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
octreotidemicrospheres 30 mg Serr 1 each VIAL
Ulm, MN
See all hospitals reporting HCPCS J2353 →Price type
Allina Health Systems’s median price of $7.6k is 1742% above the median hospital's median price ($415), higher than 86% of the 1,941 hospitals reporting HCPCS J2353. 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.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Aetna allina aetna medicare (n) facility · fee schedule · outpatient | $189 | $189 | — | — | — | $189 – $189 |
| 2 | Medicare medicare (n) facility · fee schedule · outpatient | $199 | $199 | — | — | — | $199 – $199 |
| 3 | Bcbs Mn bc pmap (n) facility · other · outpatient | $208 | $208 | — | — | — | $208 – $208 |
| 4 | Bcbs Mn bc premier(n) facility · other · outpatient | $235 | $235 | — | — | — | $235 – $235 |
| 5 | Blue Cross Blue Shield bc aehp (n) facility · other · outpatient | $276 | $276 | — | — | — | $276 – $276 |
| 6 | Bcbs Mn bc high value/performance network (n) facility · other · outpatient | $297 | $297 | — | — | — | $297 – $297 |
| 7 | Bcbs Mn bc state health plan (n) facility · other · outpatient | $312 | $312 | — | — | — | $312 – $312 |
| 8 | Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges | $2.9k | $2.9k | $569 | 20% | — | $2.3k – $3.4k |
| 9 | Medica medica pmap (n) facility · percent of total billed charges · outpatientfrom % of charges | $4.5k | $4.5k | $899 | 20% | — | $3.6k – $5.4k |
| 10 | Medicaid medicaid ma (n) facility · other · outpatient | $6.2k | $6.2k | $1.2k | 20% | — | $5.0k – $7.5k |
| 11 | Medica medica medicare (r) facility · fee schedule · outpatient | $6.3k | $6.3k | $1.3k | 20% | — | $5.1k – $7.6k |
| 12 | Medica medica dual solutions (r) facility · percent of total billed charges · outpatientfrom % of charges | $6.4k | $6.4k | $1.3k | 20% | — | $5.1k – $7.7k |
| 13 | Blue Cross Blue Shield bc medicare (n) facility · fee schedule · outpatient | $6.6k | $6.6k | $1.3k | 20% | — | $5.3k – $7.9k |
| 14 | Aetna aetna elevate (n r) facility · percent of total billed charges · inpatientfrom % of charges | $8.7k | $8.7k | $1.7k | 20% | — | $7.0k – $10.4k |
| 15 | Aetna aetna elevate (n r) facility · percent of total billed charges · outpatientfrom % of charges | $8.8k | $8.8k | $1.7k | 20% | — | $7.1k – $10.6k |
| 16 | Aetna aetna performance (n r) facility · percent of total billed charges · inpatientfrom % of charges | $9.4k | $9.4k | $1.9k | 20% | — | $7.5k – $11.3k |
| 17 | Aetna aetna performance (n r) facility · percent of total billed charges · outpatientfrom % of charges | $9.5k | $9.5k | $1.9k | 20% | — | $7.6k – $11.4k |
| 18 | Medica medica ubh (n) facility · percent of total billed charges · inpatientfrom % of charges | $10.0k | $10.0k | $2.0k | 20% | — | $8.0k – $11.9k |
| 19 | Medica medica ubh pmap (n) facility · percent of total billed charges · outpatientfrom % of charges | $11.4k | $11.4k | $2.3k | 20% | — | $9.1k – $13.6k |
| 20 | Cigna hpi cigna (n) facility · other · outpatient | $11.6k | $11.6k | $2.3k | 20% | — | $9.3k – $13.9k |
| 21 | First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges | $11.9k | $11.9k | $2.4k | 20% | — | $9.6k – $14.3k |
| 22 | First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges | $11.9k | $11.9k | $2.4k | 20% | — | $9.6k – $14.3k |
| 23 | Medica medica ubh (n) facility · percent of total billed charges · outpatientfrom % of charges | $11.9k | $11.9k | $2.4k | 20% | — | $9.6k – $14.3k |
| 24 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · inpatientfrom % of charges | $12.0k | $12.0k | $2.4k | 20% | — | $9.6k – $14.4k |
| 25 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · outpatientfrom % of charges | $12.2k | $12.2k | $2.4k | 20% | — | $9.7k – $14.6k |
Last updated: Jun 16, 2026
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