Ulm, MN
See all hospitals reporting HCPCS L4002 →Price type
Allina Health Systems’s median price of $64 is 78% above the median hospital's median price ($36), higher than 76% of the 346 hospitals reporting HCPCS L4002. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 22 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 | — | — | — | $16 – $16 |
| 2 | Medica medica pmap (n) facility · percent of total billed charges · outpatientfrom % of charges | $25 | $25 | — | — | — | $25 – $25 |
| 3 | Medicaid medicaid ma (n) facility · other · outpatient | $35 | $35 | — | — | — | $35 – $35 |
| 4 | Medica medica medicare (r) facility · fee schedule · outpatient | $36 | $36 | — | — | — | $36 – $36 |
| 5 | Medica medica dual solutions (r) facility · percent of total billed charges · outpatientfrom % of charges | $36 | $36 | — | — | — | $36 – $36 |
| 6 | Blue Cross Blue Shield bc medicare (n) facility · fee schedule · outpatient | $37 | $37 | — | — | — | $37 – $37 |
| 7 | Aetna aetna elevate (n r) facility · percent of total billed charges · inpatientfrom % of charges | $49 | $49 | — | — | — | $49 – $49 |
| 8 | Aetna aetna elevate (n r) facility · percent of total billed charges · outpatientfrom % of charges | $50 | $50 | — | — | — | $50 – $50 |
| 9 | Aetna aetna performance (n r) facility · percent of total billed charges · inpatientfrom % of charges | $53 | $53 | — | — | — | $53 – $53 |
| 10 | Aetna aetna performance (n r) facility · percent of total billed charges · outpatientfrom % of charges | $53 | $53 | — | — | — | $53 – $53 |
| 11 | Medica medica ubh pmap (n) facility · percent of total billed charges · outpatientfrom % of charges | $64 | $64 | — | — | — | $64 – $64 |
| 12 | Cigna hpi cigna (n) facility · other · outpatient | $65 | $65 | — | — | — | $65 – $65 |
| 13 | Bcbs Mn bc pmap (n) facility · other · outpatient | $66 | $66 | — | — | — | $66 – $66 |
| 14 | First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges | $67 | $67 | — | — | — | $67 – $67 |
| 15 | First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges | $67 | $67 | — | — | — | $67 – $67 |
| 16 | Medica medica ubh (n) facility · percent of total billed charges · outpatientfrom % of charges | $67 | $67 | — | — | — | $67 – $67 |
| 17 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · inpatientfrom % of charges | $68 | $68 | — | — | — | $68 – $68 |
| 18 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · outpatientfrom % of charges | $68 | $68 | — | — | — | $68 – $68 |
| 19 | Bcbs Mn bc state health plan (n) facility · other · outpatient | $177 | $177 | — | — | — | $177 – $177 |
| 20 | Bcbs Mn bc premier(n) facility · other · outpatient | $227 | $227 | — | — | — | $227 – $227 |
| 21 | Blue Cross Blue Shield bc aehp (n) facility · other · outpatient | $267 | $267 | — | — | — | $267 – $267 |
| 22 | Bcbs Mn bc high value/performance network (n) facility · other · outpatient | $287 | $287 | — | — | — | $287 – $287 |
Last updated: Jun 16, 2026
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