Fargo, ND facility · percent of total billed charges · outpatientfrom % of charges | 2 | $145 | $145 | $4 | 3% | — | $142 – $149 |
| 12 | Essentia Health St. Joseph's Medical Center Brainerd, MN facility · percent of total billed charges · inpatientfrom % of charges | 2 | $184 | $184 | $5 | 3% | — | $179 – $188 |
| 13 | Essentia Health St. Joseph's Medical Center Brainerd, MN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $184 | $184 | $5 | 3% | — | $179 – $188 |
| 14 | Essentia Health St. Mary's Children's Hospital Duluth, MN facility · case rate · outpatient | 2 | $428 | $428 | — | — | — | $428 – $428 |
| 15 | Essentia Health St. Mary's Children's Hospital Duluth, MN facility · percent of total billed charges · inpatientfrom % of charges | 2 | $313 | $313 | $8 | 3% | — | $305 – $321 |
| 16 | Essentia Health St. Mary's Children's Hospital Duluth, MN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $313 | $313 | $8 | 3% | — | $305 – $321 |
| 17 | Essentia Health St. Mary's Medical Center Duluth, MN facility · case rate · outpatient | 2 | $428 | $428 | — | — | — | $428 – $428 |
| 18 | Essentia Health St. Mary's Medical Center Duluth, MN facility · percent of total billed charges · inpatientfrom % of charges | 2 | $313 | $313 | $8 | 3% | — | $305 – $321 |
| 19 | Essentia Health St. Mary's Medical Center Duluth, MN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $313 | $313 | $8 | 3% | — | $305 – $321 |
| 20 | Fairview Bethesda Hospital St. Paul, MN fee schedule · both | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 21 | Fairview Bethesda Hospital St. Paul, MN fee schedule · outpatient | 1 | $241 | $241 | — | — | — | $241 – $241 |
| 22 | Fairview Bethesda Hospital St. Paul, MN percent of total billed charges · inpatientfrom % of charges | 1 | $829 | $829 | $1 | 0% | — | $829 – $830 |
| 23 | Fairview Bethesda Hospital St. Paul, MN percent of total billed charges · outpatientfrom % of charges | 1 | $829 | $829 | $1 | 0% | — | $829 – $830 |
| 24 | Fairview Health Services Edina, MN fee schedule · both | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 25 | Fairview Health Services Edina, MN fee schedule · outpatient | 1 | $241 | $241 | — | — | — | $241 – $241 |
← Payers reporting CPT 49465 · Snapshot 20261113T090226Z-3ce6c0b8