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 Mileage Addl Bls
Low
$1
Average
$16
Median
$11
High
$54
Each hospital's average Medica rate, under the methodology and billing class chosen below.
21 hospitals; the 90th percentile is 18.3× 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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28 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 | Alton Memorial Hospital Alton, IL percent of total billed charges · bothfrom % of charges | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 2 | Banner North Colorado Medical Center Greeley, CO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 3 | Banner Wyoming Medical Center Casper, WY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 4 | Brookings Health System Brookings, SD fee schedule · outpatient | 1 | $8 | $8 | — | — | — | $8 – $8 |
| 5 | Brookings Health System Brookings, SD percent of total billed charges · outpatientfrom % of charges | 1 | $6 | $5 | $1 | 27% | — | $3 – $6 |
| 6 | Christian Hospital St. Louis, MO percent of total billed charges · bothfrom % of charges | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 7 | Curators of the University of Missouri Jefferson City, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 8 | Lakes Regional Hospital Spirit Lake, IA percent of total billed charges · inpatientfrom % of charges | 2 | $1 | $1 | $0 | 8% | — | $1 – $1 |
| 9 | Lakes Regional Hospital Spirit Lake, IA percent of total billed charges · outpatientfrom % of charges | 2 | $1 | $1 | $0 | 9% | — | $1 – $1 |
| 10 | Missouri Baptist Sullivan Hospital Sullivan, MO percent of total billed charges · bothfrom % of charges | 2 | $15 | $15 | $8 | 55% | — | $7 – $23 |
| 11 | Monument Health Network Inc Spearfish, SD percent of total billed charges · outpatientfrom % of charges | 3 | $8 | $11 | $5 | 47% | — | $6 – $18 |
| 12 | Monument Health Network Inc Deadwood, SD percent of total billed charges · outpatientfrom % of charges | 3 | $7 | $12 | $7 | 58% | — | $7 – $21 |
| 13 | Monument Health Network Inc Sturgis, SD percent of total billed charges · outpatientfrom % of charges | 3 | $7 | $11 | $7 | 63% | — | $5 – $21 |
| 14 | Monument Health Network Inc Custer, SD percent of total billed charges · outpatientfrom % of charges | 3 | $7 | $11 | $7 | 62% | — | $6 – $21 |
| 15 | Monument Health Rapid City Hospital Inc City, SD percent of total billed charges · outpatientfrom % of charges | 3 | $6 | $10 | $6 | 57% | — | $5 – $18 |
| 16 | Platte County Hospital Wheatland, WY facility · percent of total billed charges · outpatientfrom % of charges | 2 | $2 | $2 | $1 | 25% | — | $2 – $3 |
| 17 | Regions Hospital St. Paul, MN facility · percent of total billed charges · bothfrom % of charges | 2 | $20 | $20 | $5 | 24% | — | $15 – $24 |
| 18 | SAINT FRANCIS MEDICAL CENTER Grand Island, NE fee schedule · inpatient | 1 | $24 | $24 | $20 | 83% | — | $4 – $45 |
| 19 | SAINT FRANCIS MEDICAL CENTER Grand Island, NE fee schedule · outpatient | 1 | $24 | $24 | $20 | 83% | — | $4 – $45 |
| 20 | Sanford Bagley Medical Center Bagley, MN percent of total billed charges · inpatientfrom % of charges | 2 | $1 | $1 | $0 | 4% | — | $1 – $1 |
| 21 | Sanford Bagley Medical Center Bagley, MN percent of total billed charges · outpatientfrom % of charges | 2 | $1 | $1 | $0 | 3% | — | $1 – $1 |
| 22 | Sanford Canby Medical Center Canby, MN percent of total billed charges · inpatientfrom % of charges | 2 | $27 | $27 | $1 | 3% | — | $27 – $28 |
| 23 | Sanford Canby Medical Center Canby, MN percent of total billed charges · outpatientfrom % of charges | 2 | $27 | $27 | $1 | 3% | — | $26 – $28 |
| 24 | Sanford Fargo Medical Center Fargo, ND percent of total billed charges · outpatientfrom % of charges | 2 | $54 | $54 | $2 | 3% | — | $52 – $55 |
| 25 | Sanford Luverne Medical Center Luverne, MN percent of total billed charges · inpatientfrom % of charges | 2 | $26 | $26 | $1 | 3% | — | $25 – $26 |
← Payers reporting HCPCS A0888 · Snapshot 20261111T120946Z-9134e7f7