Does Children's Hospitals & Clinics of MN have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Children's Hospitals & Clinics of MN. In a medical emergency, call 911.

Where is Children's Hospitals & Clinics of MN?

2525 Chicago Avenue South, Minneapolis, MN 55404, in Hennepin County, Minnesota.

What is the phone number of Children's Hospitals & Clinics of MN?

(612) 813-6112, as listed by Medicare (CMS).

What is the Medicare star rating of Children's Hospitals & Clinics of MN?

CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Children's Hospitals & Clinics of MN

Quick answers

Does Children's Hospitals & Clinics of MN have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Children's Hospitals & Clinics of MN. In a medical emergency, call 911.
Where is Children's Hospitals & Clinics of MN?: 2525 Chicago Avenue South, Minneapolis, MN 55404, in Hennepin County, Minnesota.
What is the phone number of Children's Hospitals & Clinics of MN?: (612) 813-6112, as listed by Medicare (CMS).
What is the Medicare star rating of Children's Hospitals & Clinics of MN?: CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Specialties and care areas^[4][5][6][7]

Pediatric acute care
Pediatric surgery
Pediatric emergency care
Pediatric trauma
Pediatric trauma care
Neonatal intensive care

Conditions treated^[6]

Traumatic injuries in children

Programs and centers^{[4][6][7][8][9]}

Children's Minnesota Primary Care Clinic (Specialty Center)
The Mother Baby Center at Abbott Northwestern and Children's Minnesota
Level IV Neonatal Intensive Care Unit (NICU)
Special Care Nursery (Level II)
Infant Care Center
Level I Children's Surgery Center (American College of Surgeons)
UnitedHealthcare Pediatric Emergency Department
Children's Minnesota Primary Care Clinic (Specialty Center campus)
Children's Minnesota Specialty Center (2530 Chicago Ave S)

Emergency care (hospital website)^[4][5]

Emergency room	Yes
Trauma designation	Level I Pediatric

Visiting and practical information

Parking	Green and Blue ramps on E. 26th Street; fees posted, first 30 minutes free; discounted multi-exit passes for families at the cashier^[4]
Patient portal	MyChart

Recognition^[5][6][8]

Level I Pediatric Trauma Center
Level I Pediatric Trauma Center (verified by the American College of Surgeons)
Level I Children's Surgery Center (American College of Surgeons)

Doctors and clinicians (5)

5 doctors and other clinicians list Children's Hospitals & Clinics of MN 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 (5)

Andrew E. Schneider, MDPediatric Medicine
Anne E. Bendel, MDHematology/Oncology
Christine B. Hills, MDCardiovascular Disease (Cardiology)
William A. Mize, MDDiagnostic Radiology
Yanerys M. Ramos, MDDiagnostic Radiology

Other emergency rooms nearby

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

Abbott Northwestern Hospital0.3 mi · Minneapolis, MN · Acute Care Hospital
Hennepin County Medical Center1.1 mi · Minneapolis, MN · Acute Care Hospital
M Health Fairview University of MN Medical Center1.4 mi · Minneapolis, MN · Acute Care Hospital
Minneapolis VA Medical Center4.8 mi · Minneapolis, MN · Federal/VA Acute Care Hospital
Park Nicollet Methodist Hospital5.3 mi · Saint Louis Park, MN · Acute Care Hospital

Other hospitals nearby

Regency Hospital of Minneapolis LLC4.2 mi · Golden Valley, MN · Long-Term Acute Care Hospital

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

The Estates at Chateau LLC0.7 mi · Minneapolis, MN · 1 of 5 stars
Benedictine Health Center of Minneapolis0.7 mi · Minneapolis, MN · 3 of 5 stars
Andrew Residence0.8 mi · Minneapolis, MN · 3 of 5 stars

All nursing homes in the state →

Hospice providers

Allina Health Hospice & Palliative Care1.6 mi · Minneapolis, MN · 3 of 5 stars
Grace Hospice2.2 mi · Minneapolis, MN · 4 of 5 stars
Intrepid USA Hospice3.0 mi · Minneapolis, MN

All hospice providers in the state →

Home health agencies

Childrens Home Care and Hospice0.4 mi · Minneapolis, MN
Mvna0.4 mi · Minneapolis, MN · 3 of 5 stars
Allina Health Home Health1.6 mi · Minneapolis, MN

All home health agencies in the state →

Dialysis facilities

DaVita Home Dialysis Unit0.4 mi · Minneapolis, MN · 3 of 5 stars
DaVita Minneapolis Dialysis Unit0.4 mi · Minneapolis, MN · 2 of 5 stars
U of MN Med Ctr, Fairview - Dialysis1.5 mi · Minneapolis, MN

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

U of M Health Clinics & Surgery Center Inc-Mpls1.9 mi · Minneapolis, MN
Rayus Twin Cities Asc3.9 mi · Saint Louis Park, MN
Surgical Specialty Center of Minnesota-St Louis Park3.9 mi · Saint Louis Park, 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.

Community health centers

Indian Health Board of Minneapolis, Inc.0.4 mi · Minneapolis, MN · Community health center
NACC Behavioral Health Outpatient Programs0.4 mi · Minneapolis, MN · Community health center
Native American Community Clinic0.5 mi · Minneapolis, MN · Community health center

Clinics and urgent care

Carbon Health Medical Group of Florida PA1.4 mi · Minneapolis, MN · Urgent care center
Allina Health System1.6 mi · Minneapolis, MN · Urgent care center
Trucare Urgent Care LLC1.6 mi · Minneapolis, MN · Urgent care center

Pharmacies

Allina Health System0.4 mi · Minneapolis, MN · Community/retail pharmacy
Children's Health Care0.4 mi · Minneapolis, MN · Community/retail pharmacy
Childrens Health Care0.4 mi · Minneapolis, MN · Community/retail pharmacy

Assisted living nearby

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

A Helping Hand Senior Care Ser0.4 mi · Minneapolis, MN
A Helping Hand Senior Care Ser0.4 mi · Minneapolis, MN
Angel Care Assisted Living LLC0.4 mi · Minneapolis, MN
Arms Home Health Care0.4 mi · Minneapolis, 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 Children's Hospitals & Clinics of MN 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.

Not reported to Medicare

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

Infections caught in the hospital

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

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

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

Complications and deaths

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

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

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026.

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	Not reported to Medicare
Readmitted within 30 days: heart failure	Not reported to Medicare
Readmitted within 30 days: pneumonia	Not reported to Medicare
Readmitted within 30 days: COPD	Not reported to Medicare
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	Not reported to Medicare

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026.

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.

Average (median) time patients spent in the emergency room before leaving (OP-18b)	Not reported to Medicare
Patients who left the emergency room before being seen (OP-22)	Not reported to Medicare
Sepsis patients who got all the recommended early care (SEP-1)	Not reported to Medicare

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026.

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in Minneapolis Best hospitals in Minneapolis

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 81 common services exactly as Children's Hospitals & Clinics of MN 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 →

$ 4 amounts are marked with “!”: they are more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. They are shown exactly as listed; ask the hospital before relying on them.

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: 99203 New Pt Office/Outpt Visit Level 3 - 30 Min	$268	$268	$74.38 – $268
New patient office visit (about 30–44 minutes): 10 of 36 insurance plan rates Allina Health and Aetna Insurance Company — Allina Aetna Professional: $173.84 America's PPO — Americas PPO Professional: $179.56 Blue Cross — Blue Cross Audiology Professional: $134.44 Blue Cross — Blue Cross Behavioral Health Professional: $203.94 Blue Cross — Blue Cross FEP Audiology Professional: $132.06 Blue Cross — Blue Cross FEP Behavioral Health Professional: $200.33 Blue Cross — Blue Cross FEP Heart Clinic Professional: $147.40 Blue Cross — Blue Cross FEP MultiSpecialty Professional: $200.33 Blue Cross — Blue Cross FEP Pathology Professional: $208.60 Blue Cross — Blue Cross FEP Radiology Professional: $236.86
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: 99203 Gender Health New Pt Office Visit Level 3	$268	$268	$74.38 – $268
New patient office visit (about 30–44 minutes): 10 of 36 insurance plan rates Allina Health and Aetna Insurance Company — Allina Aetna Professional: $173.84 America's PPO — Americas PPO Professional: $179.56 Blue Cross — Blue Cross Audiology Professional: $134.44 Blue Cross — Blue Cross Behavioral Health Professional: $203.94 Blue Cross — Blue Cross FEP Audiology Professional: $132.06 Blue Cross — Blue Cross FEP Behavioral Health Professional: $200.33 Blue Cross — Blue Cross FEP Heart Clinic Professional: $147.40 Blue Cross — Blue Cross FEP MultiSpecialty Professional: $200.33 Blue Cross — Blue Cross FEP Pathology Professional: $208.60 Blue Cross — Blue Cross FEP Radiology Professional: $236.86
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: 99204 New Pt Office/Outpt Visit Level 4 - 45 Min	$458	$458	$110.94 – $458
New patient office visit (about 45–59 minutes): 10 of 36 insurance plan rates Allina Health and Aetna Insurance Company — Allina Aetna Professional: $281.77 America's PPO — Americas PPO Professional: $306.86 Blue Cross — Blue Cross Audiology Professional: $200.23 Blue Cross — Blue Cross Behavioral Health Professional: $305.60 Blue Cross — Blue Cross FEP Audiology Professional: $196.69 Blue Cross — Blue Cross FEP Behavioral Health Professional: $300.20 Blue Cross — Blue Cross FEP Heart Clinic Professional: $251.90 Blue Cross — Blue Cross FEP MultiSpecialty Professional: $300.20 Blue Cross — Blue Cross FEP Pathology Professional: $312.60 Blue Cross — Blue Cross FEP Radiology Professional: $404.78
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: 99204 Gender Health New Pt Office Visit Level 4	$458	$458	$110.94 – $458
New patient office visit (about 45–59 minutes): 10 of 36 insurance plan rates Allina Health and Aetna Insurance Company — Allina Aetna Professional: $281.77 America's PPO — Americas PPO Professional: $306.86 Blue Cross — Blue Cross Audiology Professional: $200.23 Blue Cross — Blue Cross Behavioral Health Professional: $305.60 Blue Cross — Blue Cross FEP Audiology Professional: $196.69 Blue Cross — Blue Cross FEP Behavioral Health Professional: $300.20 Blue Cross — Blue Cross FEP Heart Clinic Professional: $251.90 Blue Cross — Blue Cross FEP MultiSpecialty Professional: $300.20 Blue Cross — Blue Cross FEP Pathology Professional: $312.60 Blue Cross — Blue Cross FEP Radiology Professional: $404.78
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: 99205 New Pt Office/Outpt Visit Level 5 - 60 Min	$588	$588	$146.41 – $588
New patient office visit (about 60–74 minutes): 10 of 36 insurance plan rates Allina Health and Aetna Insurance Company — Allina Aetna Professional: $382.78 America's PPO — Americas PPO Professional: $393.96 Blue Cross — Blue Cross Audiology Professional: $264.79 Blue Cross — Blue Cross Behavioral Health Professional: $403.01 Blue Cross — Blue Cross FEP Audiology Professional: $260.11 Blue Cross — Blue Cross FEP Behavioral Health Professional: $395.88 Blue Cross — Blue Cross FEP Heart Clinic Professional: $323.40 Blue Cross — Blue Cross FEP MultiSpecialty Professional: $395.88 Blue Cross — Blue Cross FEP Pathology Professional: $412.23 Blue Cross — Blue Cross FEP Radiology Professional: $519.67
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: 99205 Gender Health New Pt Op Pt Visit Level 5 - 60 Min	$588	$588	$146.41 – $588
New patient office visit (about 60–74 minutes): 10 of 36 insurance plan rates Allina Health and Aetna Insurance Company — Allina Aetna Professional: $382.78 America's PPO — Americas PPO Professional: $393.96 Blue Cross — Blue Cross Audiology Professional: $264.79 Blue Cross — Blue Cross Behavioral Health Professional: $403.01 Blue Cross — Blue Cross FEP Audiology Professional: $260.11 Blue Cross — Blue Cross FEP Behavioral Health Professional: $395.88 Blue Cross — Blue Cross FEP Heart Clinic Professional: $323.40 Blue Cross — Blue Cross FEP MultiSpecialty Professional: $395.88 Blue Cross — Blue Cross FEP Pathology Professional: $412.23 Blue Cross — Blue Cross FEP Radiology Professional: $519.67
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: 99213 Est Pt Office/Outpt Level 3 - 15 Min	$203	$203	$60.42 – $203
Established patient office visit (about 20–29 minutes): 10 of 36 insurance plan rates Allina Health and Aetna Insurance Company — Allina Aetna Professional: $140.14 America's PPO — Americas PPO Professional: $136.01 Blue Cross — Blue Cross Audiology Professional: $108.69 Blue Cross — Blue Cross Behavioral Health Professional: $166.19 Blue Cross — Blue Cross FEP Audiology Professional: $106.77 Blue Cross — Blue Cross FEP Behavioral Health Professional: $163.25 Blue Cross — Blue Cross FEP Heart Clinic Professional: $111.65 Blue Cross — Blue Cross FEP MultiSpecialty Professional: $163.25 Blue Cross — Blue Cross FEP Pathology Professional: $170 Blue Cross — Blue Cross FEP Radiology Professional: $179.41
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: 99213 Gender Health Est Pt Office Level 3	$203	$203	$60.42 – $203
Established patient office visit (about 20–29 minutes): 10 of 36 insurance plan rates Allina Health and Aetna Insurance Company — Allina Aetna Professional: $140.14 America's PPO — Americas PPO Professional: $136.01 Blue Cross — Blue Cross Audiology Professional: $108.69 Blue Cross — Blue Cross Behavioral Health Professional: $166.19 Blue Cross — Blue Cross FEP Audiology Professional: $106.77 Blue Cross — Blue Cross FEP Behavioral Health Professional: $163.25 Blue Cross — Blue Cross FEP Heart Clinic Professional: $111.65 Blue Cross — Blue Cross FEP MultiSpecialty Professional: $163.25 Blue Cross — Blue Cross FEP Pathology Professional: $170 Blue Cross — Blue Cross FEP Radiology Professional: $179.41
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RO CLINIC VISIT LVL 3	$306	$306	$69 – $306
Established patient office visit (about 20–29 minutes): 10 of 17 insurance plan rates Allina Aetna — Allina Aetna: $237.30 America's PPO — Americas PPO: $205.02 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $247.07 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $242.70 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $123.53 First Health — First Health: $252.14 HealthPartners — HealthPartners: $259.45 HealthPartners — HealthPartners PMAP: $140.79 Hennepin Health — Hennepin Health: $72.45 MN Medicaid — MN Medicaid: $69
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: 99214 Est Pt Office/Outpt Level 4 - 25 Min	$298	$298	$85.58 – $298
Established patient office visit (about 30–39 minutes): 10 of 36 insurance plan rates Allina Health and Aetna Insurance Company — Allina Aetna Professional: $207.38 America's PPO — Americas PPO Professional: $199.66 Blue Cross — Blue Cross Audiology Professional: $153.24 Blue Cross — Blue Cross Behavioral Health Professional: $234.37 Blue Cross — Blue Cross FEP Audiology Professional: $150.53 Blue Cross — Blue Cross FEP Behavioral Health Professional: $230.23 Blue Cross — Blue Cross FEP Heart Clinic Professional: $163.90 Blue Cross — Blue Cross FEP MultiSpecialty Professional: $230.23 Blue Cross — Blue Cross FEP Pathology Professional: $239.74 Blue Cross — Blue Cross FEP Radiology Professional: $263.37
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: 99214 Gender Health Est Pt Office Level 4	$298	$298	$85.58 – $298
Established patient office visit (about 30–39 minutes): 10 of 36 insurance plan rates Allina Health and Aetna Insurance Company — Allina Aetna Professional: $207.38 America's PPO — Americas PPO Professional: $199.66 Blue Cross — Blue Cross Audiology Professional: $153.24 Blue Cross — Blue Cross Behavioral Health Professional: $234.37 Blue Cross — Blue Cross FEP Audiology Professional: $150.53 Blue Cross — Blue Cross FEP Behavioral Health Professional: $230.23 Blue Cross — Blue Cross FEP Heart Clinic Professional: $163.90 Blue Cross — Blue Cross FEP MultiSpecialty Professional: $230.23 Blue Cross — Blue Cross FEP Pathology Professional: $239.74 Blue Cross — Blue Cross FEP Radiology Professional: $263.37
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: 99243 Consultation Office Level 3 - 40 Min	$400	$400	$81.62 – $360
Office consultation with a specialist (moderate): 10 of 32 insurance plan rates Allina Health and Aetna Insurance Company — Allina Aetna Professional: $223.74 America's PPO — Americas PPO Professional: $268 Blue Cross — Blue Cross Audiology Professional: $143.43 Blue Cross — Blue Cross Behavioral Health Professional: $205.16 Blue Cross — Blue Cross FEP Audiology Professional: $140.89 Blue Cross — Blue Cross FEP Behavioral Health Professional: $201.53 Blue Cross — Blue Cross FEP Heart Clinic Professional: $220 Blue Cross — Blue Cross FEP MultiSpecialty Professional: $201.53 Blue Cross — Blue Cross FEP Pathology Professional: $209.85 Blue Cross — Blue Cross FEP Radiology Professional: $327.83
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: 99243 Gender Health Consultation Office Level 3 - 40 Min	$400	$400	$81.62 – $360
Office consultation with a specialist (moderate): 10 of 32 insurance plan rates Allina Health and Aetna Insurance Company — Allina Aetna Professional: $223.74 America's PPO — Americas PPO Professional: $268 Blue Cross — Blue Cross Audiology Professional: $143.43 Blue Cross — Blue Cross Behavioral Health Professional: $205.16 Blue Cross — Blue Cross FEP Audiology Professional: $140.89 Blue Cross — Blue Cross FEP Behavioral Health Professional: $201.53 Blue Cross — Blue Cross FEP Heart Clinic Professional: $220 Blue Cross — Blue Cross FEP MultiSpecialty Professional: $201.53 Blue Cross — Blue Cross FEP Pathology Professional: $209.85 Blue Cross — Blue Cross FEP Radiology Professional: $327.83
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: 99244 Consultation Office Level 4 - 60 Min	$563	$563	$109.24 – $506.70
Office consultation with a specialist (moderate to high): 10 of 32 insurance plan rates Allina Health and Aetna Insurance Company — Allina Aetna Professional: $341.55 America's PPO — Americas PPO Professional: $377.21 Blue Cross — Blue Cross Audiology Professional: $213.71 Blue Cross — Blue Cross Behavioral Health Professional: $292.82 Blue Cross — Blue Cross FEP Audiology Professional: $209.93 Blue Cross — Blue Cross FEP Behavioral Health Professional: $287.64 Blue Cross — Blue Cross FEP Heart Clinic Professional: $309.65 Blue Cross — Blue Cross FEP MultiSpecialty Professional: $287.64 Blue Cross — Blue Cross FEP Pathology Professional: $299.52 Blue Cross — Blue Cross FEP Radiology Professional: $467.92
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: 99244 Gender Health Consultation Office Level 4 - 60 Min	$563	$563	$109.24 – $506.70
Office consultation with a specialist (moderate to high): 10 of 32 insurance plan rates Allina Health and Aetna Insurance Company — Allina Aetna Professional: $341.55 America's PPO — Americas PPO Professional: $377.21 Blue Cross — Blue Cross Audiology Professional: $213.71 Blue Cross — Blue Cross Behavioral Health Professional: $292.82 Blue Cross — Blue Cross FEP Audiology Professional: $209.93 Blue Cross — Blue Cross FEP Behavioral Health Professional: $287.64 Blue Cross — Blue Cross FEP Heart Clinic Professional: $309.65 Blue Cross — Blue Cross FEP MultiSpecialty Professional: $287.64 Blue Cross — Blue Cross FEP Pathology Professional: $299.52 Blue Cross — Blue Cross FEP Radiology Professional: $467.92
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: 99385 Preventive Visit New 18-39 Yrs	$346	$346	$86.78 – $346
Preventive checkup, new patient, age 18–39: 10 of 35 insurance plan rates Allina Health and Aetna Insurance Company — Allina Aetna Professional: $217.95 America's PPO — Americas PPO Professional: $231.82 Blue Cross — Blue Cross Audiology Professional: $156.91 Blue Cross — Blue Cross Behavioral Health Professional: $235.60 Blue Cross — Blue Cross FEP Audiology Professional: $154.14 Blue Cross — Blue Cross FEP Behavioral Health Professional: $231.43 Blue Cross — Blue Cross FEP Heart Clinic Professional: $190.30 Blue Cross — Blue Cross FEP MultiSpecialty Professional: $231.43 Blue Cross — Blue Cross FEP Pathology Professional: $240.98 Blue Cross — Blue Cross FEP Radiology Professional: $305.79
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: 99386 Preventative Visit New 40-64 Years	$432	$432	$100.03 – $432
Preventive checkup, new patient, age 40–64: 10 of 35 insurance plan rates Allina Health and Aetna Insurance Company — Allina Aetna Professional: $264.51 America's PPO — Americas PPO Professional: $289.44 Blue Cross — Blue Cross Audiology Professional: $181.43 Blue Cross — Blue Cross Behavioral Health Professional: $271.51 Blue Cross — Blue Cross FEP Audiology Professional: $178.22 Blue Cross — Blue Cross FEP Behavioral Health Professional: $266.71 Blue Cross — Blue Cross FEP Heart Clinic Professional: $237.60 Blue Cross — Blue Cross FEP MultiSpecialty Professional: $266.71 Blue Cross — Blue Cross FEP Pathology Professional: $277.72 Blue Cross — Blue Cross FEP Radiology Professional: $381.80
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: 99283 Emergency Dept Visit Level 3	$220	$220	$26.96 – $220
Emergency room visit (moderate): 10 of 36 insurance plan rates Allina Health and Aetna Insurance Company — Allina Aetna Professional: $65.04 America's PPO — Americas PPO Professional: $147.40 Blue Cross — Blue Cross Audiology Professional: $86.22 Blue Cross — Blue Cross Behavioral Health Professional: $128.45 Blue Cross — Blue Cross FEP Audiology Professional: $84.70 Blue Cross — Blue Cross FEP Behavioral Health Professional: $126.18 Blue Cross — Blue Cross FEP Heart Clinic Professional: $121 Blue Cross — Blue Cross FEP MultiSpecialty Professional: $126.18 Blue Cross — Blue Cross FEP Pathology Professional: $131.39 Blue Cross — Blue Cross FEP Radiology Professional: $194.44
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENT LEVEL 3	$502	$502	$103.70 – $797.09
Emergency room visit (moderate): 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $389.30 America's PPO — Americas PPO: $336.34 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $664.12 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $652.38 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $103.70 First Health — First Health: $413.65 HealthPartners — HealthPartners: $308.95 HealthPartners — HealthPartners PMAP: $221.74 Hennepin Health — Hennepin Health: $273.08 Medica — Medica Choice: $797.09
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EMERGENT LEVEL 3	$502	$502	$169.68 – $451.80
Emergency room visit (moderate): rates for 8 insurance plans America's PPO — Americas PPO: $311.24 First Health — First Health: $413.65 Medica — Medica Choice: $363.65 Medica — Medica PMAP: $169.68 Medica Other Commercial — Medica Other Commercial: $360.03 Multi Plan — Multi Plan: $451.80 UCare — UCare: $252.96 United Health — United Health: $378.51
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: 99284 Emergency Dept Visit Level 4	$417	$417	$45.63 – $417
Emergency room visit (moderately high): 10 of 36 insurance plan rates Allina Health and Aetna Insurance Company — Allina Aetna Professional: $110.45 America's PPO — Americas PPO Professional: $279.39 Blue Cross — Blue Cross Audiology Professional: $145.47 Blue Cross — Blue Cross Behavioral Health Professional: $218.54 Blue Cross — Blue Cross FEP Audiology Professional: $142.90 Blue Cross — Blue Cross FEP Behavioral Health Professional: $214.68 Blue Cross — Blue Cross FEP Heart Clinic Professional: $229.35 Blue Cross — Blue Cross FEP MultiSpecialty Professional: $214.68 Blue Cross — Blue Cross FEP Pathology Professional: $223.55 Blue Cross — Blue Cross FEP Radiology Professional: $349.24
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENT LEVEL 4	$902	$902	$159.48 – $1,213.46
Emergency room visit (moderately high): 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $699.50 America's PPO — Americas PPO: $604.34 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $1,021.33 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $1,003.27 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $159.48 First Health — First Health: $743.25 HealthPartners — HealthPartners: $474.85 HealthPartners — HealthPartners PMAP: $341.01 Hennepin Health — Hennepin Health: $417.43 Medica — Medica Choice: $1,213.46
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EMERGENT LEVEL 4	$902	$902	$304.88 – $811.80
Emergency room visit (moderately high): rates for 8 insurance plans America's PPO — Americas PPO: $559.24 First Health — First Health: $743.25 Medica — Medica Choice: $653.41 Medica — Medica PMAP: $304.88 Medica Other Commercial — Medica Other Commercial: $646.91 Multi Plan — Multi Plan: $811.80 UCare — UCare: $454.52 United Health — United Health: $680.11
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: 99285 Emergency Dept Visit Level 5	$946	$946	$66.18 – $837.21
Emergency room visit (high): 10 of 36 insurance plan rates Allina Health and Aetna Insurance Company — Allina Aetna Professional: $160.69 America's PPO — Americas PPO Professional: $633.82 Blue Cross — Blue Cross Audiology Professional: $211.26 Blue Cross — Blue Cross Behavioral Health Professional: $316.56 Blue Cross — Blue Cross FEP Audiology Professional: $207.52 Blue Cross — Blue Cross FEP Behavioral Health Professional: $310.96 Blue Cross — Blue Cross FEP Heart Clinic Professional: $520.30 Blue Cross — Blue Cross FEP MultiSpecialty Professional: $310.96 Blue Cross — Blue Cross FEP Pathology Professional: $323.80 Blue Cross — Blue Cross FEP Radiology Professional: $505.86
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENT LEVEL 5	$1,182	$1,182	$229.62 – $2,667.16
Emergency room visit (high): 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $916.64 America's PPO — Americas PPO: $791.94 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $1,470.52 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $1,444.52 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $229.62 First Health — First Health: $973.97 HealthPartners — HealthPartners: $683.46 HealthPartners — HealthPartners PMAP: $490.99 Hennepin Health — Hennepin Health: $595.76 Medica — Medica Choice: $2,667.16
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EMERGENT LEVEL 5	$1,182	$1,182	$399.52 – $1,063.80
Emergency room visit (high): rates for 8 insurance plans America's PPO — Americas PPO: $732.84 First Health — First Health: $973.97 Medica — Medica Choice: $856.24 Medica — Medica PMAP: $399.52 Medica Other Commercial — Medica Other Commercial: $847.73 Multi Plan — Multi Plan: $1,063.80 UCare — UCare: $595.61 United Health — United Health: $891.23

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: BASIC METABOLIC PANEL	$271	$271	$7.76 – $271
Basic metabolic panel (blood test): 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $210.16 America's PPO — Americas PPO: $181.57 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $8.61 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $8.46 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $8.61 First Health — First Health: $223.30 HealthPartners — HealthPartners: $25.08 HealthPartners — HealthPartners PMAP: $13.61 Hennepin Health — Hennepin Health: $8.87 Medica — Medica Choice: $156.91
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SS BASIC METABOLIC PANEL	$429	$429	$7.76 – $429
Basic metabolic panel (blood test): 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $332.69 America's PPO — Americas PPO: $287.43 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $8.61 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $8.46 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $8.61 First Health — First Health: $353.50 HealthPartners — HealthPartners: $25.08 HealthPartners — HealthPartners PMAP: $13.61 Hennepin Health — Hennepin Health: $8.87 Medica — Medica Choice: $248.39
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL	$271	$271	$91.60 – $243.90
Basic metabolic panel (blood test): rates for 8 insurance plans America's PPO — Americas PPO: $168.02 First Health — First Health: $223.30 Medica — Medica Choice: $196.31 Medica — Medica PMAP: $91.60 Medica Other Commercial — Medica Other Commercial: $194.36 Multi Plan — Multi Plan: $243.90 UCare — UCare: $136.56 United Health — United Health: $204.33
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PANEL	$420	$420	$9.68 – $420
Comprehensive metabolic panel (blood test): 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $325.71 America's PPO — Americas PPO: $281.40 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $10.75 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $10.56 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $10.75 First Health — First Health: $346.08 HealthPartners — HealthPartners: $30.86 HealthPartners — HealthPartners PMAP: $16.75 Hennepin Health — Hennepin Health: $11.08 Medica — Medica Choice: $243.18
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PANEL	$420	$420	$141.96 – $378
Comprehensive metabolic panel (blood test): rates for 8 insurance plans America's PPO — Americas PPO: $260.40 First Health — First Health: $346.08 Medica — Medica Choice: $304.25 Medica — Medica PMAP: $141.96 Medica Other Commercial — Medica Other Commercial: $301.22 Multi Plan — Multi Plan: $378 UCare — UCare: $211.64 United Health — United Health: $316.68
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 90 In the file: COMP METABOLIC PANEL 14	$53	$53	$9.68 – $53
Comprehensive metabolic panel (blood test): 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $41.10 America's PPO — Americas PPO: $35.51 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $10.75 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $10.56 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $10.75 First Health — First Health: $43.67 HealthPartners — HealthPartners: $30.86 HealthPartners — HealthPartners PMAP: $16.75 Hennepin Health — Hennepin Health: $11.08 Medica — Medica Choice: $30.69
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL	$147	$147	$12.39 – $147
Cholesterol panel (lipid panel): 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $114 America's PPO — Americas PPO: $98.49 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $13.63 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $13.39 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $13.63 First Health — First Health: $121.13 HealthPartners — HealthPartners: $39.54 HealthPartners — HealthPartners PMAP: $21.46 Hennepin Health — Hennepin Health: $14.05 Medica — Medica Choice: $85.11
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LIPID PANEL	$147	$147	$49.69 – $132.30
Cholesterol panel (lipid panel): rates for 8 insurance plans America's PPO — Americas PPO: $91.14 First Health — First Health: $121.13 Medica — Medica Choice: $106.49 Medica — Medica PMAP: $49.69 Medica Other Commercial — Medica Other Commercial: $105.43 Multi Plan — Multi Plan: $132.30 UCare — UCare: $74.07 United Health — United Health: $110.84
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 90 In the file: LIPID PANEL 1	$57	$57	$12.12 – $57
Cholesterol panel (lipid panel): 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $44.20 America's PPO — Americas PPO: $38.19 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $13.63 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $13.39 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $13.63 First Health — First Health: $46.97 HealthPartners — HealthPartners: $39.54 HealthPartners — HealthPartners PMAP: $21.46 Hennepin Health — Hennepin Health: $14.05 Medica — Medica Choice: $33
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL PANEL	$293	$293	$7.96 – $293
Kidney function panel: 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $227.22 America's PPO — Americas PPO: $196.31 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $8.84 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $8.68 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $8.84 First Health — First Health: $241.43 HealthPartners — HealthPartners: $26.04 HealthPartners — HealthPartners PMAP: $14.13 Hennepin Health — Hennepin Health: $9.10 Medica — Medica Choice: $169.65
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RENAL PANEL	$293	$293	$99.03 – $263.70
Kidney function panel: rates for 8 insurance plans America's PPO — Americas PPO: $181.66 First Health — First Health: $241.43 Medica — Medica Choice: $212.25 Medica — Medica PMAP: $99.03 Medica Other Commercial — Medica Other Commercial: $210.14 Multi Plan — Multi Plan: $263.70 UCare — UCare: $147.64 United Health — United Health: $220.92
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROFILE LIVER	$339	$339	$7.49 – $339
Liver function panel: 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $262.89 America's PPO — Americas PPO: $227.13 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $8.32 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $8.17 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $8.32 First Health — First Health: $279.34 HealthPartners — HealthPartners: $24.11 HealthPartners — HealthPartners PMAP: $13.09 Hennepin Health — Hennepin Health: $8.57 Medica — Medica Choice: $196.28
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SS HEPATIC FUNCTION PANEL	$349	$349	$7.49 – $349
Liver function panel: 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $270.65 America's PPO — Americas PPO: $233.83 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $8.32 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $8.17 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $8.32 First Health — First Health: $287.58 HealthPartners — HealthPartners: $24.11 HealthPartners — HealthPartners PMAP: $13.09 Hennepin Health — Hennepin Health: $8.57 Medica — Medica Choice: $202.07
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PROFILE LIVER	$339	$339	$114.58 – $305.10
Liver function panel: rates for 8 insurance plans America's PPO — Americas PPO: $210.18 First Health — First Health: $279.34 Medica — Medica Choice: $245.57 Medica — Medica PMAP: $114.58 Medica Other Commercial — Medica Other Commercial: $243.13 Multi Plan — Multi Plan: $305.10 UCare — UCare: $170.82 United Health — United Health: $255.61
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS WITH MICROSCOPY	$59	$59	$2.91 – $59
Urine test (automated, with microscope): 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $45.75 America's PPO — Americas PPO: $39.53 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $3.23 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $3.17 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $3.23 First Health — First Health: $48.62 HealthPartners — HealthPartners: $9.65 HealthPartners — HealthPartners PMAP: $5.23 Hennepin Health — Hennepin Health: $3.33 Medica — Medica Choice: $34.16
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINALYSIS WITH MICROSCOPY	$59	$59	$19.94 – $53.10
Urine test (automated, with microscope): rates for 8 insurance plans America's PPO — Americas PPO: $36.58 First Health — First Health: $48.62 Medica — Medica Choice: $42.74 Medica — Medica PMAP: $19.94 Medica Other Commercial — Medica Other Commercial: $42.31 Multi Plan — Multi Plan: $53.10 UCare — UCare: $29.73 United Health — United Health: $44.49
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS NONAUTO W/O SCOPE	$430	$430	$3.19 – $430
Urine test (manual, without microscope): 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $333.46 America's PPO — Americas PPO: $288.10 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $3.54 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $3.48 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $3.54 First Health — First Health: $354.32 HealthPartners — HealthPartners: $10.61 HealthPartners — HealthPartners PMAP: $5.76 Hennepin Health — Hennepin Health: $3.65 Medica — Medica Choice: $248.97
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP	$430	$430	$3.19 – $430
Urine test (manual, without microscope): 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $333.46 America's PPO — Americas PPO: $288.10 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $3.54 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $3.48 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $3.54 First Health — First Health: $354.32 HealthPartners — HealthPartners: $10.61 HealthPartners — HealthPartners PMAP: $5.76 Hennepin Health — Hennepin Health: $3.65 Medica — Medica Choice: $248.97
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: U/A NONAUTO W/O MICROSCOPY	$430	$430	$3.19 – $430
Urine test (manual, without microscope): 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $333.46 America's PPO — Americas PPO: $288.10 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $3.54 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $3.48 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $3.54 First Health — First Health: $354.32 HealthPartners — HealthPartners: $10.61 HealthPartners — HealthPartners PMAP: $5.76 Hennepin Health — Hennepin Health: $3.65 Medica — Medica Choice: $248.97
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier QW In the file: URINALYSIS W/O MICROSCOPY	$38	$38	$2.06 – $38
Urine test (automated, without microscope): 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $29.47 America's PPO — Americas PPO: $25.46 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $2.29 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $2.25 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $2.29 First Health — First Health: $31.31 HealthPartners — HealthPartners: $6.75 HealthPartners — HealthPartners PMAP: $3.66 Hennepin Health — Hennepin Health: $2.36 Medica — Medica Choice: $22
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 90 In the file: Urinalysis Auto w/o scope	$32	$32	$2.06 – $32
Urine test (automated, without microscope): 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $24.82 America's PPO — Americas PPO: $21.44 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $2.29 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $2.25 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $2.29 First Health — First Health: $26.37 HealthPartners — HealthPartners: $6.75 HealthPartners — HealthPartners PMAP: $3.66 Hennepin Health — Hennepin Health: $2.36 Medica — Medica Choice: $18.53
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee · modifier QW In the file: URINALYSIS W/O MICROSCOPY	$38	$38	$12.84 – $34.20
Urine test (automated, without microscope): rates for 8 insurance plans America's PPO — Americas PPO: $23.56 First Health — First Health: $31.31 Medica — Medica Choice: $27.53 Medica — Medica PMAP: $12.84 Medica Other Commercial — Medica Other Commercial: $27.25 Multi Plan — Multi Plan: $34.20 UCare — UCare: $19.15 United Health — United Health: $28.65
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 90 In the file: Prostate specific antigen; total	$84	$84	$16.86 – $84
PSA (prostate specific antigen) blood test: 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $65.14 America's PPO — Americas PPO: $56.28 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $18.72 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $18.39 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $18.72 First Health — First Health: $69.22 HealthPartners — HealthPartners: $54.01 HealthPartners — HealthPartners PMAP: $29.31 Hennepin Health — Hennepin Health: $19.29 Medica — Medica Choice: $48.64
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 90 In the file: Assay of PSA Total	$250	$250	$16.86 – $250
PSA (prostate specific antigen) blood test: 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $193.88 America's PPO — Americas PPO: $167.50 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $18.72 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $18.39 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $18.72 First Health — First Health: $206 HealthPartners — HealthPartners: $54.01 HealthPartners — HealthPartners PMAP: $29.31 Hennepin Health — Hennepin Health: $19.29 Medica — Medica Choice: $144.75
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee · modifier 90 In the file: Prostate specific antigen; total	$84	$84	$28.39 – $75.60
PSA (prostate specific antigen) blood test: rates for 8 insurance plans America's PPO — Americas PPO: $52.08 First Health — First Health: $69.22 Medica — Medica Choice: $60.85 Medica — Medica PMAP: $28.39 Medica Other Commercial — Medica Other Commercial: $60.24 Multi Plan — Multi Plan: $75.60 UCare — UCare: $42.33 United Health — United Health: $63.34
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TSH	$195	$195	$15.40 – $195
Thyroid stimulating hormone (TSH) test: 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $151.22 America's PPO — Americas PPO: $130.65 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $17.10 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $16.80 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $17.10 First Health — First Health: $160.68 HealthPartners — HealthPartners: $49.19 HealthPartners — HealthPartners PMAP: $26.69 Hennepin Health — Hennepin Health: $17.62 Medica — Medica Choice: $112.90
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: TSH	$195	$195	$65.91 – $175.50
Thyroid stimulating hormone (TSH) test: rates for 8 insurance plans America's PPO — Americas PPO: $120.90 First Health — First Health: $160.68 Medica — Medica Choice: $141.26 Medica — Medica PMAP: $65.91 Medica Other Commercial — Medica Other Commercial: $139.85 Multi Plan — Multi Plan: $175.50 UCare — UCare: $98.26 United Health — United Health: $147.03
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 90 In the file: ASSAY OF THYROID STIMULATING HORMONE TSH	$297	$297	$15.40 – $297
Thyroid stimulating hormone (TSH) test: 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $230.32 America's PPO — Americas PPO: $198.99 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $17.10 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $16.80 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $17.10 First Health — First Health: $244.73 HealthPartners — HealthPartners: $49.19 HealthPartners — HealthPartners PMAP: $26.69 Hennepin Health — Hennepin Health: $17.62 Medica — Medica Choice: $171.96
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE CBC W/AUTO DIFF WBC	$222	$222	$7.12 – $222
Complete blood count (CBC) with differential: 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $172.16 America's PPO — Americas PPO: $148.74 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $7.91 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $7.77 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $7.91 First Health — First Health: $182.93 HealthPartners — HealthPartners: $23.15 HealthPartners — HealthPartners PMAP: $12.56 Hennepin Health — Hennepin Health: $8.15 Medica — Medica Choice: $128.54
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEMOGRAM AUTO W/AUTO DIFF	$189	$189	$7.12 – $189
Complete blood count (CBC) with differential: 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $146.57 America's PPO — Americas PPO: $126.63 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $7.91 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $7.77 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $7.91 First Health — First Health: $155.74 HealthPartners — HealthPartners: $23.15 HealthPartners — HealthPartners PMAP: $12.56 Hennepin Health — Hennepin Health: $8.15 Medica — Medica Choice: $109.43
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPLETE CBC W/AUTO DIFF WBC	$222	$222	$75.04 – $199.80
Complete blood count (CBC) with differential: rates for 8 insurance plans America's PPO — Americas PPO: $137.64 First Health — First Health: $182.93 Medica — Medica Choice: $160.82 Medica — Medica PMAP: $75.04 Medica Other Commercial — Medica Other Commercial: $159.22 Multi Plan — Multi Plan: $199.80 UCare — UCare: $111.87 United Health — United Health: $167.39
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEMOGRAM & PLATELET COUNT AUTO	$176	$176	$5.93 – $176
Complete blood count (CBC), automated: 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $136.49 America's PPO — Americas PPO: $117.92 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $6.59 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $6.47 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $6.59 First Health — First Health: $145.02 HealthPartners — HealthPartners: $19.29 HealthPartners — HealthPartners PMAP: $10.47 Hennepin Health — Hennepin Health: $6.78 Medica — Medica Choice: $101.90
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HEMOGRAM & PLATELET COUNT AUTO	$176	$176	$59.49 – $158.40
Complete blood count (CBC), automated: rates for 8 insurance plans America's PPO — Americas PPO: $109.12 First Health — First Health: $145.02 Medica — Medica Choice: $127.49 Medica — Medica PMAP: $59.49 Medica Other Commercial — Medica Other Commercial: $126.23 Multi Plan — Multi Plan: $158.40 UCare — UCare: $88.69 United Health — United Health: $132.70
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME - Lab	$135	$135	$3.93 – $135
Blood clotting time test (prothrombin time, PT): 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $104.69 America's PPO — Americas PPO: $90.45 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $4.37 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $4.29 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $4.37 First Health — First Health: $111.24 HealthPartners — HealthPartners: $12.54 HealthPartners — HealthPartners PMAP: $6.80 Hennepin Health — Hennepin Health: $4.50 Medica — Medica Choice: $78.16
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME - Lab	$135	$135	$45.63 – $121.50
Blood clotting time test (prothrombin time, PT): rates for 8 insurance plans America's PPO — Americas PPO: $83.70 First Health — First Health: $111.24 Medica — Medica Choice: $97.79 Medica — Medica PMAP: $45.63 Medica Other Commercial — Medica Other Commercial: $96.82 Multi Plan — Multi Plan: $121.50 UCare — UCare: $68.03 United Health — United Health: $101.79
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 90 In the file: Prothrombin Time	$75	$75	$3.93 – $75
Blood clotting time test (prothrombin time, PT): 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $58.16 America's PPO — Americas PPO: $50.25 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $4.37 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $4.29 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $4.37 First Health — First Health: $61.80 HealthPartners — HealthPartners: $12.54 HealthPartners — HealthPartners PMAP: $6.80 Hennepin Health — Hennepin Health: $4.50 Medica — Medica Choice: $43.42
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PTT PARTIAL THROMBOPLAST	$146	$146	$5.51 – $146
Blood clotting test (partial thromboplastin time, PTT): 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $113.22 America's PPO — Americas PPO: $97.82 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $6.12 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $6.01 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $6.12 First Health — First Health: $120.30 HealthPartners — HealthPartners: $17.36 HealthPartners — HealthPartners PMAP: $9.42 Hennepin Health — Hennepin Health: $6.30 Medica — Medica Choice: $84.53
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PTT PARTIAL THROMBOPLAST	$146	$146	$49.35 – $131.40
Blood clotting test (partial thromboplastin time, PTT): rates for 8 insurance plans America's PPO — Americas PPO: $90.52 First Health — First Health: $120.30 Medica — Medica Choice: $105.76 Medica — Medica PMAP: $49.35 Medica Other Commercial — Medica Other Commercial: $104.71 Multi Plan — Multi Plan: $131.40 UCare — UCare: $73.57 United Health — United Health: $110.08
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 90 In the file: Thromboplastin Time Partial	$81	$81	$5.51 – $81
Blood clotting test (partial thromboplastin time, PTT): 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $62.82 America's PPO — Americas PPO: $54.27 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $6.12 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $6.01 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $6.12 First Health — First Health: $66.74 HealthPartners — HealthPartners: $17.36 HealthPartners — HealthPartners PMAP: $9.42 Hennepin Health — Hennepin Health: $6.30 Medica — Medica Choice: $46.90

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) · Doctor (professional) fee In the file: 70450 PF CT Head w/o Cont	$228	$228	$76.37 – $228
CT scan of the head or brain, without contrast: 10 of 36 insurance plan rates Allina Health and Aetna Insurance Company — Allina Aetna Professional: $107.37 America's PPO — Americas PPO Professional: $152.76 Blue Cross — Blue Cross Audiology Professional: $205.20 Blue Cross — Blue Cross Behavioral Health Professional: $218.17 Blue Cross — Blue Cross FEP Audiology Professional: $201.51 Blue Cross — Blue Cross FEP Behavioral Health Professional: $214.31 Blue Cross — Blue Cross FEP Heart Clinic Professional: $125.40 Blue Cross — Blue Cross FEP MultiSpecialty Professional: $201.51 Blue Cross — Blue Cross FEP Pathology Professional: $201.51 Blue Cross — Blue Cross FEP Radiology Professional: $201.51
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT HEAD WO CONT	$1,627	$1,627	$39.82 – $1,627
CT scan of the head or brain, without contrast: 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $1,261.74 America's PPO — Americas PPO: $1,090.09 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $255.06 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $250.55 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $39.82 First Health — First Health: $1,340.65 HealthPartners — HealthPartners: $118.21 HealthPartners — HealthPartners PMAP: $85.16 Hennepin Health — Hennepin Health: $104.59 Medica — Medica Choice: $1,241.96
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT HEAD WO CONT	$1,627	$1,627	$549.93 – $1,464.30
CT scan of the head or brain, without contrast: rates for 8 insurance plans America's PPO — Americas PPO: $1,008.74 First Health — First Health: $1,340.65 Medica — Medica Choice: $1,178.60 Medica — Medica PMAP: $549.93 Medica Other Commercial — Medica Other Commercial: $1,166.88 Multi Plan — Multi Plan: $1,464.30 UCare — UCare: $819.85 United Health — United Health: $1,226.76
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: 70553 PF MRI Brain Limited w/wo Contrast	$641	$641	$228.20 – $641
MRI of the brain, before and after contrast: 10 of 36 insurance plan rates Allina Health and Aetna Insurance Company — Allina Aetna Professional: $320.09 America's PPO — Americas PPO Professional: $429.47 Blue Cross — Blue Cross Audiology Professional: $576.90 Blue Cross — Blue Cross Behavioral Health Professional: $641 Blue Cross — Blue Cross FEP Audiology Professional: $566.52 Blue Cross — Blue Cross FEP Behavioral Health Professional: $641 Blue Cross — Blue Cross FEP Heart Clinic Professional: $352.55 Blue Cross — Blue Cross FEP MultiSpecialty Professional: $566.52 Blue Cross — Blue Cross FEP Pathology Professional: $566.52 Blue Cross — Blue Cross FEP Radiology Professional: $566.52
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI BRAIN W/WO CONT- RAD	$5,032	$5,032	$133.76 – $5,032
MRI of the brain, before and after contrast: 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $3,902.32 America's PPO — Americas PPO: $3,371.44 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $856.58 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $841.43 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $133.76 First Health — First Health: $4,146.37 HealthPartners — HealthPartners: $1,131.30 HealthPartners — HealthPartners PMAP: $286 Hennepin Health — Hennepin Health: $349.01 Medica — Medica Choice: $1,930.13
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI BRAIN W/WO CONT	$5,032	$5,032	$133.76 – $5,032
MRI of the brain, before and after contrast: 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $3,902.32 America's PPO — Americas PPO: $3,371.44 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $856.58 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $841.43 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $133.76 First Health — First Health: $4,146.37 HealthPartners — HealthPartners: $1,131.30 HealthPartners — HealthPartners PMAP: $286 Hennepin Health — Hennepin Health: $349.01 Medica — Medica Choice: $1,930.13
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: 71046 RADIOLOGIC EXAM CHEST 2 VIEWS	$45	$45	$23.52 – $45
Chest X-ray, 2 views: 10 of 36 insurance plan rates Allina Health and Aetna Insurance Company — Allina Aetna Professional: $33.33 America's PPO — Americas PPO Professional: $30.15 Blue Cross — Blue Cross Audiology Professional: $40.50 Blue Cross — Blue Cross Behavioral Health Professional: $45 Blue Cross — Blue Cross FEP Audiology Professional: $39.77 Blue Cross — Blue Cross FEP Behavioral Health Professional: $45 Blue Cross — Blue Cross FEP Heart Clinic Professional: $24.75 Blue Cross — Blue Cross FEP MultiSpecialty Professional: $39.77 Blue Cross — Blue Cross FEP Pathology Professional: $39.77 Blue Cross — Blue Cross FEP Radiology Professional: $39.77
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CHEST 2 V ONLY PORT	$833	$833	$32.97 – $833
Chest X-ray, 2 views: 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $645.99 America's PPO — Americas PPO: $558.11 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $211.18 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $207.45 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $32.97 First Health — First Health: $686.39 HealthPartners — HealthPartners: $98.35 HealthPartners — HealthPartners PMAP: $70.51 Hennepin Health — Hennepin Health: $87.06 Medica — Medica Choice: $482.31
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CHEST 2 VIEW ONLY	$755	$755	$32.97 – $755
Chest X-ray, 2 views: 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $585.50 America's PPO — Americas PPO: $505.85 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $211.18 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $207.45 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $32.97 First Health — First Health: $622.12 HealthPartners — HealthPartners: $98.35 HealthPartners — HealthPartners PMAP: $70.51 Hennepin Health — Hennepin Health: $87.06 Medica — Medica Choice: $437.14
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: 72110 PF Rad Spine Lumbar Comp w Obli	$83	$83	$36.67 – $83
X-ray of the lower spine, at least 4 views: 10 of 36 insurance plan rates Allina Health and Aetna Insurance Company — Allina Aetna Professional: $54.01 America's PPO — Americas PPO Professional: $55.61 Blue Cross — Blue Cross Audiology Professional: $74.70 Blue Cross — Blue Cross Behavioral Health Professional: $83 Blue Cross — Blue Cross FEP Audiology Professional: $73.36 Blue Cross — Blue Cross FEP Behavioral Health Professional: $83 Blue Cross — Blue Cross FEP Heart Clinic Professional: $45.65 Blue Cross — Blue Cross FEP MultiSpecialty Professional: $73.36 Blue Cross — Blue Cross FEP Pathology Professional: $73.36 Blue Cross — Blue Cross FEP Radiology Professional: $73.36
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SPINE LUMBAR 4 VIEW MIN	$458	$458	$39.82 – $458
X-ray of the lower spine, at least 4 views: 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $355.18 America's PPO — Americas PPO: $306.86 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $255.06 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $250.55 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $39.82 First Health — First Health: $377.39 HealthPartners — HealthPartners: $118.21 HealthPartners — HealthPartners PMAP: $85.16 Hennepin Health — Hennepin Health: $104.59 Medica — Medica Choice: $265.18
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SPINE LUMBAR 4 VIEW MIN	$458	$458	$154.80 – $412.20
X-ray of the lower spine, at least 4 views: rates for 8 insurance plans America's PPO — Americas PPO: $283.96 First Health — First Health: $377.39 Medica — Medica Choice: $331.78 Medica — Medica PMAP: $154.80 Medica Other Commercial — Medica Other Commercial: $328.48 Multi Plan — Multi Plan: $412.20 UCare — UCare: $230.79 United Health — United Health: $345.33
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: 72148 PF MRI Spine Lumbar w/o Cont	$401	$401	$136.63 – $401
MRI of the lower back (lumbar spine), without contrast: 10 of 36 insurance plan rates Allina Health and Aetna Insurance Company — Allina Aetna Professional: $193.43 America's PPO — Americas PPO Professional: $268.67 Blue Cross — Blue Cross Audiology Professional: $360.90 Blue Cross — Blue Cross Behavioral Health Professional: $394.85 Blue Cross — Blue Cross FEP Audiology Professional: $354.40 Blue Cross — Blue Cross FEP Behavioral Health Professional: $387.87 Blue Cross — Blue Cross FEP Heart Clinic Professional: $220.55 Blue Cross — Blue Cross FEP MultiSpecialty Professional: $354.40 Blue Cross — Blue Cross FEP Pathology Professional: $354.40 Blue Cross — Blue Cross FEP Radiology Professional: $354.40
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI SPINE LUMBAR WO CONT- RAD	$3,241	$3,241	$90.53 – $3,241
MRI of the lower back (lumbar spine), without contrast: 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $2,513.40 America's PPO — Americas PPO: $2,171.47 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $579.77 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $569.52 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $90.53 First Health — First Health: $2,670.58 HealthPartners — HealthPartners: $1,129.58 HealthPartners — HealthPartners PMAP: $193.58 Hennepin Health — Hennepin Health: $238.70 Medica — Medica Choice: $1,930.13
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI SPINE LUMBAR WO CONT	$3,241	$3,241	$90.53 – $3,241
MRI of the lower back (lumbar spine), without contrast: 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $2,513.40 America's PPO — Americas PPO: $2,171.47 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $579.77 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $569.52 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $90.53 First Health — First Health: $2,670.58 HealthPartners — HealthPartners: $1,129.58 HealthPartners — HealthPartners PMAP: $193.58 Hennepin Health — Hennepin Health: $238.70 Medica — Medica Choice: $1,930.13
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: 72193 PF CT Pelvis w/ Cont	$317	$317	$163.03 – $317
CT scan of the pelvis, with contrast: 10 of 36 insurance plan rates Allina Health and Aetna Insurance Company — Allina Aetna Professional: $229.04 America's PPO — Americas PPO Professional: $212.39 Blue Cross — Blue Cross Audiology Professional: $285.30 Blue Cross — Blue Cross Behavioral Health Professional: $317 Blue Cross — Blue Cross FEP Audiology Professional: $280.16 Blue Cross — Blue Cross FEP Behavioral Health Professional: $317 Blue Cross — Blue Cross FEP Heart Clinic Professional: $174.35 Blue Cross — Blue Cross FEP MultiSpecialty Professional: $280.16 Blue Cross — Blue Cross FEP Pathology Professional: $280.16 Blue Cross — Blue Cross FEP Radiology Professional: $280.16
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT PELVIS W/CONT	$1,633	$1,633	$66.67 – $1,633
CT scan of the pelvis, with contrast: 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $1,266.39 America's PPO — Americas PPO: $1,094.11 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $426.98 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $419.43 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $66.67 First Health — First Health: $1,345.59 HealthPartners — HealthPartners: $661.42 HealthPartners — HealthPartners PMAP: $142.56 Hennepin Health — Hennepin Health: $175.47 Medica — Medica Choice: $1,241.96
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT PELVIS W/CONT	$1,633	$1,633	$551.95 – $1,469.70
CT scan of the pelvis, with contrast: rates for 8 insurance plans America's PPO — Americas PPO: $1,012.46 First Health — First Health: $1,345.59 Medica — Medica Choice: $1,182.95 Medica — Medica PMAP: $551.95 Medica Other Commercial — Medica Other Commercial: $1,171.19 Multi Plan — Multi Plan: $1,469.70 UCare — UCare: $822.87 United Health — United Health: $1,231.28
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: 73721 MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL	$367	$367	$145.74 – $367
MRI of a leg joint (such as the knee), without contrast: 10 of 36 insurance plan rates Allina Health and Aetna Insurance Company — Allina Aetna Professional: $206.86 America's PPO — Americas PPO Professional: $245.89 Blue Cross — Blue Cross Audiology Professional: $330.30 Blue Cross — Blue Cross Behavioral Health Professional: $367 Blue Cross — Blue Cross FEP Audiology Professional: $324.35 Blue Cross — Blue Cross FEP Behavioral Health Professional: $367 Blue Cross — Blue Cross FEP Heart Clinic Professional: $201.85 Blue Cross — Blue Cross FEP MultiSpecialty Professional: $324.35 Blue Cross — Blue Cross FEP Pathology Professional: $324.35 Blue Cross — Blue Cross FEP Radiology Professional: $324.35
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: MRI EXT LOW LT JT WO CONT- RAD	$2,615	$2,615	$90.53 – $2,615
MRI of a leg joint (such as the knee), without contrast: 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $2,027.93 America's PPO — Americas PPO: $1,752.05 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $579.77 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $569.52 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $90.53 First Health — First Health: $2,154.76 HealthPartners — HealthPartners: $1,129.58 HealthPartners — HealthPartners PMAP: $193.58 Hennepin Health — Hennepin Health: $238.70 Medica — Medica Choice: $1,930.13
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: MRI EXT LOW LT JT WO CONT	$2,615	$2,615	$90.53 – $2,615
MRI of a leg joint (such as the knee), without contrast: 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $2,027.93 America's PPO — Americas PPO: $1,752.05 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $579.77 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $569.52 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $90.53 First Health — First Health: $2,154.76 HealthPartners — HealthPartners: $1,129.58 HealthPartners — HealthPartners PMAP: $193.58 Hennepin Health — Hennepin Health: $238.70 Medica — Medica Choice: $1,930.13
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: 74177 PF CT Abdomen & Pelvis w/ Contrast	$606	$606	$216.53 – $606
CT scan of the abdomen and pelvis, with contrast: 10 of 36 insurance plan rates Allina Health and Aetna Insurance Company — Allina Aetna Professional: $304.08 America's PPO — Americas PPO Professional: $406.02 Blue Cross — Blue Cross Audiology Professional: $545.40 Blue Cross — Blue Cross Behavioral Health Professional: $606 Blue Cross — Blue Cross FEP Audiology Professional: $535.58 Blue Cross — Blue Cross FEP Behavioral Health Professional: $606 Blue Cross — Blue Cross FEP Heart Clinic Professional: $333.30 Blue Cross — Blue Cross FEP MultiSpecialty Professional: $535.58 Blue Cross — Blue Cross FEP Pathology Professional: $535.58 Blue Cross — Blue Cross FEP Radiology Professional: $535.58
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT ABDOMEN & PELVIS W/ CONT	$3,220	$3,220	$133.76 – $3,220
CT scan of the abdomen and pelvis, with contrast: 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $2,497.11 America's PPO — Americas PPO: $2,157.40 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $856.58 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $841.43 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $133.76 First Health — First Health: $2,653.28 HealthPartners — HealthPartners: $1,131.30 HealthPartners — HealthPartners PMAP: $286 Hennepin Health — Hennepin Health: $349.01 Medica — Medica Choice: $1,241.96
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT ABD & PELVIS W/ CONT ED	$3,583	$3,583	$133.76 – $3,583
CT scan of the abdomen and pelvis, with contrast: 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $2,778.62 America's PPO — Americas PPO: $2,400.61 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $856.58 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $841.43 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $133.76 First Health — First Health: $2,952.39 HealthPartners — HealthPartners: $1,131.30 HealthPartners — HealthPartners PMAP: $286 Hennepin Health — Hennepin Health: $349.01 Medica — Medica Choice: $1,241.96
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: 76700 US Abdomen Complete	$219	$219	$81.04 – $219
Ultrasound of the abdomen, complete: 10 of 36 insurance plan rates Allina Health and Aetna Insurance Company — Allina Aetna Professional: $115.31 America's PPO — Americas PPO Professional: $146.73 Blue Cross — Blue Cross Audiology Professional: $197.10 Blue Cross — Blue Cross Behavioral Health Professional: $219 Blue Cross — Blue Cross FEP Audiology Professional: $193.55 Blue Cross — Blue Cross FEP Behavioral Health Professional: $219 Blue Cross — Blue Cross FEP Heart Clinic Professional: $120.45 Blue Cross — Blue Cross FEP MultiSpecialty Professional: $193.55 Blue Cross — Blue Cross FEP Pathology Professional: $193.55 Blue Cross — Blue Cross FEP Radiology Professional: $193.55
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US ABDOMEN COMPLETE	$945	$945	$39.82 – $945
Ultrasound of the abdomen, complete: 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $732.85 America's PPO — Americas PPO: $633.15 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $255.06 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $250.55 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $39.82 First Health — First Health: $778.68 HealthPartners — HealthPartners: $118.21 HealthPartners — HealthPartners PMAP: $85.16 Hennepin Health — Hennepin Health: $104.59 Medica — Medica Choice: $547.15
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US ABDOMEN COMPLETE PORTABLE	$1,276	$1,276	$39.82 – $1,276
Ultrasound of the abdomen, complete: 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $989.54 America's PPO — Americas PPO: $854.92 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $255.06 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $250.55 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $39.82 First Health — First Health: $1,051.42 HealthPartners — HealthPartners: $118.21 HealthPartners — HealthPartners PMAP: $85.16 Hennepin Health — Hennepin Health: $104.59 Medica — Medica Choice: $738.80
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: 76805 US Pregnancy Complete	$261	$261	$95.82 – $261
Pregnancy ultrasound (after the first trimester): 10 of 36 insurance plan rates Allina Health and Aetna Insurance Company — Allina Aetna Professional: $137.23 America's PPO — Americas PPO Professional: $174.87 Blue Cross — Blue Cross Audiology Professional: $234.90 Blue Cross — Blue Cross Behavioral Health Professional: $261 Blue Cross — Blue Cross FEP Audiology Professional: $230.67 Blue Cross — Blue Cross FEP Behavioral Health Professional: $261 Blue Cross — Blue Cross FEP Heart Clinic Professional: $143.55 Blue Cross — Blue Cross FEP MultiSpecialty Professional: $230.67 Blue Cross — Blue Cross FEP Pathology Professional: $230.67 Blue Cross — Blue Cross FEP Radiology Professional: $230.67
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US PREGNANCY COMPLETE	$1,368	$1,368	$39.82 – $1,368
Pregnancy ultrasound (after the first trimester): 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $1,060.88 America's PPO — Americas PPO: $916.56 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $255.06 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $250.55 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $39.82 First Health — First Health: $1,127.23 HealthPartners — HealthPartners: $118.21 HealthPartners — HealthPartners PMAP: $85.16 Hennepin Health — Hennepin Health: $104.59 Medica — Medica Choice: $792.07
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US PREG GT 1ST TRI SINGLE FETUS	$297	$297	$39.82 – $297
Pregnancy ultrasound (after the first trimester): 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $230.32 America's PPO — Americas PPO: $198.99 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $255.06 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $250.55 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $39.82 First Health — First Health: $244.73 HealthPartners — HealthPartners: $118.21 HealthPartners — HealthPartners PMAP: $85.16 Hennepin Health — Hennepin Health: $116.06 Medica — Medica Choice: $171.96
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: 76830 US Transvaginal	$181	$181	$83.15 – $181
Transvaginal ultrasound: 10 of 36 insurance plan rates Allina Health and Aetna Insurance Company — Allina Aetna Professional: $118.86 America's PPO — Americas PPO Professional: $121.27 Blue Cross — Blue Cross Audiology Professional: $162.90 Blue Cross — Blue Cross Behavioral Health Professional: $181 Blue Cross — Blue Cross FEP Audiology Professional: $159.97 Blue Cross — Blue Cross FEP Behavioral Health Professional: $181 Blue Cross — Blue Cross FEP Heart Clinic Professional: $99.55 Blue Cross — Blue Cross FEP MultiSpecialty Professional: $159.97 Blue Cross — Blue Cross FEP Pathology Professional: $159.97 Blue Cross — Blue Cross FEP Radiology Professional: $159.97
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US TRANSVAGINAL	$933	$933	$39.82 – $933
Transvaginal ultrasound: 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $723.54 America's PPO — Americas PPO: $625.11 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $255.06 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $250.55 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $39.82 First Health — First Health: $768.79 HealthPartners — HealthPartners: $118.21 HealthPartners — HealthPartners PMAP: $85.16 Hennepin Health — Hennepin Health: $104.59 Medica — Medica Choice: $540.21
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US TRANSVAGINAL	$933	$933	$315.35 – $839.70
Transvaginal ultrasound: rates for 8 insurance plans America's PPO — Americas PPO: $578.46 First Health — First Health: $768.79 Medica — Medica Choice: $675.87 Medica — Medica PMAP: $315.35 Medica Other Commercial — Medica Other Commercial: $669.15 Multi Plan — Multi Plan: $839.70 UCare — UCare: $470.14 United Health — United Health: $703.48

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: 93000 12 Lead EKG; Global	$75	$75	$9.81 – $67.33
Electrocardiogram (ECG/EKG) with reading: 10 of 36 insurance plan rates Allina Health and Aetna Insurance Company — Allina Aetna Professional: $15.16 America's PPO — Americas PPO Professional: $50.25 Blue Cross — Blue Cross Audiology Professional: $17.16 Blue Cross — Blue Cross Behavioral Health Professional: $25.46 Blue Cross — Blue Cross FEP Audiology Professional: $16.86 Blue Cross — Blue Cross FEP Behavioral Health Professional: $25.01 Blue Cross — Blue Cross FEP Heart Clinic Professional: $41.25 Blue Cross — Blue Cross FEP MultiSpecialty Professional: $25.01 Blue Cross — Blue Cross FEP Pathology Professional: $26.78 Blue Cross — Blue Cross FEP Radiology Professional: $41.83
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: 93452 LEFT HRT CATH W/VENTRCLGRPHY	$950	$950	$522.50 – $950
Left heart catheterization (diagnostic): 10 of 36 insurance plan rates Allina Health and Aetna Insurance Company — Allina Aetna Professional: $875.23 America's PPO — Americas PPO Professional: $636.50 Blue Cross — Blue Cross Audiology Professional: $855 Blue Cross — Blue Cross Behavioral Health Professional: $950 Blue Cross — Blue Cross FEP Audiology Professional: $839.61 Blue Cross — Blue Cross FEP Behavioral Health Professional: $950 Blue Cross — Blue Cross FEP Heart Clinic Professional: $522.50 Blue Cross — Blue Cross FEP MultiSpecialty Professional: $839.61 Blue Cross — Blue Cross FEP Pathology Professional: $839.61 Blue Cross — Blue Cross FEP Radiology Professional: $839.61
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LT HEARTH CATH W INJ VENTRICUL	$2,651	$2,651	$445.63 – $7,714.59
Left heart catheterization (diagnostic): 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $2,055.85 America's PPO — Americas PPO: $1,776.17 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $7,714.59 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $7,578.18 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $1,204.62 First Health — First Health: $2,184.42 HealthPartners — HealthPartners: $3,583.19 HealthPartners — HealthPartners PMAP: $2,575.83 Hennepin Health — Hennepin Health: $3,243.21 Medica — Medica Choice: $1,065.70
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LT HEARTH CATH W INJ VENTRICUL	$2,651	$2,651	$896.04 – $2,385.90
Left heart catheterization (diagnostic): rates for 8 insurance plans America's PPO — Americas PPO: $1,643.62 First Health — First Health: $2,184.42 Medica — Medica Choice: $1,920.38 Medica — Medica PMAP: $896.04 Medica Other Commercial — Medica Other Commercial: $1,901.30 Multi Plan — Multi Plan: $2,385.90 UCare — UCare: $1,335.84 United Health — United Health: $1,998.85
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: 93619 Comprehensive EP Evaluation W/O a Induction	$1,348	$1,348	$435.61 – $1,348
Heart rhythm study (electrophysiology evaluation): 10 of 35 insurance plan rates Allina Health and Aetna Insurance Company — Allina Aetna Professional: $674 America's PPO — Americas PPO Professional: $903.16 Blue Cross — Blue Cross Audiology Professional: $465.42 Blue Cross — Blue Cross Behavioral Health Professional: $663.23 Blue Cross — Blue Cross FEP Audiology Professional: $457.19 Blue Cross — Blue Cross FEP Behavioral Health Professional: $651.50 Blue Cross — Blue Cross FEP Heart Clinic Professional: $741.40 Blue Cross — Blue Cross FEP MultiSpecialty Professional: $651.50 Blue Cross — Blue Cross FEP Pathology Professional: $697.42 Blue Cross — Blue Cross FEP Radiology Professional: $1,089.54
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CV EP EVAL COMP WO ARRHYTHM	$12,173	$12,173	$2,046.28 – $18,200.13
Heart rhythm study (electrophysiology evaluation): 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $9,440.16 America's PPO — Americas PPO: $8,155.91 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $18,200.13 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $17,878.32 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $2,841.91 First Health — First Health: $10,030.55 HealthPartners — HealthPartners: $8,453.83 HealthPartners — HealthPartners PMAP: $6,076.85 Hennepin Health — Hennepin Health: $7,802.73 Medica — Medica Choice: $4,893.55
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CV EP EVAL COMP WO ARRHYTHM	$12,173	$12,173	$4,114.47 – $10,955.70
Heart rhythm study (electrophysiology evaluation): rates for 8 insurance plans America's PPO — Americas PPO: $7,547.26 First Health — First Health: $10,030.55 Medica — Medica Choice: $8,818.12 Medica — Medica PMAP: $4,114.47 Medica Other Commercial — Medica Other Commercial: $8,730.48 Multi Plan — Multi Plan: $10,955.70 UCare — UCare: $6,133.97 United Health — United Health: $9,178.44
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TX ATRIAL FIB PULM VEIN ISOL	$27,125	$27,125	$4,559.71 – $58,840.96
Heart rhythm study with ablation for atrial fibrillation: 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $21,035.44 America's PPO — Americas PPO: $18,173.75 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $58,840.96 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $57,800.55 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $9,187.89 First Health — First Health: $22,351 HealthPartners — HealthPartners: $27,330.42 HealthPartners — HealthPartners PMAP: $19,646.42 Hennepin Health — Hennepin Health: $26,148.13 Medica — Medica Choice: $10,904.25
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) · Hospital (facility) fee In the file: TX ATRIAL FIB PULM VEIN ISOL	$27,125	$27,125	$9,168.25 – $24,412.50
Heart rhythm study with ablation for atrial fibrillation: rates for 8 insurance plans America's PPO — Americas PPO: $16,817.50 First Health — First Health: $22,351 Medica — Medica Choice: $19,649.35 Medica — Medica PMAP: $9,168.25 Medica Other Commercial — Medica Other Commercial: $19,454.05 Multi Plan — Multi Plan: $24,412.50 UCare — UCare: $13,668.29 United Health — United Health: $20,452.25
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: COMPRE EP EVAL ABLTJ ATR FIB	Not listed in the file	Not listed in the file	$9,187.89 – $58,840.96
Heart rhythm study with ablation for atrial fibrillation: 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $7,755 America's PPO — Americas PPO: $36,481.40 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $58,840.96 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $57,800.55 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $9,187.89 First Health — First Health: $48,484.95 HealthPartners — HealthPartners: $40,995.63 HealthPartners — HealthPartners PMAP: $29,469.63 Hennepin Health — Hennepin Health: $26,148.13 Medica — Medica Choice: $42,624.39
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: 95810 Polysom 6 yr or GT Sleep 4/GT Addl Param Attnd	$524	$524	$288.20 – $524
Sleep study (overnight, in a sleep lab): 10 of 36 insurance plan rates Allina Health and Aetna Insurance Company — Allina Aetna Professional: $524 America's PPO — Americas PPO Professional: $351.08 Blue Cross — Blue Cross Audiology Professional: $471.60 Blue Cross — Blue Cross Behavioral Health Professional: $524 Blue Cross — Blue Cross FEP Audiology Professional: $463.11 Blue Cross — Blue Cross FEP Behavioral Health Professional: $524 Blue Cross — Blue Cross FEP Heart Clinic Professional: $288.20 Blue Cross — Blue Cross FEP MultiSpecialty Professional: $463.11 Blue Cross — Blue Cross FEP Pathology Professional: $463.11 Blue Cross — Blue Cross FEP Radiology Professional: $463.11
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSG 6 ORGT HRS 4 ORGT CHNLS =GT6Y	$5,729	$5,729	$381.04 – $5,729
Sleep study (overnight, in a sleep lab): 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $4,442.84 America's PPO — Americas PPO: $3,838.43 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $2,440.22 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $2,397.07 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $381.04 First Health — First Health: $4,720.70 HealthPartners — HealthPartners: $1,133.47 HealthPartners — HealthPartners PMAP: $814.77 Hennepin Health — Hennepin Health: $859.08 Medica — Medica Choice: $3,317.09
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSG 6 ORGT HRS 4 ORGT CHNLS =GT6Y	$5,729	$5,729	$1,936.40 – $5,156.10
Sleep study (overnight, in a sleep lab): rates for 8 insurance plans America's PPO — Americas PPO: $3,551.98 First Health — First Health: $4,720.70 Medica — Medica Choice: $4,150.09 Medica — Medica PMAP: $1,936.40 Medica Other Commercial — Medica Other Commercial: $4,108.84 Multi Plan — Multi Plan: $5,156.10 UCare — UCare: $2,886.84 United Health — United Health: $4,319.67

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: OT BMTHW THERAPY EXERCISE 15 M- REH	$97	$97	$20.17 – $97
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $75.22 America's PPO — Americas PPO: $64.99 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $83.39 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $81.92 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $41.70 First Health — First Health: $79.93 HealthPartners — HealthPartners: $84.88 HealthPartners — HealthPartners PMAP: $46.06 Hennepin Health — Hennepin Health: $24.32 Medica — Medica Choice: $56.16
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OT BMTHW THERAPY EXERCISE 15 M- REH	$97	$97	$32.79 – $87.30
Physical therapy: therapeutic exercise (each 15 minutes): rates for 8 insurance plans America's PPO — Americas PPO: $60.14 First Health — First Health: $79.93 Medica — Medica Choice: $70.27 Medica — Medica PMAP: $32.79 Medica Other Commercial — Medica Other Commercial: $69.57 Multi Plan — Multi Plan: $87.30 UCare — UCare: $48.88 United Health — United Health: $73.14
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OT BMTHW THERAPY EXERCISE 15 M- REH	$97	$97	$29.89
Physical therapy: therapeutic exercise (each 15 minutes): rates for 1 insurance plan WI MA — WI MA: $29.89
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier GP In the file: 97161 Physical Therapy Evaluation Low Complexity	$219	$219	$62.66 – $197.10
Physical therapy evaluation (low complexity): 10 of 36 insurance plan rates Allina Health and Aetna Insurance Company — Allina Aetna Professional: $98.97 America's PPO — Americas PPO Professional: $146.73 Blue Cross — Blue Cross Audiology Professional: $127.49 Blue Cross — Blue Cross Behavioral Health Professional: $134.61 Blue Cross — Blue Cross FEP Audiology Professional: $125.24 Blue Cross — Blue Cross FEP Behavioral Health Professional: $132.23 Blue Cross — Blue Cross FEP Heart Clinic Professional: $120.45 Blue Cross — Blue Cross FEP MultiSpecialty Professional: $132.23 Blue Cross — Blue Cross FEP Pathology Professional: $132.23 Blue Cross — Blue Cross FEP Radiology Professional: $193.55
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT BMTH LOW COMPLEXITY EVAL- REH	$762	$762	$69 – $762
Physical therapy evaluation (low complexity): 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $590.93 America's PPO — Americas PPO: $510.54 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $283.90 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $278.88 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $141.95 First Health — First Health: $627.89 HealthPartners — HealthPartners: $291.28 HealthPartners — HealthPartners PMAP: $158.07 Hennepin Health — Hennepin Health: $82.75 Medica — Medica Choice: $441.20
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT CTH LOW COMPLEXITY EVAL- REH	$762	$762	$69 – $762
Physical therapy evaluation (low complexity): 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $590.93 America's PPO — Americas PPO: $510.54 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $283.90 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $278.88 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $141.95 First Health — First Health: $627.89 HealthPartners — HealthPartners: $291.28 HealthPartners — HealthPartners PMAP: $158.07 Hennepin Health — Hennepin Health: $82.75 Medica — Medica Choice: $441.20
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier GP In the file: 97162 Physical Therapy Evaluation Moderate Complexity	$219	$219	$62.66 – $197.10
Physical therapy evaluation (moderate complexity): 10 of 36 insurance plan rates Allina Health and Aetna Insurance Company — Allina Aetna Professional: $98.97 America's PPO — Americas PPO Professional: $146.73 Blue Cross — Blue Cross Audiology Professional: $127.49 Blue Cross — Blue Cross Behavioral Health Professional: $134.61 Blue Cross — Blue Cross FEP Audiology Professional: $125.24 Blue Cross — Blue Cross FEP Behavioral Health Professional: $132.23 Blue Cross — Blue Cross FEP Heart Clinic Professional: $120.45 Blue Cross — Blue Cross FEP MultiSpecialty Professional: $132.23 Blue Cross — Blue Cross FEP Pathology Professional: $132.23 Blue Cross — Blue Cross FEP Radiology Professional: $193.55
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT BMTH MODERATE COMPLEX EVAL- REH	$835	$835	$69 – $835
Physical therapy evaluation (moderate complexity): 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $647.54 America's PPO — Americas PPO: $559.45 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $283.90 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $278.88 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $141.95 First Health — First Health: $688.04 HealthPartners — HealthPartners: $291.28 HealthPartners — HealthPartners PMAP: $158.07 Hennepin Health — Hennepin Health: $82.75 Medica — Medica Choice: $483.46
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT CTH MODERATE COMPLEX EVAL- REH	$835	$835	$69 – $835
Physical therapy evaluation (moderate complexity): 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $647.54 America's PPO — Americas PPO: $559.45 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $283.90 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $278.88 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $141.95 First Health — First Health: $688.04 HealthPartners — HealthPartners: $291.28 HealthPartners — HealthPartners PMAP: $158.07 Hennepin Health — Hennepin Health: $82.75 Medica — Medica Choice: $483.46
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier GP In the file: 97163 Physical Therapy Evaluation High Complexity	$219	$219	$62.66 – $197.10
Physical therapy evaluation (high complexity): 10 of 36 insurance plan rates Allina Health and Aetna Insurance Company — Allina Aetna Professional: $98.97 America's PPO — Americas PPO Professional: $146.73 Blue Cross — Blue Cross Audiology Professional: $127.49 Blue Cross — Blue Cross Behavioral Health Professional: $134.61 Blue Cross — Blue Cross FEP Audiology Professional: $125.24 Blue Cross — Blue Cross FEP Behavioral Health Professional: $132.23 Blue Cross — Blue Cross FEP Heart Clinic Professional: $120.45 Blue Cross — Blue Cross FEP MultiSpecialty Professional: $132.23 Blue Cross — Blue Cross FEP Pathology Professional: $132.23 Blue Cross — Blue Cross FEP Radiology Professional: $193.55
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT BMTH HIGH COMPLEXITY EVAL- REH	$882	$882	$69 – $882
Physical therapy evaluation (high complexity): 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $683.99 America's PPO — Americas PPO: $590.94 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $283.90 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $278.88 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $141.95 First Health — First Health: $726.77 HealthPartners — HealthPartners: $291.28 HealthPartners — HealthPartners PMAP: $158.07 Hennepin Health — Hennepin Health: $82.75 Medica — Medica Choice: $510.68
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT CTH HIGH COMPLEXITY EVAL- REH	$882	$882	$69 – $882
Physical therapy evaluation (high complexity): 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $683.99 America's PPO — Americas PPO: $590.94 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $283.90 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $278.88 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $141.95 First Health — First Health: $726.77 HealthPartners — HealthPartners: $291.28 HealthPartners — HealthPartners PMAP: $158.07 Hennepin Health — Hennepin Health: $82.75 Medica — Medica Choice: $510.68
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: 90832 Psychotherapy 30 min	$213	$213	$52.78 – $213
Psychotherapy, 30 minutes: 10 of 37 insurance plan rates Allina Health and Aetna Insurance Company — Allina Aetna Professional: $213 America's PPO — Americas PPO Professional: $142.71 Blue Cross — Blue Cross Audiology Professional: $91.95 Blue Cross — Blue Cross Behavioral Health Professional: $117.15 Blue Cross — Blue Cross FEP Audiology Professional: $90.32 Blue Cross — Blue Cross FEP Behavioral Health Professional: $117.15 Blue Cross — Blue Cross FEP Heart Clinic Professional: $117.15 Blue Cross — Blue Cross FEP MultiSpecialty Professional: $117.15 Blue Cross — Blue Cross FEP Pathology Professional: $146.33 Blue Cross — Blue Cross FEP Radiology Professional: $188.25
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Inpt Telemedicine Psychotherapy 30 min	$213	$213	$52.78 – $213
Psychotherapy, 30 minutes: 10 of 37 insurance plan rates Allina Health and Aetna Insurance Company — Allina Aetna Professional: $213 America's PPO — Americas PPO Professional: $142.71 Blue Cross — Blue Cross Audiology Professional: $91.95 Blue Cross — Blue Cross Behavioral Health Professional: $117.15 Blue Cross — Blue Cross FEP Audiology Professional: $90.32 Blue Cross — Blue Cross FEP Behavioral Health Professional: $117.15 Blue Cross — Blue Cross FEP Heart Clinic Professional: $117.15 Blue Cross — Blue Cross FEP MultiSpecialty Professional: $117.15 Blue Cross — Blue Cross FEP Pathology Professional: $146.33 Blue Cross — Blue Cross FEP Radiology Professional: $188.25
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psychotherapy W/ Patient 30 Min-278	$97	$97	$20.62 – $385.36
Psychotherapy, 30 minutes: 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $75.22 America's PPO — Americas PPO: $64.99 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $385.36 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $378.55 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $60.17 First Health — First Health: $79.93 HealthPartners — HealthPartners: $178.81 HealthPartners — HealthPartners PMAP: $128.67 Hennepin Health — Hennepin Health: $177.57 Medica — Medica Choice: $56.16
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: 90834 Psychotherapy 45 min	$364	$364	$69.49 – $327.60
Psychotherapy, 45 minutes: 10 of 37 insurance plan rates Allina Health and Aetna Insurance Company — Allina Aetna Professional: $290.93 America's PPO — Americas PPO Professional: $243.88 Blue Cross — Blue Cross Audiology Professional: $121.37 Blue Cross — Blue Cross Behavioral Health Professional: $200.20 Blue Cross — Blue Cross FEP Audiology Professional: $119.22 Blue Cross — Blue Cross FEP Behavioral Health Professional: $200.20 Blue Cross — Blue Cross FEP Heart Clinic Professional: $200.20 Blue Cross — Blue Cross FEP MultiSpecialty Professional: $200.20 Blue Cross — Blue Cross FEP Pathology Professional: $193.04 Blue Cross — Blue Cross FEP Radiology Professional: $301.57
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: 90834 Inpt Telemedicine Psychotherapy 45 min	$364	$364	$69.49 – $327.60
Psychotherapy, 45 minutes: 10 of 37 insurance plan rates Allina Health and Aetna Insurance Company — Allina Aetna Professional: $290.93 America's PPO — Americas PPO Professional: $243.88 Blue Cross — Blue Cross Audiology Professional: $121.37 Blue Cross — Blue Cross Behavioral Health Professional: $200.20 Blue Cross — Blue Cross FEP Audiology Professional: $119.22 Blue Cross — Blue Cross FEP Behavioral Health Professional: $200.20 Blue Cross — Blue Cross FEP Heart Clinic Professional: $200.20 Blue Cross — Blue Cross FEP MultiSpecialty Professional: $200.20 Blue Cross — Blue Cross FEP Pathology Professional: $193.04 Blue Cross — Blue Cross FEP Radiology Professional: $301.57
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psychotherapy W/ Patient 45 Min-278	$97	$97	$20.62 – $385.36
Psychotherapy, 45 minutes: 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $75.22 America's PPO — Americas PPO: $64.99 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $385.36 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $378.55 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $60.17 First Health — First Health: $79.93 HealthPartners — HealthPartners: $178.81 HealthPartners — HealthPartners PMAP: $128.67 Hennepin Health — Hennepin Health: $177.57 Medica — Medica Choice: $56.16
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: 90837 Psychotherapy 60 min	$400	$400	$102.68 – $400
Psychotherapy, 60 minutes: 10 of 37 insurance plan rates Allina Health and Aetna Insurance Company — Allina Aetna Professional: $400 America's PPO — Americas PPO Professional: $268 Blue Cross — Blue Cross Audiology Professional: $178.16 Blue Cross — Blue Cross Behavioral Health Professional: $220 Blue Cross — Blue Cross FEP Audiology Professional: $175.01 Blue Cross — Blue Cross FEP Behavioral Health Professional: $220 Blue Cross — Blue Cross FEP Heart Clinic Professional: $220 Blue Cross — Blue Cross FEP MultiSpecialty Professional: $220 Blue Cross — Blue Cross FEP Pathology Professional: $284.57 Blue Cross — Blue Cross FEP Radiology Professional: $353.52
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psychotherapy W/ Patient 60 Min-278	$97	$97	$20.62 – $385.36
Psychotherapy, 60 minutes: 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $75.22 America's PPO — Americas PPO: $64.99 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $385.36 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $378.55 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $60.17 First Health — First Health: $79.93 HealthPartners — HealthPartners: $178.81 HealthPartners — HealthPartners PMAP: $128.67 Hennepin Health — Hennepin Health: $177.57 Medica — Medica Choice: $56.16
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psychotherapy W/ Patient 60 Min	$97	$97	$20.62 – $385.36
Psychotherapy, 60 minutes: 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $75.22 America's PPO — Americas PPO: $64.99 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $385.36 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $378.55 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $60.17 First Health — First Health: $79.93 HealthPartners — HealthPartners: $178.81 HealthPartners — HealthPartners PMAP: $128.67 Hennepin Health — Hennepin Health: $177.57 Medica — Medica Choice: $56.16
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: 90846 Family Therapy w/o Patient 50 minutes	$349	$349	$66.38 – $314.10
Family psychotherapy, without the patient: 10 of 37 insurance plan rates Allina Health and Aetna Insurance Company — Allina Aetna Professional: $314.06 America's PPO — Americas PPO Professional: $233.83 Blue Cross — Blue Cross Audiology Professional: $116.05 Blue Cross — Blue Cross Behavioral Health Professional: $173.51 Blue Cross — Blue Cross FEP Audiology Professional: $114 Blue Cross — Blue Cross FEP Behavioral Health Professional: $170.44 Blue Cross — Blue Cross FEP Heart Clinic Professional: $191.95 Blue Cross — Blue Cross FEP MultiSpecialty Professional: $170.44 Blue Cross — Blue Cross FEP Pathology Professional: $182.45 Blue Cross — Blue Cross FEP Radiology Professional: $285.03
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Family Psychotherapy W/O Pt Present 50 Min-278	$97	$97	$20.62 – $385.36
Family psychotherapy, without the patient: 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $75.22 America's PPO — Americas PPO: $64.99 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $385.36 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $378.55 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $60.17 First Health — First Health: $79.93 HealthPartners — HealthPartners: $178.81 HealthPartners — HealthPartners PMAP: $128.67 Hennepin Health — Hennepin Health: $177.57 Medica — Medica Choice: $56.16
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Family Psychotherapy W/O Pt Present 50 Min	$97	$97	$20.62 – $385.36
Family psychotherapy, without the patient: 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $75.22 America's PPO — Americas PPO: $64.99 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $385.36 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $378.55 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $60.17 First Health — First Health: $79.93 HealthPartners — HealthPartners: $178.81 HealthPartners — HealthPartners PMAP: $128.67 Hennepin Health — Hennepin Health: $177.57 Medica — Medica Choice: $56.16
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: 90847 Family Therapy with Patient 50 minutes	$349	$349	$68.77 – $327.72
Family psychotherapy, with the patient: 10 of 37 insurance plan rates Allina Health and Aetna Insurance Company — Allina Aetna Professional: $327.72 America's PPO — Americas PPO Professional: $233.83 Blue Cross — Blue Cross Audiology Professional: $120.13 Blue Cross — Blue Cross Behavioral Health Professional: $181.79 Blue Cross — Blue Cross FEP Audiology Professional: $118.01 Blue Cross — Blue Cross FEP Behavioral Health Professional: $178.58 Blue Cross — Blue Cross FEP Heart Clinic Professional: $191.95 Blue Cross — Blue Cross FEP MultiSpecialty Professional: $178.58 Blue Cross — Blue Cross FEP Pathology Professional: $191.17 Blue Cross — Blue Cross FEP Radiology Professional: $298.65
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: 90853 Group Therapy	$101	$101	$18.38 – $89.85
Group psychotherapy: 10 of 37 insurance plan rates Allina Health and Aetna Insurance Company — Allina Aetna Professional: $76.90 America's PPO — Americas PPO Professional: $67.67 Blue Cross — Blue Cross Audiology Professional: $32.28 Blue Cross — Blue Cross Behavioral Health Professional: $49.15 Blue Cross — Blue Cross FEP Audiology Professional: $31.71 Blue Cross — Blue Cross FEP Behavioral Health Professional: $48.28 Blue Cross — Blue Cross FEP Heart Clinic Professional: $55.55 Blue Cross — Blue Cross FEP MultiSpecialty Professional: $48.28 Blue Cross — Blue Cross FEP Pathology Professional: $51.68 Blue Cross — Blue Cross FEP Radiology Professional: $80.74
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Group Therapy Not Multi-family-278	$97	$97	$20.62 – $221.86
Group psychotherapy: 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $75.22 America's PPO — Americas PPO: $64.99 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $221.86 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $217.94 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $34.64 First Health — First Health: $79.93 HealthPartners — HealthPartners: $103.31 HealthPartners — HealthPartners PMAP: $74.08 Hennepin Health — Hennepin Health: $101.63 Medica — Medica Choice: $56.16
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Group Therapy Not Multi-family	$97	$97	$20.62 – $221.86
Group psychotherapy: 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $75.22 America's PPO — Americas PPO: $64.99 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $221.86 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $217.94 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $34.64 First Health — First Health: $79.93 HealthPartners — HealthPartners: $103.31 HealthPartners — HealthPartners PMAP: $74.08 Hennepin Health — Hennepin Health: $101.63 Medica — Medica Choice: $56.16

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: 19120 EXCN CYST/ABERRANT BREAST TISS OPEN 1 OR MORE LESIONS	$1,462	$1,462	$305.92 – $1,462
Removal of breast growth (open surgery): 10 of 36 insurance plan rates Allina Health and Aetna Insurance Company — Allina Aetna Professional: $909.75 America's PPO — Americas PPO Professional: $979.54 Blue Cross — Blue Cross Audiology Professional: $641.81 Blue Cross — Blue Cross Behavioral Health Professional: $1,107.79 Blue Cross — Blue Cross FEP Audiology Professional: $630.46 Blue Cross — Blue Cross FEP Behavioral Health Professional: $1,088.20 Blue Cross — Blue Cross FEP Heart Clinic Professional: $804.10 Blue Cross — Blue Cross FEP MultiSpecialty Professional: $1,088.20 Blue Cross — Blue Cross FEP Pathology Professional: $932.79 Blue Cross — Blue Cross FEP Radiology Professional: $1,292.12
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EXCISION CYST ABERRANT BREAST TISS 1+ LESIONS	$7,181	$7,181	$1,434.15 – $9,184.57
Removal of breast growth (open surgery): 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $5,568.87 America's PPO — Americas PPO: $4,811.27 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $9,184.57 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $9,022.17 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $1,434.15 First Health — First Health: $5,917.14 HealthPartners — HealthPartners: $4,265.66 HealthPartners — HealthPartners PMAP: $3,066.64 Hennepin Health — Hennepin Health: $3,916.97 Medica — Medica Choice: $4,157.80
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EXCISION CYST ABERRANT BREAST TISS 1+ LESIONS-PRC	$7,181	$7,181	$1,434.15 – $9,184.57
Removal of breast growth (open surgery): 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $5,568.87 America's PPO — Americas PPO: $4,811.27 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $9,184.57 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $9,022.17 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $1,434.15 First Health — First Health: $5,917.14 HealthPartners — HealthPartners: $4,265.66 HealthPartners — HealthPartners PMAP: $3,066.64 Hennepin Health — Hennepin Health: $3,916.97 Medica — Medica Choice: $4,157.80
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL HIP REPLACEMENT	Not listed in the file	Not listed in the file	$4,818.91 – $50,000
Total hip replacement: 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $7,755 America's PPO — Americas PPO: $31,000 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $30,861.19 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $30,315.51 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $4,818.91 First Health — First Health: $41,200 HealthPartners — HealthPartners: $14,334.76 HealthPartners — HealthPartners PMAP: $10,304.25 Hennepin Health — Hennepin Health: $12,843.73 Medica — Medica Choice: $36,220
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: TOTAL HIP REPLACEMENT	Not listed in the file	Not listed in the file	$7,228.36 – $50,000
Total hip replacement: 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $7,755 America's PPO — Americas PPO: $31,000 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $46,291.79 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $45,473.27 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $7,228.36 First Health — First Health: $41,200 HealthPartners — HealthPartners: $21,502.14 HealthPartners — HealthPartners PMAP: $15,456.38 Hennepin Health — Hennepin Health: $12,843.73 Medica — Medica Choice: $36,220
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL KNEE REPLACEMENT	Not listed in the file	Not listed in the file	$4,818.91 – $50,000
Total knee replacement: 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $7,755 America's PPO — Americas PPO: $31,000 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $30,861.19 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $30,315.51 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $4,818.91 First Health — First Health: $41,200 HealthPartners — HealthPartners: $14,334.76 HealthPartners — HealthPartners PMAP: $10,304.25 Hennepin Health — Hennepin Health: $12,843.73 Medica — Medica Choice: $36,220
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: TOTAL KNEE REPLACEMENT	Not listed in the file	Not listed in the file	$7,228.36 – $50,000
Total knee replacement: 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $7,755 America's PPO — Americas PPO: $31,000 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $46,291.79 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $45,473.27 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $7,228.36 First Health — First Health: $41,200 HealthPartners — HealthPartners: $21,502.14 HealthPartners — HealthPartners PMAP: $15,456.38 Hennepin Health — Hennepin Health: $12,843.73 Medica — Medica Choice: $36,220
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: 29826 Arthroscopy Shoulder w/Part Acromioplast	$3,158	$3,158	$111.18 – $2,794.83
Shoulder arthroscopy: shaving of shoulder bone: 10 of 36 insurance plan rates Allina Health and Aetna Insurance Company — Allina Aetna Professional: $134.88 America's PPO — Americas PPO Professional: $2,115.86 Blue Cross — Blue Cross Audiology Professional: $210.63 Blue Cross — Blue Cross Behavioral Health Professional: $359.17 Blue Cross — Blue Cross FEP Audiology Professional: $206.91 Blue Cross — Blue Cross FEP Behavioral Health Professional: $352.82 Blue Cross — Blue Cross FEP Heart Clinic Professional: $1,736.90 Blue Cross — Blue Cross FEP MultiSpecialty Professional: $352.82 Blue Cross — Blue Cross FEP Pathology Professional: $302.43 Blue Cross — Blue Cross FEP Radiology Professional: $496.13
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SHOULDER ARTHROSCOPY/SURGERY	Not listed in the file	Not listed in the file	$0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $50,000
Shoulder arthroscopy: shaving of shoulder bone: 10 of 14 insurance plan rates Allina Aetna — Allina Aetna: $7,755 America's PPO — Americas PPO: $31,000 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $0.01 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) First Health — First Health: $41,200 Medica — Medica Choice: $36,220 Medica — Medica PMAP: $16,900 Medica Other Commercial — Medica Other Commercial: $35,860 Multi Plan — Multi Plan: $45,000
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: 29881 Arthrs Knee Surg w/Meniscectomy Med/Lat W/Shaving	$2,632	$2,632	$369.97 – $2,486.65
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 36 insurance plan rates Allina Health and Aetna Insurance Company — Allina Aetna Professional: $489.75 America's PPO — Americas PPO Professional: $1,763.44 Blue Cross — Blue Cross Audiology Professional: $665.76 Blue Cross — Blue Cross Behavioral Health Professional: $1,162.02 Blue Cross — Blue Cross FEP Audiology Professional: $653.99 Blue Cross — Blue Cross FEP Behavioral Health Professional: $1,141.47 Blue Cross — Blue Cross FEP Heart Clinic Professional: $1,447.60 Blue Cross — Blue Cross FEP MultiSpecialty Professional: $1,141.47 Blue Cross — Blue Cross FEP Pathology Professional: $978.45 Blue Cross — Blue Cross FEP Radiology Professional: $1,605.12
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: KNEE ARTHROSCOPY/SURGERY	Not listed in the file	Not listed in the file	$1,215.18 – $50,000
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $7,755 America's PPO — Americas PPO: $31,000 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $7,782.23 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $7,644.63 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $1,215.18 First Health — First Health: $41,200 HealthPartners — HealthPartners: $3,614.98 HealthPartners — HealthPartners PMAP: $2,598.41 Hennepin Health — Hennepin Health: $3,273.29 Medica — Medica Choice: $36,220
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: 42820 Tonsillectomy and Adenoidectomy (< 12yrs)	$1,082	$1,082	$199.47 – $1,082
Removal of tonsils and adenoids (under age 12): 10 of 36 insurance plan rates Allina Health and Aetna Insurance Company — Allina Aetna Professional: $250 America's PPO — Americas PPO Professional: $724.94 Blue Cross — Blue Cross Audiology Professional: $355.60 Blue Cross — Blue Cross Behavioral Health Professional: $623.26 Blue Cross — Blue Cross FEP Audiology Professional: $349.31 Blue Cross — Blue Cross FEP Behavioral Health Professional: $612.24 Blue Cross — Blue Cross FEP Heart Clinic Professional: $595.10 Blue Cross — Blue Cross FEP MultiSpecialty Professional: $612.24 Blue Cross — Blue Cross FEP Pathology Professional: $524.81 Blue Cross — Blue Cross FEP Radiology Professional: $860.93
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVE TONSILS/ADENOIDS < 12YR-SURG	$14,455	$14,455	$2,215.54 – $14,455
Removal of tonsils and adenoids (under age 12): 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $11,209.85 America's PPO — Americas PPO: $9,684.85 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $14,188.77 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $13,937.89 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $2,215.54 First Health — First Health: $11,910.92 HealthPartners — HealthPartners: $4,919 HealthPartners — HealthPartners PMAP: $4,737.49 Hennepin Health — Hennepin Health: $5,922.16 Medica — Medica Choice: $5,810.91
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVE TONSILS/ADENOIDS < 12YR-CV	$14,455	$14,455	$2,215.54 – $14,455
Removal of tonsils and adenoids (under age 12): 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $11,209.85 America's PPO — Americas PPO: $9,684.85 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $14,188.77 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $13,937.89 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $2,215.54 First Health — First Health: $11,910.92 HealthPartners — HealthPartners: $4,919 HealthPartners — HealthPartners PMAP: $4,737.49 Hennepin Health — Hennepin Health: $5,922.16 Medica — Medica Choice: $5,810.91
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SS EGD DX COMP W WO BRUSH WASH	$3,829	$3,829	$351.14 – $3,829
Upper GI endoscopy (diagnostic): 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $2,969.39 America's PPO — Americas PPO: $2,565.43 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $2,248.75 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $2,208.99 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $351.14 First Health — First Health: $3,155.10 HealthPartners — HealthPartners: $1,044.06 HealthPartners — HealthPartners PMAP: $750.83 Hennepin Health — Hennepin Health: $907.34 Medica — Medica Choice: $1,539.26
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SS EGD DX COMP W WO BRUSH WASH	$3,829	$3,829	$1,294.20 – $3,446.10
Upper GI endoscopy (diagnostic): rates for 8 insurance plans America's PPO — Americas PPO: $2,373.98 First Health — First Health: $3,155.10 Medica — Medica Choice: $2,773.73 Medica — Medica PMAP: $1,294.20 Medica Other Commercial — Medica Other Commercial: $2,746.16 Multi Plan — Multi Plan: $3,446.10 UCare — UCare: $1,929.43 United Health — United Health: $2,887.07
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UPPR GI ENDOSCOPY, DIAGNOSIS	Not listed in the file	Not listed in the file	$351.14 – $50,000
Upper GI endoscopy (diagnostic): 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $7,755 America's PPO — Americas PPO: $31,000 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $2,248.75 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $2,208.99 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $351.14 First Health — First Health: $41,200 HealthPartners — HealthPartners: $1,044.06 HealthPartners — HealthPartners PMAP: $750.83 Hennepin Health — Hennepin Health: $907.34 Medica — Medica Choice: $36,220
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD BIOPSY SGL MUL	$2,027	$2,027	$351.14 – $2,248.75
Upper GI endoscopy with biopsy: 10 of 19 insurance plan rates Allina Aetna — Allina Aetna: $1,571.94 America's PPO — Americas PPO: $1,358.09 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $2,248.75 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $2,208.99 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $351.14 First Health — First Health: $1,670.25 HealthPartners — HealthPartners: $1,044.06 HealthPartners — HealthPartners PMAP: $750.83 Hennepin Health — Hennepin Health: $907.34 Medicare — Medicare: $916.04
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EGD BIOPSY SGL MUL	$2,027	$2,027	$685.13 – $1,824.30
Upper GI endoscopy with biopsy: rates for 8 insurance plans America's PPO — Americas PPO: $1,256.74 First Health — First Health: $1,670.25 Medica — Medica Choice: $1,468.36 Medica — Medica PMAP: $685.13 Medica Other Commercial — Medica Other Commercial: $1,453.76 Multi Plan — Multi Plan: $1,824.30 UCare — UCare: $1,021.41 United Health — United Health: $1,528.36
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UPPER GI ENDOSCOPY, BIOPSY	Not listed in the file	Not listed in the file	$351.14 – $50,000
Upper GI endoscopy with biopsy: 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $7,755 America's PPO — Americas PPO: $31,000 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $2,248.75 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $2,208.99 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $351.14 First Health — First Health: $41,200 HealthPartners — HealthPartners: $1,044.06 HealthPartners — HealthPartners PMAP: $750.83 Hennepin Health — Hennepin Health: $907.34 Medica — Medica Choice: $36,220
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC COLONOSCOPY	Not listed in the file	Not listed in the file	$341.46 – $50,000
Colonoscopy (diagnostic): 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $7,755 America's PPO — Americas PPO: $31,000 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $2,186.75 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $2,148.08 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $341.46 First Health — First Health: $41,200 HealthPartners — HealthPartners: $1,015.25 HealthPartners — HealthPartners PMAP: $730.13 Hennepin Health — Hennepin Health: $930.32 Medica — Medica Choice: $36,220
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: DIAGNOSTIC COLONOSCOPY	Not listed in the file	Not listed in the file	$341.46 – $50,000
Colonoscopy (diagnostic): 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $7,755 America's PPO — Americas PPO: $31,000 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $2,186.75 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $2,148.08 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $341.46 First Health — First Health: $41,200 HealthPartners — HealthPartners: $1,015.25 HealthPartners — HealthPartners PMAP: $730.13 Hennepin Health — Hennepin Health: $930.32 Medica — Medica Choice: $36,220
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY AND BIOPSY	Not listed in the file	Not listed in the file	$441.59 – $50,000
Colonoscopy with biopsy: 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $7,755 America's PPO — Americas PPO: $31,000 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $2,828.03 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $2,778.03 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $441.59 First Health — First Health: $41,200 HealthPartners — HealthPartners: $1,313.27 HealthPartners — HealthPartners PMAP: $944.25 Hennepin Health — Hennepin Health: $1,197.12 Medica — Medica Choice: $36,220
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LESION REMOVAL COLONOSCOPY	Not listed in the file	Not listed in the file	$441.59 – $50,000
Colonoscopy with removal of polyps (snare): 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $7,755 America's PPO — Americas PPO: $31,000 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $2,828.03 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $2,778.03 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $441.59 First Health — First Health: $41,200 HealthPartners — HealthPartners: $1,313.27 HealthPartners — HealthPartners PMAP: $944.25 Hennepin Health — Hennepin Health: $1,197.12 Medica — Medica Choice: $36,220
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/ENDOSCOPE US	Not listed in the file	Not listed in the file	$441.59 – $50,000
Ultrasound of the lower bowel by endoscope: 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $7,755 America's PPO — Americas PPO: $31,000 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $2,828.03 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $2,778.03 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $441.59 First Health — First Health: $41,200 HealthPartners — HealthPartners: $1,313.27 HealthPartners — HealthPartners PMAP: $944.25 Hennepin Health — Hennepin Health: $1,197.12 Medica — Medica Choice: $36,220
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPAROSCOPIC CHOLECYSTECTOMY	Not listed in the file	Not listed in the file	$2,185.10 – $50,000
Gallbladder removal by laparoscope: 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $7,755 America's PPO — Americas PPO: $31,000 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $13,993.77 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $13,746.34 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $2,185.10 First Health — First Health: $41,200 HealthPartners — HealthPartners: $6,499.82 HealthPartners — HealthPartners PMAP: $4,672.38 Hennepin Health — Hennepin Health: $6,047.91 Medica — Medica Choice: $36,220
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: LAPAROSCOPIC CHOLECYSTECTOMY	Not listed in the file	Not listed in the file	$2,185.10 – $50,000
Gallbladder removal by laparoscope: 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $7,755 America's PPO — Americas PPO: $31,000 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $13,993.77 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $13,746.34 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $2,185.10 First Health — First Health: $41,200 HealthPartners — HealthPartners: $9,749.73 HealthPartners — HealthPartners PMAP: $7,008.57 Hennepin Health — Hennepin Health: $6,047.91 Medica — Medica Choice: $36,220
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REPAIR INGUINAL HERNIA	Not listed in the file	Not listed in the file	$1,321.71 – $50,000
Groin (inguinal) hernia repair, age 5 or older: 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $7,755 America's PPO — Americas PPO: $31,000 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $8,464.49 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $8,314.82 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $1,321.71 First Health — First Health: $41,200 HealthPartners — HealthPartners: $3,931.88 HealthPartners — HealthPartners PMAP: $2,826.21 Hennepin Health — Hennepin Health: $3,581.81 Medica — Medica Choice: $36,220
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: REPAIR INGUINAL HERNIA	Not listed in the file	Not listed in the file	$1,982.57 – $50,000
Groin (inguinal) hernia repair, age 5 or older: 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $7,755 America's PPO — Americas PPO: $31,000 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $12,696.73 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $12,472.23 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $1,982.57 First Health — First Health: $41,200 HealthPartners — HealthPartners: $9,947.91 HealthPartners — HealthPartners PMAP: $7,150.86 Hennepin Health — Hennepin Health: $3,581.81 Medica — Medica Choice: $36,220
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPS SURG PRST8ECT RPBIC RAD	Not listed in the file	Not listed in the file	$3,899.24 – $50,000
Prostate removal by laparoscope (radical prostatectomy): 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $7,755 America's PPO — Americas PPO: $31,000 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $24,971.42 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $24,529.88 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $3,899.24 First Health — First Health: $41,200 HealthPartners — HealthPartners: $11,598.94 HealthPartners — HealthPartners PMAP: $8,337.71 Hennepin Health — Hennepin Health: $10,634.01 Medica — Medica Choice: $36,220
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: LAPS SURG PRST8ECT RPBIC RAD	Not listed in the file	Not listed in the file	$3,899.24 – $50,000
Prostate removal by laparoscope (radical prostatectomy): 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $7,755 America's PPO — Americas PPO: $31,000 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $24,971.42 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $24,529.88 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $3,899.24 First Health — First Health: $41,200 HealthPartners — HealthPartners: $17,398.41 HealthPartners — HealthPartners PMAP: $12,506.56 Hennepin Health — Hennepin Health: $10,634.01 Medica — Medica Choice: $36,220
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: 58558 Hysteroscopy W/ Biopsy Endomet or Polypect W W/O D & C	$813	$813	$177.75 – $813
Hysteroscopy with biopsy of the uterus lining: 10 of 36 insurance plan rates Allina Health and Aetna Insurance Company — Allina Aetna Professional: $478.51 America's PPO — Americas PPO Professional: $544.71 Blue Cross — Blue Cross Audiology Professional: $731.70 Blue Cross — Blue Cross Behavioral Health Professional: $813 Blue Cross — Blue Cross FEP Audiology Professional: $718.53 Blue Cross — Blue Cross FEP Behavioral Health Professional: $813 Blue Cross — Blue Cross FEP Heart Clinic Professional: $447.15 Blue Cross — Blue Cross FEP MultiSpecialty Professional: $718.53 Blue Cross — Blue Cross FEP Pathology Professional: $718.53 Blue Cross — Blue Cross FEP Radiology Professional: $718.53
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY, BIOPSY	Not listed in the file	Not listed in the file	$1,190.81 – $50,000
Hysteroscopy with biopsy of the uterus lining: 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $7,755 America's PPO — Americas PPO: $31,000 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $7,626.13 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $7,491.29 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $1,190.81 First Health — First Health: $41,200 HealthPartners — HealthPartners: $3,542.46 HealthPartners — HealthPartners PMAP: $2,546.29 Hennepin Health — Hennepin Health: $3,238.40 Medica — Medica Choice: $36,220
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: 62323 Inj Dx/Ther Ndle/Cath Pl Lmb/Sacr W Gd	$324	$324	$178.20 – $324
Spinal injection, lower back (epidural), with imaging guidance: 10 of 36 insurance plan rates Allina Health and Aetna Insurance Company — Allina Aetna Professional: $224.04 America's PPO — Americas PPO Professional: $217.08 Blue Cross — Blue Cross Audiology Professional: $291.60 Blue Cross — Blue Cross Behavioral Health Professional: $324 Blue Cross — Blue Cross FEP Audiology Professional: $286.35 Blue Cross — Blue Cross FEP Behavioral Health Professional: $324 Blue Cross — Blue Cross FEP Heart Clinic Professional: $178.20 Blue Cross — Blue Cross FEP MultiSpecialty Professional: $286.35 Blue Cross — Blue Cross FEP Pathology Professional: $286.35 Blue Cross — Blue Cross FEP Radiology Professional: $286.35
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJECTION SINGLE CAUDAL W IMG - ANES	$2,634	$2,634	$259.37 – $2,634
Spinal injection, lower back (epidural), with imaging guidance: 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $2,042.67 America's PPO — Americas PPO: $1,764.78 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $1,661.02 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $1,631.65 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $259.37 First Health — First Health: $2,170.42 HealthPartners — HealthPartners: $771.87 HealthPartners — HealthPartners PMAP: $554.60 Hennepin Health — Hennepin Health: $706.16 Medica — Medica Choice: $1,058.87
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJECTION SINGLE CAUDAL W IMG-SSU	$2,634	$2,634	$259.37 – $2,634
Spinal injection, lower back (epidural), with imaging guidance: 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $2,042.67 America's PPO — Americas PPO: $1,764.78 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $1,661.02 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $1,631.65 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $259.37 First Health — First Health: $2,170.42 HealthPartners — HealthPartners: $771.87 HealthPartners — HealthPartners PMAP: $554.60 Hennepin Health — Hennepin Health: $706.16 Medica — Medica Choice: $1,058.87
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SS INJ TRANS EPIDUR LUMB SAC SGL	$1,579	$1,579	$333.44 – $2,135.37
Nerve root injection, lower back, with imaging guidance: 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $1,224.51 America's PPO — Americas PPO: $1,057.93 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $2,135.37 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $2,097.61 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $333.44 First Health — First Health: $1,301.10 HealthPartners — HealthPartners: $991.41 HealthPartners — HealthPartners PMAP: $712.98 Hennepin Health — Hennepin Health: $884.82 Medica — Medica Choice: $914.24
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SS INJ TRANS EPIDUR LUMB SAC SGL	$1,579	$1,579	$533.70 – $1,421.10
Nerve root injection, lower back, with imaging guidance: rates for 8 insurance plans America's PPO — Americas PPO: $978.98 First Health — First Health: $1,301.10 Medica — Medica Choice: $1,143.83 Medica — Medica PMAP: $533.70 Medica Other Commercial — Medica Other Commercial: $1,132.46 Multi Plan — Multi Plan: $1,421.10 UCare — UCare: $795.66 United Health — United Health: $1,190.57
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJ FORAMEN EPIDURAL L/S	Not listed in the file	Not listed in the file	$333.44 – $50,000
Nerve root injection, lower back, with imaging guidance: 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $7,755 America's PPO — Americas PPO: $31,000 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $2,135.37 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $2,097.61 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $333.44 First Health — First Health: $41,200 HealthPartners — HealthPartners: $991.41 HealthPartners — HealthPartners PMAP: $712.98 Hennepin Health — Hennepin Health: $884.82 Medica — Medica Choice: $36,220
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: 64271 Nrplsty ao Trnsptn Med Nrv Carpl Tnl	$1,509	$1,509	$308.31 – $1,509
Carpal tunnel release: 10 of 36 insurance plan rates Allina Health and Aetna Insurance Company — Allina Aetna Professional: $1,008.96 America's PPO — Americas PPO Professional: $1,011.03 Blue Cross — Blue Cross Audiology Professional: $545.99 Blue Cross — Blue Cross Behavioral Health Professional: $957.79 Blue Cross — Blue Cross FEP Audiology Professional: $536.34 Blue Cross — Blue Cross FEP Behavioral Health Professional: $940.85 Blue Cross — Blue Cross FEP Heart Clinic Professional: $829.95 Blue Cross — Blue Cross FEP MultiSpecialty Professional: $940.85 Blue Cross — Blue Cross FEP Pathology Professional: $806.48 Blue Cross — Blue Cross FEP Radiology Professional: $1,323.01
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CARPAL TUNNEL SURGERY	Not listed in the file	Not listed in the file	$731.35 – $50,000
Carpal tunnel release: 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $7,755 America's PPO — Americas PPO: $31,000 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $4,683.74 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $4,600.92 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $731.35 First Health — First Health: $41,200 HealthPartners — HealthPartners: $2,175.55 HealthPartners — HealthPartners PMAP: $1,563.86 Hennepin Health — Hennepin Health: $1,953.49 Medica — Medica Choice: $36,220
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: CARPAL TUNNEL SURGERY	Not listed in the file	Not listed in the file	$1,097.04 – $50,000
Carpal tunnel release: 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $7,755 America's PPO — Americas PPO: $31,000 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $7,025.62 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $6,901.39 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $1,097.04 First Health — First Health: $41,200 HealthPartners — HealthPartners: $3,263.33 HealthPartners — HealthPartners PMAP: $2,345.79 Hennepin Health — Hennepin Health: $1,953.49 Medica — Medica Choice: $36,220
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AFTER CATARACT LASER SURGERY	Not listed in the file	Not listed in the file	$205.46 – $50,000
Laser treatment of clouding after cataract surgery: 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $7,755 America's PPO — Americas PPO: $31,000 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $1,315.83 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $1,292.56 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $205.46 First Health — First Health: $41,200 HealthPartners — HealthPartners: $610.94 HealthPartners — HealthPartners PMAP: $439.34 Hennepin Health — Hennepin Health: $550.21 Medica — Medica Choice: $36,220
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: AFTER CATARACT LASER SURGERY	Not listed in the file	Not listed in the file	$308.19 – $50,000
Laser treatment of clouding after cataract surgery: 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $7,755 America's PPO — Americas PPO: $31,000 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $1,973.73 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $1,938.83 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $308.19 First Health — First Health: $41,200 HealthPartners — HealthPartners: $916.41 HealthPartners — HealthPartners PMAP: $659.01 Hennepin Health — Hennepin Health: $550.21 Medica — Medica Choice: $36,220
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVE CATARACT/INSERT LENS	Not listed in the file	Not listed in the file	$854.18 – $50,000
Cataract removal with lens implant: 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $7,755 America's PPO — Americas PPO: $31,000 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $5,470.36 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $5,373.63 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $854.18 First Health — First Health: $41,200 HealthPartners — HealthPartners: $2,541.12 HealthPartners — HealthPartners PMAP: $1,826.50 Hennepin Health — Hennepin Health: $2,308.73 Medica — Medica Choice: $36,220
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: REMOVE CATARACT/INSERT LENS	Not listed in the file	Not listed in the file	$1,281.28 – $50,000
Cataract removal with lens implant: 10 of 22 insurance plan rates Allina Aetna — Allina Aetna: $7,755 America's PPO — Americas PPO: $31,000 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $8,205.54 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $8,060.45 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $1,281.28 First Health — First Health: $41,200 HealthPartners — HealthPartners: $3,811.68 HealthPartners — HealthPartners PMAP: $2,739.75 Hennepin Health — Hennepin Health: $2,308.73 Medica — Medica Choice: $36,220

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRICAL CARE	Not listed in the file	Not listed in the file	$1,190.81 – $50,000
Vaginal delivery, with care before and after: 10 of 16 insurance plan rates Allina Aetna — Allina Aetna: $7,755 America's PPO — Americas PPO: $31,000 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $7,626.13 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $7,491.29 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $1,190.81 First Health — First Health: $41,200 HealthPartners — HealthPartners: $6,414.89 HealthPartners — HealthPartners PMAP: $3,481.13 Medica — Medica Choice: $36,220 Medica — Medica PMAP: $16,900
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: OBSTETRICAL CARE	Not listed in the file	Not listed in the file	$1,190.81 – $50,000
Vaginal delivery, with care before and after: 10 of 16 insurance plan rates Allina Aetna — Allina Aetna: $7,755 America's PPO — Americas PPO: $31,000 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $7,626.13 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $7,491.29 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $1,190.81 First Health — First Health: $41,200 HealthPartners — HealthPartners: $6,414.89 HealthPartners — HealthPartners PMAP: $3,481.13 Medica — Medica Choice: $36,220 Medica — Medica PMAP: $16,900
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CESAREAN DELIVERY	Not listed in the file	Not listed in the file	$1,294.29 – $50,000
Cesarean delivery (C-section), with care before and after: 10 of 20 insurance plan rates Allina Aetna — Allina Aetna: $7,755 America's PPO — Americas PPO: $31,000 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $11,683.26 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $11,476.68 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $5,841.63 First Health — First Health: $41,200 HealthPartners — HealthPartners: $7,052.42 HealthPartners — HealthPartners PMAP: $3,827.10 Hennepin Health — Hennepin Health: $1,359 Medica — Medica Choice: $36,220
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: CESAREAN DELIVERY	Not listed in the file	Not listed in the file	$1,294.29 – $50,000
Cesarean delivery (C-section), with care before and after: 10 of 20 insurance plan rates Allina Aetna — Allina Aetna: $7,755 America's PPO — Americas PPO: $31,000 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $11,683.26 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $11,476.68 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $5,841.63 First Health — First Health: $41,200 HealthPartners — HealthPartners: $7,052.42 HealthPartners — HealthPartners PMAP: $3,827.10 Hennepin Health — Hennepin Health: $1,359 Medica — Medica Choice: $36,220
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: VBAC DELIVERY	Not listed in the file	Not listed in the file	$1,190.81 – $50,000
Vaginal delivery after a previous C-section, with care before and after: 10 of 16 insurance plan rates Allina Aetna — Allina Aetna: $7,755 America's PPO — Americas PPO: $31,000 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $7,626.13 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $7,491.29 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $1,190.81 First Health — First Health: $41,200 HealthPartners — HealthPartners: $6,640.58 HealthPartners — HealthPartners PMAP: $3,603.61 Medica — Medica Choice: $36,220 Medica — Medica PMAP: $16,900
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: VBAC DELIVERY	Not listed in the file	Not listed in the file	$1,190.81 – $50,000
Vaginal delivery after a previous C-section, with care before and after: 10 of 16 insurance plan rates Allina Aetna — Allina Aetna: $7,755 America's PPO — Americas PPO: $31,000 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN: $7,626.13 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN FEP: $7,491.29 Blue Cross Blue Shield MN — Blue Cross Blue Shield MN PMAP: $1,190.81 First Health — First Health: $41,200 HealthPartners — HealthPartners: $6,640.58 HealthPartners — HealthPartners PMAP: $3,603.61 Medica — Medica Choice: $36,220 Medica — Medica PMAP: $16,900

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	$4,150.72 – $258,265.92
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 11 insurance plan rates Allina Aetna — Allina Aetna: $5,460 America's PPO — Americas PPO: $160,124.87 First Health — First Health: $212,811.12 HealthPartners — HealthPartners: $258,265.92 Medica — Medica Choice: $187,087.83 Medica — Medica PMAP: $87,293.88 Medica Other Commercial — Medica Other Commercial: $185,228.32 Medicare — Medicare: $4,150.72 Multi Plan — Multi Plan: $232,439.33 UCare — UCare: $130,140.20
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	$4,150.72 – $5,460
Spinal fusion (not neck), without major complications: rates for 10 insurance plans Allina Aetna — Allina Aetna: $5,460 America's PPO — Americas PPO: $3,385.20 First Health — First Health: $4,499.04 Medica — Medica Choice: $3,955.22 Medica — Medica PMAP: $1,845.48 Medica Other Commercial — Medica Other Commercial: $3,915.91 Medicare — Medicare: $4,150.72 Multi Plan — Multi Plan: $4,914 UCare — UCare: $2,751.29 United Health — United Health: $4,116.84
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	$4,150.72 – $50,922.96
Hip or knee replacement (major joint of the leg), without major complications: 10 of 11 insurance plan rates Allina Aetna — Allina Aetna: $5,460 America's PPO — Americas PPO: $31,572.24 First Health — First Health: $41,960.52 HealthPartners — HealthPartners: $50,922.96 Medica — Medica Choice: $36,888.59 Medica — Medica PMAP: $17,211.96 Medica Other Commercial — Medica Other Commercial: $36,521.95 Medicare — Medicare: $4,150.72 Multi Plan — Multi Plan: $45,830.66 UCare — UCare: $25,660.08
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	$4,150.72 – $64,450.32
Neck (cervical) spinal fusion, without complications: 10 of 11 insurance plan rates Allina Aetna — Allina Aetna: $5,460 America's PPO — Americas PPO: $39,959.20 First Health — First Health: $53,107.06 HealthPartners — HealthPartners: $64,450.32 Medica — Medica Choice: $46,687.81 Medica — Medica PMAP: $21,784.21 Medica Other Commercial — Medica Other Commercial: $46,223.77 Medicare — Medicare: $4,150.72 Multi Plan — Multi Plan: $58,005.29 UCare — UCare: $32,476.52
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	$4,150.72 – $32,754.48
Uterus and ovary surgery (not for cancer), without complications: 10 of 11 insurance plan rates Allina Aetna — Allina Aetna: $5,460 America's PPO — Americas PPO: $20,307.78 First Health — First Health: $26,989.69 HealthPartners — HealthPartners: $32,754.48 Medica — Medica Choice: $23,727.35 Medica — Medica PMAP: $11,071.01 Medica Other Commercial — Medica Other Commercial: $23,491.51 Medicare — Medicare: $4,150.72 Multi Plan — Multi Plan: $29,479.03 UCare — UCare: $16,504.98

Source: Children's Hospitals & Clinics of MN’s standard charges file (childrensmn.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on May 7, 2026; retrieved November 5, 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	Children's Hospital
Address	2525 Chicago Avenue South, Minneapolis, MN 55404
County	Hennepin County
State	Minnesota
Phone	(612) 813‑6112
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	Not rated by CMS
CMS Certification Number	243302
Name in Medicare records	CHILDREN'S HOSPITALS & CLINICS OF MN
Profile level	Medicare data + hospital website
Main phone on the hospital’s website	(612) 813‑6000^[4][5]
Name on the hospital’s website	Children's Minnesota – Minneapolis Hospital
Official website	childrensmn.org
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

Numbers match the citations above. Checked 2026-11-02.

Children's Hospital in Minneapolis - Children's Minnesota — childrensmn.org
All MN pediatric hospital and clinic locations - Children's Minnesota — childrensmn.org
Pediatric Trauma Care - Children's Minnesota — childrensmn.org
Neonatal Program Locations and Contact - Children's Minnesota — childrensmn.org
Level I Pediatric Surgery Center | Children's Minnesota — childrensmn.org
Emergency Care - Children's Minnesota — childrensmn.org