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
Post fusion 13/> vert seg
Devils Lake, ND
See all hospitals reporting CPT 22804 →Price type
Altru Hospital Devils Lake’s median price of $18.4k is 62% above the median hospital's median price ($11.3k), higher than 71% of the 1,390 hospitals reporting CPT 22804. 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 | $2.1k | $2.1k | $785 | 37% | — | $1.4k – $2.9k |
| 2 | Medica medicaid managed care plan – hmo facility · fee schedule · outpatient | $2.1k | $2.1k | $785 | 37% | — | $1.4k – $2.9k |
| 3 | Medica medicare managed care plan facility · fee schedule · outpatient | $3.1k | $3.1k | $592 | 19% | — | $2.5k – $3.6k |
| 4 | Blue Cross Blue Shield medicaid managed care plan facility · fee schedule · outpatient | $6.9k | $6.9k | — | — | — | $6.9k – $6.9k |
| 5 | Medica all commercial plans facility · fee schedule · outpatient | $11.9k | $11.9k | $7.9k | 66% | — | $4.0k – $19.8k |
| 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 | $20.2k | $9.3k | 46% | — | $9.5k – $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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