Does Buffalo Hospital have an emergency room?

Yes. The hospital’s official website lists an emergency room at Buffalo Hospital (trauma center: Level IV). Medicare (CMS) data does not list emergency services for it. In a medical emergency, call 911.

Where is Buffalo Hospital?

303 Catlin Street, Buffalo, MN 55313, in Wright County, Minnesota.

What is the phone number of Buffalo Hospital?

(763) 682-1212, as listed by Medicare (CMS).

What is the Medicare star rating of Buffalo Hospital?

5 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).

Does Medicare reduce its payments to Buffalo Hospital for hospital-acquired conditions?

No. For fiscal year 2026, CMS lists no Medicare payment reduction for Buffalo Hospital under the Hospital-Acquired Condition Reduction Program (Total HAC Score: -0.7915; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Buffalo Hospital — Phone, Address, ER & Ratings

Quick answers

Does Buffalo Hospital have an emergency room?: Yes. The hospital’s official website lists an emergency room at Buffalo Hospital (trauma center: Level IV). Medicare (CMS) data does not list emergency services for it. In a medical emergency, call 911.
Where is Buffalo Hospital?: 303 Catlin Street, Buffalo, MN 55313, in Wright County, Minnesota.
What is the phone number of Buffalo Hospital?: (763) 682-1212, as listed by Medicare (CMS).
What is the Medicare star rating of Buffalo Hospital?: 5 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
Does Medicare reduce its payments to Buffalo Hospital for hospital-acquired conditions?: No. For fiscal year 2026, CMS lists no Medicare payment reduction for Buffalo Hospital under the Hospital-Acquired Condition Reduction Program (Total HAC Score: -0.7915; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Specialties and care areas^{[4][9][12][14][15]}

Conditions treated^{[4][7][9][13][15][16]}

Stroke
Severe chest pain
Breathing difficulty
Severe bleeding
Seizure
Broken bones
Arthritis
Bone fractures
Torn ligaments
Carpal tunnel syndrome
Sprains and strains
Concussion
Heart disease
COPD
High blood pressure
High cholesterol
Diabetes

Treatments^{[4][7][9][12][14][15][16]}

Stress testing
Echocardiography
Nuclear medicine
Pacemaker and defibrillator checks
Cardiac rehabilitation
Peripheral artery disease screening
Clot-busting medication for stroke
Telestroke consultation
Nutrition consultation
Lactation consultation
Vaginal birth after cesarean (VBAC)
Robot-assisted joint replacement
Physical therapy
Mammography

Procedures^{[4][8][12][14]}

Cesarean delivery
Imaging: X-ray, CT scan, MRI
Surgery and outpatient procedures

Programs and centers^{[4][9][12][13][14]}

Women's Heart Health Program
Birth Center
Better Breathers Club (COPD support group)
Baby Café breastfeeding support group
Mental health assessment and referral (telehealth)
Courage Kenny Rehabilitation Institute

Emergency care (hospital website)^[4][6][7]

Emergency room	Yes
Open 24/7	Yes
Trauma designation	Level IV
Stroke designation	Stroke Ready (designated by the state of Minnesota)

Visiting and practical information

Visiting	General visiting hours end at 8 p.m.; may be restricted in intensive care, coronary care or isolation areas^[5]
Parking	Free parking in the purple lot at the main lobby entrance; emergency parking in the red lot off Anderson Avenue^[5]
Interpreters and languages	Interpreter and deaf/hard of hearing services are listed in the patient information section^[10][12]

Recognition^[11]

Joint Commission accreditation

Doctors and clinicians (289)

289 doctors and other clinicians list Buffalo Hospital 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

Doctors with a page on this site (289)

Aaron Kaye, MDPulmonary Disease
Abdelwahaab S. Akef, MDCardiovascular Disease (Cardiology)
Adam Gess, MDOphthalmology
Adrianne L. Bowen, MDGeneral Surgery
Akuffo Quarde, MDEndocrinology
Alberto G. Zenti, DOFamily Practice
Alejandra Gutierrez BernalCardiovascular Disease (Cardiology)
Alex R. Schwegman, MDPulmonary Disease
Ali K. Shami, MDInternal Medicine
Alicia A. McLeod, MDAnesthesiology
Amanda K. Norris, DOFamily Practice
Amanda L. Hoffman, MDFamily Practice
Amanda M. Loecken, PAPhysician Assistant
Amelia C. Esh, PAPhysician Assistant
Amin F. Rahmatullah, MDCardiovascular Disease (Cardiology)
Andrew J. Burgdorf, MDFamily Practice
Andrew J. Stiehm, MDPulmonary Disease
Andrew T. Babcock, MDDiagnostic Radiology
Angela K. Smaciarz, NPNurse Practitioner
Angela L. DeblieckCertified Registered Nurse Anesthetist (CRNA)
Angela S. Oster, MDOphthalmology
Anna C. JohnsonPhysician Assistant
Anne M. PribylNurse Practitioner
Anne M. Reddy, MDDiagnostic Radiology

And 265 more: the button below opens the full list.

Other emergency rooms nearby

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

CentraCare Health - Monticello8.6 mi · Monticello, MN · Critical Access Hospital
Maple Grove Hospital20 mi · Maple Grove, MN · Acute Care Hospital
Mercy Hospital24 mi · Coon Rapids, MN · Acute Care Hospital
Ridgeview Medical Center24 mi · Waconia, MN · Acute Care Hospital
Fairview Northland Regional Hospital29 mi · Princeton, MN · Acute Care Hospital

Find the closest emergency room to where you are → · Compare ER wait times

Other hospitals near Buffalo

Community Behavioral Health Hospital Annandale12 mi · Annandale, MN · Psychiatric Hospital
Anoka Metro Regional Treatment Center24 mi · Anoka, MN · Psychiatric Hospital

Hospitals in Wright County · Hospitals near me

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

Lake Ridge Care Center of Buffalo, Inc.1.4 mi · Buffalo, MN · 5 of 5 stars
Park View Health Care Center1.9 mi · Buffalo, MN · 5 of 5 stars
Cura of Monticello8.7 mi · Monticello, MN · 3 of 5 stars

All nursing homes in the state →

Hospice providers

Triniti Hospice18 mi · Elk River, MN · 4 of 5 stars
Favoured Hospice, LLC20 mi · Dayton, MN
Emerald Wings Hospice LLC22 mi · Saint Paul, MN

All hospice providers in the state →

Home health agencies

Adara Home Health Inc1.7 mi · Buffalo, MN · 3 of 5 stars
Accurate Home Care18 mi · Otsego, MN · 2.5 of 5 stars
Triniti Home Health and Hospice18 mi · Elk River, MN · 4 of 5 stars

All home health agencies in the state →

Dialysis facilities

FMC Dialysis - Buffalo1.7 mi · Buffalo, MN · 3 of 5 stars
Fresenius Kidney Care Big Lake14 mi · Big Lake, MN · 3 of 5 stars
FMC Dialysis - Central MN Regional Dialysis18 mi · Elk River, MN · 3 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

Medicare-certified ambulatory surgery centers within 25 miles, by straight-line distance.

M Health Fairview Clinics and Surgery Center Maple Grove21 mi · Maple Grove, MN
Metropolitan Surgical Center LLC21 mi · Maple Grove, MN
Mngi Endoscopy-Maple Grove21 mi · Maple Grove, MN

All outpatient surgery centers 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

Allina Health System1.7 mi · Buffalo, MN · Urgent care center
Midwest Healthcare Groups PLLC14 mi · Rogers, MN · Urgent care center
MN UC Providers Ltd19 mi · Maple Grove, MN · Urgent care center

Pharmacies

Allina Health System1.7 mi · Buffalo, MN · Pharmacy
Coborns Inc1.7 mi · Buffalo, MN · Community/retail pharmacy
Supervalu Pharmacies Inc1.7 mi · Buffalo, MN · Community/retail pharmacy

Assisted living nearby

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

Glenn Buffalo MC1.7 mi · Buffalo, MN
Havenwood of Buffalo1.7 mi · Buffalo, MN
Park View Assisted Living1.7 mi · Buffalo, MN
St Benedict's Court7.5 mi · Monticello, 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 Buffalo Hospital 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	4 of 5 stars
Would recommend the hospital	4 of 5 stars
Nurses communicated well	4 of 5 stars
Doctors communicated well	4 of 5 stars
Patients got help quickly from staff	4 of 5 stars
Staff explained medicines	3 of 5 stars
Information about recovery at home	4 of 5 stars
Room and bathroom kept clean	3 of 5 stars
Restfulness of Environment	4 of 5 stars
Care Coordination	4 of 5 stars
Symptoms After Stay	4 of 5 stars
Rated the hospital 9 or 10 out of 10	72%National average: 72%
Would definitely recommend the hospital	73%National average: 71%
Nurses “always” communicated well	83%National average: 80%
Doctors “always” communicated well	85%National average: 80%
“Always” got help as soon as they wanted	62%National average: 64%
Staff “always” explained medicines before giving them	64%National average: 62%
Were given information about recovery at home	90%National average: 86%
Room and bathroom “always” clean	64%National average: 73%
Completed surveys	577Response rate: 28%

Source: Patient survey (HCAHPS) - Hospital — CMS, released October 19, 2026; patients discharged January 2025 to December 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.

Clostridioides difficile (C. diff) intestinal infections	1.457No different from the national benchmark
Not reported to Medicare	Central line bloodstream infections (CLABSI); Catheter-associated urinary tract infections (CAUTI); Surgical site infections after colon surgery; Surgical site infections after abdominal hysterectomy; MRSA bloodstream infections

Source: Healthcare Associated Infections - Hospital — CMS, released October 19, 2026; data from January 2025 to December 2025.

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 failure patients	8.7%
Deaths within 30 days: pneumonia patients	13.2%
Deaths within 30 days: stroke patients	10.1%
Serious complications (patient safety indicator PSI-90)	0.9No different from the national rate
Complications after hip or knee replacement	4.2%
Not reported to Medicare	Deaths within 30 days: coronary bypass surgery (CABG)
Too few cases to report	Deaths within 30 days: heart attack patients; Deaths within 30 days: COPD patients

Source: Complications and Deaths - Hospital — CMS, released October 20, 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)	14.9%
Readmitted within 30 days: heart failure	18.8%
Readmitted within 30 days: pneumonia	17%
Readmitted within 30 days: COPD	20.3%
Readmitted within 30 days: hip or knee replacement	5.9%
Not reported to Medicare	Readmitted within 30 days: coronary bypass surgery
Too few cases to report	Readmitted within 30 days: heart attack

Source: Unplanned Hospital Visits - Hospital — CMS, released October 20, 2026; data from July 2024 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)	Medium (20,000–39,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	147 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	58%National average: 66%

Source: Timely and Effective Care - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

Medicare payment programs

Medicare (CMS) uses these federal programs to adjust what it pays hospitals, based on quality, safety and cost results. This is a payment to the hospital for Medicare patients, not a price you pay, and not a prediction for any one person. Results for Buffalo Hospital, fiscal year 2026 (October 2025 to September 2026).

Show the Medicare payment program results

Hospital-Acquired Condition Reduction Program

What this means: Medicare gives each hospital a Total HAC Score built from patient-safety complications and from infections caught in the hospital. The quarter of hospitals with the highest (worst) scores gets a reduction in its Medicare payments. A lower score is better.

CMS says: Hospitals with a Total HAC Score above the 75th percentile of the Total HAC Score distribution will be subject to a 1-percent payment reduction.

Medicare payment reduction, fiscal year 2026	NoCMS lists no payment reduction for this hospital.
Total HAC Score	-0.7915Lower is better. Hospitals above the 75th percentile of all scores get the reduction.

Source: Hospital-Acquired Condition (HAC) Reduction Program — CMS, released January 26, 2026; patient-safety data from July 2022 to June 2024 and infection data from January 2023 to December 2024.

Hospital Readmissions Reduction Program

What this means: For six conditions, Medicare compares how often this hospital’s patients had to go back into a hospital within 30 days with how often that happens at an average hospital with similar patients. The ratio is that comparison: 1 means as many readmissions as expected, above 1 means more than expected (CMS calls these “excess readmissions”), below 1 means fewer.

CMS says: In October 2012, CMS began reducing Medicare payments for subsection(d) hospitals with excess readmissions under the Hospital Readmissions Reduction Program (HRRP).

Heart failure	0.9547Fewer readmissions than expected
Pneumonia	0.9481Fewer readmissions than expected
Hip or knee replacement	0.8736Fewer readmissions than expected
No result published	Heart attack; COPD (chronic lung disease); Coronary bypass surgery (CABG) (not reported, or too few cases)

Source: Hospital Readmissions Reduction Program — CMS, released January 26, 2026; patients discharged July 2021 to June 2024.

Hospital Value-Based Purchasing Program

What this means: Medicare scores hospitals in four areas, each from 0 to 100, and combines them into a Total Performance Score from 0 to 100. A higher score means better results on these measures. Medicare uses the score to adjust what it pays the hospital.

CMS says: This program adjusts payments to hospitals under the Inpatient Prospective Payment System (IPPS) based on the quality of care they deliver.

Total Performance Score	48.92 out of 100Median of the 2,455 hospitals in the program: 29.50
Clinical outcomes (deaths and complications)	26.67 out of 100
Person and community engagement (patient survey)	69.00 out of 100
Safety (infections and sepsis care)	20.00 out of 100
Efficiency and cost reduction (Medicare spending)	80.00 out of 100

Source: Hospital Value-Based Purchasing (HVBP) - Total Performance Score — CMS, released January 26, 2026, fiscal year 2026. Program description: The Hospital Value-Based Purchasing (VBP) Program — CMS, page last modified September 10, 2024.

Medicare spending per patient (MSPB)

What this means: This compares what Medicare spent on a hospital stay, counting the 3 days before it and the 30 days after, with the national median hospital, after adjusting for the patient’s age and health and for local prices. A ratio of 1.00 is the national median hospital; below 1.00 means Medicare spent less, above 1.00 means more. It measures the cost to Medicare, not the quality of care.

CMS says: The Medicare Spending Per Beneficiary (MSPB) Measure shows whether Medicare spends more, less, or about the same for an episode of care (episode) at a specific hospital compared to all hospitals nationally.

Medicare spending per patient, ratio	0.88Below the national median hospital (1.00): Medicare spent less

Source: Medicare Spending Per Beneficiary - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

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 52 common services exactly as Buffalo Hospital 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 →

$ 6 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.

Show the prices of 52 common services

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG UC-EST PT FAC VISIT LEVEL III	$199.40	$111.66	$40.12 – $408.76
Established patient office visit (about 20–29 minutes): 10 of 27 insurance plan rates Aetna — Aetna Elevate (BDOSV): $88.81 Aetna — Aetna Performance (BDOSV): $93.82 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $118.52 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $199.40 All Other Medicaid — All Other Medicaid (B): $69 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $167.50 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $153.82 Blue Cross — Allina Health BluePrint (BDOSHV): $271.88 Blue Cross Blue Shield — BC AEHP (B D O S V): $361.75 Blue Cross Blue Shield — BC AWARE/Blue Plus (B D O S V): $408.76
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG E/M EST PT LEVEL III	$143.50	$80.36	$28.87 – $408.76
Established patient office visit (about 20–29 minutes): 10 of 27 insurance plan rates Aetna — Aetna Elevate (BDOSV): $63.91 Aetna — Aetna Performance (BDOSV): $67.52 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $85.30 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $143.50 All Other Medicaid — All Other Medicaid (B): $69 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $120.54 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $110.70 Blue Cross — Allina Health BluePrint (BDOSHV): $271.88 Blue Cross Blue Shield — BC AEHP (B D O S V): $361.75 Blue Cross Blue Shield — BC AWARE/Blue Plus (B D O S V): $408.76
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG EST PT FAC VISIT LEVEL III	$143	$80.08	$28.77 – $408.76
Established patient office visit (about 20–29 minutes): 10 of 24 insurance plan rates Aetna — Aetna Elevate (BDOSV): $63.69 Aetna — Aetna Performance (BDOSV): $67.28 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $85 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $143 All Other Medicaid — All Other Medicaid (B): $69 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $120.12 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $110.31 Blue Cross — Allina Health BluePrint (BDOSHV): $271.88 Blue Cross Blue Shield — BC AEHP (B D O S V): $361.75 Blue Cross Blue Shield — BC AWARE/Blue Plus (B D O S V): $408.76
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG UC-EST PT FAC VISIT LEVEL IV	$238.30	$133.45	$47.95 – $630.16
Established patient office visit (about 30–39 minutes): 10 of 27 insurance plan rates Aetna — Aetna Elevate (BDOSV): $106.14 Aetna — Aetna Performance (BDOSV): $112.12 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $141.65 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $238.30 All Other Medicaid — All Other Medicaid (B): $98.12 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $200.17 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $183.82 Blue Cross — Allina Health BluePrint (BDOSHV): $419.15 Blue Cross Blue Shield — BC AEHP (B D O S V): $557.69 Blue Cross Blue Shield — BC AWARE/Blue Plus (B D O S V): $630.16
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG E/M EST PT LEVEL IV	$171.50	$96.04	$34.51 – $630.16
Established patient office visit (about 30–39 minutes): 10 of 27 insurance plan rates Aetna — Aetna Elevate (BDOSV): $76.39 Aetna — Aetna Performance (BDOSV): $80.69 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $101.94 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $171.50 All Other Medicaid — All Other Medicaid (B): $98.12 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $144.06 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $132.30 Blue Cross — Allina Health BluePrint (BDOSHV): $419.15 Blue Cross Blue Shield — BC AEHP (B D O S V): $557.69 Blue Cross Blue Shield — BC AWARE/Blue Plus (B D O S V): $630.16
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG EST PT FAC VISIT LEVEL IV	$170.50	$95.48	$34.30 – $630.16
Established patient office visit (about 30–39 minutes): 10 of 24 insurance plan rates Aetna — Aetna Elevate (BDOSV): $75.94 Aetna — Aetna Performance (BDOSV): $80.22 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $101.35 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $170.50 All Other Medicaid — All Other Medicaid (B): $98.12 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $143.22 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $131.52 Blue Cross — Allina Health BluePrint (BDOSHV): $419.15 Blue Cross Blue Shield — BC AEHP (B D O S V): $557.69 Blue Cross Blue Shield — BC AWARE/Blue Plus (B D O S V): $630.16
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED LVL 3 HCHG	$801.80	$449.01	$161.32 – $1,459
Emergency room visit (moderate): 10 of 33 insurance plan rates Aetna — Aetna Elevate (BDOSV): $357.12 Aetna — Aetna Performance (BDOSV): $377.25 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $476.59 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $801.80 All Other Medicaid — All Other Medicaid (B): $260.08 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $267.26 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $673.51 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $618.51 BCBS — BC Medicare (B): $295.40 Blue Cross — Allina Health BluePrint (BDOSHV): $833.27
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ED LVL 3 HCHG	$801.80	$449.01	$356.24 – $801.80
Emergency room visit (moderate): rates for 7 insurance plans Aetna — Aetna Elevate (BDOSV): $356.24 Aetna — Aetna Performance (BDOSV): $376.28 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $475.31 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $801.80 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $673.51 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $618.51 First Health (A C E G H U B D N O R S) — First Health (ABDMNOSURV): $673.51
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED LVL 4 HCHG	$1,315.80	$736.85	$264.74 – $3,686
Emergency room visit (moderately high): 10 of 33 insurance plan rates Aetna — Aetna Elevate (BDOSV): $586.06 Aetna — Aetna Performance (BDOSV): $619.08 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $782.11 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $1,315.80 All Other Medicaid — All Other Medicaid (B): $397.55 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $408.53 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $1,105.27 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $1,015.01 BCBS — BC Medicare (B): $451.53 Blue Cross — Allina Health BluePrint (BDOSHV): $833.27
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ED LVL 4 HCHG	$1,315.80	$736.85	$584.61 – $1,315.80
Emergency room visit (moderately high): rates for 7 insurance plans Aetna — Aetna Elevate (BDOSV): $584.61 Aetna — Aetna Performance (BDOSV): $617.50 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $780.01 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $1,315.80 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $1,105.27 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $1,015.01 First Health (A C E G H U B D N O R S) — First Health (ABDMNOSURV): $1,105.27
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED LVL 5 HCHG	$1,818.50	$1,018.36	$304.92 – $3,893
Emergency room visit (high): 10 of 33 insurance plan rates Aetna — Aetna Elevate (BDOSV): $809.96 Aetna — Aetna Performance (BDOSV): $855.60 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $1,080.92 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $1,818.50 All Other Medicaid — All Other Medicaid (B): $567.39 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $583.06 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $1,527.54 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $1,402.79 BCBS — BC Medicare (B): $644.44 Blue Cross — Allina Health BluePrint (BDOSHV): $833.27
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ED LVL 5 HCHG	$1,818.50	$1,018.36	$807.96 – $1,818.50
Emergency room visit (high): rates for 7 insurance plans Aetna — Aetna Elevate (BDOSV): $807.96 Aetna — Aetna Performance (BDOSV): $853.42 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $1,078.01 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $1,818.50 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $1,527.54 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $1,402.79 First Health (A C E G H U B D N O R S) — First Health (ABDMNOSURV): $1,527.54

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG BASIC METABOLIC PANEL	$199.30	$111.61	$7.88 – $199.30
Basic metabolic panel (blood test): 10 of 32 insurance plan rates Aetna — Aetna Elevate (BDOSV): $88.77 Aetna — Aetna Performance (BDOSV): $93.77 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $118.46 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $199.30 All Other Medicaid — All Other Medicaid (B): $8.45 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $7.88 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $167.41 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $153.74 BCBS — BC Medicare (B): $8.70 Blue Cross — Allina Health BluePrint (BDOSHV): $41.41
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG BASIC METABOLIC PANEL QUEST	$30	$16.80	$6.04 – $62.26
Basic metabolic panel (blood test): 10 of 32 insurance plan rates Aetna — Aetna Elevate (BDOSV): $13.36 Aetna — Aetna Performance (BDOSV): $14.11 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $17.83 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $30 All Other Medicaid — All Other Medicaid (B): $8.45 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $7.88 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $25.20 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $23.14 BCBS — BC Medicare (B): $8.70 Blue Cross — Allina Health BluePrint (BDOSHV): $41.41
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG BASIC METABOLIC RTR	$199.30	$111.61	$7.88 – $199.30
Basic metabolic panel (blood test): 10 of 32 insurance plan rates Aetna — Aetna Elevate (BDOSV): $88.77 Aetna — Aetna Performance (BDOSV): $93.77 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $118.46 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $199.30 All Other Medicaid — All Other Medicaid (B): $8.45 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $7.88 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $167.41 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $153.74 BCBS — BC Medicare (B): $8.70 Blue Cross — Allina Health BluePrint (BDOSHV): $41.41
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG COMPREHENSIVE METABOLIC PANE	$362.80	$203.17	$9.83 – $362.80
Comprehensive metabolic panel (blood test): 10 of 32 insurance plan rates Aetna — Aetna Elevate (BDOSV): $161.59 Aetna — Aetna Performance (BDOSV): $170.70 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $215.65 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $362.80 All Other Medicaid — All Other Medicaid (B): $10.55 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $9.83 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $304.75 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $279.86 BCBS — BC Medicare (B): $10.87 Blue Cross — Allina Health BluePrint (BDOSHV): $41.41
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG COMPREHENSIVE METABOLIC PANEL QUEST	$31.20	$17.47	$6.28 – $62.26
Comprehensive metabolic panel (blood test): 10 of 32 insurance plan rates Aetna — Aetna Elevate (BDOSV): $13.90 Aetna — Aetna Performance (BDOSV): $14.68 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $18.55 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $31.20 All Other Medicaid — All Other Medicaid (B): $10.55 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $9.83 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $26.21 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $24.07 BCBS — BC Medicare (B): $10.87 Blue Cross — Allina Health BluePrint (BDOSHV): $41.41
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG COMP METABOLIC RTR	$362.80	$203.17	$9.83 – $362.80
Comprehensive metabolic panel (blood test): 10 of 32 insurance plan rates Aetna — Aetna Elevate (BDOSV): $161.59 Aetna — Aetna Performance (BDOSV): $170.70 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $215.65 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $362.80 All Other Medicaid — All Other Medicaid (B): $10.55 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $9.83 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $304.75 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $279.86 BCBS — BC Medicare (B): $10.87 Blue Cross — Allina Health BluePrint (BDOSHV): $41.41
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG OBSTETRIC PANEL	$501.50	$280.84	$16.16 – $501.50
Obstetric blood test panel: 10 of 32 insurance plan rates Aetna — Aetna Elevate (BDOSV): $223.37 Aetna — Aetna Performance (BDOSV): $235.96 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $298.09 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $501.50 All Other Medicaid — All Other Medicaid (B): $47.77 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $44.51 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $421.26 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $386.86 BCBS — BC Medicare (B): $49.19 Blue Cross — Allina Health BluePrint (BDOSHV): $41.41
Obstetric blood test panel CPT 80055 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG OBSTETRIC PANEL	$501.50	$280.84	$222.82 – $501.50
Obstetric blood test panel: rates for 7 insurance plans Aetna — Aetna Elevate (BDOSV): $222.82 Aetna — Aetna Performance (BDOSV): $235.35 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $297.29 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $501.50 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $421.26 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $386.86 First Health (A C E G H U B D N O R S) — First Health (ABDMNOSURV): $421.26
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG LIPID PANEL	$55.20	$30.91	$11.11 – $62.26
Cholesterol panel (lipid panel): 10 of 32 insurance plan rates Aetna — Aetna Elevate (BDOSV): $24.59 Aetna — Aetna Performance (BDOSV): $25.97 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $32.81 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $55.20 All Other Medicaid — All Other Medicaid (B): $13.38 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $12.46 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $46.37 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $42.58 BCBS — BC Medicare (B): $13.78 Blue Cross — Allina Health BluePrint (BDOSHV): $41.41
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG LIPID PANEL LCC	$27.50	$15.40	$5.53 – $62.26
Cholesterol panel (lipid panel): 10 of 32 insurance plan rates Aetna — Aetna Elevate (BDOSV): $12.25 Aetna — Aetna Performance (BDOSV): $12.94 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $16.35 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $27.50 All Other Medicaid — All Other Medicaid (B): $13.38 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $12.46 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $23.10 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $21.21 BCBS — BC Medicare (B): $13.78 Blue Cross — Allina Health BluePrint (BDOSHV): $41.40
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG LIPID PANEL QUEST	$34.20	$19.15	$6.88 – $62.26
Cholesterol panel (lipid panel): 10 of 32 insurance plan rates Aetna — Aetna Elevate (BDOSV): $15.23 Aetna — Aetna Performance (BDOSV): $16.09 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $20.33 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $34.20 All Other Medicaid — All Other Medicaid (B): $13.38 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $12.46 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $28.73 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $26.38 BCBS — BC Medicare (B): $13.78 Blue Cross — Allina Health BluePrint (BDOSHV): $41.40
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG RENAL FUNCTION PANEL	$231.20	$129.47	$8.08 – $231.20
Kidney function panel: 10 of 32 insurance plan rates Aetna — Aetna Elevate (BDOSV): $102.98 Aetna — Aetna Performance (BDOSV): $108.78 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $137.43 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $231.20 All Other Medicaid — All Other Medicaid (B): $8.67 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $8.08 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $194.21 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $178.35 BCBS — BC Medicare (B): $8.94 Blue Cross — Allina Health BluePrint (BDOSHV): $41.41
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG RENAL FUNCTION PANEL QUEST	$43.20	$24.19	$8.08 – $62.26
Kidney function panel: 10 of 32 insurance plan rates Aetna — Aetna Elevate (BDOSV): $19.24 Aetna — Aetna Performance (BDOSV): $20.33 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $25.68 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $43.20 All Other Medicaid — All Other Medicaid (B): $8.67 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $8.08 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $36.29 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $33.32 BCBS — BC Medicare (B): $8.94 Blue Cross — Allina Health BluePrint (BDOSHV): $41.40
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG RENAL FUNCTION PANEL RTR	$196.10	$109.82	$8.08 – $196.10
Kidney function panel: 10 of 32 insurance plan rates Aetna — Aetna Elevate (BDOSV): $87.34 Aetna — Aetna Performance (BDOSV): $92.27 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $116.56 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $196.10 All Other Medicaid — All Other Medicaid (B): $8.67 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $8.08 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $164.72 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $151.27 BCBS — BC Medicare (B): $8.94 Blue Cross — Allina Health BluePrint (BDOSHV): $41.41
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG HEPATIC FUNCTION PANEL	$190.90	$106.90	$7.61 – $190.90
Liver function panel: 10 of 32 insurance plan rates Aetna — Aetna Elevate (BDOSV): $85.03 Aetna — Aetna Performance (BDOSV): $89.82 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $113.47 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $190.90 All Other Medicaid — All Other Medicaid (B): $8.16 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $7.61 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $160.36 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $147.26 BCBS — BC Medicare (B): $8.41 Blue Cross — Allina Health BluePrint (BDOSHV): $41.41
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG HEPATIC FUNCTION PANEL QUEST	$29.70	$16.63	$5.98 – $62.26
Liver function panel: 10 of 32 insurance plan rates Aetna — Aetna Elevate (BDOSV): $13.23 Aetna — Aetna Performance (BDOSV): $13.97 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $17.65 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $29.70 All Other Medicaid — All Other Medicaid (B): $8.16 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $7.61 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $24.95 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $22.91 BCBS — BC Medicare (B): $8.41 Blue Cross — Allina Health BluePrint (BDOSHV): $41.40
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG HEPATIC FUNCTION PANEL	$190.90	$106.90	$84.82 – $190.90
Liver function panel: rates for 7 insurance plans Aetna — Aetna Elevate (BDOSV): $84.82 Aetna — Aetna Performance (BDOSV): $89.59 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $113.17 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $190.90 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $160.36 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $147.26 First Health (A C E G H U B D N O R S) — First Health (ABDMNOSURV): $160.36
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG URINALYSIS COMPLETE	$130.20	$72.91	$2.95 – $130.20
Urine test (automated, with microscope): 10 of 32 insurance plan rates Aetna — Aetna Elevate (BDOSV): $57.99 Aetna — Aetna Performance (BDOSV): $61.26 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $77.39 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $130.20 All Other Medicaid — All Other Medicaid (B): $3.17 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $2.95 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $109.37 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $100.44 BCBS — BC Medicare (B): $3.27 Blue Cross — Allina Health BluePrint (BDOSHV): $6.10
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG URINALYSIS COMPLETE QUEST	$38.10	$21.34	$2.95 – $38.10
Urine test (automated, with microscope): 10 of 32 insurance plan rates Aetna — Aetna Elevate (BDOSV): $16.97 Aetna — Aetna Performance (BDOSV): $17.93 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $22.65 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $38.10 All Other Medicaid — All Other Medicaid (B): $3.17 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $2.95 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $32 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $29.39 BCBS — BC Medicare (B): $3.27 Blue Cross — Allina Health BluePrint (BDOSHV): $6.10
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG UA COMPLETE RTR	$130.20	$72.91	$2.95 – $130.20
Urine test (automated, with microscope): 10 of 32 insurance plan rates Aetna — Aetna Elevate (BDOSV): $57.99 Aetna — Aetna Performance (BDOSV): $61.26 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $77.39 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $130.20 All Other Medicaid — All Other Medicaid (B): $3.17 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $2.95 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $109.37 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $100.44 BCBS — BC Medicare (B): $3.27 Blue Cross — Allina Health BluePrint (BDOSHV): $6.10
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG SPECIFIC GRAVITY URINE	$67.10	$37.58	$2.09 – $67.10
Urine test (automated, without microscope): 10 of 32 insurance plan rates Aetna — Aetna Elevate (BDOSV): $29.89 Aetna — Aetna Performance (BDOSV): $31.57 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $39.88 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $67.10 All Other Medicaid — All Other Medicaid (B): $2.25 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $2.09 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $56.36 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $51.76 BCBS — BC Medicare (B): $2.31 Blue Cross — Allina Health BluePrint (BDOSHV): $4.36
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG URINALYSIS	$69.30	$38.81	$2.09 – $69.30
Urine test (automated, without microscope): 10 of 32 insurance plan rates Aetna — Aetna Elevate (BDOSV): $30.87 Aetna — Aetna Performance (BDOSV): $32.61 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $41.19 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $69.30 All Other Medicaid — All Other Medicaid (B): $2.25 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $2.09 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $58.21 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $53.46 BCBS — BC Medicare (B): $2.31 Blue Cross — Allina Health BluePrint (BDOSHV): $4.36
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG PROTEIN QUAL URINE	$69.30	$38.81	$2.09 – $69.30
Urine test (automated, without microscope): 10 of 32 insurance plan rates Aetna — Aetna Elevate (BDOSV): $30.87 Aetna — Aetna Performance (BDOSV): $32.61 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $41.19 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $69.30 All Other Medicaid — All Other Medicaid (B): $2.25 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $2.09 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $58.21 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $53.46 BCBS — BC Medicare (B): $2.31 Blue Cross — Allina Health BluePrint (BDOSHV): $4.36
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG PSA-DIAGNOSTIC	$51.80	$29.01	$10.42 – $68.69
PSA (prostate specific antigen) blood test: 10 of 32 insurance plan rates Aetna — Aetna Elevate (BDOSV): $23.07 Aetna — Aetna Performance (BDOSV): $24.37 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $30.79 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $51.80 All Other Medicaid — All Other Medicaid (B): $18.37 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $17.12 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $43.51 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $39.96 BCBS — BC Medicare (B): $18.92 Blue Cross — Allina Health BluePrint (BDOSHV): $45.70
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG PSA TOTAL DIAGNOSTIC LCC	$39.30	$22.01	$7.91 – $68.69
PSA (prostate specific antigen) blood test: 10 of 32 insurance plan rates Aetna — Aetna Elevate (BDOSV): $17.50 Aetna — Aetna Performance (BDOSV): $18.49 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $23.36 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $39.30 All Other Medicaid — All Other Medicaid (B): $18.37 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $17.12 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $33.01 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $30.32 BCBS — BC Medicare (B): $18.92 Blue Cross — Allina Health BluePrint (BDOSHV): $45.70
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG PSATOTAL LCC	$31.70	$17.75	$6.38 – $68.69
PSA (prostate specific antigen) blood test: 10 of 32 insurance plan rates Aetna — Aetna Elevate (BDOSV): $14.12 Aetna — Aetna Performance (BDOSV): $14.91 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $18.84 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $31.70 All Other Medicaid — All Other Medicaid (B): $18.37 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $17.12 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $26.63 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $24.45 BCBS — BC Medicare (B): $18.92 Blue Cross — Allina Health BluePrint (BDOSHV): $45.70
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG TSH	$44.70	$25.03	$8.99 – $67.81
Thyroid stimulating hormone (TSH) test: 10 of 32 insurance plan rates Aetna — Aetna Elevate (BDOSV): $19.91 Aetna — Aetna Performance (BDOSV): $21.03 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $26.57 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $44.70 All Other Medicaid — All Other Medicaid (B): $16.78 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $15.64 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $37.55 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $34.48 BCBS — BC Medicare (B): $17.28 Blue Cross — Allina Health BluePrint (BDOSHV): $45.11
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG TSHBL30 OR 60	$56.60	$31.70	$11.39 – $67.81
Thyroid stimulating hormone (TSH) test: 10 of 32 insurance plan rates Aetna — Aetna Elevate (BDOSV): $25.21 Aetna — Aetna Performance (BDOSV): $26.63 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $33.64 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $56.60 All Other Medicaid — All Other Medicaid (B): $16.78 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $15.64 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $47.54 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $43.66 BCBS — BC Medicare (B): $17.28 Blue Cross — Allina Health BluePrint (BDOSHV): $45.11
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG CONGENITAL HYPOTHYROIDISM	$51.60	$28.90	$10.38 – $67.81
Thyroid stimulating hormone (TSH) test: 10 of 32 insurance plan rates Aetna — Aetna Elevate (BDOSV): $22.98 Aetna — Aetna Performance (BDOSV): $24.28 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $30.67 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $51.60 All Other Medicaid — All Other Medicaid (B): $16.78 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $15.64 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $43.34 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $39.80 BCBS — BC Medicare (B): $17.28 Blue Cross — Allina Health BluePrint (BDOSHV): $45.11
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG CBC W/DIFF	$76.80	$43.01	$6.63 – $76.80
Complete blood count (CBC) with differential: 10 of 32 insurance plan rates Aetna — Aetna Elevate (BDOSV): $34.21 Aetna — Aetna Performance (BDOSV): $36.13 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $45.65 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $76.80 All Other Medicaid — All Other Medicaid (B): $7.76 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $7.23 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $64.51 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $59.24 BCBS — BC Medicare (B): $7.99 Blue Cross — Allina Health BluePrint (BDOSHV): $13.61
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG CBC (INCLUDES DIFFERENTIAL AND PLATELETS) QUE	$34.20	$19.15	$6.63 – $34.20
Complete blood count (CBC) with differential: 10 of 32 insurance plan rates Aetna — Aetna Elevate (BDOSV): $15.23 Aetna — Aetna Performance (BDOSV): $16.09 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $20.33 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $34.20 All Other Medicaid — All Other Medicaid (B): $7.76 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $7.23 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $28.73 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $26.38 BCBS — BC Medicare (B): $7.99 Blue Cross — Allina Health BluePrint (BDOSHV): $13.61
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG CBC/DIFF RTR	$226.20	$126.67	$6.63 – $226.20
Complete blood count (CBC) with differential: 10 of 32 insurance plan rates Aetna — Aetna Elevate (BDOSV): $100.75 Aetna — Aetna Performance (BDOSV): $106.43 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $134.45 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $226.20 All Other Medicaid — All Other Medicaid (B): $7.76 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $7.23 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $190.01 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $174.49 BCBS — BC Medicare (B): $7.99 Blue Cross — Allina Health BluePrint (BDOSHV): $13.61
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG CBC	$239.70	$134.23	$6.02 – $239.70
Complete blood count (CBC), automated: 10 of 32 insurance plan rates Aetna — Aetna Elevate (BDOSV): $106.76 Aetna — Aetna Performance (BDOSV): $112.78 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $142.48 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $239.70 All Other Medicaid — All Other Medicaid (B): $6.46 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $6.02 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $201.35 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $184.90 BCBS — BC Medicare (B): $6.66 Blue Cross — Allina Health BluePrint (BDOSHV): $12.45
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG CBC QUEST	$31.80	$17.81	$6.02 – $31.80
Complete blood count (CBC), automated: 10 of 32 insurance plan rates Aetna — Aetna Elevate (BDOSV): $14.16 Aetna — Aetna Performance (BDOSV): $14.96 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $18.90 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $31.80 All Other Medicaid — All Other Medicaid (B): $6.46 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $6.02 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $26.71 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $24.53 BCBS — BC Medicare (B): $6.66 Blue Cross — Allina Health BluePrint (BDOSHV): $12.45
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG CBC RTR	$199.90	$111.94	$6.02 – $199.90
Complete blood count (CBC), automated: 10 of 32 insurance plan rates Aetna — Aetna Elevate (BDOSV): $89.04 Aetna — Aetna Performance (BDOSV): $94.05 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $118.82 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $199.90 All Other Medicaid — All Other Medicaid (B): $6.46 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $6.02 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $167.92 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $154.20 BCBS — BC Medicare (B): $6.66 Blue Cross — Allina Health BluePrint (BDOSHV): $12.45
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG PROTHOMBIN TIME	$76.80	$43.01	$3.99 – $76.80
Blood clotting time test (prothrombin time, PT): 10 of 32 insurance plan rates Aetna — Aetna Elevate (BDOSV): $34.21 Aetna — Aetna Performance (BDOSV): $36.13 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $45.65 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $76.80 All Other Medicaid — All Other Medicaid (B): $4.29 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $3.99 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $64.51 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $59.24 BCBS — BC Medicare (B): $4.41 Blue Cross — Allina Health BluePrint (BDOSHV): $34.79
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG INR POCT	$144.40	$80.86	$3.99 – $144.40
Blood clotting time test (prothrombin time, PT): 10 of 32 insurance plan rates Aetna — Aetna Elevate (BDOSV): $64.32 Aetna — Aetna Performance (BDOSV): $67.94 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $85.83 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $144.40 All Other Medicaid — All Other Medicaid (B): $4.29 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $3.99 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $121.30 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $111.39 BCBS — BC Medicare (B): $4.41 Blue Cross — Allina Health BluePrint (BDOSHV): $34.79
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG PROTHROMBIN TIME QUEST	$37.20	$20.83	$3.99 – $52.29
Blood clotting time test (prothrombin time, PT): 10 of 32 insurance plan rates Aetna — Aetna Elevate (BDOSV): $16.57 Aetna — Aetna Performance (BDOSV): $17.50 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $22.11 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $37.20 All Other Medicaid — All Other Medicaid (B): $4.29 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $3.99 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $31.25 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $28.70 BCBS — BC Medicare (B): $4.41 Blue Cross — Allina Health BluePrint (BDOSHV): $34.79
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG SCT SCREEN AND CONFIRM EACH	$76.80	$43.01	$5.60 – $76.80
Blood clotting test (partial thromboplastin time, PTT): 10 of 32 insurance plan rates Aetna — Aetna Elevate (BDOSV): $34.21 Aetna — Aetna Performance (BDOSV): $36.13 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $45.65 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $76.80 All Other Medicaid — All Other Medicaid (B): $6 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $5.60 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $64.51 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $59.24 BCBS — BC Medicare (B): $6.18 Blue Cross — Allina Health BluePrint (BDOSHV): $34.79
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG ACTIVATED PTT	$76.80	$43.01	$5.60 – $76.80
Blood clotting test (partial thromboplastin time, PTT): 10 of 32 insurance plan rates Aetna — Aetna Elevate (BDOSV): $34.21 Aetna — Aetna Performance (BDOSV): $36.13 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $45.65 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $76.80 All Other Medicaid — All Other Medicaid (B): $6 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $5.60 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $64.51 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $59.24 BCBS — BC Medicare (B): $6.18 Blue Cross — Allina Health BluePrint (BDOSHV): $34.79
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG PARTIAL THROMBOPLASTIN TIME ACTIVATED QUEST	$49.20	$27.55	$5.60 – $52.29
Blood clotting test (partial thromboplastin time, PTT): 10 of 32 insurance plan rates Aetna — Aetna Elevate (BDOSV): $21.91 Aetna — Aetna Performance (BDOSV): $23.15 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $29.24 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $49.20 All Other Medicaid — All Other Medicaid (B): $6 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $5.60 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $41.33 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $37.95 BCBS — BC Medicare (B): $6.18 Blue Cross — Allina Health BluePrint (BDOSHV): $34.79

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) · Hospital (facility) fee In the file: HCHG CT HEAD WO CONTRAST	$1,629.40	$912.46	$99.61 – $1,629.40
CT scan of the head or brain, without contrast: 10 of 33 insurance plan rates Aetna — Aetna Elevate (BDOSV): $725.73 Aetna — Aetna Performance (BDOSV): $766.63 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $968.52 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $1,629.40 All Other Medicaid — All Other Medicaid (B): $99.61 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $102.36 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $1,368.70 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $1,256.92 BCBS — BC Medicare (B): $113.14 Blue Cross — Allina Health BluePrint (BDOSHV): $236.57
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG RAD CT HEAD BRAIN WO	$1,629.40	$912.46	$99.61 – $1,629.40
CT scan of the head or brain, without contrast: 10 of 33 insurance plan rates Aetna — Aetna Elevate (BDOSV): $725.73 Aetna — Aetna Performance (BDOSV): $766.63 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $968.52 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $1,629.40 All Other Medicaid — All Other Medicaid (B): $99.61 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $102.36 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $1,368.70 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $1,256.92 BCBS — BC Medicare (B): $113.14 Blue Cross — Allina Health BluePrint (BDOSHV): $236.57
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG CT HEAD WO CONTRAST	$1,629.40	$912.46	$723.94 – $1,629.40
CT scan of the head or brain, without contrast: rates for 7 insurance plans Aetna — Aetna Elevate (BDOSV): $723.94 Aetna — Aetna Performance (BDOSV): $764.68 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $965.91 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $1,629.40 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $1,368.70 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $1,256.92 First Health (A C E G H U B D N O R S) — First Health (ABDMNOSURV): $1,368.70
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG RAD MRI HEAD BRAIN WWO	$4,125.10	$2,310.06	$332.39 – $4,125.10
MRI of the brain, before and after contrast: 10 of 32 insurance plan rates Aetna — Aetna Elevate (BDOSV): $1,837.32 Aetna — Aetna Performance (BDOSV): $1,940.86 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $2,451.96 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $4,125.10 All Other Medicaid — All Other Medicaid (B): $332.39 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $341.56 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $3,465.08 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $3,182.10 BCBS — BC Medicare (B): $377.52 Blue Cross — Allina Health BluePrint (BDOSHV): $1,091.97
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG RAD MRI HEAD BRAIN WWO	$4,125.10	$2,310.06	$1,832.78 – $4,125.10
MRI of the brain, before and after contrast: rates for 7 insurance plans Aetna — Aetna Elevate (BDOSV): $1,832.78 Aetna — Aetna Performance (BDOSV): $1,935.91 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $2,445.36 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $4,125.10 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $3,465.08 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $3,182.10 First Health (A C E G H U B D N O R S) — First Health (ABDMNOSURV): $3,465.08
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG RAD XRAY CHEST 2 VIEWS PA AND LATERAL	$248.80	$139.33	$50.06 – $336
Chest X-ray, 2 views: 10 of 32 insurance plan rates Aetna — Aetna Elevate (BDOSV): $110.82 Aetna — Aetna Performance (BDOSV): $117.06 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $147.89 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $248.80 All Other Medicaid — All Other Medicaid (B): $82.91 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $85.21 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $208.99 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $191.92 BCBS — BC Medicare (B): $94.17 Blue Cross — Allina Health BluePrint (BDOSHV): $168.03
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG RAD XRAY CHEST 2 VIEWS PA AND LAT PORTABLE	$373.20	$208.99	$75.09 – $373.20
Chest X-ray, 2 views: 10 of 32 insurance plan rates Aetna — Aetna Elevate (BDOSV): $166.22 Aetna — Aetna Performance (BDOSV): $175.59 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $221.83 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $373.20 All Other Medicaid — All Other Medicaid (B): $82.91 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $85.21 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $313.49 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $287.89 BCBS — BC Medicare (B): $94.17 Blue Cross — Allina Health BluePrint (BDOSHV): $168.03
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG RAD XRAY CHEST 2 VIEWS PA AND LATERAL	$248.80	$139.33	$110.54 – $248.80
Chest X-ray, 2 views: rates for 7 insurance plans Aetna — Aetna Elevate (BDOSV): $110.54 Aetna — Aetna Performance (BDOSV): $116.76 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $147.49 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $248.80 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $208.99 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $191.92 First Health (A C E G H U B D N O R S) — First Health (ABDMNOSURV): $208.99
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG RAD XRAY LUMBOSACRAL MINIMUM OF 4 VIEWS	$248.80	$139.33	$50.06 – $336
X-ray of the lower spine, at least 4 views: 10 of 33 insurance plan rates Aetna — Aetna Elevate (BDOSV): $110.82 Aetna — Aetna Performance (BDOSV): $117.06 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $147.89 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $248.80 All Other Medicaid — All Other Medicaid (B): $99.61 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $102.36 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $208.99 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $191.92 BCBS — BC Medicare (B): $113.14 Blue Cross — Allina Health BluePrint (BDOSHV): $178.48
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG RAD XRAY LUMBOSACRAL MINIMUM OF 4 VIEWS	$248.80	$139.33	$110.54 – $248.80
X-ray of the lower spine, at least 4 views: rates for 7 insurance plans Aetna — Aetna Elevate (BDOSV): $110.54 Aetna — Aetna Performance (BDOSV): $116.76 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $147.49 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $248.80 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $208.99 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $191.92 First Health (A C E G H U B D N O R S) — First Health (ABDMNOSURV): $208.99
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG RAD MRI SPINE LUMBAR WO	$2,475	$1,386	$227.33 – $2,475
MRI of the lower back (lumbar spine), without contrast: 10 of 32 insurance plan rates Aetna — Aetna Elevate (BDOSV): $1,102.37 Aetna — Aetna Performance (BDOSV): $1,164.49 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $1,471.14 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $2,475 All Other Medicaid — All Other Medicaid (B): $227.33 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $233.60 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $2,079 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $1,909.22 BCBS — BC Medicare (B): $258.19 Blue Cross — Allina Health BluePrint (BDOSHV): $651
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG RAD MRI SPINE LUMBAR WO LIMITED	$2,215.10	$1,240.46	$227.33 – $2,330
MRI of the lower back (lumbar spine), without contrast: 10 of 32 insurance plan rates Aetna — Aetna Elevate (BDOSV): $986.61 Aetna — Aetna Performance (BDOSV): $1,042.20 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $1,316.66 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $2,215.10 All Other Medicaid — All Other Medicaid (B): $227.33 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $233.60 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $1,860.68 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $1,708.73 BCBS — BC Medicare (B): $258.19 Blue Cross — Allina Health BluePrint (BDOSHV): $651
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG RAD MRI SPINE LUMBAR WO	$2,475	$1,386	$1,099.64 – $2,475
MRI of the lower back (lumbar spine), without contrast: rates for 7 insurance plans Aetna — Aetna Elevate (BDOSV): $1,099.64 Aetna — Aetna Performance (BDOSV): $1,161.52 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $1,467.18 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $2,475 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $2,079 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $1,909.22 First Health (A C E G H U B D N O R S) — First Health (ABDMNOSURV): $2,079
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG CT PELVIS W CONTRAST	$2,444.30	$1,368.81	$167.11 – $2,444.30
CT scan of the pelvis, with contrast: 10 of 33 insurance plan rates Aetna — Aetna Elevate (BDOSV): $1,088.69 Aetna — Aetna Performance (BDOSV): $1,150.04 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $1,452.89 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $2,444.30 All Other Medicaid — All Other Medicaid (B): $167.11 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $171.73 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $2,053.21 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $1,885.53 BCBS — BC Medicare (B): $189.81 Blue Cross — Allina Health BluePrint (BDOSHV): $478.21
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG RAD CT PELVIS W	$2,444.30	$1,368.81	$167.11 – $2,444.30
CT scan of the pelvis, with contrast: 10 of 33 insurance plan rates Aetna — Aetna Elevate (BDOSV): $1,088.69 Aetna — Aetna Performance (BDOSV): $1,150.04 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $1,452.89 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $2,444.30 All Other Medicaid — All Other Medicaid (B): $167.11 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $171.73 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $2,053.21 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $1,885.53 BCBS — BC Medicare (B): $189.81 Blue Cross — Allina Health BluePrint (BDOSHV): $478.21
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG CT PELVIS W CONTRAST	$2,444.30	$1,368.81	$1,086 – $2,444.30
CT scan of the pelvis, with contrast: rates for 7 insurance plans Aetna — Aetna Elevate (BDOSV): $1,086 Aetna — Aetna Performance (BDOSV): $1,147.11 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $1,448.98 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $2,444.30 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $2,053.21 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $1,885.53 First Health (A C E G H U B D N O R S) — First Health (ABDMNOSURV): $2,053.21
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG RAD MRI JOINT LOWER EXTREMITY WO	$3,712.50	$2,079	$227.33 – $3,712.50
MRI of a leg joint (such as the knee), without contrast: 10 of 32 insurance plan rates Aetna — Aetna Elevate (BDOSV): $1,653.55 Aetna — Aetna Performance (BDOSV): $1,746.73 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $2,206.71 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $3,712.50 All Other Medicaid — All Other Medicaid (B): $227.33 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $233.60 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $3,118.50 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $2,863.82 BCBS — BC Medicare (B): $258.19 Blue Cross — Allina Health BluePrint (BDOSHV): $686.53
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG RAD MRI JOINT LOWER EXTREMITY WO LIMITED	$2,784.70	$1,559.43	$227.33 – $2,784.70
MRI of a leg joint (such as the knee), without contrast: 10 of 32 insurance plan rates Aetna — Aetna Elevate (BDOSV): $1,240.31 Aetna — Aetna Performance (BDOSV): $1,310.20 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $1,655.23 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $2,784.70 All Other Medicaid — All Other Medicaid (B): $227.33 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $233.60 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $2,339.15 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $2,148.12 BCBS — BC Medicare (B): $258.19 Blue Cross — Allina Health BluePrint (BDOSHV): $686.53
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG RAD MRI JOINT LOWER EXTREMITY WO	$3,712.50	$2,079	$1,649.46 – $3,712.50
MRI of a leg joint (such as the knee), without contrast: rates for 7 insurance plans Aetna — Aetna Elevate (BDOSV): $1,649.46 Aetna — Aetna Performance (BDOSV): $1,742.28 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $2,200.77 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $3,712.50 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $3,118.50 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $2,863.82 First Health (A C E G H U B D N O R S) — First Health (ABDMNOSURV): $3,118.50
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG RAD CT ABDOMEN PELVIS W	$3,258.90	$1,824.98	$317.80 – $3,258.90
CT scan of the abdomen and pelvis, with contrast: 10 of 33 insurance plan rates Aetna — Aetna Elevate (BDOSV): $1,451.51 Aetna — Aetna Performance (BDOSV): $1,533.31 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $1,937.09 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $3,258.90 All Other Medicaid — All Other Medicaid (B): $332.39 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $341.56 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $2,737.48 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $2,513.92 BCBS — BC Medicare (B): $377.52 Blue Cross — Allina Health BluePrint (BDOSHV): $652.36
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG RAD CT ABDOMEN PELVIS W	$3,258.90	$1,824.98	$1,447.93 – $3,258.90
CT scan of the abdomen and pelvis, with contrast: rates for 7 insurance plans Aetna — Aetna Elevate (BDOSV): $1,447.93 Aetna — Aetna Performance (BDOSV): $1,529.40 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $1,931.88 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $3,258.90 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $2,737.48 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $2,513.92 First Health (A C E G H U B D N O R S) — First Health (ABDMNOSURV): $2,737.48
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG US ABDOMEN COMPLETE	$724.80	$405.89	$99.61 – $724.80
Ultrasound of the abdomen, complete: 10 of 33 insurance plan rates Aetna — Aetna Elevate (BDOSV): $322.83 Aetna — Aetna Performance (BDOSV): $341.02 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $430.82 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $724.80 All Other Medicaid — All Other Medicaid (B): $99.61 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $102.36 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $608.83 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $559.11 BCBS — BC Medicare (B): $113.14 Blue Cross — Allina Health BluePrint (BDOSHV): $328.15
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG RAD US ABDOMEN COMPLETE	$726.60	$406.90	$99.61 – $726.60
Ultrasound of the abdomen, complete: 10 of 33 insurance plan rates Aetna — Aetna Elevate (BDOSV): $323.63 Aetna — Aetna Performance (BDOSV): $341.87 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $431.89 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $726.60 All Other Medicaid — All Other Medicaid (B): $99.61 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $102.36 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $610.34 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $560.50 BCBS — BC Medicare (B): $113.14 Blue Cross — Allina Health BluePrint (BDOSHV): $328.15
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG RAD US ABDOMEN COMPLETE PORTABLE	$1,089.90	$610.34	$99.61 – $1,089.90
Ultrasound of the abdomen, complete: 10 of 33 insurance plan rates Aetna — Aetna Elevate (BDOSV): $485.44 Aetna — Aetna Performance (BDOSV): $512.80 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $647.84 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $1,089.90 All Other Medicaid — All Other Medicaid (B): $99.61 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $102.36 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $915.52 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $840.75 BCBS — BC Medicare (B): $113.14 Blue Cross — Allina Health BluePrint (BDOSHV): $328.15
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG US OB EQUAL OR GREATER THAN 14 WKS SINGLE GES	$817.40	$457.74	$99.61 – $817.40
Pregnancy ultrasound (after the first trimester): 10 of 33 insurance plan rates Aetna — Aetna Elevate (BDOSV): $364.07 Aetna — Aetna Performance (BDOSV): $384.59 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $485.86 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $817.40 All Other Medicaid — All Other Medicaid (B): $99.61 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $102.36 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $686.62 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $630.54 BCBS — BC Medicare (B): $113.14 Blue Cross — Allina Health BluePrint (BDOSHV): $372.73
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG RAD US OB EQUAL OR GREATER THAN 14 WKS SINGLE	$817.40	$457.74	$99.61 – $817.40
Pregnancy ultrasound (after the first trimester): 10 of 33 insurance plan rates Aetna — Aetna Elevate (BDOSV): $364.07 Aetna — Aetna Performance (BDOSV): $384.59 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $485.86 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $817.40 All Other Medicaid — All Other Medicaid (B): $99.61 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $102.36 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $686.62 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $630.54 BCBS — BC Medicare (B): $113.14 Blue Cross — Allina Health BluePrint (BDOSHV): $372.73
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG RAD US OB EQUAL OR GREATER THAN 14 WKS SNGL G	$1,178	$659.68	$99.61 – $1,178
Pregnancy ultrasound (after the first trimester): 10 of 33 insurance plan rates Aetna — Aetna Elevate (BDOSV): $524.68 Aetna — Aetna Performance (BDOSV): $554.25 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $700.20 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $1,178 All Other Medicaid — All Other Medicaid (B): $99.61 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $102.36 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $989.52 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $908.71 BCBS — BC Medicare (B): $113.14 Blue Cross — Allina Health BluePrint (BDOSHV): $372.73
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG US PELVIS TRANSVAGINAL NON OB	$543.70	$304.47	$99.61 – $625
Transvaginal ultrasound: 10 of 33 insurance plan rates Aetna — Aetna Elevate (BDOSV): $242.16 Aetna — Aetna Performance (BDOSV): $255.81 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $323.18 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $543.70 All Other Medicaid — All Other Medicaid (B): $99.61 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $102.36 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $456.71 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $419.41 BCBS — BC Medicare (B): $113.14 Blue Cross — Allina Health BluePrint (BDOSHV): $328.15
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG RAD US TRANSVAGINAL	$544.80	$305.09	$99.61 – $625
Transvaginal ultrasound: 10 of 33 insurance plan rates Aetna — Aetna Elevate (BDOSV): $242.65 Aetna — Aetna Performance (BDOSV): $256.33 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $323.83 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $544.80 All Other Medicaid — All Other Medicaid (B): $99.61 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $102.36 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $457.63 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $420.26 BCBS — BC Medicare (B): $113.14 Blue Cross — Allina Health BluePrint (BDOSHV): $328.15
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG RAD US PELVIS COMPLETE TV ADD ON	$272.50	$152.60	$54.83 – $625
Transvaginal ultrasound: 10 of 33 insurance plan rates Aetna — Aetna Elevate (BDOSV): $121.37 Aetna — Aetna Performance (BDOSV): $128.21 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $161.97 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $272.50 All Other Medicaid — All Other Medicaid (B): $99.61 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $102.36 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $228.90 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $210.21 BCBS — BC Medicare (B): $113.14 Blue Cross — Allina Health BluePrint (BDOSHV): $328.15
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG RAD MAMMO UNI DIAGNOSTIC WWO CAD	$611.70	$342.55	$69.69 – $611.70
Diagnostic mammogram, one breast: 10 of 32 insurance plan rates Aetna — Aetna Elevate (BDOSV): $272.45 Aetna — Aetna Performance (BDOSV): $287.80 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $363.59 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $611.70 All Other Medicaid — All Other Medicaid (B): $101.16 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $82.67 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $513.83 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $471.87 BCBS — BC Medicare (B): $91.37 Blue Cross — Allina Health BluePrint (BDOSHV): $190.46
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG RAD MAMMO UNI DIAGNOSTIC 3D WWO CAD	$593	$332.08	$69.69 – $593
Diagnostic mammogram, one breast: 10 of 32 insurance plan rates Aetna — Aetna Elevate (BDOSV): $264.12 Aetna — Aetna Performance (BDOSV): $279.01 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $352.48 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $593 All Other Medicaid — All Other Medicaid (B): $101.16 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $82.67 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $498.12 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $457.44 BCBS — BC Medicare (B): $91.37 Blue Cross — Allina Health BluePrint (BDOSHV): $190.46
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG RAD MAMMO UNI DIAGNOSTIC ADDL VIEWS WWO CAD	$611.70	$342.55	$69.69 – $611.70
Diagnostic mammogram, one breast: 10 of 32 insurance plan rates Aetna — Aetna Elevate (BDOSV): $272.45 Aetna — Aetna Performance (BDOSV): $287.80 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $363.59 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $611.70 All Other Medicaid — All Other Medicaid (B): $101.16 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $82.67 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $513.83 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $471.87 BCBS — BC Medicare (B): $91.37 Blue Cross — Allina Health BluePrint (BDOSHV): $190.46
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG RAD MAMMO BILAT DIAGNOSTIC WWO CAD	$611.70	$342.55	$69.69 – $611.70
Diagnostic mammogram, both breasts: 10 of 32 insurance plan rates Aetna — Aetna Elevate (BDOSV): $272.45 Aetna — Aetna Performance (BDOSV): $287.80 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $363.59 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $611.70 All Other Medicaid — All Other Medicaid (B): $127.88 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $105.89 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $513.83 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $471.87 BCBS — BC Medicare (B): $117.03 Blue Cross — Allina Health BluePrint (BDOSHV): $190.46
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG RAD MAMMO BILAT DIAGNOSTIC 3D WWO CAD	$593	$332.08	$69.69 – $593
Diagnostic mammogram, both breasts: 10 of 32 insurance plan rates Aetna — Aetna Elevate (BDOSV): $264.12 Aetna — Aetna Performance (BDOSV): $279.01 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $352.48 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $593 All Other Medicaid — All Other Medicaid (B): $127.88 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $105.89 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $498.12 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $457.44 BCBS — BC Medicare (B): $117.03 Blue Cross — Allina Health BluePrint (BDOSHV): $190.46
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG RAD MAMMO BILAT DIAGNOSTIC IMPLANT W ADDL VIE	$551.80	$309.01	$69.69 – $551.80
Diagnostic mammogram, both breasts: 10 of 32 insurance plan rates Aetna — Aetna Elevate (BDOSV): $245.77 Aetna — Aetna Performance (BDOSV): $259.62 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $327.99 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $551.80 All Other Medicaid — All Other Medicaid (B): $127.88 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $105.89 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $463.51 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $425.66 BCBS — BC Medicare (B): $117.03 Blue Cross — Allina Health BluePrint (BDOSHV): $190.46
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG RAD MAMMO BILAT SCREENING WWO CAD	$458.80	$256.93	$69.69 – $458.80
Screening mammogram, both breasts: 10 of 32 insurance plan rates Aetna — Aetna Elevate (BDOSV): $204.35 Aetna — Aetna Performance (BDOSV): $215.87 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $272.71 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $458.80 All Other Medicaid — All Other Medicaid (B): $103.32 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $87.12 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $385.39 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $353.92 BCBS — BC Medicare (B): $96.30 Blue Cross — Allina Health BluePrint (BDOSHV): $190.46
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG RAD MAMMO UNI SCREENING 3D WWO CAD	$437.80	$245.17	$69.69 – $437.80
Screening mammogram, both breasts: 10 of 32 insurance plan rates Aetna — Aetna Elevate (BDOSV): $195 Aetna — Aetna Performance (BDOSV): $205.98 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $260.23 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $437.80 All Other Medicaid — All Other Medicaid (B): $103.32 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $87.12 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $367.75 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $337.72 BCBS — BC Medicare (B): $96.30 Blue Cross — Allina Health BluePrint (BDOSHV): $190.46
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG RAD MAMMO BILAT SCREENING 3D WWO CAD	$455.10	$254.86	$69.69 – $455.10
Screening mammogram, both breasts: 10 of 32 insurance plan rates Aetna — Aetna Elevate (BDOSV): $202.70 Aetna — Aetna Performance (BDOSV): $214.12 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $270.51 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $455.10 All Other Medicaid — All Other Medicaid (B): $103.32 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $87.12 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $382.28 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $351.06 BCBS — BC Medicare (B): $96.30 Blue Cross — Allina Health BluePrint (BDOSHV): $190.46

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) · Hospital (facility) fee In the file: HCHG POLYSOMNOGRAPHY > 6YRS >4 PARAMETERS	$5,507.30	$3,084.09	$818.17 – $5,507.30
Sleep study (overnight, in a sleep lab): 10 of 33 insurance plan rates Aetna — Aetna Elevate (BDOSV): $2,452.95 Aetna — Aetna Performance (BDOSV): $2,591.18 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $3,273.54 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $5,507.30 All Other Medicaid — All Other Medicaid (B): $818.17 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $840.76 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $4,626.13 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $4,248.33 BCBS — BC Medicare (B): $929.26 Blue Cross — Allina Health BluePrint (BDOSHV): $2,637.07
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG POLYSOMNOGRAPHY > 6YRS >4 PARAMETERS REDUCE	$4,130.30	$2,312.97	$818.17 – $4,130.30
Sleep study (overnight, in a sleep lab): 10 of 33 insurance plan rates Aetna — Aetna Elevate (BDOSV): $1,839.64 Aetna — Aetna Performance (BDOSV): $1,943.31 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $2,455.05 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $4,130.30 All Other Medicaid — All Other Medicaid (B): $818.17 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $840.76 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $3,469.45 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $3,186.11 BCBS — BC Medicare (B): $929.26 Blue Cross — Allina Health BluePrint (BDOSHV): $2,637.07
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG POLYSOMNOGRAPHY > 6YRS >4 PARAMETERS	$5,507.30	$3,084.09	$2,446.89 – $5,507.30
Sleep study (overnight, in a sleep lab): rates for 7 insurance plans Aetna — Aetna Elevate (BDOSV): $2,446.89 Aetna — Aetna Performance (BDOSV): $2,584.58 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $3,264.73 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $5,507.30 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $4,626.13 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $4,248.33 First Health (A C E G H U B D N O R S) — First Health (ABDMNOSURV): $4,626.13

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) · Hospital (facility) fee In the file: HCHG PT THERAPEUTIC EXERCISE 15MIN	$145.50	$81.48	$21.60 – $311
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 33 insurance plan rates Aetna — Aetna Elevate (BDOSV): $64.81 Aetna — Aetna Performance (BDOSV): $68.46 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $86.49 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $145.50 All Other Medicaid — All Other Medicaid (B): $23.16 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $27.31 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $122.22 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $112.24 BCBS — BC Medicare (B): $30.19 Blue Cross — Allina Health BluePrint (BDOSHV): $59.03
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG OT THERAPEUTIC EXERCISE 15MIN	$145.50	$81.48	$21.60 – $311
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 33 insurance plan rates Aetna — Aetna Elevate (BDOSV): $64.81 Aetna — Aetna Performance (BDOSV): $68.46 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $86.49 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $145.50 All Other Medicaid — All Other Medicaid (B): $23.16 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $27.31 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $122.22 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $112.24 BCBS — BC Medicare (B): $30.19 Blue Cross — Allina Health BluePrint (BDOSHV): $59.03
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG PT THERAPEUTIC EXERCISE 59	$145.50	$81.48	$21.60 – $311
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 33 insurance plan rates Aetna — Aetna Elevate (BDOSV): $64.81 Aetna — Aetna Performance (BDOSV): $68.46 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $86.49 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $145.50 All Other Medicaid — All Other Medicaid (B): $23.16 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $27.31 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $122.22 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $112.24 BCBS — BC Medicare (B): $30.19 Blue Cross — Allina Health BluePrint (BDOSHV): $59.03
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG PT EVAL LOW COMPLEXITY	$429.20	$240.35	$59.59 – $429.20
Physical therapy evaluation (low complexity): 10 of 32 insurance plan rates Aetna — Aetna Elevate (BDOSV): $191.17 Aetna — Aetna Performance (BDOSV): $201.94 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $255.12 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $429.20 All Other Medicaid — All Other Medicaid (B): $78.81 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $92.83 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $360.53 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $331.08 BCBS — BC Medicare (B): $102.61 Blue Cross — Allina Health BluePrint (BDOSHV): $162.85
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG PT EVAL LOW COMPLEXITY XE	$429.20	$240.35	$59.59 – $429.20
Physical therapy evaluation (low complexity): 10 of 32 insurance plan rates Aetna — Aetna Elevate (BDOSV): $191.17 Aetna — Aetna Performance (BDOSV): $201.94 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $255.12 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $429.20 All Other Medicaid — All Other Medicaid (B): $78.81 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $92.83 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $360.53 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $331.08 BCBS — BC Medicare (B): $102.61 Blue Cross — Allina Health BluePrint (BDOSHV): $162.85
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG PT EVAL LOW COMPLEXITY XP	$429.20	$240.35	$59.59 – $429.20
Physical therapy evaluation (low complexity): 10 of 32 insurance plan rates Aetna — Aetna Elevate (BDOSV): $191.17 Aetna — Aetna Performance (BDOSV): $201.94 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $255.12 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $429.20 All Other Medicaid — All Other Medicaid (B): $78.81 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $92.83 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $360.53 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $331.08 BCBS — BC Medicare (B): $102.61 Blue Cross — Allina Health BluePrint (BDOSHV): $162.85
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG PT EVAL MOD COMPLEXITY	$429.20	$240.35	$59.59 – $429.20
Physical therapy evaluation (moderate complexity): 10 of 32 insurance plan rates Aetna — Aetna Elevate (BDOSV): $191.17 Aetna — Aetna Performance (BDOSV): $201.94 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $255.12 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $429.20 All Other Medicaid — All Other Medicaid (B): $78.81 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $92.83 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $360.53 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $331.08 BCBS — BC Medicare (B): $102.61 Blue Cross — Allina Health BluePrint (BDOSHV): $162.85
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG PT EVAL MOD COMPLEXITY XE	$429.20	$240.35	$59.59 – $429.20
Physical therapy evaluation (moderate complexity): 10 of 32 insurance plan rates Aetna — Aetna Elevate (BDOSV): $191.17 Aetna — Aetna Performance (BDOSV): $201.94 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $255.12 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $429.20 All Other Medicaid — All Other Medicaid (B): $78.81 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $92.83 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $360.53 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $331.08 BCBS — BC Medicare (B): $102.61 Blue Cross — Allina Health BluePrint (BDOSHV): $162.85
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG PT EVAL MOD COMPLEXITY XP	$429.20	$240.35	$59.59 – $429.20
Physical therapy evaluation (moderate complexity): 10 of 32 insurance plan rates Aetna — Aetna Elevate (BDOSV): $191.17 Aetna — Aetna Performance (BDOSV): $201.94 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $255.12 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $429.20 All Other Medicaid — All Other Medicaid (B): $78.81 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $92.83 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $360.53 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $331.08 BCBS — BC Medicare (B): $102.61 Blue Cross — Allina Health BluePrint (BDOSHV): $162.85
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG PT EVAL HIGH COMPLEXITY	$429.20	$240.35	$59.59 – $429.20
Physical therapy evaluation (high complexity): 10 of 32 insurance plan rates Aetna — Aetna Elevate (BDOSV): $191.17 Aetna — Aetna Performance (BDOSV): $201.94 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $255.12 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $429.20 All Other Medicaid — All Other Medicaid (B): $78.81 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $92.83 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $360.53 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $331.08 BCBS — BC Medicare (B): $102.61 Blue Cross — Allina Health BluePrint (BDOSHV): $162.85
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG PT EVAL HIGH COMPLEXITY XE	$429.20	$240.35	$59.59 – $429.20
Physical therapy evaluation (high complexity): 10 of 32 insurance plan rates Aetna — Aetna Elevate (BDOSV): $191.17 Aetna — Aetna Performance (BDOSV): $201.94 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $255.12 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $429.20 All Other Medicaid — All Other Medicaid (B): $78.81 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $92.83 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $360.53 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $331.08 BCBS — BC Medicare (B): $102.61 Blue Cross — Allina Health BluePrint (BDOSHV): $162.85
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG PT EVAL HIGH COMPLEXITY XP	$429.20	$240.35	$59.59 – $429.20
Physical therapy evaluation (high complexity): 10 of 32 insurance plan rates Aetna — Aetna Elevate (BDOSV): $191.17 Aetna — Aetna Performance (BDOSV): $201.94 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $255.12 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $429.20 All Other Medicaid — All Other Medicaid (B): $78.81 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $92.83 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $360.53 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $331.08 BCBS — BC Medicare (B): $102.61 Blue Cross — Allina Health BluePrint (BDOSHV): $162.85
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG PSYCHOTHERAPY 30 MIN PATIENT CK OR HBC ONLY	$205.30	$114.97	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $402.25
Psychotherapy, 30 minutes: 10 of 34 insurance plan rates Aetna — Aetna Elevate (BDOSV): $91.44 Aetna — Aetna Performance (BDOSV): $96.59 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $122.03 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $205.30 All Other Medicaid — All Other Medicaid (B): $169.11 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $173.78 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $172.45 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $158.37 BCBS — BC Medicare (B): $192.08 Blue Cross — Allina Health BluePrint (BDOSHV): $70.45
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG PSYCHOTHERAPY 30 MIN PATIENT CK OR HBC ONLY	$205.30	$114.97	$91.21 – $205.30
Psychotherapy, 30 minutes: rates for 7 insurance plans Aetna — Aetna Elevate (BDOSV): $91.21 Aetna — Aetna Performance (BDOSV): $96.35 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $121.70 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $205.30 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $172.45 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $158.37 First Health (A C E G H U B D N O R S) — First Health (ABDMNOSURV): $172.45
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG PSYCHOTHERAPY 45 MIN PATIENT CK OR HBC ONLY	$205.30	$114.97	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $402.25
Psychotherapy, 45 minutes: 10 of 34 insurance plan rates Aetna — Aetna Elevate (BDOSV): $91.44 Aetna — Aetna Performance (BDOSV): $96.59 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $122.03 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $205.30 All Other Medicaid — All Other Medicaid (B): $169.11 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $173.78 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $172.45 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $158.37 BCBS — BC Medicare (B): $192.08 Blue Cross — Allina Health BluePrint (BDOSHV): $70.45
Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG PSYCHOTHERAPY 45 MIN PATIENT CK OR HBC ONLY	$205.30	$114.97	$91.21 – $205.30
Psychotherapy, 45 minutes: rates for 7 insurance plans Aetna — Aetna Elevate (BDOSV): $91.21 Aetna — Aetna Performance (BDOSV): $96.35 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $121.70 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $205.30 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $172.45 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $158.37 First Health (A C E G H U B D N O R S) — First Health (ABDMNOSURV): $172.45
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG PSYCHOTHERAPY 60 MIN PATIENT CK OR HBC ONLY	$205.30	$114.97	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $402.25
Psychotherapy, 60 minutes: 10 of 34 insurance plan rates Aetna — Aetna Elevate (BDOSV): $91.44 Aetna — Aetna Performance (BDOSV): $96.59 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $122.03 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $205.30 All Other Medicaid — All Other Medicaid (B): $169.11 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $173.78 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $172.45 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $158.37 BCBS — BC Medicare (B): $192.08 Blue Cross — Allina Health BluePrint (BDOSHV): $70.45
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG PSYCHOTHERAPY 60 MIN PATIENT CK OR HBC ONLY	$205.30	$114.97	$91.21 – $205.30
Psychotherapy, 60 minutes: rates for 7 insurance plans Aetna — Aetna Elevate (BDOSV): $91.21 Aetna — Aetna Performance (BDOSV): $96.35 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $121.70 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $205.30 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $172.45 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $158.37 First Health (A C E G H U B D N O R S) — First Health (ABDMNOSURV): $172.45
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG PSYCHOTHERAPY FAMILY WO PATIENT 50 MIN	$310.10	$173.66	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $416.93
Family psychotherapy, without the patient: 10 of 34 insurance plan rates Aetna — Aetna Elevate (BDOSV): $138.12 Aetna — Aetna Performance (BDOSV): $145.90 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $184.32 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $310.10 All Other Medicaid — All Other Medicaid (B): $169.11 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $173.78 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $260.48 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $239.21 BCBS — BC Medicare (B): $192.08 Blue Cross — Allina Health BluePrint (BDOSHV): $277.38
Family psychotherapy, without the patient CPT 90846 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG PSYCHOTHERAPY FAMILY WO PATIENT 50 MIN	$310.10	$173.66	$137.78 – $310.10
Family psychotherapy, without the patient: rates for 7 insurance plans Aetna — Aetna Elevate (BDOSV): $137.78 Aetna — Aetna Performance (BDOSV): $145.53 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $183.83 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $310.10 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $260.48 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $239.21 First Health (A C E G H U B D N O R S) — First Health (ABDMNOSURV): $260.48
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG PSYCHOTHERAPY FAMILY W PATIENT 50 MIN	$371	$207.76	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $433.03
Family psychotherapy, with the patient: 10 of 34 insurance plan rates Aetna — Aetna Elevate (BDOSV): $165.24 Aetna — Aetna Performance (BDOSV): $174.56 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $220.52 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $371 All Other Medicaid — All Other Medicaid (B): $169.11 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $173.78 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $311.64 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $286.19 BCBS — BC Medicare (B): $192.08 Blue Cross — Allina Health BluePrint (BDOSHV): $288.08
Family psychotherapy, with the patient CPT 90847 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG PSYCHOTHERAPY FAMILY W PATIENT 50 MIN	$371	$207.76	$164.84 – $371
Family psychotherapy, with the patient: rates for 7 insurance plans Aetna — Aetna Elevate (BDOSV): $164.84 Aetna — Aetna Performance (BDOSV): $174.11 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $219.93 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $371 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $311.64 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $286.19 First Health (A C E G H U B D N O R S) — First Health (ABDMNOSURV): $311.64
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG GROUP PSYCHOTHERAPY CK OR HBC ONLY	$178.30	$99.85	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $231.58
Group psychotherapy: 10 of 34 insurance plan rates Aetna — Aetna Elevate (BDOSV): $79.41 Aetna — Aetna Performance (BDOSV): $83.89 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $105.98 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $178.30 All Other Medicaid — All Other Medicaid (B): $96.79 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $99.47 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $149.77 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $137.54 BCBS — BC Medicare (B): $109.94 Blue Cross — Allina Health BluePrint (BDOSHV): $68.14
Group psychotherapy CPT 90853 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HCHG GROUP PSYCHOTHERAPY CK OR HBC ONLY	$178.30	$99.85	$79.22 – $178.30
Group psychotherapy: rates for 7 insurance plans Aetna — Aetna Elevate (BDOSV): $79.22 Aetna — Aetna Performance (BDOSV): $83.68 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $105.70 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $178.30 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $149.77 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $137.54 First Health (A C E G H U B D N O R S) — First Health (ABDMNOSURV): $149.77

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG INJ EPIDUR INTERLAM SUBA LUMB SACRAL W GUIDE	$1,528.10	$855.74	$307.45 – $3,760.50
Spinal injection, lower back (epidural), with imaging guidance: 10 of 33 insurance plan rates Aetna — Aetna Elevate (BDOSV): $680.62 Aetna — Aetna Performance (BDOSV): $718.97 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $908.30 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $1,528.10 All Other Medicaid — All Other Medicaid (B): $672.53 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $691.10 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $1,283.60 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $1,178.78 BCBS — BC Medicare (B): $763.84 Blue Cross — Allina Health BluePrint (BDOSHV): $1,159.77
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG CT INJ EPIDURAL LUMBAR OR SACRAL W GUIDE	$1,528.10	$855.74	$307.45 – $3,760.50
Spinal injection, lower back (epidural), with imaging guidance: 10 of 33 insurance plan rates Aetna — Aetna Elevate (BDOSV): $680.62 Aetna — Aetna Performance (BDOSV): $718.97 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $908.30 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $1,528.10 All Other Medicaid — All Other Medicaid (B): $672.53 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $691.10 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $1,283.60 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $1,178.78 BCBS — BC Medicare (B): $763.84 Blue Cross — Allina Health BluePrint (BDOSHV): $1,159.77
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG IR INJ EPIDURAL LUMBAR OR SACRAL W GUIDE	$1,528.10	$855.74	$307.45 – $3,760.50
Spinal injection, lower back (epidural), with imaging guidance: 10 of 33 insurance plan rates Aetna — Aetna Elevate (BDOSV): $680.62 Aetna — Aetna Performance (BDOSV): $718.97 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $908.30 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $1,528.10 All Other Medicaid — All Other Medicaid (B): $672.53 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $691.10 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $1,283.60 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $1,178.78 BCBS — BC Medicare (B): $763.84 Blue Cross — Allina Health BluePrint (BDOSHV): $1,159.77
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG INJ TRANSFORAMINAL EPIDURAL LMBR/SAC 1 LVL W	$2,463.40	$1,379.50	$281.06 – $3,760.50
Nerve root injection, lower back, with imaging guidance: 10 of 33 insurance plan rates Aetna — Aetna Elevate (BDOSV): $1,097.20 Aetna — Aetna Performance (BDOSV): $1,159.03 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $1,464.24 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $2,463.40 All Other Medicaid — All Other Medicaid (B): $842.69 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $865.95 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $2,069.26 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $1,900.27 BCBS — BC Medicare (B): $957.11 Blue Cross — Allina Health BluePrint (BDOSHV): $602.29
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG CT TRANSFORAMINAL LUMB OR SACRAL SNGL W CT GU	$2,321.90	$1,300.26	$281.06 – $3,760.50
Nerve root injection, lower back, with imaging guidance: 10 of 33 insurance plan rates Aetna — Aetna Elevate (BDOSV): $1,034.17 Aetna — Aetna Performance (BDOSV): $1,092.45 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $1,380.14 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $2,321.90 All Other Medicaid — All Other Medicaid (B): $842.69 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $865.95 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $1,950.40 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $1,791.11 BCBS — BC Medicare (B): $957.11 Blue Cross — Allina Health BluePrint (BDOSHV): $602.29
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG IR INJ TRANS EPIDURAL LUMBAR W FLUORO	$2,309.40	$1,293.26	$281.06 – $3,760.50
Nerve root injection, lower back, with imaging guidance: 10 of 33 insurance plan rates Aetna — Aetna Elevate (BDOSV): $1,028.61 Aetna — Aetna Performance (BDOSV): $1,086.57 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $1,372.71 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $2,309.40 All Other Medicaid — All Other Medicaid (B): $842.69 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $865.95 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $1,939.90 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $1,781.47 BCBS — BC Medicare (B): $957.11 Blue Cross — Allina Health BluePrint (BDOSHV): $602.29
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG DISCISSION OF SECONDARY MEMBRANOUS CATARACT	$2,541.60	$1,423.30	$199 – $2,694.31
Laser treatment of clouding after cataract surgery: 10 of 33 insurance plan rates Aetna — Aetna Elevate (BDOSV): $1,132.03 Aetna — Aetna Performance (BDOSV): $1,195.82 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $1,510.73 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $2,541.60 All Other Medicaid — All Other Medicaid (B): $524.01 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $538.48 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $2,134.94 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $1,960.59 BCBS — BC Medicare (B): $595.16 Blue Cross — Allina Health BluePrint (BDOSHV): $1,792.20
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG DISCISSION OF SECONDARY MEMBRANOUS CATARACT U	$3,341.70	$1,871.35	$524.01 – $3,760.50
Laser treatment of clouding after cataract surgery: 10 of 33 insurance plan rates Aetna — Aetna Elevate (BDOSV): $1,488.39 Aetna — Aetna Performance (BDOSV): $1,572.27 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $1,986.31 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $3,341.70 All Other Medicaid — All Other Medicaid (B): $524.01 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $538.48 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $2,807.03 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $2,577.79 BCBS — BC Medicare (B): $595.16 Blue Cross — Allina Health BluePrint (BDOSHV): $1,792.20
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HCHG DISCISSION OF SECONDARY MEMBRANOUS CATARACT B	$3,876.40	$2,170.78	$524.01 – $3,876.40
Laser treatment of clouding after cataract surgery: 10 of 33 insurance plan rates Aetna — Aetna Elevate (BDOSV): $1,726.55 Aetna — Aetna Performance (BDOSV): $1,823.85 Aetna Direct/Indirect Regional Network — Aetna Direct/Indirect Regional (BDOSV): $2,304.13 All Other Contracted Care (A B C D E G H N O R S U) — All Other Contracted Care (A B C D M H N O R S U V): $3,876.40 All Other Medicaid — All Other Medicaid (B): $524.01 Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $538.48 Americas PPO (Araz) (B D N H O R S) — Americas PPO (Araz) (B D N H O R S V): $3,256.18 Americas PPO (Araz)(B D N O R S V) — Americas PPO (Araz)(B D N O R S V): $2,990.25 BCBS — BC Medicare (B): $595.16 Blue Cross — Allina Health BluePrint (BDOSHV): $1,792.20

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	Not listed in the file	Not listed in the file	$16,996 – $224,260.90
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 23 insurance plan rates Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $70,769.20 BCBS — BC Medicare (B): $98,787.05 Health Partners — HPI Cigna (BDOV): $165,758.76 Health Partners — HPI CIGNA (MU): $189,694.45 HealthPartners — HPI (BDOV): $152,072.25 Medica — Medica Essentials (B D O S V): $134,756.31 Medica — Medica Medicare (B): $97,846.23 Medica Health System — Medica Choice (B D O S V): $141,831.04 Medica Health System — Medica Elect (B D O S V): $129,066.24 Medica Health System — Medica PMAP (B D O S V): $49,804.23
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC	Not listed in the file	Not listed in the file	$9,290 – $66,086.17
Spinal fusion (not neck), without major complications: 10 of 17 insurance plan rates Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $26,835.98 BCBS — BC Medicare (B): $29,874.29 Health Partners — HPI Cigna (BDOV): $66,086.17 Health Partners — HPI CIGNA (MU): $43,968.98 HealthPartners — HPI (BDOV): $61,278.83 Medica — Medica Medicare (B): $29,589.77 MEDICA UB HEALTH (B) — MEDICA UB HEALTH (B): $9,290 Medicare — Medicare (B): $28,360.62 Medicare Other — All Other Medicare (B): $28,451.70 South Country Health Alliance — SCHA MSHO (B): $31,296.87
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	Not listed in the file	Not listed in the file	$9,820.03 – $44,218.10
Hip or knee replacement (major joint of the leg), without major complications: 10 of 23 insurance plan rates Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $14,434.06 BCBS — BC Medicare (B): $16,257.57 Health Partners — HPI Cigna (BDOV): $32,683.08 Health Partners — HPI CIGNA (MU): $37,402.55 HealthPartners — HPI (BDOV): $29,984.48 Medica — Medica Essentials (B D O S V): $26,570.25 Medica — Medica Medicare (B): $16,102.74 Medica Health System — Medica Choice (B D O S V): $27,965.19 Medica Health System — Medica Elect (B D O S V): $25,448.32 Medica Health System — Medica PMAP (B D O S V): $9,820.03
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$12,428.66 – $55,964.36
Neck (cervical) spinal fusion, without complications: 10 of 23 insurance plan rates Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $18,109.46 BCBS — BC Medicare (B): $20,292.97 Health Partners — HPI Cigna (BDOV): $41,365.14 Health Partners — HPI CIGNA (MU): $47,338.29 HealthPartners — HPI (BDOV): $37,949.67 Medica — Medica Essentials (B D O S V): $33,628.47 Medica — Medica Medicare (B): $20,099.70 Medica Health System — Medica Choice (B D O S V): $35,393.97 Medica Health System — Medica Elect (B D O S V): $32,208.51 Medica Health System — Medica PMAP (B D O S V): $12,428.66
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$6,316.40 – $28,441.81
Uterus and ovary surgery (not for cancer), without complications: 10 of 23 insurance plan rates Allina Aetna Medicare (B) — Allina Aetna Medicare (B): $9,497.69 BCBS — BC Medicare (B): $10,837.66 Health Partners — HPI Cigna (BDOV): $21,022.29 Health Partners — HPI CIGNA (MU): $24,057.93 HealthPartners — HPI (BDOV): $19,286.51 Medica — Medica Essentials (B D O S V): $17,090.42 Medica — Medica Medicare (B): $10,734.45 Medica Health System — Medica Choice (B D O S V): $17,987.67 Medica Health System — Medica Elect (B D O S V): $16,368.78 Medica Health System — Medica PMAP (B D O S V): $6,316.40

Source: Buffalo Hospital’s standard charges file (allinahealth.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on June 16, 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	Acute Care Hospital
Address	303 Catlin Street, Buffalo, MN 55313
County	Wright County
State	Minnesota
Phone	(763) 682‑1212
Emergency services	Yes
Ownership	Voluntary non-profit - Other
Medicare overall rating	5 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	240076
Name in Medicare records	BUFFALO HOSPITAL
Profile level	Medicare data + hospital website
Official website	allinahealth.org
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
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.

Emergency Room in Buffalo, MN — allinahealth.org
Directions to Buffalo Hospital — allinahealth.org
Buffalo Hospital | Buffalo Minnesota | Wright County | Allina Health — allinahealth.org
Stroke care as part of emergency medical services at Buffalo Hospital — allinahealth.org
What to expect of emergency medical services at Buffalo Hospital — allinahealth.org
Buffalo cardiologists | Heart Center at Buffalo Hospital — allinahealth.org
Patient and visitor information | Buffalo Hospital — allinahealth.org
Patient Care Concerns | Patient & Visitor Info | Buffalo Hospital — allinahealth.org
Buffalo Hospital services | List of Hospital services | Buffalo, MN — allinahealth.org
Women's Heart Health Program | Buffalo Hospital — allinahealth.org
Birth Center | Private birthing rooms | Buffalo Hospital, Buffalo, MN — allinahealth.org
Orthopedics & Joint Replacement | Buffalo Hospital | Allina Health — allinahealth.org
Consultations with a dietitian | Nutrition consultations | Buffalo Hospital — allinahealth.org

Buffalo Hospital

Summary

Profile from official sources

At a glance