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
US PG UTR 2-3TRI SGL 1ST
Windom, MN
See all hospitals reporting CPT 76805 →Price type
Windom Area Hospital’s median price of $383 is 75% above the median hospital's median price ($219), higher than 71% of the 2,585 hospitals reporting CPT 76805. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 20 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 | Bcbs Mn pmap facility · percent of total billed charges · inpatientfrom % of charges | $210 | $210 | $174 | 83% | — | $36 – $383 |
| 2 | Bcbs Mn pmap facility · percent of total billed charges · outpatientfrom % of charges | $210 | $210 | $174 | 83% | — | $36 – $383 |
| 3 | Blue Cross Blue Shield managed medicaid facility · percent of total billed charges · inpatientfrom % of charges | $210 | $210 | $174 | 83% | 2–20 | $36 – $383 |
| 4 | Blue Cross Blue Shield managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $210 | $210 | $174 | 83% | 2–20 | $36 – $383 |
| 5 | Aetna medicare replacement facility · percent of total billed charges · outpatientfrom % of charges | $243 | $243 | $201 | 83% | — | $42 – $444 |
| 6 | Blue Cross Blue Shield medicare replacement facility · percent of total billed charges · outpatientfrom % of charges | $243 | $243 | $201 | 83% | — | $42 – $444 |
| 7 | Humana medicare replacement facility · percent of total billed charges · outpatientfrom % of charges | $243 | $243 | $201 | 83% | — | $42 – $444 |
| 8 | Medica medicare replacement facility · percent of total billed charges · outpatientfrom % of charges | $243 | $243 | $201 | 83% | — | $42 – $444 |
| 9 | Ucare medicare replacement facility · percent of total billed charges · outpatientfrom % of charges | $243 | $243 | $201 | 83% | — | $42 – $444 |
| 10 | UnitedHealthcare medicare replacement facility · percent of total billed charges · outpatientfrom % of charges | $243 | $243 | $201 | 83% | — | $42 – $444 |
| 11 | Medica pmap facility · percent of total billed charges · inpatientfrom % of charges | $274 | $274 | $227 | 83% | — | $47 – $501 |
| 12 | Medica pmap facility · percent of total billed charges · outpatientfrom % of charges | $274 | $274 | $227 | 83% | — | $47 – $501 |
| 13 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $452 | $452 | $374 | 83% | — | $78 – $825 |
| 14 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $452 | $452 | $374 | 83% | — | $78 – $825 |
| 15 | Bcbs Mn commercial facility · percent of total billed charges · outpatientfrom % of charges | $463 | $463 | $383 | 83% | — | $80 – $846 |
| 16 | Bcbs Nd commercial facility · percent of total billed charges · outpatientfrom % of charges | $463 | $463 | $383 | 83% | — | $80 – $846 |
| 17 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $463 | $463 | $383 | 83% | — | $80 – $846 |
| 18 | Wellmark commercial facility · percent of total billed charges · outpatientfrom % of charges | $463 | $463 | $383 | 83% | — | $80 – $846 |
| 19 | Medica commercial facility · percent of total billed charges · inpatientfrom % of charges | $517 | $517 | $428 | 83% | — | $89 – $944 |
| 20 | Medica commercial facility · percent of total billed charges · outpatientfrom % of charges | $517 | $517 | $428 | 83% | — | $89 – $944 |
Last updated: Feb 3, 2026
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