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
Revj/rplcmt bat mod sys pg
Devils Lake, ND
See all hospitals reporting CPT 64656 →Price type
Altru Hospital Devils Lake’s median price of $49.4k is 57% above the median hospital's median price ($31.5k), higher than 93% of the 630 hospitals reporting CPT 64656. 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, 4 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 | Aetna medicare managed care plan facility · fee schedule · outpatient | $31.5k | $31.5k | — | — | — | $31.5k – $31.5k |
| 2 | Aetna all commercial plans facility · fee schedule · outpatient | $33.1k | $31.6k | $21.2k | 67% | — | $5k – $56.7k |
| 3 | Sanford Health Plan all commercial plans facility · fee schedule · outpatient | $43.1k | $43.1k | $6.3k | 15% | — | $36.8k – $49.4k |
| 4 | UnitedHealthcare all commercial plans facility · fee schedule · outpatient | $61.7k | $61.7k | — | — | — | $61.7k – $61.7k |
Last updated: Mar 1, 2026
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