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
PR SUTR NRV REQ SECNDY/DELAY SUTR
Rochester, MN
See all hospitals reporting CPT 64872 →Price type
Mayo Clinic’s median price of $854 is 52% below the median hospital's median price ($1.8k), higher than 41% of the 1,206 hospitals reporting CPT 64872. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 16 payers, 68 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 msho medicare advantage plan [598] professional · fee schedule · outpatient | $74 | $74 | — | — | — | $74 – $74 |
| 2 | Ucare ucare connect medicare advantage plan [944] professional · fee schedule · outpatient | $79 | $79 | — | — | — | $79 – $79 |
| 3 | Blue Cross Blue Shield blue cross blue shield federal retiree [949] professional · fee schedule · outpatient | $90 | $90 | — | — | — | $90 – $90 |
| 4 | Optum veteran affairs optum [1054] professional · fee schedule · outpatient | $90 | $90 | — | — | — | $90 – $90 |
| 5 | Blue Cross Blue Shield blue cross blue shield medicare advantage plan aco [815] professional · fee schedule · outpatient | $92 | $92 | — | — | — | $92 – $92 |
| 6 | Ucare ucare medicare advantage plan [643] professional · fee schedule · outpatient | $92 | $92 | — | — | — | $92 – $92 |
| 7 | Medica medica advantage solutions by county [1204] professional · fee schedule · outpatient | $93 | $93 | — | — | — | $93 – $93 |
| 8 | Blue Cross Blue Shield blue cross blue shield medicare advantage plan msho [226] professional · fee schedule · outpatient | $95 | $95 | — | — | — | $95 – $95 |
| 9 | Blue Cross Blue Shield blue cross blue shield medicare advantage plan ppo and hmo [1099] professional · fee schedule · outpatient | $95 | $95 | — | — | — | $95 – $95 |
| 10 | Medica medica dual solution msho medicare advantage plan [1004] professional · fee schedule · outpatient | $97 | $97 | — | — | — | $97 – $97 |
| 11 | Blue Cross Blue Shield mc xr pb bcbs platinum blue medicare advantage plan [935] professional · fee schedule · outpatient | $104 | $104 | — | — | — | $104 – $104 |
| 12 | Ucare ucare essentia care medicare advantage plan [775] professional · fee schedule · outpatient | $104 | $104 | — | — | — | $104 – $104 |
| 13 | Healthpartners healthpartners part b medicare advantage plan [496] professional · fee schedule · outpatient | $135 | $135 | — | — | — | $135 – $135 |
| 14 | Medica medica prime solutions part b medicare advantage plan [150] facility · fee schedule · outpatient | $271 | $271 | — | — | — | $271 – $271 |
| 15 | Healthpartners healthpartners medicare advantage plan part b [610] facility · fee schedule · outpatient | $406 | $406 | — | — | — | $406 – $406 |
| 16 | Blue Cross Blue Shield blue cross blue shield mayo aco [612] professional · percent of total billed charges · outpatientfrom % of charges | $791 | $791 | — | — | — | $791 – $791 |
| 17 | Ucare swwi ucare ifp [1112] professional · percent of total billed charges · outpatientfrom % of charges | $791 | $791 | — | — | — | $791 – $791 |
| 18 | Blue Cross Blue Shield blue cross blue shield fep [869] professional · percent of total billed charges · outpatientfrom % of charges | $795 | $795 | — | — | — | $795 – $795 |
| 19 | Anthem blue cross blue shield by payor [178] professional · percent of total billed charges · outpatientfrom % of charges | $809 | $809 | — | — | — | $809 – $809 |
| 20 | Blue Cross Blue Shield blue cross blue shield by payor [178] professional · percent of total billed charges · outpatientfrom % of charges | $809 | $809 | — | — | — | $809 – $809 |
| 21 | Blue Cross Blue Shield complex care [808] professional · percent of total billed charges · outpatientfrom % of charges | $809 | $809 | — | — | — | $809 – $809 |
| 22 | Blue Cross Blue Shield transplant bcbs [1141] professional · percent of total billed charges · outpatientfrom % of charges | $809 | $809 | — | — | — | $809 – $809 |
| 23 | Healthpartners complex care [808] professional · percent of total billed charges · outpatientfrom % of charges | $809 | $809 | — | — | — | $809 – $809 |
| 24 | Medica deanhp by medica west mc hmo [1263] professional · percent of total billed charges · outpatientfrom % of charges | $809 | $809 | — | — | — | $809 – $809 |
| 25 | Medica medica engage [666] professional · percent of total billed charges · outpatientfrom % of charges | $809 | $809 | — | — | — | $809 – $809 |
Last updated: Aug 14, 2026
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