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
HCHG SO FIG 8 ABD RESTRAINT PREFAB OTS PR5
Cambridge, MN
See all hospitals reporting HCPCS L3650 →Price type
Allina Health Systems’s median price of $27 is 61% below the median hospital's median price ($71), higher than 17% of the 1,510 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: 10 payers, 29 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 | UnitedHealthcare united healthcare (bdosv) facility · case rate · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 2 | Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges | $5 | $19 | $22 | 115% | — | $2 – $51 |
| 3 | Aetna allina aetna medicare (d) facility · fee schedule · outpatient | $26 | $36 | $28 | 78% | — | $9 – $75 |
| 4 | Medicare medicare (d) facility · fee schedule · outpatient | $27 | $38 | $30 | 78% | — | $9 – $79 |
| 5 | Medicaid medicaid ma (d) facility · fee schedule · outpatient | $27 | $39 | $30 | 78% | — | $9 – $81 |
| 6 | Medica medica medicare (d) facility · fee schedule · outpatient | $28 | $40 | $31 | 78% | — | $9 – $82 |
| 7 | Blue Cross Blue Shield bc medicare (d) facility · fee schedule · outpatient | $28 | $40 | $31 | 78% | — | $9 – $83 |
| 8 | Aetna aetna elevate (bdosv) facility · percent of total billed charges · inpatientfrom % of charges | $12 | $43 | $49 | 115% | — | $4 – $113 |
| 9 | Aetna aetna elevate (bdosv) facility · percent of total billed charges · outpatientfrom % of charges | $12 | $43 | $49 | 115% | — | $4 – $113 |
| 10 | Blue Cross Blue Shield bc pmap (b d o s v) facility · other · outpatient | $45 | $45 | — | — | — | $45 – $45 |
| 11 | Aetna aetna performance (bdosv) facility · percent of total billed charges · inpatientfrom % of charges | $13 | $45 | $52 | 115% | — | $4 – $119 |
| 12 | Aetna aetna performance (bdosv) facility · percent of total billed charges · outpatientfrom % of charges | $13 | $45 | $52 | 115% | — | $4 – $119 |
| 13 | Medica medica dual solutions (b d v o s) facility · percent of total billed charges · outpatientfrom % of charges | $14 | $49 | $57 | 115% | — | $5 – $129 |
| 14 | Aetna aetna direct/indirect regional (bdosv) facility · percent of total billed charges · inpatientfrom % of charges | $16 | $57 | $66 | 115% | — | $5 – $150 |
| 15 | Aetna aetna direct/indirect regional (bdosv) facility · percent of total billed charges · outpatientfrom % of charges | $16 | $57 | $66 | 115% | — | $5 – $151 |
| 16 | Healthpartners hpi (bdov) facility · other · outpatient | $18 | $65 | $75 | 115% | — | $6 – $171 |
| 17 | Medica medica elect (b d o s v) facility · percent of total billed charges · outpatientfrom % of charges | $20 | $71 | $81 | 115% | — | $7 – $186 |
| 18 | Medica medica essentials (b d o s v) facility · percent of total billed charges · outpatientfrom % of charges | $21 | $74 | $85 | 115% | — | $7 – $194 |
| 19 | Medica medica mhps (bdosv) facility · percent of total billed charges · outpatientfrom % of charges | $21 | $74 | $85 | 115% | — | $7 – $194 |
| 20 | Medica medica choice (b d o s v) facility · percent of total billed charges · outpatientfrom % of charges | $22 | $78 | $89 | 115% | — | $7 – $204 |
| 21 | First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges | $23 | $81 | $93 | 115% | — | $8 – $213 |
| 22 | First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges | $23 | $81 | $93 | 115% | — | $8 – $213 |
| 23 | Medica medica ubh (d) facility · percent of total billed charges · outpatientfrom % of charges | $23 | $81 | $93 | 115% | — | $8 – $213 |
| 24 | Blue Cross Blue Shield allina health blueprint (bdoshv) facility · other · outpatient | $92 | $92 | — | — | — | $92 – $92 |
| 25 | Blue Cross Blue Shield bc state health plan (b d o s v) facility · other · outpatient | $94 | $94 | — | — | — | $94 – $94 |
Last updated: Jun 16, 2026
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