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
Lens sphc trifo 7.25-12/4.25
Devils Lake, ND
See all hospitals reporting HCPCS V2313 →Price type
Altru Hospital Devils Lake’s median price of $126 is 7% below the median hospital's median price ($136), higher than 25% of the 727 hospitals reporting HCPCS V2313. 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 | $43 | $43 | — | — | — | $43 – $43 |
| 2 | Medica medicaid managed care plan – hmo facility · fee schedule · outpatient | $43 | $43 | — | — | — | $43 – $43 |
| 3 | Medica medicare managed care plan facility · fee schedule · outpatient | $77 | $77 | — | — | — | $77 – $77 |
| 4 | Aetna medicare managed care plan facility · fee schedule · outpatient | $123 | $123 | — | — | — | $123 – $123 |
| 5 | Blue Cross Blue Shield all commercial plans facility · fee schedule · outpatient | $126 | $126 | — | — | — | $126 – $126 |
| 6 | Blue Cross Blue Shield medicaid managed care plan facility · fee schedule · outpatient | $126 | $126 | — | — | — | $126 – $126 |
| 7 | Medica all commercial plans facility · fee schedule · outpatient | $126 | $126 | — | — | — | $126 – $126 |
| 8 | Sanford Health Plan all commercial plans facility · fee schedule · outpatient | $168 | $168 | $24 | 15% | — | $143 – $192 |
| 9 | Aetna all commercial plans facility · fee schedule · outpatient | $175 | $175 | $46 | 26% | — | $129 – $221 |
| 10 | UnitedHealthcare all commercial plans facility · fee schedule · outpatient | $240 | $240 | — | — | — | $240 – $240 |
Last updated: Mar 1, 2026
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