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
Lso sag r an/pos pnl pre cst
Devils Lake, ND
See all hospitals reporting HCPCS L0631 →Price type
Altru Hospital Devils Lake’s median price of $1.3k is about the same as the median hospital's median price ($1.3k), higher than 47% of the 1,104 hospitals reporting HCPCS L0631. 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 | $421 | $421 | — | — | — | $421 – $421 |
| 2 | Medica medicaid managed care plan – hmo facility · fee schedule · outpatient | $421 | $421 | — | — | — | $421 – $421 |
| 3 | Medica medicare managed care plan facility · fee schedule · outpatient | $759 | $759 | — | — | — | $759 – $759 |
| 4 | Blue Cross Blue Shield all commercial plans facility · fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 5 | Blue Cross Blue Shield medicaid managed care plan facility · fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 6 | Medica all commercial plans facility · fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 7 | Aetna medicare managed care plan facility · fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 8 | Sanford Health Plan all commercial plans facility · fee schedule · outpatient | $1.7k | $1.7k | $255 | 15% | — | $1.5k – $2.0k |
| 9 | Aetna all commercial plans facility · fee schedule · outpatient | $1.8k | $1.8k | $479 | 26% | — | $1.3k – $2.3k |
| 10 | UnitedHealthcare all commercial plans facility · fee schedule · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
Last updated: Mar 1, 2026
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