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 IDE ATHENA G150173 PR1200
Owatonna, MN
See all hospitals reporting HCPCS C1789 →Price type
Allina Health Systems’s median price of $3.0k is 47% above the median hospital's median price ($2.1k), higher than 72% of the 1,315 hospitals reporting HCPCS C1789. 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 | Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges | $890.03 | $890.03 | $890.03 – $890.03 |
| 2 | Blue Cross Blue Shield bc pmap (b d o s v) facility · other · outpatient | $1,029 | $1,029 | $1,029 – $1,029 |
| 3 | Blue Cross Blue Shield bc state health plan (b d o s v) facility · percent of total billed charges · outpatientfrom % of charges | $1,402 | $1,402 | $1,402 – $1,402 |
| 4 | Bcbs Mn bc premier (b d o s v) facility · percent of total billed charges · outpatientfrom % of charges | $1,461 | $1,461 | $1,461 – $1,461 |
| 5 | Blue Cross Blue Shield allina health blueprint (bdoshv) facility · other · outpatient | $1,518 | $1,518 | $1,518 – $1,518 |
| 6 | Blue Cross Blue Shield bc aehp (b d o s v) facility · percent of total billed charges · outpatientfrom % of charges | $1,718 | $1,718 | $1,718 – $1,718 |
| 7 | Bcbs Mn bc high value/performance network (bdosv) facility · percent of total billed charges · outpatientfrom % of charges | $1,845 | $1,845 | $1,845 – $1,845 |
| 8 | Blue Cross Blue Shield bc aware/blue plus (b d o s v) facility · percent of total billed charges · outpatientfrom % of charges | $1,942 | $1,942 | $1,942 – $1,942 |
| 9 | Aetna aetna elevate (bdosv) facility · percent of total billed charges · inpatientfrom % of charges | $1,965 | $1,965 | $1,965 – $1,965 |
| 10 | Aetna aetna elevate (bdosv) facility · percent of total billed charges · outpatientfrom % of charges | $1,970 | $1,970 | $1,970 – $1,970 |
| 11 | Aetna aetna performance (bdosv) facility · percent of total billed charges · inpatientfrom % of charges | $2,076 | $2,076 | $2,076 – $2,076 |
| 12 | Aetna aetna performance (bdosv) facility · percent of total billed charges · outpatientfrom % of charges | $2,081 | $2,081 | $2,081 – $2,081 |
| 13 | Aetna aetna direct/indirect regional (bdosv) facility · percent of total billed charges · inpatientfrom % of charges | $2,622 | $2,622 | $2,622 – $2,622 |
| 14 | Aetna aetna direct/indirect regional (bdosv) facility · percent of total billed charges · outpatientfrom % of charges | $2,629 | $2,629 | $2,629 – $2,629 |
| 15 | Healthpartners hpi (bdov) facility · other · outpatient | $2,995 | $2,995 | $2,995 – $2,995 |
| 16 | UnitedHealthcare united healthcare (bdosv) facility · percent of total billed charges · outpatientfrom % of charges | $3,048 | $3,048 | $3,048 – $3,048 |
| 17 | Medica medica ubh (o) facility · percent of total billed charges · inpatientfrom % of charges | $3,097 | $3,097 | $3,097 – $3,097 |
| 18 | Medica medica elect (b d o s v) facility · percent of total billed charges · outpatientfrom % of charges | $3,242 | $3,242 | $3,242 – $3,242 |
| 19 | Medica medica ubh pmap (o) facility · percent of total billed charges · outpatientfrom % of charges | $3,539 | $3,539 | $3,539 – $3,539 |
| 20 | Medica medica choice (b d o s v) facility · percent of total billed charges · outpatientfrom % of charges | $3,562 | $3,562 | $3,562 – $3,562 |
| 21 | First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges | $3,716 | $3,716 | $3,716 – $3,716 |
| 22 | First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges | $3,716 | $3,716 | $3,716 – $3,716 |
| 23 | Medica medica ubh (o) facility · percent of total billed charges · outpatientfrom % of charges | $3,716 | $3,716 | $3,716 – $3,716 |
Last updated: Jun 16, 2026
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