RC 352
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
CT scan of arm before and after contrast
The 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.
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112 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | Astera Health Wadena, MN percent of total billed charges · inpatientfrom % of charges | 1 | $3,114 | $1,637 – $5,416 |
| 2 | Astera Health Wadena, MN percent of total billed charges · outpatientfrom % of charges | 1 | $3,114 | $1,637 – $5,416 |
| 3 | CARRINGTON HEALTH CENTER Carrington, ND fee schedule · inpatient | 1 | $1,994 | $766.50 – $4,814 |
| 4 | CARRINGTON HEALTH CENTER Carrington, ND fee schedule · outpatient | 1 | $1,994 | $766.50 – $4,814 |
| 5 | Essentia Health Duluth Duluth, MN facility · percent of total billed charges · inpatientfrom % of charges | 2 | $8,814 | $8,588 – $9,040 |
| 6 | Essentia Health Fargo 3000 32nd Ave S Fargo, ND facility · percent of total billed charges · inpatientfrom % of charges | 2 | $8,814 | $8,588 – $9,040 |
| 7 | Essentia Health Fargo 3000 32nd Ave S Fargo, ND facility · percent of total billed charges · outpatientfrom % of charges | 2 | $8,814 | $8,588 – $9,040 |
| 8 | Essentia Health St. Mary's Children's Hospital Duluth, MN facility · percent of total billed charges · inpatientfrom % of charges | 2 | $8,814 | $8,588 – $9,040 |
| 9 | Essentia Health St. Mary's Medical Center Duluth, MN facility · percent of total billed charges · inpatientfrom % of charges | 2 | $8,814 | $8,588 – $9,040 |
| 10 | GARRISON MEMORIAL HOSPITAL Garrison, ND fee schedule · inpatient | 1 | $1,445 | $670.70 – $3,404 |
| 11 | GARRISON MEMORIAL HOSPITAL Garrison, ND fee schedule · outpatient | 1 | $1,445 | $670.70 – $3,404 |
| 12 | LAKEWOOD HEALTH CENTER Baudette, MN fee schedule · inpatient | 1 | $2,624 | $216.60 – $6,803 |
| 13 | LAKEWOOD HEALTH CENTER Baudette, MN fee schedule · outpatient | 1 | $2,624 | $216.60 – $6,803 |
| 14 | LISBON AREA HEALTH SERVICES Lisbon, ND fee schedule · inpatient | 1 | $2,768 | $301.21 – $6,989 |
| 15 | LISBON AREA HEALTH SERVICES Lisbon, ND fee schedule · outpatient | 1 | $2,768 | $301.21 – $6,989 |
| 16 | MERCY HOSPITAL OF DEVILS LAKE Devils Lake, ND fee schedule · inpatient | 1 | $2,190 | $238.32 – $5,530 |
| 17 | MERCY HOSPITAL OF DEVILS LAKE Devils Lake, ND fee schedule · outpatient | 1 | $2,190 | $238.32 – $5,530 |
| 18 | MERCY HOSPITAL OF VALLEY CITY Valley City, ND fee schedule · inpatient | 1 | $1,980 | $199.26 – $3,474 |
| 19 | MERCY HOSPITAL OF VALLEY CITY Valley City, ND fee schedule · outpatient | 1 | $1,980 | $199.26 – $3,474 |
| 20 | MERCY MEDICAL CENTER Williston, ND fee schedule · inpatient | 1 | $1,437 | $441.00 – $3,286 |
| 21 | MERCY MEDICAL CENTER Williston, ND fee schedule · outpatient | 1 | $1,437 | $441.00 – $3,286 |
| 22 | Mahnomen Health Center Mahnomen, MN facility · case rate · outpatient | 1 | $196.29 | $106.34 – $357.13 |
| 23 | Mahnomen Health Center Mahnomen, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3,111 | $712.50 – $6,175 |
| 24 | Marshfield Medical Center - Dickinson Iron Mountain, MI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1,591 | $57.20 – $4,328 |
| 25 | Marshfield Medical Center - Dickinson Iron Mountain, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1,591 | $57.20 – $4,328 |
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