RC 424
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
HC PT EVAL LOW COMPLEX 20 MIN
Low
$66
Average
$205
Median
$172
High
$3.5k
Each hospital's average Medica rate, under the methodology and billing class chosen below.
212 hospitals; the 90th percentile is 2.9× 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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333 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 St. Joseph's Medical Center Brainerd, MN facility · percent of total billed charges · outpatientfrom % of charges | 5 | $158 | $143 | $37 | 26% | 3,126 | $59 – $197 |
| 2 | Essentia Health Duluth Duluth, MN facility · percent of total billed charges · outpatientfrom % of charges | 4 | $134 | $127 | $29 | 23% | 3,091 | $62 – $169 |
| 3 | Essentia Health St. Mary's Children's Hospital Duluth, MN facility · percent of total billed charges · outpatientfrom % of charges | 4 | $134 | $127 | $29 | 23% | 3,091 | $62 – $169 |
| 4 | Essentia Health St. Mary's Medical Center Duluth, MN facility · percent of total billed charges · outpatientfrom % of charges | 4 | $134 | $127 | $29 | 23% | 3,091 | $62 – $169 |
| 5 | Essentia Health St. Mary's - Detroit Lakes 1027 Washington Ave. Detroit Lakes, MN facility · percent of total billed charges · outpatientfrom % of charges | 5 | $169 | $164 | $31 | 19% | 2,898 | $82 – $217 |
| 6 | Essentia Health Fargo 3000 32nd Ave S Fargo, ND facility · percent of total billed charges · outpatientfrom % of charges | 5 | $131 | $124 | $32 | 26% | 1,740 | $50 – $177 |
| 7 | Essentia Health Virginia 901 9th St N Virginia, MN facility · percent of total billed charges · outpatientfrom % of charges | 5 | $160 | $147 | $41 | 28% | 1,719 | $52 – $198 |
| 8 | Monument Health Rapid City Hospital Inc City, SD percent of total billed charges · outpatientfrom % of charges | 3 | $96 | $139 | $82 | 59% | 746–764 | $59 – $270 |
| 9 | GILLETTE CHILDREN'S SPECIALTY HEALTHCARE PAUL, MN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $444 | $453 | $92 | 20% | 381 | $320 – $583 |
| 10 | Monument Health Network Inc Spearfish, SD percent of total billed charges · outpatientfrom % of charges | 3 | $121 | $151 | $74 | 49% | 202–238 | $70 – $270 |
| 11 | Fairview Health Services Minneapolis, MN other · inpatient | 3 | $130 | $113 | $41 | 36% | 157–265 | $39 – $178 |
| 12 | Spooner Health System, Inc Spooner, WI facility · percent of total billed charges · bothfrom % of charges | 2 | $222 | $239 | $118 | 49% | 114–141 | $85 – $454 |
| 13 | Monument Health Network Inc Deadwood, SD percent of total billed charges · outpatientfrom % of charges | 3 | $109 | $163 | $98 | 60% | 90–108 | $71 – $318 |
| 14 | Fairview Health Services Wyoming, MN other · inpatient | 4 | $104 | $112 | $25 | 22% | 67–310 | $100 – $178 |
| 15 | Monument Health Network Inc Custer, SD percent of total billed charges · outpatientfrom % of charges | 3 | $109 | $159 | $101 | 63% | 62 | $61 – $318 |
| 16 | Fairview Health Services Burnsville, MN other · inpatient | 2 | $104 | $100 | $17 | 17% | 37–163 | $72 – $157 |
| 17 | Fairview Health Services Princeton, MN other · inpatient | 2 | $157 | $134 | $28 | 21% | 36–135 | $100 – $157 |
| 18 | Fairview Health Services Edina, MN other · inpatient | 2 | $104 | $113 | $21 | 18% | 34–88 | $98 – $149 |
| 19 | Northfield Hospital Northfield, MN fee schedule · both | 1 | $304 | $256 | $59 | 23% | 31–58 | $184 – $304 |
| 20 | Grand Itasca Clinic and Hospital Grand Rapids, MN facility · other · inpatient | 2 | $98 | $120 | $30 | 25% | 28–163 | $70 – $151 |
| 21 | Range Regional Health Services Hibbing, MN facility · other · inpatient | 2 | $98 | $120 | $30 | 25% | 28–163 | $70 – $151 |
| 22 | Grand Itasca Clinic and Hospital Grand Rapids, MN facility · percent of total billed charges · outpatientfrom % of charges | 4 | $137 | $167 | $76 | 45% | 20–200 | $78 – $378 |
| 23 | Range Regional Health Services Hibbing, MN facility · percent of total billed charges · outpatientfrom % of charges | 4 | $137 | $167 | $76 | 45% | 20–200 | $78 – $378 |
| 24 | Sanford Bemidji Medical Center Bemidji, MN percent of total billed charges · outpatientfrom % of charges | 2 | $311 | $290 | $77 | 26% | 14–32 | $162 – $383 |
| 25 | Maple Grove Hospital Corporation Grove, MN facility · fee schedule · both | 1 | $101 | $93 | $13 | 14% | 11 | $70 – $101 |
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