RC 920
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 POLYSOMNOGRAPHY > 6YRS >4 PARAMETERS W CPA
Ulm, MN
See all hospitals reporting RC 920 →Price type
Allina Health Systems’s median price of $1.3k is 280% above the median hospital's median price ($333), higher than 89% of the 1,932 hospitals reporting RC 920. 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.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Aetna allina aetna medicare (n) facility · fee schedule · outpatient | $211 | $438 | $312 | 71% | — | $58 – $841 |
| 2 | Medicare medicare (n) facility · fee schedule · outpatient | $223 | $461 | $328 | 71% | — | $61 – $885 |
| 3 | Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges | $303 | $633 | $531 | 84% | — | $22 – $1.5k |
| 4 | Medica medica pmap (n) facility · percent of total billed charges · outpatientfrom % of charges | $479 | $1.0k | $839 | 84% | — | $34 – $2.4k |
| 5 | Bcbs Mn bc pmap (n) facility · other · outpatient | $1.1k | $1.0k | $521 | 50% | 102–138 | $137 – $1.6k |
| 6 | Medicaid medicaid ma (n) facility · other · outpatient | $660 | $1.4k | $1.2k | 84% | 48–66 | $47 – $3.3k |
| 7 | Medica medica medicare (r) facility · fee schedule · outpatient | $670 | $1.4k | $1.2k | 84% | — | $48 – $3.4k |
| 8 | Medica medica dual solutions (r) facility · percent of total billed charges · outpatientfrom % of charges | $678 | $1.4k | $1.2k | 84% | — | $49 – $3.4k |
| 9 | Blue Cross Blue Shield bc medicare (n) facility · fee schedule · outpatient | $701 | $1.5k | $1.2k | 84% | — | $50 – $3.5k |
| 10 | Aetna aetna elevate (n r) facility · percent of total billed charges · inpatientfrom % of charges | $923 | $1.9k | $1.6k | 84% | — | $66 – $4.7k |
| 11 | Aetna aetna elevate (n r) facility · percent of total billed charges · outpatientfrom % of charges | $933 | $1.9k | $1.6k | 84% | — | $67 – $4.7k |
| 12 | Aetna aetna performance (n r) facility · percent of total billed charges · inpatientfrom % of charges | $998 | $2.1k | $1.7k | 84% | — | $72 – $5.0k |
| 13 | Aetna aetna performance (n r) facility · percent of total billed charges · outpatientfrom % of charges | $1.0k | $2.1k | $1.8k | 84% | — | $72 – $5.1k |
| 14 | Medica medica ubh (n) facility · percent of total billed charges · inpatientfrom % of charges | $1.1k | $2.2k | $1.8k | 84% | — | $76 – $5.3k |
| 15 | Medica medica ubh pmap (n) facility · percent of total billed charges · outpatientfrom % of charges | $1.2k | $2.5k | $2.1k | 84% | — | $87 – $6.1k |
| 16 | Cigna hpi cigna (n) facility · other · outpatient | $1.2k | $2.6k | $2.2k | 84% | 4–40 | $88 – $6.2k |
| 17 | First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges | $1.3k | $2.6k | $2.2k | 84% | — | $91 – $6.4k |
| 18 | First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges | $1.3k | $2.6k | $2.2k | 84% | — | $91 – $6.4k |
| 19 | Medica medica ubh (n) facility · percent of total billed charges · outpatientfrom % of charges | $1.3k | $2.6k | $2.2k | 84% | — | $91 – $6.4k |
| 20 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · inpatientfrom % of charges | $1.3k | $2.7k | $2.2k | 84% | — | $92 – $6.4k |
| 21 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · outpatientfrom % of charges | $1.3k | $2.7k | $2.3k | 84% | — | $92 – $6.5k |
| 22 | Bcbs Mn bc state health plan (n) facility · other · outpatient | $2.5k | $2.8k | $1.6k | 57% | 20–38 | $369 – $4.7k |
| 23 | Bcbs Mn bc premier(n) facility · other · outpatient | $1.7k | $3.1k | $2.3k | 74% | 27–45 | $474 – $6.1k |
| 24 | Blue Cross Blue Shield bc aehp (n) facility · other · outpatient | $2.9k | $4.0k | $2.5k | 64% | 3–30 | $557 – $7.2k |
| 25 | Bcbs Mn bc high value/performance network (n) facility · other · outpatient | $3.1k | $4.3k | $2.7k | 64% | 16–43 | $598 – $7.7k |
Last updated: Jun 16, 2026
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