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 MBC-DAT EACH
Ulm, MN
See all hospitals reporting CPT 86880 →Price type
Allina Health Systems’s median price of $73 is 30% above the median hospital's median price ($56), higher than 78% of the 2,574 hospitals reporting CPT 86880. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 25 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.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Bcbs Mn bc pmap (n) facility · other · outpatient | $23.83 | $23.83 | $23.83 – $23.83 |
| 2 | Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges | $21.23 | $23.91 | $14.37 – $34.10 |
| 3 | Medica medica pmap (n) facility · percent of total billed charges · outpatientfrom % of charges | $33.55 | $37.79 | $22.71 – $53.90 |
| 4 | Medicaid medicaid ma (n) facility · other · outpatient | $46.18 | $52.02 | $31.25 – $74.20 |
| 5 | Medica medica medicare (r) facility · fee schedule · outpatient | $46.68 | $52.58 | $31.59 – $75.00 |
| 6 | Medica medica dual solutions (r) facility · percent of total billed charges · outpatientfrom % of charges | $47.48 | $53.48 | $32.13 – $76.28 |
| 7 | Blue Cross Blue Shield bc medicare (n) facility · fee schedule · outpatient | $48.86 | $55.03 | $33.06 – $78.49 |
| 8 | Aetna allina aetna medicare (n) facility · fee schedule · outpatient | $57.76 | $57.76 | $57.76 – $57.76 |
| 9 | Medicare medicare (n) facility · fee schedule · outpatient | $60.80 | $60.80 | $60.80 – $60.80 |
| 10 | Bcbs Mn bc state health plan (n) facility · other · outpatient | $72.70 | $72.70 | $72.70 – $72.70 |
| 11 | Aetna aetna elevate (n r) facility · percent of total billed charges · inpatientfrom % of charges | $64.64 | $72.82 | $43.75 – $103.85 |
| 12 | Aetna aetna elevate (n r) facility · percent of total billed charges · outpatientfrom % of charges | $65.28 | $73.54 | $44.18 – $104.89 |
| 13 | Aetna aetna performance (n r) facility · percent of total billed charges · inpatientfrom % of charges | $69.83 | $78.66 | $47.26 – $112.19 |
| 14 | Aetna aetna performance (n r) facility · percent of total billed charges · outpatientfrom % of charges | $70.53 | $79.45 | $47.73 – $113.31 |
| 15 | Medica medica ubh (n) facility · percent of total billed charges · inpatientfrom % of charges | $73.85 | $83.19 | $49.98 – $118.65 |
| 16 | Bcbs Mn bc premier(n) facility · other · outpatient | $93.40 | $93.40 | $93.40 – $93.40 |
| 17 | Medica medica ubh pmap (n) facility · percent of total billed charges · outpatientfrom % of charges | $84.40 | $95.08 | $57.12 – $135.60 |
| 18 | Cigna hpi cigna (n) facility · other · outpatient | $86.28 | $97.19 | $58.39 – $138.62 |
| 19 | First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges | $88.62 | $99.83 | $59.98 – $142.38 |
| 20 | First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges | $88.62 | $99.83 | $59.98 – $142.38 |
| 21 | Medica medica ubh (n) facility · percent of total billed charges · outpatientfrom % of charges | $88.62 | $99.83 | $59.98 – $142.38 |
| 22 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · inpatientfrom % of charges | $89.23 | $100.52 | $60.39 – $143.36 |
| 23 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · outpatientfrom % of charges | $90.13 | $101.53 | $61.00 – $144.80 |
| 24 | Blue Cross Blue Shield bc aehp (n) facility · other · outpatient | $109.88 | $109.88 | $109.88 – $109.88 |
| 25 | Bcbs Mn bc high value/performance network (n) facility · other · outpatient | $117.95 | $117.95 | $117.95 – $117.95 |
Last updated: Jun 16, 2026
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