Prefabricated figure-eight shoulder abduction brace 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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HCHG SO FIG 8 ABD RESTRAINT PREFAB OTS PR1

Ulm, MN

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Pricing by billing methodology

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How this price compares nationally

Allina Health Systems’s median price of $20 is 71% below the median hospital's median price ($71), higher than 13% of the 1,510 hospitals reporting HCPCS L3650. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L3650 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	$5	$15	$16	111%	—	$2 – $37
2	Medica medica pmap (n) facility · percent of total billed charges · outpatientfrom % of charges	$8	$23	$25	111%	—	$3 – $59
3	Medicaid medicaid ma (n) facility · other · outpatient	$11	$32	$35	111%	—	$4 – $81
4	Medica medica medicare (r) facility · fee schedule · outpatient	$11	$32	$36	111%	—	$4 – $82
5	Medica medica dual solutions (r) facility · percent of total billed charges · outpatientfrom % of charges	$11	$33	$36	111%	—	$4 – $83
6	Blue Cross Blue Shield bc medicare (n) facility · fee schedule · outpatient	$11	$34	$37	111%	—	$4 – $86
7	Aetna allina aetna medicare (n) facility · fee schedule · outpatient	$22	$35	$29	83%	—	$7 – $75
8	Medicare medicare (n) facility · fee schedule · outpatient	$24	$37	$31	83%	—	$8 – $79
9	Aetna aetna elevate (n r) facility · percent of total billed charges · inpatientfrom % of charges	$15	$44	$49	111%	—	$5 – $113
10	Aetna aetna elevate (n r) facility · percent of total billed charges · outpatientfrom % of charges	$15	$45	$50	111%	—	$5 – $115
11	Bcbs Mn bc pmap (n) facility · other · outpatient	$47	$47	—	—	—	$47 – $47
12	Aetna aetna performance (n r) facility · percent of total billed charges · inpatientfrom % of charges	$16	$48	$53	111%	—	$5 – $123
13	Aetna aetna performance (n r) facility · percent of total billed charges · outpatientfrom % of charges	$16	$48	$54	111%	—	$5 – $124
14	Medica medica ubh pmap (n) facility · percent of total billed charges · outpatientfrom % of charges	$19	$58	$64	111%	—	$6 – $148
15	Cigna hpi cigna (n) facility · other · outpatient	$20	$59	$65	111%	—	$7 – $151
16	First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges	$20	$61	$67	111%	—	$7 – $156
17	First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges	$20	$61	$67	111%	—	$7 – $156
18	Medica medica ubh (n) facility · percent of total billed charges · outpatientfrom % of charges	$20	$61	$67	111%	—	$7 – $156
19	Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · inpatientfrom % of charges	$20	$61	$68	111%	—	$7 – $157
20	Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · outpatientfrom % of charges	$21	$62	$68	111%	—	$7 – $158
21	Bcbs Mn bc state health plan (n) facility · other · outpatient	$116	$116	—	—	—	$116 – $116
22	Bcbs Mn bc premier(n) facility · other · outpatient	$149	$149	—	—	—	$149 – $149
23	Blue Cross Blue Shield bc aehp (n) facility · other · outpatient	$175	$175	—	—	—	$175 – $175
24	Bcbs Mn bc high value/performance network (n) facility · other · outpatient	$188	$188	—	—	—	$188 – $188

Last updated: Jun 16, 2026

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