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
$11
Average
$72
Median
$32
High
$339
Each hospital's average Medica rate, under the methodology and billing class chosen below.
56 hospitals; the 90th percentile is 10.4× 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.
Filter by billing methodology
Filter by billing class
76 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 | Altru Hospital Grand Forks, ND facility · fee schedule · outpatient | 4 | $9 | $11 | $5 | 47% | — | $6 – $18 |
| 2 | Altru Hospital Devils Lake Devils Lake, ND facility · fee schedule · outpatient | 4 | $9 | $11 | $5 | 47% | — | $6 – $18 |
| 3 | Avera Behavioral Health Hospital Sioux Falls, SD percent of total billed charges · outpatientfrom % of charges | 2 | $124 | $124 | $9 | 8% | — | $115 – $134 |
| 4 | Avera Marshall Hospital Marshall, MN percent of total billed charges · inpatientfrom % of charges | 2 | $233 | $233 | $21 | 9% | — | $212 – $255 |
| 5 | Avera Marshall Hospital Marshall, MN percent of total billed charges · outpatientfrom % of charges | 2 | $235 | $235 | $23 | 10% | — | $212 – $258 |
| 6 | Avera McKennan Hospital Sioux Falls, SD percent of total billed charges · outpatientfrom % of charges | 2 | $124 | $124 | $9 | 8% | — | $115 – $134 |
| 7 | Avera Specialty Hospital Sioux Falls, SD percent of total billed charges · outpatientfrom % of charges | 2 | $124 | $124 | $9 | 8% | — | $115 – $134 |
| 8 | Avera St. Luke's Aberdeen, SD percent of total billed charges · inpatientfrom % of charges | 2 | $282 | $282 | $23 | 8% | — | $260 – $305 |
| 9 | Avera St. Luke's Aberdeen, SD percent of total billed charges · outpatientfrom % of charges | 2 | $285 | $285 | $24 | 8% | — | $261 – $308 |
| 10 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE fee schedule · outpatient | 4 | $18 | $18 | $3 | 16% | — | $12 – $22 |
| 11 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE other · outpatient | 1 | $357 | $357 | — | — | — | $357 – $357 |
| 12 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE percent of total billed charges · outpatientfrom % of charges | 1 | $189 | $189 | — | — | — | $189 – $189 |
| 13 | Banner Wyoming Medical Center Casper, WY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $158 | $158 | — | — | — | $158 – $158 |
| 14 | Barnes Jewish Hospital St. Louis, MO percent of total billed charges · bothfrom % of charges | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 15 | Brookings Health System Brookings, SD fee schedule · outpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 16 | Brookings Health System Brookings, SD percent of total billed charges · outpatientfrom % of charges | 1 | $54 | $44 | $12 | 27% | — | $29 – $54 |
| 17 | Curators of the University of Missouri Jefferson City, MO facility · fee schedule · outpatient | 1 | $30 | $30 | — | — | — | $30 – $30 |
| 18 | Duncan Regional Hospital Duncan, OK fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 19 | Essentia Health Ada 201 9th St W Ada, MN facility · fee schedule · outpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 20 | Essentia Health Deer River 115 10th Ave NE Deer River, MN facility · fee schedule · outpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 21 | Essentia Health Duluth Duluth, MN facility · fee schedule · outpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 22 | Essentia Health Fargo 3000 32nd Ave S Fargo, ND facility · fee schedule · outpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 23 | Essentia Health Fosston 900 Hilligoss Blvd SE Fosston, MN facility · fee schedule · outpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 24 | Essentia Health Holy Trinity Hospital Graceville, MN facility · fee schedule · outpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 25 | Essentia Health Northern Pines 5211 Highway 110 Aurora, MN facility · fee schedule · outpatient | 1 | $18 | $18 | — | — | — | $18 – $18 |
← Payers reporting CPT 87380 · Snapshot 20261112T181611Z-3fa9fb76