Ostomy belt for peristomal hernia support at Fairview Health Services

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Peristomal hernia supprt blt

Burnsville, MN

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How this price compares nationally

Fairview Health Services’s median price of $73 is 27% above the median hospital's median price ($58), higher than 81% of the 658 hospitals reporting HCPCS A4396. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A4396 at Fairview Health Services

Negotiated rates from the hospital’s own file: 4 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 pmap fee schedule · outpatient	$25.53	$25.53	$25.53 – $25.53
2	Bcbs Mn aware federal fee schedule · both	$52.47	$52.47	$52.47 – $52.47
3	Bcbs Mn aware/blue plus fee schedule · both	$53.41	$53.41	$53.41 – $53.41
4	Medica managed medicaid/accessability fee schedule · both	$55.23	$55.23	$55.23 – $55.23
5	Medica medicare advantage non-snp fee schedule · both	$59.95	$59.95	$59.95 – $59.95
6	Bcbs Mn pmap fee schedule · both	$60.16	$60.16	$60.16 – $60.16
7	Bcbs Mn aware federal fee schedule · outpatient	$60.37	$60.37	$60.37 – $60.37
8	Medica msho/medicare advantage snp fee schedule · both	$61.08	$61.08	$61.08 – $61.08
9	Bcbs Mn aware/blue plus fee schedule · outpatient	$61.46	$61.46	$61.46 – $61.46
10	Ucare pmap fee schedule · both	$61.61	$61.61	$61.61 – $61.61
11	Medica managed medicaid/accessability fee schedule · outpatient	$67.93	$67.93	$67.93 – $67.93
12	Medica msho/medicare advantage snp fee schedule · outpatient	$73.46	$73.46	$73.46 – $73.46
13	UnitedHealthcare commercial fee schedule · both	$88.16	$88.16	$88.16 – $88.16
14	UnitedHealthcare core fee schedule · both	$88.16	$88.16	$88.16 – $88.16
15	Medica bold fee schedule · both	$104.14	$104.14	$104.14 – $104.14
16	Medica vantage self insured fee schedule · both	$112.82	$112.82	$112.82 – $112.82
17	Medica city of st. paul/essential-uplan fee schedule · both	$115.71	$115.71	$115.71 – $115.71
18	Medica individual and family business (except aco) and elect fee schedule · both	$115.71	$115.71	$115.71 – $115.71
19	Medica choice fee schedule · both	$119.74	$119.74	$119.74 – $119.74
20	Medica bold fee schedule · outpatient	$125.81	$125.81	$125.81 – $125.81
21	Medica city of st. paul/essential-uplan fee schedule · outpatient	$130.23	$130.23	$130.23 – $130.23
22	Medica vantage self insured fee schedule · outpatient	$136.75	$136.75	$136.75 – $136.75
23	Medica individual and family business (except aco) and elect fee schedule · outpatient	$139.84	$139.84	$139.84 – $139.84
24	Medica choice fee schedule · outpatient	$144.70	$144.70	$144.70 – $144.70

Last updated: Feb 6, 2026

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