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
Ko adj jnt pos r sup pre ots
Devils Lake, ND
See all hospitals reporting HCPCS L1833 →Price type
Altru Hospital Devils Lake’s median price of $686 is 27% above the median hospital's median price ($542), higher than 76% of the 1,207 hospitals reporting HCPCS L1833. 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 | $166 | $166 | — | — | — | $166 – $166 |
| 2 | Medica medicaid managed care plan – hmo facility · fee schedule · outpatient | $166 | $166 | — | — | — | $166 – $166 |
| 3 | Medica medicare managed care plan facility · fee schedule · outpatient | $300 | $300 | — | — | — | $300 – $300 |
| 4 | Medica all commercial plans facility · fee schedule · outpatient | $489 | $489 | — | — | — | $489 – $489 |
| 5 | Aetna medicare managed care plan facility · fee schedule · outpatient | $502 | $502 | — | — | — | $502 – $502 |
| 6 | Blue Cross Blue Shield all commercial plans facility · fee schedule · outpatient | $686 | $686 | — | — | — | $686 – $686 |
| 7 | Blue Cross Blue Shield medicaid managed care plan facility · fee schedule · outpatient | $686 | $686 | — | — | — | $686 – $686 |
| 8 | Sanford Health Plan all commercial plans facility · fee schedule · outpatient | $687 | $687 | $100 | 15% | — | $586 – $787 |
| 9 | Aetna all commercial plans facility · fee schedule · outpatient | $715 | $715 | $188 | 26% | — | $527 – $904 |
| 10 | UnitedHealthcare all commercial plans facility · fee schedule · outpatient | $983 | $983 | — | — | — | $983 – $983 |
Last updated: Mar 1, 2026
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