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
Tma/tmao prfl ms/ms ur alg
Devils Lake, ND
See all hospitals reporting CPT 0256U →Price type
Altru Hospital Devils Lake’s median price of $160 is 2% below the median hospital's median price ($164), higher than 11% of the 1,299 hospitals reporting CPT 0256U. 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 | $54 | $54 | — | — | — | $54 – $54 |
| 2 | Medica medicaid managed care plan – hmo facility · fee schedule · outpatient | $54 | $54 | — | — | — | $54 – $54 |
| 3 | Medica medicare managed care plan facility · fee schedule · outpatient | $98 | $98 | — | — | — | $98 – $98 |
| 4 | Medica all commercial plans facility · fee schedule · outpatient | $160 | $160 | — | — | — | $160 – $160 |
| 5 | Blue Cross Blue Shield all commercial plans facility · fee schedule · outpatient | $160 | $160 | — | — | — | $160 – $160 |
| 6 | Blue Cross Blue Shield medicaid managed care plan facility · fee schedule · outpatient | $160 | $160 | — | — | — | $160 – $160 |
| 7 | Aetna all commercial plans facility · fee schedule · outpatient | $228 | $228 | $60 | 26% | — | $168 – $288 |
| 8 | UnitedHealthcare all commercial plans facility · fee schedule · outpatient | $237 | $237 | $77 | 32% | — | $160 – $313 |
| 9 | Sanford Health Plan all commercial plans facility · fee schedule · outpatient | $251 | $275 | $84 | 31% | — | $187 – $389 |
Last updated: Mar 1, 2026
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