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
Xcpsl ctrc rmvl cplx insj 1+
Devils Lake, ND
See all hospitals reporting CPT 66989 →Price type
Altru Hospital Devils Lake’s median price of $6.3k is 16% above the median hospital's median price ($5.5k), higher than 63% of the 1,381 hospitals reporting CPT 66989. 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 | $1.4k | $1.4k | $898 | 64% | — | $509 – $2.3k |
| 2 | Medica medicaid managed care plan – hmo facility · fee schedule · outpatient | $1.4k | $1.4k | $898 | 64% | — | $509 – $2.3k |
| 3 | Medica medicare managed care plan facility · fee schedule · outpatient | $1.9k | $1.9k | $973 | 51% | — | $919 – $2.9k |
| 4 | Blue Cross Blue Shield medicaid managed care plan facility · fee schedule · outpatient | $2.4k | $2.4k | $483 | 20% | — | $1.9k – $2.9k |
| 5 | Medica all commercial plans facility · fee schedule · outpatient | $5.2k | $5.2k | $3.7k | 71% | — | $1.5k – $8.9k |
| 6 | Aetna medicare managed care plan facility · fee schedule · outpatient | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 7 | Sanford Health Plan all commercial plans facility · fee schedule · outpatient | $7.4k | $7.4k | $1.1k | 15% | — | $6.3k – $8.5k |
| 8 | Aetna all commercial plans facility · fee schedule · outpatient | $9.5k | $8.3k | $1.9k | 22% | — | $5.7k – $9.8k |
| 9 | UnitedHealthcare all commercial plans facility · fee schedule · outpatient | $10.6k | $10.6k | — | — | — | $10.6k – $10.6k |
| 10 | Blue Cross Blue Shield all commercial plans facility · fee schedule · outpatient | $11.7k | $11.7k | $2.3k | 20% | — | $9.3k – $14.0k |
Last updated: Mar 1, 2026
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