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
SPLT CLAV MC*DISC 6282696*
Webster, SD
See all hospitals reporting HCPCS L3650 →Price type
Sanford Webster Hospital’s median price of $20 is 71% below the median hospital's median price ($71), higher than 12% of the 1,499 hospitals reporting HCPCS L3650. 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, 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 | $8 | $8 | $0 | 4% | — | $8 – $9 |
| 2 | Ucare medicare replacement percent of total billed charges · outpatientfrom % of charges | $9 | $9 | $0 | 4% | — | $8 – $9 |
| 3 | Wellmark medicare replacement percent of total billed charges · outpatientfrom % of charges | $9 | $9 | $0 | 4% | — | $8 – $9 |
| 4 | Aetna medicare replacement percent of total billed charges · outpatientfrom % of charges | $9 | $9 | $0 | 4% | — | $9 – $10 |
| 5 | UnitedHealthcare medicare replacement percent of total billed charges · outpatientfrom % of charges | $9 | $9 | $0 | 4% | — | $9 – $10 |
| 6 | Sanford Health Plan sd exchange true percent of total billed charges · inpatientfrom % of charges | $15 | $15 | $1 | 4% | — | $14 – $15 |
| 7 | Sanford Health Plan sd exchange true percent of total billed charges · outpatientfrom % of charges | $15 | $15 | $1 | 4% | — | $14 – $15 |
| 8 | Sanford Health Plan group health/true percent of total billed charges · inpatientfrom % of charges | $17 | $17 | $1 | 4% | — | $16 – $17 |
| 9 | Sanford Health Plan group health/true percent of total billed charges · outpatientfrom % of charges | $17 | $17 | $1 | 4% | — | $16 – $17 |
| 10 | Sanford Health Plan sd exchange commercial percent of total billed charges · inpatientfrom % of charges | $17 | $17 | $1 | 4% | — | $16 – $18 |
| 11 | Sanford Health Plan sd exchange commercial percent of total billed charges · outpatientfrom % of charges | $17 | $17 | $1 | 4% | — | $16 – $18 |
| 12 | Sanford Health Plan commercial/nd pers percent of total billed charges · inpatientfrom % of charges | $20 | $20 | $1 | 4% | — | $18 – $21 |
| 13 | Sanford Health Plan commercial/nd pers percent of total billed charges · outpatientfrom % of charges | $20 | $20 | $1 | 4% | — | $18 – $21 |
| 14 | Medica choice percent of total billed charges · inpatientfrom % of charges | $22 | $22 | $1 | 4% | — | $21 – $23 |
| 15 | Medica choice percent of total billed charges · outpatientfrom % of charges | $22 | $22 | $1 | 4% | — | $21 – $23 |
| 16 | UnitedHealthcare commercial + top 20 percent of total billed charges · inpatientfrom % of charges | $23 | $23 | $1 | 4% | — | $21 – $23 |
| 17 | UnitedHealthcare commercial + top 20 percent of total billed charges · outpatientfrom % of charges | $23 | $23 | $1 | 4% | — | $21 – $23 |
| 18 | Wellmark ppo percent of total billed charges · outpatientfrom % of charges | $23 | $23 | $1 | 4% | — | $22 – $24 |
| 19 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $23 | $23 | $1 | 4% | — | $22 – $24 |
| 20 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $23 | $23 | $1 | 4% | — | $22 – $24 |
| 21 | Wellmark ppo percent of total billed charges · inpatientfrom % of charges | $23 | $23 | $1 | 4% | — | $22 – $24 |
| 22 | Ucare commercial percent of total billed charges · inpatientfrom % of charges | $24 | $24 | $1 | 4% | — | $22 – $25 |
| 23 | Ucare commercial percent of total billed charges · outpatientfrom % of charges | $24 | $24 | $1 | 4% | — | $22 – $25 |
| 24 | Medica elect percent of total billed charges · inpatientfrom % of charges | $24 | $24 | $1 | 4% | — | $22 – $25 |
| 25 | Medica elect percent of total billed charges · outpatientfrom % of charges | $24 | $24 | $1 | 4% | — | $22 – $25 |
Last updated: Mar 4, 2026
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