RC 343
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.
Generation details were not recorded for this description.
Original text from hospital filings
KIT FOR PREPARATION OF GA-68-GOZETOTIDE 25 MCG INTRAVENOUS SOLUTION
Low
$65
Average
$980
Median
$836
High
$2.5k
Each hospital's average Bcbs Mn rate, under the methodology and billing class chosen below.
38 hospitals; the 90th percentile is 14.8× 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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85 hospital rates
iThe hospitals that file a Bcbs Mn 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 | Fairview Health Services Edina, MN other · inpatient | 4 | $162 | $255 | $330 | 129% | 1,656–2,151 | $2 – $1.5k |
| 2 | Fairview Health Services Burnsville, MN other · inpatient | 4 | $171 | $215 | $220 | 102% | 1,468–1,990 | $13 – $899 |
| 3 | HealthEast St John's Hospital Maplewood, MN other · inpatient | 4 | $167 | $285 | $358 | 125% | 1,396–1,756 | $2 – $1.5k |
| 4 | Fairview Health Services Minneapolis, MN other · inpatient | 4 | $181 | $403 | $801 | 199% | 1,196–1,790 | $1 – $4.3k |
| 5 | Fairview Health Services Wyoming, MN other · inpatient | 4 | $162 | $194 | $149 | 77% | 992–1,208 | $13 – $720 |
| 6 | HealthEast Woodwinds Hospital Woodbury, MN other · inpatient | 4 | $167 | $231 | $242 | 105% | 918–1,116 | $14 – $899 |
| 7 | Fairview Health Services Princeton, MN other · inpatient | 4 | $158 | $144 | $77 | 53% | 613–730 | $12 – $252 |
| 8 | Grand Itasca Clinic and Hospital Grand Rapids, MN facility · other · inpatient | 3 | $162 | $235 | $253 | 108% | 308–515 | $9 – $1.4k |
| 9 | Range Regional Health Services Hibbing, MN facility · other · inpatient | 3 | $162 | $235 | $253 | 108% | 307–514 | $9 – $1.4k |
| 10 | Fairview Health Services Wyoming, MN other · outpatient | 1 | $159 | $150 | $36 | 24% | 124–259 | $14 – $166 |
| 11 | HealthEast St John's Hospital Maplewood, MN other · outpatient | 1 | $155 | $230 | $217 | 94% | 114–231 | $14 – $755 |
| 12 | Sanford Thief River Falls Medical Center Thief River Falls, MN percent of total billed charges · outpatientfrom % of charges | 3 | $181 | $258 | $215 | 83% | 110–182 | $46 – $1.0k |
| 13 | Fairview Health Services Minneapolis, MN other · outpatient | 1 | $161 | $190 | $203 | 107% | 101–254 | $2 – $739 |
| 14 | Fairview Health Services Edina, MN other · outpatient | 1 | $158 | $211 | $230 | 109% | 99–216 | $2 – $755 |
| 15 | Fairview Health Services Burnsville, MN other · outpatient | 1 | $86 | $190 | $227 | 119% | 98–224 | $13 – $755 |
| 16 | HealthEast Woodwinds Hospital Woodbury, MN other · outpatient | 1 | $167 | $295 | $270 | 92% | 93–156 | $14 – $755 |
| 17 | Grand Itasca Clinic and Hospital Grand Rapids, MN facility · other · outpatient | 1 | $162 | $181 | $96 | 53% | 46–109 | $9 – $288 |
| 18 | Range Regional Health Services Hibbing, MN facility · other · outpatient | 1 | $162 | $181 | $96 | 53% | 45–108 | $9 – $288 |
| 19 | Fairview Health Services Princeton, MN other · outpatient | 1 | $13 | $13 | — | — | 41 | $13 – $13 |
| 20 | Allina Health Systems Shakopee, MN facility · other · outpatient | 2 | $754 | $2.4k | $4.5k | 187% | 22–112 | $2 – $29.1k |
| 21 | Allina Health Systems Owatonna, MN facility · other · outpatient | 2 | $754 | $2.4k | $4.5k | 187% | 22–112 | $2 – $29.1k |
| 22 | Allina Health Systems Cambridge, MN facility · other · outpatient | 2 | $754 | $2.4k | $4.5k | 187% | 22–112 | $2 – $29.1k |
| 23 | Allina Health Systems Faribualt, MN facility · other · outpatient | 2 | $754 | $2.4k | $4.5k | 187% | 22–112 | $2 – $29.1k |
| 24 | Allina Health Systems Buffalo, MN facility · other · outpatient | 2 | $754 | $2.4k | $4.5k | 187% | 22–112 | $2 – $29.1k |
| 25 | Allina Health Systems Ulm, MN facility · other · outpatient | 4 | $567 | $2.5k | $5.4k | 212% | 8–80 | $1 – $41.4k |
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