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
Lo flex l1-below l5 pre ots
Devils Lake, ND
See all hospitals reporting HCPCS L0625 →Price type
Altru Hospital Devils Lake’s median price of $54 is 21% above the median hospital's median price ($45), higher than 62% of the 1,249 hospitals reporting HCPCS L0625. 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 | $14 | $14 | — | — | — | $14 – $14 |
| 2 | Medica medicaid managed care plan – hmo facility · fee schedule · outpatient | $14 | $14 | — | — | — | $14 – $14 |
| 3 | Medica medicare managed care plan facility · fee schedule · outpatient | $25 | $25 | — | — | — | $25 – $25 |
| 4 | Medica all commercial plans facility · fee schedule · outpatient | $41 | $41 | — | — | — | $41 – $41 |
| 5 | Aetna medicare managed care plan facility · fee schedule · outpatient | $42 | $42 | — | — | — | $42 – $42 |
| 6 | Blue Cross Blue Shield all commercial plans facility · fee schedule · outpatient | $54 | $54 | — | — | — | $54 – $54 |
| 7 | Blue Cross Blue Shield medicaid managed care plan facility · fee schedule · outpatient | $54 | $54 | — | — | — | $54 – $54 |
| 8 | Sanford Health Plan all commercial plans facility · fee schedule · outpatient | $57 | $57 | $8 | 15% | — | $49 – $66 |
| 9 | Aetna all commercial plans facility · fee schedule · outpatient | $60 | $60 | $16 | 26% | — | $44 – $76 |
| 10 | UnitedHealthcare all commercial plans facility · fee schedule · outpatient | $82 | $82 | — | — | — | $82 – $82 |
Last updated: Mar 1, 2026
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