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
Pediarix PFS
Low
$48
Average
$150
Median
$102
High
$741
Each hospital's average Healthpartners rate, under the methodology and billing class chosen below.
49 hospitals; the 90th percentile is 3.6× 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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64 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 | Allina Health Systems Owatonna, MN facility · other · outpatient | 1 | $195 | $195 | — | — | — | $195 – $195 |
| 2 | Allina Health Systems Cambridge, MN facility · other · outpatient | 1 | $195 | $195 | — | — | — | $195 – $195 |
| 3 | Allina Health Systems Faribualt, MN facility · other · outpatient | 1 | $195 | $195 | — | — | — | $195 – $195 |
| 4 | Allina Health Systems Buffalo, MN facility · other · outpatient | 1 | $195 | $195 | — | — | — | $195 – $195 |
| 5 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 1 | $303 | $303 | — | — | — | $303 – $303 |
| 6 | Amery Hospital Amery, WI facility · fee schedule · both | 1 | $98 | $98 | — | — | — | $98 – $98 |
| 7 | Aspirus Rhinelander Hospital Rhinelander, WI fee schedule · both | 1 | $198 | $198 | — | — | — | $198 – $198 |
| 8 | Aspirus St. Luke’s Hospital Duluth, MN fee schedule · both | 1 | $100 | $100 | — | — | — | $100 – $100 |
| 9 | Aspirus Stevens Point Hospital Stevens Point, WI fee schedule · both | 1 | $198 | $198 | — | — | — | $198 – $198 |
| 10 | Aspirus Wausau Hospital Wausau, WI fee schedule · both | 1 | $198 | $198 | — | — | — | $198 – $198 |
| 11 | Aurora Sinai Medical Center of Aurora Health Care Metro Inc Milwaukee, WI percent of total billed charges · inpatientfrom % of charges | 1 | $375 | $375 | — | — | — | $375 – $375 |
| 12 | Aurora Sinai Medical Center of Aurora Health Care Metro Inc Milwaukee, WI percent of total billed charges · outpatientfrom % of charges | 3 | $375 | $350 | $35 | 10% | — | $300 – $375 |
| 13 | Avera Behavioral Health Hospital Sioux Falls, SD percent of total billed charges · outpatientfrom % of charges | 1 | $123 | $123 | $1 | 1% | — | $122 – $124 |
| 14 | Avera Dell Rapids Hospital Dell Rapids, SD percent of total billed charges · inpatientfrom % of charges | 1 | $79 | $79 | — | — | — | $79 – $79 |
| 15 | Avera Dell Rapids Hospital Dell Rapids, SD percent of total billed charges · outpatientfrom % of charges | 1 | $79 | $79 | — | — | — | $79 – $79 |
| 16 | Avera Gregory Hospital Gregory, SD percent of total billed charges · inpatientfrom % of charges | 1 | $102 | $102 | — | — | — | $102 – $102 |
| 17 | Avera Gregory Hospital Gregory, SD percent of total billed charges · outpatientfrom % of charges | 1 | $102 | $102 | — | — | — | $102 – $102 |
| 18 | Avera McKennan Hospital Sioux Falls, SD percent of total billed charges · outpatientfrom % of charges | 1 | $123 | $123 | $1 | 1% | — | $122 – $124 |
| 19 | Avera Sacred Heart Hospital Yankton, SD percent of total billed charges · inpatientfrom % of charges | 1 | $102 | $102 | — | — | — | $102 – $102 |
| 20 | Avera Sacred Heart Hospital Yankton, SD percent of total billed charges · outpatientfrom % of charges | 1 | $102 | $102 | — | — | — | $102 – $102 |
| 21 | Avera Specialty Hospital Sioux Falls, SD percent of total billed charges · outpatientfrom % of charges | 1 | $123 | $123 | $1 | 1% | — | $122 – $124 |
| 22 | BSA Hospital Amarillo, TX facility · percent of total billed charges · bothfrom % of charges | 1 | $741 | $741 | — | — | — | $741 – $741 |
| 23 | Benefis Hospitals Inc Helena, MT percent of total billed charges · bothfrom % of charges | 1 | $455 | $455 | — | — | — | $455 – $455 |
| 24 | Black River Health Inc Black River Falls, WI facility · percent of total billed charges · bothfrom % of charges | 1 | $259 | $259 | — | — | — | $259 – $259 |
| 25 | Essentia Health Ada 201 9th St W Ada, MN facility · percent of total billed charges · inpatientfrom % of charges | 3 | $66 | $86 | $54 | 62% | — | $24 – $155 |
← Payers reporting CPT 90723 · Snapshot 20261111T120946Z-9134e7f7