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 RBC LR W DEGLYCD
Ulm, MN
See all hospitals reporting HCPCS P9054 →Price type
Allina Health Systems’s median price of $3.3k is 929% above the median hospital's median price ($318), higher than 99% of the 1,153 hospitals reporting HCPCS P9054. 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, 25 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 | Bcbs Mn bc pmap (n) facility · other · outpatient | $246 | $246 | — | — | — | $246 – $246 |
| 2 | Aetna allina aetna medicare (n) facility · fee schedule · outpatient | $248 | $248 | — | — | — | $248 – $248 |
| 3 | Medicare medicare (n) facility · fee schedule · outpatient | $261 | $261 | — | — | — | $261 – $261 |
| 4 | Bcbs Mn bc state health plan (n) facility · other · outpatient | $664 | $664 | — | — | — | $664 – $664 |
| 5 | Bcbs Mn bc premier(n) facility · other · outpatient | $853 | $853 | — | — | — | $853 – $853 |
| 6 | Blue Cross Blue Shield bc aehp (n) facility · other · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 7 | Bcbs Mn bc high value/performance network (n) facility · other · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 8 | Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 9 | Medica medica pmap (n) facility · percent of total billed charges · outpatientfrom % of charges | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 10 | Medicaid medicaid ma (n) facility · other · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 11 | Medica medica medicare (r) facility · fee schedule · outpatient | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 12 | Medica medica dual solutions (r) facility · percent of total billed charges · outpatientfrom % of charges | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 13 | Blue Cross Blue Shield bc medicare (n) facility · fee schedule · outpatient | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 14 | Aetna aetna elevate (n r) facility · percent of total billed charges · inpatientfrom % of charges | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 15 | Aetna aetna elevate (n r) facility · percent of total billed charges · outpatientfrom % of charges | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 16 | Aetna aetna performance (n r) facility · percent of total billed charges · inpatientfrom % of charges | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
| 17 | Aetna aetna performance (n r) facility · percent of total billed charges · outpatientfrom % of charges | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 18 | Medica medica ubh (n) facility · percent of total billed charges · inpatientfrom % of charges | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 19 | Medica medica ubh pmap (n) facility · percent of total billed charges · outpatientfrom % of charges | $4.6k | $4.6k | — | — | — | $4.6k – $4.6k |
| 20 | Cigna hpi cigna (n) facility · other · outpatient | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
| 21 | First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges | $4.9k | $4.9k | — | — | — | $4.9k – $4.9k |
| 22 | First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges | $4.9k | $4.9k | — | — | — | $4.9k – $4.9k |
| 23 | Medica medica ubh (n) facility · percent of total billed charges · outpatientfrom % of charges | $4.9k | $4.9k | — | — | — | $4.9k – $4.9k |
| 24 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · inpatientfrom % of charges | $4.9k | $4.9k | — | — | — | $4.9k – $4.9k |
| 25 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · outpatientfrom % of charges | $4.9k | $4.9k | — | — | — | $4.9k – $4.9k |
Last updated: Jun 16, 2026
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