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 L5000 SHO INSERT W ARCH TOE FILLER
Cambridge, MN
See all hospitals reporting HCPCS L5000 →Price type
Allina Health Systems’s median price of $1.1k is 59% above the median hospital's median price ($692), higher than 87% of the 897 hospitals reporting HCPCS L5000. 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 | Blue Cross Blue Shield bc pmap (b d o s v) facility · other · outpatient | $394 | $394 | — | — | — | $394 – $394 |
| 3 | Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges | $434 | $434 | — | — | — | $434 – $434 |
| 4 | Aetna allina aetna medicare (d) facility · fee schedule · outpatient | $660 | $660 | — | — | — | $660 – $660 |
| 5 | Medicare medicare (d) facility · fee schedule · outpatient | $694 | $694 | — | — | — | $694 – $694 |
| 6 | Medicaid medicaid ma (d) facility · fee schedule · outpatient | $705 | $705 | — | — | — | $705 – $705 |
| 7 | Medica medica medicare (d) facility · fee schedule · outpatient | $722 | $722 | — | — | — | $722 – $722 |
| 8 | Blue Cross Blue Shield bc medicare (d) facility · fee schedule · outpatient | $729 | $729 | — | — | — | $729 – $729 |
| 9 | Blue Cross Blue Shield allina health blueprint (bdoshv) facility · other · outpatient | $809 | $809 | — | — | — | $809 – $809 |
| 10 | Blue Cross Blue Shield bc state health plan (b d o s v) facility · other · outpatient | $821 | $821 | — | — | — | $821 – $821 |
| 11 | Bcbs Mn bc premier (b d o s v) facility · other · outpatient | $915 | $915 | — | — | — | $915 – $915 |
| 12 | Aetna aetna elevate (bdosv) facility · percent of total billed charges · inpatientfrom % of charges | $958 | $958 | — | — | — | $958 – $958 |
| 13 | Aetna aetna elevate (bdosv) facility · percent of total billed charges · outpatientfrom % of charges | $960 | $960 | — | — | — | $960 – $960 |
| 14 | Aetna aetna performance (bdosv) facility · percent of total billed charges · inpatientfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 15 | Aetna aetna performance (bdosv) facility · percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 16 | Blue Cross Blue Shield bc aehp (b d o s v) facility · other · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 17 | Medica medica dual solutions (b d v o s) facility · percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 18 | Bcbs Mn bc high value/performance network (bdosv) facility · other · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 19 | Blue Cross Blue Shield bc aware/blue plus (b d o s v) facility · other · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 20 | Aetna aetna direct/indirect regional (bdosv) facility · percent of total billed charges · inpatientfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 21 | Aetna aetna direct/indirect regional (bdosv) facility · percent of total billed charges · outpatientfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 22 | Healthpartners hpi (bdov) facility · other · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 23 | Medica medica elect (b d o s v) facility · percent of total billed charges · outpatientfrom % of charges | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 24 | Medica medica essentials (b d o s v) facility · percent of total billed charges · outpatientfrom % of charges | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 25 | Medica medica mhps (bdosv) facility · percent of total billed charges · outpatientfrom % of charges | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
Last updated: Jun 16, 2026
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