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 CSTM L3765 EWHFO RIGID W/O JNTS CF
Cambridge, MN
See all hospitals reporting HCPCS L3765 →Price type
Allina Health Systems’s median price of $149 is 90% below the median hospital's median price ($1.5k), higher than 1% of the 1,094 hospitals reporting HCPCS L3765. 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 | $29 | $313 | $402 | 128% | — | $29 – $881 |
| 3 | Aetna allina aetna medicare (d) facility · fee schedule · outpatient | $137 | $538 | $568 | 106% | — | $136 – $1.3k |
| 4 | Medicare medicare (d) facility · fee schedule · outpatient | $144 | $566 | $598 | 106% | — | $143 – $1.4k |
| 5 | Medicaid medicaid ma (d) facility · fee schedule · outpatient | $147 | $575 | $607 | 105% | — | $146 – $1.4k |
| 6 | Medica medica medicare (d) facility · fee schedule · outpatient | $150 | $589 | $621 | 106% | — | $149 – $1.5k |
| 7 | Blue Cross Blue Shield bc medicare (d) facility · fee schedule · outpatient | $151 | $595 | $627 | 106% | — | $150 – $1.5k |
| 8 | Aetna aetna elevate (bdosv) facility · percent of total billed charges · inpatientfrom % of charges | $65 | $692 | $887 | 128% | — | $65 – $1.9k |
| 9 | Aetna aetna elevate (bdosv) facility · percent of total billed charges · outpatientfrom % of charges | $65 | $694 | $889 | 128% | — | $65 – $2.0k |
| 10 | Aetna aetna performance (bdosv) facility · percent of total billed charges · inpatientfrom % of charges | $69 | $731 | $937 | 128% | — | $68 – $2.1k |
| 11 | Aetna aetna performance (bdosv) facility · percent of total billed charges · outpatientfrom % of charges | $69 | $733 | $939 | 128% | — | $69 – $2.1k |
| 12 | Medica medica dual solutions (b d v o s) facility · percent of total billed charges · outpatientfrom % of charges | $75 | $794 | $1.0k | 128% | — | $74 – $2.2k |
| 13 | Blue Cross Blue Shield bc pmap (b d o s v) facility · other · outpatient | $801 | $801 | — | — | — | $801 – $801 |
| 14 | Aetna aetna direct/indirect regional (bdosv) facility · percent of total billed charges · inpatientfrom % of charges | $87 | $923 | $1.2k | 128% | — | $86 – $2.6k |
| 15 | Aetna aetna direct/indirect regional (bdosv) facility · percent of total billed charges · outpatientfrom % of charges | $87 | $926 | $1.2k | 128% | — | $87 – $2.6k |
| 16 | Healthpartners hpi (bdov) facility · other · outpatient | $99 | $1.1k | $1.4k | 128% | — | $99 – $3.0k |
| 17 | Medica medica elect (b d o s v) facility · percent of total billed charges · outpatientfrom % of charges | $107 | $1.1k | $1.5k | 128% | — | $107 – $3.2k |
| 18 | Medica medica essentials (b d o s v) facility · percent of total billed charges · outpatientfrom % of charges | $112 | $1.2k | $1.5k | 128% | — | $111 – $3.4k |
| 19 | Medica medica mhps (bdosv) facility · percent of total billed charges · outpatientfrom % of charges | $112 | $1.2k | $1.5k | 128% | — | $111 – $3.4k |
| 20 | Medica medica choice (b d o s v) facility · percent of total billed charges · outpatientfrom % of charges | $118 | $1.3k | $1.6k | 128% | — | $117 – $3.5k |
| 21 | First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges | $123 | $1.3k | $1.7k | 128% | — | $122 – $3.7k |
| 22 | First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges | $123 | $1.3k | $1.7k | 128% | — | $122 – $3.7k |
| 23 | Medica medica ubh (d) facility · percent of total billed charges · outpatientfrom % of charges | $123 | $1.3k | $1.7k | 128% | — | $122 – $3.7k |
| 24 | Blue Cross Blue Shield allina health blueprint (bdoshv) facility · other · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 25 | Blue Cross Blue Shield bc state health plan (b d o s v) facility · other · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
Last updated: Jun 16, 2026
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