RC 404
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
POSITRON EMISSION TOMOGRAPHY
Low
$1.5k
Average
$4.2k
Median
$3.4k
High
$10.1k
Each hospital's average Bcbs Mn rate, under the methodology and billing class chosen below.
26 hospitals; the 90th percentile is 2.6× 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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45 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 Minneapolis, MN other · inpatient | 3 | $4.2k | $4.3k | $2.0k | 48% | 625–661 | $1.5k – $8.6k |
| 2 | HealthEast St John's Hospital Maplewood, MN other · inpatient | 3 | $4.3k | $4.1k | $2.5k | 60% | 377–449 | $1.5k – $9.5k |
| 3 | Fairview Health Services Burnsville, MN other · inpatient | 4 | $4.2k | $3.6k | $1.4k | 38% | 94–184 | $1.5k – $5.1k |
| 4 | Fairview Health Services Wyoming, MN other · inpatient | 2 | $1.7k | $2.3k | $1.1k | 48% | 91 | $1.6k – $4.1k |
| 5 | Fairview Health Services Edina, MN other · inpatient | 3 | $4.2k | $3.2k | $1.4k | 43% | 75–102 | $1.5k – $4.3k |
| 6 | Fairview Health Services Princeton, MN other · inpatient | 3 | $4.0k | $3.7k | $923 | 25% | 38–191 | $1.5k – $4.3k |
| 7 | Grand Itasca Clinic and Hospital Grand Rapids, MN facility · other · inpatient | 3 | $3.0k | $3.0k | $1.5k | 48% | 17–62 | $1.6k – $4.5k |
| 8 | Range Regional Health Services Hibbing, MN facility · other · inpatient | 3 | $3.0k | $3.0k | $1.5k | 48% | 17–62 | $1.6k – $4.5k |
| 9 | Sanford Luverne Medical Center Luverne, MN percent of total billed charges · outpatientfrom % of charges | 4 | $4.8k | $4.9k | $2.4k | 49% | 1–10 | $1.8k – $8.1k |
| 10 | Allina Health Systems Shakopee, MN facility · other · outpatient | 2 | $5.6k | $5.6k | $656 | 12% | — | $5.0k – $6.3k |
| 11 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · other · outpatient | 5 | $3.7k | $3.4k | $1.2k | 36% | — | $1.1k – $4.9k |
| 12 | Allina Health Systems Owatonna, MN facility · other · outpatient | 2 | $5.6k | $5.6k | $656 | 12% | — | $5.0k – $6.3k |
| 13 | Allina Health Systems Ulm, MN facility · other · outpatient | 4 | $7.8k | $7.2k | $3.3k | 45% | — | $2.2k – $11.1k |
| 14 | Allina Health Systems MN 55443; 550 Osborne Road NE. Fridley, MN facility · other · outpatient | 5 | $3.5k | $3.1k | $1.1k | 34% | — | $1.1k – $4.6k |
| 15 | Allina Health Systems MN 55443; 550 Osborne Road NE. Fridley, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $5.9k | $6.3k | $2.4k | 39% | — | $3.5k – $10.0k |
| 16 | Allina Health Systems Cambridge, MN facility · other · outpatient | 2 | $5.6k | $5.6k | $656 | 12% | — | $5.0k – $6.3k |
| 17 | Allina Health Systems Faribualt, MN facility · other · outpatient | 2 | $5.6k | $5.6k | $656 | 12% | — | $5.0k – $6.3k |
| 18 | Allina Health Systems River Falls, WI facility · fee schedule · outpatient | 3 | $6.7k | $5.9k | $2.7k | 46% | — | $2.2k – $8.6k |
| 19 | Allina Health Systems Minneapolis, MN facility · other · outpatient | 5 | $3.5k | $3.1k | $1.1k | 34% | — | $1.1k – $4.6k |
| 20 | Allina Health Systems Minneapolis, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $5.9k | $6.3k | $2.4k | 39% | — | $3.5k – $10.0k |
| 21 | Allina Health Systems Buffalo, MN facility · other · outpatient | 2 | $5.6k | $5.6k | $656 | 12% | — | $5.0k – $6.3k |
| 22 | Fairview Bethesda Hospital St. Paul, MN fee schedule · outpatient | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 23 | Fairview Bethesda Hospital St. Paul, MN percent of total billed charges · inpatientfrom % of charges | 3 | $2.6k | $2.4k | $803 | 33% | — | $1.2k – $3.6k |
| 24 | Fairview Bethesda Hospital St. Paul, MN percent of total billed charges · outpatientfrom % of charges | 3 | $2.6k | $2.5k | $827 | 33% | — | $1.2k – $3.7k |
| 25 | Fairview Health Services Edina, MN fee schedule · outpatient | 4 | $3.0k | $3.0k | $1.3k | 45% | — | $1.5k – $4.3k |
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