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
Trabeculostomy int lsr w/scp
Devils Lake, ND
See all hospitals reporting CPT 0622T →Price type
Altru Hospital Devils Lake’s median price of $600 is 84% below the median hospital's median price ($3.7k), higher than 11% of the 911 hospitals reporting CPT 0622T. 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 | $257 | $257 | $51 | 20% | — | $205 – $308 |
| 2 | Medica medicaid managed care plan facility · fee schedule · outpatient | $355 | $355 | $245 | 69% | — | $111 – $600 |
| 3 | Medica medicaid managed care plan – hmo facility · fee schedule · outpatient | $355 | $355 | $245 | 69% | — | $111 – $600 |
| 4 | Medica medicare managed care plan facility · fee schedule · outpatient | $473 | $473 | $273 | 58% | — | $200 – $746 |
| 5 | Medica all commercial plans facility · fee schedule · outpatient | $1.2k | $1.2k | $855 | 72% | — | $326 – $2.0k |
| 6 | Blue Cross Blue Shield all commercial plans facility · fee schedule · outpatient | $1.2k | $1.2k | $249 | 20% | — | $994 – $1.5k |
| 7 | Aetna all commercial plans facility · fee schedule · outpatient | $6.5k | $6.5k | — | — | — | $6.5k – $6.5k |
Last updated: Mar 1, 2026
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