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
SIMULATION COM
Low
$77
Average
$1.1k
Median
$720
High
$4.4k
Each hospital's average Sanford Health Plan rate, under the methodology and billing class chosen below.
58 hospitals; the 90th percentile is 11.3× 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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134 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 | HealthEast St John's Hospital Maplewood, MN percent of total billed charges · bothfrom % of charges | 1 | $174 | $174 | $0 | 0% | 2–20 | $174 – $174 |
| 2 | Prairie Lakes Health Care System Inc. Watertown, SD percent of total billed charges · bothfrom % of charges | 1 | $3.3k | $3.3k | — | — | 2–20 | $3.3k – $3.3k |
| 3 | Fairview Health Services Minneapolis, MN percent of total billed charges · inpatientfrom % of charges | 1 | $1.6k | $1.6k | — | — | 1–10 | $1.6k – $1.6k |
| 4 | Fairview Health Services Minneapolis, MN percent of total billed charges · outpatientfrom % of charges | 1 | $1.6k | $1.6k | — | — | 1–10 | $1.6k – $1.6k |
| 5 | HealthEast St John's Hospital Maplewood, MN percent of total billed charges · inpatientfrom % of charges | 1 | $1.6k | $1.6k | — | — | 1–10 | $1.6k – $1.6k |
| 6 | HealthEast St John's Hospital Maplewood, MN percent of total billed charges · outpatientfrom % of charges | 1 | $1.6k | $1.6k | — | — | 1–10 | $1.6k – $1.6k |
| 7 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 1 | $3.0k | $3.0k | — | — | 1–10 | $3.0k – $3.0k |
| 8 | Altru Hospital Devils Lake Devils Lake, ND facility · fee schedule · outpatient | 1 | $523 | $523 | $76 | 15% | — | $447 – $600 |
| 9 | Astera Health Wadena, MN fee schedule · inpatient | 1 | $168 | $168 | — | — | — | $168 – $168 |
| 10 | Astera Health Wadena, MN fee schedule · outpatient | 1 | $168 | $168 | — | — | — | $168 – $168 |
| 11 | Astera Health Wadena, MN percent of total billed charges · inpatientfrom % of charges | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 12 | Astera Health Wadena, MN percent of total billed charges · outpatientfrom % of charges | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 13 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · inpatient | 2 | $267 | $331 | $252 | 76% | — | $77 – $712 |
| 14 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · outpatient | 2 | $267 | $331 | $252 | 76% | — | $77 – $712 |
| 15 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · inpatient | 2 | $267 | $331 | $252 | 76% | — | $77 – $712 |
| 16 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · outpatient | 2 | $267 | $331 | $252 | 76% | — | $77 – $712 |
| 17 | Essentia Health Duluth Duluth, MN facility · fee schedule · outpatient | 2 | $648 | $648 | — | — | — | $648 – $648 |
| 18 | Essentia Health Duluth Duluth, MN facility · percent of total billed charges · inpatientfrom % of charges | 2 | $1.1k | $1.1k | $28 | 3% | — | $1.0k – $1.1k |
| 19 | Essentia Health Duluth Duluth, MN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $1.1k | $1.1k | $28 | 3% | — | $1.0k – $1.1k |
| 20 | Essentia Health Fargo 3000 32nd Ave S Fargo, ND facility · fee schedule · outpatient | 2 | $648 | $648 | — | — | — | $648 – $648 |
| 21 | Essentia Health Fargo 3000 32nd Ave S Fargo, ND facility · percent of total billed charges · inpatientfrom % of charges | 2 | $1.1k | $1.1k | $28 | 3% | — | $1.0k – $1.1k |
| 22 | Essentia Health Fargo 3000 32nd Ave S Fargo, ND facility · percent of total billed charges · outpatientfrom % of charges | 2 | $1.1k | $1.1k | $28 | 3% | — | $1.0k – $1.1k |
| 23 | Essentia Health St. Joseph's Medical Center Brainerd, MN facility · percent of total billed charges · inpatientfrom % of charges | 2 | $180 | $180 | $5 | 3% | — | $176 – $185 |
| 24 | Essentia Health St. Joseph's Medical Center Brainerd, MN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $180 | $180 | $5 | 3% | — | $176 – $185 |
| 25 | Essentia Health St. Mary's Children's Hospital Duluth, MN facility · fee schedule · outpatient | 2 | $648 | $648 | — | — | — | $648 – $648 |
← Payers reporting CPT 77290 · Snapshot 20261113T090226Z-3ce6c0b8