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
Ct, Upper Extrem W/O Contrast
Low
$30
Average
$1.3k
Median
$986
High
$13.7k
Each hospital's average Medica rate, under the methodology and billing class chosen below.
305 hospitals; the 90th percentile is 10.0× 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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543 hospital rates
iThe hospitals that file a Medica 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 | Monument Health Rapid City Hospital Inc City, SD percent of total billed charges · outpatientfrom % of charges | 3 | $760 | $1.2k | $675 | 57% | 26 | $636 – $2.1k |
| 2 | HealthEast Woodwinds Hospital Woodbury, MN other · inpatient | 2 | $114 | $114 | $6 | 6% | 6–60 | $108 – $120 |
| 3 | Prairie Lakes Health Care System Inc. Watertown, SD percent of total billed charges · bothfrom % of charges | 3 | $27 | $30 | $8 | 26% | 5–50 | $24 – $46 |
| 4 | Fairview Health Services Edina, MN other · inpatient | 1 | $122 | $122 | — | — | 3–30 | $122 – $122 |
| 5 | Fairview Health Services Minneapolis, MN other · inpatient | 1 | $444 | $444 | — | — | 3–30 | $444 – $444 |
| 6 | Fairview Health Services Burnsville, MN other · inpatient | 1 | $113 | $113 | — | — | 3–30 | $113 – $113 |
| 7 | Fairview Health Services Wyoming, MN other · inpatient | 1 | $113 | $113 | — | — | 3–30 | $113 – $113 |
| 8 | HealthEast St John's Hospital Maplewood, MN other · inpatient | 1 | $111 | $111 | — | — | 3–30 | $111 – $111 |
| 9 | Grand Itasca Clinic and Hospital Grand Rapids, MN facility · other · inpatient | 1 | $104 | $104 | — | — | 2–20 | $104 – $104 |
| 10 | Monument Health Network Inc Spearfish, SD percent of total billed charges · outpatientfrom % of charges | 3 | $954 | $1.3k | $603 | 47% | 2–20 | $760 – $2.1k |
| 11 | Monument Health Network Inc Deadwood, SD percent of total billed charges · outpatientfrom % of charges | 3 | $861 | $1.4k | $800 | 58% | 2–20 | $769 – $2.5k |
| 12 | Monument Health Network Inc Custer, SD percent of total billed charges · outpatientfrom % of charges | 3 | $861 | $1.3k | $828 | 62% | 2–20 | $663 – $2.5k |
| 13 | Range Regional Health Services Hibbing, MN facility · other · inpatient | 1 | $104 | $104 | — | — | 2–20 | $104 – $104 |
| 14 | Windom Area Hospital Lakefield, MN facility · other · inpatient | 1 | $950 | $950 | — | — | 2–20 | $950 – $950 |
| 15 | Windom Area Hospital Lakefield, MN facility · percent of total billed charges · outpatientfrom % of charges | 3 | $545 | $673 | $679 | 101% | 2–20 | $58 – $2.1k |
| 16 | ALEGENT HEALTH IMMANUEL MEDICAL CENTER Omaha, NE fee schedule · outpatient | 4 | $331 | $498 | $354 | 71% | 1–10 | $224 – $1.1k |
| 17 | Avera Marshall Hospital Marshall, MN fee schedule · outpatient | 2 | $70 | $70 | — | — | 1–10 | $70 – $70 |
| 18 | Avera McKennan Hospital Sioux Falls, SD per diem · outpatient | 2 | $1.9k | $1.9k | $149 | 8% | 1–10 | $1.8k – $2.1k |
| 19 | Northfield Hospital Northfield, MN fee schedule · both | 1 | $1.5k | $1.5k | — | — | 1–10 | $1.5k – $1.5k |
| 20 | Regional Health Services of Howard County Cresco, IA fee schedule · outpatient | 2 | $70 | $70 | — | — | 1–10 | $70 – $70 |
| 21 | Sanford Aberdeen Medical Center Aberdeen, SD percent of total billed charges · outpatientfrom % of charges | 2 | $2.1k | $2.1k | $72 | 3% | 1–10 | $2.1k – $2.2k |
| 22 | Sanford Bemidji Medical Center Bemidji, MN percent of total billed charges · outpatientfrom % of charges | 2 | $1.9k | $1.9k | $64 | 3% | 1–10 | $1.8k – $2.0k |
| 23 | Spooner Health System, Inc Spooner, WI facility · percent of total billed charges · bothfrom % of charges | 1 | $713 | $713 | — | — | 1–10 | $713 – $713 |
| 24 | AHS Claremore Hospital, LLC Claremore, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $2.1k | $2.1k | $412 | 20% | — | $1.6k – $2.5k |
| 25 | AHS Hillcrest Medical Center, LLC Tulsa, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
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