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
professional
Low
$22
Average
$49
Median
$37
High
$118
Each hospital's average Healthpartners rate, under the methodology and billing class chosen below.
43 hospitals; the 90th percentile is 3.4× 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.
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62 hospital rates
iThe hospitals that file a Healthpartners 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 Health System Cannon Falls 55009-5003 facility · percent of total billed charges · bothfrom % of charges | 3 | $27 | $28 | $18 | 65% | 1–10 | $10 – $49 |
| 2 | Allina Health Systems Owatonna, MN facility · other · outpatient | 1 | $101 | $101 | — | — | — | $101 – $101 |
| 3 | Allina Health Systems Cambridge, MN facility · other · outpatient | 1 | $101 | $101 | — | — | — | $101 – $101 |
| 4 | Allina Health Systems Faribualt, MN facility · other · outpatient | 1 | $101 | $101 | — | — | — | $101 – $101 |
| 5 | Allina Health Systems Buffalo, MN facility · other · outpatient | 1 | $101 | $101 | — | — | — | $101 – $101 |
| 6 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 1 | $92 | $92 | — | — | — | $92 – $92 |
| 7 | Amery Hospital Amery, WI facility · fee schedule · both | 1 | $30 | $30 | — | — | — | $30 – $30 |
| 8 | Aspirus Langlade Hospital Antigo, WI fee schedule · both | 1 | $80 | $80 | — | — | — | $80 – $80 |
| 9 | Aspirus Rhinelander Hospital Rhinelander, WI fee schedule · both | 1 | $80 | $80 | — | — | — | $80 – $80 |
| 10 | Aspirus St. Luke’s Hospital Duluth, MN fee schedule · both | 1 | $30 | $30 | — | — | — | $30 – $30 |
| 11 | Aspirus Stevens Point Hospital Stevens Point, WI fee schedule · both | 1 | $80 | $80 | — | — | — | $80 – $80 |
| 12 | Aspirus Wausau Hospital Wausau, WI fee schedule · both | 1 | $80 | $80 | — | — | — | $80 – $80 |
| 13 | Floyd Valley Healthcare Le Mars, IA percent of total billed charges · inpatientfrom % of charges | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 14 | Floyd Valley Healthcare Le Mars, IA percent of total billed charges · outpatientfrom % of charges | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 15 | Freeman Regional Health Svcs. Freeman, SD percent of total billed charges · inpatientfrom % of charges | 1 | $118 | $118 | — | — | — | $118 – $118 |
| 16 | Freeman Regional Health Svcs. Freeman, SD percent of total billed charges · outpatientfrom % of charges | 1 | $118 | $118 | — | — | — | $118 – $118 |
| 17 | GLENCOE REGIONAL HEALTH SERVICES Glencoe, MN professional · fee schedule · both | 2 | $29 | $29 | — | — | — | $29 – $29 |
| 18 | HAWARDEN REGIONAL HEALTHCARE HARWARDEN, IA percent of total billed charges · outpatientfrom % of charges | 1 | $71 | $71 | — | — | — | $71 – $71 |
| 19 | Hutchinson Hospital Hutchinson, MN facility · percent of total billed charges · bothfrom % of charges | 1 | $62 | $62 | $28 | 45% | — | $34 – $90 |
| 20 | Lakes Regional Hospital Spirit Lake, IA percent of total billed charges · inpatientfrom % of charges | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 21 | Lakes Regional Hospital Spirit Lake, IA percent of total billed charges · outpatientfrom % of charges | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 22 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 5 | $44 | $35 | $16 | 45% | — | $10 – $49 |
| 23 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 4 | $43 | $43 | $1 | 2% | — | $42 – $45 |
| 24 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 3 | $37 | $39 | $5 | 14% | — | $34 – $46 |
| 25 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 2 | $34 | $34 | $1 | 4% | — | $32 – $35 |
← Payers reporting CPT 90647 · Snapshot 20261111T120946Z-9134e7f7