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
Rev/rplct hpglsl nstm ary pg
Devils Lake, ND
See all hospitals reporting CPT 64583 →Price type
Altru Hospital Devils Lake’s median price of $12.0k is 2% above the median hospital's median price ($11.7k), higher than 54% of the 1,360 hospitals reporting CPT 64583. 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 | $1.2k | 71% | — | $505 – $2.9k |
| 2 | Medica medicaid managed care plan – hmo facility · fee schedule · outpatient | $1.7k | $1.7k | $1.2k | 71% | — | $505 – $2.9k |
| 3 | Medica medicare managed care plan facility · fee schedule · outpatient | $2.3k | $2.3k | $1.4k | 60% | — | $912 – $3.6k |
| 4 | Blue Cross Blue Shield medicaid managed care plan facility · fee schedule · outpatient | $5.8k | $5.8k | $1.2k | 20% | — | $4.7k – $7.0k |
| 5 | Medica all commercial plans facility · fee schedule · outpatient | $10.6k | $10.6k | $9.2k | 86% | — | $1.5k – $19.8k |
| 6 | Aetna medicare managed care plan facility · fee schedule · outpatient | $11.4k | $11.4k | — | — | — | $11.4k – $11.4k |
| 7 | Aetna all commercial plans facility · fee schedule · outpatient | $12.0k | $11.6k | $7.3k | 63% | — | $2.5k – $20.5k |
| 8 | Sanford Health Plan all commercial plans facility · fee schedule · outpatient | $15.6k | $15.6k | $2.3k | 15% | — | $13.3k – $17.8k |
| 9 | UnitedHealthcare all commercial plans facility · fee schedule · outpatient | $22.3k | $22.3k | — | — | — | $22.3k – $22.3k |
| 10 | Blue Cross Blue Shield all commercial plans facility · fee schedule · outpatient | $28.2k | $28.2k | $5.6k | 20% | — | $22.6k – $33.9k |
Last updated: Mar 1, 2026
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