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 CATH EP NOT 3D W C-T PR1200
Ulm, MN
See all hospitals reporting HCPCS C2630 →Price type
Allina Health Systems’s median price of $2.4k is 39% below the median hospital's median price ($4.0k), higher than 24% of the 1,031 hospitals reporting HCPCS C2630. 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, 23 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 | $847 | $891 | $498 | 56% | — | $42 – $1.8k |
| 2 | Bcbs Mn bc pmap (n) facility · percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | $682 | 56% | — | $57 – $2.5k |
| 3 | Medica medica pmap (n) facility · percent of total billed charges · outpatientfrom % of charges | $1.3k | $1.4k | $786 | 56% | — | $66 – $2.8k |
| 4 | Bcbs Mn bc premier(n) facility · percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.5k | $816 | 56% | — | $69 – $3.0k |
| 5 | Bcbs Mn bc state health plan (n) facility · percent of total billed charges · outpatientfrom % of charges | $1.5k | $1.5k | $862 | 56% | — | $73 – $3.1k |
| 6 | Blue Cross Blue Shield bc aehp (n) facility · percent of total billed charges · outpatientfrom % of charges | $1.6k | $1.7k | $960 | 56% | — | $81 – $3.5k |
| 7 | Bcbs Mn bc high value/performance network (n) facility · percent of total billed charges · outpatientfrom % of charges | $1.8k | $1.8k | $1.0k | 56% | — | $87 – $3.7k |
| 8 | Medicaid medicaid ma (n) facility · other · outpatient | $1.8k | $1.9k | $1.1k | 56% | — | $91 – $3.9k |
| 9 | Medica medica medicare (r) facility · fee schedule · outpatient | $1.9k | $2.0k | $1.1k | 56% | — | $92 – $4.0k |
| 10 | Medica medica dual solutions (r) facility · percent of total billed charges · outpatientfrom % of charges | $1.9k | $2.0k | $1.1k | 56% | — | $94 – $4.0k |
| 11 | Blue Cross Blue Shield bc medicare (n) facility · fee schedule · outpatient | $2.0k | $2.1k | $1.1k | 56% | — | $97 – $4.2k |
| 12 | Aetna aetna elevate (n r) facility · percent of total billed charges · inpatientfrom % of charges | $2.6k | $2.7k | $1.5k | 56% | — | $128 – $5.5k |
| 13 | Aetna aetna elevate (n r) facility · percent of total billed charges · outpatientfrom % of charges | $2.6k | $2.7k | $1.5k | 56% | — | $129 – $5.5k |
| 14 | Aetna aetna performance (n r) facility · percent of total billed charges · inpatientfrom % of charges | $2.8k | $2.9k | $1.6k | 56% | — | $138 – $5.9k |
| 15 | Aetna aetna performance (n r) facility · percent of total billed charges · outpatientfrom % of charges | $2.8k | $3.0k | $1.7k | 56% | — | $139 – $6.0k |
| 16 | Medica medica ubh (n) facility · percent of total billed charges · inpatientfrom % of charges | $2.9k | $3.1k | $1.7k | 56% | — | $146 – $6.3k |
| 17 | Medica medica ubh pmap (n) facility · percent of total billed charges · outpatientfrom % of charges | $3.4k | $3.5k | $2.0k | 56% | — | $166 – $7.2k |
| 18 | Cigna hpi cigna (n) facility · other · outpatient | $3.4k | $3.6k | $2.0k | 56% | — | $170 – $7.3k |
| 19 | First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges | $3.5k | $3.7k | $2.1k | 56% | — | $175 – $7.5k |
| 20 | First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges | $3.5k | $3.7k | $2.1k | 56% | — | $175 – $7.5k |
| 21 | Medica medica ubh (n) facility · percent of total billed charges · outpatientfrom % of charges | $3.5k | $3.7k | $2.1k | 56% | — | $175 – $7.5k |
| 22 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · inpatientfrom % of charges | $3.6k | $3.7k | $2.1k | 56% | — | $176 – $7.6k |
| 23 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · outpatientfrom % of charges | $3.6k | $3.8k | $2.1k | 56% | — | $178 – $7.6k |
Last updated: Jun 16, 2026
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