Custom-made finger splint 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 CSTM L3933 FO W/O JOINTS CF

Ulm, MN

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Pricing by billing methodology

Price type

How this price compares nationally

Allina Health Systems’s median price of $237 is 1% below the median hospital's median price ($240), higher than 45% of the 1,346 hospitals reporting HCPCS L3933. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L3933 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.

Filter by billing methodology

Filter by billing class

#
1	Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges	$58	$58	$53	91%	—	$5 – $110
2	Medica medica pmap (n) facility · percent of total billed charges · outpatientfrom % of charges	$91	$91	$83	91%	—	$8 – $174
3	Aetna allina aetna medicare (n) facility · fee schedule · outpatient	$123	$123	$100	81%	—	$24 – $223
4	Medicaid medicaid ma (n) facility · other · outpatient	$126	$126	$115	91%	—	$11 – $240
5	Medica medica medicare (r) facility · fee schedule · outpatient	$127	$127	$116	91%	—	$11 – $244
6	Medica medica dual solutions (r) facility · percent of total billed charges · outpatientfrom % of charges	$129	$129	$118	91%	—	$11 – $247
7	Medicare medicare (n) facility · fee schedule · outpatient	$130	$130	$105	81%	—	$25 – $235
8	Blue Cross Blue Shield bc medicare (n) facility · fee schedule · outpatient	$133	$133	$122	91%	—	$12 – $255
9	Bcbs Mn bc pmap (n) facility · other · outpatient	$139	$139	—	—	—	$139 – $139
10	Aetna aetna elevate (n r) facility · percent of total billed charges · inpatientfrom % of charges	$176	$176	$160	91%	—	$15 – $336
11	Aetna aetna elevate (n r) facility · percent of total billed charges · outpatientfrom % of charges	$178	$178	$162	91%	—	$16 – $339
12	Aetna aetna performance (n r) facility · percent of total billed charges · inpatientfrom % of charges	$190	$190	$173	91%	—	$17 – $363
13	Aetna aetna performance (n r) facility · percent of total billed charges · outpatientfrom % of charges	$192	$192	$175	91%	—	$17 – $367
14	Medica medica ubh pmap (n) facility · percent of total billed charges · outpatientfrom % of charges	$230	$230	$209	91%	—	$20 – $439
15	Cigna hpi cigna (n) facility · other · outpatient	$235	$235	$214	91%	—	$21 – $449
16	First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges	$241	$241	$220	91%	—	$21 – $461
17	First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges	$241	$241	$220	91%	—	$21 – $461
18	Medica medica ubh (n) facility · percent of total billed charges · outpatientfrom % of charges	$241	$241	$220	91%	—	$21 – $461
19	Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · inpatientfrom % of charges	$243	$243	$221	91%	—	$21 – $464
20	Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · outpatientfrom % of charges	$245	$245	$224	91%	—	$22 – $469
21	Bcbs Mn bc state health plan (n) facility · other · outpatient	$343	$343	—	—	—	$343 – $343
22	Bcbs Mn bc premier(n) facility · other · outpatient	$441	$441	—	—	—	$441 – $441
23	Blue Cross Blue Shield bc aehp (n) facility · other · outpatient	$519	$519	—	—	—	$519 – $519
24	Bcbs Mn bc high value/performance network (n) facility · other · outpatient	$557	$557	—	—	—	$557 – $557

Last updated: Jun 16, 2026

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