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
Bx/exc xdrl/idrl lsn any lvl
Devils Lake, ND
See all hospitals reporting CPT 63290 →Price type
Altru Hospital Devils Lake’s median price of $4.0k is 46% below the median hospital's median price ($7.5k), higher than 27% of the 1,251 hospitals reporting CPT 63290. 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.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Medica medicaid managed care plan facility · fee schedule · outpatient | $2.2k | $2.2k | $713 | 32% | — | $1.5k – $2.9k |
| 2 | Medica medicaid managed care plan – hmo facility · fee schedule · outpatient | $2.2k | $2.2k | $713 | 32% | — | $1.5k – $2.9k |
| 3 | Medica medicare managed care plan facility · fee schedule · outpatient | $3.2k | $3.2k | $462 | 15% | — | $2.7k – $3.6k |
| 4 | Blue Cross Blue Shield medicaid managed care plan facility · fee schedule · outpatient | $6.9k | $6.9k | — | — | — | $6.9k – $6.9k |
| 5 | Aetna all commercial plans facility · fee schedule · outpatient | $8.5k | $8.5k | — | — | — | $8.5k – $8.5k |
| 6 | Medica all commercial plans facility · fee schedule · outpatient | $12.1k | $12.1k | $7.7k | 63% | — | $4.4k – $19.8k |
| 7 | Blue Cross Blue Shield all commercial plans facility · fee schedule · outpatient | $33.3k | $33.3k | — | — | — | $33.3k – $33.3k |
Last updated: Mar 1, 2026
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