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
83655 LEAD LEVEL
Low
$7
Average
$66
Median
$49
High
$1.8k
Each hospital's average Medica rate, under the methodology and billing class chosen below.
298 hospitals; the 90th percentile is 8.8× 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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499 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 | Northfield Hospital Northfield, MN fee schedule · both | 1 | $154 | $154 | — | — | 28 | $154 – $154 |
| 2 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · outpatient | 5 | $25 | $33 | $24 | 72% | 11 | $12 – $80 |
| 3 | Mayo Clinic Health System Waseca 56093-2811 facility · percent of total billed charges · bothfrom % of charges | 9 | $92 | $80 | $22 | 27% | 9–90 | $43 – $97 |
| 4 | Mercy Health Services-Iowa Corp. Mason City, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $47 | $47 | $13 | 28% | 8–80 | $35 – $80 |
| 5 | Amery Hospital Amery, WI facility · percent of total billed charges · bothfrom % of charges | 2 | $42 | $47 | $25 | 54% | 7–70 | $16 – $106 |
| 6 | Sanford Thief River Falls Medical Center Thief River Falls, MN percent of total billed charges · outpatientfrom % of charges | 2 | $39 | $47 | $19 | 41% | 6–60 | $34 – $92 |
| 7 | Westfields Hospital New Richmond, WI facility · percent of total billed charges · bothfrom % of charges | 2 | $34 | $40 | $16 | 41% | 6–60 | $16 – $64 |
| 8 | Mayo Clinic Health System Saint James 56081-5550 facility · percent of total billed charges · bothfrom % of charges | 9 | $92 | $83 | $18 | 21% | 3–30 | $51 – $97 |
| 9 | Mayo Clinic Health System Cannon Falls 55009-5003 facility · percent of total billed charges · bothfrom % of charges | 9 | $92 | $81 | $21 | 26% | 3–30 | $46 – $97 |
| 10 | Olivia Hospital Olivia, MN facility · percent of total billed charges · bothfrom % of charges | 3 | $48 | $58 | $37 | 63% | 3–30 | $17 – $131 |
| 11 | The Cook Hospital Cook, MN percent of total billed charges · bothfrom % of charges | 1 | $106 | $106 | — | — | 3–30 | $106 – $106 |
| 12 | Avera Marshall Hospital Marshall, MN percent of total billed charges · outpatientfrom % of charges | 2 | $214 | $216 | $25 | 12% | 2–20 | $182 – $252 |
| 13 | Avera McKennan Hospital Sioux Falls, SD percent of total billed charges · outpatientfrom % of charges | 2 | $104 | $104 | $10 | 9% | 2–20 | $91 – $118 |
| 14 | Avera St. Mary's Hospital Pierre, SD percent of total billed charges · outpatientfrom % of charges | 2 | $82 | $85 | $38 | 44% | 2–20 | $44 – $132 |
| 15 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 11 | $83 | $74 | $16 | 21% | 2–20 | $43 – $85 |
| 16 | Prairie Lakes Health Care System Inc. Watertown, SD percent of total billed charges · bothfrom % of charges | 1 | $12 | $12 | — | — | 2–20 | $12 – $12 |
| 17 | GOOD SAMARITAN HOSPITAL Kearney, NE fee schedule · outpatient | 5 | $25 | $41 | $38 | 94% | 1–10 | $12 – $116 |
| 18 | Pipestone County Medical Center Pipestone, MN percent of total billed charges · outpatientfrom % of charges | 2 | $117 | $117 | $11 | 10% | 1–10 | $106 – $128 |
| 19 | SAINT ELIZABETH REGIONAL MEDICAL CENTER Lincoln, NE fee schedule · outpatient | 5 | $25 | $36 | $28 | 80% | 1–10 | $12 – $91 |
| 20 | AHS Claremore Hospital, LLC Claremore, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $101 | $101 | — | — | — | $101 – $101 |
| 21 | AHS Hillcrest Medical Center, LLC Tulsa, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $388 | $388 | — | — | — | $388 – $388 |
| 22 | AHS Pryor Hospital, LLC Pryor, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $146 | $146 | — | — | — | $146 – $146 |
| 23 | AHS Southcrest Hospital, LLC Tulsa, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $153 | $153 | — | — | — | $153 – $153 |
| 24 | ALEGENT CREIGHTON HEALTH Papillion, NE fee schedule · outpatient | 5 | $25 | $33 | $24 | 72% | — | $12 – $80 |
| 25 | ALEGENT CREIGHTON HEALTH Plainview, NE fee schedule · inpatient | 4 | $97 | $99 | $64 | 65% | — | $34 – $167 |
← Payers reporting CPT 83655 · Snapshot 20261111T120946Z-9134e7f7