HCHG PRIMATRIX PER SQ CM PR50 at Allina Health Systems

River Falls, WI

See all hospitals reporting HCPCS Q4110 →

Pricing by billing methodology

Price type

How this price compares nationally

Allina Health Systems’s median price of $109 is 21% below the median hospital's median price ($137), higher than 27% of the 1,579 hospitals reporting HCPCS Q4110. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q4110 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	$39	$54	$31	57%	—	$18 – $107
2	Bcbs Mn bc pmap (r) facility · fee schedule · outpatient	$65	$65	—	—	—	$65 – $65
3	Medica medica pmap (r) facility · percent of total billed charges · outpatientfrom % of charges	$52	$72	$41	57%	—	$24 – $143
4	Bcbs Mn bc premier (r) facility · fee schedule · outpatient	$74	$74	—	—	—	$74 – $74
5	Blue Cross Blue Shield bc aehp (r) facility · fee schedule · outpatient	$87	$87	—	—	—	$87 – $87
6	Bcbs Mn bc state health plan (r) facility · fee schedule · outpatient	$98	$98	—	—	—	$98 – $98
7	UnitedHealthcare united healthcare (nr) facility · fee schedule · outpatient	$108	$108	—	—	—	$108 – $108
8	Blue Cross Blue Shield bc medicare (r) facility · fee schedule · outpatient	$87	$119	$68	57%	—	$39 – $236
9	Medica medica medicare (r) facility · fee schedule · outpatient	$87	$119	$68	57%	—	$39 – $236
10	Medica medica dual solutions (r) facility · percent of total billed charges · outpatientfrom % of charges	$88	$120	$69	57%	—	$40 – $239
11	Aetna allina aetna medicare (r) facility · fee schedule · outpatient	$122	$122	—	—	—	$122 – $122
12	Medicare medicare (r) facility · fee schedule · outpatient	$128	$128	—	—	—	$128 – $128
13	Aetna aetna elevate (n r) facility · percent of total billed charges · inpatientfrom % of charges	$119	$164	$94	57%	—	$54 – $326
14	Aetna aetna elevate (n r) facility · percent of total billed charges · outpatientfrom % of charges	$121	$166	$95	57%	—	$55 – $329
15	Aetna aetna performance (n r) facility · percent of total billed charges · inpatientfrom % of charges	$129	$177	$102	57%	—	$58 – $352
16	Aetna aetna performance (n r) facility · percent of total billed charges · outpatientfrom % of charges	$130	$179	$103	57%	—	$59 – $356
17	First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges	$164	$225	$129	57%	—	$74 – $447
18	First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges	$164	$225	$129	57%	—	$74 – $447
19	Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · inpatientfrom % of charges	$165	$226	$130	57%	—	$75 – $450
20	Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · outpatientfrom % of charges	$167	$229	$131	57%	—	$75 – $454

Last updated: Jun 15, 2026

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