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
Exc ch wal tum w/o lymphadec
Devils Lake, ND
See all hospitals reporting CPT 21602 →Price type
Altru Hospital Devils Lake’s median price of $6.3k is 11% below the median hospital's median price ($7.1k), higher than 44% of the 1,404 hospitals reporting CPT 21602. 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 | Blue Cross Blue Shield medicaid managed care plan facility · fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 2 | Medica medicaid managed care plan facility · fee schedule · outpatient | $1.7k | $1.7k | $809 | 48% | — | $879 – $2.5k |
| 3 | Medica medicaid managed care plan – hmo facility · fee schedule · outpatient | $1.7k | $1.7k | $809 | 48% | — | $879 – $2.5k |
| 4 | Medica medicare managed care plan facility · fee schedule · outpatient | $2.3k | $2.3k | $757 | 32% | — | $1.6k – $3.1k |
| 5 | Blue Cross Blue Shield all commercial plans facility · fee schedule · outpatient | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 6 | Medica all commercial plans facility · fee schedule · outpatient | $7.3k | $7.3k | $4.7k | 65% | — | $2.6k – $12.0k |
| 7 | Aetna medicare managed care plan facility · fee schedule · outpatient | $7.4k | $7.4k | — | — | — | $7.4k – $7.4k |
| 8 | Aetna all commercial plans facility · fee schedule · outpatient | $8.5k | $9.9k | $2.5k | 25% | — | $7.8k – $13.3k |
| 9 | Sanford Health Plan all commercial plans facility · fee schedule · outpatient | $10.1k | $10.1k | $1.5k | 15% | — | $8.7k – $11.6k |
| 10 | UnitedHealthcare all commercial plans facility · fee schedule · outpatient | $14.5k | $14.5k | — | — | — | $14.5k – $14.5k |
Last updated: Mar 1, 2026
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