Visual evoked potential test at Allina Health Systems

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HCHG VISUAL EVOKED POTENTIAL W INTERP AND REPORT

Rapids, MN

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Pricing by billing methodology

Price type

How this price compares nationally

Allina Health Systems’s median price of $251 is 18% below the median hospital's median price ($307), higher than 38% of the 1,719 hospitals reporting CPT 95930. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 95930 at Allina Health Systems

Negotiated rates from the hospital’s own file: 9 payers, 28 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	Bcbs Mn bc pmap (amu) facility · other · outpatient	$64	$64	—	—	—	$64 – $64
2	Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges	$93	$93	—	—	—	$93 – $93
3	Medica medica pmap (um) facility · percent of total billed charges · outpatientfrom % of charges	$103	$103	—	—	—	$103 – $103
4	Bcbs Mn bc state health plan (mu) facility · other · outpatient	$144	$144	—	—	—	$144 – $144
5	Bcbs Mn bc premier (m u) facility · other · outpatient	$153	$153	—	—	—	$153 – $153
6	Aetna aetna elevate (amu) facility · percent of total billed charges · outpatientfrom % of charges	$163	$163	—	—	—	$163 – $163
7	Aetna aetna performance (amu) facility · percent of total billed charges · outpatientfrom % of charges	$173	$173	—	—	—	$173 – $173
8	Blue Cross Blue Shield bc aehp (mu) facility · other · outpatient	$180	$180	—	—	—	$180 – $180
9	Bcbs Mn bc high value/performance network (mu) facility · other · outpatient	$193	$193	—	—	—	$193 – $193
10	Medica medica dual solutions (m) facility · percent of total billed charges · outpatientfrom % of charges	$205	$205	—	—	—	$205 – $205
11	Medicaid medicaid ma (m) facility · fee schedule · outpatient	$206	$206	—	—	—	$206 – $206
12	Aetna allina aetna medicare (m) facility · fee schedule · outpatient	$211	$211	—	—	—	$211 – $211
13	Medicare medicare (m) facility · fee schedule · outpatient	$223	$223	—	—	—	$223 – $223
14	Medica medica medicare (m) facility · fee schedule · outpatient	$231	$231	—	—	—	$231 – $231
15	Blue Cross Blue Shield bc medicare (m) facility · fee schedule · outpatient	$234	$234	—	—	—	$234 – $234
16	Aetna aetna direct network (amu) facility · percent of total billed charges · outpatientfrom % of charges	$253	$253	—	—	—	$253 – $253
17	UnitedHealthcare uhc ubh pmap (m) facility · other · outpatient	$257	$257	—	—	—	$257 – $257
18	Bcbs Mn bc aware/blue plus (a m u) facility · percent of total billed charges · outpatientfrom % of charges	$271	$271	—	—	—	$271 – $271
19	Medica medica ubh (m) facility · percent of total billed charges · inpatientfrom % of charges	$324	$324	—	—	—	$324 – $324
20	Medica medica elect (u m) facility · percent of total billed charges · outpatientfrom % of charges	$343	$343	—	—	—	$343 – $343
21	Medica medica essentials (u m) facility · percent of total billed charges · outpatientfrom % of charges	$359	$359	—	—	—	$359 – $359
22	Medica medica mhps (u m) facility · percent of total billed charges · outpatientfrom % of charges	$359	$359	—	—	—	$359 – $359
23	Medica medica ubh pmap (m) facility · percent of total billed charges · outpatientfrom % of charges	$370	$370	—	—	—	$370 – $370
24	Medica medica choice (u m) facility · percent of total billed charges · outpatientfrom % of charges	$377	$377	—	—	—	$377 – $377
25	First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges	$389	$389	—	—	—	$389 – $389

Page 1 of 2 · 28 rates

Last updated: Jun 17, 2026

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