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 BELT/VEST ELEC/COMBO VAD REPL PR300
Ulm, MN
See all hospitals reporting HCPCS Q0499 →Price type
Allina Health Systems’s median price of $523 is 141% above the median hospital's median price ($217), higher than 79% of the 1,029 hospitals reporting HCPCS Q0499. 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, 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 | Bcbs Mn bc pmap (n) facility · other · outpatient | $120 | $120 | — | — | — | $120 – $120 |
| 2 | Aetna allina aetna medicare (n) facility · fee schedule · outpatient | $192 | $192 | — | — | — | $192 – $192 |
| 3 | Medicare medicare (n) facility · fee schedule · outpatient | $202 | $202 | — | — | — | $202 – $202 |
| 4 | Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges | $203 | $203 | — | — | — | $203 – $203 |
| 5 | Bcbs Mn bc state health plan (n) facility · other · outpatient | $296 | $296 | — | — | — | $296 – $296 |
| 6 | Medica medica pmap (n) facility · percent of total billed charges · outpatientfrom % of charges | $321 | $321 | — | — | — | $321 – $321 |
| 7 | Bcbs Mn bc premier(n) facility · other · outpatient | $380 | $380 | — | — | — | $380 – $380 |
| 8 | Medicaid medicaid ma (n) facility · other · outpatient | $441 | $441 | — | — | — | $441 – $441 |
| 9 | Blue Cross Blue Shield bc aehp (n) facility · other · outpatient | $447 | $447 | — | — | — | $447 – $447 |
| 10 | Medica medica medicare (r) facility · fee schedule · outpatient | $448 | $448 | — | — | — | $448 – $448 |
| 11 | Medica medica dual solutions (r) facility · percent of total billed charges · outpatientfrom % of charges | $454 | $454 | — | — | — | $454 – $454 |
| 12 | Blue Cross Blue Shield bc medicare (n) facility · fee schedule · outpatient | $469 | $469 | — | — | — | $469 – $469 |
| 13 | Bcbs Mn bc high value/performance network (n) facility · other · outpatient | $480 | $480 | — | — | — | $480 – $480 |
| 14 | Aetna aetna elevate (n r) facility · percent of total billed charges · inpatientfrom % of charges | $618 | $618 | — | — | — | $618 – $618 |
| 15 | Aetna aetna elevate (n r) facility · percent of total billed charges · outpatientfrom % of charges | $624 | $624 | — | — | — | $624 – $624 |
| 16 | Aetna aetna performance (n r) facility · percent of total billed charges · inpatientfrom % of charges | $667 | $667 | — | — | — | $667 – $667 |
| 17 | Aetna aetna performance (n r) facility · percent of total billed charges · outpatientfrom % of charges | $674 | $674 | — | — | — | $674 – $674 |
| 18 | Medica medica ubh pmap (n) facility · percent of total billed charges · outpatientfrom % of charges | $807 | $807 | — | — | — | $807 – $807 |
| 19 | Cigna hpi cigna (n) facility · other · outpatient | $825 | $825 | — | — | — | $825 – $825 |
| 20 | First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges | $847 | $847 | — | — | — | $847 – $847 |
| 21 | First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges | $847 | $847 | — | — | — | $847 – $847 |
| 22 | Medica medica ubh (n) facility · percent of total billed charges · outpatientfrom % of charges | $847 | $847 | — | — | — | $847 – $847 |
| 23 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · inpatientfrom % of charges | $853 | $853 | — | — | — | $853 – $853 |
| 24 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · outpatientfrom % of charges | $861 | $861 | — | — | — | $861 – $861 |
Last updated: Jun 16, 2026
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