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
$61
Average
$174
Median
$151
High
$1.7k
Each hospital's average Ucare rate, under the methodology and billing class chosen below.
77 hospitals; the 90th percentile is 3.1× 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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136 hospital rates
iThe hospitals that file a Ucare 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 Wyoming, MN other · inpatient | 3 | $89 | $91 | $28 | 31% | 560–722 | $52 – $161 |
| 2 | Grand Itasca Clinic and Hospital Grand Rapids, MN facility · other · inpatient | 3 | $98 | $86 | $14 | 16% | 490–589 | $51 – $98 |
| 3 | Fairview Health Services Minneapolis, MN other · inpatient | 3 | $100 | $100 | $40 | 40% | 486–639 | $52 – $184 |
| 4 | Range Regional Health Services Hibbing, MN facility · other · inpatient | 3 | $98 | $86 | $14 | 16% | 486–585 | $51 – $98 |
| 5 | Fairview Health Services Princeton, MN other · inpatient | 3 | $100 | $98 | $25 | 25% | 363–480 | $71 – $138 |
| 6 | Fairview Health Services Burnsville, MN other · inpatient | 3 | $92 | $86 | $13 | 15% | 175–238 | $69 – $100 |
| 7 | Sanford Bemidji Medical Center Bemidji, MN percent of total billed charges · outpatientfrom % of charges | 1 | $252 | $235 | $61 | 26% | 124–142 | $136 – $299 |
| 8 | Sanford Fargo Medical Center Fargo, ND other · outpatient | 1 | $73 | $75 | $7 | 9% | 63–81 | $68 – $85 |
| 9 | Sanford Fargo Medical Center Fargo, ND percent of total billed charges · outpatientfrom % of charges | 1 | $234 | $226 | $40 | 18% | 63–72 | $163 – $271 |
| 10 | Windom Area Hospital Lakefield, MN facility · other · inpatient | 1 | $85 | $85 | — | — | 21 | $85 – $85 |
| 11 | Windom Area Hospital Lakefield, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $92 | $87 | $30 | 34% | 21 | $49 – $128 |
| 12 | Maple Grove Hospital Corporation Grove, MN facility · fee schedule · both | 4 | $101 | $106 | $37 | 35% | 17–44 | $57 – $177 |
| 13 | Sanford Luverne Medical Center Luverne, MN other · outpatient | 1 | $98 | $98 | $4 | 4% | 14–23 | $94 – $102 |
| 14 | Fairview Health Services Edina, MN other · inpatient | 2 | $100 | $100 | $0 | 0% | 12–120 | $100 – $100 |
| 15 | Sanford Bemidji Medical Center Bemidji, MN other · outpatient | 1 | $75 | $80 | $12 | 15% | 4–40 | $69 – $100 |
| 16 | Sanford Westbrook Hospital Westbrook, MN percent of total billed charges · outpatientfrom % of charges | 2 | $235 | $244 | $85 | 35% | 3–30 | $140 – $387 |
| 17 | Sanford Worthington Medical Center Worthington, MN percent of total billed charges · outpatientfrom % of charges | 1 | $217 | $201 | $40 | 20% | 3–30 | $132 – $236 |
| 18 | Spooner Health System, Inc Spooner, WI facility · percent of total billed charges · bothfrom % of charges | 1 | $203 | $185 | $41 | 22% | 3–30 | $129 – $224 |
| 19 | North Memorial Health Care Robbinsdale, MN facility · fee schedule · both | 4 | $101 | $106 | $37 | 35% | 2–20 | $57 – $177 |
| 20 | Sanford Bagley Medical Center Bagley, MN percent of total billed charges · outpatientfrom % of charges | 2 | $197 | $228 | $90 | 39% | 2–20 | $95 – $374 |
| 21 | Sanford Canby Medical Center Canby, MN other · outpatient | 1 | $126 | $126 | $24 | 19% | 2–20 | $102 – $151 |
| 22 | Sanford Tracy Hospital Tracy, MN percent of total billed charges · outpatientfrom % of charges | 2 | $226 | $236 | $92 | 39% | 2–20 | $127 – $387 |
| 23 | Sanford USD Medical Center Sioux Falls, SD percent of total billed charges · outpatientfrom % of charges | 1 | $250 | $259 | $41 | 16% | 2–20 | $212 – $323 |
| 24 | Sanford Canby Medical Center Canby, MN percent of total billed charges · outpatientfrom % of charges | 2 | $197 | $222 | $79 | 35% | 1–10 | $109 – $355 |
| 25 | Sanford Jackson Hospital Jackson, MN other · outpatient | 1 | $100 | $100 | — | — | 1–10 | $100 – $100 |
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