RC 483
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
HC Tte F-Up or Lmtd - Tte Limited W/ Contrast
Low
$291
Average
$899
Median
$755
High
$2.8k
Each hospital's average Ucare rate, under the methodology and billing class chosen below.
98 hospitals; the 90th percentile is 3.7× 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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183 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 Minneapolis, MN other · inpatient | 4 | $545 | $579 | $355 | 61% | 1,600–1,906 | $128 – $1.7k |
| 2 | Fairview Health Services Edina, MN other · inpatient | 4 | $563 | $627 | $217 | 35% | 1,215–1,413 | $240 – $1.0k |
| 3 | Fairview Health Services Burnsville, MN other · inpatient | 3 | $550 | $626 | $246 | 39% | 1,042–1,204 | $240 – $1.3k |
| 4 | North Memorial Health Care Robbinsdale, MN facility · other · both | 4 | $730 | $746 | $307 | 41% | 570–687 | $245 – $1.5k |
| 5 | Fairview Health Services Wyoming, MN other · inpatient | 3 | $563 | $688 | $372 | 54% | 532–703 | $240 – $1.8k |
| 6 | Grand Itasca Clinic and Hospital Grand Rapids, MN facility · other · inpatient | 3 | $496 | $494 | $236 | 48% | 347–473 | $219 – $830 |
| 7 | Range Regional Health Services Hibbing, MN facility · other · inpatient | 3 | $496 | $494 | $236 | 48% | 337–481 | $219 – $830 |
| 8 | Fairview Health Services Princeton, MN other · inpatient | 3 | $563 | $594 | $195 | 33% | 261–423 | $240 – $811 |
| 9 | Sanford Bemidji Medical Center Bemidji, MN percent of total billed charges · outpatientfrom % of charges | 1 | $1.4k | $1.5k | $654 | 44% | 112–148 | $143 – $2.4k |
| 10 | Sanford Fargo Medical Center Fargo, ND percent of total billed charges · outpatientfrom % of charges | 1 | $1.4k | $1.6k | $602 | 37% | 82–109 | $259 – $2.3k |
| 11 | HealthEast Woodwinds Hospital Woodbury, MN other · inpatient | 3 | $790 | $684 | $221 | 32% | 80–260 | $242 – $1.0k |
| 12 | HealthEast St John's Hospital Maplewood, MN other · inpatient | 2 | $548 | $502 | $165 | 33% | 37–181 | $242 – $790 |
| 13 | Mayo Clinic Health System Mankato 56001-4752 facility · other · both | 2 | $517 | $528 | $209 | 40% | 30 | $304 – $772 |
| 14 | Regions Hospital St. Paul, MN facility · other · both | 1 | $542 | $441 | $143 | 32% | 17–35 | $239 – $542 |
| 15 | Windom Area Hospital Lakefield, MN facility · other · inpatient | 1 | $741 | $741 | $99 | 13% | 15–33 | $642 – $840 |
| 16 | Windom Area Hospital Lakefield, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $440 | $436 | $350 | 80% | 15–33 | $36 – $926 |
| 17 | Mayo Clinic Health System Mankato 56001-4752 facility · percent of total billed charges · bothfrom % of charges | 2 | $327 | $535 | $527 | 98% | 7–70 | $68 – $1.9k |
| 18 | Mayo Clinic Health System St, NE facility · percent of total billed charges · bothfrom % of charges | 4 | $245 | $406 | $354 | 87% | 5–50 | $68 – $1.6k |
| 19 | Sanford USD Medical Center Sioux Falls, SD percent of total billed charges · outpatientfrom % of charges | 1 | $1.9k | $1.9k | $563 | 30% | 4–40 | $924 – $2.7k |
| 20 | Maple Grove Hospital Corporation Grove, MN facility · other · both | 4 | $730 | $746 | $307 | 41% | 3–30 | $245 – $1.5k |
| 21 | Mayo Clinic Health System Saint James 56081-5550 facility · percent of total billed charges · bothfrom % of charges | 4 | $288 | $479 | $432 | 90% | 3–30 | $68 – $1.9k |
| 22 | Mayo Clinic Health System Fairmont 56031-4575 facility · percent of total billed charges · bothfrom % of charges | 2 | $327 | $535 | $527 | 98% | 3–30 | $68 – $1.9k |
| 23 | Lakeview Hospital Stillwater, MN facility · other · both | 1 | $536 | $437 | $140 | 32% | 2–20 | $238 – $536 |
| 24 | Methodist Hospital St. Louis Park, MN facility · other · both | 1 | $505 | $411 | $132 | 32% | 2–20 | $224 – $505 |
| 25 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 4 | $1.9k | $2.8k | $2.3k | 82% | 1–10 | $433 – $6.4k |
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