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
Lw gnotyp icam4 exon 1
Devils Lake, ND
See all hospitals reporting CPT 0197U →Price type
Altru Hospital Devils Lake’s median price of $185 is 3% below the median hospital's median price ($191), higher than 35% of the 1,267 hospitals reporting CPT 0197U. 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 | $63 | $63 | — | — | — | $63 – $63 |
| 2 | Medica medicaid managed care plan – hmo facility · fee schedule · outpatient | $63 | $63 | — | — | — | $63 – $63 |
| 3 | Medica medicare managed care plan facility · fee schedule · outpatient | $114 | $114 | — | — | — | $114 – $114 |
| 4 | Blue Cross Blue Shield all commercial plans facility · fee schedule · outpatient | $185 | $185 | — | — | — | $185 – $185 |
| 5 | Blue Cross Blue Shield medicaid managed care plan facility · fee schedule · outpatient | $185 | $185 | — | — | — | $185 – $185 |
| 6 | Medica all commercial plans facility · fee schedule · outpatient | $185 | $185 | — | — | — | $185 – $185 |
| 7 | Aetna all commercial plans facility · fee schedule · outpatient | $264 | $264 | $69 | 26% | — | $194 – $333 |
| 8 | UnitedHealthcare all commercial plans facility · fee schedule · outpatient | $274 | $274 | $89 | 32% | — | $185 – $363 |
| 9 | Sanford Health Plan all commercial plans facility · fee schedule · outpatient | $290 | $319 | $98 | 31% | — | $216 – $450 |
Last updated: Mar 1, 2026
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