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
River Falls, WI
See all hospitals reporting HCPCS L0150 →Price type
Allina Health Systems’s median price of $26 is 80% below the median hospital's median price ($132), higher than 12% of the 1,144 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: 8 payers, 20 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 | $5 | $30 | $38 | 124% | — | $2 – $83 |
| 2 | Medica medica pmap (r) facility · percent of total billed charges · outpatientfrom % of charges | $7 | $40 | $50 | 124% | — | $2 – $111 |
| 3 | Aetna allina aetna medicare (r) facility · fee schedule · outpatient | $26 | $52 | $50 | 96% | — | $8 – $123 |
| 4 | Medicare medicare (r) facility · fee schedule · outpatient | $27 | $55 | $53 | 96% | — | $9 – $129 |
| 5 | Medicaid medicaid ma (r) facility · fee schedule · outpatient | $27 | $56 | $54 | 96% | — | $9 – $131 |
| 6 | Blue Cross Blue Shield bc medicare (r) facility · fee schedule · outpatient | $12 | $67 | $83 | 124% | — | $4 – $184 |
| 7 | Medica medica medicare (r) facility · fee schedule · outpatient | $12 | $67 | $83 | 124% | — | $4 – $184 |
| 8 | Medica medica dual solutions (r) facility · percent of total billed charges · outpatientfrom % of charges | $12 | $67 | $84 | 124% | — | $4 – $186 |
| 9 | Bcbs Mn bc pmap (r) facility · fee schedule · outpatient | $75 | $75 | — | — | — | $75 – $75 |
| 10 | Aetna aetna elevate (n r) facility · percent of total billed charges · inpatientfrom % of charges | $17 | $92 | $114 | 124% | — | $6 – $253 |
| 11 | Aetna aetna elevate (n r) facility · percent of total billed charges · outpatientfrom % of charges | $17 | $93 | $115 | 124% | — | $6 – $256 |
| 12 | Aetna aetna performance (n r) facility · percent of total billed charges · inpatientfrom % of charges | $18 | $99 | $123 | 124% | — | $6 – $274 |
| 13 | Aetna aetna performance (n r) facility · percent of total billed charges · outpatientfrom % of charges | $18 | $100 | $125 | 124% | — | $6 – $276 |
| 14 | First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges | $23 | $126 | $157 | 124% | — | $8 – $347 |
| 15 | First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges | $23 | $126 | $157 | 124% | — | $8 – $347 |
| 16 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · inpatientfrom % of charges | $23 | $127 | $158 | 124% | — | $8 – $349 |
| 17 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · outpatientfrom % of charges | $23 | $128 | $159 | 124% | — | $8 – $353 |
| 18 | Bcbs Mn bc state health plan (r) facility · fee schedule · outpatient | $186 | $186 | — | — | — | $186 – $186 |
| 19 | Bcbs Mn bc premier (r) facility · fee schedule · outpatient | $239 | $239 | — | — | — | $239 – $239 |
| 20 | Blue Cross Blue Shield bc aehp (r) facility · fee schedule · outpatient | $281 | $281 | — | — | — | $281 – $281 |
Last updated: Jun 15, 2026
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