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
Interfyl, 1 mg
Devils Lake, ND
See all hospitals reporting HCPCS Q4171 →Price type
Altru Hospital Devils Lake’s median price of $12 is 48% below the median hospital's median price ($23), higher than 12% of the 987 hospitals reporting HCPCS Q4171. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 3 payers, 7 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 | $4 | $4 | — | — | — | $4 – $4 |
| 2 | Medica medicaid managed care plan – hmo facility · fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 3 | Medica medicare managed care plan facility · fee schedule · outpatient | $7 | $7 | — | — | — | $7 – $7 |
| 4 | Medica all commercial plans facility · fee schedule · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 5 | Blue Cross Blue Shield all commercial plans facility · fee schedule · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 6 | Blue Cross Blue Shield medicaid managed care plan facility · fee schedule · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 7 | Sanford Health Plan all commercial plans facility · fee schedule · outpatient | $33 | $33 | — | — | — | $33 – $33 |
Last updated: Mar 1, 2026
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