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
Remove non-resorb barrier
Duluth, MN
See all hospitals reporting HCPCS D4286 →Price type
Aspirus St. Luke’s Hospital’s median price of $229 is 95% below the median hospital's median price ($4.3k), higher than 8% of the 556 hospitals reporting HCPCS D4286. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 1 payer, 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 | Bcbs Mn blue cross minnesota medicaid fee schedule · outpatient | $71 | $71 | — | — | — | $71 – $71 |
| 2 | Bcbs Mn blue cross minnesota state employee plan fee schedule · outpatient | $173 | $173 | — | — | — | $173 – $173 |
| 3 | Bcbs Mn blue cross minnesota commercial plans fee schedule · outpatient | $285 | $285 | — | — | — | $285 – $285 |
| 4 | Bcbs Mn blue cross minnesota federal employee program fee schedule · outpatient | $285 | $285 | — | — | — | $285 – $285 |
Last updated: Apr 1, 2026
See Removal of non-absorbable dental barrier pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.