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
GRAFIX PRIME,PER SQ CM
Low
$155
Average
$769
Median
$340
High
$4.9k
Each hospital's average Sanford Health Plan rate, under the methodology and billing class chosen below.
40 hospitals; the 90th percentile is 21.5× 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 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 Grand Forks, ND facility · fee schedule · outpatient | 1 | $240 | $240 | — | — | — | $240 – $240 |
| 2 | Altru Hospital Devils Lake Devils Lake, ND facility · fee schedule · outpatient | 1 | $199 | $196 | $38 | 19% | — | $148 – $240 |
| 3 | Astera Health Wadena, MN percent of total billed charges · inpatientfrom % of charges | 1 | $249 | $249 | — | — | — | $249 – $249 |
| 4 | Astera Health Wadena, MN percent of total billed charges · outpatientfrom % of charges | 1 | $249 | $249 | — | — | — | $249 – $249 |
| 5 | Essentia Health Duluth Duluth, MN facility · percent of total billed charges · inpatientfrom % of charges | 2 | $121 | $160 | $60 | 38% | — | $113 – $252 |
| 6 | Essentia Health Duluth Duluth, MN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $246 | $246 | $6 | 3% | — | $239 – $252 |
| 7 | Essentia Health Fargo 3000 32nd Ave S Fargo, ND facility · percent of total billed charges · inpatientfrom % of charges | 2 | $212 | $212 | $34 | 16% | — | $174 – $252 |
| 8 | Essentia Health Fargo 3000 32nd Ave S Fargo, ND facility · percent of total billed charges · outpatientfrom % of charges | 2 | $245 | $245 | $6 | 3% | — | $239 – $252 |
| 9 | Essentia Health St. Joseph's Medical Center Brainerd, MN facility · percent of total billed charges · inpatientfrom % of charges | 2 | $207 | $208 | $29 | 14% | — | $175 – $243 |
| 10 | Essentia Health St. Joseph's Medical Center Brainerd, MN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $179 | $179 | $5 | 3% | — | $175 – $184 |
| 11 | Essentia Health St. Mary's Children's Hospital Duluth, MN facility · percent of total billed charges · inpatientfrom % of charges | 2 | $121 | $160 | $60 | 38% | — | $113 – $252 |
| 12 | Essentia Health St. Mary's Children's Hospital Duluth, MN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $246 | $246 | $6 | 3% | — | $239 – $252 |
| 13 | Essentia Health St. Mary's Medical Center Duluth, MN facility · percent of total billed charges · inpatientfrom % of charges | 2 | $121 | $160 | $60 | 38% | — | $113 – $252 |
| 14 | Essentia Health St. Mary's Medical Center Duluth, MN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $246 | $246 | $6 | 3% | — | $239 – $252 |
| 15 | GARRISON MEMORIAL HOSPITAL Garrison, ND fee schedule · inpatient | 1 | $2.9k | $3.7k | $1.7k | 48% | — | $2.0k – $6.7k |
| 16 | GARRISON MEMORIAL HOSPITAL Garrison, ND fee schedule · outpatient | 1 | $2.9k | $3.7k | $1.7k | 48% | — | $2.0k – $6.7k |
| 17 | Grand Itasca Clinic and Hospital Grand Rapids, MN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $231 | $234 | $65 | 28% | — | $151 – $324 |
| 18 | Grand Itasca Clinic and Hospital Grand Rapids, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $231 | $234 | $65 | 28% | — | $151 – $324 |
| 19 | MERCY MEDICAL CENTER Williston, ND fee schedule · inpatient | 1 | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
| 20 | MERCY MEDICAL CENTER Williston, ND fee schedule · outpatient | 1 | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
| 21 | Marshfield Medical Center - Dickinson Iron Mountain, MI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $579 | $579 | — | — | — | $579 – $579 |
| 22 | Marshfield Medical Center - Dickinson Iron Mountain, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $579 | $579 | — | — | — | $579 – $579 |
| 23 | Marshfield Medical Center - Eau Claire Eau Claire, WI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $301 | $380 | $174 | 46% | — | $212 – $695 |
| 24 | Marshfield Medical Center - Eau Claire Eau Claire, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $301 | $380 | $174 | 46% | — | $212 – $695 |
| 25 | Marshfield Medical Center - Ladysmith Ladysmith, WI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $301 | $380 | $174 | 46% | — | $212 – $695 |
← Payers reporting HCPCS Q4133 · Snapshot 20261112T181611Z-3fa9fb76