Low
$5
Average
$34
Median
$28
High
$176
Each hospital's average Medica rate, under the methodology and billing class chosen below.
37 hospitals; the 90th percentile is 4.6× 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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58 hospital rates
iThe hospitals that file a Medica 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 | Aspirus St. Luke’s Hospital Duluth, MN fee schedule · both | 2 | $23 | $23 | $2 | 7% | — | $21 – $25 |
| 2 | Avera Behavioral Health Hospital Sioux Falls, SD percent of total billed charges · outpatientfrom % of charges | 2 | $28 | $28 | $2 | 8% | — | $25 – $30 |
| 3 | Avera Marshall Hospital Marshall, MN percent of total billed charges · inpatientfrom % of charges | 2 | $175 | $175 | $16 | 9% | — | $159 – $191 |
| 4 | Avera Marshall Hospital Marshall, MN percent of total billed charges · outpatientfrom % of charges | 2 | $176 | $176 | $17 | 10% | — | $159 – $194 |
| 5 | Avera McKennan Hospital Sioux Falls, SD percent of total billed charges · outpatientfrom % of charges | 2 | $28 | $28 | $2 | 8% | — | $25 – $30 |
| 6 | Avera Specialty Hospital Sioux Falls, SD percent of total billed charges · outpatientfrom % of charges | 2 | $28 | $28 | $2 | 8% | — | $25 – $30 |
| 7 | Children's Mercy Hospital Kansas City, MO facility · percent of total billed charges · inpatientfrom % of charges | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 8 | Children's Mercy Hospital Kansas City, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 9 | Children's Mercy Hospital Kansas Overland Park, KS facility · percent of total billed charges · inpatientfrom % of charges | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 10 | Children's Mercy Hospital Kansas Overland Park, KS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 11 | Covenant Medical Center Inc Waterloo, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $31 | $31 | $6 | 20% | — | $25 – $38 |
| 12 | Fairview Bethesda Hospital St. Paul, MN fee schedule · both | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 13 | Fairview Bethesda Hospital St. Paul, MN percent of total billed charges · inpatientfrom % of charges | 7 | $12 | $11 | $2 | 21% | — | $7 – $14 |
| 14 | Fairview Bethesda Hospital St. Paul, MN percent of total billed charges · outpatientfrom % of charges | 7 | $13 | $12 | $3 | 23% | — | $7 – $14 |
| 15 | Fairview Health Services Edina, MN fee schedule · both | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 16 | Fairview Health Services Edina, MN percent of total billed charges · outpatientfrom % of charges | 7 | $14 | $12 | $4 | 36% | — | $5 – $16 |
| 17 | Fairview Health Services Minneapolis, MN fee schedule · both | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 18 | Fairview Health Services Minneapolis, MN percent of total billed charges · outpatientfrom % of charges | 7 | $14 | $12 | $4 | 36% | — | $5 – $16 |
| 19 | Fairview Health Services Burnsville, MN fee schedule · both | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 20 | Fairview Health Services Burnsville, MN percent of total billed charges · outpatientfrom % of charges | 7 | $14 | $12 | $4 | 36% | — | $5 – $16 |
| 21 | Fairview Health Services Wyoming, MN fee schedule · both | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 22 | Fairview Health Services Wyoming, MN percent of total billed charges · outpatientfrom % of charges | 7 | $14 | $12 | $4 | 36% | — | $5 – $16 |
| 23 | Fairview Health Services Princeton, MN fee schedule · both | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 24 | Fairview Health Services Princeton, MN percent of total billed charges · outpatientfrom % of charges | 7 | $14 | $12 | $4 | 36% | — | $5 – $16 |
| 25 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both | 2 | $12 | $12 | — | — | — | $12 – $12 |
← Payers reporting HCPCS V5275 · Snapshot 20261111T120946Z-9134e7f7