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
H PYLORI IDENTIFICATION 87077
Sheldon, IA
See all hospitals reporting CPT 87077 →Price type
Sanford Sheldon Medical Center’s median price of $73 is 360% above the median hospital's median price ($16), higher than 89% of the 2,602 hospitals reporting CPT 87077. 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, 27 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 | Sanford Health Plan medicare replacement percent of total billed charges · outpatientfrom % of charges | $32.35 | $32.35 | $31.64 – $33.06 |
| 2 | Ucare medicare replacement percent of total billed charges · outpatientfrom % of charges | $34.74 | $34.74 | $33.97 – $35.50 |
| 3 | Aetna medicare replacement percent of total billed charges · outpatientfrom % of charges | $35.07 | $35.07 | $34.30 – $35.84 |
| 4 | Bcbs Nd medicare replacement percent of total billed charges · outpatientfrom % of charges | $35.07 | $35.07 | $34.30 – $35.84 |
| 5 | UnitedHealthcare medicare replacement percent of total billed charges · outpatientfrom % of charges | $35.07 | $35.07 | $34.30 – $35.84 |
| 6 | Wellmark hmo percent of total billed charges · inpatientfrom % of charges | $56.75 | $56.75 | $55.50 – $58.00 |
| 7 | Wellmark ppo percent of total billed charges · inpatientfrom % of charges | $59.02 | $59.02 | $57.72 – $60.32 |
| 8 | Sanford Health Plan group health/true percent of total billed charges · inpatientfrom % of charges | $60.81 | $60.81 | $59.47 – $62.15 |
| 9 | Sanford Health Plan group health/true percent of total billed charges · outpatientfrom % of charges | $60.81 | $60.81 | $59.47 – $62.15 |
| 10 | Sanford Health Plan sd exchange true percent of total billed charges · inpatientfrom % of charges | $60.81 | $60.81 | $59.47 – $62.15 |
| 11 | Sanford Health Plan sd exchange true percent of total billed charges · outpatientfrom % of charges | $60.81 | $60.81 | $59.47 – $62.15 |
| 12 | Sanford Health Plan commercial/nd pers percent of total billed charges · inpatientfrom % of charges | $71.54 | $71.54 | $69.96 – $73.11 |
| 13 | Sanford Health Plan commercial/nd pers percent of total billed charges · outpatientfrom % of charges | $71.54 | $71.54 | $69.96 – $73.11 |
| 14 | Sanford Health Plan sd exchange commercial percent of total billed charges · inpatientfrom % of charges | $71.54 | $71.54 | $69.96 – $73.11 |
| 15 | Sanford Health Plan sd exchange commercial percent of total billed charges · outpatientfrom % of charges | $71.54 | $71.54 | $69.96 – $73.11 |
| 16 | Medica choice percent of total billed charges · inpatientfrom % of charges | $93.64 | $93.64 | $91.58 – $95.70 |
| 17 | Medica choice percent of total billed charges · outpatientfrom % of charges | $93.64 | $93.64 | $91.58 – $95.70 |
| 18 | UnitedHealthcare commercial + top 20 percent of total billed charges · inpatientfrom % of charges | $94.78 | $94.78 | $92.69 – $96.86 |
| 19 | UnitedHealthcare commercial + top 20 percent of total billed charges · outpatientfrom % of charges | $94.78 | $94.78 | $92.69 – $96.86 |
| 20 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $98.63 | $98.63 | $96.46 – $100.80 |
| 21 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $98.63 | $98.63 | $96.46 – $100.80 |
| 22 | Ucare commercial percent of total billed charges · inpatientfrom % of charges | $99.72 | $99.72 | $97.52 – $101.92 |
| 23 | Ucare commercial percent of total billed charges · outpatientfrom % of charges | $99.72 | $99.72 | $97.52 – $101.92 |
| 24 | Medica elect percent of total billed charges · inpatientfrom % of charges | $100.11 | $100.11 | $97.90 – $102.31 |
| 25 | Medica elect percent of total billed charges · outpatientfrom % of charges | $100.11 | $100.11 | $97.90 – $102.31 |
Last updated: Mar 4, 2026
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