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
Revj rplcmt/rmvl vrt tethrg
Devils Lake, ND
See all hospitals reporting CPT 0790T →Price type
Altru Hospital Devils Lake’s median price of $13.2k is 20% below the median hospital's median price ($16.6k), higher than 41% of the 1,057 hospitals reporting CPT 0790T. 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, 10 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 | $611 | $611 | $11 | 2% | — | $600 – $621 |
| 2 | Medica medicaid managed care plan – hmo facility · fee schedule · outpatient | $611 | $611 | $11 | 2% | — | $600 – $621 |
| 3 | Medica medicare managed care plan facility · fee schedule · outpatient | $934 | $934 | $188 | 20% | — | $746 – $1.1k |
| 4 | Medica all commercial plans facility · fee schedule · outpatient | $1.9k | $1.9k | $105 | 5% | — | $1.8k – $2.0k |
| 5 | Blue Cross Blue Shield medicaid managed care plan facility · fee schedule · outpatient | $6.9k | $6.9k | — | — | — | $6.9k – $6.9k |
| 6 | Aetna medicare managed care plan facility · fee schedule · outpatient | $17.9k | $17.9k | — | — | — | $17.9k – $17.9k |
| 7 | Aetna all commercial plans facility · fee schedule · outpatient | $18.8k | $19.9k | $9.7k | 49% | — | $8.5k – $32.2k |
| 8 | Sanford Health Plan all commercial plans facility · fee schedule · outpatient | $24.5k | $24.5k | $3.6k | 15% | — | $20.9k – $28.1k |
| 9 | Blue Cross Blue Shield all commercial plans facility · fee schedule · outpatient | $33.3k | $33.3k | — | — | — | $33.3k – $33.3k |
| 10 | UnitedHealthcare all commercial plans facility · fee schedule · outpatient | $35.1k | $35.1k | — | — | — | $35.1k – $35.1k |
Last updated: Mar 1, 2026
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