HCHG PRIMATRIX PER SQ CM PR50 at Allina Health Systems

Ulm, MN

See all hospitals reporting HCPCS Q4110 →

Pricing by billing methodology

Price type

How this price compares nationally

Allina Health Systems’s median price of $112 is 19% below the median hospital's median price ($137), higher than 28% of the 1,579 hospitals reporting HCPCS Q4110. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q4110 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.

Filter by billing methodology

Filter by billing class

#
1	Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges	$35	$48	$28	58%	—	$16 – $97
2	Bcbs Mn bc pmap (n) facility · other · outpatient	$67	$67	—	—	—	$67 – $67
3	Bcbs Mn bc premier(n) facility · other · outpatient	$75	$75	—	—	—	$75 – $75
4	Medica medica pmap (n) facility · percent of total billed charges · outpatientfrom % of charges	$56	$76	$44	58%	—	$25 – $153
5	Blue Cross Blue Shield bc aehp (n) facility · other · outpatient	$88	$88	—	—	—	$88 – $88
6	Bcbs Mn bc high value/performance network (n) facility · other · outpatient	$95	$95	—	—	—	$95 – $95
7	Bcbs Mn bc state health plan (n) facility · other · outpatient	$100	$100	—	—	—	$100 – $100
8	Medicaid medicaid ma (n) facility · other · outpatient	$77	$105	$61	58%	—	$34 – $210
9	Medica medica medicare (r) facility · fee schedule · outpatient	$78	$107	$62	58%	—	$34 – $213
10	UnitedHealthcare united healthcare (nr) facility · fee schedule · outpatient	$108	$108	—	—	—	$108 – $108
11	Medica medica dual solutions (r) facility · percent of total billed charges · outpatientfrom % of charges	$79	$108	$63	58%	—	$35 – $216
12	Blue Cross Blue Shield bc medicare (n) facility · fee schedule · outpatient	$82	$112	$65	58%	—	$36 – $223
13	Aetna allina aetna medicare (n) facility · fee schedule · outpatient	$122	$122	—	—	—	$122 – $122
14	Medicare medicare (n) facility · fee schedule · outpatient	$128	$128	—	—	—	$128 – $128
15	Aetna aetna elevate (n r) facility · percent of total billed charges · inpatientfrom % of charges	$108	$147	$86	58%	—	$47 – $294
16	Aetna aetna elevate (n r) facility · percent of total billed charges · outpatientfrom % of charges	$109	$149	$86	58%	—	$48 – $297
17	Aetna aetna performance (n r) facility · percent of total billed charges · inpatientfrom % of charges	$117	$159	$93	58%	—	$51 – $318
18	Aetna aetna performance (n r) facility · percent of total billed charges · outpatientfrom % of charges	$118	$161	$93	58%	—	$52 – $321
19	Medica medica ubh pmap (n) facility · percent of total billed charges · outpatientfrom % of charges	$141	$192	$112	58%	—	$62 – $384
20	Cigna hpi cigna (n) facility · other · outpatient	$144	$197	$114	58%	—	$63 – $393
21	First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges	$148	$202	$117	58%	—	$65 – $404
22	First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges	$148	$202	$117	58%	—	$65 – $404
23	Medica medica ubh (n) facility · percent of total billed charges · outpatientfrom % of charges	$148	$202	$117	58%	—	$65 – $404
24	Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · inpatientfrom % of charges	$149	$203	$118	58%	—	$66 – $406
25	Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · outpatientfrom % of charges	$150	$205	$119	58%	—	$66 – $410

Last updated: Jun 16, 2026

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