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
Sc dis p-selectin whl blood
Devils Lake, ND
See all hospitals reporting CPT 0122U →Price type
Altru Hospital Devils Lake’s median price of $526 is 2% below the median hospital's median price ($537), higher than 38% of the 1,276 hospitals reporting CPT 0122U. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 9 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 | Medica medicaid managed care plan facility · fee schedule · outpatient | $179 | $179 | — | — | — | $179 – $179 |
| 2 | Medica medicaid managed care plan – hmo facility · fee schedule · outpatient | $179 | $179 | — | — | — | $179 – $179 |
| 3 | Medica medicare managed care plan facility · fee schedule · outpatient | $323 | $323 | — | — | — | $323 – $323 |
| 4 | Blue Cross Blue Shield all commercial plans facility · fee schedule · outpatient | $526 | $526 | — | — | — | $526 – $526 |
| 5 | Blue Cross Blue Shield medicaid managed care plan facility · fee schedule · outpatient | $526 | $526 | — | — | — | $526 – $526 |
| 6 | Medica all commercial plans facility · fee schedule · outpatient | $526 | $526 | — | — | — | $526 – $526 |
| 7 | Aetna all commercial plans facility · fee schedule · outpatient | $750 | $750 | $197 | 26% | — | $553 – $947 |
| 8 | UnitedHealthcare all commercial plans facility · fee schedule · outpatient | $778 | $778 | $252 | 32% | — | $526 – $1.0k |
| 9 | Sanford Health Plan all commercial plans facility · fee schedule · outpatient | $825 | $906 | $278 | 31% | — | $615 – $1.3k |
Last updated: Mar 1, 2026
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