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
Lso sc r pos/lat pnl pre ots
Minneapolis, MN
See all hospitals reporting HCPCS L0649 →Price type
Fairview Health Services’s median price of $241 is 8% above the median hospital's median price ($223), higher than 67% of the 821 hospitals reporting HCPCS L0649. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 40 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 | $155.96 | $155.96 | $155.96 – $155.96 |
| 2 | Medica managed medicaid/accessability fee schedule · both | $206.46 | $206.46 | $206.46 – $206.46 |
| 3 | Optum medicaid transplant fee schedule · outpatient | $209.26 | $209.26 | $209.26 – $209.26 |
| 4 | Sanford Health Plan medicare advantage fee schedule · outpatient | $209.26 | $209.26 | $209.26 – $209.26 |
| 5 | UnitedHealthcare medicare advantage fee schedule · outpatient | $209.26 | $209.26 | $209.26 – $209.26 |
| 6 | WellCare medicare advantage fee schedule · outpatient | $209.26 | $209.26 | $209.26 – $209.26 |
| 7 | Ucare medicare advantage/msho fee schedule · outpatient | $212.40 | $212.40 | $212.40 – $212.40 |
| 8 | Bcbs Mn medicare advantage fee schedule · outpatient | $217.63 | $217.63 | $217.63 – $217.63 |
| 9 | Medica medicare advantage non-snp fee schedule · outpatient | $221.82 | $221.82 | $221.82 – $221.82 |
| 10 | Ucare government transplant fee schedule · outpatient | $223.68 | $223.68 | $223.68 – $223.68 |
| 11 | Ucare pmap fee schedule · outpatient | $223.68 | $223.68 | $223.68 – $223.68 |
| 12 | Bcbs Mn pmap fee schedule · both | $224.89 | $224.89 | $224.89 – $224.89 |
| 13 | Medica medicare advantage non-snp fee schedule · both | $225.42 | $225.42 | $225.42 – $225.42 |
| 14 | Optum medicare transplant fee schedule · outpatient | $226.00 | $226.00 | $226.00 – $226.00 |
| 15 | Medica msho/medicare advantage snp fee schedule · both | $229.67 | $229.67 | $229.67 – $229.67 |
| 16 | Ucare government transplant fee schedule · both | $231.64 | $231.64 | $231.64 – $231.64 |
| 17 | Ucare pmap fee schedule · both | $231.64 | $231.64 | $231.64 – $231.64 |
| 18 | Medica managed medicaid/accessability fee schedule · outpatient | $253.95 | $253.95 | $253.95 – $253.95 |
| 19 | Bcbs Mn aware federal fee schedule · both | $260.30 | $260.30 | $260.30 – $260.30 |
| 20 | Bcbs Mn national transplant fee schedule · both | $260.30 | $260.30 | $260.30 – $260.30 |
| 21 | Bcbs Mn aware/blue plus fee schedule · both | $264.99 | $264.99 | $264.99 – $264.99 |
| 22 | Medica msho/medicare advantage snp fee schedule · outpatient | $274.59 | $274.59 | $274.59 – $274.59 |
| 23 | Bcbs Mn aware federal fee schedule · outpatient | $368.78 | $368.78 | $368.78 – $368.78 |
| 24 | Bcbs Mn national transplant fee schedule · outpatient | $368.78 | $368.78 | $368.78 – $368.78 |
| 25 | Ucare individual and family with m health fairview fee schedule · outpatient | $372.06 | $372.06 | $372.06 – $372.06 |
Last updated: Feb 6, 2026
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