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
Add ue prost s/d ultlite mat
Devils Lake, ND
See all hospitals reporting HCPCS L7402 →Price type
Altru Hospital Devils Lake’s median price of $461 is 1% below the median hospital's median price ($468), higher than 39% of the 819 hospitals reporting HCPCS L7402. 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 | $152 | $152 | — | — | — | $152 – $152 |
| 2 | Medica medicaid managed care plan – hmo facility · fee schedule · outpatient | $152 | $152 | — | — | — | $152 – $152 |
| 3 | Medica medicare managed care plan facility · fee schedule · outpatient | $275 | $275 | — | — | — | $275 – $275 |
| 4 | Blue Cross Blue Shield all commercial plans facility · fee schedule · outpatient | $447 | $447 | — | — | — | $447 – $447 |
| 5 | Blue Cross Blue Shield medicaid managed care plan facility · fee schedule · outpatient | $447 | $447 | — | — | — | $447 – $447 |
| 6 | Medica all commercial plans facility · fee schedule · outpatient | $447 | $447 | — | — | — | $447 – $447 |
| 7 | Aetna medicare managed care plan facility · fee schedule · outpatient | $461 | $461 | — | — | — | $461 – $461 |
| 8 | Sanford Health Plan all commercial plans facility · fee schedule · outpatient | $631 | $631 | $92 | 15% | — | $539 – $723 |
| 9 | Aetna all commercial plans facility · fee schedule · outpatient | $657 | $657 | $173 | 26% | — | $484 – $830 |
| 10 | UnitedHealthcare all commercial plans facility · fee schedule · outpatient | $903 | $903 | — | — | — | $903 – $903 |
Last updated: Mar 1, 2026
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