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
PR Exam Init Preventive Phys New Visit During 1st 12 Mo of Mcare Enrollment
Low
$49
Average
$201
Median
$142
High
$517
Each hospital's average Sanford Health Plan rate, under the methodology and billing class chosen below.
84 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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146 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 | Altru Hospital Devils Lake Devils Lake, ND facility · fee schedule · outpatient | 1 | $186 | $186 | $27 | 15% | — | $159 – $213 |
| 2 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · both | 2 | $145 | $145 | $38 | 26% | — | $107 – $183 |
| 3 | Central Community Hospital Elkader, IA professional · fee schedule · inpatient | 2 | $145 | $145 | $38 | 26% | — | $107 – $183 |
| 4 | Central Community Hospital Elkader, IA professional · fee schedule · outpatient | 2 | $187 | $187 | $50 | 27% | — | $137 – $238 |
| 5 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · both | 2 | $145 | $145 | $38 | 26% | — | $107 – $183 |
| 6 | Essentia Health Ada 201 9th St W Ada, MN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $139 | $139 | $4 | 3% | — | $135 – $142 |
| 7 | Essentia Health Duluth Duluth, MN facility · fee schedule · outpatient | 2 | $228 | $228 | — | — | — | $228 – $228 |
| 8 | Essentia Health Fargo 3000 32nd Ave S Fargo, ND facility · fee schedule · outpatient | 2 | $228 | $228 | — | — | — | $228 – $228 |
| 9 | Essentia Health Fosston 900 Hilligoss Blvd SE Fosston, MN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $139 | $139 | $4 | 3% | — | $135 – $142 |
| 10 | Essentia Health St. Mary's Children's Hospital Duluth, MN facility · fee schedule · outpatient | 2 | $228 | $228 | — | — | — | $228 – $228 |
| 11 | Essentia Health St. Mary's Medical Center Duluth, MN facility · fee schedule · outpatient | 2 | $228 | $228 | — | — | — | $228 – $228 |
| 12 | Fairview Bethesda Hospital St. Paul, MN fee schedule · both | 1 | $121 | $121 | — | — | — | $121 – $121 |
| 13 | Fairview Bethesda Hospital St. Paul, MN fee schedule · outpatient | 1 | $128 | $128 | — | — | — | $128 – $128 |
| 14 | Fairview Bethesda Hospital St. Paul, MN percent of total billed charges · inpatientfrom % of charges | 1 | $5 | $7 | $8 | 116% | — | $3 – $41 |
| 15 | Fairview Bethesda Hospital St. Paul, MN percent of total billed charges · outpatientfrom % of charges | 1 | $5 | $7 | $8 | 116% | — | $3 – $41 |
| 16 | Fairview Health Services Edina, MN fee schedule · both | 1 | $121 | $121 | — | — | — | $121 – $121 |
| 17 | Fairview Health Services Edina, MN fee schedule · outpatient | 1 | $128 | $128 | — | — | — | $128 – $128 |
| 18 | Fairview Health Services Minneapolis, MN fee schedule · both | 1 | $121 | $121 | — | — | — | $121 – $121 |
| 19 | Fairview Health Services Minneapolis, MN fee schedule · outpatient | 1 | $128 | $128 | — | — | — | $128 – $128 |
| 20 | Fairview Health Services Burnsville, MN fee schedule · both | 1 | $121 | $121 | — | — | — | $121 – $121 |
| 21 | Fairview Health Services Burnsville, MN fee schedule · outpatient | 1 | $125 | $125 | — | — | — | $125 – $125 |
| 22 | Fairview Health Services Wyoming, MN fee schedule · both | 1 | $121 | $121 | — | — | — | $121 – $121 |
| 23 | Fairview Health Services Wyoming, MN fee schedule · outpatient | 1 | $128 | $128 | — | — | — | $128 – $128 |
| 24 | Fairview Health Services Princeton, MN fee schedule · both | 1 | $121 | $121 | — | — | — | $121 – $121 |
| 25 | Fairview Health Services Princeton, MN fee schedule · outpatient | 1 | $128 | $128 | — | — | — | $128 – $128 |
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