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
L ARM PLAST-ADULT
Duluth, MN
See all hospitals reporting HCPCS Q4005 →Price type
Essentia Health Duluth’s median price of $16 is 6% below the median hospital's median price ($17), higher than 14% of the 755 hospitals reporting HCPCS Q4005. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 4 payers, 9 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 | Blue Cross Blue Shield shp facility · percent of total billed charges · inpatientfrom % of charges | $10 | $10 | — | — | — | $10 – $10 |
| 2 | Sanford Health Plan commercia-ndpers facility · percent of total billed charges · inpatientfrom % of charges | $10 | $10 | — | — | — | $10 – $10 |
| 3 | Sanford Health Plan commercial facility · percent of total billed charges · inpatientfrom % of charges | $10 | $10 | — | — | — | $10 – $10 |
| 4 | Blue Cross Blue Shield medicaid facility · percent of total billed charges · inpatientfrom % of charges | $14 | $14 | — | — | — | $14 – $14 |
| 5 | Blue Cross Blue Shield bcbs mn facility · fee schedule · outpatient | $15 | $15 | — | — | — | $15 – $15 |
| 6 | Ucare commercial facility · percent of total billed charges · inpatientfrom % of charges | $15 | $15 | — | — | — | $15 – $15 |
| 7 | Blue Cross Blue Shield bcbs mn facility · percent of total billed charges · inpatientfrom % of charges | $15 | $15 | — | — | — | $15 – $15 |
| 8 | Blue Cross Blue Shield commercial facility · percent of total billed charges · inpatientfrom % of charges | $17 | $17 | — | — | — | $17 – $17 |
| 9 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $20 | $20 | — | — | — | $20 – $20 |
Last updated: Jan 1, 2026
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