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 CSTM L3765 EWHFO RIGID W/O JNTS CF
River Falls, WI
See all hospitals reporting HCPCS L3765 →Price type
Allina Health Systems’s median price of $146 is 90% below the median hospital's median price ($1.5k), higher than 0% of the 1,094 hospitals reporting HCPCS L3765. 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 | $29 | $313 | $402 | 128% | — | $29 – $881 |
| 2 | Medica medica pmap (r) facility · percent of total billed charges · outpatientfrom % of charges | $39 | $419 | $537 | 128% | — | $39 – $1.2k |
| 3 | Aetna allina aetna medicare (r) facility · fee schedule · outpatient | $137 | $538 | $568 | 106% | — | $136 – $1.3k |
| 4 | Medicare medicare (r) facility · fee schedule · outpatient | $144 | $566 | $598 | 106% | — | $143 – $1.4k |
| 5 | Medicaid medicaid ma (r) facility · fee schedule · outpatient | $147 | $575 | $607 | 105% | — | $146 – $1.4k |
| 6 | Blue Cross Blue Shield bc medicare (r) facility · fee schedule · outpatient | $65 | $692 | $887 | 128% | — | $65 – $1.9k |
| 7 | Medica medica medicare (r) facility · fee schedule · outpatient | $65 | $692 | $887 | 128% | — | $65 – $1.9k |
| 8 | Medica medica dual solutions (r) facility · percent of total billed charges · outpatientfrom % of charges | $66 | $701 | $898 | 128% | — | $66 – $2.0k |
| 9 | Bcbs Mn bc pmap (r) facility · fee schedule · outpatient | $821 | $821 | — | — | — | $821 – $821 |
| 10 | Aetna aetna elevate (n r) facility · percent of total billed charges · inpatientfrom % of charges | $90 | $954 | $1.2k | 128% | — | $89 – $2.7k |
| 11 | Aetna aetna elevate (n r) facility · percent of total billed charges · outpatientfrom % of charges | $91 | $964 | $1.2k | 128% | — | $90 – $2.7k |
| 12 | Aetna aetna performance (n r) facility · percent of total billed charges · inpatientfrom % of charges | $97 | $1.0k | $1.3k | 128% | — | $96 – $2.9k |
| 13 | Aetna aetna performance (n r) facility · percent of total billed charges · outpatientfrom % of charges | $98 | $1.0k | $1.3k | 128% | — | $97 – $2.9k |
| 14 | First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges | $123 | $1.3k | $1.7k | 128% | — | $122 – $3.7k |
| 15 | First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges | $123 | $1.3k | $1.7k | 128% | — | $122 – $3.7k |
| 16 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · inpatientfrom % of charges | $124 | $1.3k | $1.7k | 128% | — | $123 – $3.7k |
| 17 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · outpatientfrom % of charges | $125 | $1.3k | $1.7k | 128% | — | $124 – $3.7k |
| 18 | Bcbs Mn bc state health plan (r) facility · fee schedule · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 19 | Bcbs Mn bc premier (r) facility · fee schedule · outpatient | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 20 | Blue Cross Blue Shield bc aehp (r) facility · fee schedule · outpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
Last updated: Jun 15, 2026
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