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 KO ELASTIC W JOINTS PREFAB CUSTOM FIT PR20
Ulm, MN
See all hospitals reporting HCPCS L1810 →Price type
Allina Health Systems’s median price of $72 is 44% below the median hospital's median price ($129), higher than 8% of the 1,121 hospitals reporting HCPCS L1810. 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, 24 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 | $19 | $23 | $18 | 75% | — | $5 – $59 |
| 2 | Medica medica pmap (n) facility · percent of total billed charges · outpatientfrom % of charges | $31 | $37 | $28 | 75% | — | $8 – $93 |
| 3 | Medicaid medicaid ma (n) facility · other · outpatient | $42 | $51 | $38 | 75% | — | $11 – $127 |
| 4 | Medica medica medicare (r) facility · fee schedule · outpatient | $43 | $52 | $39 | 75% | — | $11 – $129 |
| 5 | Medica medica dual solutions (r) facility · percent of total billed charges · outpatientfrom % of charges | $43 | $52 | $39 | 75% | — | $11 – $131 |
| 6 | Blue Cross Blue Shield bc medicare (n) facility · fee schedule · outpatient | $45 | $54 | $41 | 75% | — | $11 – $135 |
| 7 | Aetna aetna elevate (n r) facility · percent of total billed charges · inpatientfrom % of charges | $59 | $71 | $54 | 75% | — | $15 – $178 |
| 8 | Aetna aetna elevate (n r) facility · percent of total billed charges · outpatientfrom % of charges | $59 | $72 | $54 | 75% | — | $15 – $180 |
| 9 | Bcbs Mn bc pmap (n) facility · other · outpatient | $74 | $74 | — | — | — | $74 – $74 |
| 10 | Aetna aetna performance (n r) facility · percent of total billed charges · inpatientfrom % of charges | $64 | $77 | $58 | 75% | — | $16 – $193 |
| 11 | Aetna aetna performance (n r) facility · percent of total billed charges · outpatientfrom % of charges | $64 | $78 | $58 | 75% | — | $16 – $194 |
| 12 | Aetna allina aetna medicare (n) facility · fee schedule · outpatient | $90 | $81 | $37 | 46% | — | $22 – $118 |
| 13 | Medicare medicare (n) facility · fee schedule · outpatient | $94 | $85 | $39 | 46% | — | $24 – $125 |
| 14 | Medica medica ubh pmap (n) facility · percent of total billed charges · outpatientfrom % of charges | $77 | $93 | $70 | 75% | — | $19 – $233 |
| 15 | Cigna hpi cigna (n) facility · other · outpatient | $79 | $95 | $71 | 75% | — | $20 – $238 |
| 16 | First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges | $81 | $98 | $73 | 75% | — | $20 – $244 |
| 17 | First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges | $81 | $98 | $73 | 75% | — | $20 – $244 |
| 18 | Medica medica ubh (n) facility · percent of total billed charges · outpatientfrom % of charges | $81 | $98 | $73 | 75% | — | $20 – $244 |
| 19 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · inpatientfrom % of charges | $81 | $99 | $74 | 75% | — | $20 – $246 |
| 20 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · outpatientfrom % of charges | $82 | $100 | $75 | 75% | — | $21 – $249 |
| 21 | Bcbs Mn bc state health plan (n) facility · other · outpatient | $182 | $182 | — | — | — | $182 – $182 |
| 22 | Bcbs Mn bc premier(n) facility · other · outpatient | $234 | $234 | — | — | — | $234 – $234 |
| 23 | Blue Cross Blue Shield bc aehp (n) facility · other · outpatient | $275 | $275 | — | — | — | $275 – $275 |
| 24 | Bcbs Mn bc high value/performance network (n) facility · other · outpatient | $295 | $295 | — | — | — | $295 – $295 |
Last updated: Jun 16, 2026
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