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
haemph B polysac conj-menin PF 7.5 mcg/0.5 mL Soln
Rapids, MN
See all hospitals reporting CPT 90647 →Price type
Allina Health Systems’s median price of $88 is 64% above the median hospital's median price ($53), higher than 73% of the 1,506 hospitals reporting CPT 90647. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 22 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 · case rate · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 2 | Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges | $30 | $30 | — | — | — | $30 – $30 |
| 3 | Bcbs Mn bc pmap (amu) facility · other · outpatient | $32 | $32 | — | — | — | $32 – $32 |
| 4 | Medica medica pmap (um) facility · percent of total billed charges · outpatientfrom % of charges | $33 | $33 | — | — | — | $33 – $33 |
| 5 | Bcbs Mn bc premier (m u) facility · other · outpatient | $36 | $36 | — | — | — | $36 – $36 |
| 6 | Blue Cross Blue Shield bc aehp (mu) facility · other · outpatient | $42 | $42 | — | — | — | $42 – $42 |
| 7 | Bcbs Mn bc state health plan (mu) facility · other · outpatient | $43 | $43 | — | — | — | $43 – $43 |
| 8 | Bcbs Mn bc high value/performance network (mu) facility · other · outpatient | $45 | $45 | — | — | — | $45 – $45 |
| 9 | Aetna aetna elevate (amu) facility · percent of total billed charges · outpatientfrom % of charges | $53 | $53 | — | — | — | $53 – $53 |
| 10 | Aetna aetna performance (amu) facility · percent of total billed charges · outpatientfrom % of charges | $56 | $56 | — | — | — | $56 – $56 |
| 11 | Medica medica dual solutions (m) facility · percent of total billed charges · outpatientfrom % of charges | $66 | $66 | — | — | — | $66 – $66 |
| 12 | Aetna aetna direct network (amu) facility · percent of total billed charges · outpatientfrom % of charges | $82 | $82 | — | — | — | $82 – $82 |
| 13 | Bcbs Mn bc aware/blue plus (a m u) facility · percent of total billed charges · outpatientfrom % of charges | $88 | $88 | — | — | — | $88 – $88 |
| 14 | Medica medica ubh (m) facility · percent of total billed charges · inpatientfrom % of charges | $104 | $104 | — | — | — | $104 – $104 |
| 15 | Medica medica elect (u m) facility · percent of total billed charges · outpatientfrom % of charges | $107 | $107 | — | — | — | $107 – $107 |
| 16 | Medica medica essentials (u m) facility · percent of total billed charges · outpatientfrom % of charges | $112 | $112 | — | — | — | $112 – $112 |
| 17 | Medica medica mhps (u m) facility · percent of total billed charges · outpatientfrom % of charges | $112 | $112 | — | — | — | $112 – $112 |
| 18 | Medica medica choice (u m) facility · percent of total billed charges · outpatientfrom % of charges | $118 | $118 | — | — | — | $118 – $118 |
| 19 | Medica medica ubh pmap (m) facility · percent of total billed charges · outpatientfrom % of charges | $119 | $119 | — | — | — | $119 – $119 |
| 20 | First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges | $125 | $125 | — | — | — | $125 – $125 |
| 21 | First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges | $125 | $125 | — | — | — | $125 – $125 |
| 22 | Medica medica ubh (m) facility · percent of total billed charges · outpatientfrom % of charges | $125 | $125 | — | — | — | $125 – $125 |
Last updated: Jun 17, 2026
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