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
Perq p-art revsc 1 nm nt bi
Devils Lake, ND
See all hospitals reporting CPT 33901 →Price type
Altru Hospital Devils Lake’s median price of $12.1k is 2% above the median hospital's median price ($11.8k), higher than 54% of the 1,433 hospitals reporting CPT 33901. 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 | $1.7k | $1.7k | $1.3k | 75% | — | $419 – $2.9k |
| 2 | Medica medicaid managed care plan – hmo facility · fee schedule · outpatient | $1.7k | $1.7k | $1.3k | 75% | — | $419 – $2.9k |
| 3 | Medica medicare managed care plan facility · fee schedule · outpatient | $2.2k | $2.2k | $1.4k | 66% | — | $758 – $3.6k |
| 4 | Blue Cross Blue Shield medicaid managed care plan facility · fee schedule · outpatient | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
| 5 | Medica all commercial plans facility · fee schedule · outpatient | $10.5k | $10.5k | $9.3k | 88% | — | $1.2k – $19.8k |
| 6 | Aetna medicare managed care plan facility · fee schedule · outpatient | $11.8k | $11.8k | — | — | — | $11.8k – $11.8k |
| 7 | Aetna all commercial plans facility · fee schedule · outpatient | $12.4k | $14.5k | $4.8k | 33% | — | $10k – $21.2k |
| 8 | Sanford Health Plan all commercial plans facility · fee schedule · outpatient | $16.1k | $16.1k | $2.4k | 15% | — | $13.8k – $18.5k |
| 9 | Blue Cross Blue Shield all commercial plans facility · fee schedule · outpatient | $20.5k | $20.5k | — | — | — | $20.5k – $20.5k |
| 10 | UnitedHealthcare all commercial plans facility · fee schedule · outpatient | $23.1k | $23.1k | — | — | — | $23.1k – $23.1k |
Last updated: Mar 1, 2026
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