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 JOINT PREFAB OTS PR10
Ulm, MN
See all hospitals reporting HCPCS L1812 →Price type
Allina Health Systems’s median price of $58 is 34% below the median hospital's median price ($87), higher than 5% of the 1,048 hospitals reporting HCPCS L1812. 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 | $16 | $16 | $5 | 33% | — | $10 – $23 |
| 2 | Medica medica pmap (n) facility · percent of total billed charges · outpatientfrom % of charges | $25 | $25 | $8 | 33% | — | $15 – $36 |
| 3 | Medicaid medicaid ma (n) facility · other · outpatient | $35 | $35 | $11 | 33% | — | $21 – $49 |
| 4 | Medica medica medicare (r) facility · fee schedule · outpatient | $36 | $36 | $12 | 33% | — | $21 – $50 |
| 5 | Medica medica dual solutions (r) facility · percent of total billed charges · outpatientfrom % of charges | $36 | $36 | $12 | 33% | — | $22 – $50 |
| 6 | Blue Cross Blue Shield bc medicare (n) facility · fee schedule · outpatient | $37 | $37 | $12 | 33% | — | $22 – $52 |
| 7 | Aetna aetna elevate (n r) facility · percent of total billed charges · inpatientfrom % of charges | $49 | $49 | $16 | 33% | — | $29 – $69 |
| 8 | Aetna aetna elevate (n r) facility · percent of total billed charges · outpatientfrom % of charges | $50 | $50 | $16 | 33% | — | $30 – $69 |
| 9 | Aetna aetna performance (n r) facility · percent of total billed charges · inpatientfrom % of charges | $53 | $53 | $17 | 33% | — | $32 – $74 |
| 10 | Aetna aetna performance (n r) facility · percent of total billed charges · outpatientfrom % of charges | $53 | $53 | $17 | 33% | — | $32 – $75 |
| 11 | Aetna allina aetna medicare (n) facility · fee schedule · outpatient | $72 | $63 | $13 | 20% | — | $45 – $72 |
| 12 | Medica medica ubh pmap (n) facility · percent of total billed charges · outpatientfrom % of charges | $64 | $64 | $21 | 33% | — | $38 – $90 |
| 13 | Cigna hpi cigna (n) facility · other · outpatient | $65 | $65 | $21 | 33% | — | $39 – $92 |
| 14 | Medicare medicare (n) facility · fee schedule · outpatient | $76 | $66 | $14 | 20% | — | $47 – $76 |
| 15 | First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges | $67 | $67 | $22 | 33% | — | $40 – $94 |
| 16 | First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges | $67 | $67 | $22 | 33% | — | $40 – $94 |
| 17 | Medica medica ubh (n) facility · percent of total billed charges · outpatientfrom % of charges | $67 | $67 | $22 | 33% | — | $40 – $94 |
| 18 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · inpatientfrom % of charges | $68 | $68 | $22 | 33% | — | $41 – $95 |
| 19 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · outpatientfrom % of charges | $68 | $68 | $22 | 33% | — | $41 – $96 |
| 20 | Bcbs Mn bc pmap (n) facility · other · outpatient | $74 | $74 | — | — | — | $74 – $74 |
| 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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