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
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Devils Lake, ND
See all hospitals reporting HCPCS L0457 →Price type
Altru Hospital Devils Lake’s median price of $975 is 25% above the median hospital's median price ($782), higher than 69% of the 1,023 hospitals reporting HCPCS L0457. 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 | $251 | $251 | — | — | — | $251 – $251 |
| 2 | Medica medicaid managed care plan – hmo facility · fee schedule · outpatient | $251 | $251 | — | — | — | $251 – $251 |
| 3 | Medica medicare managed care plan facility · fee schedule · outpatient | $453 | $453 | — | — | — | $453 – $453 |
| 4 | Medica all commercial plans facility · fee schedule · outpatient | $737 | $737 | — | — | — | $737 – $737 |
| 5 | Aetna medicare managed care plan facility · fee schedule · outpatient | $757 | $757 | — | — | — | $757 – $757 |
| 6 | Blue Cross Blue Shield all commercial plans facility · fee schedule · outpatient | $975 | $975 | — | — | — | $975 – $975 |
| 7 | Blue Cross Blue Shield medicaid managed care plan facility · fee schedule · outpatient | $975 | $975 | — | — | — | $975 – $975 |
| 8 | Sanford Health Plan all commercial plans facility · fee schedule · outpatient | $1.0k | $1.0k | $151 | 15% | — | $884 – $1.2k |
| 9 | Aetna all commercial plans facility · fee schedule · outpatient | $1.1k | $1.1k | $284 | 26% | — | $795 – $1.4k |
| 10 | UnitedHealthcare all commercial plans facility · fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
Last updated: Mar 1, 2026
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