RC 684
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
Level IV
Low
$356
Average
$2.5k
Median
$2.1k
High
$31.4k
Each hospital's average Medica rate, under the methodology and billing class chosen below.
107 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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159 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 | 2 | $1.4k | $1.8k | $494 | 28% | 13–31 | $1.4k – $2.5k |
| 2 | Essentia Health Virginia 901 9th St N Virginia, MN facility · percent of total billed charges · outpatientfrom % of charges | 5 | $2.0k | $1.8k | $515 | 28% | 13–31 | $709 – $2.5k |
| 3 | Essentia Health St. Joseph's Medical Center Brainerd, MN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $2.0k | $2.0k | $524 | 27% | 12–21 | $1.4k – $2.5k |
| 4 | Essentia Health St. Mary's - Detroit Lakes 1027 Washington Ave. Detroit Lakes, MN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $2.0k | $2.0k | $524 | 27% | 12–21 | $1.4k – $2.5k |
| 5 | WINNESHIEK MEDICAL CENTER Decorah, IA percent of total billed charges · outpatientfrom % of charges | 3 | $1.3k | $1.3k | $22 | 2% | 6–60 | $1.3k – $1.4k |
| 6 | Spooner Health System, Inc Spooner, WI facility · percent of total billed charges · bothfrom % of charges | 2 | $3.0k | $3.0k | $1.0k | 34% | 2–20 | $2.0k – $4.0k |
| 7 | Grand Itasca Clinic and Hospital Grand Rapids, MN facility · other · inpatient | 1 | $3.1k | $3.1k | — | — | 1–10 | $3.1k – $3.1k |
| 8 | Grand Itasca Clinic and Hospital Grand Rapids, MN facility · percent of total billed charges · outpatientfrom % of charges | 4 | $2.1k | $2.7k | $1.1k | 40% | 1–10 | $1.8k – $4.5k |
| 9 | North Memorial Health Care Robbinsdale, MN facility · percent of total billed charges · bothfrom % of charges | 5 | $761 | $630 | $203 | 32% | 1–10 | $366 – $838 |
| 10 | Range Regional Health Services Hibbing, MN facility · other · inpatient | 1 | $3.1k | $3.1k | — | — | 1–10 | $3.1k – $3.1k |
| 11 | Range Regional Health Services Hibbing, MN facility · percent of total billed charges · outpatientfrom % of charges | 4 | $2.1k | $2.7k | $1.1k | 40% | 1–10 | $1.8k – $4.5k |
| 12 | ALEGENT CREIGHTON HEALTH Plainview, NE fee schedule · inpatient | 4 | $2.7k | $2.7k | $72 | 3% | — | $2.6k – $2.8k |
| 13 | ALEGENT CREIGHTON HEALTH Plainview, NE fee schedule · outpatient | 5 | $2.6k | $2.5k | $378 | 15% | — | $1.7k – $2.8k |
| 14 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · inpatient | 4 | $2.7k | $2.7k | $72 | 3% | — | $2.6k – $2.8k |
| 15 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · outpatient | 5 | $2.6k | $2.4k | $582 | 24% | — | $1.2k – $2.8k |
| 16 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · inpatient | 4 | $2.7k | $2.7k | $72 | 3% | — | $2.6k – $2.8k |
| 17 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · outpatient | 5 | $2.6k | $2.3k | $674 | 29% | — | $1.0k – $2.8k |
| 18 | ALEGENT HEALTH MEMORIAL HOSPITAL, SCHUYLER Schuyler, NE fee schedule · inpatient | 4 | $2.7k | $2.7k | $72 | 3% | — | $2.6k – $2.8k |
| 19 | ALEGENT HEALTH MEMORIAL HOSPITAL, SCHUYLER Schuyler, NE fee schedule · outpatient | 5 | $2.6k | $2.4k | $491 | 20% | — | $1.5k – $2.8k |
| 20 | Allen Memorial Hospital Corporation Waterloo, IA percent of total billed charges · outpatientfrom % of charges | 1 | $1.5k | $1.5k | $84 | 6% | — | $1.4k – $1.6k |
| 21 | Allina Health Systems Shakopee, MN facility · percent of total billed charges · outpatientfrom % of charges | 5 | $1.5k | $1.4k | $202 | 15% | — | $979 – $1.5k |
| 22 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 23 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · percent of total billed charges · outpatientfrom % of charges | 8 | $1.3k | $1.1k | $343 | 31% | — | $367 – $1.4k |
| 24 | Allina Health Systems Owatonna, MN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 25 | Allina Health Systems Owatonna, MN facility · percent of total billed charges · outpatientfrom % of charges | 7 | $1.5k | $1.4k | $194 | 14% | — | $979 – $1.6k |
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