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 VISIT TO DETERM LDCT ELIG
Low
$19
Average
$111
Median
$91
High
$388
Each hospital's average Healthpartners rate, under the methodology and billing class chosen below.
45 hospitals; the 90th percentile is 4.0× 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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73 hospital rates
iThe hospitals that file a Healthpartners 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 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 1 | $260 | $260 | — | — | — | $260 – $260 |
| 2 | Amery Hospital Amery, WI facility · fee schedule · both | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 3 | Aspirus St. Luke’s Hospital Duluth, MN fee schedule · both | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 4 | Aspirus St. Luke’s Hospital Duluth, MN fee schedule · outpatient | 1 | $107 | $107 | — | — | — | $107 – $107 |
| 5 | BSA Hospital Amarillo, TX facility · percent of total billed charges · bothfrom % of charges | 1 | $205 | $205 | — | — | — | $205 – $205 |
| 6 | Essentia Health Duluth Duluth, MN facility · fee schedule · outpatient | 1 | $91 | $91 | — | — | — | $91 – $91 |
| 7 | Essentia Health Fargo 3000 32nd Ave S Fargo, ND facility · fee schedule · outpatient | 1 | $93 | $93 | — | — | — | $93 – $93 |
| 8 | Essentia Health St. Joseph's Medical Center Brainerd, MN facility · fee schedule · outpatient | 1 | $99 | $99 | — | — | — | $99 – $99 |
| 9 | Essentia Health St. Mary's - Detroit Lakes 1027 Washington Ave. Detroit Lakes, MN facility · fee schedule · outpatient | 1 | $97 | $97 | — | — | — | $97 – $97 |
| 10 | Essentia Health St. Mary's Children's Hospital Duluth, MN facility · fee schedule · outpatient | 1 | $93 | $93 | — | — | — | $93 – $93 |
| 11 | Essentia Health St. Mary's Medical Center Duluth, MN facility · fee schedule · outpatient | 1 | $93 | $93 | — | — | — | $93 – $93 |
| 12 | Essentia Health Virginia 901 9th St N Virginia, MN facility · fee schedule · outpatient | 1 | $91 | $91 | — | — | — | $91 – $91 |
| 13 | GLENCOE REGIONAL HEALTH SERVICES Glencoe, MN professional · fee schedule · outpatient | 5 | $18 | $19 | $7 | 38% | — | $3 – $31 |
| 14 | Harrington Cancer Center Amarillo, TX facility · percent of total billed charges · bothfrom % of charges | 1 | $205 | $205 | — | — | — | $205 – $205 |
| 15 | Hutchinson Hospital Hutchinson, MN facility · percent of total billed charges · bothfrom % of charges | 1 | $82 | $82 | — | — | — | $82 – $82 |
| 16 | Mayo Clinic Rochester, MN professional · fee schedule · outpatient | 1 | $39 | $39 | $3 | 8% | — | $36 – $42 |
| 17 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 3 | $134 | $135 | $3 | 2% | — | $132 – $140 |
| 18 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 2 | $118 | $118 | $5 | 4% | — | $113 – $123 |
| 19 | Mayo Clinic Health System Mankato 56001-4752 facility · fee schedule · both | 1 | $33 | $33 | — | — | — | $33 – $33 |
| 20 | Mayo Clinic Health System Mankato 56001-4752 facility · percent of total billed charges · bothfrom % of charges | 2 | $29 | $62 | $47 | 76% | — | $29 – $128 |
| 21 | Mayo Clinic Health System Mankato 56001-4752 professional · fee schedule · outpatient | 1 | $42 | $42 | — | — | — | $42 – $42 |
| 22 | Mayo Clinic Health System Mankato 56001-4752 professional · percent of total billed charges · outpatientfrom % of charges | 2 | $130 | $130 | $1 | 1% | — | $128 – $131 |
| 23 | Mayo Clinic Health System Lake City 55041-1143 facility · fee schedule · both | 1 | $33 | $33 | — | — | — | $33 – $33 |
| 24 | Mayo Clinic Health System Lake City 55041-1143 facility · percent of total billed charges · bothfrom % of charges | 2 | $29 | $62 | $47 | 76% | — | $29 – $128 |
| 25 | Mayo Clinic Health System Lake City 55041-1143 professional · fee schedule · outpatient | 1 | $42 | $42 | — | — | — | $42 – $42 |
← Payers reporting HCPCS G0296 · Snapshot 20261111T120946Z-9134e7f7