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
PATIENT EVAL COMPLEX
Low
$91
Average
$189
Median
$178
High
$394
Each hospital's average Sanford Health Plan rate, under the methodology and billing class chosen below.
55 hospitals; the 90th percentile is 3.0× 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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123 hospital rates
iThe 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.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Sanford Aberdeen Medical Center Aberdeen, SD percent of total billed charges · outpatientfrom % of charges | 4 | $151 | $162 | $43 | 27% | 90–108 | $110 – $262 |
| 2 | Sanford Bemidji Medical Center Bemidji, MN percent of total billed charges · outpatientfrom % of charges | 4 | $187 | $177 | $50 | 28% | 67–76 | $88 – $260 |
| 3 | ST. ALEXIUS MEDICAL CENTER Bismarck, ND fee schedule · outpatient | 2 | $217 | $201 | $29 | 14% | 59–68 | $151 – $217 |
| 4 | Sanford Vermillion Hospital Vermillion, SD percent of total billed charges · outpatientfrom % of charges | 5 | $129 | $130 | $32 | 24% | 41–50 | $70 – $194 |
| 5 | Sanford Worthington Medical Center Worthington, MN percent of total billed charges · outpatientfrom % of charges | 4 | $113 | $108 | $24 | 22% | 36–54 | $66 – $138 |
| 6 | Sanford Luverne Medical Center Luverne, MN percent of total billed charges · outpatientfrom % of charges | 5 | $149 | $141 | $32 | 23% | 35–44 | $72 – $181 |
| 7 | Sanford Hillsboro Medical Center Hillsboro, ND percent of total billed charges · outpatientfrom % of charges | 3 | $235 | $238 | $80 | 34% | 27–36 | $104 – $362 |
| 8 | Sanford Mayville Medical Center Mayville, ND percent of total billed charges · outpatientfrom % of charges | 3 | $235 | $242 | $76 | 31% | 26 | $112 – $362 |
| 9 | Sanford Canton Inwood Medical Center Canton, SD percent of total billed charges · outpatientfrom % of charges | 5 | $184 | $182 | $56 | 31% | 24–33 | $78 – $294 |
| 10 | Sanford Thief River Falls Medical Center Thief River Falls, MN percent of total billed charges · outpatientfrom % of charges | 5 | $180 | $172 | $41 | 24% | 20–29 | $88 – $231 |
| 11 | Sanford Chamberlain Medical Center Chamberlain, SD percent of total billed charges · outpatientfrom % of charges | 5 | $203 | $196 | $62 | 32% | 16–25 | $78 – $315 |
| 12 | Sanford Wheaton Wheaton, MN percent of total billed charges · outpatientfrom % of charges | 4 | $225 | $207 | $48 | 23% | 16–25 | $122 – $265 |
| 13 | Sanford Webster Hospital Webster, SD percent of total billed charges · outpatientfrom % of charges | 5 | $202 | $198 | $67 | 34% | 15–24 | $75 – $331 |
| 14 | Sanford Canby Medical Center Canby, MN percent of total billed charges · outpatientfrom % of charges | 5 | $265 | $252 | $77 | 30% | 14–23 | $101 – $375 |
| 15 | Fairview Health Services Minneapolis, MN percent of total billed charges · inpatientfrom % of charges | 1 | $188 | $182 | $28 | 15% | 10–100 | $133 – $234 |
| 16 | Fairview Health Services Minneapolis, MN percent of total billed charges · outpatientfrom % of charges | 1 | $188 | $182 | $28 | 15% | 10–100 | $133 – $234 |
| 17 | Grand Itasca Clinic and Hospital Grand Rapids, MN facility · other · inpatient | 1 | $178 | $178 | — | — | 7–70 | $178 – $178 |
| 18 | Range Regional Health Services Hibbing, MN facility · other · inpatient | 1 | $178 | $178 | — | — | 7–70 | $178 – $178 |
| 19 | Fairview Health Services Princeton, MN other · inpatient | 1 | $74 | $74 | — | — | 6–60 | $74 – $74 |
| 20 | Grand Itasca Clinic and Hospital Grand Rapids, MN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $190 | $201 | $38 | 19% | 2–20 | $133 – $267 |
| 21 | Grand Itasca Clinic and Hospital Grand Rapids, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $190 | $201 | $38 | 19% | 2–20 | $133 – $267 |
| 22 | Mahnomen Health Center Mahnomen, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $439 | $432 | $60 | 14% | 2–20 | $345 – $507 |
| 23 | Range Regional Health Services Hibbing, MN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $190 | $201 | $38 | 19% | 2–20 | $133 – $267 |
| 24 | Range Regional Health Services Hibbing, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $190 | $201 | $38 | 19% | 2–20 | $133 – $267 |
| 25 | Sanford Bagley Medical Center Bagley, MN percent of total billed charges · outpatientfrom % of charges | 5 | $283 | $260 | $90 | 35% | 2–20 | $88 – $396 |
← Payers reporting RC 424 · Snapshot 20261112T181611Z-3fa9fb76