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
$841
Average
$4.0k
Median
$3.1k
High
$11.2k
Each hospital's average Medica rate, under the methodology and billing class chosen below.
154 hospitals; the 90th percentile is 4.9× 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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259 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 | Essentia Health Fargo 3000 32nd Ave S Fargo, ND facility · percent of total billed charges · outpatientfrom % of charges | 5 | $3.1k | $2.6k | $1.1k | 40% | 128–137 | $508 – $3.9k |
| 2 | Essentia Health Virginia 901 9th St N Virginia, MN facility · percent of total billed charges · outpatientfrom % of charges | 3 | $3.4k | $3.1k | $889 | 29% | 128–137 | $1.6k – $3.9k |
| 3 | Fairview Health Services Minneapolis, MN other · inpatient | 2 | $1.6k | $2.6k | $1.5k | 60% | 97–124 | $1.6k – $4.9k |
| 4 | Essentia Health St. Mary's - Detroit Lakes 1027 Washington Ave. Detroit Lakes, MN facility · percent of total billed charges · outpatientfrom % of charges | 3 | $3.4k | $3.0k | $1.0k | 34% | 89–98 | $1.6k – $3.9k |
| 5 | Essentia Health St. Joseph's Medical Center Brainerd, MN facility · percent of total billed charges · outpatientfrom % of charges | 5 | $3.6k | $3.9k | $2.5k | 63% | 88–115 | $1.4k – $11.4k |
| 6 | Essentia Health Duluth Duluth, MN facility · percent of total billed charges · outpatientfrom % of charges | 3 | $7.7k | $7.5k | $3.9k | 52% | 87–105 | $3.3k – $11.4k |
| 7 | Essentia Health St. Mary's Children's Hospital Duluth, MN facility · percent of total billed charges · outpatientfrom % of charges | 3 | $7.7k | $7.5k | $3.9k | 52% | 87–105 | $3.3k – $11.4k |
| 8 | Essentia Health St. Mary's Medical Center Duluth, MN facility · percent of total billed charges · outpatientfrom % of charges | 3 | $7.7k | $7.5k | $3.9k | 52% | 87–105 | $3.3k – $11.4k |
| 9 | HealthEast St John's Hospital Maplewood, MN other · inpatient | 3 | $1.5k | $2.5k | $2.7k | 108% | 77–140 | $288 – $7.4k |
| 10 | Mercy Hospital Springfield Ozark, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3.3k | $3.3k | $1.0k | 30% | 54–72 | $1.4k – $5.5k |
| 11 | Mercy Hospital Springfield Springfield, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3.3k | $3.3k | $1.0k | 30% | 54–72 | $1.4k – $5.5k |
| 12 | Fairview Health Services Edina, MN other · inpatient | 2 | $1.6k | $1.5k | $59 | 4% | 27–90 | $1.5k – $1.6k |
| 13 | Fairview Health Services Burnsville, MN other · inpatient | 2 | $1.5k | $1.6k | $103 | 7% | 24–114 | $1.5k – $1.7k |
| 14 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · outpatient | 4 | $1.4k | $1.7k | $1.0k | 59% | 11 | $640 – $4.0k |
| 15 | Fairview Health Services Wyoming, MN other · inpatient | 1 | $1.6k | $1.6k | $23 | 1% | 7–70 | $1.6k – $1.6k |
| 16 | Fairview Health Services Princeton, MN other · inpatient | 1 | $1.6k | $1.6k | $23 | 1% | 7–70 | $1.6k – $1.6k |
| 17 | Grand Itasca Clinic and Hospital Grand Rapids, MN facility · other · inpatient | 2 | $1.5k | $3.1k | $1.8k | 59% | 7–70 | $1.4k – $5.2k |
| 18 | Range Regional Health Services Hibbing, MN facility · other · inpatient | 2 | $1.5k | $3.1k | $1.8k | 59% | 7–70 | $1.4k – $5.2k |
| 19 | Brookings Health System Brookings, SD percent of total billed charges · outpatientfrom % of charges | 1 | $5.0k | $4.0k | $1.1k | 27% | 6–60 | $2.7k – $5.0k |
| 20 | Grand Itasca Clinic and Hospital Grand Rapids, MN facility · percent of total billed charges · outpatientfrom % of charges | 4 | $2.2k | $2.7k | $1.1k | 43% | 6–60 | $1.6k – $5.2k |
| 21 | Range Regional Health Services Hibbing, MN facility · percent of total billed charges · outpatientfrom % of charges | 4 | $2.2k | $2.7k | $1.1k | 43% | 6–60 | $1.6k – $5.2k |
| 22 | Mercy Hospital Oklahoma City Inc City, OK facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2.2k | $2.3k | $419 | 19% | 4–40 | $1.6k – $2.8k |
| 23 | Grand Itasca Clinic and Hospital Grand Rapids, MN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $4.4k | $4.5k | $567 | 13% | 3–30 | $3.8k – $5.2k |
| 24 | Range Regional Health Services Hibbing, MN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $4.4k | $4.5k | $567 | 13% | 3–30 | $3.8k – $5.2k |
| 25 | Lakeview Hospital Stillwater, MN facility · percent of total billed charges · bothfrom % of charges | 2 | $3.6k | $4.1k | $1.5k | 37% | 2–20 | $2.1k – $6.2k |
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