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
HC Immun <= 18 Yrs W Couns 1st
Low
$7
Average
$35
Median
$32
High
$142
Each hospital's average Medica rate, under the methodology and billing class chosen below.
115 hospitals; the 90th percentile is 3.0× 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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220 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 professional · percent of total billed charges · outpatientfrom % of charges | 7 | $53 | $54 | $1 | 2% | 449–476 | $52 – $56 |
| 2 | Mayo Clinic Health System Owatonna 55060-5503 professional · percent of total billed charges · outpatientfrom % of charges | 6 | $45 | $45 | $1 | 3% | 413 | $43 – $47 |
| 3 | Mayo Clinic Health System Mankato 56001-4752 professional · percent of total billed charges · outpatientfrom % of charges | 6 | $45 | $45 | $1 | 3% | 402–411 | $43 – $47 |
| 4 | Mayo Clinic Health System Eau Claire 54703-5270 professional · percent of total billed charges · outpatientfrom % of charges | 8 | $51 | $50 | $4 | 7% | 167–203 | $41 – $54 |
| 5 | Mayo Clinic Health System Lake City 55041-1143 facility · percent of total billed charges · bothfrom % of charges | 9 | $44 | $40 | $8 | 19% | 95–113 | $25 – $47 |
| 6 | Mayo Clinic Health System St, NE professional · percent of total billed charges · outpatientfrom % of charges | 5 | $44 | $45 | $1 | 3% | 59–77 | $43 – $47 |
| 7 | Mayo Clinic Health System Saint James 56081-5550 facility · percent of total billed charges · bothfrom % of charges | 9 | $44 | $40 | $8 | 21% | 46–64 | $25 – $47 |
| 8 | Mayo Clinic Health System Barron, WI facility · percent of total billed charges · bothfrom % of charges | 9 | $50 | $48 | $10 | 20% | 39–48 | $18 – $55 |
| 9 | Mayo Clinic Health System Waseca 56093-2811 facility · percent of total billed charges · bothfrom % of charges | 9 | $44 | $38 | $11 | 27% | 26–53 | $21 – $47 |
| 10 | Mayo Clinic Health System Bloomer, WI facility · percent of total billed charges · bothfrom % of charges | 9 | $50 | $48 | $9 | 19% | 22–58 | $21 – $55 |
| 11 | Mayo Clinic Health System Menomonie, WI facility · percent of total billed charges · bothfrom % of charges | 9 | $48 | $48 | $9 | 20% | 15–42 | $18 – $55 |
| 12 | Mayo Clinic Health System Cannon Falls 55009-5003 facility · percent of total billed charges · bothfrom % of charges | 9 | $44 | $39 | $10 | 26% | 11 | $22 – $47 |
| 13 | Mayo Clinic Health System Osseo, WI facility · percent of total billed charges · bothfrom % of charges | 9 | $48 | $48 | $9 | 19% | 2–20 | $18 – $55 |
| 14 | Mayo Clinic Health System Osseo, WI professional · percent of total billed charges · outpatientfrom % of charges | 8 | $51 | $51 | $4 | 8% | 2–20 | $41 – $55 |
| 15 | Mayo Clinic Health System Sparta, WI professional · percent of total billed charges · outpatientfrom % of charges | 6 | $50 | $48 | $6 | 12% | 1–10 | $37 – $54 |
| 16 | Mayo Clinic Health System Red Wing 55066-2848 professional · percent of total billed charges · outpatientfrom % of charges | 4 | $46 | $45 | $2 | 3% | 1–10 | $43 – $47 |
| 17 | Mercy Hospitals East Communities Washington, MO professional · fee schedule · outpatient | 1 | $32 | $32 | — | — | 1–10 | $32 – $32 |
| 18 | Altru Hospital Grand Forks, ND facility · fee schedule · outpatient | 4 | $20 | $24 | $11 | 47% | — | $14 – $41 |
| 19 | Altru Hospital Devils Lake Devils Lake, ND facility · fee schedule · outpatient | 4 | $20 | $24 | $11 | 47% | — | $14 – $41 |
| 20 | Aspirus St. Luke’s Hospital Duluth, MN fee schedule · both | 2 | $82 | $82 | $46 | 57% | — | $35 – $128 |
| 21 | Avera Behavioral Health Hospital Sioux Falls, SD percent of total billed charges · outpatientfrom % of charges | 2 | $25 | $25 | $2 | 8% | — | $23 – $27 |
| 22 | Avera McKennan Hospital Sioux Falls, SD percent of total billed charges · outpatientfrom % of charges | 2 | $25 | $25 | $2 | 8% | — | $23 – $27 |
| 23 | Avera Specialty Hospital Sioux Falls, SD percent of total billed charges · outpatientfrom % of charges | 2 | $25 | $25 | $2 | 8% | — | $23 – $27 |
| 24 | Avera St. Luke's Aberdeen, SD percent of total billed charges · inpatientfrom % of charges | 2 | $53 | $53 | $4 | 8% | — | $49 – $57 |
| 25 | Avera St. Luke's Aberdeen, SD percent of total billed charges · outpatientfrom % of charges | 2 | $54 | $54 | $4 | 8% | — | $49 – $58 |
← Payers reporting CPT 90460 · Snapshot 20261111T120946Z-9134e7f7