HCHG APLIGRAF PER SQ CM PR1 at Allina Health Systems

Ulm, MN

See all hospitals reporting HCPCS Q4101 →

Pricing by billing methodology

Price type

How this price compares nationally

Allina Health Systems’s median price of $36 is 70% below the median hospital's median price ($120), higher than 10% of the 1,917 hospitals reporting HCPCS Q4101. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q4101 at Allina Health Systems

Negotiated rates from the hospital’s own file: 10 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.

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1	Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges	$9	$9	$7	82%	—	$2 – $16
2	Medica medica pmap (n) facility · percent of total billed charges · outpatientfrom % of charges	$14	$14	$11	82%	—	$3 – $25
3	Medicaid medicaid ma (n) facility · other · outpatient	$19	$19	$16	82%	—	$4 – $35
4	Medica medica medicare (r) facility · fee schedule · outpatient	$20	$20	$16	82%	—	$4 – $36
5	Medica medica dual solutions (r) facility · percent of total billed charges · outpatientfrom % of charges	$20	$20	$16	82%	—	$4 – $36
6	Blue Cross Blue Shield bc medicare (n) facility · fee schedule · outpatient	$20	$20	$17	82%	—	$4 – $37
7	Aetna aetna elevate (n r) facility · percent of total billed charges · inpatientfrom % of charges	$27	$27	$22	82%	—	$5 – $49
8	Aetna aetna elevate (n r) facility · percent of total billed charges · outpatientfrom % of charges	$27	$27	$22	82%	—	$5 – $50
9	Aetna aetna performance (n r) facility · percent of total billed charges · inpatientfrom % of charges	$29	$29	$24	82%	—	$5 – $53
10	Aetna aetna performance (n r) facility · percent of total billed charges · outpatientfrom % of charges	$29	$29	$24	82%	—	$5 – $53
11	Bcbs Mn bc pmap (n) facility · other · outpatient	$31	$31	—	—	—	$31 – $31
12	Bcbs Mn bc premier(n) facility · other · outpatient	$35	$35	—	—	—	$35 – $35
13	Medica medica ubh pmap (n) facility · percent of total billed charges · outpatientfrom % of charges	$35	$35	$29	82%	—	$6 – $64
14	Cigna hpi cigna (n) facility · other · outpatient	$36	$36	$29	82%	—	$7 – $65
15	First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges	$37	$37	$30	82%	—	$7 – $67
16	First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges	$37	$37	$30	82%	—	$7 – $67
17	Medica medica ubh (n) facility · percent of total billed charges · outpatientfrom % of charges	$37	$37	$30	82%	—	$7 – $67
18	Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · inpatientfrom % of charges	$37	$37	$30	82%	—	$7 – $68
19	Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · outpatientfrom % of charges	$38	$38	$31	82%	—	$7 – $68
20	Blue Cross Blue Shield bc aehp (n) facility · other · outpatient	$41	$41	—	—	—	$41 – $41
21	Bcbs Mn bc high value/performance network (n) facility · other · outpatient	$44	$44	—	—	—	$44 – $44
22	Bcbs Mn bc state health plan (n) facility · other · outpatient	$46	$46	—	—	—	$46 – $46
23	UnitedHealthcare united healthcare (nr) facility · fee schedule · outpatient	$50	$50	—	—	—	$50 – $50
24	Aetna allina aetna medicare (n) facility · fee schedule · outpatient	$122	$122	—	—	—	$122 – $122
25	Medicare medicare (n) facility · fee schedule · outpatient	$128	$128	—	—	—	$128 – $128

Last updated: Jun 16, 2026

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