Prefabricated figure-eight shoulder abduction brace at Allina Health Systems

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HCHG SO FIG 8 ABD RESTRAINT PREFAB OTS PR1

River Falls, WI

See all hospitals reporting HCPCS L3650 →

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Pricing by billing methodology

Price type

How this price compares nationally

Allina Health Systems’s median price of $26 is 63% below the median hospital's median price ($71), higher than 16% of the 1,510 hospitals reporting HCPCS L3650. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L3650 at Allina Health Systems

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	$19	$22	115%	—	$2 – $51
2	Medica medica pmap (r) facility · percent of total billed charges · outpatientfrom % of charges	$7	$26	$30	115%	—	$2 – $68
3	Aetna allina aetna medicare (r) facility · fee schedule · outpatient	$26	$36	$28	78%	—	$9 – $75
4	Medicare medicare (r) facility · fee schedule · outpatient	$27	$38	$30	78%	—	$9 – $79
5	Medicaid medicaid ma (r) facility · fee schedule · outpatient	$27	$39	$30	78%	—	$9 – $81
6	Blue Cross Blue Shield bc medicare (r) facility · fee schedule · outpatient	$12	$43	$49	115%	—	$4 – $113
7	Medica medica medicare (r) facility · fee schedule · outpatient	$12	$43	$49	115%	—	$4 – $113
8	Medica medica dual solutions (r) facility · percent of total billed charges · outpatientfrom % of charges	$12	$43	$50	115%	—	$4 – $114
9	Bcbs Mn bc pmap (r) facility · fee schedule · outpatient	$46	$46	—	—	—	$46 – $46
10	Aetna aetna elevate (n r) facility · percent of total billed charges · inpatientfrom % of charges	$17	$59	$68	115%	—	$6 – $155
11	Aetna aetna elevate (n r) facility · percent of total billed charges · outpatientfrom % of charges	$17	$60	$69	115%	—	$6 – $157
12	Aetna aetna performance (n r) facility · percent of total billed charges · inpatientfrom % of charges	$18	$64	$73	115%	—	$6 – $168
13	Aetna aetna performance (n r) facility · percent of total billed charges · outpatientfrom % of charges	$18	$65	$74	115%	—	$6 – $169
14	First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges	$23	$81	$93	115%	—	$8 – $213
15	First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges	$23	$81	$93	115%	—	$8 – $213
16	Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · inpatientfrom % of charges	$23	$82	$94	115%	—	$8 – $214
17	Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · outpatientfrom % of charges	$23	$82	$95	115%	—	$8 – $216
18	Bcbs Mn bc state health plan (r) facility · fee schedule · outpatient	$114	$114	—	—	—	$114 – $114
19	Bcbs Mn bc premier (r) facility · fee schedule · outpatient	$146	$146	—	—	—	$146 – $146
20	Blue Cross Blue Shield bc aehp (r) facility · fee schedule · outpatient	$172	$172	—	—	—	$172 – $172

Last updated: Jun 15, 2026

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