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 XCELLISTEM 1 MILLIGRAM PR1000
River Falls, WI
See all hospitals reporting HCPCS A2004 →Price type
Allina Health Systems’s median price of $1.8k is 7090% above the median hospital's median price ($25), higher than 93% of the 835 hospitals reporting HCPCS A2004. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 17 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 | $739 | $739 | — | — | — | $739 – $739 |
| 2 | Medica medica pmap (r) facility · percent of total billed charges · outpatientfrom % of charges | $989 | $989 | — | — | — | $989 – $989 |
| 3 | Bcbs Mn bc pmap (r) facility · percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 4 | Bcbs Mn bc premier (r) facility · percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 5 | Bcbs Mn bc state health plan (r) facility · percent of total billed charges · outpatientfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 6 | Blue Cross Blue Shield bc aehp (r) facility · percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 7 | Blue Cross Blue Shield bc medicare (r) facility · fee schedule · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 8 | Medica medica medicare (r) facility · fee schedule · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 9 | Medica medica dual solutions (r) facility · percent of total billed charges · outpatientfrom % of charges | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 10 | Aetna aetna elevate (n r) facility · percent of total billed charges · inpatientfrom % of charges | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 11 | Aetna aetna elevate (n r) facility · percent of total billed charges · outpatientfrom % of charges | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 12 | Aetna aetna performance (n r) facility · percent of total billed charges · inpatientfrom % of charges | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 13 | Aetna aetna performance (n r) facility · percent of total billed charges · outpatientfrom % of charges | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 14 | First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 15 | First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 16 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · inpatientfrom % of charges | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 17 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · outpatientfrom % of charges | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
Last updated: Jun 15, 2026
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