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
Prosth Retina Receive&Gen
Devils Lake, ND
See all hospitals reporting CPT 0100T →Price type
Altru Hospital Devils Lake’s median price of $4.2k is 62% below the median hospital's median price ($11.3k), higher than 21% of the 986 hospitals reporting CPT 0100T. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 3 payers, 7 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield medicaid managed care plan facility · fee schedule · outpatient | $874 | $874 | — | — | — | $874 – $874 |
| 2 | Medica medicaid managed care plan facility · fee schedule · outpatient | $3.2k | $3.2k | $2.6k | 81% | — | $598 – $5.9k |
| 3 | Medica medicaid managed care plan – hmo facility · fee schedule · outpatient | $3.2k | $3.2k | $2.6k | 81% | — | $598 – $5.9k |
| 4 | Medica medicare managed care plan facility · fee schedule · outpatient | $4.2k | $4.2k | $3.1k | 74% | — | $1.1k – $7.3k |
| 5 | Blue Cross Blue Shield all commercial plans facility · fee schedule · outpatient | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
| 6 | Aetna all commercial plans facility · fee schedule · outpatient | $10k | $10k | — | — | — | $10k – $10k |
| 7 | Medica all commercial plans facility · fee schedule · outpatient | $31.5k | $31.5k | $29.7k | 94% | — | $1.8k – $61.2k |
Last updated: Mar 1, 2026
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