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
HC Rem Mntr Physiol Param 1st Dev Supply Ea 30 D
Low
$26
Average
$96
Median
$73
High
$349
Each hospital's average Medica rate, under the methodology and billing class chosen below.
74 hospitals; the 90th percentile is 4.2× 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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142 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 Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 7 | $175 | $175 | $3 | 2% | 26–62 | $172 – $181 |
| 2 | Mayo Clinic Rochester, MN professional · fee schedule · outpatient | 2 | $56 | $56 | $1 | 2% | 1–10 | $55 – $57 |
| 3 | Mayo Clinic Health System Mankato 56001-4752 facility · other · both | 1 | $45 | $45 | — | — | 1–10 | $45 – $45 |
| 4 | Mayo Clinic Health System Mankato 56001-4752 professional · fee schedule · outpatient | 3 | $56 | $53 | $4 | 8% | 1–10 | $47 – $56 |
| 5 | Mayo Clinic Health System Mankato 56001-4752 professional · percent of total billed charges · outpatientfrom % of charges | 5 | $172 | $174 | $5 | 3% | 1–10 | $168 – $181 |
| 6 | Mayo Clinic Health System Menomonie, WI facility · percent of total billed charges · bothfrom % of charges | 9 | $162 | $160 | $32 | 20% | 1–10 | $59 – $185 |
| 7 | Mayo Clinic Health System Eau Claire 54703-5270 professional · fee schedule · outpatient | 2 | $56 | $56 | $5 | 9% | 1–10 | $51 – $61 |
| 8 | Mayo Clinic Health System Eau Claire 54703-5270 professional · percent of total billed charges · outpatientfrom % of charges | 8 | $167 | $168 | $12 | 7% | 1–10 | $138 – $181 |
| 9 | AHS Hillcrest Medical Center, LLC Tulsa, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $69 | $69 | — | — | — | $69 – $69 |
| 10 | Allen Memorial Hospital Corporation Waterloo, IA percent of total billed charges · outpatientfrom % of charges | 1 | $47 | $47 | $3 | 6% | — | $45 – $50 |
| 11 | Altru Hospital Grand Forks, ND facility · fee schedule · outpatient | 4 | $39 | $47 | $22 | 47% | — | $28 – $81 |
| 12 | Altru Hospital Devils Lake Devils Lake, ND facility · fee schedule · outpatient | 4 | $39 | $47 | $22 | 47% | — | $28 – $81 |
| 13 | Aspirus St. Luke’s Hospital Duluth, MN fee schedule · both | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 14 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE fee schedule · outpatient | 4 | $61 | $80 | $31 | 39% | — | $48 – $118 |
| 15 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE other · outpatient | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 16 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE percent of total billed charges · outpatientfrom % of charges | 2 | $71 | $71 | $5 | 6% | — | $66 – $75 |
| 17 | Banner North Colorado Medical Center Greeley, CO facility · fee schedule · outpatient | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 18 | Banner North Colorado Medical Center Greeley, CO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $102 | $102 | — | — | — | $102 – $102 |
| 19 | Banner North Colorado Medical Center - Loveland Campus Loveland, CO facility · fee schedule · outpatient | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 20 | Banner North Colorado Medical Center - Loveland Campus Loveland, CO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $102 | $102 | — | — | — | $102 – $102 |
| 21 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $62 | $62 | — | — | — | $62 – $62 |
| 22 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · both | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 23 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $62 | $62 | — | — | — | $62 – $62 |
| 24 | Central Iowa Hospital Corporation Des Moines, IA percent of total billed charges · outpatientfrom % of charges | 1 | $35 | $35 | $2 | 6% | — | $33 – $37 |
| 25 | Central Iowa Hospital Corporation West Des Moines, IA percent of total billed charges · outpatientfrom % of charges | 1 | $27 | $27 | $2 | 6% | — | $26 – $29 |
← Payers reporting CPT 99454 · Snapshot 20261111T120946Z-9134e7f7