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 SUP RC 274 A4565
Low
$2
Average
$49
Median
$21
High
$731
Each hospital's average Medica rate, under the methodology and billing class chosen below.
140 hospitals; the 90th percentile is 18.2× 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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236 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 facility · percent of total billed charges · bothfrom % of charges | 12 | $25 | $25 | $6 | 24% | 47–155 | $13 – $31 |
| 2 | Avera Granite Falls Health Center Granite Falls, MN percent of total billed charges · outpatientfrom % of charges | 2 | $6 | $6 | $1 | 23% | 16–160 | $5 – $10 |
| 3 | Avera Marshall Hospital Marshall, MN percent of total billed charges · outpatientfrom % of charges | 2 | $38 | $41 | $37 | 89% | 2–20 | $5 – $85 |
| 4 | ALEGENT CREIGHTON HEALTH Papillion, NE fee schedule · outpatient | 4 | $22 | $26 | $19 | 72% | — | $11 – $80 |
| 5 | ALEGENT CREIGHTON HEALTH Plainview, NE fee schedule · inpatient | 4 | $26 | $35 | $25 | 71% | — | $11 – $93 |
| 6 | ALEGENT CREIGHTON HEALTH Plainview, NE fee schedule · outpatient | 5 | $26 | $33 | $24 | 73% | — | $7 – $93 |
| 7 | ALEGENT CREIGHTON HEALTH Omaha, NE fee schedule · outpatient | 4 | $22 | $26 | $19 | 72% | — | $11 – $80 |
| 8 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · inpatient | 4 | $26 | $35 | $25 | 71% | — | $11 – $93 |
| 9 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · outpatient | 5 | $26 | $32 | $24 | 77% | — | $5 – $93 |
| 10 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Council Bluffs, IA fee schedule · outpatient | 4 | $22 | $26 | $19 | 72% | — | $11 – $80 |
| 11 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · outpatient | 4 | $22 | $26 | $19 | 72% | — | $11 – $80 |
| 12 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · inpatient | 4 | $26 | $35 | $25 | 71% | — | $11 – $93 |
| 13 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · outpatient | 5 | $26 | $31 | $25 | 79% | — | $4 – $93 |
| 14 | ALEGENT HEALTH IMMANUEL MEDICAL CENTER Omaha, NE fee schedule · outpatient | 4 | $22 | $26 | $19 | 72% | — | $11 – $80 |
| 15 | ALEGENT HEALTH MEMORIAL HOSPITAL, SCHUYLER Schuyler, NE fee schedule · inpatient | 4 | $26 | $35 | $25 | 71% | — | $11 – $93 |
| 16 | ALEGENT HEALTH MEMORIAL HOSPITAL, SCHUYLER Schuyler, NE fee schedule · outpatient | 5 | $26 | $32 | $24 | 75% | — | $6 – $93 |
| 17 | Altru Hospital Grand Forks, ND facility · fee schedule · outpatient | 4 | $5 | $6 | $3 | 47% | — | $4 – $11 |
| 18 | Altru Hospital Devils Lake Devils Lake, ND facility · fee schedule · outpatient | 4 | $5 | $6 | $3 | 47% | — | $4 – $11 |
| 19 | Amery Hospital Amery, WI facility · percent of total billed charges · bothfrom % of charges | 2 | $44 | $44 | $18 | 41% | — | $26 – $62 |
| 20 | Avera Behavioral Health Hospital Sioux Falls, SD percent of total billed charges · outpatientfrom % of charges | 2 | $7 | $7 | $2 | 36% | — | $2 – $10 |
| 21 | Avera DeSmet De Smet, SD percent of total billed charges · inpatientfrom % of charges | 2 | $6 | $6 | $2 | 24% | — | $5 – $10 |
| 22 | Avera DeSmet De Smet, SD percent of total billed charges · outpatientfrom % of charges | 2 | $6 | $6 | $2 | 24% | — | $5 – $10 |
| 23 | Avera Flandreau Hospital Flandreau, SD percent of total billed charges · inpatientfrom % of charges | 2 | $5 | $5 | $0 | 9% | — | $5 – $6 |
| 24 | Avera Flandreau Hospital Flandreau, SD percent of total billed charges · outpatientfrom % of charges | 2 | $5 | $5 | $0 | 9% | — | $5 – $6 |
| 25 | Avera Granite Falls Health Center Granite Falls, MN percent of total billed charges · inpatientfrom % of charges | 2 | $6 | $6 | $1 | 23% | — | $5 – $9 |
← Payers reporting HCPCS A4565 · Snapshot 20261111T120946Z-9134e7f7