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
Miscellaneous M <46.50 and A >=77.50
Devils Lake, ND
See all hospitals reporting HCPCS A2004 →Price type
Altru Hospital Devils Lake’s median price of $5 is 82% below the median hospital's median price ($25), higher than 3% of the 832 hospitals reporting HCPCS A2004. 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 | 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 | $5 | $5 | — | — | — | $5 – $5 |
| 4 | Medica medicaid managed care plan – hmo facility · fee schedule · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 5 | Medica medicare managed care plan facility · fee schedule · outpatient | $8 | $8 | — | — | — | $8 – $8 |
| 6 | Sanford Health Plan all commercial plans facility · fee schedule · outpatient | $13 | $13 | — | — | — | $13 – $13 |
| 7 | Medica all commercial plans facility · fee schedule · outpatient | $13 | $13 | — | — | — | $13 – $13 |
Last updated: Mar 1, 2026
See Xcellistem wound-care product, per 1 mg pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.