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 KO ELASTIC W JOINT PREFAB OTS PR30
Rapids, MN
See all hospitals reporting HCPCS L1812 →Price type
Allina Health Systems’s median price of $55 is 37% below the median hospital's median price ($87), higher than 4% of the 1,042 hospitals reporting HCPCS L1812. 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 | $15 | $14 | $9 | 62% | — | $2 – $26 |
| 3 | Medica medica pmap (um) facility · percent of total billed charges · outpatientfrom % of charges | $16 | $16 | $10 | 62% | — | $2 – $28 |
| 4 | Aetna aetna elevate (amu) facility · percent of total billed charges · outpatientfrom % of charges | $26 | $25 | $15 | 62% | — | $3 – $45 |
| 5 | Aetna aetna performance (amu) facility · percent of total billed charges · outpatientfrom % of charges | $27 | $26 | $16 | 62% | — | $3 – $48 |
| 6 | Medica medica dual solutions (m) facility · percent of total billed charges · outpatientfrom % of charges | $32 | $31 | $19 | 62% | — | $4 – $57 |
| 7 | Aetna aetna direct network (amu) facility · percent of total billed charges · outpatientfrom % of charges | $40 | $39 | $24 | 62% | — | $5 – $70 |
| 8 | Bcbs Mn bc aware/blue plus (a m u) facility · percent of total billed charges · outpatientfrom % of charges | $43 | $41 | $26 | 62% | — | $5 – $75 |
| 9 | Bcbs Mn bc pmap (amu) facility · other · outpatient | $49 | $49 | — | — | — | $49 – $49 |
| 10 | Aetna allina aetna medicare (m) facility · fee schedule · outpatient | $62 | $51 | $26 | 51% | — | $8 – $72 |
| 11 | Medica medica elect (u m) facility · percent of total billed charges · outpatientfrom % of charges | $54 | $52 | $33 | 62% | — | $7 – $95 |
| 12 | Medicare medicare (m) facility · fee schedule · outpatient | $65 | $54 | $27 | 51% | — | $9 – $76 |
| 13 | Medicaid medicaid ma (m) facility · fee schedule · outpatient | $66 | $55 | $28 | 51% | — | $9 – $77 |
| 14 | Medica medica essentials (u m) facility · percent of total billed charges · outpatientfrom % of charges | $57 | $55 | $34 | 62% | — | $7 – $99 |
| 15 | Medica medica mhps (u m) facility · percent of total billed charges · outpatientfrom % of charges | $57 | $55 | $34 | 62% | — | $7 – $99 |
| 16 | Medica medica medicare (m) facility · fee schedule · outpatient | $68 | $56 | $29 | 51% | — | $9 – $79 |
| 17 | Blue Cross Blue Shield bc medicare (m) facility · fee schedule · outpatient | $68 | $56 | $29 | 51% | — | $9 – $80 |
| 18 | Medica medica ubh pmap (m) facility · percent of total billed charges · outpatientfrom % of charges | $58 | $56 | $35 | 62% | — | $7 – $102 |
| 19 | Medica medica choice (u m) facility · percent of total billed charges · outpatientfrom % of charges | $59 | $58 | $36 | 62% | — | $7 – $104 |
| 20 | First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges | $61 | $59 | $37 | 62% | — | $8 – $107 |
| 21 | First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges | $61 | $59 | $37 | 62% | — | $8 – $107 |
| 22 | Medica medica ubh (m) facility · percent of total billed charges · outpatientfrom % of charges | $61 | $59 | $37 | 62% | — | $8 – $107 |
| 23 | UnitedHealthcare uhc ubh pmap (m) facility · other · outpatient | $82 | $68 | $35 | 51% | — | $11 – $97 |
| 24 | Bcbs Mn bc state health plan (mu) facility · other · outpatient | $111 | $111 | — | — | — | $111 – $111 |
| 25 | Bcbs Mn bc premier (m u) facility · other · outpatient | $118 | $118 | — | — | — | $118 – $118 |
Last updated: Jun 17, 2026
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