Additional IV infusion for treatment or prevention 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 ED TX/PROPH/DX ADDL SEQ IV INF

Ulm, MN

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Pricing by billing methodology

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How this price compares nationally

Allina Health Systems’s median price of $118 is 4% above the median hospital's median price ($113), higher than 52% of the 2,590 hospitals reporting CPT 96367. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 96367 at Allina Health Systems

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.

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1	Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges	$36	$36	$8	22%	—	$29 – $44
2	Medica medica pmap (n) facility · percent of total billed charges · outpatientfrom % of charges	$58	$58	$13	22%	—	$45 – $70
3	Aetna allina aetna medicare (n) facility · fee schedule · outpatient	$70	$70	—	—	—	$70 – $70
4	Medicare medicare (n) facility · fee schedule · outpatient	$74	$74	—	—	—	$74 – $74
5	Medicaid medicaid ma (n) facility · other · outpatient	$79	$79	$17	22%	2–20	$62 – $97
6	Medica medica medicare (r) facility · fee schedule · outpatient	$81	$81	$18	22%	—	$63 – $98
7	Medica medica dual solutions (r) facility · percent of total billed charges · outpatientfrom % of charges	$82	$82	$18	22%	—	$64 – $99
8	Blue Cross Blue Shield bc medicare (n) facility · fee schedule · outpatient	$84	$84	$18	22%	—	$66 – $103
9	Bcbs Mn bc pmap (n) facility · other · outpatient	$109	$109	—	—	1–10	$109 – $109
10	Aetna aetna elevate (n r) facility · percent of total billed charges · inpatientfrom % of charges	$111	$111	$24	22%	—	$87 – $135
11	Aetna aetna elevate (n r) facility · percent of total billed charges · outpatientfrom % of charges	$112	$112	$24	22%	—	$88 – $137
12	Aetna aetna performance (n r) facility · percent of total billed charges · inpatientfrom % of charges	$120	$120	$26	22%	—	$94 – $146
13	Aetna aetna performance (n r) facility · percent of total billed charges · outpatientfrom % of charges	$121	$121	$26	22%	—	$95 – $148
14	Medica medica ubh (n) facility · percent of total billed charges · inpatientfrom % of charges	$127	$127	$28	22%	—	$99 – $155
15	Medica medica ubh pmap (n) facility · percent of total billed charges · outpatientfrom % of charges	$145	$145	$32	22%	—	$113 – $177
16	Cigna hpi cigna (n) facility · other · outpatient	$148	$148	$32	22%	1–10	$116 – $181
17	First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges	$152	$152	$33	22%	—	$119 – $185
18	First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges	$152	$152	$33	22%	—	$119 – $185
19	Medica medica ubh (n) facility · percent of total billed charges · outpatientfrom % of charges	$152	$152	$33	22%	—	$119 – $185
20	Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · inpatientfrom % of charges	$153	$153	$33	22%	—	$120 – $187
21	Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · outpatientfrom % of charges	$155	$155	$34	22%	—	$121 – $189
22	Bcbs Mn bc state health plan (n) facility · other · outpatient	$268	$268	—	—	1–10	$268 – $268
23	Bcbs Mn bc premier(n) facility · other · outpatient	$345	$345	—	—	—	$345 – $345
24	Blue Cross Blue Shield bc aehp (n) facility · other · outpatient	$405	$405	—	—	2–20	$405 – $405
25	Bcbs Mn bc high value/performance network (n) facility · other · outpatient	$435	$435	—	—	2–20	$435 – $435

Last updated: Jun 16, 2026

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