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
Oral/facial photo images
Devils Lake, ND
See all hospitals reporting HCPCS D0350 →Price type
Altru Hospital Devils Lake’s median price of $104 is 10% above the median hospital's median price ($94), higher than 65% of the 739 hospitals reporting HCPCS D0350. 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 | $8 | $8 | — | — | — | $8 – $8 |
| 2 | Medica medicaid managed care plan – hmo facility · fee schedule · outpatient | $8 | $8 | — | — | — | $8 – $8 |
| 3 | Medica medicare managed care plan facility · fee schedule · outpatient | $15 | $15 | — | — | — | $15 – $15 |
| 4 | Medica all commercial plans facility · fee schedule · outpatient | $24 | $24 | — | — | — | $24 – $24 |
| 5 | Blue Cross Blue Shield medicaid managed care plan facility · fee schedule · outpatient | $33 | $33 | — | — | — | $33 – $33 |
| 6 | Aetna medicare managed care plan facility · fee schedule · outpatient | $89 | $89 | — | — | — | $89 – $89 |
| 7 | Sanford Health Plan all commercial plans facility · fee schedule · outpatient | $122 | $122 | $18 | 15% | — | $104 – $139 |
| 8 | Aetna all commercial plans facility · fee schedule · outpatient | $127 | $127 | $33 | 26% | — | $93 – $160 |
| 9 | Blue Cross Blue Shield all commercial plans facility · fee schedule · outpatient | $160 | $160 | — | — | — | $160 – $160 |
| 10 | UnitedHealthcare all commercial plans facility · fee schedule · outpatient | $174 | $174 | — | — | — | $174 – $174 |
Last updated: Mar 1, 2026
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