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 SO FIG 8 ABD RESTRAINT PREFAB OTS PR5
Rapids, MN
See all hospitals reporting HCPCS L3650 →Price type
Allina Health Systems’s median price of $27 is 62% below the median hospital's median price ($71), higher than 16% of the 1,499 hospitals reporting HCPCS L3650. 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 | $19 | $22 | 115% | — | $2 – $51 |
| 3 | Medica medica pmap (um) facility · percent of total billed charges · outpatientfrom % of charges | $6 | $21 | $25 | 115% | — | $2 – $56 |
| 4 | Bcbs Mn bc pmap (amu) facility · other · outpatient | $31 | $31 | — | — | — | $31 – $31 |
| 5 | Aetna aetna elevate (amu) facility · percent of total billed charges · outpatientfrom % of charges | $10 | $34 | $39 | 115% | — | $3 – $89 |
| 6 | Aetna aetna performance (amu) facility · percent of total billed charges · outpatientfrom % of charges | $10 | $36 | $42 | 115% | — | $3 – $95 |
| 7 | Aetna allina aetna medicare (m) facility · fee schedule · outpatient | $26 | $36 | $28 | 78% | — | $9 – $75 |
| 8 | Medicare medicare (m) facility · fee schedule · outpatient | $27 | $38 | $30 | 78% | — | $9 – $79 |
| 9 | Medicaid medicaid ma (m) facility · fee schedule · outpatient | $27 | $39 | $30 | 78% | — | $9 – $81 |
| 10 | Medica medica medicare (m) facility · fee schedule · outpatient | $28 | $40 | $31 | 78% | — | $9 – $82 |
| 11 | Blue Cross Blue Shield bc medicare (m) facility · fee schedule · outpatient | $28 | $40 | $31 | 78% | — | $9 – $83 |
| 12 | Medica medica dual solutions (m) facility · percent of total billed charges · outpatientfrom % of charges | $12 | $43 | $49 | 115% | — | $4 – $112 |
| 13 | UnitedHealthcare uhc ubh pmap (m) facility · other · outpatient | $34 | $49 | $38 | 78% | — | $11 – $101 |
| 14 | Aetna aetna direct network (amu) facility · percent of total billed charges · outpatientfrom % of charges | $15 | $53 | $61 | 115% | — | $5 – $138 |
| 15 | Bcbs Mn bc aware/blue plus (a m u) facility · percent of total billed charges · outpatientfrom % of charges | $16 | $57 | $65 | 115% | — | $5 – $149 |
| 16 | Bcbs Mn bc state health plan (mu) facility · other · outpatient | $71 | $71 | — | — | — | $71 – $71 |
| 17 | Medica medica elect (u m) facility · percent of total billed charges · outpatientfrom % of charges | $20 | $72 | $82 | 115% | — | $7 – $188 |
| 18 | Medica medica essentials (u m) facility · percent of total billed charges · outpatientfrom % of charges | $21 | $75 | $86 | 115% | — | $7 – $196 |
| 19 | Medica medica mhps (u m) facility · percent of total billed charges · outpatientfrom % of charges | $21 | $75 | $86 | 115% | — | $7 – $196 |
| 20 | Bcbs Mn bc premier (m u) facility · other · outpatient | $75 | $75 | — | — | — | $75 – $75 |
| 21 | Medica medica ubh pmap (m) facility · percent of total billed charges · outpatientfrom % of charges | $22 | $77 | $89 | 115% | — | $7 – $203 |
| 22 | Medica medica choice (u m) facility · percent of total billed charges · outpatientfrom % of charges | $22 | $79 | $91 | 115% | — | $7 – $207 |
| 23 | First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges | $23 | $81 | $93 | 115% | — | $8 – $213 |
| 24 | First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges | $23 | $81 | $93 | 115% | — | $8 – $213 |
| 25 | Medica medica ubh (m) facility · percent of total billed charges · outpatientfrom % of charges | $23 | $81 | $93 | 115% | — | $8 – $213 |
Last updated: Jun 17, 2026
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