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 XCELLISTEM 1 MILLIGRAM PR1000
Faribault, MN
See all hospitals reporting HCPCS A2004 →Price type
Allina Health Systems’s median price of $2.2k is 8544% above the median hospital's median price ($25), higher than 95% of the 835 hospitals reporting HCPCS A2004. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 23 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 | $739 | $739 | — | — | — | $739 – $739 |
| 3 | Blue Cross Blue Shield bc pmap (b d o s v) facility · other · outpatient | $855 | $855 | — | — | — | $855 – $855 |
| 4 | Blue Cross Blue Shield bc state health plan (b d o s v) facility · percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 5 | Bcbs Mn bc premier (b d o s v) facility · percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 6 | Blue Cross Blue Shield allina health blueprint (bdoshv) facility · other · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 7 | Blue Cross Blue Shield bc aehp (b d o s v) facility · percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 8 | Bcbs Mn bc high value/performance network (bdosv) facility · percent of total billed charges · outpatientfrom % of charges | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 9 | Blue Cross Blue Shield bc aware/blue plus (b d o s v) facility · percent of total billed charges · outpatientfrom % of charges | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 10 | Aetna aetna elevate (bdosv) facility · percent of total billed charges · inpatientfrom % of charges | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 11 | Aetna aetna elevate (bdosv) facility · percent of total billed charges · outpatientfrom % of charges | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 12 | Aetna aetna performance (bdosv) facility · percent of total billed charges · inpatientfrom % of charges | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 13 | Aetna aetna performance (bdosv) facility · percent of total billed charges · outpatientfrom % of charges | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 14 | Medica medica dual solutions (b d v o s) facility · percent of total billed charges · outpatientfrom % of charges | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 15 | Aetna aetna direct/indirect regional (bdosv) facility · percent of total billed charges · inpatientfrom % of charges | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 16 | Aetna aetna direct/indirect regional (bdosv) facility · percent of total billed charges · outpatientfrom % of charges | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 17 | Healthpartners hpi (bdov) facility · other · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 18 | Medica medica elect (b d o s v) facility · percent of total billed charges · outpatientfrom % of charges | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 19 | Medica medica essentials (b d o s v) facility · percent of total billed charges · outpatientfrom % of charges | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 20 | Medica medica mhps (bdosv) facility · percent of total billed charges · outpatientfrom % of charges | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 21 | Medica medica choice (b d o s v) facility · percent of total billed charges · outpatientfrom % of charges | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 22 | First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 23 | First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
Last updated: Jun 16, 2026
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