Low
$118
Average
$126
Median
$126
High
$134
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2 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 Medical Center Bismarck Bismarck, ND fee schedule · outpatient | 4 | $118 | $118 | — | — | — | $118 – $118 |
| 2 | Sanford USD Medical Center Sioux Falls, SD fee schedule · outpatient | 4 | $134 | $134 | $11 | 8% | — | $118 – $148 |
← Payers reporting HCPCS E0765 · Snapshot 20261112T181611Z-3fa9fb76