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 CERV SEMI-RIG ADJ MOLDED CHN PR1
Rapids, MN
See all hospitals reporting HCPCS L0150 →Price type
Allina Health Systems’s median price of $27 is 80% below the median hospital's median price ($132), higher than 12% of the 1,138 hospitals reporting HCPCS L0150. 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, 27 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 | $5 | $30 | $38 | 124% | — | $2 – $83 |
| 3 | Medica medica pmap (um) facility · percent of total billed charges · outpatientfrom % of charges | $6 | $33 | $41 | 124% | — | $2 – $92 |
| 4 | Bcbs Mn bc pmap (amu) facility · other · outpatient | $51 | $51 | — | — | — | $51 – $51 |
| 5 | Aetna allina aetna medicare (m) facility · fee schedule · outpatient | $26 | $52 | $50 | 96% | — | $8 – $123 |
| 6 | Aetna aetna elevate (amu) facility · percent of total billed charges · outpatientfrom % of charges | $10 | $53 | $66 | 124% | — | $3 – $146 |
| 7 | Medicare medicare (m) facility · fee schedule · outpatient | $27 | $55 | $53 | 96% | — | $9 – $129 |
| 8 | Medicaid medicaid ma (m) facility · fee schedule · outpatient | $27 | $56 | $54 | 96% | — | $9 – $131 |
| 9 | Aetna aetna performance (amu) facility · percent of total billed charges · outpatientfrom % of charges | $10 | $56 | $70 | 124% | — | $3 – $155 |
| 10 | Medica medica medicare (m) facility · fee schedule · outpatient | $28 | $57 | $55 | 96% | — | $9 – $135 |
| 11 | Blue Cross Blue Shield bc medicare (m) facility · fee schedule · outpatient | $28 | $58 | $56 | 96% | — | $9 – $136 |
| 12 | Medica medica dual solutions (m) facility · percent of total billed charges · outpatientfrom % of charges | $12 | $67 | $83 | 124% | — | $4 – $183 |
| 13 | UnitedHealthcare uhc ubh pmap (m) facility · other · outpatient | $34 | $70 | $67 | 96% | — | $11 – $164 |
| 14 | Aetna aetna direct network (amu) facility · percent of total billed charges · outpatientfrom % of charges | $15 | $82 | $102 | 124% | — | $5 – $226 |
| 15 | Bcbs Mn bc aware/blue plus (a m u) facility · percent of total billed charges · outpatientfrom % of charges | $16 | $88 | $109 | 124% | — | $5 – $243 |
| 16 | Medica medica elect (u m) facility · percent of total billed charges · outpatientfrom % of charges | $20 | $111 | $138 | 124% | — | $7 – $307 |
| 17 | Bcbs Mn bc state health plan (mu) facility · other · outpatient | $115 | $115 | — | — | — | $115 – $115 |
| 18 | Medica medica essentials (u m) facility · percent of total billed charges · outpatientfrom % of charges | $21 | $116 | $145 | 124% | — | $7 – $320 |
| 19 | Medica medica mhps (u m) facility · percent of total billed charges · outpatientfrom % of charges | $21 | $116 | $145 | 124% | — | $7 – $320 |
| 20 | Medica medica ubh pmap (m) facility · percent of total billed charges · outpatientfrom % of charges | $22 | $120 | $149 | 124% | — | $7 – $331 |
| 21 | Bcbs Mn bc premier (m u) facility · other · outpatient | $122 | $122 | — | — | — | $122 – $122 |
| 22 | Medica medica choice (u m) facility · percent of total billed charges · outpatientfrom % of charges | $22 | $122 | $152 | 124% | — | $7 – $337 |
| 23 | First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges | $23 | $126 | $157 | 124% | — | $8 – $347 |
| 24 | First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges | $23 | $126 | $157 | 124% | — | $8 – $347 |
| 25 | Medica medica ubh (m) facility · percent of total billed charges · outpatientfrom % of charges | $23 | $126 | $157 | 124% | — | $8 – $347 |
Last updated: Jun 17, 2026
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