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
ceFAZolin Solr 1 each VIAL
Ulm, MN
See all hospitals reporting HCPCS J0690 →Price type
Allina Health Systems’s median price of $27 is 267% above the median hospital's median price ($7), higher than 81% of the 2,338 hospitals reporting HCPCS J0690. 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.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Bcbs Mn bc pmap (n) facility · other · outpatient | $0.84 | $0.84 | $0.84 – $0.84 |
| 2 | Bcbs Mn bc premier(n) facility · other · outpatient | $0.96 | $0.96 | $0.96 – $0.96 |
| 3 | Blue Cross Blue Shield bc aehp (n) facility · other · outpatient | $1.12 | $1.12 | $1.12 – $1.12 |
| 4 | Bcbs Mn bc high value/performance network (n) facility · other · outpatient | $1.20 | $1.20 | $1.20 – $1.20 |
| 5 | Bcbs Mn bc state health plan (n) facility · other · outpatient | $1.26 | $1.26 | $1.26 – $1.26 |
| 6 | Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges | $9.25 | $9.45 | $8.25 – $11.01 |
| 7 | Medica medica pmap (n) facility · percent of total billed charges · outpatientfrom % of charges | $14.62 | $14.94 | $13.03 – $17.40 |
| 8 | Medicaid medicaid ma (n) facility · other · outpatient | $20.12 | $20.56 | $17.94 – $23.95 |
| 9 | Medica medica medicare (r) facility · fee schedule · outpatient | $20.42 | $20.87 | $18.22 – $24.31 |
| 10 | Medica medica dual solutions (r) facility · percent of total billed charges · outpatientfrom % of charges | $20.69 | $21.14 | $18.45 – $24.62 |
| 11 | Blue Cross Blue Shield bc medicare (n) facility · fee schedule · outpatient | $21.38 | $21.84 | $19.06 – $25.44 |
| 12 | Aetna aetna elevate (n r) facility · percent of total billed charges · inpatientfrom % of charges | $28.17 | $28.78 | $25.11 – $33.53 |
| 13 | Aetna aetna elevate (n r) facility · percent of total billed charges · outpatientfrom % of charges | $28.45 | $29.07 | $25.36 – $33.86 |
| 14 | Aetna aetna performance (n r) facility · percent of total billed charges · inpatientfrom % of charges | $30.43 | $31.09 | $27.13 – $36.22 |
| 15 | Aetna aetna performance (n r) facility · percent of total billed charges · outpatientfrom % of charges | $30.73 | $31.40 | $27.40 – $36.58 |
| 16 | Medica medica ubh (n) facility · percent of total billed charges · inpatientfrom % of charges | $32.18 | $32.88 | $28.69 – $38.30 |
| 17 | Medica medica ubh pmap (n) facility · percent of total billed charges · outpatientfrom % of charges | $36.78 | $37.58 | $32.79 – $43.78 |
| 18 | Cigna hpi cigna (n) facility · other · outpatient | $37.59 | $38.41 | $33.52 – $44.75 |
| 19 | First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges | $38.61 | $39.45 | $34.43 – $45.96 |
| 20 | First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges | $38.61 | $39.45 | $34.43 – $45.96 |
| 21 | Medica medica ubh (n) facility · percent of total billed charges · outpatientfrom % of charges | $38.61 | $39.45 | $34.43 – $45.96 |
| 22 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · inpatientfrom % of charges | $38.88 | $39.73 | $34.67 – $46.28 |
| 23 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · outpatientfrom % of charges | $39.27 | $40.13 | $35.02 – $46.75 |
Last updated: Jun 16, 2026
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