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
facility
Low
$129
Average
$976
Median
$801
High
$2.6k
Each hospital's average Medica rate, under the methodology and billing class chosen below.
107 hospitals; the 90th percentile is 3.9× 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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135 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 | Allen Memorial Hospital Corporation Waterloo, IA percent of total billed charges · outpatientfrom % of charges | 1 | $455 | $455 | $26 | 6% | — | $429 – $480 |
| 2 | Altru Hospital Grand Forks, ND facility · fee schedule · outpatient | 4 | $362 | $435 | $205 | 47% | — | $258 – $759 |
| 3 | Altru Hospital Devils Lake Devils Lake, ND facility · fee schedule · outpatient | 4 | $362 | $435 | $205 | 47% | — | $258 – $759 |
| 4 | Banner North Colorado Medical Center - Loveland Campus Loveland, CO facility · fee schedule · outpatient | 1 | $759 | $759 | — | — | — | $759 – $759 |
| 5 | Banner North Colorado Medical Center - Loveland Campus Loveland, CO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 6 | Banner Ogallala Community Hospital Ogallala, NE facility · percent of total billed charges · outpatientfrom % of charges | 2 | $1.6k | $1.6k | $584 | 37% | — | $1.0k – $2.2k |
| 7 | Banner Wyoming Medical Center Casper, WY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 8 | Barnes Jewish St. Peters Hospital St. Peters, MO percent of total billed charges · bothfrom % of charges | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 9 | Brookings Health System Brookings, SD fee schedule · outpatient | 1 | $759 | $759 | — | — | — | $759 – $759 |
| 10 | Brookings Health System Brookings, SD percent of total billed charges · outpatientfrom % of charges | 1 | $1.1k | $930 | $255 | 27% | — | $611 – $1.1k |
| 11 | CARRINGTON HEALTH CENTER Carrington, ND fee schedule · inpatient | 1 | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 12 | CARRINGTON HEALTH CENTER Carrington, ND fee schedule · outpatient | 2 | $1.5k | $1.5k | $714 | 48% | — | $759 – $2.2k |
| 13 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 14 | Central Iowa Hospital Corporation Des Moines, IA percent of total billed charges · outpatientfrom % of charges | 1 | $322 | $322 | $18 | 6% | — | $303 – $340 |
| 15 | Central Iowa Hospital Corporation West Des Moines, IA percent of total billed charges · outpatientfrom % of charges | 1 | $253 | $253 | $15 | 6% | — | $239 – $268 |
| 16 | Christian Hospital St. Louis, MO fee schedule · both | 1 | $797 | $797 | — | — | — | $797 – $797 |
| 17 | Christian Hospital St. Louis, MO percent of total billed charges · bothfrom % of charges | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 18 | Covenant Medical Center Inc Waterloo, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 19 | Curators of the University of Missouri Jefferson City, MO facility · fee schedule · outpatient | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 20 | Duncan Regional Hospital Duncan, OK fee schedule · outpatient | 1 | $455 | $455 | — | — | — | $455 – $455 |
| 21 | Essentia Health Ada 201 9th St W Ada, MN facility · fee schedule · outpatient | 1 | $759 | $759 | — | — | — | $759 – $759 |
| 22 | Essentia Health Deer River 115 10th Ave NE Deer River, MN facility · fee schedule · outpatient | 1 | $759 | $759 | — | — | — | $759 – $759 |
| 23 | Essentia Health Duluth Duluth, MN facility · fee schedule · outpatient | 1 | $759 | $759 | — | — | — | $759 – $759 |
| 24 | Essentia Health Fargo 3000 32nd Ave S Fargo, ND facility · fee schedule · outpatient | 1 | $759 | $759 | — | — | — | $759 – $759 |
| 25 | Essentia Health Fosston 900 Hilligoss Blvd SE Fosston, MN facility · fee schedule · outpatient | 1 | $759 | $759 | — | — | — | $759 – $759 |
← Payers reporting CPT 81420 · Snapshot 20261111T120946Z-9134e7f7