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.
Generation details were not recorded for this description.
Original text from hospital filings
HC CELL COUNT FLUID W DIFF COUNT 2
Low
$2
Average
$85
Median
$58
High
$1.9k
Each hospital's average Medica rate, under the methodology and billing class chosen below.
288 hospitals; the 90th percentile is 22.7× 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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488 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 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 12 | $86 | $79 | $16 | 21% | 76–292 | $43 – $92 |
| 2 | Mayo Clinic Florida Jacksonville, FL facility · percent of total billed charges · bothfrom % of charges | 5 | $120 | $110 | $20 | 18% | 36 | $72 – $126 |
| 3 | Mayo Clinic Health System Mankato 56001-4752 facility · percent of total billed charges · bothfrom % of charges | 7 | $79 | $75 | $10 | 14% | 18–54 | $42 – $83 |
| 4 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 5 | $68 | $66 | $8 | 12% | 12 | $51 – $72 |
| 5 | Mayo Clinic Health System Eau Claire 54703-5270 facility · percent of total billed charges · bothfrom % of charges | 8 | $86 | $91 | $12 | 14% | 6–60 | $66 – $108 |
| 6 | Fairview Health Services Minneapolis, MN other · inpatient | 1 | $117 | $117 | — | — | 5–50 | $117 – $117 |
| 7 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · outpatient | 5 | $12 | $44 | $69 | 155% | 2–20 | $6 – $182 |
| 8 | Lakeview Hospital Stillwater, MN facility · percent of total billed charges · bothfrom % of charges | 2 | $113 | $113 | $24 | 21% | 2–20 | $89 – $136 |
| 9 | Mayo Clinic Health System Fairmont 56031-4575 facility · percent of total billed charges · bothfrom % of charges | 7 | $78 | $73 | $13 | 18% | 2–20 | $42 – $83 |
| 10 | Mayo Clinic Health System Barron, WI facility · percent of total billed charges · bothfrom % of charges | 9 | $86 | $86 | $20 | 23% | 2–20 | $29 – $111 |
| 11 | Monument Health Rapid City Hospital Inc City, SD percent of total billed charges · outpatientfrom % of charges | 3 | $32 | $50 | $29 | 57% | 2–20 | $27 – $90 |
| 12 | Westfields Hospital New Richmond, WI facility · percent of total billed charges · bothfrom % of charges | 2 | $79 | $93 | $56 | 60% | 2–20 | $33 – $182 |
| 13 | ALEGENT CREIGHTON HEALTH Omaha, NE fee schedule · outpatient | 5 | $12 | $44 | $69 | 155% | 1–10 | $6 – $182 |
| 14 | Avera McKennan Hospital Sioux Falls, SD percent of total billed charges · outpatientfrom % of charges | 2 | $58 | $58 | $4 | 8% | 1–10 | $54 – $63 |
| 15 | GOOD SAMARITAN HOSPITAL Kearney, NE fee schedule · outpatient | 5 | $12 | $31 | $41 | 135% | 1–10 | $6 – $113 |
| 16 | SAINT ELIZABETH REGIONAL MEDICAL CENTER Lincoln, NE fee schedule · outpatient | 5 | $12 | $50 | $80 | 160% | 1–10 | $6 – $210 |
| 17 | SAINT FRANCIS MEDICAL CENTER Grand Island, NE fee schedule · outpatient | 5 | $12 | $42 | $64 | 153% | 1–10 | $6 – $171 |
| 18 | Spooner Health System, Inc Spooner, WI facility · percent of total billed charges · bothfrom % of charges | 1 | $105 | $105 | — | — | 1–10 | $105 – $105 |
| 19 | AHS Claremore Hospital, LLC Claremore, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $221 | $221 | — | — | — | $221 – $221 |
| 20 | AHS Hillcrest Medical Center, LLC Tulsa, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $296 | $296 | — | — | — | $296 – $296 |
| 21 | AHS Pryor Hospital, LLC Pryor, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $145 | $145 | — | — | — | $145 – $145 |
| 22 | AHS Southcrest Hospital, LLC Tulsa, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $120 | $120 | — | — | — | $120 – $120 |
| 23 | ALEGENT CREIGHTON HEALTH Papillion, NE fee schedule · outpatient | 5 | $12 | $44 | $69 | 155% | — | $6 – $182 |
| 24 | ALEGENT CREIGHTON HEALTH Plainview, NE fee schedule · inpatient | 4 | $89 | $91 | $75 | 83% | — | $15 – $171 |
| 25 | ALEGENT CREIGHTON HEALTH Plainview, NE fee schedule · outpatient | 5 | $16 | $74 | $76 | 102% | — | $6 – $171 |
← Payers reporting CPT 89051 · Snapshot 20261111T120946Z-9134e7f7