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 Ref Calculi Risk Assessment Urine, Sodium (Arup)
Low
$3
Average
$49
Median
$32
High
$1.8k
Each hospital's average Medica rate, under the methodology and billing class chosen below.
297 hospitals; the 90th percentile is 13.5× 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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507 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 | $21 | $25 | $21 | 84% | 22 | $6 – $70 |
| 2 | WINNESHIEK MEDICAL CENTER Decorah, IA percent of total billed charges · outpatientfrom % of charges | 3 | $90 | $90 | $23 | 25% | 6–60 | $66 – $115 |
| 3 | Amery Hospital Amery, WI facility · percent of total billed charges · bothfrom % of charges | 1 | $38 | $36 | $10 | 28% | 4–40 | $21 – $46 |
| 4 | Prairie Lakes Health Care System Inc. Watertown, SD percent of total billed charges · bothfrom % of charges | 2 | $5 | $5 | $0 | 1% | 4–40 | $5 – $5 |
| 5 | Fairview Health Services Burnsville, MN other · inpatient | 1 | $5 | $5 | — | — | 3–30 | $5 – $5 |
| 6 | Mayo Clinic Health System Waseca 56093-2811 facility · percent of total billed charges · bothfrom % of charges | 9 | $42 | $37 | $10 | 27% | 3–30 | $20 – $45 |
| 7 | Westfields Hospital New Richmond, WI facility · percent of total billed charges · bothfrom % of charges | 2 | $18 | $26 | $20 | 77% | 3–30 | $7 – $66 |
| 8 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · outpatient | 5 | $10 | $19 | $20 | 106% | 2–20 | $5 – $59 |
| 9 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 11 | $47 | $42 | $9 | 21% | 2–20 | $24 – $48 |
| 10 | Mayo Clinic Health System Saint James 56081-5550 facility · percent of total billed charges · bothfrom % of charges | 9 | $42 | $38 | $8 | 21% | 2–20 | $24 – $45 |
| 11 | ALEGENT HEALTH IMMANUEL MEDICAL CENTER Omaha, NE fee schedule · outpatient | 5 | $10 | $19 | $20 | 106% | 1–10 | $5 – $59 |
| 12 | GOOD SAMARITAN HOSPITAL Kearney, NE fee schedule · outpatient | 5 | $10 | $19 | $20 | 106% | 1–10 | $5 – $59 |
| 13 | Mayo Clinic Health System St, NE facility · percent of total billed charges · bothfrom % of charges | 7 | $43 | $41 | $6 | 14% | 1–10 | $24 – $45 |
| 14 | Mayo Clinic Health System Bloomer, WI facility · percent of total billed charges · bothfrom % of charges | 9 | $40 | $39 | $7 | 19% | 1–10 | $17 – $45 |
| 15 | Mayo Clinic Health System Eau Claire 54703-5270 facility · percent of total billed charges · bothfrom % of charges | 8 | $41 | $41 | $3 | 8% | 1–10 | $33 – $44 |
| 16 | Mayo Clinic Health System Cannon Falls 55009-5003 facility · percent of total billed charges · bothfrom % of charges | 9 | $42 | $37 | $10 | 26% | 1–10 | $21 – $45 |
| 17 | Pipestone County Medical Center Pipestone, MN percent of total billed charges · outpatientfrom % of charges | 2 | $56 | $56 | $5 | 10% | 1–10 | $51 – $62 |
| 18 | SAINT CROIX REGIONAL MEDICAL CENTER SAINT CROIX FALLS, WI other · both | 1 | $20 | $20 | — | — | 1–10 | $20 – $20 |
| 19 | SAINT ELIZABETH REGIONAL MEDICAL CENTER Lincoln, NE fee schedule · outpatient | 5 | $10 | $21 | $24 | 114% | 1–10 | $5 – $68 |
| 20 | ST. ALEXIUS MEDICAL CENTER Bismarck, ND fee schedule · outpatient | 2 | $27 | $27 | $22 | 81% | 1–10 | $5 – $50 |
| 21 | AHS Claremore Hospital, LLC Claremore, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $92 | $92 | — | — | — | $92 – $92 |
| 22 | AHS Hillcrest Medical Center, LLC Tulsa, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $98 | $98 | — | — | — | $98 – $98 |
| 23 | AHS Pryor Hospital, LLC Pryor, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $151 | $151 | — | — | — | $151 – $151 |
| 24 | AHS Southcrest Hospital, LLC Tulsa, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $105 | $105 | — | — | — | $105 – $105 |
| 25 | ALEGENT CREIGHTON HEALTH Papillion, NE fee schedule · outpatient | 5 | $10 | $19 | $20 | 106% | — | $5 – $59 |
← Payers reporting CPT 84300 · Snapshot 20261111T120946Z-9134e7f7