Low
$13
Average
$35
Median
$37
High
$37
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
10 hospitals; the 90th percentile is 1.1× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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10 hospital rates
iThe hospitals that file a Medicaid 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 · fee schedule · outpatient | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 2 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · fee schedule · outpatient | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 3 | Allina Health Systems Owatonna, MN facility · fee schedule · outpatient | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 4 | Allina Health Systems Ulm, MN facility · other · outpatient | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 5 | Allina Health Systems MN 55443; 550 Osborne Road NE. Fridley, MN facility · fee schedule · outpatient | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 6 | Allina Health Systems Cambridge, MN facility · fee schedule · outpatient | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 7 | Allina Health Systems River Falls, WI facility · fee schedule · outpatient | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 8 | Allina Health Systems Minneapolis, MN facility · fee schedule · outpatient | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 9 | Allina Health Systems Buffalo, MN facility · fee schedule · outpatient | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 10 | UNIVERSITY OF MICHIGAN HEALTH Ann Arbor, MI facility · fee schedule · outpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
← Payers reporting HCPCS L4002 · Snapshot 20261111T120946Z-9134e7f7