HCPCS G1021
Low
$0
Average
$60
Median
$1
High
$271
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54 hospital rates
iThe hospitals that file a Medica rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Allina Health Systems Shakopee, MN facility · other · outpatient | 5 | $296 | $271 | $54 | 20% | — | $164 – $312 |
| 2 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · other · outpatient | 5 | $249 | $236 | $29 | 12% | — | $180 – $262 |
| 3 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 4 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 5 | Allina Health Systems Owatonna, MN facility · other · outpatient | 5 | $296 | $271 | $54 | 20% | — | $164 – $312 |
| 6 | Allina Health Systems Owatonna, MN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 7 | Allina Health Systems Owatonna, MN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 8 | Allina Health Systems Ulm, MN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 9 | Allina Health Systems Ulm, MN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 10 | Allina Health Systems MN 55443; 550 Osborne Road NE. Fridley, MN facility · other · outpatient | 5 | $249 | $236 | $29 | 12% | — | $180 – $262 |
| 11 | Allina Health Systems MN 55443; 550 Osborne Road NE. Fridley, MN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 12 | Allina Health Systems MN 55443; 550 Osborne Road NE. Fridley, MN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 13 | Allina Health Systems Cambridge, MN facility · other · outpatient | 5 | $296 | $271 | $54 | 20% | — | $164 – $312 |
| 14 | Allina Health Systems Cambridge, MN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 15 | Allina Health Systems Cambridge, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 16 | Allina Health Systems Faribualt, MN facility · other · outpatient | 5 | $296 | $271 | $54 | 20% | — | $164 – $312 |
| 17 | Allina Health Systems Minneapolis, MN facility · other · outpatient | 5 | $240 | $234 | $28 | 12% | — | $180 – $262 |
| 18 | Allina Health Systems Minneapolis, MN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 19 | Allina Health Systems Minneapolis, MN facility · percent of total billed charges · outpatientfrom % of charges | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 20 | Allina Health Systems Buffalo, MN facility · other · outpatient | 5 | $296 | $271 | $54 | 20% | — | $164 – $312 |
| 21 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 11 | $1 | $1 | $0 | 22% | — | $0 – $1 |
| 22 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 8 | $1 | $1 | $0 | 3% | — | $1 – $1 |
| 23 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 5 | $1 | $1 | $0 | 13% | — | $1 – $1 |
| 24 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 5 | $1 | $1 | $0 | 12% | — | $1 – $1 |
| 25 | Mayo Clinic Florida Jacksonville, FL facility · percent of total billed charges · bothfrom % of charges | 5 | $1 | $1 | $0 | 18% | — | $1 – $1 |
← Payers reporting HCPCS G1021 · Snapshot 20261113T090226Z-3ce6c0b8