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 sc r ant/pos pnl pre ots
Devils Lake, ND
See all hospitals reporting HCPCS L0650 →Price type
Altru Hospital Devils Lake’s median price of $1.2k is 33% above the median hospital's median price ($923), higher than 73% of the 1,097 hospitals reporting HCPCS L0650. 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 | $300 | $300 | — | — | — | $300 – $300 |
| 2 | Medica medicaid managed care plan – hmo facility · fee schedule · outpatient | $300 | $300 | — | — | — | $300 – $300 |
| 3 | Medica medicare managed care plan facility · fee schedule · outpatient | $541 | $541 | — | — | — | $541 – $541 |
| 4 | Medica all commercial plans facility · fee schedule · outpatient | $881 | $881 | — | — | — | $881 – $881 |
| 5 | Aetna medicare managed care plan facility · fee schedule · outpatient | $905 | $905 | — | — | — | $905 – $905 |
| 6 | Blue Cross Blue Shield all commercial plans facility · fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 7 | Blue Cross Blue Shield medicaid managed care plan facility · fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 8 | Sanford Health Plan all commercial plans facility · fee schedule · outpatient | $1.2k | $1.2k | $181 | 15% | — | $1.1k – $1.4k |
| 9 | Aetna all commercial plans facility · fee schedule · outpatient | $1.3k | $1.3k | $339 | 26% | — | $950 – $1.6k |
| 10 | UnitedHealthcare all commercial plans facility · fee schedule · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
Last updated: Mar 1, 2026
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