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
CTA HEAD W CONT WO IF PERF
Luverne, MN
See all hospitals reporting CPT 70496 →Price type
Sanford Luverne Medical Center’s median price of $2.6k is 406% above the median hospital's median price ($519), higher than 90% of the 2,615 hospitals reporting CPT 70496. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 32 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 medicaid managed care case rate · outpatient | $186.92 | $186.92 | $186.92 – $186.92 |
| 2 | Bcbs Mn pmap fee schedule · outpatient | $446.60 | $446.60 | $446.60 – $446.60 |
| 3 | Bcbs Mn commercial/federal fee schedule · outpatient | $893.20 | $893.20 | $893.20 – $893.20 |
| 4 | Bcbs Mn state employees fee schedule · outpatient | $893.20 | $893.20 | $893.20 – $893.20 |
| 5 | Sanford Health Plan medicare replacement percent of total billed charges · outpatientfrom % of charges | $1,403 | $1,403 | $1,403 – $1,403 |
| 6 | Ucare medicare replacement percent of total billed charges · outpatientfrom % of charges | $1,503 | $1,503 | $1,503 – $1,503 |
| 7 | Aetna medicare replacement percent of total billed charges · outpatientfrom % of charges | $1,519 | $1,519 | $1,519 – $1,519 |
| 8 | Bcbs Mn medicare replacement percent of total billed charges · outpatientfrom % of charges | $1,519 | $1,519 | $1,519 – $1,519 |
| 9 | UnitedHealthcare medicare replacement percent of total billed charges · outpatientfrom % of charges | $1,519 | $1,519 | $1,519 – $1,519 |
| 10 | Sanford Health Plan group health/true percent of total billed charges · inpatientfrom % of charges | $2,136 | $2,136 | $2,136 – $2,136 |
| 11 | Sanford Health Plan group health/true percent of total billed charges · outpatientfrom % of charges | $2,136 | $2,136 | $2,136 – $2,136 |
| 12 | Sanford Health Plan sd exchange true percent of total billed charges · inpatientfrom % of charges | $2,136 | $2,136 | $2,136 – $2,136 |
| 13 | Sanford Health Plan sd exchange true percent of total billed charges · outpatientfrom % of charges | $2,136 | $2,136 | $2,136 – $2,136 |
| 14 | Sanford Health Plan commercial/nd pers percent of total billed charges · inpatientfrom % of charges | $2,512 | $2,512 | $2,512 – $2,512 |
| 15 | Sanford Health Plan commercial/nd pers percent of total billed charges · outpatientfrom % of charges | $2,512 | $2,512 | $2,512 – $2,512 |
| 16 | Sanford Health Plan sd exchange commercial percent of total billed charges · inpatientfrom % of charges | $2,512 | $2,512 | $2,512 – $2,512 |
| 17 | Sanford Health Plan sd exchange commercial percent of total billed charges · outpatientfrom % of charges | $2,512 | $2,512 | $2,512 – $2,512 |
| 18 | Bcbs Mn state employees percent of total billed charges · inpatientfrom % of charges | $3,261 | $3,261 | $3,261 – $3,261 |
| 19 | UnitedHealthcare commercial + top 20 percent of total billed charges · inpatientfrom % of charges | $3,328 | $3,328 | $3,328 – $3,328 |
| 20 | UnitedHealthcare commercial + top 20 percent of total billed charges · outpatientfrom % of charges | $3,328 | $3,328 | $3,328 – $3,328 |
| 21 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $3,464 | $3,464 | $3,464 – $3,464 |
| 22 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $3,464 | $3,464 | $3,464 – $3,464 |
| 23 | Ucare commercial percent of total billed charges · inpatientfrom % of charges | $3,502 | $3,502 | $3,502 – $3,502 |
| 24 | Ucare commercial percent of total billed charges · outpatientfrom % of charges | $3,502 | $3,502 | $3,502 – $3,502 |
| 25 | Medica choice percent of total billed charges · outpatientfrom % of charges | $3,504 | $3,504 | $3,504 – $3,504 |
Last updated: Mar 4, 2026
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