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
HB-Opscpy Extnd RTA Drawing & Scl Deprsn I&R Uni/Bi
Low
$17
Average
$83
Median
$58
High
$320
Each hospital's average Medica rate, under the methodology and billing class chosen below.
64 hospitals; the 90th percentile is 11.9× 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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113 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 Health System Owatonna 55060-5503 professional · percent of total billed charges · outpatientfrom % of charges | 5 | $177 | $180 | $6 | 3% | 3–30 | $173 – $187 |
| 2 | Fairview Health Services Edina, MN other · inpatient | 1 | $39 | $39 | — | — | 1–10 | $39 – $39 |
| 3 | Mayo Clinic Health System Owatonna 55060-5503 professional · fee schedule · outpatient | 4 | $26 | $24 | $3 | 14% | 1–10 | $19 – $26 |
| 4 | Altru Hospital Grand Forks, ND facility · fee schedule · outpatient | 4 | $16 | $19 | $9 | 47% | — | $11 – $33 |
| 5 | Altru Hospital Devils Lake Devils Lake, ND facility · fee schedule · outpatient | 4 | $16 | $19 | $9 | 47% | — | $11 – $33 |
| 6 | Avera Marshall Hospital Marshall, MN fee schedule · both | 2 | $49 | $49 | — | — | — | $49 – $49 |
| 7 | Avera Marshall Hospital Marshall, MN percent of total billed charges · inpatientfrom % of charges | 2 | $55 | $55 | $5 | 9% | — | $50 – $60 |
| 8 | Avera Marshall Hospital Marshall, MN percent of total billed charges · outpatientfrom % of charges | 2 | $56 | $56 | $5 | 10% | — | $50 – $61 |
| 9 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE fee schedule · outpatient | 4 | $48 | $43 | $18 | 41% | — | $18 – $60 |
| 10 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $89 | $89 | — | — | — | $89 – $89 |
| 11 | Children's Mercy Hospital Kansas City, MO facility · percent of total billed charges · inpatientfrom % of charges | 1 | $148 | $148 | — | — | — | $148 – $148 |
| 12 | Children's Mercy Hospital Kansas City, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $148 | $148 | — | — | — | $148 – $148 |
| 13 | Children's Mercy Hospital Kansas City, MO professional · percent of total billed charges · inpatientfrom % of charges | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 14 | Children's Mercy Hospital Kansas City, MO professional · percent of total billed charges · outpatientfrom % of charges | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 15 | Children's Mercy Hospital Kansas Overland Park, KS facility · percent of total billed charges · inpatientfrom % of charges | 1 | $148 | $148 | — | — | — | $148 – $148 |
| 16 | Children's Mercy Hospital Kansas Overland Park, KS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $148 | $148 | — | — | — | $148 – $148 |
| 17 | Children's Mercy Hospital Kansas Overland Park, KS professional · percent of total billed charges · inpatientfrom % of charges | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 18 | Children's Mercy Hospital Kansas Overland Park, KS professional · percent of total billed charges · outpatientfrom % of charges | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 19 | Curators of the University of Missouri Jefferson City, MO facility · fee schedule · outpatient | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 20 | Essentia Health Duluth Duluth, MN facility · case rate · outpatient | 1 | $58 | $58 | — | — | — | $58 – $58 |
| 21 | Essentia Health Fargo 3000 32nd Ave S Fargo, ND facility · case rate · outpatient | 1 | $59 | $59 | — | — | — | $59 – $59 |
| 22 | Essentia Health St. Joseph's Medical Center Brainerd, MN facility · case rate · outpatient | 1 | $64 | $64 | — | — | — | $64 – $64 |
| 23 | Essentia Health St. Mary's - Detroit Lakes 1027 Washington Ave. Detroit Lakes, MN facility · case rate · outpatient | 1 | $62 | $62 | — | — | — | $62 – $62 |
| 24 | Essentia Health St. Mary's Children's Hospital Duluth, MN facility · case rate · outpatient | 1 | $60 | $60 | — | — | — | $60 – $60 |
| 25 | Essentia Health St. Mary's Medical Center Duluth, MN facility · case rate · outpatient | 1 | $60 | $60 | — | — | — | $60 – $60 |
← Payers reporting CPT 92201 · Snapshot 20261112T124536Z-e251e855