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
BLS
Low
$279
Average
$806
Median
$597
High
$2.0k
Each hospital's average Sanford Health Plan rate, under the methodology and billing class chosen below.
27 hospitals; the 90th percentile is 5.8× 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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47 hospital rates
iThe hospitals that file a Sanford Health Plan 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 | Sanford Worthington Medical Center Worthington, MN percent of total billed charges · outpatientfrom % of charges | 4 | $393 | $400 | $87 | 22% | 2–20 | $294 – $519 |
| 2 | Altru Hospital Grand Forks, ND facility · fee schedule · outpatient | 1 | $495 | $495 | — | — | — | $495 – $495 |
| 3 | Altru Hospital Devils Lake Devils Lake, ND facility · fee schedule · outpatient | 1 | $459 | $432 | $65 | 15% | — | $342 – $495 |
| 4 | Astera Health Wadena, MN percent of total billed charges · inpatientfrom % of charges | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 5 | Astera Health Wadena, MN percent of total billed charges · outpatientfrom % of charges | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 6 | Essentia Health Duluth Duluth, MN facility · case rate · outpatient | 2 | $279 | $279 | — | — | — | $279 – $279 |
| 7 | Essentia Health Fargo 3000 32nd Ave S Fargo, ND facility · case rate · outpatient | 2 | $279 | $279 | — | — | — | $279 – $279 |
| 8 | Essentia Health St. Mary's Children's Hospital Duluth, MN facility · case rate · outpatient | 2 | $279 | $279 | — | — | — | $279 – $279 |
| 9 | Essentia Health St. Mary's Medical Center Duluth, MN facility · case rate · outpatient | 2 | $279 | $279 | — | — | — | $279 – $279 |
| 10 | LAKEWOOD HEALTH CENTER Baudette, MN fee schedule · inpatient | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 11 | LAKEWOOD HEALTH CENTER Baudette, MN fee schedule · outpatient | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 12 | Mahnomen Health Center Mahnomen, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 13 | Marshfield Medical Center - Eau Claire Eau Claire, WI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $473 | $473 | — | — | — | $473 – $473 |
| 14 | Marshfield Medical Center - Eau Claire Eau Claire, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $473 | $473 | — | — | — | $473 – $473 |
| 15 | Marshfield Medical Center - Ladysmith Ladysmith, WI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $558 | $558 | — | — | — | $558 – $558 |
| 16 | Marshfield Medical Center - Ladysmith Ladysmith, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $558 | $558 | — | — | — | $558 – $558 |
| 17 | Marshfield Medical Center - Marshfield Marshfield, WI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $934 | $934 | — | — | — | $934 – $934 |
| 18 | Marshfield Medical Center - Marshfield Marshfield, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $934 | $934 | — | — | — | $934 – $934 |
| 19 | Marshfield Medical Center - Minocqua Minocqua, WI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $597 | $597 | — | — | — | $597 – $597 |
| 20 | Marshfield Medical Center - Minocqua Minocqua, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $597 | $597 | — | — | — | $597 – $597 |
| 21 | Marshfield Medical Center - Neillsville Neillsville, WI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $572 | $572 | — | — | — | $572 – $572 |
| 22 | Marshfield Medical Center - Neillsville Neillsville, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $572 | $572 | — | — | — | $572 – $572 |
| 23 | Marshfield Medical Center - Park Falls Park Falls, WI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $558 | $558 | — | — | — | $558 – $558 |
| 24 | Marshfield Medical Center - Park Falls Park Falls, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $558 | $558 | — | — | — | $558 – $558 |
| 25 | Marshfield Medical Center - Rice Lake Rice Lake, WI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $519 | $519 | — | — | — | $519 – $519 |
← Payers reporting HCPCS A0428 · Snapshot 20261112T124536Z-e251e855