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
DRUG SCRN DEF 9+CL NONCHR
Low
$75
Average
$274
Median
$280
High
$518
Each hospital's average Sanford Health Plan rate, under the methodology and billing class chosen below.
50 hospitals; the 90th percentile is 2.4× 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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77 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 | $245 | $270 | $83 | 31% | — | $183 – $381 |
| 2 | Essentia Health Duluth Duluth, MN facility · fee schedule · outpatient | 2 | $518 | $518 | $13 | 3% | — | $504 – $531 |
| 3 | Essentia Health Fargo 3000 32nd Ave S Fargo, ND facility · fee schedule · outpatient | 2 | $518 | $518 | $13 | 3% | — | $504 – $531 |
| 4 | Essentia Health St. Mary's Children's Hospital Duluth, MN facility · fee schedule · outpatient | 2 | $518 | $518 | $13 | 3% | — | $504 – $531 |
| 5 | Essentia Health St. Mary's Medical Center Duluth, MN facility · fee schedule · outpatient | 2 | $518 | $518 | $13 | 3% | — | $504 – $531 |
| 6 | Fairview Bethesda Hospital St. Paul, MN fee schedule · outpatient | 1 | $154 | $154 | — | — | — | $154 – $154 |
| 7 | Fairview Health Services Edina, MN fee schedule · outpatient | 1 | $154 | $154 | — | — | — | $154 – $154 |
| 8 | Fairview Health Services Minneapolis, MN fee schedule · outpatient | 1 | $154 | $154 | — | — | — | $154 – $154 |
| 9 | Fairview Health Services Minneapolis, MN percent of total billed charges · bothfrom % of charges | 1 | $116 | $115 | $1 | 1% | — | $113 – $116 |
| 10 | Fairview Health Services Burnsville, MN fee schedule · outpatient | 1 | $154 | $154 | — | — | — | $154 – $154 |
| 11 | Fairview Health Services Wyoming, MN fee schedule · outpatient | 1 | $154 | $154 | — | — | — | $154 – $154 |
| 12 | Fairview Health Services Princeton, MN fee schedule · outpatient | 1 | $154 | $154 | — | — | — | $154 – $154 |
| 13 | Grand Itasca Clinic and Hospital Grand Rapids, MN facility · fee schedule · outpatient | 1 | $154 | $154 | — | — | — | $154 – $154 |
| 14 | HealthEast St John's Hospital Maplewood, MN fee schedule · outpatient | 1 | $154 | $154 | — | — | — | $154 – $154 |
| 15 | HealthEast Woodwinds Hospital Woodbury, MN fee schedule · outpatient | 1 | $154 | $154 | — | — | — | $154 – $154 |
| 16 | Mahnomen Health Center Mahnomen, MN facility · case rate · outpatient | 1 | $157 | $157 | — | — | — | $157 – $157 |
| 17 | Marshfield Medical Center - Eau Claire Eau Claire, WI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $304 | $304 | $66 | 22% | — | $238 – $370 |
| 18 | Marshfield Medical Center - Eau Claire Eau Claire, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $304 | $304 | $66 | 22% | — | $238 – $370 |
| 19 | Marshfield Medical Center - Ladysmith Ladysmith, WI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $304 | $304 | $66 | 22% | — | $238 – $370 |
| 20 | Marshfield Medical Center - Ladysmith Ladysmith, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $304 | $304 | $66 | 22% | — | $238 – $370 |
| 21 | Marshfield Medical Center - Marshfield Marshfield, WI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $233 | $233 | $4 | 2% | — | $229 – $238 |
| 22 | Marshfield Medical Center - Marshfield Marshfield, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $233 | $233 | $4 | 2% | — | $229 – $238 |
| 23 | Marshfield Medical Center - Minocqua Minocqua, WI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $304 | $304 | $66 | 22% | — | $238 – $370 |
| 24 | Marshfield Medical Center - Minocqua Minocqua, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $304 | $304 | $66 | 22% | — | $238 – $370 |
| 25 | Marshfield Medical Center - Neillsville Neillsville, WI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $304 | $304 | $66 | 22% | — | $238 – $370 |
← Payers reporting HCPCS G0481 · Snapshot 20261112T124536Z-e251e855