Does Astera Health have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Astera Health. In a medical emergency, call 911.

Where is Astera Health?

421 11th Street NW, Wadena, MN 56482, in Otter Tail County, Minnesota.

What is the phone number of Astera Health?

(218) 631-7489, as listed by Medicare (CMS).

What is the Medicare star rating of Astera Health?

3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Astera Health — Wadena, MN | US Patient Guide

Quick answers

Does Astera Health have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Astera Health. In a medical emergency, call 911.
Where is Astera Health?: 421 11th Street NW, Wadena, MN 56482, in Otter Tail County, Minnesota.
What is the phone number of Astera Health?: (218) 631-7489, as listed by Medicare (CMS).
What is the Medicare star rating of Astera Health?: 3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^{[4][5][6][7][8]}

Conditions treated^[7][8]

Gestational diabetes
Pre-eclampsia
High-risk pregnancy
Appendicitis
Hernias
Gallbladder disease
Kidney stones

Treatments^[5][8]

Telestroke consultation
Epidural labor pain relief
Intrathecal injection for labor pain
Nitrous oxide for labor pain
Water birth support

Procedures^[7][8]

Minimally invasive surgery
Cesarean section
Circumcision

Programs and centers^[5][8]

Helipad access for MedFlight transport
NICU telehealth consultation
Blue Band pre-eclampsia prevention initiative

Emergency care (hospital website)^[5]

Emergency room	Yes
Open 24/7	Yes
Trauma designation	Level IV
Stroke designation	Acute Stroke Ready

Visiting and practical information

Parking	Valet service Mon-Fri 9 a.m.-4 p.m. at the Wadena campus (421 11th St NW)^[6]
Patient portal	MyChart

Doctors and clinicians (106)

106 doctors and other clinicians list Astera Health as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

And 82 more: the button below opens the full list.

Other emergency rooms nearby

Hospitals that list emergency services, by straight-line distance (not driving distance).

Lakewood Health System21 mi · Staples, MN · Critical Access Hospital
Perham Health23 mi · Perham, MN · Critical Access Hospital
St Josephs Area Health Services32 mi · Park Rapids, MN · Critical Access Hospital
CentraCare - Long Prairie Hospital36 mi · Long Prairie, MN · Critical Access Hospital
Essentia Health St Marys - Detroit Lakes41 mi · Detroit Lakes, MN · Acute Care Hospital

Other hospitals nearby

Community Behavioral Health Hospital Alexandria40 mi · Alexandria, MN · Psychiatric Hospital

Nursing homes, hospice, home health and dialysis nearby

Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.

Nursing homes

Fair Oaks Lodge2.2 mi · Wadena, MN · 2 of 5 stars
Lakewood Health System18 mi · Staples, MN · 5 of 5 stars
Green Pine Acres Nursing Home21 mi · Menahga, MN · 5 of 5 stars

All nursing homes in the state →

Hospice providers

Lakewood Health System Hospice17 mi · Staples, MN

All hospice providers in the state →

Home health agencies

Caring Hands Home Care15 mi · Sebeka, MN
Lakewood Health System Home Care & Hospice17 mi · Staples, MN · 2 of 5 stars
Perham Living Home Care21 mi · Perham, MN

All home health agencies in the state →

Dialysis facilities

Fresenius Kidney Care Wadena County17 mi · Staples, MN · 2 of 5 stars

All dialysis facilities in the state →

Community care nearby

Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.

Clinics and urgent care

Astera Health1.0 mi · Wadena, MN · Rural health clinic
Astera Health Verndale Clinic10 mi · Verndale, MN · Rural health clinic
Astera Health Bertha Clinic15 mi · Bertha, MN · Rural health clinic

Pharmacies

Mertens Drug Inc1.0 mi · Wadena, MN · Community/retail pharmacy
Seip Drug LLC1.0 mi · Wadena, MN · Community/retail pharmacy
Thrifty Drug Stores Inc1.0 mi · Wadena, MN · Community/retail pharmacy

Assisted living nearby

Licensed homes from the official state licence list, by straight-line distance.

Vitality Living of New York Mills LLC12 mi · New York Mills, MN

About the Medicare star rating

CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →

Medicare quality data

What Astera Health reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.

Summary star rating (all survey topics)	4 of 5 stars
Overall rating of the hospital	5 of 5 stars
Would recommend the hospital	4 of 5 stars
Nurses communicated well	5 of 5 stars
Doctors communicated well	4 of 5 stars
Staff explained medicines	4 of 5 stars
Information about recovery at home	4 of 5 stars
Room and bathroom kept clean	4 of 5 stars
Quiet at night	5 of 5 stars
Rated the hospital 9 or 10 out of 10	87%National average: 72%
Would definitely recommend the hospital	72%National average: 71%
Nurses “always” communicated well	86%National average: 80%
Doctors “always” communicated well	84%National average: 80%
Staff “always” explained medicines before giving them	72%National average: 62%
Were given information about recovery at home	89%National average: 86%
Room and bathroom “always” clean	74%National average: 74%
Area around the room “always” quiet at night	77%National average: 60%
Completed surveys	132Response rate: 29%

Source: Patient survey (HCAHPS) - Hospital — CMS, released July 22, 2026; patients discharged October 2024 to September 2025.

Infections caught in the hospital

What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.

Central line bloodstream infections (CLABSI)	Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)	Not reported to Medicare
Surgical site infections after colon surgery	Not reported to Medicare
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	Not reported to Medicare
Clostridioides difficile (C. diff) intestinal infections	Not reported to Medicare

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026.

Complications and deaths

What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.

Deaths within 30 days: heart attack patients	Too few cases to report
Deaths within 30 days: heart failure patients	13.3%
Deaths within 30 days: pneumonia patients	14.9%
Deaths within 30 days: COPD patients	Too few cases to report
Deaths within 30 days: stroke patients	Too few cases to report
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	Not reported to Medicare
Complications after hip or knee replacement	4.9%

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	Too few cases to report
Readmitted within 30 days: heart failure	21.4%
Readmitted within 30 days: pneumonia	17.1%
Readmitted within 30 days: COPD	Too few cases to report
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	6.3%

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026; data from July 2023 to June 2025.

Emergency room times and sepsis care

What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.

Emergency room volume (patients per year)	Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	138 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	0%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	Not reported to Medicare

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.

ER wait times in Minnesota Best hospitals in Minnesota

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 71 common services exactly as Astera Health lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

Hospital charge: The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
Cash price: The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
Insurance rates: The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
Hospital and doctor fees: A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.

How to use hospital prices: estimates, financial assistance and your rights →

$ 86 amounts are marked with “!”: they are more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. They are shown exactly as listed; ask the hospital before relying on them.

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: New Pt Level 3 Office/Other Outpt Visit Eval and Mgmt, Low Level Mdm or 30 Min Met or Exceeded (Pro CAH)	$264.64	$191.07	$58.57 – $238.18
New patient office visit (about 30–44 minutes): 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $238.18 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $153.64 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $153.64 BCBS OF MN [40001] — MR-BCBS MN [400069]: $85.32 BCBS OF MN [40003] — BLUE PLUS [400058]: $153.64 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $120.23 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $85.32 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $132.15 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $85.32 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $85.32
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) In the file: New Pt Level 3 Office/Other Outpt Visit Eval and Mgmt, Low Level Mdm or 30 Min Met or Exceeded	$617.49	$428.48	$120.23 – $48,102.47 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
New patient office visit (about 30–44 minutes): 10 of 22 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $555.74 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $201.26 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $201.26 BCBS OF MN [40001] — MR-BCBS MN [400069]: $106.69 BCBS OF MN [40003] — BLUE PLUS [400058]: $201.26 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $51.53 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $106.69 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $106.69 MEDICA NONPMAP [10056] — MEDICA [100341]: $20,615.46 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) MEDICA NONPMAP [10056] — MR-MEDICA ADVANTAGE SOLUTIONS [100895]: $106.69
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: New Pt Level 4 Office/Other Outpt Visit Eval and Mgmt, Moderate Level Mdm or 45 Min Met or Exceeded (Pro CAH)	$376.73	$272	$95.87 – $339.06
New patient office visit (about 45–59 minutes): 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $339.06 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $250.20 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $250.20 BCBS OF MN [40001] — MR-BCBS MN [400069]: $139.51 BCBS OF MN [40003] — BLUE PLUS [400058]: $250.20 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $171.15 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $139.51 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $215.38 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $139.51 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $139.51
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) In the file: New Pt Level 4 Office/Other Outpt Visit Eval and Mgmt, Moderate Level Mdm or 45 Min Met or Exceeded	$879.04	$609.97	$171.15 – $68,477.22 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
New patient office visit (about 45–59 minutes): 10 of 22 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $791.14 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $286.50 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $286.50 BCBS OF MN [40001] — MR-BCBS MN [400069]: $159.70 BCBS OF MN [40003] — BLUE PLUS [400058]: $286.50 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $73.35 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $159.70 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $159.70 MEDICA NONPMAP [10056] — MEDICA [100341]: $29,347.27 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) MEDICA NONPMAP [10056] — MR-MEDICA ADVANTAGE SOLUTIONS [100895]: $159.70
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: New Pt Level 5 Office/Other Outpt Visit Eval and Mgmt, High Level Mdm or 60 Min Met or Exceeded (Pro CAH)	$472.21	$340.94	$110.63 – $424.99
New patient office visit (about 60–74 minutes): 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $424.99 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $289.43 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $289.43 BCBS OF MN [40001] — MR-BCBS MN [400069]: $189.54 BCBS OF MN [40003] — BLUE PLUS [400058]: $289.43 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $214.52 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $189.54 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $249.03 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $189.54 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $189.54
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) In the file: New Pt Level 5 Office/Other Outpt Visit Eval and Mgmt, High Level Mdm or 60 Min Met or Exceeded	$1,101.82	$764.55	$214.52 – $85,831.78 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
New patient office visit (about 60–74 minutes): 10 of 22 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $991.64 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $359.12 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $359.12 BCBS OF MN [40001] — MR-BCBS MN [400069]: $210.34 BCBS OF MN [40003] — BLUE PLUS [400058]: $359.12 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $91.94 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $210.34 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $210.34 MEDICA NONPMAP [10056] — MEDICA [100341]: $36,785.16 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) MEDICA NONPMAP [10056] — MR-MEDICA ADVANTAGE SOLUTIONS [100895]: $210.34
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: Est Pt Level 3 Office/Other Outpt Visit Eval and Mgmt, Low Level Mdm or 20 Min Met or Exceeded (Pro CAH)	$174.35	$125.88	$40.42 – $156.92
Established patient office visit (about 20–29 minutes): 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $156.92 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $105 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $105 BCBS OF MN [40001] — MR-BCBS MN [400069]: $69.35 BCBS OF MN [40003] — BLUE PLUS [400058]: $105 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $79.21 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $69.35 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $106.85 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $69.35 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $69.35
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: Clinical Nursing Level 3	$777.12	$561.08	$289.87 – $699.41
Established patient office visit (about 20–29 minutes): 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $699.41 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $591 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $591 BCBS OF MN [40001] — MR-BCBS MN [400069]: $310.85 BCBS OF MN [40003] — BLUE PLUS [400058]: $591 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $151.31 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $310.85 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $555.64 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $310.85 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $466.27
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) In the file: Clinical Nursing Level 3	$777.12	$539.24	$448.40 – $60,537.65 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Established patient office visit (about 20–29 minutes): 10 of 22 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $699.41 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $591 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $591 BCBS OF MN [40001] — MR-BCBS MN [400069]: $5,128.33 BCBS OF MN [40003] — BLUE PLUS [400058]: $591 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $151.31 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $5,128.33 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $5,128.33 MEDICA NONPMAP [10056] — MEDICA [100341]: $60,537.65 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) MEDICA NONPMAP [10056] — MR-MEDICA ADVANTAGE SOLUTIONS [100895]: $5,128.33
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: Est Pt Level 4 Office/Other Outpt Visit Eval and Mgmt, Moderate Level Mdm or 30 Min Met or Exceeded (Pro CAH)	$261.53	$188.82	$59.78 – $235.38
Established patient office visit (about 30–39 minutes): 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $235.38 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $154.58 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $154.58 BCBS OF MN [40001] — MR-BCBS MN [400069]: $102.01 BCBS OF MN [40003] — BLUE PLUS [400058]: $154.58 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $118.81 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $102.01 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $158.01 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $102.01 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $102.01
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: Clinical Nursing Level 4	$1,259.59	$909.42	$469.83 – $1,133.63
Established patient office visit (about 30–39 minutes): 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $1,133.63 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $957.92 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $957.92 BCBS OF MN [40001] — MR-BCBS MN [400069]: $503.84 BCBS OF MN [40003] — BLUE PLUS [400058]: $957.92 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $245.24 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $503.84 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $900.61 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $503.84 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $755.75
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) In the file: Clinical Nursing Level 4	$1,259.59	$874.03	$726.78 – $98,122.06 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Established patient office visit (about 30–39 minutes): 10 of 22 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $1,133.63 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $957.92 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $957.92 BCBS OF MN [40001] — MR-BCBS MN [400069]: $5,128.33 BCBS OF MN [40003] — BLUE PLUS [400058]: $957.92 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $245.24 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $5,128.33 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $5,128.33 MEDICA NONPMAP [10056] — MEDICA [100341]: $98,122.06 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) MEDICA NONPMAP [10056] — MR-MEDICA ADVANTAGE SOLUTIONS [100895]: $5,128.33
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) In the file: Office or Outpt Consult, New or Est Pt, Low Mdm or 30-39 Mins	$672.44	$485.50	$130.92 – $605.20
Office consultation with a specialist (moderate): 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $605.20 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $511.39 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $511.39 BCBS OF MN [40001] — MR-BCBS MN [400069]: $268.98 BCBS OF MN [40003] — BLUE PLUS [400058]: $511.39 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $130.92 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $268.98 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $480.79 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $268.98 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $403.46
Office consultation with a specialist (moderate) CPT 99243 · Inpatient (hospital stay) In the file: Office or Outpt Consult, New or Est Pt, Low Mdm or 30-39 Mins	$672.44	$466.61	$130.92 – $52,383.08 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Office consultation with a specialist (moderate): 10 of 22 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $605.20 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $511.39 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $511.39 BCBS OF MN [40001] — MR-BCBS MN [400069]: $5,128.33 BCBS OF MN [40003] — BLUE PLUS [400058]: $511.39 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $130.92 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $5,128.33 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $5,128.33 MEDICA NONPMAP [10056] — MEDICA [100341]: $52,383.08 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) MEDICA NONPMAP [10056] — MR-MEDICA ADVANTAGE SOLUTIONS [100895]: $5,128.33
Office consultation with a specialist (moderate) CPT 99243 · Inpatient (hospital stay) In the file: Office or Outpt Consult, New or Est Pt, Low Mdm or 30-39 Mins (Pro CAH)	$288.19	$199.98	$56.11 – $22,450 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Office consultation with a specialist (moderate): 10 of 13 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $259.37 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $219.17 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $219.17 BCBS OF MN [40003] — BLUE PLUS [400058]: $219.17 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $56.11 MEDICA NONPMAP [10056] — MEDICA [100341]: $22,450 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) MEDICA PMAP [10057] — MEDICA MNCARE [100751]: $64.84 MEDICA PMAP [10057] — MEDICA PMAP [100345]: $64.84 MULTIPLAN — MULTIPLAN: $230.55 PRIMEWEST PMAP [30003] — PRIMEWEST PMAP [300050]: $64.84
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) In the file: Office or Outpt Consult, New or Est Pt, Moderate Mdm or 40-54 Mins	$959.77	$692.95	$186.87 – $863.79
Office consultation with a specialist (moderate to high): 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $863.79 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $729.91 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $729.91 BCBS OF MN [40001] — MR-BCBS MN [400069]: $383.91 BCBS OF MN [40003] — BLUE PLUS [400058]: $729.91 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $186.87 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $383.91 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $686.24 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $383.91 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $575.86
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient (hospital stay) In the file: Office or Outpt Consult, New or Est Pt, Moderate Mdm or 40-54 Mins	$959.77	$665.98	$186.87 – $74,766.08 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Office consultation with a specialist (moderate to high): 10 of 22 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $863.79 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $729.91 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $729.91 BCBS OF MN [40001] — MR-BCBS MN [400069]: $5,128.33 BCBS OF MN [40003] — BLUE PLUS [400058]: $729.91 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $186.87 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $5,128.33 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $5,128.33 MEDICA NONPMAP [10056] — MEDICA [100341]: $74,766.08 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) MEDICA NONPMAP [10056] — MR-MEDICA ADVANTAGE SOLUTIONS [100895]: $5,128.33
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient (hospital stay) In the file: Office or Outpt Consult, New or Est Pt, Moderate Mdm or 40-54 Mins (Pro CAH)	$411.33	$285.42	$80.09 – $32,042.61 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Office consultation with a specialist (moderate to high): 10 of 13 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $370.20 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $312.82 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $312.82 BCBS OF MN [40003] — BLUE PLUS [400058]: $312.82 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $80.09 MEDICA NONPMAP [10056] — MEDICA [100341]: $32,042.61 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) MEDICA PMAP [10057] — MEDICA MNCARE [100751]: $98.92 MEDICA PMAP [10057] — MEDICA PMAP [100345]: $98.92 MULTIPLAN — MULTIPLAN: $329.06 PRIMEWEST PMAP [30003] — PRIMEWEST PMAP [300050]: $98.92
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: Emergent Level 3	$19,848.02	$14,330.27	$7,224.68 – $15,878.42
Emergency room visit (moderate): 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $673.71 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $569.29 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $15,094.42 BCBS OF MN [40001] — MR-BCBS MN [400069]: $299.43 BCBS OF MN [40003] — BLUE PLUS [400058]: $15,094.42 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $50.86 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $299.43 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $535.23 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $64.91 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $449.14
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: Emergency Department Visit, Limited Mdm (Pro CAH)	$180.44	$130.28	$49.81 – $165.36
Emergency room visit (moderate): 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $162.40 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $132.32 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $132.32 BCBS OF MN [40001] — MR-BCBS MN [400069]: $72.70 BCBS OF MN [40003] — BLUE PLUS [400058]: $132.32 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $50.86 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $72.70 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $112.47 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $72.70 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $64.91
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) In the file: Emergent Level 3	$748.57	$519.43	$145.75 – $58,313.60 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Emergency room visit (moderate): 10 of 22 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $673.71 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $569.29 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $569.29 BCBS OF MN [40001] — MR-BCBS MN [400069]: $5,128.33 BCBS OF MN [40003] — BLUE PLUS [400058]: $569.29 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $145.75 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $5,128.33 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $5,128.33 MEDICA NONPMAP [10056] — MEDICA [100341]: $58,313.60 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) MEDICA NONPMAP [10056] — MR-MEDICA ADVANTAGE SOLUTIONS [100895]: $5,128.33
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: Emergency Department Visit, Moderate Mdm (Pro CAH)	$28,355.89	$20,472.95	$86.46 – $25,520.30
Emergency room visit (moderately high): 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $276.29 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $225.75 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $21,564.65 BCBS OF MN [40001] — MR-BCBS MN [400069]: $123.58 BCBS OF MN [40003] — BLUE PLUS [400058]: $21,564.65 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $86.46 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $123.58 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $191.20 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $110.34 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $110.34
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: Emergent Level 4	$1,251.50	$903.58	$243.67 – $1,126.35
Emergency room visit (moderately high): 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $1,126.35 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $951.77 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $951.77 BCBS OF MN [40001] — MR-BCBS MN [400069]: $500.60 BCBS OF MN [40003] — BLUE PLUS [400058]: $951.77 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $243.67 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $500.60 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $894.82 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $500.60 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $750.90
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) In the file: Emergent Level 4	$1,251.50	$868.42	$243.67 – $97,491.85 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Emergency room visit (moderately high): 10 of 22 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $1,126.35 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $951.77 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $951.77 BCBS OF MN [40001] — MR-BCBS MN [400069]: $5,128.33 BCBS OF MN [40003] — BLUE PLUS [400058]: $951.77 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $243.67 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $5,128.33 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $5,128.33 MEDICA NONPMAP [10056] — MEDICA [100341]: $97,491.85 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) MEDICA NONPMAP [10056] — MR-MEDICA ADVANTAGE SOLUTIONS [100895]: $5,128.33
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: Emergency Department Visit, High Mdm (Pro CAH)	$444.67	$321.05	$123.13 – $462.03
Emergency room visit (high): 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $400.20 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $327.34 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $327.34 BCBS OF MN [40001] — MR-BCBS MN [400069]: $178.92 BCBS OF MN [40003] — BLUE PLUS [400058]: $327.34 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $125.11 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $178.92 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $277.23 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $178.92 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $159.75
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: Emergent Level 5	$1,756.76	$1,268.38	$342.04 – $1,581.08
Emergency room visit (high): 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $1,581.08 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $1,336.02 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $1,336.02 BCBS OF MN [40001] — MR-BCBS MN [400069]: $702.70 BCBS OF MN [40003] — BLUE PLUS [400058]: $1,336.02 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $342.04 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $702.70 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $1,256.08 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $702.70 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $1,054.06
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) In the file: Emergent Level 5	$1,756.76	$1,219.02	$342.04 – $136,851.60 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Emergency room visit (high): 10 of 22 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $1,581.08 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $1,336.02 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $1,336.02 BCBS OF MN [40001] — MR-BCBS MN [400069]: $5,128.33 BCBS OF MN [40003] — BLUE PLUS [400058]: $1,336.02 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $342.04 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $5,128.33 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $5,128.33 MEDICA NONPMAP [10056] — MEDICA [100341]: $136,851.60 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) MEDICA NONPMAP [10056] — MR-MEDICA ADVANTAGE SOLUTIONS [100895]: $5,128.33

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: Basic Metabolic Panel	$125.08	$90.31	$43.27 – $112.57
Basic metabolic panel (blood test): 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $112.57 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $86.53 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $86.53 BCBS OF MN [40001] — MR-BCBS MN [400069]: $50.03 BCBS OF MN [40003] — BLUE PLUS [400058]: $86.53 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $43.27 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $50.03 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $89.43 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $50.03 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $75.05
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) In the file: Basic Metabolic Panel	$125.08	$86.79	$24.35 – $9,743.73 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Basic metabolic panel (blood test): 10 of 22 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $112.57 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $95.12 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $95.12 BCBS OF MN [40001] — MR-BCBS MN [400069]: $5,128.33 BCBS OF MN [40003] — BLUE PLUS [400058]: $95.12 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $24.35 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $5,128.33 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $5,128.33 MEDICA NONPMAP [10056] — MEDICA [100341]: $9,743.73 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) MEDICA NONPMAP [10056] — MR-MEDICA ADVANTAGE SOLUTIONS [100895]: $5,128.33
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: Comprehensive Metabolic Panel	$169.46	$122.35	$53.95 – $152.51
Comprehensive metabolic panel (blood test): 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $152.51 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $107.91 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $107.91 BCBS OF MN [40001] — MR-BCBS MN [400069]: $67.78 BCBS OF MN [40003] — BLUE PLUS [400058]: $107.91 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $53.95 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $67.78 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $121.16 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $67.78 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $101.68
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) In the file: Comprehensive Metabolic Panel	$169.46	$117.59	$32.99 – $13,200.93 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Comprehensive metabolic panel (blood test): 10 of 23 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $152.51 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $128.87 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $128.87 BCBS OF MN [40001] — MR-BCBS MN [400069]: $5,128.33 BCBS OF MN [40003] — BLUE PLUS [400058]: $128.87 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $32.99 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $5,128.33 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $159.29 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $5,128.33 MEDICA NONPMAP [10056] — MEDICA [100341]: $13,200.93 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: Lipid Panel	$119.07	$85.97	$47.63 – $108.93
Cholesterol panel (lipid panel): 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $107.16 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $108.93 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $108.93 BCBS OF MN [40001] — MR-BCBS MN [400069]: $47.63 BCBS OF MN [40003] — BLUE PLUS [400058]: $108.93 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $54.46 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $47.63 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $85.14 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $47.63 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $71.44
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: Lipid Panel With Direct Ldl	$119.07	$85.97	$47.63 – $108.93
Cholesterol panel (lipid panel): 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $107.16 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $108.93 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $108.93 BCBS OF MN [40001] — MR-BCBS MN [400069]: $47.63 BCBS OF MN [40003] — BLUE PLUS [400058]: $108.93 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $54.46 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $47.63 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $85.14 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $47.63 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $71.44
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) In the file: Lipid Panel	$119.07	$82.62	$23.18 – $9,275.55 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Cholesterol panel (lipid panel): 10 of 22 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $107.16 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $90.55 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $90.55 BCBS OF MN [40001] — MR-BCBS MN [400069]: $5,128.33 BCBS OF MN [40003] — BLUE PLUS [400058]: $90.55 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $23.18 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $5,128.33 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $5,128.33 MEDICA NONPMAP [10056] — MEDICA [100341]: $9,275.55 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) MEDICA NONPMAP [10056] — MR-MEDICA ADVANTAGE SOLUTIONS [100895]: $5,128.33
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: Renal Function Panel	$149.99	$108.29	$29.20 – $134.99
Kidney function panel: 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $134.99 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $114.07 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $114.07 BCBS OF MN [40001] — MR-BCBS MN [400069]: $60 BCBS OF MN [40003] — BLUE PLUS [400058]: $114.07 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $29.20 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $60 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $107.24 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $60 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $89.99
Kidney function panel CPT 80069 · Inpatient (hospital stay) In the file: Renal Function Panel	$149.99	$104.08	$29.20 – $11,684.22 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Kidney function panel: 10 of 22 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $134.99 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $114.07 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $114.07 BCBS OF MN [40001] — MR-BCBS MN [400069]: $5,128.33 BCBS OF MN [40003] — BLUE PLUS [400058]: $114.07 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $29.20 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $5,128.33 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $5,128.33 MEDICA NONPMAP [10056] — MEDICA [100341]: $11,684.22 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) MEDICA NONPMAP [10056] — MR-MEDICA ADVANTAGE SOLUTIONS [100895]: $5,128.33
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: Hepatic Function Panel	$133.56	$96.43	$26 – $120.20
Liver function panel: 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $120.20 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $101.57 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $101.57 BCBS OF MN [40001] — MR-BCBS MN [400069]: $53.42 BCBS OF MN [40003] — BLUE PLUS [400058]: $101.57 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $26 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $53.42 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $95.50 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $53.42 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $80.14
Liver function panel CPT 80076 · Inpatient (hospital stay) In the file: Hepatic Function Panel	$133.56	$92.68	$26 – $10,404.32 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Liver function panel: 10 of 22 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $120.20 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $101.57 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $101.57 BCBS OF MN [40001] — MR-BCBS MN [400069]: $5,128.33 BCBS OF MN [40003] — BLUE PLUS [400058]: $101.57 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $26 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $5,128.33 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $5,128.33 MEDICA NONPMAP [10056] — MEDICA [100341]: $10,404.32 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) MEDICA NONPMAP [10056] — MR-MEDICA ADVANTAGE SOLUTIONS [100895]: $5,128.33
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: Urinalysis, Automated, With Microscopy	$567.55	$409.77	$206.59 – $454.04
Urine test (automated, with microscope): 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $56.70 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $47.91 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $431.62 BCBS OF MN [40001] — MR-BCBS MN [400069]: $25.20 BCBS OF MN [40003] — BLUE PLUS [400058]: $431.62 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $12.27 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $25.20 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $45.05 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $227.02 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $37.80
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) In the file: Urinalysis, Automated, With Microscopy	$63	$43.72	$12.27 – $5,128.33 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Urine test (automated, with microscope): 10 of 22 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $56.70 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $47.91 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $47.91 BCBS OF MN [40001] — MR-BCBS MN [400069]: $5,128.33 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BCBS OF MN [40003] — BLUE PLUS [400058]: $47.91 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $12.27 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $5,128.33 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $5,128.33 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) MEDICA NONPMAP [10056] — MEDICA [100341]: $4,907.70 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) MEDICA NONPMAP [10056] — MR-MEDICA ADVANTAGE SOLUTIONS [100895]: $5,128.33 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: Urinalysis, Macroscopic, Manual	$15	$10.83	$2.92 – $13.50
Urine test (manual, without microscope): 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $13.50 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $11.41 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $11.41 BCBS OF MN [40001] — MR-BCBS MN [400069]: $6 BCBS OF MN [40003] — BLUE PLUS [400058]: $11.41 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $2.92 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $6 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $10.73 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $6 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $9
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) In the file: Urinalysis, Macroscopic, Manual	$15	$10.41	$2.92 – $5,128.33 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Urine test (manual, without microscope): 10 of 22 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $13.50 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $11.41 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $11.41 BCBS OF MN [40001] — MR-BCBS MN [400069]: $5,128.33 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BCBS OF MN [40003] — BLUE PLUS [400058]: $11.41 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $2.92 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $5,128.33 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $5,128.33 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) MEDICA NONPMAP [10056] — MEDICA [100341]: $1,168.50 MEDICA NONPMAP [10056] — MR-MEDICA ADVANTAGE SOLUTIONS [100895]: $5,128.33 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: Urinalysis, Macroscopic, Automated	$36	$25.99	$7.01 – $32.40
Urine test (automated, without microscope): 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $32.40 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $27.38 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $27.38 BCBS OF MN [40001] — MR-BCBS MN [400069]: $14.40 BCBS OF MN [40003] — BLUE PLUS [400058]: $27.38 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $7.01 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $14.40 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $25.74 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $14.40 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $21.60
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: Urinalysis With Macroscopic, Reflex to Microscopic (Manual Microscopic)	$36	$25.99	$7.01 – $32.40
Urine test (automated, without microscope): 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $32.40 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $27.38 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $27.38 BCBS OF MN [40001] — MR-BCBS MN [400069]: $14.40 BCBS OF MN [40003] — BLUE PLUS [400058]: $27.38 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $7.01 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $14.40 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $25.74 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $14.40 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $21.60
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) In the file: Urinalysis, Macroscopic, Automated	$36	$24.98	$7.01 – $5,128.33 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Urine test (automated, without microscope): 10 of 22 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $32.40 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $27.38 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $27.38 BCBS OF MN [40001] — MR-BCBS MN [400069]: $5,128.33 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BCBS OF MN [40003] — BLUE PLUS [400058]: $27.38 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $7.01 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $5,128.33 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $5,128.33 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) MEDICA NONPMAP [10056] — MEDICA [100341]: $2,804.40 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) MEDICA NONPMAP [10056] — MR-MEDICA ADVANTAGE SOLUTIONS [100895]: $5,128.33 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: Prostate Specific Antigen (Psa); Total (Mayo)	$130.03	$93.88	$25.32 – $117.03
PSA (prostate specific antigen) blood test: 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $117.03 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $98.89 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $98.89 BCBS OF MN [40001] — MR-BCBS MN [400069]: $52.01 BCBS OF MN [40003] — BLUE PLUS [400058]: $98.89 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $25.32 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $52.01 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $92.97 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $52.01 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $78.02
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: Psa, Diagnostic	$130.03	$93.88	$25.32 – $117.03
PSA (prostate specific antigen) blood test: 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $117.03 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $98.89 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $98.89 BCBS OF MN [40001] — MR-BCBS MN [400069]: $52.01 BCBS OF MN [40003] — BLUE PLUS [400058]: $98.89 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $25.32 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $52.01 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $92.97 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $52.01 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $78.02
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: Prostate Health Index (Phi), S (Mayo)	$130.03	$93.88	$25.32 – $117.03
PSA (prostate specific antigen) blood test: 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $117.03 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $98.89 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $98.89 BCBS OF MN [40001] — MR-BCBS MN [400069]: $52.01 BCBS OF MN [40003] — BLUE PLUS [400058]: $98.89 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $25.32 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $52.01 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $92.97 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $52.01 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $78.02
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: Thyroid Stimulating Hormone (Mdh)	$169.34	$122.26	$67.74 – $152.41
Thyroid stimulating hormone (TSH) test: 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $152.41 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $136.41 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $136.41 BCBS OF MN [40001] — MR-BCBS MN [400069]: $67.74 BCBS OF MN [40003] — BLUE PLUS [400058]: $136.41 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $68.21 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $67.74 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $121.08 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $67.74 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $101.60
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: Thyroid Stimulating Hormone	$169.34	$122.26	$67.74 – $152.41
Thyroid stimulating hormone (TSH) test: 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $152.41 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $136.41 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $136.41 BCBS OF MN [40001] — MR-BCBS MN [400069]: $67.74 BCBS OF MN [40003] — BLUE PLUS [400058]: $136.41 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $68.21 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $67.74 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $121.08 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $67.74 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $101.60
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: Tsh, Sensitive, S (Mayo)	$169.34	$122.26	$67.74 – $152.41
Thyroid stimulating hormone (TSH) test: 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $152.41 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $136.41 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $136.41 BCBS OF MN [40001] — MR-BCBS MN [400069]: $67.74 BCBS OF MN [40003] — BLUE PLUS [400058]: $136.41 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $68.21 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $67.74 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $121.08 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $67.74 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $101.60
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: Cbc With Differential and Platelet Count	$120.84	$87.25	$39.70 – $108.76
Complete blood count (CBC) with differential: 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $108.76 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $79.40 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $79.40 BCBS OF MN [40001] — MR-BCBS MN [400069]: $48.34 BCBS OF MN [40003] — BLUE PLUS [400058]: $79.40 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $39.70 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $48.34 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $86.40 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $48.34 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $72.50
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) In the file: Cbc With Differential and Platelet Count	$120.84	$83.85	$23.53 – $9,413.44 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Complete blood count (CBC) with differential: 10 of 23 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $108.76 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $91.90 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $91.90 BCBS OF MN [40001] — MR-BCBS MN [400069]: $5,128.33 BCBS OF MN [40003] — BLUE PLUS [400058]: $91.90 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $23.53 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $5,128.33 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $113.59 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $5,128.33 MEDICA NONPMAP [10056] — MEDICA [100341]: $9,413.44 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: Hemogram With Platelet Count	$101.50	$73.28	$19.76 – $91.35
Complete blood count (CBC), automated: 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $91.35 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $77.19 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $77.19 BCBS OF MN [40001] — MR-BCBS MN [400069]: $40.60 BCBS OF MN [40003] — BLUE PLUS [400058]: $77.19 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $19.76 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $40.60 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $72.57 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $40.60 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $60.90
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) In the file: Hemogram With Platelet Count	$101.50	$70.43	$19.76 – $7,906.85 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Complete blood count (CBC), automated: 10 of 23 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $91.35 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $77.19 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $77.19 BCBS OF MN [40001] — MR-BCBS MN [400069]: $5,128.33 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) BCBS OF MN [40003] — BLUE PLUS [400058]: $77.19 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $19.76 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $5,128.33 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $95.41 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $5,128.33 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) MEDICA NONPMAP [10056] — MEDICA [100341]: $7,906.85 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: Prothrombin Time (Albld) (Mayo)	$58.83	$42.48	$11.45 – $52.95
Blood clotting time test (prothrombin time, PT): 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $52.95 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $44.74 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $44.74 BCBS OF MN [40001] — MR-BCBS MN [400069]: $23.53 BCBS OF MN [40003] — BLUE PLUS [400058]: $44.74 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $11.45 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $23.53 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $42.06 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $23.53 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $35.30
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: Prothrombin Time for Prolonged Clot Time Profile (Mayo)	$58.83	$42.48	$11.45 – $52.95
Blood clotting time test (prothrombin time, PT): 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $52.95 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $44.74 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $44.74 BCBS OF MN [40001] — MR-BCBS MN [400069]: $23.53 BCBS OF MN [40003] — BLUE PLUS [400058]: $44.74 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $11.45 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $23.53 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $42.06 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $23.53 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $35.30
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: Prothombin Time for Lupus Anticoagulant Profile (Mayo)	$58.83	$42.48	$11.45 – $52.95
Blood clotting time test (prothrombin time, PT): 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $52.95 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $44.74 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $44.74 BCBS OF MN [40001] — MR-BCBS MN [400069]: $23.53 BCBS OF MN [40003] — BLUE PLUS [400058]: $44.74 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $11.45 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $23.53 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $42.06 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $23.53 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $35.30
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: Thromboplastin Time, Partial (Mayo)	$107.06	$77.30	$20.84 – $96.35
Blood clotting test (partial thromboplastin time, PTT): 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $96.35 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $81.42 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $81.42 BCBS OF MN [40001] — MR-BCBS MN [400069]: $42.82 BCBS OF MN [40003] — BLUE PLUS [400058]: $81.42 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $20.84 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $42.82 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $76.55 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $42.82 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $64.24
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: Lupus Anticoag; Thromboplastin Time, Partial; Plasma or Whole Blood (Mayo)	$107.06	$77.30	$20.84 – $96.35
Blood clotting test (partial thromboplastin time, PTT): 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $96.35 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $81.42 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $81.42 BCBS OF MN [40001] — MR-BCBS MN [400069]: $42.82 BCBS OF MN [40003] — BLUE PLUS [400058]: $81.42 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $20.84 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $42.82 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $76.55 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $42.82 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $64.24
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: Thromboplastin Time, Partial (Ptt); Plasma or Whole Blood (Mayo)	$107.06	$77.30	$20.84 – $96.35
Blood clotting test (partial thromboplastin time, PTT): 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $96.35 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $81.42 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $81.42 BCBS OF MN [40001] — MR-BCBS MN [400069]: $42.82 BCBS OF MN [40003] — BLUE PLUS [400058]: $81.42 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $20.84 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $42.82 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $76.55 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $42.82 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $64.24

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: CT Head Routine WO IV Contrast (Pro CAH)	$306.46	$221.26	$29.29 – $275.81
CT scan of the head or brain, without contrast: 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $275.81 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $226.67 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $226.67 BCBS OF MN [40001] — MR-BCBS MN [400069]: $42.74 BCBS OF MN [40003] — BLUE PLUS [400058]: $226.67 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $29.29 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $42.74 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $169.46 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $42.74 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $42.74
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: CT Head Routine WO IV Contrast	$1,926.02	$1,390.59	$266.72 – $1,733.42
CT scan of the head or brain, without contrast: 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $1,733.42 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $533.43 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $533.43 BCBS OF MN [40001] — MR-BCBS MN [400069]: $770.41 BCBS OF MN [40003] — BLUE PLUS [400058]: $533.43 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $266.72 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $770.41 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $1,377.10 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $770.41 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $1,155.61
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) In the file: CT Head Routine WO IV Contrast	$1,926.02	$1,336.47	$375 – $150,036.96 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
CT scan of the head or brain, without contrast: 10 of 22 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $1,733.42 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $1,464.74 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $1,464.74 BCBS OF MN [40001] — MR-BCBS MN [400069]: $5,128.33 BCBS OF MN [40003] — BLUE PLUS [400058]: $1,464.74 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $375 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $5,128.33 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $5,128.33 MEDICA NONPMAP [10056] — MEDICA [100341]: $150,036.96 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) MEDICA NONPMAP [10056] — MR-MEDICA ADVANTAGE SOLUTIONS [100895]: $5,128.33
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MRI Brain W/O and W/Contrast (Pro CAH)	$301.77	$217.88	$79.12 – $677.20
MRI of the brain, before and after contrast: 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $271.59 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $677.20 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $677.20 BCBS OF MN [40001] — MR-BCBS MN [400069]: $114.82 BCBS OF MN [40003] — BLUE PLUS [400058]: $677.20 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $79.12 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $114.82 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $511.47 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $114.82 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $114.82
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MRI Head WO W Contrast	$4,393	$3,171.75	$933.51 – $3,953.70
MRI of the brain, before and after contrast: 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $3,953.70 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $1,867.01 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $1,867.01 BCBS OF MN [40001] — MR-BCBS MN [400069]: $1,757.20 BCBS OF MN [40003] — BLUE PLUS [400058]: $1,867.01 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $933.51 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $1,757.20 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $3,141 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $1,757.20 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $2,635.80
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) In the file: MRI Head WO W Contrast	$4,393	$3,048.30	$855.32 – $342,214.70 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
MRI of the brain, before and after contrast: 10 of 22 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $3,953.70 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $3,340.88 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $3,340.88 BCBS OF MN [40001] — MR-BCBS MN [400069]: $5,128.33 BCBS OF MN [40003] — BLUE PLUS [400058]: $3,340.88 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $855.32 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $5,128.33 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $5,128.33 MEDICA NONPMAP [10056] — MEDICA [100341]: $342,214.70 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) MEDICA NONPMAP [10056] — MR-MEDICA ADVANTAGE SOLUTIONS [100895]: $5,128.33
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: Radiologic Examination, Chest; 2 Views (Pro CAH)	$94.95	$68.55	$7.51 – $85.46
Chest X-ray, 2 views: 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $85.46 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $70.45 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $70.45 BCBS OF MN [40001] — MR-BCBS MN [400069]: $11.05 BCBS OF MN [40003] — BLUE PLUS [400058]: $70.45 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $7.51 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $11.05 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $52.18 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $11.05 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $11.05
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: Xr Chest Pa and Lat	$313.23	$226.15	$60.99 – $440.79
Chest X-ray, 2 views: 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $281.91 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $440.79 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $440.79 BCBS OF MN [40001] — MR-BCBS MN [400069]: $125.29 BCBS OF MN [40003] — BLUE PLUS [400058]: $440.79 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $60.99 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $125.29 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $223.96 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $125.29 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $187.94
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: Xr Chest Obliques Only	$313.23	$226.15	$60.99 – $440.79
Chest X-ray, 2 views: 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $281.91 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $440.79 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $440.79 BCBS OF MN [40001] — MR-BCBS MN [400069]: $125.29 BCBS OF MN [40003] — BLUE PLUS [400058]: $440.79 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $60.99 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $125.29 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $223.96 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $125.29 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $187.94
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: Xr Lumbar Spine Routine 4 Views (Pro CAH)	$146.65	$105.88	$9.26 – $131.99
X-ray of the lower spine, at least 4 views: 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $131.99 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $108.80 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $108.80 BCBS OF MN [40001] — MR-BCBS MN [400069]: $13.61 BCBS OF MN [40003] — BLUE PLUS [400058]: $108.80 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $9.26 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $13.61 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $81.11 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $13.61 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $13.61
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: Xr Lumbar Spine 4 Views	$389.02	$280.87	$75.74 – $350.12
X-ray of the lower spine, at least 4 views: 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $350.12 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $295.85 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $295.85 BCBS OF MN [40001] — MR-BCBS MN [400069]: $155.61 BCBS OF MN [40003] — BLUE PLUS [400058]: $295.85 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $75.74 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $155.61 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $278.15 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $155.61 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $233.41
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: Xr Lumbar Spine W Obliq 4 or More Views	$389.02	$280.87	$75.74 – $350.12
X-ray of the lower spine, at least 4 views: 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $350.12 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $295.85 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $295.85 BCBS OF MN [40001] — MR-BCBS MN [400069]: $155.61 BCBS OF MN [40003] — BLUE PLUS [400058]: $295.85 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $75.74 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $155.61 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $278.15 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $155.61 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $233.41
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MRI Lumbar Spine W/O Contrast (Pro CAH)	$196.48	$141.86	$51.08 – $405.91
MRI of the lower back (lumbar spine), without contrast: 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $176.83 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $405.91 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $405.91 BCBS OF MN [40001] — MR-BCBS MN [400069]: $74.44 BCBS OF MN [40003] — BLUE PLUS [400058]: $405.91 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $51.08 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $74.44 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $306.37 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $74.44 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $74.44
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MRI Lumbar Spine Routine WO Contrast	$2,741.87	$1,979.63	$595.02 – $2,467.68
MRI of the lower back (lumbar spine), without contrast: 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $2,467.68 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $1,190.04 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $1,190.04 BCBS OF MN [40001] — MR-BCBS MN [400069]: $189.66 BCBS OF MN [40003] — BLUE PLUS [400058]: $1,190.04 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $595.02 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $189.66 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $1,960.44 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $189.66 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $1,645.12
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) In the file: MRI Lumbar Spine Routine WO Contrast	$2,741.87	$1,902.58	$533.84 – $213,591.67 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
MRI of the lower back (lumbar spine), without contrast: 10 of 22 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $2,467.68 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $2,085.19 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $2,085.19 BCBS OF MN [40001] — MR-BCBS MN [400069]: $5,128.33 BCBS OF MN [40003] — BLUE PLUS [400058]: $2,085.19 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $533.84 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $5,128.33 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $5,128.33 MEDICA NONPMAP [10056] — MEDICA [100341]: $213,591.67 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) MEDICA NONPMAP [10056] — MR-MEDICA ADVANTAGE SOLUTIONS [100895]: $5,128.33
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT Pelvis W IV Contrast (Pro CAH)	$662.76	$478.51	$40.06 – $596.48
CT scan of the pelvis, with contrast: 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $596.48 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $481.23 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $481.23 BCBS OF MN [40001] — MR-BCBS MN [400069]: $58.16 BCBS OF MN [40003] — BLUE PLUS [400058]: $481.23 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $40.06 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $58.16 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $368.88 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $58.16 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $58.16
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT Pelvis W IV Contrast	$2,628.29	$1,897.63	$445.88 – $2,365.46
CT scan of the pelvis, with contrast: 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $2,365.46 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $891.77 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $891.77 BCBS OF MN [40001] — MR-BCBS MN [400069]: $1,051.32 BCBS OF MN [40003] — BLUE PLUS [400058]: $891.77 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $445.88 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $1,051.32 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $1,879.23 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $1,051.32 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $1,576.97
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) In the file: CT Pelvis W IV Contrast	$2,628.29	$1,823.77	$511.73 – $204,743.79 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
CT scan of the pelvis, with contrast: 10 of 22 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $2,365.46 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $1,998.81 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $1,998.81 BCBS OF MN [40001] — MR-BCBS MN [400069]: $5,128.33 BCBS OF MN [40003] — BLUE PLUS [400058]: $1,998.81 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $511.73 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $5,128.33 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $5,128.33 MEDICA NONPMAP [10056] — MEDICA [100341]: $204,743.79 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) MEDICA NONPMAP [10056] — MR-MEDICA ADVANTAGE SOLUTIONS [100895]: $5,128.33
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: MRI Lower Extremity Any Joint W/O Contrast (Pro CAH)	$179.55	$129.64	$46.82 – $431.71
MRI of a leg joint (such as the knee), without contrast: 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $161.60 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $431.71 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $431.71 BCBS OF MN [40001] — MR-BCBS MN [400069]: $68.13 BCBS OF MN [40003] — BLUE PLUS [400058]: $431.71 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $46.82 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $68.13 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $325.99 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $68.13 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $68.13
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: MRI Lower Extremity Lt Any Jt Routine WO Contrast	$2,808.65	$2,027.85	$595.02 – $2,527.79
MRI of a leg joint (such as the knee), without contrast: 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $2,527.79 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $1,190.04 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $1,190.04 BCBS OF MN [40001] — MR-BCBS MN [400069]: $1,123.46 BCBS OF MN [40003] — BLUE PLUS [400058]: $1,190.04 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $595.02 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $1,123.46 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $2,008.18 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $1,123.46 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $1,685.19
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: MRI Lower Extremity Rt Any Jt Routine WO Contrast	$2,808.65	$2,027.85	$595.02 – $2,527.79
MRI of a leg joint (such as the knee), without contrast: 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $2,527.79 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $1,190.04 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $1,190.04 BCBS OF MN [40001] — MR-BCBS MN [400069]: $1,123.46 BCBS OF MN [40003] — BLUE PLUS [400058]: $1,190.04 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $595.02 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $1,123.46 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $2,008.18 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $1,123.46 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $1,685.19
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT Abd and Pelvis With IV Contrast (Pro CAH)	$878.03	$633.94	$62.85 – $790.23
CT scan of the abdomen and pelvis, with contrast: 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $790.23 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $640.94 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $640.94 BCBS OF MN [40001] — MR-BCBS MN [400069]: $91.53 BCBS OF MN [40003] — BLUE PLUS [400058]: $640.94 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $62.85 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $91.53 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $488.22 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $91.53 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $91.53
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT Abd and Pelvis With IV Contrast	$3,939	$2,843.96	$933.51 – $3,545.10
CT scan of the abdomen and pelvis, with contrast: 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $3,545.10 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $1,867.01 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $1,867.01 BCBS OF MN [40001] — MR-BCBS MN [400069]: $1,575.60 BCBS OF MN [40003] — BLUE PLUS [400058]: $1,867.01 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $933.51 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $1,575.60 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $2,816.39 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $1,575.60 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $2,363.40
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) In the file: CT Abd and Pelvis With IV Contrast	$3,939	$2,733.27	$766.92 – $306,848.10 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
CT scan of the abdomen and pelvis, with contrast: 10 of 22 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $3,545.10 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $2,995.61 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $2,995.61 BCBS OF MN [40001] — MR-BCBS MN [400069]: $5,128.33 BCBS OF MN [40003] — BLUE PLUS [400058]: $2,995.61 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $766.92 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $5,128.33 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $5,128.33 MEDICA NONPMAP [10056] — MEDICA [100341]: $306,848.10 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) MEDICA NONPMAP [10056] — MR-MEDICA ADVANTAGE SOLUTIONS [100895]: $5,128.33
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: US US Abd Complete (Pro CAH)	$328.08	$236.87	$27.79 – $295.27
Ultrasound of the abdomen, complete: 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $295.27 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $241.31 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $241.31 BCBS OF MN [40001] — MR-BCBS MN [400069]: $40.54 BCBS OF MN [40003] — BLUE PLUS [400058]: $241.31 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $27.79 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $40.54 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $181.86 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $40.54 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $40.54
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: US Abd Complete	$870.26	$628.33	$169.44 – $783.23
Ultrasound of the abdomen, complete: 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $783.23 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $661.83 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $661.83 BCBS OF MN [40001] — MR-BCBS MN [400069]: $348.10 BCBS OF MN [40003] — BLUE PLUS [400058]: $661.83 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $169.44 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $348.10 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $622.24 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $348.10 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $522.16
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) In the file: US Abd Complete	$870.26	$603.87	$169.44 – $67,793.25 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Ultrasound of the abdomen, complete: 10 of 22 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $783.23 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $661.83 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $661.83 BCBS OF MN [40001] — MR-BCBS MN [400069]: $5,128.33 BCBS OF MN [40003] — BLUE PLUS [400058]: $661.83 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $169.44 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $5,128.33 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $5,128.33 MEDICA NONPMAP [10056] — MEDICA [100341]: $67,793.25 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) MEDICA NONPMAP [10056] — MR-MEDICA ADVANTAGE SOLUTIONS [100895]: $5,128.33
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: US OB Over 14 Wks Comp (Pro CAH)	$382.61	$276.24	$35.09 – $344.35
Pregnancy ultrasound (after the first trimester): 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $344.35 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $280.37 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $280.37 BCBS OF MN [40001] — MR-BCBS MN [400069]: $50.41 BCBS OF MN [40003] — BLUE PLUS [400058]: $280.37 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $35.09 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $50.41 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $212.33 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $50.41 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $50.41
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: US OB Over 14 Wks Comp	$1,186.95	$856.98	$231.10 – $1,068.26
Pregnancy ultrasound (after the first trimester): 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $1,068.26 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $902.68 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $902.68 BCBS OF MN [40001] — MR-BCBS MN [400069]: $474.78 BCBS OF MN [40003] — BLUE PLUS [400058]: $902.68 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $231.10 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $474.78 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $848.67 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $474.78 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $712.17
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) In the file: US OB Over 14 Wks Comp	$1,186.95	$823.62	$231.10 – $92,463.41 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Pregnancy ultrasound (after the first trimester): 10 of 22 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $1,068.26 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $902.68 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $902.68 BCBS OF MN [40001] — MR-BCBS MN [400069]: $5,128.33 BCBS OF MN [40003] — BLUE PLUS [400058]: $902.68 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $231.10 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $5,128.33 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $5,128.33 MEDICA NONPMAP [10056] — MEDICA [100341]: $92,463.41 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) MEDICA NONPMAP [10056] — MR-MEDICA ADVANTAGE SOLUTIONS [100895]: $5,128.33
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: US Transvaginal Non OB (Pro CAH)	$336.55	$242.99	$24.03 – $302.90
Transvaginal ultrasound: 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $302.90 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $246.19 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $246.19 BCBS OF MN [40001] — MR-BCBS MN [400069]: $34.98 BCBS OF MN [40003] — BLUE PLUS [400058]: $246.19 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $24.03 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $34.98 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $187.03 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $34.98 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $34.98
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: US Transvaginal Non OB	$488	$352.34	$95.01 – $439.20
Transvaginal ultrasound: 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $439.20 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $371.12 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $371.12 BCBS OF MN [40001] — MR-BCBS MN [400069]: $195.20 BCBS OF MN [40003] — BLUE PLUS [400058]: $371.12 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $95.01 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $195.20 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $348.92 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $195.20 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $292.80
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) In the file: US Transvaginal Non OB	$488	$338.62	$95.01 – $38,015.20
Transvaginal ultrasound: 10 of 22 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $439.20 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $371.12 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $371.12 BCBS OF MN [40001] — MR-BCBS MN [400069]: $5,128.33 BCBS OF MN [40003] — BLUE PLUS [400058]: $371.12 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $95.01 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $5,128.33 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $5,128.33 MEDICA NONPMAP [10056] — MEDICA [100341]: $38,015.20 MEDICA NONPMAP [10056] — MR-MEDICA ADVANTAGE SOLUTIONS [100895]: $5,128.33
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: Diagnostic Mammography, Including Computer-Aided Detection (Cad) When Performed; Unilat (Pro CAH)	$1,550.43	$1,119.41	$27.79 – $1,395.39
Diagnostic mammogram, one breast: 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $318.12 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $262.93 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $262.93 BCBS OF MN [40001] — MR-BCBS MN [400069]: $40.54 BCBS OF MN [40003] — BLUE PLUS [400058]: $262.93 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $27.79 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $40.54 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $196.32 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $122.93 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $40.54
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: Mammo Diag Post Clip or Wire Placement	$252.50	$182.30	$49.16 – $227.25
Diagnostic mammogram, one breast: 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $227.25 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $192.03 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $192.03 BCBS OF MN [40001] — MR-BCBS MN [400069]: $101 BCBS OF MN [40003] — BLUE PLUS [400058]: $192.03 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $49.16 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $101 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $180.54 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $101 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $151.50
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: Mammo Diag Uni	$290.09	$209.44	$56.48 – $261.08
Diagnostic mammogram, one breast: 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $261.08 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $220.61 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $220.61 BCBS OF MN [40001] — MR-BCBS MN [400069]: $116.04 BCBS OF MN [40003] — BLUE PLUS [400058]: $220.61 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $56.48 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $116.04 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $207.41 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $116.04 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $174.05
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: Mammo Sage Diag Bil	$292.52	$211.20	$56.95 – $263.27
Diagnostic mammogram, both breasts: 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $263.27 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $222.46 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $222.46 BCBS OF MN [40001] — MR-BCBS MN [400069]: $117.01 BCBS OF MN [40003] — BLUE PLUS [400058]: $222.46 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $56.95 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $117.01 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $209.15 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $117.01 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $175.51
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: Mammo Diag Bil	$292.56	$211.23	$56.96 – $263.30
Diagnostic mammogram, both breasts: 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $263.30 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $222.49 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $222.49 BCBS OF MN [40001] — MR-BCBS MN [400069]: $117.02 BCBS OF MN [40003] — BLUE PLUS [400058]: $222.49 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $56.96 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $117.02 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $209.18 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $117.02 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $175.54
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: Mammo Diag W Implants Bil	$292.56	$211.23	$56.96 – $263.30
Diagnostic mammogram, both breasts: 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $263.30 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $222.49 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $222.49 BCBS OF MN [40001] — MR-BCBS MN [400069]: $117.02 BCBS OF MN [40003] — BLUE PLUS [400058]: $222.49 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $56.96 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $117.02 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $209.18 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $117.02 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $175.54
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: Screening Mammography, Bilateral (2-View Study of Each Breast), Incl Cad When Performed (Pro CAH)	$360.99	$260.63	$26.29 – $324.89
Screening mammogram, both breasts: 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $324.89 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $268.51 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $268.51 BCBS OF MN [40001] — MR-BCBS MN [400069]: $39.39 BCBS OF MN [40003] — BLUE PLUS [400058]: $268.51 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $26.29 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $39.39 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $200.45 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $39.39 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $39.39
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: Mammo Sage Screen Bil	$372.06	$268.63	$139.97 – $770.63
Screening mammogram, both breasts: 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $334.85 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $770.63 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $770.63 BCBS OF MN [40001] — MR-BCBS MN [400069]: $148.82 BCBS OF MN [40003] — BLUE PLUS [400058]: $770.63 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $385.31 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $148.82 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $266.02 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $148.82 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $223.24
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: Mammo Screen Bil	$372.06	$268.63	$139.97 – $770.63
Screening mammogram, both breasts: 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $334.85 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $770.63 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $770.63 BCBS OF MN [40001] — MR-BCBS MN [400069]: $148.82 BCBS OF MN [40003] — BLUE PLUS [400058]: $770.63 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $385.31 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $148.82 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $266.02 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $148.82 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $223.24

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: Polysomnography Interp 6 Yrs or Older (Pro CAH)	$288.65	$208.41	$85.63 – $1,324.14
Sleep study (overnight, in a sleep lab): 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $259.79 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $993.50 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $993.50 BCBS OF MN [40001] — MR-BCBS MN [400069]: $124.49 BCBS OF MN [40003] — BLUE PLUS [400058]: $993.50 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $85.63 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $124.49 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $1,324.14 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $124.49 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $124.49
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: Polysomnography, 6 Yrs and Older	$3,967.63	$2,864.63	$772.50 – $3,570.87
Sleep study (overnight, in a sleep lab): 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $3,570.87 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $3,017.38 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $3,017.38 BCBS OF MN [40001] — MR-BCBS MN [400069]: $1,587.05 BCBS OF MN [40003] — BLUE PLUS [400058]: $3,017.38 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $772.50 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $1,587.05 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $2,836.86 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $1,587.05 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $2,380.58
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) In the file: Polysomnography, 6 Yrs and Older	$3,967.63	$2,753.14	$772.50 – $309,078.38 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Sleep study (overnight, in a sleep lab): 10 of 22 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $3,570.87 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $3,017.38 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $3,017.38 BCBS OF MN [40001] — MR-BCBS MN [400069]: $5,128.33 BCBS OF MN [40003] — BLUE PLUS [400058]: $3,017.38 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $772.50 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $5,128.33 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $5,128.33 MEDICA NONPMAP [10056] — MEDICA [100341]: $309,078.38 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) MEDICA NONPMAP [10056] — MR-MEDICA ADVANTAGE SOLUTIONS [100895]: $5,128.33

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: Pt Personal Training (1 Hr)	$141.25	$101.98	$52.69 – $157.79
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $127.13 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $157.79 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $157.79 BCBS OF MN [40001] — MR-BCBS MN [400069]: $56.50 BCBS OF MN [40003] — BLUE PLUS [400058]: $157.79 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $78.90 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $56.50 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $100.99 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $56.50 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $84.75
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: Ot Exercise (Rom, Strength, Flex) (15 Min)	$172.69	$124.68	$69.08 – $157.79
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $155.42 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $157.79 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $157.79 BCBS OF MN [40001] — MR-BCBS MN [400069]: $69.08 BCBS OF MN [40003] — BLUE PLUS [400058]: $157.79 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $78.90 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $69.08 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $123.47 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $69.08 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $103.61
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: Pt Exercise (Rom, Strength, Flex) (15 Min)	$172.69	$124.68	$69.08 – $157.79
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $155.42 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $157.79 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $157.79 BCBS OF MN [40001] — MR-BCBS MN [400069]: $69.08 BCBS OF MN [40003] — BLUE PLUS [400058]: $157.79 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $78.90 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $69.08 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $123.47 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $69.08 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $103.61
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: Pt Eval Low Complexity	$242.48	$175.07	$96.99 – $538.52
Physical therapy evaluation (low complexity): 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $218.23 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $538.52 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $538.52 BCBS OF MN [40001] — MR-BCBS MN [400069]: $96.99 BCBS OF MN [40003] — BLUE PLUS [400058]: $538.52 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $269.26 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $96.99 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $173.37 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $96.99 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $145.49
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: Pt Eval Lymphedema, Low Complexity	$242.48	$175.07	$96.99 – $538.52
Physical therapy evaluation (low complexity): 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $218.23 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $538.52 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $538.52 BCBS OF MN [40001] — MR-BCBS MN [400069]: $96.99 BCBS OF MN [40003] — BLUE PLUS [400058]: $538.52 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $269.26 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $96.99 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $173.37 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $96.99 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $145.49
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) In the file: Pt Eval Low Complexity	$242.48	$168.26	$47.21 – $18,889.19
Physical therapy evaluation (low complexity): 10 of 22 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $218.23 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $184.41 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $184.41 BCBS OF MN [40001] — MR-BCBS MN [400069]: $5,128.33 BCBS OF MN [40003] — BLUE PLUS [400058]: $184.41 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $47.21 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $5,128.33 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $5,128.33 MEDICA NONPMAP [10056] — MEDICA [100341]: $18,889.19 MEDICA NONPMAP [10056] — MR-MEDICA ADVANTAGE SOLUTIONS [100895]: $5,128.33
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: Pt Eval Moderate Complexity	$287.53	$207.60	$55.98 – $258.78
Physical therapy evaluation (moderate complexity): 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $258.78 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $218.67 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $218.67 BCBS OF MN [40001] — MR-BCBS MN [400069]: $115.01 BCBS OF MN [40003] — BLUE PLUS [400058]: $218.67 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $55.98 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $115.01 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $205.58 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $115.01 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $172.52
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: Pt Eval Lymphedema, Moderate Complexity	$287.53	$207.60	$55.98 – $258.78
Physical therapy evaluation (moderate complexity): 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $258.78 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $218.67 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $218.67 BCBS OF MN [40001] — MR-BCBS MN [400069]: $115.01 BCBS OF MN [40003] — BLUE PLUS [400058]: $218.67 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $55.98 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $115.01 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $205.58 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $115.01 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $172.52
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) In the file: Pt Eval Moderate Complexity	$287.53	$199.52	$55.98 – $22,398.59
Physical therapy evaluation (moderate complexity): 10 of 22 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $258.78 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $218.67 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $218.67 BCBS OF MN [40001] — MR-BCBS MN [400069]: $5,128.33 BCBS OF MN [40003] — BLUE PLUS [400058]: $218.67 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $55.98 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $5,128.33 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $5,128.33 MEDICA NONPMAP [10056] — MEDICA [100341]: $22,398.59 MEDICA NONPMAP [10056] — MR-MEDICA ADVANTAGE SOLUTIONS [100895]: $5,128.33
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: Pt Eval High Complexity	$332	$239.70	$64.64 – $298.80
Physical therapy evaluation (high complexity): 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $298.80 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $252.49 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $252.49 BCBS OF MN [40001] — MR-BCBS MN [400069]: $132.80 BCBS OF MN [40003] — BLUE PLUS [400058]: $252.49 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $64.64 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $132.80 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $237.38 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $132.80 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $199.20
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: Pt Eval Lymphedema, High Complexity	$332	$239.70	$64.64 – $298.80
Physical therapy evaluation (high complexity): 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $298.80 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $252.49 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $252.49 BCBS OF MN [40001] — MR-BCBS MN [400069]: $132.80 BCBS OF MN [40003] — BLUE PLUS [400058]: $252.49 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $64.64 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $132.80 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $237.38 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $132.80 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $199.20
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) In the file: Pt Eval High Complexity	$332	$230.37	$64.64 – $25,862.80
Physical therapy evaluation (high complexity): 10 of 22 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $298.80 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $252.49 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $252.49 BCBS OF MN [40001] — MR-BCBS MN [400069]: $5,128.33 BCBS OF MN [40003] — BLUE PLUS [400058]: $252.49 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $64.64 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $5,128.33 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $5,128.33 MEDICA NONPMAP [10056] — MEDICA [100341]: $25,862.80 MEDICA NONPMAP [10056] — MR-MEDICA ADVANTAGE SOLUTIONS [100895]: $5,128.33
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: Psychotherapy, 30 Minutes With Patient	$240	$173.28	$46.73 – $216
Psychotherapy, 30 minutes: 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $216 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $182.52 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $182.52 BCBS OF MN [40001] — MR-BCBS MN [400069]: $96 BCBS OF MN [40003] — BLUE PLUS [400058]: $182.52 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $46.73 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $96 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $171.60 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $96 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $144
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) In the file: Psychotherapy, 30 Minutes With Patient	$240	$166.54	$28.75 – $18,696 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Psychotherapy, 30 minutes: 10 of 22 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $216 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $182.52 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $182.52 BCBS OF MN [40001] — MR-BCBS MN [400069]: $5,128.33 BCBS OF MN [40003] — BLUE PLUS [400058]: $182.52 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $46.73 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $5,128.33 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $5,128.33 MEDICA NONPMAP [10056] — MEDICA [100341]: $18,696 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) MEDICA NONPMAP [10056] — MR-MEDICA ADVANTAGE SOLUTIONS [100895]: $5,128.33
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: Psychotherapy, 45 Minutes With Patient	$329	$237.54	$64.06 – $296.10
Psychotherapy, 45 minutes: 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $296.10 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $250.20 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $250.20 BCBS OF MN [40001] — MR-BCBS MN [400069]: $131.60 BCBS OF MN [40003] — BLUE PLUS [400058]: $250.20 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $64.06 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $131.60 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $235.24 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $131.60 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $197.40
Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) In the file: Psychotherapy, 45 Minutes With Patient	$329	$228.29	$35.41 – $25,629.10 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Psychotherapy, 45 minutes: 10 of 22 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $296.10 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $250.20 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $250.20 BCBS OF MN [40001] — MR-BCBS MN [400069]: $5,128.33 BCBS OF MN [40003] — BLUE PLUS [400058]: $250.20 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $64.06 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $5,128.33 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $5,128.33 MEDICA NONPMAP [10056] — MEDICA [100341]: $25,629.10 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) MEDICA NONPMAP [10056] — MR-MEDICA ADVANTAGE SOLUTIONS [100895]: $5,128.33
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: Psychotherapy, 60 Minutes With Patient (Pro CAH)	$367.39	$265.26	$110.07 – $330.65
Psychotherapy, 60 minutes: 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $330.65 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $157.07 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $157.07 BCBS OF MN [40001] — MR-BCBS MN [400069]: $146.96 BCBS OF MN [40003] — BLUE PLUS [400058]: $157.07 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $110.07 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $146.96 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $171.50 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $146.96 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $146.96
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: Psychotherapy, 60 Minutes With Patient	$456	$329.23	$88.78 – $410.40
Psychotherapy, 60 minutes: 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $410.40 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $346.79 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $346.79 BCBS OF MN [40001] — MR-BCBS MN [400069]: $182.40 BCBS OF MN [40003] — BLUE PLUS [400058]: $346.79 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $88.78 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $182.40 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $326.04 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $182.40 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $273.60
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) In the file: Psychotherapy, 60 Minutes With Patient	$456	$316.42	$47.22 – $35,522.40 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Psychotherapy, 60 minutes: 10 of 22 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $410.40 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $346.79 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $346.79 BCBS OF MN [40001] — MR-BCBS MN [400069]: $5,128.33 BCBS OF MN [40003] — BLUE PLUS [400058]: $346.79 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $88.78 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $5,128.33 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $5,128.33 MEDICA NONPMAP [10056] — MEDICA [100341]: $35,522.40 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) MEDICA NONPMAP [10056] — MR-MEDICA ADVANTAGE SOLUTIONS [100895]: $5,128.33

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: Excision Cyst, Fibroadenoma, Benign/Malignant, 1 or More Lesions (Pro CAH)	$1,556.13	$1,123.53	$287.28 – $1,400.52
Removal of breast growth (open surgery): 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $1,400.52 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $921.48 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $921.48 BCBS OF MN [40001] — MR-BCBS MN [400069]: $484.16 BCBS OF MN [40003] — BLUE PLUS [400058]: $921.48 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $296.47 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $484.16 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $661.31 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $484.16 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $484.16
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: EXCISION CYST, FIBROADENOMA, othe	$13,516.60	$9,758.99	$296.47 – $12,164.94
Removal of breast growth (open surgery): 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $12,164.94 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $10,279.37 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $10,279.37 BCBS OF MN [40001] — MR-BCBS MN [400069]: $484.16 BCBS OF MN [40003] — BLUE PLUS [400058]: $10,279.37 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $296.47 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $484.16 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $9,664.37 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $484.16 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $8,109.96
Removal of breast growth (open surgery) CPT 19120 · Inpatient (hospital stay) In the file: Excision Cyst, Fibroadenoma, Benign/Malignant, 1 or More Lesions (Pro CAH)	$1,556.13	$1,079.80	$296.47 – $121,222.53
Removal of breast growth (open surgery): 10 of 22 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $1,400.52 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $1,183.44 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $1,183.44 BCBS OF MN [40001] — MR-BCBS MN [400069]: $484.16 BCBS OF MN [40003] — BLUE PLUS [400058]: $1,183.44 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $302.98 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $484.16 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $484.16 MEDICA NONPMAP [10056] — MEDICA [100341]: $121,222.53 MEDICA NONPMAP [10056] — MR-MEDICA ADVANTAGE SOLUTIONS [100895]: $484.16
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: Arthroplasty, Acetabular & Proximal Femoral Prosthetic Replcmt W or W/O Autograft/Allograft (Pro CAH)	$3,821.56	$2,759.17	$883.82 – $3,439.40
Total hip replacement: 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $3,439.40 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $2,811.40 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $2,811.40 BCBS OF MN [40001] — MR-BCBS MN [400069]: $1,181.31 BCBS OF MN [40003] — BLUE PLUS [400058]: $2,811.40 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $912.45 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $1,181.31 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $2,035.12 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $1,181.31 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $1,181.31
Total hip replacement CPT 27130 · Inpatient (hospital stay) In the file: Arthroplasty, Acetabular & Proximal Femoral Prosthetic Replcmt W or W/O Autograft/Allograft (Pro CAH)	$3,821.56	$2,651.78	$744.06 – $297,699.52
Total hip replacement: 10 of 22 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $3,439.40 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $2,906.30 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $2,906.30 BCBS OF MN [40001] — MR-BCBS MN [400069]: $1,181.31 BCBS OF MN [40003] — BLUE PLUS [400058]: $2,906.30 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $744.06 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $1,181.31 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $1,181.31 MEDICA NONPMAP [10056] — MEDICA [100341]: $297,699.52 MEDICA NONPMAP [10056] — MR-MEDICA ADVANTAGE SOLUTIONS [100895]: $1,181.31
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: Arthroplasty, Knee, Condyle and Plateau; Medial and Lateral Compart W/WO Patella Resurface (Pro CAH)	$59,100.26	$42,670.39	$911.20 – $53,190.23
Total knee replacement: 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $3,434.07 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $2,807.80 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $44,945.75 BCBS OF MN [40001] — MR-BCBS MN [400069]: $1,179.89 BCBS OF MN [40003] — BLUE PLUS [400058]: $44,945.75 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $911.20 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $1,179.89 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $2,031.74 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $1,179.89 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $1,179.89
Total knee replacement CPT 27447 · Inpatient (hospital stay) In the file: Arthroplasty, Knee, Condyle and Plateau; Medial and Lateral Compart W/WO Patella Resurface (Pro CAH)	$3,815.63	$2,647.67	$742.90 – $297,237.58
Total knee replacement: 10 of 22 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $3,434.07 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $2,901.79 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $2,901.79 BCBS OF MN [40001] — MR-BCBS MN [400069]: $1,179.89 BCBS OF MN [40003] — BLUE PLUS [400058]: $2,901.79 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $742.90 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $1,179.89 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $1,179.89 MEDICA NONPMAP [10056] — MEDICA [100341]: $297,237.58 MEDICA NONPMAP [10056] — MR-MEDICA ADVANTAGE SOLUTIONS [100895]: $1,179.89
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: Arthroscopy,Shoulder;Decomp Subacromial Sp W Part Acromioplasty,W Coracoacromial Lig Rel (Pro CAH)	$504.53	$364.27	$115.54 – $454.08
Shoulder arthroscopy: shaving of shoulder bone: 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $454.08 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $371.92 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $371.92 BCBS OF MN [40001] — MR-BCBS MN [400069]: $173.03 BCBS OF MN [40003] — BLUE PLUS [400058]: $371.92 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $119.19 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $173.03 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $265.99 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $173.03 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $154.49
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient (hospital stay) In the file: Arthroscopy,Shoulder;Decomp Subacromial Sp W Part Acromioplasty,W Coracoacromial Lig Rel (Pro CAH)	$504.53	$350.09	$98.23 – $39,302.89
Shoulder arthroscopy: shaving of shoulder bone: 10 of 22 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $454.08 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $383.70 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $383.70 BCBS OF MN [40001] — MR-BCBS MN [400069]: $154.49 BCBS OF MN [40003] — BLUE PLUS [400058]: $383.70 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $98.23 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $154.49 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $154.49 MEDICA NONPMAP [10056] — MEDICA [100341]: $39,302.89 MEDICA NONPMAP [10056] — MR-MEDICA ADVANTAGE SOLUTIONS [100895]: $154.49
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: Knee Arthroscopy; W/ Meniscectomy, Medial or Lateral (Pro CAH)	$1,632.30	$1,178.52	$384.01 – $1,469.07
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $1,469.07 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $1,201.69 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $1,201.69 BCBS OF MN [40001] — MR-BCBS MN [400069]: $513.42 BCBS OF MN [40003] — BLUE PLUS [400058]: $1,201.69 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $396.63 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $513.42 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $884 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $513.42 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $513.42
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient (hospital stay) In the file: Knee Arthroscopy; W/ Meniscectomy, Medial or Lateral (Pro CAH)	$1,632.30	$1,132.65	$317.81 – $127,156.17
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 22 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $1,469.07 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $1,241.36 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $1,241.36 BCBS OF MN [40001] — MR-BCBS MN [400069]: $513.42 BCBS OF MN [40003] — BLUE PLUS [400058]: $1,241.36 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $317.81 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $513.42 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $513.42 MEDICA NONPMAP [10056] — MEDICA [100341]: $127,156.17 MEDICA NONPMAP [10056] — MR-MEDICA ADVANTAGE SOLUTIONS [100895]: $513.42
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: Tonsillectomy and Adenoidectomy; Younger Than Age 12 (Pro CAH)	$875.50	$632.11	$208.13 – $787.95
Removal of tonsils and adenoids (under age 12): 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $787.95 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $642.01 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $642.01 BCBS OF MN [40001] — MR-BCBS MN [400069]: $277.03 BCBS OF MN [40003] — BLUE PLUS [400058]: $642.01 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $213.84 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $277.03 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $479.11 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $277.03 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $277.03
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient (hospital stay) In the file: Tonsillectomy and Adenoidectomy; Younger Than Age 12 (Pro CAH)	$875.50	$607.51	$170.46 – $68,201.45
Removal of tonsils and adenoids (under age 12): 10 of 22 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $787.95 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $665.82 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $665.82 BCBS OF MN [40001] — MR-BCBS MN [400069]: $277.03 BCBS OF MN [40003] — BLUE PLUS [400058]: $665.82 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $170.46 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $277.03 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $277.03 MEDICA NONPMAP [10056] — MEDICA [100341]: $68,201.45 MEDICA NONPMAP [10056] — MR-MEDICA ADVANTAGE SOLUTIONS [100895]: $277.03
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: Egd, Flexible, Transoral; Diag, Incl Collect Specimen Brush/Wash (Pro CAH)	$6,013.84	$4,341.99	$275.12 – $5,412.46
Upper GI endoscopy (diagnostic): 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $768.37 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $263.59 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $263.59 BCBS OF MN [40001] — MR-BCBS MN [400069]: $275.12 BCBS OF MN [40003] — BLUE PLUS [400058]: $263.59 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $1,760.12 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $275.12 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $195.70 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $275.12 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $275.12
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) In the file: Egd, Flexible, Transoral; Diag, Incl Collect Specimen Brush/Wash (Pro CAH)	$853.74	$592.41	$87.13 – $66,506.35
Upper GI endoscopy (diagnostic): 10 of 22 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $768.37 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $649.27 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $649.27 BCBS OF MN [40001] — MR-BCBS MN [400069]: $275.12 BCBS OF MN [40003] — BLUE PLUS [400058]: $649.27 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $166.22 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $275.12 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $275.12 MEDICA NONPMAP [10056] — MEDICA [100341]: $66,506.35 MEDICA NONPMAP [10056] — MR-MEDICA ADVANTAGE SOLUTIONS [100895]: $275.12
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: Egd, Flexible, Transoral; With Biopsy, Single or Multiple (Pro CAH)	$7,077.97	$5,110.29	$357.30 – $6,370.17
Upper GI endoscopy with biopsy: 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $1,004.31 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $296.09 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $296.09 BCBS OF MN [40001] — MR-BCBS MN [400069]: $357.30 BCBS OF MN [40003] — BLUE PLUS [400058]: $296.09 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $1,760.12 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $357.30 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $221 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $357.30 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $357.30
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) In the file: Egd, Flexible, Transoral; With Biopsy, Single or Multiple (Pro CAH)	$1,115.90	$774.32	$98.15 – $86,928.61
Upper GI endoscopy with biopsy: 10 of 22 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $1,004.31 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $848.64 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $848.64 BCBS OF MN [40001] — MR-BCBS MN [400069]: $357.30 BCBS OF MN [40003] — BLUE PLUS [400058]: $848.64 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $217.27 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $357.30 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $357.30 MEDICA NONPMAP [10056] — MEDICA [100341]: $86,928.61 MEDICA NONPMAP [10056] — MR-MEDICA ADVANTAGE SOLUTIONS [100895]: $357.30
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Colonoscopy, Flexible; Diagnostic, Including Collection Specimen(S) by Brushing or Washing (Pro CAH)	$6,974.07	$5,035.28	$323.14 – $6,276.66
Colonoscopy (diagnostic): 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $907.25 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $3,549.77 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $3,549.77 BCBS OF MN [40001] — MR-BCBS MN [400069]: $323.14 BCBS OF MN [40003] — BLUE PLUS [400058]: $3,549.77 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $1,774.88 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $323.14 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $292.42 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $323.14 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $323.14
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) In the file: Colonoscopy, Flexible; Diagnostic, Including Collection Specimen(S) by Brushing or Washing (Pro CAH)	$1,008.06	$699.49	$130.45 – $78,527.87
Colonoscopy (diagnostic): 10 of 22 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $907.25 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $766.63 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $766.63 BCBS OF MN [40001] — MR-BCBS MN [400069]: $323.14 BCBS OF MN [40003] — BLUE PLUS [400058]: $766.63 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $196.27 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $323.14 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $323.14 MEDICA NONPMAP [10056] — MEDICA [100341]: $78,527.87 MEDICA NONPMAP [10056] — MR-MEDICA ADVANTAGE SOLUTIONS [100895]: $323.14
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Colonoscopy, Flexible; With Biopsy, Single or Multiple (Pro CAH)	$9,015.30	$6,509.05	$411.15 – $8,113.77
Colonoscopy with biopsy: 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $1,156.56 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $4,583.04 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $4,583.04 BCBS OF MN [40001] — MR-BCBS MN [400069]: $411.15 BCBS OF MN [40003] — BLUE PLUS [400058]: $4,583.04 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $2,291.52 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $411.15 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $318.29 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $411.15 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $411.15
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) In the file: Colonoscopy, Flexible; With Biopsy, Single or Multiple (Pro CAH)	$1,285.07	$891.71	$141.72 – $100,106.95
Colonoscopy with biopsy: 10 of 22 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $1,156.56 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $977.30 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $977.30 BCBS OF MN [40001] — MR-BCBS MN [400069]: $411.15 BCBS OF MN [40003] — BLUE PLUS [400058]: $977.30 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $250.20 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $411.15 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $411.15 MEDICA NONPMAP [10056] — MEDICA [100341]: $100,106.95 MEDICA NONPMAP [10056] — MR-MEDICA ADVANTAGE SOLUTIONS [100895]: $411.15
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: Colonoscopy, Flexible;With Removal of Tumor,Polyp,or Other Lesion Snare Technique (Pro CAH)	$9,214.12	$6,652.59	$429.44 – $8,292.71
Colonoscopy with removal of polyps (snare): 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $1,210.88 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $4,583.04 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $4,583.04 BCBS OF MN [40001] — MR-BCBS MN [400069]: $429.44 BCBS OF MN [40003] — BLUE PLUS [400058]: $4,583.04 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $2,291.52 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $429.44 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $402.64 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $429.44 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $429.44
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient (hospital stay) In the file: Colonoscopy, Flexible;With Removal of Tumor,Polyp,or Other Lesion Snare Technique (Pro CAH)	$1,345.42	$933.59	$179.03 – $104,808.22
Colonoscopy with removal of polyps (snare): 10 of 22 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $1,210.88 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $1,023.19 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $1,023.19 BCBS OF MN [40001] — MR-BCBS MN [400069]: $429.44 BCBS OF MN [40003] — BLUE PLUS [400058]: $1,023.19 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $261.95 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $429.44 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $429.44 MEDICA NONPMAP [10056] — MEDICA [100341]: $104,808.22 MEDICA NONPMAP [10056] — MR-MEDICA ADVANTAGE SOLUTIONS [100895]: $429.44
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: Colorectal Cancer Screening;Colonoscopy Not High Risk Patient (Pro CAH)	$7,089.88	$5,118.89	$323.24 – $6,380.89
Screening colonoscopy (not high risk): 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $1,543.03 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $3,105.92 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $3,105.92 BCBS OF MN [40001] — MR-BCBS MN [400069]: $194.43 BCBS OF MN [40003] — BLUE PLUS [400058]: $3,105.92 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $1,552.96 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $194.43 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $198.51 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $323.24 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $194.43
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient (hospital stay) In the file: Colorectal Cancer Screening;Colonoscopy Not High Risk Patient (Pro CAH)	$1,714.48	$1,189.68	$130.45 – $133,557.99 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Screening colonoscopy (not high risk): 10 of 22 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $1,543.03 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $1,303.86 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $1,303.86 BCBS OF MN [40001] — MR-BCBS MN [400069]: $323.24 BCBS OF MN [40003] — BLUE PLUS [400058]: $1,303.86 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $333.81 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $323.24 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $323.24 MEDICA NONPMAP [10056] — MEDICA [100341]: $133,557.99 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) MEDICA NONPMAP [10056] — MR-MEDICA ADVANTAGE SOLUTIONS [100895]: $323.24
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: Laparoscopy, Surgical; Cholecystectomy (Pro CAH)	$22,260.60	$16,072.15	$459.48 – $20,034.54
Gallbladder removal by laparoscope: 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $1,773.58 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $1,448.68 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $16,929.19 BCBS OF MN [40001] — MR-BCBS MN [400069]: $595.18 BCBS OF MN [40003] — BLUE PLUS [400058]: $16,929.19 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $459.48 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $595.18 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $1,025.72 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $595.18 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $595.18
Gallbladder removal by laparoscope CPT 47562 · Inpatient (hospital stay) In the file: Laparoscopy, Surgical; Cholecystectomy (Pro CAH)	$1,970.64	$1,367.43	$383.68 – $153,512.86
Gallbladder removal by laparoscope: 10 of 22 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $1,773.58 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $1,498.67 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $1,498.67 BCBS OF MN [40001] — MR-BCBS MN [400069]: $595.18 BCBS OF MN [40003] — BLUE PLUS [400058]: $1,498.67 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $383.68 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $595.18 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $595.18 MEDICA NONPMAP [10056] — MEDICA [100341]: $153,512.86 MEDICA NONPMAP [10056] — MR-MEDICA ADVANTAGE SOLUTIONS [100895]: $595.18
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: Repair Initial Inguinal Hernia, Age 5 Years or Older; Reducible (Pro CAH)	$1,565.03	$1,129.95	$355.44 – $1,408.53
Groin (inguinal) hernia repair, age 5 or older: 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $1,408.53 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $1,151.13 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $1,151.13 BCBS OF MN [40001] — MR-BCBS MN [400069]: $475.39 BCBS OF MN [40003] — BLUE PLUS [400058]: $1,151.13 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $367.08 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $475.39 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $818.77 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $475.39 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $475.39
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient (hospital stay) In the file: Repair Initial Inguinal Hernia, Age 5 Years or Older; Reducible (Pro CAH)	$1,565.03	$1,085.97	$304.71 – $121,915.84
Groin (inguinal) hernia repair, age 5 or older: 10 of 22 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $1,408.53 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $1,190.21 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $1,190.21 BCBS OF MN [40001] — MR-BCBS MN [400069]: $475.39 BCBS OF MN [40003] — BLUE PLUS [400058]: $1,190.21 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $304.71 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $475.39 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $475.39 MEDICA NONPMAP [10056] — MEDICA [100341]: $121,915.84 MEDICA NONPMAP [10056] — MR-MEDICA ADVANTAGE SOLUTIONS [100895]: $475.39
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: Biopsy, Prostate; Needle or Punch, Single or Multiple, Any Approach (Pro CAH)	$715.24	$516.40	$89.40 – $643.72
Prostate biopsy: 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $643.72 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $278.76 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $278.76 BCBS OF MN [40001] — MR-BCBS MN [400069]: $230.23 BCBS OF MN [40003] — BLUE PLUS [400058]: $278.76 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $91.89 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $230.23 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $206.38 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $230.23 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $230.23
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: Sc Ndl Bx Prostate	$961	$693.84	$187.11 – $864.90
Prostate biopsy: 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $864.90 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $730.84 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $730.84 BCBS OF MN [40001] — MR-BCBS MN [400069]: $384.40 BCBS OF MN [40003] — BLUE PLUS [400058]: $730.84 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $187.11 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $384.40 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $687.12 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $384.40 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $576.60
Prostate biopsy CPT 55700 · Inpatient (hospital stay) In the file: Sc Ndl Bx Prostate	$961	$666.84	$187.11 – $74,861.90
Prostate biopsy: 10 of 22 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $864.90 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $730.84 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $730.84 BCBS OF MN [40001] — MR-BCBS MN [400069]: $5,128.33 BCBS OF MN [40003] — BLUE PLUS [400058]: $730.84 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $187.11 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $5,128.33 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $5,128.33 MEDICA NONPMAP [10056] — MEDICA [100341]: $74,861.90 MEDICA NONPMAP [10056] — MR-MEDICA ADVANTAGE SOLUTIONS [100895]: $5,128.33
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: Hysteroscopy, Surgical; W/Sampling, W/W/O D&C (Pro CAH)	$19,215.09	$13,873.29	$162 – $17,293.58
Hysteroscopy with biopsy of the uterus lining: 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $3,521.32 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $501.18 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $14,613.08 BCBS OF MN [40001] — MR-BCBS MN [400069]: $1,217.33 BCBS OF MN [40003] — BLUE PLUS [400058]: $14,613.08 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $162 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $1,217.33 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $363.83 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $1,217.33 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $1,217.33
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient (hospital stay) In the file: Hysteroscopy, Surgical; W/Sampling, W/W/O D&C (Pro CAH)	$3,912.58	$2,714.94	$162 – $304,789.98
Hysteroscopy with biopsy of the uterus lining: 10 of 22 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $3,521.32 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $2,975.52 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $2,975.52 BCBS OF MN [40001] — MR-BCBS MN [400069]: $1,217.33 BCBS OF MN [40003] — BLUE PLUS [400058]: $2,975.52 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $761.78 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $1,217.33 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $1,217.33 MEDICA NONPMAP [10056] — MEDICA [100341]: $304,789.98 MEDICA NONPMAP [10056] — MR-MEDICA ADVANTAGE SOLUTIONS [100895]: $1,217.33
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: Xr Epidural Lumbar or Sacral Inj	$2,629.86	$1,898.76	$957.27 – $2,103.89
Spinal injection, lower back (epidural), with imaging guidance: 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $1,687.34 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $1,425.80 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $2,000.01 BCBS OF MN [40001] — MR-BCBS MN [400069]: $749.93 BCBS OF MN [40003] — BLUE PLUS [400058]: $2,000.01 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $71.61 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $749.93 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $1,340.50 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $247.53 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $1,124.89
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: Inj, Dx or Therapeutic Subst, W/O Neurolytic Sub, Epid/Subarach; Lumbar/Sacral; With Imagin (Pro CAH)	$767.68	$554.26	$69.62 – $690.91
Spinal injection, lower back (epidural), with imaging guidance: 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $690.91 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $182.31 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $182.31 BCBS OF MN [40001] — MR-BCBS MN [400069]: $247.53 BCBS OF MN [40003] — BLUE PLUS [400058]: $182.31 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $71.61 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $247.53 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $160.26 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $247.53 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $247.53
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) In the file: Xr Epidural Lumbar or Sacral Inj	$1,874.82	$1,300.94	$365.03 – $146,048.48 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Spinal injection, lower back (epidural), with imaging guidance: 10 of 22 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $1,687.34 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $1,425.80 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $1,425.80 BCBS OF MN [40001] — MR-BCBS MN [400069]: $5,128.33 BCBS OF MN [40003] — BLUE PLUS [400058]: $1,425.80 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $365.03 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $5,128.33 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $5,128.33 MEDICA NONPMAP [10056] — MEDICA [100341]: $146,048.48 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) MEDICA NONPMAP [10056] — MR-MEDICA ADVANTAGE SOLUTIONS [100895]: $5,128.33
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: Xr CT Foramin Inj Lumb Sacr Sngl Lvl W Guid	$3,338.76	$2,410.58	$1,215.31 – $2,671.01
Nerve root injection, lower back, with imaging guidance: 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $2,825.10 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $2,387.21 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $2,539.13 BCBS OF MN [40001] — MR-BCBS MN [400069]: $1,255.60 BCBS OF MN [40003] — BLUE PLUS [400058]: $2,539.13 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $81.12 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $1,255.60 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $2,244.39 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $236.74 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $1,883.40
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: Inj Anesthetic Agent or Steroid, Transforaminal Epidural W Imaging Guidance; Lumbar/Sacral, Single Level (Pro CAH)	$732.06	$528.55	$78.65 – $658.85
Nerve root injection, lower back, with imaging guidance: 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $658.85 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $204.41 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $204.41 BCBS OF MN [40001] — MR-BCBS MN [400069]: $236.74 BCBS OF MN [40003] — BLUE PLUS [400058]: $204.41 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $81.12 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $236.74 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $181.07 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $236.74 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $236.74
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) In the file: Xr CT Foramin Inj Lumb Sacr Sngl Lvl W Guid	$3,139	$2,178.15	$611.16 – $244,528.10 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Nerve root injection, lower back, with imaging guidance: 10 of 22 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $2,825.10 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $2,387.21 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $2,387.21 BCBS OF MN [40001] — MR-BCBS MN [400069]: $5,128.33 BCBS OF MN [40003] — BLUE PLUS [400058]: $2,387.21 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $611.16 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $5,128.33 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $5,128.33 MEDICA NONPMAP [10056] — MEDICA [100341]: $244,528.10 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) MEDICA NONPMAP [10056] — MR-MEDICA ADVANTAGE SOLUTIONS [100895]: $5,128.33
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: Neuroplasty and/or Transposition Median Nerve at Carpal Tunnel (Pro CAH)	$9,217.82	$6,655.27	$324.51 – $8,296.04
Carpal tunnel release: 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $1,210.88 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $974.21 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $7,010.15 BCBS OF MN [40001] — MR-BCBS MN [400069]: $427.65 BCBS OF MN [40003] — BLUE PLUS [400058]: $7,010.15 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $324.51 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $427.65 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $722.05 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $427.65 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $427.65
Carpal tunnel release CPT 64721 · Inpatient (hospital stay) In the file: Neuroplasty and/or Transposition Median Nerve at Carpal Tunnel (Pro CAH)	$1,345.42	$933.59	$261.95 – $104,808.22
Carpal tunnel release: 10 of 22 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $1,210.88 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $1,023.19 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $1,023.19 BCBS OF MN [40001] — MR-BCBS MN [400069]: $427.65 BCBS OF MN [40003] — BLUE PLUS [400058]: $1,023.19 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $261.95 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $427.65 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $427.65 MEDICA NONPMAP [10056] — MEDICA [100341]: $104,808.22 MEDICA NONPMAP [10056] — MR-MEDICA ADVANTAGE SOLUTIONS [100895]: $427.65
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) In the file: Discission of secondary membranous	$2,279.21	$1,645.59	$829.63 – $1,823.37
Laser treatment of clouding after cataract surgery: 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $2,051.29 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $1,733.34 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $1,733.34 BCBS OF MN [40001] — MR-BCBS MN [400069]: $319.28 BCBS OF MN [40003] — BLUE PLUS [400058]: $1,733.34 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $230.11 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $319.28 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $1,629.64 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $319.28 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $1,367.53
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: Extracapsular Cataract Reml W Inser	$10,419.72	$7,523.04	$398.63 – $9,377.75
Cataract removal with lens implant: 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $9,377.75 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $7,924.20 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $7,924.20 BCBS OF MN [40001] — MR-BCBS MN [400069]: $515.95 BCBS OF MN [40003] — BLUE PLUS [400058]: $7,924.20 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $398.63 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $515.95 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $7,450.10 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $515.95 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $6,251.83

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) In the file: Routine Obstetric Care Including Antepartum Care, Vaginal Delivery and Postpartum Care (Pro CAH)	$7,221.70	$5,214.07	$1,367.66 – $6,499.53
Vaginal delivery, with care before and after: 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $6,499.53 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $5,258.84 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $5,258.84 BCBS OF MN [40001] — MR-BCBS MN [400069]: $2,148.52 BCBS OF MN [40003] — BLUE PLUS [400058]: $5,258.84 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $1,387.89 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $2,148.52 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $3,740.14 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $2,148.52 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $2,148.52
Vaginal delivery, with care before and after CPT 59400 · Inpatient (hospital stay) In the file: Routine Obstetric Care Including Antepartum Care, Vaginal Delivery and Postpartum Care (Pro CAH)	$7,221.70	$5,011.14	$1,387.89 – $6,788.40
Vaginal delivery, with care before and after: 10 of 23 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $6,499.53 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $5,492.10 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $5,492.10 BCBS OF MN [40001] — MR-BCBS MN [400069]: $2,148.52 BCBS OF MN [40003] — BLUE PLUS [400058]: $5,492.10 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $1,406.06 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $2,148.52 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $6,788.40 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $2,148.52 MEDICA NONPMAP [10056] — MEDICA [100341]: $5,625.70
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) In the file: Routine Obstetric Care Including Antepartum Care, Cesarean Delivery, and Postpartum Care (Pro CAH)	$8,029.94	$5,797.62	$1,367.66 – $7,226.95
Cesarean delivery (C-section), with care before and after: 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $7,226.95 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $5,841.63 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $5,841.63 BCBS OF MN [40001] — MR-BCBS MN [400069]: $2,360.28 BCBS OF MN [40003] — BLUE PLUS [400058]: $5,841.63 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $1,387.89 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $2,360.28 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $4,111.85 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $2,360.28 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $2,360.28
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient (hospital stay) In the file: Routine Obstetric Care Including Antepartum Care, Cesarean Delivery, and Postpartum Care (Pro CAH)	$8,029.94	$5,571.98	$1,387.89 – $7,548.14
Cesarean delivery (C-section), with care before and after: 10 of 23 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $7,226.95 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $6,106.77 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $6,106.77 BCBS OF MN [40001] — MR-BCBS MN [400069]: $2,360.28 BCBS OF MN [40003] — BLUE PLUS [400058]: $6,106.77 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $1,563.43 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $2,360.28 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $7,548.14 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $2,360.28 MEDICA NONPMAP [10056] — MEDICA [100341]: $6,255.32
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) In the file: Routine OB Care Incl Antepartum Care, Vag Delivery/Postpartum Care, After Previous Cesarean (Pro CAH)	$7,570.92	$5,466.20	$1,367.66 – $6,813.83
Vaginal delivery after a previous C-section, with care before and after: 10 of 25 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $6,813.83 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $5,508.70 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $5,508.70 BCBS OF MN [40001] — MR-BCBS MN [400069]: $2,222.46 BCBS OF MN [40003] — BLUE PLUS [400058]: $5,508.70 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $1,387.89 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $2,222.46 HEALTH PARTNERS [10045] — HEALTH PARTNERS [100312]: $3,871.73 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $2,222.46 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS MSHO [100603]: $2,222.46
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Inpatient (hospital stay) In the file: Routine OB Care Incl Antepartum Care, Vag Delivery/Postpartum Care, After Previous Cesarean (Pro CAH)	$7,570.92	$5,253.46	$1,387.89 – $7,116.66
Vaginal delivery after a previous C-section, with care before and after: 10 of 22 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $6,813.83 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $5,757.68 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $5,757.68 BCBS OF MN [40001] — MR-BCBS MN [400069]: $2,222.46 BCBS OF MN [40003] — BLUE PLUS [400058]: $5,757.68 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $1,474.06 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $2,222.46 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $2,222.46 MEDICA NONPMAP [10056] — MEDICA [100341]: $5,897.75 MEDICA NONPMAP [10056] — MR-MEDICA ADVANTAGE SOLUTIONS [100895]: $2,222.46

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	$95,493.55	$66,262.97	$1,687.70 – $85,944.20
Hip or knee replacement (major joint of the leg), without major complications: 10 of 19 insurance plan rates AETNA [10003] — AETNA - FH [100925]: $85,944.20 BCBS FEDERAL EMPLOYEES [40005] — BCBS FEDERAL EMPLOYEES [400004]: $72,622.84 BCBS OF MN [40001] — BCBS HIGH VALUE NETWORK: $72,622.84 BCBS OF MN [40001] — MR-BCBS MN [400069]: $5,128.33 BCBS OF MN [40003] — BLUE PLUS [400058]: $72,622.84 BLUE PLUS PMAP [40002] — BLUE PLUS PMAP [400054]: $18,592.59 BLUE PLUS PMAP [40002] — MR-SECURE BLUE MSHO [400055]: $5,128.33 HEALTH PARTNERS [10045] — MR-HEALTH PARTNERS [100844]: $5,128.33 MEDICA NONPMAP [10056] — MEDICA [100341]: $74,389.48 MEDICA NONPMAP [10056] — MR-MEDICA ADVANTAGE SOLUTIONS [100895]: $5,128.33

Source: Astera Health’s standard charges file (asterahealth.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on February 20, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.

Hospital information

Hospital type	Critical Access Hospital
Address	421 11th Street NW, Wadena, MN 56482
County	Otter Tail County
State	Minnesota
Phone	(218) 631‑7489
Emergency services	Yes
Ownership	Voluntary non-profit - Other
Medicare overall rating	3 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	241354
Name in Medicare records	ASTERA HEALTH
Profile level	Medicare data + hospital website
Official website	asterahealth.org
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
Medicare Care Compare — official Medicare profile of this hospital
U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-10-30.

Astera Health — asterahealth.org
Emergency Department - Astera Health — asterahealth.org
Preparing for Surgery - Astera Health — asterahealth.org
General Surgery Services - Astera Health — asterahealth.org
Birthing Services - Astera Health — asterahealth.org

Astera Health

Summary

Profile from official sources

At a glance