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
Mog Facs, S (Mayo)
Wadena, MN
See all hospitals reporting CPT 86363 →Price type
Astera Health’s median price of $510 is 1187% above the median hospital's median price ($40), higher than 95% of the 1,943 hospitals reporting CPT 86363. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 34 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 | Ucare ucare pmap [300063] percent of total billed charges · outpatientfrom % of charges | $259 | $213 | $103 | 48% | — | $71 – $309 |
| 2 | Blue Cross Blue Shield mr-bcbs mn [400069] percent of total billed charges · outpatientfrom % of charges | $285 | $234 | $113 | 48% | — | $78 – $340 |
| 3 | Medica medica mncare [100751] percent of total billed charges · outpatientfrom % of charges | $285 | $234 | $113 | 48% | — | $78 – $340 |
| 4 | Medica medica pmap [100345] percent of total billed charges · outpatientfrom % of charges | $285 | $234 | $113 | 48% | — | $78 – $340 |
| 5 | Medica mr-medica advantage solutions [100895] percent of total billed charges · outpatientfrom % of charges | $285 | $234 | $113 | 48% | — | $78 – $340 |
| 6 | Ucare mr-ucare [300064] percent of total billed charges · outpatientfrom % of charges | $299 | $246 | $118 | 48% | — | $82 – $357 |
| 7 | Ucare mr-ucare msho [300061] percent of total billed charges · outpatientfrom % of charges | $299 | $246 | $118 | 48% | — | $82 – $357 |
| 8 | Medica mr-medica dual solutions msho [100344] percent of total billed charges · outpatientfrom % of charges | $395 | $325 | $157 | 48% | — | $108 – $473 |
| 9 | Medica mr-medica dual solutions msho [100344] percent of total billed charges · inpatientfrom % of charges | $410 | $338 | $163 | 48% | — | $112 – $490 |
| 10 | Ucare ucare commercial [100748] percent of total billed charges · inpatientfrom % of charges | $494 | $406 | $196 | 48% | — | $135 – $590 |
| 11 | UnitedHealthcare united healthcare [100453] percent of total billed charges · inpatientfrom % of charges | $528 | $435 | $210 | 48% | — | $144 – $631 |
| 12 | Ucare ucare commercial [100748] percent of total billed charges · outpatientfrom % of charges | $529 | $435 | $210 | 48% | — | $144 – $632 |
| 13 | Blue Cross Blue Shield bcbs federal employees [400004] percent of total billed charges · inpatientfrom % of charges | $541 | $445 | $215 | 48% | — | $148 – $646 |
| 14 | Blue Cross Blue Shield bcbs federal employees [400004] percent of total billed charges · outpatientfrom % of charges | $541 | $445 | $215 | 48% | — | $148 – $646 |
| 15 | Blue Cross Blue Shield bcbs high value network percent of total billed charges · inpatientfrom % of charges | $541 | $445 | $215 | 48% | — | $148 – $646 |
| 16 | Blue Cross Blue Shield bcbs high value network percent of total billed charges · outpatientfrom % of charges | $541 | $445 | $215 | 48% | — | $148 – $646 |
| 17 | Blue Cross Blue Shield blue plus [400058] percent of total billed charges · inpatientfrom % of charges | $541 | $445 | $215 | 48% | — | $148 – $646 |
| 18 | Blue Cross Blue Shield blue plus [400058] percent of total billed charges · outpatientfrom % of charges | $541 | $445 | $215 | 48% | — | $148 – $646 |
| 19 | UnitedHealthcare united healthcare [100453] percent of total billed charges · outpatientfrom % of charges | $550 | $452 | $218 | 48% | — | $150 – $657 |
| 20 | Medica medica [100341] percent of total billed charges · outpatientfrom % of charges | $554 | $456 | $220 | 48% | — | $151 – $662 |
| 21 | MultiPlan multiplan percent of total billed charges · inpatientfrom % of charges | $569 | $468 | $226 | 48% | — | $155 – $680 |
| 22 | MultiPlan multiplan percent of total billed charges · outpatientfrom % of charges | $569 | $468 | $226 | 48% | — | $155 – $680 |
| 23 | Sanford Health Plan sanford health plan [100578] percent of total billed charges · inpatientfrom % of charges | $605 | $497 | $240 | 48% | — | $165 – $722 |
| 24 | Sanford Health Plan sanford health plan [100578] percent of total billed charges · outpatientfrom % of charges | $605 | $497 | $240 | 48% | — | $165 – $722 |
| 25 | Aetna aetna - fh [100925] percent of total billed charges · inpatientfrom % of charges | $640 | $527 | $254 | 48% | — | $175 – $765 |
Last updated: Feb 20, 2026
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