HCHG APLIGRAF PER SQ CM PR20 at Allina Health Systems

Rapids, MN

See all hospitals reporting HCPCS Q4101 →

Pricing by billing methodology

Price type

How this price compares nationally

Allina Health Systems’s median price of $42 is 65% below the median hospital's median price ($120), higher than 13% of the 1,906 hospitals reporting HCPCS Q4101. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q4101 at Allina Health Systems

Negotiated rates from the hospital’s own file: 8 payers, 25 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	Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges	$10	$10	$8	82%	—	$2 – $18
2	Medica medica pmap (um) facility · percent of total billed charges · outpatientfrom % of charges	$11	$11	$9	82%	—	$2 – $20
3	Aetna aetna elevate (amu) facility · percent of total billed charges · outpatientfrom % of charges	$18	$18	$14	82%	—	$3 – $32
4	Aetna aetna performance (amu) facility · percent of total billed charges · outpatientfrom % of charges	$19	$19	$15	82%	—	$3 – $34
5	Medica medica dual solutions (m) facility · percent of total billed charges · outpatientfrom % of charges	$22	$22	$18	82%	—	$4 – $40
6	Aetna aetna direct network (amu) facility · percent of total billed charges · outpatientfrom % of charges	$27	$27	$22	82%	—	$5 – $50
7	Bcbs Mn bc aware/blue plus (a m u) facility · percent of total billed charges · outpatientfrom % of charges	$29	$29	$24	82%	—	$5 – $53
8	Bcbs Mn bc pmap (amu) facility · other · outpatient	$31	$31	—	—	—	$31 – $31
9	Bcbs Mn bc premier (m u) facility · other · outpatient	$35	$35	—	—	—	$35 – $35
10	Medica medica elect (u m) facility · percent of total billed charges · outpatientfrom % of charges	$36	$36	$29	82%	—	$7 – $65
11	Medica medica essentials (u m) facility · percent of total billed charges · outpatientfrom % of charges	$38	$38	$31	82%	—	$7 – $68
12	Medica medica mhps (u m) facility · percent of total billed charges · outpatientfrom % of charges	$38	$38	$31	82%	—	$7 – $68
13	Medica medica choice (u m) facility · percent of total billed charges · outpatientfrom % of charges	$39	$39	$32	82%	—	$7 – $72
14	Medica medica ubh pmap (m) facility · percent of total billed charges · outpatientfrom % of charges	$40	$40	$33	82%	—	$7 – $73
15	Blue Cross Blue Shield bc aehp (mu) facility · other · outpatient	$41	$41	—	—	—	$41 – $41
16	Bcbs Mn bc state health plan (mu) facility · other · outpatient	$42	$42	—	—	—	$42 – $42
17	First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges	$42	$42	$34	82%	—	$8 – $77
18	First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges	$42	$42	$34	82%	—	$8 – $77
19	Medica medica ubh (m) facility · percent of total billed charges · outpatientfrom % of charges	$42	$42	$34	82%	—	$8 – $77
20	Bcbs Mn bc high value/performance network (mu) facility · other · outpatient	$44	$44	—	—	—	$44 – $44
21	UnitedHealthcare united healthcare (um) facility · fee schedule · outpatient	$50	$50	—	—	—	$50 – $50
22	Aetna allina aetna medicare (m) facility · fee schedule · outpatient	$122	$122	—	—	—	$122 – $122
23	Medicare medicare (m) facility · fee schedule · outpatient	$128	$128	—	—	—	$128 – $128
24	Medica medica medicare (m) facility · fee schedule · outpatient	$133	$133	—	—	—	$133 – $133
25	Blue Cross Blue Shield bc medicare (m) facility · fee schedule · outpatient	$135	$135	—	—	—	$135 – $135

Last updated: Jun 17, 2026

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