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
$192
Median
$130
High
$2.6k
Each hospital's average Medica rate, under the methodology and billing class chosen below.
260 hospitals; the 90th percentile is 12.8× 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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468 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 | Fairview Health Services Edina, MN other · inpatient | 1 | $36 | $36 | — | — | 4–40 | $36 – $36 |
| 2 | Fairview Health Services Minneapolis, MN other · inpatient | 1 | $302 | $302 | — | — | 4–40 | $302 – $302 |
| 3 | Fairview Health Services Burnsville, MN other · inpatient | 1 | $144 | $144 | — | — | 4–40 | $144 – $144 |
| 4 | Fairview Health Services Princeton, MN other · inpatient | 1 | $69 | $69 | — | — | 4–40 | $69 – $69 |
| 5 | HealthEast St John's Hospital Maplewood, MN other · inpatient | 1 | $90 | $90 | — | — | 4–40 | $90 – $90 |
| 6 | HealthEast Woodwinds Hospital Woodbury, MN other · inpatient | 1 | $184 | $184 | — | — | 4–40 | $184 – $184 |
| 7 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 5 | $157 | $149 | $19 | 13% | 2–20 | $113 – $165 |
| 8 | Monument Health Rapid City Hospital Inc City, SD percent of total billed charges · outpatientfrom % of charges | 3 | $76 | $117 | $67 | 57% | 2–20 | $63 – $212 |
| 9 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 11 | $145 | $130 | $28 | 21% | 1–10 | $76 – $148 |
| 10 | SAINT ELIZABETH REGIONAL MEDICAL CENTER Lincoln, NE fee schedule · outpatient | 4 | $13 | $54 | $72 | 132% | 1–10 | $12 – $179 |
| 11 | AHS Claremore Hospital, LLC Claremore, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $375 | $375 | — | — | — | $375 – $375 |
| 12 | AHS Hillcrest Medical Center, LLC Tulsa, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $566 | $566 | — | — | — | $566 – $566 |
| 13 | AHS Pryor Hospital, LLC Pryor, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $615 | $615 | — | — | — | $615 – $615 |
| 14 | AHS Southcrest Hospital, LLC Tulsa, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $451 | $451 | — | — | — | $451 – $451 |
| 15 | ALEGENT CREIGHTON HEALTH Papillion, NE case rate · outpatient | 1 | $351 | $351 | — | — | — | $351 – $351 |
| 16 | ALEGENT CREIGHTON HEALTH Papillion, NE fee schedule · outpatient | 4 | $13 | $81 | $118 | 146% | — | $12 – $285 |
| 17 | ALEGENT CREIGHTON HEALTH Plainview, NE fee schedule · inpatient | 4 | $177 | $164 | $72 | 44% | — | $50 – $254 |
| 18 | ALEGENT CREIGHTON HEALTH Plainview, NE fee schedule · outpatient | 5 | $162 | $132 | $90 | 68% | — | $6 – $254 |
| 19 | ALEGENT CREIGHTON HEALTH Omaha, NE case rate · outpatient | 1 | $351 | $351 | — | — | — | $351 – $351 |
| 20 | ALEGENT CREIGHTON HEALTH Omaha, NE fee schedule · outpatient | 4 | $13 | $81 | $118 | 146% | — | $12 – $285 |
| 21 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · inpatient | 4 | $177 | $164 | $72 | 44% | — | $50 – $254 |
| 22 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · outpatient | 5 | $162 | $132 | $90 | 68% | — | $6 – $254 |
| 23 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Council Bluffs, IA case rate · outpatient | 1 | $351 | $351 | — | — | — | $351 – $351 |
| 24 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Council Bluffs, IA fee schedule · outpatient | 4 | $13 | $81 | $118 | 146% | — | $12 – $285 |
| 25 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE case rate · outpatient | 1 | $351 | $351 | — | — | — | $351 – $351 |
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