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 each addl
Devils Lake, ND
See all hospitals reporting CPT 33904 →Price type
Altru Hospital Devils Lake’s median price of $327 is 85% below the median hospital's median price ($2.2k), higher than 19% of the 1,212 hospitals reporting CPT 33904. 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield all commercial plans facility · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 2 | Blue Cross Blue Shield medicaid managed care plan facility · fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 3 | Medica medicaid managed care plan facility · fee schedule · outpatient | $262 | $262 | $103 | 39% | — | $160 – $365 |
| 4 | Medica medicaid managed care plan – hmo facility · fee schedule · outpatient | $262 | $262 | $103 | 39% | — | $160 – $365 |
| 5 | Medica medicare managed care plan facility · fee schedule · outpatient | $372 | $372 | $83 | 22% | — | $289 – $455 |
| 6 | Medica all commercial plans facility · fee schedule · outpatient | $866 | $866 | $396 | 46% | — | $470 – $1.3k |
| 7 | Aetna all commercial plans facility · fee schedule · outpatient | $2k | $2k | — | — | — | $2k – $2k |
Last updated: Mar 1, 2026
See Additional lung artery stent for another vessel or lesion pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.