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 RAD URETHROPLASTY 1ST STG FISTULA/DIVERTICULU
Rapids, MN
See all hospitals reporting CPT 53400 →Price type
Allina Health Systems’s median price of $5.1k is 5% below the median hospital's median price ($5.4k), higher than 40% of the 1,560 hospitals reporting CPT 53400. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 37 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 (um) facility · per diem · outpatient | $272 | $272 | — | — | — | $272 – $272 |
| 2 | Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges | $568 | $568 | $60 | 11% | — | $508 – $628 |
| 3 | Medica medica pmap (um) facility · percent of total billed charges · outpatientfrom % of charges | $626 | $626 | $66 | 11% | — | $560 – $693 |
| 4 | Aetna aetna elevate (amu) facility · percent of total billed charges · outpatientfrom % of charges | $889 | $889 | — | — | — | $889 – $889 |
| 5 | Aetna aetna performance (amu) facility · percent of total billed charges · outpatientfrom % of charges | $946 | $946 | — | — | — | $946 – $946 |
| 6 | Medica medica dual solutions (m) facility · percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 7 | Aetna aetna direct network (amu) facility · percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 8 | Bcbs Mn bc aware/blue plus (a m u) facility · percent of total billed charges · outpatientfrom % of charges | $1.7k | $1.7k | $176 | 11% | — | $1.5k – $1.8k |
| 9 | Medica medica elect (u m) facility · percent of total billed charges · outpatientfrom % of charges | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 10 | Medica medica essentials (u m) facility · percent of total billed charges · outpatientfrom % of charges | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 11 | Medica medica mhps (u m) facility · percent of total billed charges · outpatientfrom % of charges | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 12 | Medica medica ubh (m) facility · percent of total billed charges · inpatientfrom % of charges | $2.0k | $2.0k | $210 | 11% | — | $1.8k – $2.2k |
| 13 | Medica medica choice (u m) facility · percent of total billed charges · outpatientfrom % of charges | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 14 | Medica medica ubh pmap (m) facility · percent of total billed charges · outpatientfrom % of charges | $2.3k | $2.3k | $239 | 11% | — | $2.0k – $2.5k |
| 15 | Medica medica dual solutions (m) facility · other · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 16 | First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges | $2.4k | $2.4k | $251 | 11% | — | $2.1k – $2.6k |
| 17 | First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges | $2.4k | $2.4k | $251 | 11% | — | $2.1k – $2.6k |
| 18 | Medica medica ubh (m) facility · percent of total billed charges · outpatientfrom % of charges | $2.4k | $2.4k | $251 | 11% | — | $2.1k – $2.6k |
| 19 | Bcbs Mn bc pmap (amu) facility · other · outpatient | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 20 | Aetna aetna elevate (amu) facility · other · outpatient | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
| 21 | Aetna aetna performance (amu) facility · other · outpatient | $5.0k | $5.0k | — | — | — | $5.0k – $5.0k |
| 22 | Medicaid medicaid ma (m) facility · fee schedule · outpatient | $5.1k | $5.1k | — | — | — | $5.1k – $5.1k |
| 23 | Aetna allina aetna medicare (m) facility · fee schedule · outpatient | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 24 | Medicare medicare (m) facility · fee schedule · outpatient | $5.5k | $5.5k | — | — | — | $5.5k – $5.5k |
| 25 | Medica medica elect (u m) facility · other · outpatient | $5.6k | $5.6k | — | — | — | $5.6k – $5.6k |
Last updated: Jun 17, 2026
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