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
Am bur xp mem xpl hy p sq cm
Devils Lake, ND
See all hospitals reporting HCPCS Q4364 →Price type
Altru Hospital Devils Lake’s median price of $224 is 10% above the median hospital's median price ($204), higher than 70% of the 469 hospitals reporting HCPCS Q4364. 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, 4 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 | Aetna medicare managed care plan facility · fee schedule · outpatient | $127 | $127 | — | — | — | $127 – $127 |
| 2 | Aetna all commercial plans facility · fee schedule · outpatient | $181 | $181 | $48 | 26% | — | $134 – $229 |
| 3 | UnitedHealthcare all commercial plans facility · fee schedule · outpatient | $249 | $249 | — | — | — | $249 – $249 |
| 4 | Sanford Health Plan all commercial plans facility · fee schedule · outpatient | $199 | $1.2k | $1.4k | 120% | — | $148 – $3.1k |
Last updated: Mar 1, 2026
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