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 COMPLETED EPSDT
Low
$0
Average
$146
Median
$22
High
$1.1k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
40 hospitals; the 90th percentile is 285.7× 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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54 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | Mayo Clinic Health System Owatonna 55060-5503 professional · fee schedule · outpatient | 1 | $21 | $21 | — | — | 1,572 | $21 – $21 |
| 2 | Mayo Clinic Health System Mankato 56001-4752 professional · fee schedule · outpatient | 1 | $21 | $21 | — | — | 546 | $21 – $21 |
| 3 | Massachusetts General Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 2 | $15 | $15 | $1 | 7% | 293 | $14 – $16 |
| 4 | Brigham and Women's Hospital Boston, MA percent of total billed charges · outpatientfrom % of charges | 2 | $15 | $15 | $1 | 7% | 222 | $14 – $16 |
| 5 | Mayo Clinic Health System Lake City 55041-1143 facility · percent of total billed charges · bothfrom % of charges | 11 | $116 | $104 | $28 | 27% | 69 | $27 – $127 |
| 6 | Mayo Clinic Health System Saint James 56081-5550 facility · percent of total billed charges · bothfrom % of charges | 8 | $116 | $102 | $31 | 30% | 59 | $27 – $126 |
| 7 | Mayo Clinic Health System Waseca 56093-2811 facility · percent of total billed charges · bothfrom % of charges | 7 | $116 | $106 | $30 | 29% | 27 | $27 – $126 |
| 8 | Mayo Clinic Health System Cannon Falls 55009-5003 facility · percent of total billed charges · bothfrom % of charges | 8 | $116 | $101 | $33 | 32% | 18 | $27 – $126 |
| 9 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 2 | $22 | $22 | — | — | — | $22 – $22 |
| 10 | Altru Hospital Grand Forks, ND facility · fee schedule · outpatient | 2 | $22 | $22 | — | — | — | $22 – $22 |
| 11 | Altru Hospital Devils Lake Devils Lake, ND facility · fee schedule · outpatient | 2 | $22 | $22 | — | — | — | $22 – $22 |
| 12 | Edward Hospital Plainfield, IL fee schedule · outpatient | 1 | $660 | $660 | — | — | — | $660 – $660 |
| 13 | Elmhurst Memorial Hospital Elmhurst, IL fee schedule · outpatient | 1 | $660 | $660 | — | — | — | $660 – $660 |
| 14 | Endeavor Health Clinical Operations Skokie, IL fee schedule · outpatient | 3 | $1.0k | $1.1k | $70 | 7% | — | $966 – $1.1k |
| 15 | Essentia Health Duluth Duluth, MN facility · fee schedule · outpatient | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 16 | Essentia Health Fargo 3000 32nd Ave S Fargo, ND facility · fee schedule · outpatient | 2 | $21 | $21 | — | — | — | $21 – $21 |
| 17 | Essentia Health St. Joseph's Medical Center Brainerd, MN facility · fee schedule · outpatient | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 18 | Essentia Health St. Mary's - Detroit Lakes 1027 Washington Ave. Detroit Lakes, MN facility · fee schedule · outpatient | 2 | $21 | $21 | — | — | — | $21 – $21 |
| 19 | Essentia Health St. Mary's Children's Hospital Duluth, MN facility · fee schedule · outpatient | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 20 | Essentia Health St. Mary's Medical Center Duluth, MN facility · fee schedule · outpatient | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 21 | Essentia Health Virginia 901 9th St N Virginia, MN facility · fee schedule · outpatient | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 22 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both | 2 | $21 | $21 | $0 | 1% | — | $21 – $22 |
| 23 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · outpatient | 3 | $21 | $21 | $0 | 1% | — | $21 – $21 |
| 24 | GILLETTE CHILDREN'S SPECIALTY HEALTHCARE PAUL, MN professional · fee schedule · outpatient | 2 | $21 | $21 | $1 | 3% | — | $20 – $21 |
| 25 | HENRY HEYWOOD MEMORIAL HOSPITAL Gardner, MA fee schedule · outpatient | 3 | $25 | $25 | — | — | — | $25 – $25 |
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