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 ACTIVITY THERAPY/SESSION 45MIN OR>
Ulm, MN
See all hospitals reporting HCPCS G0176 →Price type
Allina Health Systems’s median price of $212 is 30% above the median hospital's median price ($163), higher than 61% of the 540 hospitals reporting HCPCS G0176. 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 | $69 | $69 | — | — | — | $69 – $69 |
| 2 | Bcbs Mn bc pmap (n) facility · percent of total billed charges · outpatientfrom % of charges | $95 | $95 | — | — | — | $95 – $95 |
| 3 | Medica medica pmap (n) facility · percent of total billed charges · outpatientfrom % of charges | $109 | $109 | — | — | — | $109 – $109 |
| 4 | Bcbs Mn bc premier(n) facility · percent of total billed charges · outpatientfrom % of charges | $114 | $114 | — | — | — | $114 – $114 |
| 5 | Bcbs Mn bc state health plan (n) facility · percent of total billed charges · outpatientfrom % of charges | $120 | $120 | — | — | — | $120 – $120 |
| 6 | Blue Cross Blue Shield bc aehp (n) facility · percent of total billed charges · outpatientfrom % of charges | $134 | $134 | — | — | — | $134 – $134 |
| 7 | Bcbs Mn bc high value/performance network (n) facility · percent of total billed charges · outpatientfrom % of charges | $143 | $143 | — | — | — | $143 – $143 |
| 8 | Medicaid medicaid ma (n) facility · other · outpatient | $151 | $151 | — | — | — | $151 – $151 |
| 9 | Medica medica medicare (r) facility · fee schedule · outpatient | $153 | $153 | — | — | — | $153 – $153 |
| 10 | Medica medica dual solutions (r) facility · percent of total billed charges · outpatientfrom % of charges | $155 | $155 | — | — | — | $155 – $155 |
| 11 | Blue Cross Blue Shield bc medicare (n) facility · fee schedule · outpatient | $160 | $160 | — | — | — | $160 – $160 |
| 12 | Aetna aetna elevate (n r) facility · percent of total billed charges · inpatientfrom % of charges | $211 | $211 | — | — | — | $211 – $211 |
| 13 | Aetna aetna elevate (n r) facility · percent of total billed charges · outpatientfrom % of charges | $213 | $213 | — | — | — | $213 – $213 |
| 14 | Aetna aetna performance (n r) facility · percent of total billed charges · inpatientfrom % of charges | $228 | $228 | — | — | — | $228 – $228 |
| 15 | Aetna aetna performance (n r) facility · percent of total billed charges · outpatientfrom % of charges | $230 | $230 | — | — | — | $230 – $230 |
| 16 | Medica medica ubh (n) facility · percent of total billed charges · inpatientfrom % of charges | $241 | $241 | — | — | — | $241 – $241 |
| 17 | Medica medica ubh pmap (n) facility · percent of total billed charges · outpatientfrom % of charges | $275 | $275 | — | — | — | $275 – $275 |
| 18 | Cigna hpi cigna (n) facility · other · outpatient | $281 | $281 | — | — | — | $281 – $281 |
| 19 | First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges | $289 | $289 | — | — | — | $289 – $289 |
| 20 | First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges | $289 | $289 | — | — | — | $289 – $289 |
| 21 | Medica medica ubh (n) facility · percent of total billed charges · outpatientfrom % of charges | $289 | $289 | — | — | — | $289 – $289 |
| 22 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · inpatientfrom % of charges | $291 | $291 | — | — | — | $291 – $291 |
| 23 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · outpatientfrom % of charges | $294 | $294 | — | — | — | $294 – $294 |
Last updated: Jun 16, 2026
See Activity therapy session in outpatient program pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.