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 REVJ/RPLCMT OI IMPLT TC ESP
Rochester, MN
See all hospitals reporting CPT 69719 →Price type
Mayo Clinic’s median price of $5.3k is 58% below the median hospital's median price ($12.6k), higher than 19% of the 1,337 hospitals reporting CPT 69719. 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 | Medica medica prime solutions part b medicare advantage plan [150] facility · fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 2 | Ucare ucare msho medicare advantage plan [598] professional · fee schedule · outpatient | $219 | $219 | — | — | — | $219 – $219 |
| 3 | Ucare ucare connect medicare advantage plan [944] professional · fee schedule · outpatient | $236 | $236 | — | — | — | $236 – $236 |
| 4 | Optum veteran affairs optum [1054] professional · fee schedule · outpatient | $268 | $268 | — | — | — | $268 – $268 |
| 5 | Blue Cross Blue Shield blue cross blue shield medicare advantage plan aco [815] professional · fee schedule · outpatient | $274 | $274 | — | — | — | $274 – $274 |
| 6 | Ucare ucare medicare advantage plan [643] professional · fee schedule · outpatient | $274 | $274 | — | — | — | $274 – $274 |
| 7 | Medica medica advantage solutions by county [1204] professional · fee schedule · outpatient | $277 | $277 | — | — | — | $277 – $277 |
| 8 | Blue Cross Blue Shield blue cross blue shield medicare advantage plan msho [226] professional · fee schedule · outpatient | $282 | $282 | — | — | — | $282 – $282 |
| 9 | Blue Cross Blue Shield blue cross blue shield medicare advantage plan ppo and hmo [1099] professional · fee schedule · outpatient | $282 | $282 | — | — | — | $282 – $282 |
| 10 | Medica medica dual solution msho medicare advantage plan [1004] professional · fee schedule · outpatient | $287 | $287 | — | — | — | $287 – $287 |
| 11 | Blue Cross Blue Shield mc xr pb bcbs platinum blue medicare advantage plan [935] professional · fee schedule · outpatient | $309 | $309 | — | — | — | $309 – $309 |
| 12 | Ucare ucare essentia care medicare advantage plan [775] professional · fee schedule · outpatient | $309 | $309 | — | — | — | $309 – $309 |
| 13 | Healthpartners healthpartners part b medicare advantage plan [496] professional · fee schedule · outpatient | $403 | $403 | — | — | — | $403 – $403 |
| 14 | Blue Cross Blue Shield blue cross blue shield federal retiree [949] professional · fee schedule · outpatient | $537 | $537 | — | — | — | $537 – $537 |
| 15 | Healthpartners healthpartners medicare advantage plan part b [610] facility · fee schedule · outpatient | $805 | $805 | — | — | — | $805 – $805 |
| 16 | Blue Cross Blue Shield blue cross blue shield mayo aco [612] professional · percent of total billed charges · outpatientfrom % of charges | $4.9k | $4.9k | — | — | — | $4.9k – $4.9k |
| 17 | Ucare swwi ucare ifp [1112] professional · percent of total billed charges · outpatientfrom % of charges | $4.9k | $4.9k | — | — | — | $4.9k – $4.9k |
| 18 | Blue Cross Blue Shield blue cross blue shield fep [869] professional · percent of total billed charges · outpatientfrom % of charges | $4.9k | $4.9k | — | — | — | $4.9k – $4.9k |
| 19 | Anthem blue cross blue shield by payor [178] professional · percent of total billed charges · outpatientfrom % of charges | $5.0k | $5.0k | — | — | — | $5.0k – $5.0k |
| 20 | Blue Cross Blue Shield blue cross blue shield by payor [178] professional · percent of total billed charges · outpatientfrom % of charges | $5.0k | $5.0k | — | — | — | $5.0k – $5.0k |
| 21 | Blue Cross Blue Shield complex care [808] professional · percent of total billed charges · outpatientfrom % of charges | $5.0k | $5.0k | — | — | — | $5.0k – $5.0k |
| 22 | Blue Cross Blue Shield transplant bcbs [1141] professional · percent of total billed charges · outpatientfrom % of charges | $5.0k | $5.0k | — | — | — | $5.0k – $5.0k |
| 23 | Healthpartners complex care [808] professional · percent of total billed charges · outpatientfrom % of charges | $5.0k | $5.0k | — | — | — | $5.0k – $5.0k |
| 24 | Medica deanhp by medica west mc hmo [1263] professional · percent of total billed charges · outpatientfrom % of charges | $5.0k | $5.0k | — | — | — | $5.0k – $5.0k |
| 25 | Medica medica engage [666] professional · percent of total billed charges · outpatientfrom % of charges | $5.0k | $5.0k | — | — | — | $5.0k – $5.0k |
Last updated: Aug 14, 2026
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