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
Non-Emergent Care Lvl 1 Est Pt
Low
$16
Average
$120
Median
$104
High
$586
Each hospital's average Healthpartners rate, under the methodology and billing class chosen below.
130 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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258 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 Menomonie, WI facility · percent of total billed charges · bothfrom % of charges | 2 | $75 | $83 | $100 | 120% | 121 | $18 – $353 |
| 2 | Aurora Sinai Medical Center of Aurora Health Care Metro Inc Milwaukee, WI percent of total billed charges · outpatientfrom % of charges | 1 | $75 | $115 | $65 | 56% | 81 | $49 – $225 |
| 3 | Aurora BayCare Medical Center Green Bay, WI percent of total billed charges · outpatientfrom % of charges | 1 | $111 | $121 | $48 | 40% | 78 | $75 – $188 |
| 4 | Mayo Clinic Health System Barron, WI facility · percent of total billed charges · bothfrom % of charges | 3 | $80 | $105 | $113 | 107% | 77 | $18 – $349 |
| 5 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 5 | $127 | $119 | $67 | 56% | 45–81 | $29 – $252 |
| 6 | Olivia Hospital Olivia, MN facility · percent of total billed charges · bothfrom % of charges | 1 | $79 | $79 | $0 | 1% | 45 | $79 – $79 |
| 7 | Mayo Clinic Health System Eau Claire 54703-5270 facility · percent of total billed charges · bothfrom % of charges | 2 | $75 | $81 | $95 | 118% | 40 | $18 – $338 |
| 8 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 3 | $78 | $77 | $3 | 4% | 37–55 | $71 – $82 |
| 9 | Mayo Clinic Health System Waseca 56093-2811 facility · percent of total billed charges · bothfrom % of charges | 3 | $64 | $124 | $112 | 91% | 22 | $22 – $307 |
| 10 | Boulder Community Health Lafayette, CO facility · other · outpatient | 1 | $60 | $60 | — | — | 15 | $60 – $60 |
| 11 | Boulder Community Health Lafayette, CO professional · other · both | 1 | $60 | $60 | — | — | 15 | $60 – $60 |
| 12 | Mayo Clinic Health System Cannon Falls 55009-5003 facility · percent of total billed charges · bothfrom % of charges | 3 | $64 | $124 | $112 | 91% | 15 | $22 – $307 |
| 13 | Avera Behavioral Health Hospital Sioux Falls, SD percent of total billed charges · outpatientfrom % of charges | 1 | $116 | $124 | $46 | 37% | 14–140 | $59 – $251 |
| 14 | Avera McKennan Hospital Sioux Falls, SD percent of total billed charges · outpatientfrom % of charges | 1 | $116 | $124 | $46 | 37% | 14 | $59 – $251 |
| 15 | Avera Specialty Hospital Sioux Falls, SD percent of total billed charges · outpatientfrom % of charges | 1 | $116 | $124 | $46 | 37% | 14–140 | $59 – $251 |
| 16 | Aurora Medical Center Fond du Lac Fond Du Lac, WI percent of total billed charges · outpatientfrom % of charges | 1 | $129 | $129 | $54 | 42% | 12 | $75 – $184 |
| 17 | Aurora Medical Center Oshkosh Oshkosh, WI percent of total billed charges · outpatientfrom % of charges | 1 | $129 | $129 | $54 | 42% | 12 | $75 – $184 |
| 18 | Regional Health Services of Howard County Cresco, IA percent of total billed charges · outpatientfrom % of charges | 1 | $196 | $225 | $182 | 81% | 11–110 | $22 – $671 |
| 19 | Westfields Hospital New Richmond, WI facility · percent of total billed charges · bothfrom % of charges | 1 | $65 | $65 | — | — | 11 | $65 – $65 |
| 20 | Sioux Center Health Sioux Center, IA percent of total billed charges · outpatientfrom % of charges | 1 | $103 | $80 | $37 | 46% | 9–90 | $17 – $106 |
| 21 | Avera Holy Family Hospital Estherville, IA percent of total billed charges · outpatientfrom % of charges | 1 | $126 | $143 | $30 | 21% | 8–80 | $126 – $195 |
| 22 | Avera Tyler Hospital Tyler, MN percent of total billed charges · outpatientfrom % of charges | 1 | $176 | $170 | $53 | 31% | 8–80 | $107 – $244 |
| 23 | Pipestone County Medical Center Pipestone, MN percent of total billed charges · outpatientfrom % of charges | 1 | $136 | $129 | $40 | 31% | 8–80 | $30 – $180 |
| 24 | Mayo Clinic Health System Mankato 56001-4752 facility · percent of total billed charges · bothfrom % of charges | 3 | $64 | $124 | $112 | 91% | 3–30 | $22 – $307 |
| 25 | Mayo Clinic Health System Lake City 55041-1143 facility · percent of total billed charges · bothfrom % of charges | 3 | $64 | $124 | $112 | 91% | 3–30 | $22 – $307 |
← Payers reporting CPT 99211 · Snapshot 20261111T120946Z-9134e7f7