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
HC LSO SC R ANT/POS PNL PRE OTS
Edina, MN
See all hospitals reporting HCPCS L0650 →Price type
Fairview Health Services’s median price of $1.6k is 78% above the median hospital's median price ($923), higher than 87% of the 1,097 hospitals reporting HCPCS L0650. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 43 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 | $705 | $705 | — | — | — | $705 – $705 |
| 2 | Medica managed medicaid/accessability fee schedule · both | $855 | $855 | — | — | — | $855 – $855 |
| 3 | Sanford Health Plan medicare advantage fee schedule · outpatient | $867 | $867 | — | — | — | $867 – $867 |
| 4 | UnitedHealthcare medicare advantage fee schedule · outpatient | $867 | $867 | — | — | — | $867 – $867 |
| 5 | WellCare medicare advantage fee schedule · outpatient | $867 | $867 | — | — | — | $867 – $867 |
| 6 | Ucare medicare advantage/msho fee schedule · outpatient | $880 | $880 | — | — | — | $880 – $880 |
| 7 | Bcbs Mn medicare advantage fee schedule · outpatient | $901 | $901 | — | — | — | $901 – $901 |
| 8 | Medica medicare advantage non-snp fee schedule · outpatient | $919 | $919 | — | — | — | $919 – $919 |
| 9 | Ucare pmap fee schedule · outpatient | $927 | $927 | — | — | — | $927 – $927 |
| 10 | Bcbs Mn pmap fee schedule · both | $932 | $932 | — | — | — | $932 – $932 |
| 11 | Medica medicare advantage non-snp fee schedule · both | $934 | $934 | — | — | — | $934 – $934 |
| 12 | Medica msho/medicare advantage snp fee schedule · both | $951 | $951 | — | — | — | $951 – $951 |
| 13 | Ucare pmap fee schedule · both | $960 | $960 | — | — | — | $960 – $960 |
| 14 | Medica managed medicaid/accessability fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 15 | Medica msho/medicare advantage snp fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 16 | Bcbs Mn aware federal fee schedule · both | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 17 | Bcbs Mn aware/blue plus fee schedule · both | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 18 | UnitedHealthcare commercial percent of total billed charges · inpatientfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 19 | UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 20 | UnitedHealthcare core percent of total billed charges · inpatientfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 21 | UnitedHealthcare core percent of total billed charges · outpatientfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 22 | Ucare individual and family with m health fairview fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 23 | Medica bold fee schedule · both | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 24 | Bcbs Mn aware federal fee schedule · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 25 | Bcbs Mn aware/blue plus fee schedule · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
Last updated: Feb 6, 2026
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