Full sole and heel wedge, between sole layers at Allina Health Systems

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.

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Provider: anthropic
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Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HCHG CSTM L3420 FULL SOLE/HEEL WEDGE BTWEEN

Ulm, MN

See all hospitals reporting HCPCS L3420 →

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Pricing by billing methodology

Price type

How this price compares nationally

Allina Health Systems’s median price of $103 is 50% above the median hospital's median price ($69), higher than 92% of the 858 hospitals reporting HCPCS L3420. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L3420 at Allina Health Systems

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	$31	$31	—	—	—	$31 – $31
2	Bcbs Mn bc pmap (n) facility · other · outpatient	$39	$39	—	—	—	$39 – $39
3	Medica medica pmap (n) facility · percent of total billed charges · outpatientfrom % of charges	$49	$49	—	—	—	$49 – $49
4	Aetna allina aetna medicare (n) facility · fee schedule · outpatient	$63	$63	—	—	—	$63 – $63
5	Medicare medicare (n) facility · fee schedule · outpatient	$66	$66	—	—	—	$66 – $66
6	Medicaid medicaid ma (n) facility · other · outpatient	$68	$68	—	—	—	$68 – $68
7	Medica medica medicare (r) facility · fee schedule · outpatient	$69	$69	—	—	—	$69 – $69
8	Medica medica dual solutions (r) facility · percent of total billed charges · outpatientfrom % of charges	$70	$70	—	—	—	$70 – $70
9	Blue Cross Blue Shield bc medicare (n) facility · fee schedule · outpatient	$72	$72	—	—	—	$72 – $72
10	Aetna aetna elevate (n r) facility · percent of total billed charges · inpatientfrom % of charges	$95	$95	—	—	—	$95 – $95
11	Aetna aetna elevate (n r) facility · percent of total billed charges · outpatientfrom % of charges	$96	$96	—	—	—	$96 – $96
12	Bcbs Mn bc state health plan (n) facility · other · outpatient	$97	$97	—	—	—	$97 – $97
13	Aetna aetna performance (n r) facility · percent of total billed charges · inpatientfrom % of charges	$102	$102	—	—	—	$102 – $102
14	Aetna aetna performance (n r) facility · percent of total billed charges · outpatientfrom % of charges	$103	$103	—	—	—	$103 – $103
15	Medica medica ubh pmap (n) facility · percent of total billed charges · outpatientfrom % of charges	$124	$124	—	—	—	$124 – $124
16	Bcbs Mn bc premier(n) facility · other · outpatient	$124	$124	—	—	—	$124 – $124
17	Cigna hpi cigna (n) facility · other · outpatient	$126	$126	—	—	—	$126 – $126
18	First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges	$130	$130	—	—	—	$130 – $130
19	First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges	$130	$130	—	—	—	$130 – $130
20	Medica medica ubh (n) facility · percent of total billed charges · outpatientfrom % of charges	$130	$130	—	—	—	$130 – $130
21	Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · inpatientfrom % of charges	$131	$131	—	—	—	$131 – $131
22	Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · outpatientfrom % of charges	$132	$132	—	—	—	$132 – $132
23	Blue Cross Blue Shield bc aehp (n) facility · other · outpatient	$146	$146	—	—	—	$146 – $146
24	Bcbs Mn bc high value/performance network (n) facility · other · outpatient	$157	$157	—	—	—	$157 – $157

Last updated: Jun 16, 2026

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