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
PR PREV MED NEW PAT 65+ YRS
Low
$47
Average
$297
Median
$271
High
$557
Each hospital's average Healthpartners rate, under the methodology and billing class chosen below.
54 hospitals; the 90th percentile is 2.9× 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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92 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 Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 2 | $386 | $386 | $16 | 4% | 1–10 | $370 – $402 |
| 2 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 1 | $557 | $557 | — | — | — | $557 – $557 |
| 3 | Amery Hospital Amery, WI facility · fee schedule · both | 1 | $316 | $316 | — | — | — | $316 – $316 |
| 4 | Aspirus Wausau Hospital Wausau, WI fee schedule · both | 1 | $491 | $491 | — | — | — | $491 – $491 |
| 5 | Aurora Sinai Medical Center of Aurora Health Care Metro Inc Milwaukee, WI case rate · outpatient | 2 | $84 | $84 | $10 | 11% | — | $74 – $93 |
| 6 | Aurora Sinai Medical Center of Aurora Health Care Metro Inc Milwaukee, WI percent of total billed charges · inpatientfrom % of charges | 1 | $113 | $113 | — | — | — | $113 – $113 |
| 7 | Aurora Sinai Medical Center of Aurora Health Care Metro Inc Milwaukee, WI percent of total billed charges · outpatientfrom % of charges | 1 | $113 | $113 | — | — | — | $113 – $113 |
| 8 | Avera Behavioral Health Hospital Sioux Falls, SD percent of total billed charges · outpatientfrom % of charges | 1 | $160 | $160 | — | — | — | $160 – $160 |
| 9 | Avera Granite Falls Health Center Granite Falls, MN fee schedule · both | 1 | $240 | $240 | — | — | — | $240 – $240 |
| 10 | Avera Granite Falls Health Center Granite Falls, MN percent of total billed charges · inpatientfrom % of charges | 1 | $177 | $177 | — | — | — | $177 – $177 |
| 11 | Avera Granite Falls Health Center Granite Falls, MN percent of total billed charges · outpatientfrom % of charges | 1 | $177 | $177 | — | — | — | $177 – $177 |
| 12 | Avera Gregory Hospital Gregory, SD fee schedule · both | 1 | $240 | $240 | — | — | — | $240 – $240 |
| 13 | Avera McKennan Hospital Sioux Falls, SD percent of total billed charges · outpatientfrom % of charges | 1 | $160 | $160 | — | — | — | $160 – $160 |
| 14 | Avera Missouri River Health Center Gettysburg, SD fee schedule · both | 1 | $240 | $240 | — | — | — | $240 – $240 |
| 15 | Avera Missouri River Health Center Gettysburg, SD percent of total billed charges · inpatientfrom % of charges | 1 | $237 | $237 | — | — | — | $237 – $237 |
| 16 | Avera Missouri River Health Center Gettysburg, SD percent of total billed charges · outpatientfrom % of charges | 1 | $237 | $237 | — | — | — | $237 – $237 |
| 17 | Avera Sacred Heart Hospital Yankton, SD fee schedule · both | 1 | $240 | $240 | — | — | — | $240 – $240 |
| 18 | Avera Specialty Hospital Sioux Falls, SD percent of total billed charges · outpatientfrom % of charges | 1 | $160 | $160 | — | — | — | $160 – $160 |
| 19 | Avera St. Luke's Aberdeen, SD percent of total billed charges · outpatientfrom % of charges | 1 | $47 | $47 | — | — | — | $47 – $47 |
| 20 | Avera St. Mary's Hospital Pierre, SD percent of total billed charges · outpatientfrom % of charges | 1 | $141 | $141 | — | — | — | $141 – $141 |
| 21 | Black River Health Inc Black River Falls, WI facility · percent of total billed charges · bothfrom % of charges | 1 | $220 | $220 | — | — | — | $220 – $220 |
| 22 | Black River Health Inc Black River Falls, WI professional · percent of total billed charges · bothfrom % of charges | 1 | $330 | $330 | — | — | — | $330 – $330 |
| 23 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 1 | $137 | $137 | — | — | — | $137 – $137 |
| 24 | Freeman Regional Health Svcs. Freeman, SD fee schedule · both | 1 | $240 | $240 | — | — | — | $240 – $240 |
| 25 | Freeman Regional Health Svcs. Freeman, SD percent of total billed charges · inpatientfrom % of charges | 1 | $237 | $237 | — | — | — | $237 – $237 |
← Payers reporting CPT 99387 · Snapshot 20261111T120946Z-9134e7f7