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
$4
Average
$96
Median
$52
High
$2.0k
Each hospital's average Medica rate, under the methodology and billing class chosen below.
274 hospitals; the 90th percentile is 17.6× 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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434 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 | Prairie Lakes Health Care System Inc. Watertown, SD percent of total billed charges · bothfrom % of charges | 2 | $35 | $35 | — | — | 4–40 | $35 – $35 |
| 2 | Fairview Health Services Edina, MN other · inpatient | 2 | $64 | $64 | $14 | 23% | 2–20 | $49 – $78 |
| 3 | Lakes Regional Hospital Spirit Lake, IA percent of total billed charges · outpatientfrom % of charges | 2 | $69 | $69 | $6 | 8% | 2–20 | $63 – $75 |
| 4 | Monument Health Rapid City Hospital Inc City, SD percent of total billed charges · outpatientfrom % of charges | 3 | $44 | $67 | $39 | 57% | 2–20 | $36 – $122 |
| 5 | ALEGENT CREIGHTON HEALTH Omaha, NE fee schedule · outpatient | 5 | $15 | $41 | $55 | 135% | 1–10 | $8 – $151 |
| 6 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · outpatient | 5 | $15 | $41 | $55 | 135% | 1–10 | $8 – $151 |
| 7 | Avera Marshall Hospital Marshall, MN percent of total billed charges · outpatientfrom % of charges | 2 | $106 | $106 | $10 | 10% | 1–10 | $96 – $116 |
| 8 | Avera McKennan Hospital Sioux Falls, SD percent of total billed charges · outpatientfrom % of charges | 2 | $151 | $151 | $12 | 8% | 1–10 | $140 – $163 |
| 9 | Avera Sacred Heart Hospital Yankton, SD percent of total billed charges · outpatientfrom % of charges | 2 | $107 | $107 | $9 | 9% | 1–10 | $98 – $116 |
| 10 | Avera Tyler Hospital Tyler, MN percent of total billed charges · outpatientfrom % of charges | 2 | $107 | $107 | $10 | 10% | 1–10 | $96 – $117 |
| 11 | Bowdle Healthcare Center Bowdle, SD percent of total billed charges · outpatientfrom % of charges | 2 | $149 | $149 | $13 | 9% | 1–10 | $137 – $162 |
| 12 | Community Memorial Hospital Redfield, SD percent of total billed charges · outpatientfrom % of charges | 2 | $97 | $97 | $8 | 9% | 1–10 | $88 – $105 |
| 13 | Lakeview Hospital Stillwater, MN facility · percent of total billed charges · bothfrom % of charges | 2 | $118 | $118 | $25 | 21% | 1–10 | $93 – $143 |
| 14 | Northfield Hospital Northfield, MN fee schedule · both | 1 | $97 | $97 | — | — | 1–10 | $97 – $97 |
| 15 | Pipestone County Medical Center Pipestone, MN percent of total billed charges · outpatientfrom % of charges | 2 | $87 | $87 | $8 | 10% | 1–10 | $78 – $95 |
| 16 | SAINT ELIZABETH REGIONAL MEDICAL CENTER Lincoln, NE fee schedule · outpatient | 5 | $15 | $45 | $64 | 141% | 1–10 | $8 – $174 |
| 17 | St Michael's Hospital Tyndall, SD percent of total billed charges · outpatientfrom % of charges | 2 | $60 | $60 | $5 | 9% | 1–10 | $55 – $65 |
| 18 | Westfields Hospital New Richmond, WI facility · percent of total billed charges · bothfrom % of charges | 2 | $53 | $53 | $15 | 29% | 1–10 | $37 – $68 |
| 19 | AHS Claremore Hospital, LLC Claremore, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $111 | $111 | — | — | — | $111 – $111 |
| 20 | AHS Hillcrest Medical Center, LLC Tulsa, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $458 | $458 | — | — | — | $458 – $458 |
| 21 | AHS Pryor Hospital, LLC Pryor, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $137 | $137 | — | — | — | $137 – $137 |
| 22 | AHS Southcrest Hospital, LLC Tulsa, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $342 | $342 | — | — | — | $342 – $342 |
| 23 | ALEGENT CREIGHTON HEALTH Papillion, NE fee schedule · outpatient | 5 | $15 | $41 | $55 | 135% | — | $8 – $151 |
| 24 | ALEGENT CREIGHTON HEALTH Plainview, NE fee schedule · inpatient | 4 | $103 | $105 | $84 | 80% | — | $21 – $194 |
| 25 | ALEGENT CREIGHTON HEALTH Plainview, NE fee schedule · outpatient | 5 | $22 | $86 | $84 | 99% | — | $8 – $194 |
← Payers reporting CPT 84703 · Snapshot 20261111T120946Z-9134e7f7