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Acute Care Hospital

Essentia Health Duluth

Also listed as: Essentia Health-Duluth (Miller-Dwan, Building D)

Duluth, Minnesota · St. Louis County

  • 502 East Second Street, Duluth, MN 55805 · Directions
  • (218) 786‑2652
  • Emergency room: not listed
  • Medicare overall rating: not rated
  • Medicare payment reduction for hospital-acquired conditions (fiscal year 2026): no · Medicare payment programs
  • Hospital type: Acute Care Hospital · Ownership: Voluntary non-profit - Private

Essentia Health Duluth is an acute care hospital at 502 East Second Street, Duluth, MN 55805. Phone: (218) 786-2652. Medicare data does not list an emergency department.

Data as of October 26, 2026. Source: CMS Hospital General Information and the hospital’s website (checked October 30, 2026).

Summary

Essentia Health Duluth is an acute care hospital in Duluth, Minnesota. Medicare data does not list emergency services. Its official website lists 27 services, specialties and programs. Medicare lists 864 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-10-26.

What is an acute care hospital?

A general hospital for short-term care: emergencies, surgery, illness and injury. Most patients stay a few days. More about hospital types

Call(218) 786‑2652 Directions Website Medicare profile
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Profile from official sources

Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-10-30). Every service links to the page that lists it. Services change: call the hospital to confirm before you go.

In a medical emergency, call 911.

At a glance

Not listedEmergency services
Not ratedNot rated by CMSMedicare rating
YesBirthing-friendly (CMS)
165Beds (hospital website)
864Doctors and clinicians
27Services listed

Quick answers

Does Essentia Health Duluth have an emergency room?
Medicare (CMS) data does not list emergency services at Essentia Health Duluth. The closest hospitals that do: Essentia Health St Mary's Medical Center (0.1 mi), St Lukes Hospital (0.4 mi) and St Marys Hospital Superior (6.6 mi). In a medical emergency, call 911.
Where is Essentia Health Duluth?
502 East Second Street, Duluth, MN 55805, in St. Louis County, Minnesota.
What is the phone number of Essentia Health Duluth?
(218) 786-2652, as listed by Medicare (CMS).
What is the Medicare star rating of Essentia Health Duluth?
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.
Does Medicare reduce its payments to Essentia Health Duluth for hospital-acquired conditions?
No. For fiscal year 2026, CMS lists no Medicare payment reduction for Essentia Health Duluth under the Hospital-Acquired Condition Reduction Program (Total HAC Score: -0.3317; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Specialties and care areas[5][9]

Treatments[5]

  • Radiosurgery
  • Wound care
  • Physical therapy (inpatient)
  • Occupational therapy (inpatient)
  • Speech-language therapy (inpatient)
  • Dietitian (inpatient)

Procedures[5][9]

Programs and centers[5]

  • Burn care
  • Rehabilitation (intensive inpatient)

Visiting and practical information

ParkingFree valet M-F 6am-5pm at St. Mary's 2nd St entrance, or Green Ramp (E 2nd/3rd St): free 2 hrs, then $1/hr, $7 daily max[8]
Interpreters and languagesFree interpreter services 24/7 (in person, phone, video relay); sign language and world languages via staff and partners[6]

Recognition[5][7][9]

  • Joint Commission accredited (hospital)
  • Birthing-Friendly Hospital 2026
  • Shoulder Replacement Gold Seal of Approval (Joint Commission)
  • CARF accreditation: Inpatient Rehabilitation Programs (Adults)
  • CARF accreditation: Inpatient Rehabilitation Programs (Children and Adolescents)
  • CARF accreditation: Brain Injury Specialty Program (Adults)
  • CARF accreditation: Spinal Cord Specialty Program (Adults)
  • CARF accreditation: Stroke Specialty Program (Adults)

Doctors and clinicians (864)

864 doctors and other clinicians list Essentia Health Duluth 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 (864)

And 840 more: the button below opens the full list.

Nearest emergency rooms

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

Find the closest emergency room to where you are →

Other hospitals near Duluth

All hospitals in Duluth · Hospitals in St. Louis County · Hospitals near me

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

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

Clinics and urgent care

Pharmacies

Assisted living nearby

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

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

What patients said (patient survey)

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

Summary star rating (all survey topics) 2 of 5 stars
Overall rating of the hospital2 of 5 stars
Would recommend the hospital3 of 5 stars
Nurses communicated well2 of 5 stars
Doctors communicated well3 of 5 stars
Patients got help quickly from staff2 of 5 stars
Staff explained medicines2 of 5 stars
Information about recovery at home3 of 5 stars
Room and bathroom kept clean1 of 5 stars
Restfulness of Environment2 of 5 stars
Care Coordination2 of 5 stars
Symptoms After Stay3 of 5 stars
Rated the hospital 9 or 10 out of 1058%National average: 72%
Would definitely recommend the hospital62%National average: 71%
Nurses “always” communicated well74%National average: 80%
Doctors “always” communicated well76%National average: 80%
“Always” got help as soon as they wanted56%National average: 64%
Staff “always” explained medicines before giving them57%National average: 62%
Were given information about recovery at home84%National average: 86%
Room and bathroom “always” clean55%National average: 73%
Completed surveys412Response rate: 28%

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

Infections caught in the hospital

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

MRSA bloodstream infections0No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections0Better than the national benchmark
Not reported to MedicareCentral line bloodstream infections (CLABSI); Catheter-associated urinary tract infections (CAUTI); Surgical site infections after colon surgery; Surgical site infections after abdominal hysterectomy

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

Complications and deaths

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

Serious complications (patient safety indicator PSI-90)0.92No different from the national rate
Complications after hip or knee replacement4.5%
Not reported to MedicareDeaths within 30 days: coronary bypass surgery (CABG)
Too few cases to reportDeaths within 30 days: heart attack patients; Deaths within 30 days: heart failure patients; Deaths within 30 days: pneumonia patients; Deaths within 30 days: COPD patients; Deaths within 30 days: stroke patients

Source: Complications and Deaths - Hospital — CMS, released October 20, 2026; data from July 2023 to June 2025.

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)14.8%
Readmitted within 30 days: heart attack14.2%
Readmitted within 30 days: heart failure21.1%
Readmitted within 30 days: pneumonia16.9%
Readmitted within 30 days: COPD19.1%
Readmitted within 30 days: hip or knee replacement6.5%
Not reported to MedicareReadmitted within 30 days: coronary bypass surgery

Source: Unplanned Hospital Visits - Hospital — CMS, released October 20, 2026; data from July 2024 to June 2025.

Not reported to Medicare: emergency room times and sepsis care. For these topics Medicare shows no result for this hospital (not reported, or too few cases).

See every measure on Medicare Care Compare →

Medicare payment programs

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

Show the Medicare payment program results

Hospital-Acquired Condition Reduction Program

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

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

Medicare payment reduction, fiscal year 2026NoCMS lists no payment reduction for this hospital.
Total HAC Score-0.3317Lower is better. Hospitals above the 75th percentile of all scores get the reduction.

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

Medicare spending per patient (MSPB)

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

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

Medicare spending per patient, ratio0.96Below the national median hospital (1.00): Medicare spent less

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

No result for this hospital: Hospital Readmissions Reduction Program; Hospital Value-Based Purchasing Program. This is normal when a hospital is paid under another Medicare system (for example critical access, children’s or psychiatric hospitals), is not in the program that year, or has too few cases.

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 DuluthBest hospitals in Minnesota

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 82 common services exactly as Essentia Health Duluth 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 →

$ 3 amounts are marked with “!”: they are more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. They are shown exactly as listed; ask the hospital before relying on them.

Show the prices of 82 common services

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE/OUTPT VISIT,NEW,LEVL III $176 $116.16 $58.26 – $151.36
New patient office visit (about 30–44 minutes): 10 of 28 insurance plan rates
  • Aetna First Health — Commercial: $149.60
  • America's PPO — Commercial: $136.40
  • BCBS MN — Medicaid: $72.78
  • BCBS MN — SHP: $72.79
  • BCBS WI — Commercial: $133.76
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $72.78
  • Cigna — Commercial: $125.84
  • HealthEOS — Commercial: $151.36
  • HealthPartners — Commercial: $125.84
  • HealthPartners — SHP: $125.84
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OFFICE/OUTPT VISIT,NEW,LEVL III $176 $116.16 $72.79 – $151.36
New patient office visit (about 30–44 minutes): 10 of 16 insurance plan rates
  • Aetna First Health — Commercial: $149.60
  • America's PPO — Commercial: $136.40
  • BCBS MN — Medicaid: $105.60
  • BCBS MN — SHP: $72.79
  • BCBS WI — Commercial: $133.76
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $105.60
  • HealthEOS — Commercial: $151.36
  • MN BCBS Commercial — BCBS MN: $117.46
  • Sanford Health Plan — Commercia-NDPERS: $75.49
  • Sanford Health Plan — Commercial: $79.46
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office o/p new low 30 min Not listed in the file Not listed in the file $145.91
New patient office visit (about 30–44 minutes): rates for 1 insurance plan
  • MN BCBS Commercial — BCBS MN: $145.91
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE/OUTPT VISIT,NEW,LEVL IV $260 $171.60 $86.06 – $223.60
New patient office visit (about 45–59 minutes): 10 of 28 insurance plan rates
  • Aetna First Health — Commercial: $221
  • America's PPO — Commercial: $201.50
  • BCBS MN — Medicaid: $107.51
  • BCBS MN — SHP: $107.54
  • BCBS WI — Commercial: $197.60
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $107.51
  • Cigna — Commercial: $185.90
  • HealthEOS — Commercial: $223.60
  • HealthPartners — Commercial: $185.90
  • HealthPartners — SHP: $185.90
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OFFICE/OUTPT VISIT,NEW,LEVL IV $260 $171.60 $107.54 – $223.60
New patient office visit (about 45–59 minutes): 10 of 16 insurance plan rates
  • Aetna First Health — Commercial: $221
  • America's PPO — Commercial: $201.50
  • BCBS MN — Medicaid: $156
  • BCBS MN — SHP: $107.54
  • BCBS WI — Commercial: $197.60
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $156
  • HealthEOS — Commercial: $223.60
  • MN BCBS Commercial — BCBS MN: $173.52
  • Sanford Health Plan — Commercia-NDPERS: $111.51
  • Sanford Health Plan — Commercial: $117.39
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office o/p new mod 45 min Not listed in the file Not listed in the file $237.41
New patient office visit (about 45–59 minutes): rates for 1 insurance plan
  • MN BCBS Commercial — BCBS MN: $237.41
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE/OUTPT VISIT,NEW,LEVL V $346 $228.36 $114.53 – $297.56
New patient office visit (about 60–74 minutes): 10 of 28 insurance plan rates
  • Aetna First Health — Commercial: $294.10
  • America's PPO — Commercial: $268.15
  • BCBS MN — Medicaid: $143.07
  • BCBS MN — SHP: $143.11
  • BCBS WI — Commercial: $262.96
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $143.07
  • Cigna — Commercial: $247.39
  • HealthEOS — Commercial: $297.56
  • HealthPartners — Commercial: $247.39
  • HealthPartners — SHP: $247.39
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OFFICE/OUTPT VISIT,NEW,LEVL V $346 $228.36 $143.11 – $297.56
New patient office visit (about 60–74 minutes): 10 of 16 insurance plan rates
  • Aetna First Health — Commercial: $294.10
  • America's PPO — Commercial: $268.15
  • BCBS MN — Medicaid: $207.60
  • BCBS MN — SHP: $143.11
  • BCBS WI — Commercial: $262.96
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $207.60
  • HealthEOS — Commercial: $297.56
  • MN BCBS Commercial — BCBS MN: $230.92
  • Sanford Health Plan — Commercia-NDPERS: $148.40
  • Sanford Health Plan — Commercial: $156.22
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office o/p new hi 60 min Not listed in the file Not listed in the file $322.92
New patient office visit (about 60–74 minutes): rates for 1 insurance plan
  • MN BCBS Commercial — BCBS MN: $322.92
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PULMONARY REHAB EVAL $196 $129.36 $64.88 – $168.56
Established patient office visit (about 20–29 minutes): 10 of 28 insurance plan rates
  • Aetna First Health — Commercial: $166.60
  • America's PPO — Commercial: $151.90
  • BCBS MN — Medicaid: $81.05
  • BCBS MN — SHP: $81.07
  • BCBS WI — Commercial: $148.96
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $81.05
  • Cigna — Commercial: $140.14
  • HealthEOS — Commercial: $168.56
  • HealthPartners — Commercial: $140.14
  • HealthPartners — SHP: $140.14
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE/OUTPT VISIT,EST,LEVL III $115 $75.90 $38.07 – $98.90
Established patient office visit (about 20–29 minutes): 10 of 28 insurance plan rates
  • Aetna First Health — Commercial: $97.75
  • America's PPO — Commercial: $89.12
  • BCBS MN — Medicaid: $47.55
  • BCBS MN — SHP: $47.56
  • BCBS WI — Commercial: $87.40
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $47.55
  • Cigna — Commercial: $82.22
  • HealthEOS — Commercial: $98.90
  • HealthPartners — Commercial: $82.22
  • HealthPartners — SHP: $82.22
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PULMONARY REHAB EVAL $196 $129.36 $81.07 – $168.56
Established patient office visit (about 20–29 minutes): 10 of 16 insurance plan rates
  • Aetna First Health — Commercial: $166.60
  • America's PPO — Commercial: $151.90
  • BCBS MN — Medicaid: $117.60
  • BCBS MN — SHP: $81.07
  • BCBS WI — Commercial: $148.96
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $117.60
  • HealthEOS — Commercial: $168.56
  • MN BCBS Commercial — BCBS MN: $130.81
  • Sanford Health Plan — Commercia-NDPERS: $84.06
  • Sanford Health Plan — Commercial: $88.49
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE/OUTPT VISIT,EST,LEVL IV $169 $111.54 $55.94 – $145.34
Established patient office visit (about 30–39 minutes): 10 of 28 insurance plan rates
  • Aetna First Health — Commercial: $143.65
  • America's PPO — Commercial: $130.98
  • BCBS MN — Medicaid: $69.88
  • BCBS MN — SHP: $69.90
  • BCBS WI — Commercial: $128.44
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $69.88
  • Cigna — Commercial: $120.84
  • HealthEOS — Commercial: $145.34
  • HealthPartners — Commercial: $120.84
  • HealthPartners — SHP: $120.84
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OFFICE/OUTPT VISIT,EST,LEVL IV $169 $111.54 $69.90 – $145.34
Established patient office visit (about 30–39 minutes): 10 of 16 insurance plan rates
  • Aetna First Health — Commercial: $143.65
  • America's PPO — Commercial: $130.98
  • BCBS MN — Medicaid: $101.40
  • BCBS MN — SHP: $69.90
  • BCBS WI — Commercial: $128.44
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $101.40
  • HealthEOS — Commercial: $145.34
  • MN BCBS Commercial — BCBS MN: $112.79
  • Sanford Health Plan — Commercia-NDPERS: $72.48
  • Sanford Health Plan — Commercial: $76.30
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office o/p est mod 30 min Not listed in the file Not listed in the file $172.82
Established patient office visit (about 30–39 minutes): rates for 1 insurance plan
  • MN BCBS Commercial — BCBS MN: $172.82
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Off/op cnsltj new/est low 30 Not listed in the file Not listed in the file $156.68
Office consultation with a specialist (moderate): rates for 1 insurance plan
  • MN BCBS Commercial — BCBS MN: $156.68
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Off/op cnsltj new/est mod 40 Not listed in the file Not listed in the file $238.60
Office consultation with a specialist (moderate to high): rates for 1 insurance plan
  • MN BCBS Commercial — BCBS MN: $238.60
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prev visit new age 18-39 Not listed in the file Not listed in the file $166.24
Preventive checkup, new patient, age 18–39: rates for 1 insurance plan
  • MN BCBS Commercial — BCBS MN: $166.24
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prev visit new age 40-64 Not listed in the file Not listed in the file $201.53
Preventive checkup, new patient, age 40–64: rates for 1 insurance plan
  • MN BCBS Commercial — BCBS MN: $201.53
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FACILITY EMERGENCY LEVEL III VISIT $753 $496.98 $249.24 – $647.58
Emergency room visit (moderate): 10 of 28 insurance plan rates
  • Aetna First Health — Commercial: $640.05
  • America's PPO — Commercial: $583.58
  • BCBS MN — Medicaid: $311.37
  • BCBS MN — SHP: $311.44
  • BCBS WI — Commercial: $572.28
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $311.37
  • Cigna — Commercial: $538.40
  • HealthEOS — Commercial: $647.58
  • HealthPartners — Commercial: $538.40
  • HealthPartners — SHP: $538.40
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: FACILITY EMERGENCY LEVEL III VISIT $753 $496.98 $311.44 – $647.58
Emergency room visit (moderate): 10 of 16 insurance plan rates
  • Aetna First Health — Commercial: $640.05
  • America's PPO — Commercial: $583.58
  • BCBS MN — Medicaid: $451.80
  • BCBS MN — SHP: $311.44
  • BCBS WI — Commercial: $572.28
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $451.80
  • HealthEOS — Commercial: $647.58
  • MN BCBS Commercial — BCBS MN: $502.55
  • Sanford Health Plan — Commercia-NDPERS: $322.96
  • Sanford Health Plan — Commercial: $339.98
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit low mdm Not listed in the file Not listed in the file $271.74 – $490.31
Emergency room visit (moderate): 10 of 25 insurance plan rates
  • Advocare/Security Health — Medicare: $271.74
  • BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $271.74
  • Freedom Blue PPO — Medicare: $271.74
  • HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $271.74
  • IMCARE MSHO PCC PRIME — Medicare: $271.74
  • IMCARE MSHO REF REQ — Medicare: $271.74
  • Itasca Med Care — Medicaid: $276.89
  • MEDICA ADVANTAGE SOLUTIONS — Medicare: $271.74
  • MEDICA MSHO/Dual Solutions — Medicare: $271.74
  • MEDICA PRIME SOLUTION GROUP — Medicare: $271.74
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FACILITY EMERGENCY LEVEL IV VISIT $1,231 $812.46 $407.46 – $1,058.66
Emergency room visit (moderately high): 10 of 28 insurance plan rates
  • Aetna First Health — Commercial: $1,046.35
  • America's PPO — Commercial: $954.02
  • BCBS MN — Medicaid: $509.02
  • BCBS MN — SHP: $509.14
  • BCBS WI — Commercial: $935.56
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $509.02
  • Cigna — Commercial: $880.16
  • HealthEOS — Commercial: $1,058.66
  • HealthPartners — Commercial: $880.16
  • HealthPartners — SHP: $880.16
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: FACILITY EMERGENCY LEVEL IV VISIT $1,231 $812.46 $509.14 – $1,058.66
Emergency room visit (moderately high): 10 of 16 insurance plan rates
  • Aetna First Health — Commercial: $1,046.35
  • America's PPO — Commercial: $954.02
  • BCBS MN — Medicaid: $738.60
  • BCBS MN — SHP: $509.14
  • BCBS WI — Commercial: $935.56
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $738.60
  • HealthEOS — Commercial: $1,058.66
  • MN BCBS Commercial — BCBS MN: $821.57
  • Sanford Health Plan — Commercia-NDPERS: $527.98
  • Sanford Health Plan — Commercial: $555.80
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit mod mdm Not listed in the file Not listed in the file $417.90 – $754.04
Emergency room visit (moderately high): 10 of 25 insurance plan rates
  • Advocare/Security Health — Medicare: $417.90
  • BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $417.90
  • Freedom Blue PPO — Medicare: $417.90
  • HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $417.90
  • IMCARE MSHO PCC PRIME — Medicare: $417.90
  • IMCARE MSHO REF REQ — Medicare: $417.90
  • Itasca Med Care — Medicaid: $425.82
  • MEDICA ADVANTAGE SOLUTIONS — Medicare: $417.90
  • MEDICA MSHO/Dual Solutions — Medicare: $417.90
  • MEDICA PRIME SOLUTION GROUP — Medicare: $417.90
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FACILITY EMERGENCY LEVEL V VISIT $1,768 $1,166.88 $585.21 – $1,520.48
Emergency room visit (high): 10 of 28 insurance plan rates
  • Aetna First Health — Commercial: $1,502.80
  • America's PPO — Commercial: $1,370.20
  • BCBS MN — Medicaid: $731.07
  • BCBS MN — SHP: $731.24
  • BCBS WI — Commercial: $1,343.68
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $731.07
  • Cigna — Commercial: $1,264.12
  • HealthEOS — Commercial: $1,520.48
  • HealthPartners — Commercial: $1,264.12
  • HealthPartners — SHP: $1,264.12
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: FACILITY EMERGENCY LEVEL V VISIT $1,768 $1,166.88 $731.24 – $1,520.48
Emergency room visit (high): 10 of 16 insurance plan rates
  • Aetna First Health — Commercial: $1,502.80
  • America's PPO — Commercial: $1,370.20
  • BCBS MN — Medicaid: $1,060.80
  • BCBS MN — SHP: $731.24
  • BCBS WI — Commercial: $1,343.68
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $1,060.80
  • HealthEOS — Commercial: $1,520.48
  • MN BCBS Commercial — BCBS MN: $1,179.96
  • Sanford Health Plan — Commercia-NDPERS: $758.30
  • Sanford Health Plan — Commercial: $798.25
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit hi mdm Not listed in the file Not listed in the file $601.70 – $1,085.67
Emergency room visit (high): 10 of 25 insurance plan rates
  • Advocare/Security Health — Medicare: $601.70
  • BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $601.70
  • Freedom Blue PPO — Medicare: $601.70
  • HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $601.70
  • IMCARE MSHO PCC PRIME — Medicare: $601.70
  • IMCARE MSHO REF REQ — Medicare: $601.70
  • Itasca Med Care — Medicaid: $613.10
  • MEDICA ADVANTAGE SOLUTIONS — Medicare: $601.70
  • MEDICA MSHO/Dual Solutions — Medicare: $601.70
  • MEDICA PRIME SOLUTION GROUP — Medicare: $601.70

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAB BASIC METABOLIC PANEL $245 $161.70 $81.10 – $210.70
Basic metabolic panel (blood test): 10 of 28 insurance plan rates
  • Aetna First Health — Commercial: $208.25
  • America's PPO — Commercial: $189.88
  • BCBS MN — Medicaid: $101.31
  • BCBS MN — SHP: $101.33
  • BCBS WI — Commercial: $186.20
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $101.31
  • Cigna — Commercial: $175.18
  • HealthEOS — Commercial: $210.70
  • HealthPartners — Commercial: $175.18
  • HealthPartners — SHP: $175.18
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LAB BASIC METABOLIC PANEL $245 $161.70 $101.33 – $210.70
Basic metabolic panel (blood test): 10 of 16 insurance plan rates
  • Aetna First Health — Commercial: $208.25
  • America's PPO — Commercial: $189.88
  • BCBS MN — Medicaid: $147
  • BCBS MN — SHP: $101.33
  • BCBS WI — Commercial: $186.20
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $147
  • HealthEOS — Commercial: $210.70
  • MN BCBS Commercial — BCBS MN: $163.51
  • Sanford Health Plan — Commercia-NDPERS: $105.08
  • Sanford Health Plan — Commercial: $110.62
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Metabolic panel total ca Not listed in the file Not listed in the file $8.46 – $28.68
Basic metabolic panel (blood test): 10 of 26 insurance plan rates
  • Advocare/Security Health — Medicare: $8.46
  • BCBS WI — Commercial: $16.92
  • BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $8.46
  • Freedom Blue PPO — Medicare: $8.46
  • HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $8.46
  • IMCARE MSHO PCC PRIME — Medicare: $8.46
  • IMCARE MSHO REF REQ — Medicare: $8.46
  • Itasca Med Care — Medicaid: $8.46
  • MEDICA ADVANTAGE SOLUTIONS — Medicare: $8.46
  • MEDICA MSHO/Dual Solutions — Medicare: $8.46
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PANEL $295 $194.70 $97.65 – $253.70
Comprehensive metabolic panel (blood test): 10 of 28 insurance plan rates
  • Aetna First Health — Commercial: $250.75
  • America's PPO — Commercial: $228.62
  • BCBS MN — Medicaid: $121.98
  • BCBS MN — SHP: $122.01
  • BCBS WI — Commercial: $224.20
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $121.98
  • Cigna — Commercial: $210.92
  • HealthEOS — Commercial: $253.70
  • HealthPartners — Commercial: $210.92
  • HealthPartners — SHP: $210.92
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OCC MED COMPREHENSIVE METABOLIC PANEL $49 $32.34 $16.22 – $42.14
Comprehensive metabolic panel (blood test): 10 of 28 insurance plan rates
  • Aetna First Health — Commercial: $41.65
  • America's PPO — Commercial: $37.98
  • BCBS MN — Medicaid: $20.26
  • BCBS MN — SHP: $20.27
  • BCBS WI — Commercial: $37.24
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $20.26
  • Cigna — Commercial: $35.03
  • HealthEOS — Commercial: $42.14
  • HealthPartners — Commercial: $35.03
  • HealthPartners — SHP: $35.03
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PANEL $295 $194.70 $122.01 – $253.70
Comprehensive metabolic panel (blood test): 10 of 16 insurance plan rates
  • Aetna First Health — Commercial: $250.75
  • America's PPO — Commercial: $228.62
  • BCBS MN — Medicaid: $177
  • BCBS MN — SHP: $122.01
  • BCBS WI — Commercial: $224.20
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $177
  • HealthEOS — Commercial: $253.70
  • MN BCBS Commercial — BCBS MN: $196.88
  • Sanford Health Plan — Commercia-NDPERS: $126.53
  • Sanford Health Plan — Commercial: $133.19
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetric panel Not listed in the file Not listed in the file $47.81 – $162.08
Obstetric blood test panel: 10 of 26 insurance plan rates
  • Advocare/Security Health — Medicare: $47.81
  • BCBS WI — Commercial: $95.62
  • BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $47.81
  • Freedom Blue PPO — Medicare: $47.81
  • HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $47.81
  • IMCARE MSHO PCC PRIME — Medicare: $47.81
  • IMCARE MSHO REF REQ — Medicare: $47.81
  • Itasca Med Care — Medicaid: $47.81
  • MEDICA ADVANTAGE SOLUTIONS — Medicare: $47.81
  • MEDICA MSHO/Dual Solutions — Medicare: $47.81
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PROFILE $147 $97.02 $48.66 – $126.42
Cholesterol panel (lipid panel): 10 of 28 insurance plan rates
  • Aetna First Health — Commercial: $124.95
  • America's PPO — Commercial: $113.92
  • BCBS MN — Medicaid: $60.78
  • BCBS MN — SHP: $60.80
  • BCBS WI — Commercial: $111.72
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $60.78
  • Cigna — Commercial: $105.10
  • HealthEOS — Commercial: $126.42
  • HealthPartners — Commercial: $105.10
  • HealthPartners — SHP: $105.10
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LIPID PROFILE $147 $97.02 $60.80 – $126.42
Cholesterol panel (lipid panel): 10 of 16 insurance plan rates
  • Aetna First Health — Commercial: $124.95
  • America's PPO — Commercial: $113.92
  • BCBS MN — Medicaid: $88.20
  • BCBS MN — SHP: $60.80
  • BCBS WI — Commercial: $111.72
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $88.20
  • HealthEOS — Commercial: $126.42
  • MN BCBS Commercial — BCBS MN: $98.11
  • Sanford Health Plan — Commercia-NDPERS: $63.05
  • Sanford Health Plan — Commercial: $66.37
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipid panel Not listed in the file Not listed in the file $13.39 – $45.39
Cholesterol panel (lipid panel): 10 of 26 insurance plan rates
  • Advocare/Security Health — Medicare: $13.39
  • BCBS WI — Commercial: $26.78
  • BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $13.39
  • Freedom Blue PPO — Medicare: $13.39
  • HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $13.39
  • IMCARE MSHO PCC PRIME — Medicare: $13.39
  • IMCARE MSHO REF REQ — Medicare: $13.39
  • Itasca Med Care — Medicaid: $13.39
  • MEDICA ADVANTAGE SOLUTIONS — Medicare: $13.39
  • MEDICA MSHO/Dual Solutions — Medicare: $13.39
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL $298 $196.68 $98.64 – $256.28
Kidney function panel: 10 of 28 insurance plan rates
  • Aetna First Health — Commercial: $253.30
  • America's PPO — Commercial: $230.95
  • BCBS MN — Medicaid: $123.22
  • BCBS MN — SHP: $123.25
  • BCBS WI — Commercial: $226.48
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $123.22
  • Cigna — Commercial: $213.07
  • HealthEOS — Commercial: $256.28
  • HealthPartners — Commercial: $213.07
  • HealthPartners — SHP: $213.07
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL $298 $196.68 $123.25 – $256.28
Kidney function panel: 10 of 16 insurance plan rates
  • Aetna First Health — Commercial: $253.30
  • America's PPO — Commercial: $230.95
  • BCBS MN — Medicaid: $178.80
  • BCBS MN — SHP: $123.25
  • BCBS WI — Commercial: $226.48
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $178.80
  • HealthEOS — Commercial: $256.28
  • MN BCBS Commercial — BCBS MN: $198.89
  • Sanford Health Plan — Commercia-NDPERS: $127.81
  • Sanford Health Plan — Commercial: $134.55
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Renal function panel Not listed in the file Not listed in the file $8.68 – $29.43
Kidney function panel: 10 of 26 insurance plan rates
  • Advocare/Security Health — Medicare: $8.68
  • BCBS WI — Commercial: $17.36
  • BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $8.68
  • Freedom Blue PPO — Medicare: $8.68
  • HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $8.68
  • IMCARE MSHO PCC PRIME — Medicare: $8.68
  • IMCARE MSHO REF REQ — Medicare: $8.68
  • Itasca Med Care — Medicaid: $8.68
  • MEDICA ADVANTAGE SOLUTIONS — Medicare: $8.68
  • MEDICA MSHO/Dual Solutions — Medicare: $8.68
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL $174 $114.84 $57.59 – $149.64
Liver function panel: 10 of 28 insurance plan rates
  • Aetna First Health — Commercial: $147.90
  • America's PPO — Commercial: $134.85
  • BCBS MN — Medicaid: $71.95
  • BCBS MN — SHP: $71.97
  • BCBS WI — Commercial: $132.24
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $71.95
  • Cigna — Commercial: $124.41
  • HealthEOS — Commercial: $149.64
  • HealthPartners — Commercial: $124.41
  • HealthPartners — SHP: $124.41
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL $174 $114.84 $71.97 – $149.64
Liver function panel: 10 of 16 insurance plan rates
  • Aetna First Health — Commercial: $147.90
  • America's PPO — Commercial: $134.85
  • BCBS MN — Medicaid: $104.40
  • BCBS MN — SHP: $71.97
  • BCBS WI — Commercial: $132.24
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $104.40
  • HealthEOS — Commercial: $149.64
  • MN BCBS Commercial — BCBS MN: $116.13
  • Sanford Health Plan — Commercia-NDPERS: $74.63
  • Sanford Health Plan — Commercial: $78.56
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hepatic function panel Not listed in the file Not listed in the file $8.17 – $27.70
Liver function panel: 10 of 26 insurance plan rates
  • Advocare/Security Health — Medicare: $8.17
  • BCBS WI — Commercial: $16.34
  • BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $8.17
  • Freedom Blue PPO — Medicare: $8.17
  • HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $8.17
  • IMCARE MSHO PCC PRIME — Medicare: $8.17
  • IMCARE MSHO REF REQ — Medicare: $8.17
  • Itasca Med Care — Medicaid: $8.17
  • MEDICA ADVANTAGE SOLUTIONS — Medicare: $8.17
  • MEDICA MSHO/Dual Solutions — Medicare: $8.17
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS, AUTO, W/SCOPE $79 $52.14 $26.15 – $67.94
Urine test (automated, with microscope): 10 of 28 insurance plan rates
  • Aetna First Health — Commercial: $67.15
  • America's PPO — Commercial: $61.22
  • BCBS MN — Medicaid: $32.67
  • BCBS MN — SHP: $32.67
  • BCBS WI — Commercial: $60.04
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $32.67
  • Cigna — Commercial: $56.48
  • HealthEOS — Commercial: $67.94
  • HealthPartners — Commercial: $56.48
  • HealthPartners — SHP: $56.48
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINALYSIS, AUTO, W/SCOPE $79 $52.14 $32.67 – $67.94
Urine test (automated, with microscope): 10 of 16 insurance plan rates
  • Aetna First Health — Commercial: $67.15
  • America's PPO — Commercial: $61.22
  • BCBS MN — Medicaid: $47.40
  • BCBS MN — SHP: $32.67
  • BCBS WI — Commercial: $60.04
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $47.40
  • HealthEOS — Commercial: $67.94
  • MN BCBS Commercial — BCBS MN: $52.72
  • Sanford Health Plan — Commercia-NDPERS: $33.88
  • Sanford Health Plan — Commercial: $35.67
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/scope Not listed in the file Not listed in the file $3.17 – $10.75
Urine test (automated, with microscope): 10 of 26 insurance plan rates
  • Advocare/Security Health — Medicare: $3.17
  • BCBS WI — Commercial: $6.34
  • BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $3.17
  • Freedom Blue PPO — Medicare: $3.17
  • HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $3.17
  • IMCARE MSHO PCC PRIME — Medicare: $3.17
  • IMCARE MSHO REF REQ — Medicare: $3.17
  • Itasca Med Care — Medicaid: $3.17
  • MEDICA ADVANTAGE SOLUTIONS — Medicare: $3.17
  • MEDICA MSHO/Dual Solutions — Medicare: $3.17
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS NONAUTO W/O SCOPE $30 $19.80 $9.93 – $25.80
Urine test (manual, without microscope): 10 of 28 insurance plan rates
  • Aetna First Health — Commercial: $25.50
  • America's PPO — Commercial: $23.25
  • BCBS MN — Medicaid: $12.40
  • BCBS MN — SHP: $12.41
  • BCBS WI — Commercial: $22.80
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $12.40
  • Cigna — Commercial: $21.45
  • HealthEOS — Commercial: $25.80
  • HealthPartners — Commercial: $21.45
  • HealthPartners — SHP: $21.45
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINALYSIS NONAUTO W/O SCOPE $30 $19.80 $12.41 – $25.80
Urine test (manual, without microscope): 10 of 16 insurance plan rates
  • Aetna First Health — Commercial: $25.50
  • America's PPO — Commercial: $23.25
  • BCBS MN — Medicaid: $18
  • BCBS MN — SHP: $12.41
  • BCBS WI — Commercial: $22.80
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $18
  • HealthEOS — Commercial: $25.80
  • MN BCBS Commercial — BCBS MN: $20.02
  • Sanford Health Plan — Commercia-NDPERS: $12.87
  • Sanford Health Plan — Commercial: $13.54
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis nonauto w/o scope Not listed in the file Not listed in the file $3.48 – $11.80
Urine test (manual, without microscope): 10 of 26 insurance plan rates
  • Advocare/Security Health — Medicare: $3.48
  • BCBS WI — Commercial: $6.96
  • BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $3.48
  • Freedom Blue PPO — Medicare: $3.48
  • HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $3.48
  • IMCARE MSHO PCC PRIME — Medicare: $3.48
  • IMCARE MSHO REF REQ — Medicare: $3.48
  • Itasca Med Care — Medicaid: $3.48
  • MEDICA ADVANTAGE SOLUTIONS — Medicare: $3.48
  • MEDICA MSHO/Dual Solutions — Medicare: $3.48
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS, AUTO W/O SCOPE $51 $33.66 $16.88 – $43.86
Urine test (automated, without microscope): 10 of 28 insurance plan rates
  • Aetna First Health — Commercial: $43.35
  • America's PPO — Commercial: $39.52
  • BCBS MN — Medicaid: $21.09
  • BCBS MN — SHP: $21.09
  • BCBS WI — Commercial: $38.76
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $21.09
  • Cigna — Commercial: $36.46
  • HealthEOS — Commercial: $43.86
  • HealthPartners — Commercial: $36.46
  • HealthPartners — SHP: $36.46
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINALYSIS, AUTO W/O SCOPE $51 $33.66 $21.09 – $43.86
Urine test (automated, without microscope): 10 of 16 insurance plan rates
  • Aetna First Health — Commercial: $43.35
  • America's PPO — Commercial: $39.52
  • BCBS MN — Medicaid: $30.60
  • BCBS MN — SHP: $21.09
  • BCBS WI — Commercial: $38.76
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $30.60
  • HealthEOS — Commercial: $43.86
  • MN BCBS Commercial — BCBS MN: $34.04
  • Sanford Health Plan — Commercia-NDPERS: $21.87
  • Sanford Health Plan — Commercial: $23.03
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/o scope Not listed in the file Not listed in the file $2.25 – $7.63
Urine test (automated, without microscope): 10 of 26 insurance plan rates
  • Advocare/Security Health — Medicare: $2.25
  • BCBS WI — Commercial: $4.50
  • BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $2.25
  • Freedom Blue PPO — Medicare: $2.25
  • HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $2.25
  • IMCARE MSHO PCC PRIME — Medicare: $2.25
  • IMCARE MSHO REF REQ — Medicare: $2.25
  • Itasca Med Care — Medicaid: $2.25
  • MEDICA ADVANTAGE SOLUTIONS — Medicare: $2.25
  • MEDICA MSHO/Dual Solutions — Medicare: $2.25
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ASSAY OF PSA TOTAL $162 $106.92 $53.62 – $139.32
PSA (prostate specific antigen) blood test: 10 of 28 insurance plan rates
  • Aetna First Health — Commercial: $137.70
  • America's PPO — Commercial: $125.55
  • BCBS MN — Medicaid: $66.99
  • BCBS MN — SHP: $67
  • BCBS WI — Commercial: $123.12
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $66.99
  • Cigna — Commercial: $115.83
  • HealthEOS — Commercial: $139.32
  • HealthPartners — Commercial: $115.83
  • HealthPartners — SHP: $115.83
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ASSAY OF PSA TOTAL $162 $106.92 $67 – $139.32
PSA (prostate specific antigen) blood test: 10 of 16 insurance plan rates
  • Aetna First Health — Commercial: $137.70
  • America's PPO — Commercial: $125.55
  • BCBS MN — Medicaid: $97.20
  • BCBS MN — SHP: $67
  • BCBS WI — Commercial: $123.12
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $97.20
  • HealthEOS — Commercial: $139.32
  • MN BCBS Commercial — BCBS MN: $108.12
  • Sanford Health Plan — Commercia-NDPERS: $69.48
  • Sanford Health Plan — Commercial: $73.14
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Assay of psa total Not listed in the file Not listed in the file $18.39 – $62.34
PSA (prostate specific antigen) blood test: 10 of 26 insurance plan rates
  • Advocare/Security Health — Medicare: $18.39
  • BCBS WI — Commercial: $36.78
  • BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $18.39
  • Freedom Blue PPO — Medicare: $18.39
  • HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $18.39
  • IMCARE MSHO PCC PRIME — Medicare: $18.39
  • IMCARE MSHO REF REQ — Medicare: $18.39
  • Itasca Med Care — Medicaid: $18.39
  • MEDICA ADVANTAGE SOLUTIONS — Medicare: $18.39
  • MEDICA MSHO/Dual Solutions — Medicare: $18.39
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ASSAY THYROID STIM HORMONE $149 $98.34 $49.32 – $128.14
Thyroid stimulating hormone (TSH) test: 10 of 28 insurance plan rates
  • Aetna First Health — Commercial: $126.65
  • America's PPO — Commercial: $115.48
  • BCBS MN — Medicaid: $61.61
  • BCBS MN — SHP: $61.63
  • BCBS WI — Commercial: $113.24
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $61.61
  • Cigna — Commercial: $106.54
  • HealthEOS — Commercial: $128.14
  • HealthPartners — Commercial: $106.54
  • HealthPartners — SHP: $106.54
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ASSAY THYROID STIM HORMONE $149 $98.34 $61.63 – $128.14
Thyroid stimulating hormone (TSH) test: 10 of 16 insurance plan rates
  • Aetna First Health — Commercial: $126.65
  • America's PPO — Commercial: $115.48
  • BCBS MN — Medicaid: $89.40
  • BCBS MN — SHP: $61.63
  • BCBS WI — Commercial: $113.24
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $89.40
  • HealthEOS — Commercial: $128.14
  • MN BCBS Commercial — BCBS MN: $99.44
  • Sanford Health Plan — Commercia-NDPERS: $63.91
  • Sanford Health Plan — Commercial: $67.27
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Assay thyroid stim hormone Not listed in the file Not listed in the file $16.80 – $56.95
Thyroid stimulating hormone (TSH) test: 10 of 26 insurance plan rates
  • Advocare/Security Health — Medicare: $16.80
  • BCBS WI — Commercial: $33.60
  • BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $16.80
  • Freedom Blue PPO — Medicare: $16.80
  • HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $16.80
  • IMCARE MSHO PCC PRIME — Medicare: $16.80
  • IMCARE MSHO REF REQ — Medicare: $16.80
  • Itasca Med Care — Medicaid: $16.80
  • MEDICA ADVANTAGE SOLUTIONS — Medicare: $16.80
  • MEDICA MSHO/Dual Solutions — Medicare: $16.80
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE CBC W/AUTO DIFF WBC $170 $112.20 $56.27 – $146.20
Complete blood count (CBC) with differential: 10 of 28 insurance plan rates
  • Aetna First Health — Commercial: $144.50
  • America's PPO — Commercial: $131.75
  • BCBS MN — Medicaid: $70.30
  • BCBS MN — SHP: $70.31
  • BCBS WI — Commercial: $129.20
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $70.30
  • Cigna — Commercial: $121.55
  • HealthEOS — Commercial: $146.20
  • HealthPartners — Commercial: $121.55
  • HealthPartners — SHP: $121.55
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPLETE CBC W/AUTO DIFF WBC $170 $112.20 $70.31 – $146.20
Complete blood count (CBC) with differential: 10 of 16 insurance plan rates
  • Aetna First Health — Commercial: $144.50
  • America's PPO — Commercial: $131.75
  • BCBS MN — Medicaid: $102
  • BCBS MN — SHP: $70.31
  • BCBS WI — Commercial: $129.20
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $102
  • HealthEOS — Commercial: $146.20
  • MN BCBS Commercial — BCBS MN: $113.46
  • Sanford Health Plan — Commercia-NDPERS: $72.91
  • Sanford Health Plan — Commercial: $76.76
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc w/auto diff wbc Not listed in the file Not listed in the file $7.77 – $26.34
Complete blood count (CBC) with differential: 10 of 26 insurance plan rates
  • Advocare/Security Health — Medicare: $7.77
  • BCBS WI — Commercial: $15.54
  • BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $7.77
  • Freedom Blue PPO — Medicare: $7.77
  • HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $7.77
  • IMCARE MSHO PCC PRIME — Medicare: $7.77
  • IMCARE MSHO REF REQ — Medicare: $7.77
  • Itasca Med Care — Medicaid: $7.77
  • MEDICA ADVANTAGE SOLUTIONS — Medicare: $7.77
  • MEDICA MSHO/Dual Solutions — Medicare: $7.77
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE CBC AUTOMATED $157 $103.62 $51.97 – $135.02
Complete blood count (CBC), automated: 10 of 28 insurance plan rates
  • Aetna First Health — Commercial: $133.45
  • America's PPO — Commercial: $121.68
  • BCBS MN — Medicaid: $64.92
  • BCBS MN — SHP: $64.94
  • BCBS WI — Commercial: $119.32
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $64.92
  • Cigna — Commercial: $112.26
  • HealthEOS — Commercial: $135.02
  • HealthPartners — Commercial: $112.26
  • HealthPartners — SHP: $112.26
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPLETE CBC AUTOMATED $157 $103.62 $64.94 – $135.02
Complete blood count (CBC), automated: 10 of 16 insurance plan rates
  • Aetna First Health — Commercial: $133.45
  • America's PPO — Commercial: $121.68
  • BCBS MN — Medicaid: $94.20
  • BCBS MN — SHP: $64.94
  • BCBS WI — Commercial: $119.32
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $94.20
  • HealthEOS — Commercial: $135.02
  • MN BCBS Commercial — BCBS MN: $104.78
  • Sanford Health Plan — Commercia-NDPERS: $67.34
  • Sanford Health Plan — Commercial: $70.89
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc automated Not listed in the file Not listed in the file $6.47 – $21.93
Complete blood count (CBC), automated: 10 of 26 insurance plan rates
  • Advocare/Security Health — Medicare: $6.47
  • BCBS WI — Commercial: $12.94
  • BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $6.47
  • Freedom Blue PPO — Medicare: $6.47
  • HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $6.47
  • IMCARE MSHO PCC PRIME — Medicare: $6.47
  • IMCARE MSHO REF REQ — Medicare: $6.47
  • Itasca Med Care — Medicaid: $6.47
  • MEDICA ADVANTAGE SOLUTIONS — Medicare: $6.47
  • MEDICA MSHO/Dual Solutions — Medicare: $6.47
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME (PT/INR) $65 $42.90 $21.52 – $55.90
Blood clotting time test (prothrombin time, PT): 10 of 28 insurance plan rates
  • Aetna First Health — Commercial: $55.25
  • America's PPO — Commercial: $50.38
  • BCBS MN — Medicaid: $26.88
  • BCBS MN — SHP: $26.88
  • BCBS WI — Commercial: $49.40
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $26.88
  • Cigna — Commercial: $46.48
  • HealthEOS — Commercial: $55.90
  • HealthPartners — Commercial: $46.48
  • HealthPartners — SHP: $46.48
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME (PT/INR) $65 $42.90 $26.88 – $55.90
Blood clotting time test (prothrombin time, PT): 10 of 16 insurance plan rates
  • Aetna First Health — Commercial: $55.25
  • America's PPO — Commercial: $50.38
  • BCBS MN — Medicaid: $39
  • BCBS MN — SHP: $26.88
  • BCBS WI — Commercial: $49.40
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $39
  • HealthEOS — Commercial: $55.90
  • MN BCBS Commercial — BCBS MN: $43.38
  • Sanford Health Plan — Commercia-NDPERS: $27.88
  • Sanford Health Plan — Commercial: $29.35
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prothrombin time Not listed in the file Not listed in the file $4.29 – $14.54
Blood clotting time test (prothrombin time, PT): 10 of 26 insurance plan rates
  • Advocare/Security Health — Medicare: $4.29
  • BCBS WI — Commercial: $8.58
  • BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $4.29
  • Freedom Blue PPO — Medicare: $4.29
  • HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $4.29
  • IMCARE MSHO PCC PRIME — Medicare: $4.29
  • IMCARE MSHO REF REQ — Medicare: $4.29
  • Itasca Med Care — Medicaid: $4.29
  • MEDICA ADVANTAGE SOLUTIONS — Medicare: $4.29
  • MEDICA MSHO/Dual Solutions — Medicare: $4.29
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THROMBOPLASTIN TIME PARTIAL $103 $67.98 $34.09 – $88.58
Blood clotting test (partial thromboplastin time, PTT): 10 of 28 insurance plan rates
  • Aetna First Health — Commercial: $87.55
  • America's PPO — Commercial: $79.82
  • BCBS MN — Medicaid: $42.59
  • BCBS MN — SHP: $42.60
  • BCBS WI — Commercial: $78.28
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $42.59
  • Cigna — Commercial: $73.64
  • HealthEOS — Commercial: $88.58
  • HealthPartners — Commercial: $73.64
  • HealthPartners — SHP: $73.64
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: THROMBOPLASTIN TIME PARTIAL $103 $67.98 $42.60 – $88.58
Blood clotting test (partial thromboplastin time, PTT): 10 of 16 insurance plan rates
  • Aetna First Health — Commercial: $87.55
  • America's PPO — Commercial: $79.82
  • BCBS MN — Medicaid: $61.80
  • BCBS MN — SHP: $42.60
  • BCBS WI — Commercial: $78.28
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $61.80
  • HealthEOS — Commercial: $88.58
  • MN BCBS Commercial — BCBS MN: $68.74
  • Sanford Health Plan — Commercia-NDPERS: $44.18
  • Sanford Health Plan — Commercial: $46.50
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Thromboplastin time partial Not listed in the file Not listed in the file $6.01 – $20.37
Blood clotting test (partial thromboplastin time, PTT): 10 of 26 insurance plan rates
  • Advocare/Security Health — Medicare: $6.01
  • BCBS WI — Commercial: $12.02
  • BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $6.01
  • Freedom Blue PPO — Medicare: $6.01
  • HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $6.01
  • IMCARE MSHO PCC PRIME — Medicare: $6.01
  • IMCARE MSHO REF REQ — Medicare: $6.01
  • Itasca Med Care — Medicaid: $6.01
  • MEDICA ADVANTAGE SOLUTIONS — Medicare: $6.01
  • MEDICA MSHO/Dual Solutions — Medicare: $6.01

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct head/brain w/o dye Not listed in the file Not listed in the file $104.37 – $188.31
CT scan of the head or brain, without contrast: 10 of 30 insurance plan rates
  • Advocare/Security Health — Medicare: $104.37
  • BCBS WI — Commercial: $212.68
  • BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $104.37
  • Freedom Blue PPO — Medicare: $104.37
  • HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $104.37
  • IMCARE MSHO PCC PRIME — Medicare: $104.37
  • IMCARE MSHO REF REQ — Medicare: $104.37
  • Itasca Med Care — Medicaid: $106.34
  • MEDICA ADVANTAGE SOLUTIONS — Medicare: $104.37
  • MEDICA MSHO/Dual Solutions — Medicare: $104.37
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: CT HEAD/BRAIN W/O DYE $1,811 $1,195.26 $599.44 – $1,557.46
CT scan of the head or brain, without contrast: 10 of 28 insurance plan rates
  • Aetna First Health — Commercial: $1,539.35
  • America's PPO — Commercial: $1,403.52
  • BCBS MN — Medicaid: $748.85
  • BCBS MN — SHP: $749.03
  • BCBS WI — Commercial: $1,376.36
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $748.85
  • Cigna — Commercial: $1,294.86
  • HealthEOS — Commercial: $1,557.46
  • HealthPartners — Commercial: $1,294.86
  • HealthPartners — SHP: $1,294.86
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee · modifier TC In the file: CT HEAD/BRAIN W/O DYE $1,811 $1,195.26 $749.03 – $1,557.46
CT scan of the head or brain, without contrast: 10 of 16 insurance plan rates
  • Aetna First Health — Commercial: $1,539.35
  • America's PPO — Commercial: $1,403.52
  • BCBS MN — Medicaid: $1,086.60
  • BCBS MN — SHP: $749.03
  • BCBS WI — Commercial: $1,376.36
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $1,086.60
  • HealthEOS — Commercial: $1,557.46
  • MN BCBS Commercial — BCBS MN: $1,208.66
  • Sanford Health Plan — Commercia-NDPERS: $776.74
  • Sanford Health Plan — Commercial: $817.67
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri brain stem w/o & w/dye Not listed in the file Not listed in the file $350.49 – $632.41
MRI of the brain, before and after contrast: 10 of 30 insurance plan rates
  • Advocare/Security Health — Medicare: $350.49
  • BCBS WI — Commercial: $714.26
  • BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $350.49
  • Freedom Blue PPO — Medicare: $350.49
  • HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $350.49
  • IMCARE MSHO PCC PRIME — Medicare: $350.49
  • IMCARE MSHO REF REQ — Medicare: $350.49
  • Itasca Med Care — Medicaid: $357.13
  • MEDICA ADVANTAGE SOLUTIONS — Medicare: $350.49
  • MEDICA MSHO/Dual Solutions — Medicare: $350.49
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: MRI BRAIN W & WO CONTRAST $3,926 $2,591.16 $1,299.51 – $3,376.36
MRI of the brain, before and after contrast: 10 of 28 insurance plan rates
  • Aetna First Health — Commercial: $3,337.10
  • America's PPO — Commercial: $3,042.65
  • BCBS MN — Medicaid: $1,623.40
  • BCBS MN — SHP: $1,623.79
  • BCBS WI — Commercial: $2,983.76
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $1,623.40
  • Cigna — Commercial: $2,807.09
  • HealthEOS — Commercial: $3,376.36
  • HealthPartners — Commercial: $2,807.09
  • HealthPartners — SHP: $2,807.09
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee · modifier TC In the file: MRI BRAIN W & WO CONTRAST $3,926 $2,591.16 $1,623.79 – $3,376.36
MRI of the brain, before and after contrast: 10 of 16 insurance plan rates
  • Aetna First Health — Commercial: $3,337.10
  • America's PPO — Commercial: $3,042.65
  • BCBS MN — Medicaid: $2,355.60
  • BCBS MN — SHP: $1,623.79
  • BCBS WI — Commercial: $2,983.76
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $2,355.60
  • HealthEOS — Commercial: $3,376.36
  • MN BCBS Commercial — BCBS MN: $2,620.21
  • Sanford Health Plan — Commercia-NDPERS: $1,683.86
  • Sanford Health Plan — Commercial: $1,772.59
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-ray exam chest 2 views Not listed in the file Not listed in the file $86.41 – $155.91
Chest X-ray, 2 views: 10 of 29 insurance plan rates
  • Advocare/Security Health — Medicare: $86.41
  • BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $86.41
  • Freedom Blue PPO — Medicare: $86.41
  • HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $86.41
  • IMCARE MSHO PCC PRIME — Medicare: $86.41
  • IMCARE MSHO REF REQ — Medicare: $86.41
  • Itasca Med Care — Medicaid: $88.05
  • MEDICA ADVANTAGE SOLUTIONS — Medicare: $86.41
  • MEDICA MSHO/Dual Solutions — Medicare: $86.41
  • MEDICA PRIME SOLUTION GROUP — Medicare: $86.41
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: X-RAY EXAM CHEST 2 VIEWS $327 $215.82 $108.24 – $281.22
Chest X-ray, 2 views: 10 of 28 insurance plan rates
  • Aetna First Health — Commercial: $277.95
  • America's PPO — Commercial: $253.42
  • BCBS MN — Medicaid: $135.21
  • BCBS MN — SHP: $135.25
  • BCBS WI — Commercial: $248.52
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $135.21
  • Cigna — Commercial: $233.80
  • HealthEOS — Commercial: $281.22
  • HealthPartners — Commercial: $233.80
  • HealthPartners — SHP: $233.80
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee · modifier TC In the file: X-RAY EXAM CHEST 2 VIEWS $327 $215.82 $135.25 – $281.22
Chest X-ray, 2 views: 10 of 16 insurance plan rates
  • Aetna First Health — Commercial: $277.95
  • America's PPO — Commercial: $253.42
  • BCBS MN — Medicaid: $196.20
  • BCBS MN — SHP: $135.25
  • BCBS WI — Commercial: $248.52
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $196.20
  • HealthEOS — Commercial: $281.22
  • MN BCBS Commercial — BCBS MN: $218.24
  • Sanford Health Plan — Commercia-NDPERS: $140.25
  • Sanford Health Plan — Commercial: $147.64
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-ray exam l-2 spine 4/>vws Not listed in the file Not listed in the file $104.37 – $188.31
X-ray of the lower spine, at least 4 views: 10 of 30 insurance plan rates
  • Advocare/Security Health — Medicare: $104.37
  • BCBS WI — Commercial: $212.68
  • BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $104.37
  • Freedom Blue PPO — Medicare: $104.37
  • HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $104.37
  • IMCARE MSHO PCC PRIME — Medicare: $104.37
  • IMCARE MSHO REF REQ — Medicare: $104.37
  • Itasca Med Care — Medicaid: $106.34
  • MEDICA ADVANTAGE SOLUTIONS — Medicare: $104.37
  • MEDICA MSHO/Dual Solutions — Medicare: $104.37
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: XRAY LUMBOSACRAL MINIMUM 4 VWS $496 $327.36 $164.18 – $426.56
X-ray of the lower spine, at least 4 views: 10 of 28 insurance plan rates
  • Aetna First Health — Commercial: $421.60
  • America's PPO — Commercial: $384.40
  • BCBS MN — Medicaid: $205.10
  • BCBS MN — SHP: $205.15
  • BCBS WI — Commercial: $376.96
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $205.10
  • Cigna — Commercial: $354.64
  • HealthEOS — Commercial: $426.56
  • HealthPartners — Commercial: $354.64
  • HealthPartners — SHP: $354.64
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee · modifier TC In the file: XRAY LUMBOSACRAL MINIMUM 4 VWS $496 $327.36 $205.15 – $426.56
X-ray of the lower spine, at least 4 views: 10 of 16 insurance plan rates
  • Aetna First Health — Commercial: $421.60
  • America's PPO — Commercial: $384.40
  • BCBS MN — Medicaid: $297.60
  • BCBS MN — SHP: $205.15
  • BCBS WI — Commercial: $376.96
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $297.60
  • HealthEOS — Commercial: $426.56
  • MN BCBS Commercial — BCBS MN: $331.03
  • Sanford Health Plan — Commercia-NDPERS: $212.73
  • Sanford Health Plan — Commercial: $223.94
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri lumbar spine w/o dye Not listed in the file Not listed in the file $236.24 – $428.04
MRI of the lower back (lumbar spine), without contrast: 10 of 30 insurance plan rates
  • Advocare/Security Health — Medicare: $237.22
  • BCBS WI — Commercial: $483.44
  • BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $237.22
  • Freedom Blue PPO — Medicare: $237.22
  • HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $237.22
  • IMCARE MSHO PCC PRIME — Medicare: $237.22
  • IMCARE MSHO REF REQ — Medicare: $237.22
  • Itasca Med Care — Medicaid: $241.72
  • MEDICA ADVANTAGE SOLUTIONS — Medicare: $237.22
  • MEDICA MSHO/Dual Solutions — Medicare: $237.22
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: MRI L SPINE WO CONTRAST $2,832 $1,869.12 $937.39 – $2,435.52
MRI of the lower back (lumbar spine), without contrast: 10 of 28 insurance plan rates
  • Aetna First Health — Commercial: $2,407.20
  • America's PPO — Commercial: $2,194.80
  • BCBS MN — Medicaid: $1,171.03
  • BCBS MN — SHP: $1,171.32
  • BCBS WI — Commercial: $2,152.32
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $1,171.03
  • Cigna — Commercial: $2,024.88
  • HealthEOS — Commercial: $2,435.52
  • HealthPartners — Commercial: $2,024.88
  • HealthPartners — SHP: $2,024.88
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee · modifier TC In the file: MRI L SPINE WO CONTRAST $2,832 $1,869.12 $1,171.32 – $2,435.52
MRI of the lower back (lumbar spine), without contrast: 10 of 16 insurance plan rates
  • Aetna First Health — Commercial: $2,407.20
  • America's PPO — Commercial: $2,194.80
  • BCBS MN — Medicaid: $1,699.20
  • BCBS MN — SHP: $1,171.32
  • BCBS WI — Commercial: $2,152.32
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $1,699.20
  • HealthEOS — Commercial: $2,435.52
  • MN BCBS Commercial — BCBS MN: $1,890.08
  • Sanford Health Plan — Commercia-NDPERS: $1,214.64
  • Sanford Health Plan — Commercial: $1,278.65
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct pelvis w/dye Not listed in the file Not listed in the file $174.71 – $315.23
CT scan of the pelvis, with contrast: 10 of 30 insurance plan rates
  • Advocare/Security Health — Medicare: $174.71
  • BCBS WI — Commercial: $356.04
  • BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $174.71
  • Freedom Blue PPO — Medicare: $174.71
  • HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $174.71
  • IMCARE MSHO PCC PRIME — Medicare: $174.71
  • IMCARE MSHO REF REQ — Medicare: $174.71
  • Itasca Med Care — Medicaid: $178.02
  • MEDICA ADVANTAGE SOLUTIONS — Medicare: $174.71
  • MEDICA MSHO/Dual Solutions — Medicare: $174.71
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: CT PELVIS W/DYE $1,966 $1,297.56 $650.75 – $1,690.76
CT scan of the pelvis, with contrast: 10 of 28 insurance plan rates
  • Aetna First Health — Commercial: $1,671.10
  • America's PPO — Commercial: $1,523.65
  • BCBS MN — Medicaid: $812.94
  • BCBS MN — SHP: $813.14
  • BCBS WI — Commercial: $1,494.16
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $812.94
  • Cigna — Commercial: $1,405.69
  • HealthEOS — Commercial: $1,690.76
  • HealthPartners — Commercial: $1,405.69
  • HealthPartners — SHP: $1,405.69
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee · modifier TC In the file: CT PELVIS W/DYE $1,966 $1,297.56 $813.14 – $1,690.76
CT scan of the pelvis, with contrast: 10 of 16 insurance plan rates
  • Aetna First Health — Commercial: $1,671.10
  • America's PPO — Commercial: $1,523.65
  • BCBS MN — Medicaid: $1,179.60
  • BCBS MN — SHP: $813.14
  • BCBS WI — Commercial: $1,494.16
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $1,179.60
  • HealthEOS — Commercial: $1,690.76
  • MN BCBS Commercial — BCBS MN: $1,312.11
  • Sanford Health Plan — Commercia-NDPERS: $843.22
  • Sanford Health Plan — Commercial: $887.65
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri jnt of lwr extre w/o dye Not listed in the file Not listed in the file $236.24 – $428.04
MRI of a leg joint (such as the knee), without contrast: 10 of 30 insurance plan rates
  • Advocare/Security Health — Medicare: $237.22
  • BCBS WI — Commercial: $483.44
  • BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $237.22
  • Freedom Blue PPO — Medicare: $237.22
  • HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $237.22
  • IMCARE MSHO PCC PRIME — Medicare: $237.22
  • IMCARE MSHO REF REQ — Medicare: $237.22
  • Itasca Med Care — Medicaid: $241.72
  • MEDICA ADVANTAGE SOLUTIONS — Medicare: $237.22
  • MEDICA MSHO/Dual Solutions — Medicare: $237.22
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: MRI LOW EXT JNT WO/CONT TC $2,907 $1,918.62 $962.22 – $2,500.02
MRI of a leg joint (such as the knee), without contrast: 10 of 28 insurance plan rates
  • Aetna First Health — Commercial: $2,470.95
  • America's PPO — Commercial: $2,252.93
  • BCBS MN — Medicaid: $1,202.04
  • BCBS MN — SHP: $1,202.34
  • BCBS WI — Commercial: $2,209.32
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $1,202.04
  • Cigna — Commercial: $2,078.50
  • HealthEOS — Commercial: $2,500.02
  • HealthPartners — Commercial: $2,078.50
  • HealthPartners — SHP: $2,078.50
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee · modifier TC In the file: MRI LOW EXT JNT WO/CONT TC $2,907 $1,918.62 $1,202.34 – $2,500.02
MRI of a leg joint (such as the knee), without contrast: 10 of 16 insurance plan rates
  • Aetna First Health — Commercial: $2,470.95
  • America's PPO — Commercial: $2,252.93
  • BCBS MN — Medicaid: $1,744.20
  • BCBS MN — SHP: $1,202.34
  • BCBS WI — Commercial: $2,209.32
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $1,744.20
  • HealthEOS — Commercial: $2,500.02
  • MN BCBS Commercial — BCBS MN: $1,940.13
  • Sanford Health Plan — Commercia-NDPERS: $1,246.81
  • Sanford Health Plan — Commercial: $1,312.51
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/contrast Not listed in the file Not listed in the file $350.49 – $632.41
CT scan of the abdomen and pelvis, with contrast: 10 of 29 insurance plan rates
  • Advocare/Security Health — Medicare: $350.49
  • BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $350.49
  • Freedom Blue PPO — Medicare: $350.49
  • HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $350.49
  • IMCARE MSHO PCC PRIME — Medicare: $350.49
  • IMCARE MSHO REF REQ — Medicare: $350.49
  • Itasca Med Care — Medicaid: $357.13
  • MEDICA ADVANTAGE SOLUTIONS — Medicare: $350.49
  • MEDICA MSHO/Dual Solutions — Medicare: $350.49
  • MEDICA PRIME SOLUTION GROUP — Medicare: $350.49
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: CT ABDOMEN&PELVIS W/CONTRAST $3,804 $2,510.64 $1,259.12 – $3,271.44
CT scan of the abdomen and pelvis, with contrast: 10 of 28 insurance plan rates
  • Aetna First Health — Commercial: $3,233.40
  • America's PPO — Commercial: $2,948.10
  • BCBS MN — Medicaid: $1,572.95
  • BCBS MN — SHP: $1,573.33
  • BCBS WI — Commercial: $2,891.04
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $1,572.95
  • Cigna — Commercial: $2,719.86
  • HealthEOS — Commercial: $3,271.44
  • HealthPartners — Commercial: $2,719.86
  • HealthPartners — SHP: $2,719.86
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee · modifier TC In the file: CT ABDOMEN&PELVIS W/CONTRAST $3,804 $2,510.64 $1,573.33 – $3,271.44
CT scan of the abdomen and pelvis, with contrast: 10 of 16 insurance plan rates
  • Aetna First Health — Commercial: $3,233.40
  • America's PPO — Commercial: $2,948.10
  • BCBS MN — Medicaid: $2,282.40
  • BCBS MN — SHP: $1,573.33
  • BCBS WI — Commercial: $2,891.04
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $2,282.40
  • HealthEOS — Commercial: $3,271.44
  • MN BCBS Commercial — BCBS MN: $2,538.79
  • Sanford Health Plan — Commercia-NDPERS: $1,631.54
  • Sanford Health Plan — Commercial: $1,717.51
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Us exam abdom complete Not listed in the file Not listed in the file $104.37 – $188.31
Ultrasound of the abdomen, complete: 10 of 30 insurance plan rates
  • Advocare/Security Health — Medicare: $104.37
  • BCBS WI — Commercial: $212.68
  • BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $104.37
  • Freedom Blue PPO — Medicare: $104.37
  • HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $104.37
  • IMCARE MSHO PCC PRIME — Medicare: $104.37
  • IMCARE MSHO REF REQ — Medicare: $104.37
  • Itasca Med Care — Medicaid: $106.34
  • MEDICA ADVANTAGE SOLUTIONS — Medicare: $104.37
  • MEDICA MSHO/Dual Solutions — Medicare: $104.37
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: US ABDOMEN TC $851 $561.66 $281.68 – $731.86
Ultrasound of the abdomen, complete: 10 of 28 insurance plan rates
  • Aetna First Health — Commercial: $723.35
  • America's PPO — Commercial: $659.52
  • BCBS MN — Medicaid: $351.89
  • BCBS MN — SHP: $351.97
  • BCBS WI — Commercial: $646.76
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $351.89
  • Cigna — Commercial: $608.46
  • HealthEOS — Commercial: $731.86
  • HealthPartners — Commercial: $608.46
  • HealthPartners — SHP: $608.46
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee · modifier TC In the file: US ABDOMEN TC $851 $561.66 $351.97 – $731.86
Ultrasound of the abdomen, complete: 10 of 16 insurance plan rates
  • Aetna First Health — Commercial: $723.35
  • America's PPO — Commercial: $659.52
  • BCBS MN — Medicaid: $510.60
  • BCBS MN — SHP: $351.97
  • BCBS WI — Commercial: $646.76
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $510.60
  • HealthEOS — Commercial: $731.86
  • MN BCBS Commercial — BCBS MN: $567.96
  • Sanford Health Plan — Commercia-NDPERS: $364.99
  • Sanford Health Plan — Commercial: $384.23
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ob us >= 14 wks sngl fetus Not listed in the file Not listed in the file $104.37 – $188.31
Pregnancy ultrasound (after the first trimester): 10 of 30 insurance plan rates
  • Advocare/Security Health — Medicare: $104.37
  • BCBS WI — Commercial: $212.68
  • BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $104.37
  • Freedom Blue PPO — Medicare: $104.37
  • HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $104.37
  • IMCARE MSHO PCC PRIME — Medicare: $104.37
  • IMCARE MSHO REF REQ — Medicare: $104.37
  • Itasca Med Care — Medicaid: $106.34
  • MEDICA ADVANTAGE SOLUTIONS — Medicare: $104.37
  • MEDICA MSHO/Dual Solutions — Medicare: $104.37
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee · modifier TC In the file: US,PREG. UTERUS,FETAL/MAT.EVAL.,>1ST TRIM.(>/= 14 WKS 0 DYS),TRANSABD;SINGLE/FIRST GEST., TECH $766 $505.56 $316.82 – $658.76
Pregnancy ultrasound (after the first trimester): 10 of 16 insurance plan rates
  • Aetna First Health — Commercial: $651.10
  • America's PPO — Commercial: $593.65
  • BCBS MN — Medicaid: $459.60
  • BCBS MN — SHP: $316.82
  • BCBS WI — Commercial: $582.16
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $459.60
  • HealthEOS — Commercial: $658.76
  • MN BCBS Commercial — BCBS MN: $511.23
  • Sanford Health Plan — Commercia-NDPERS: $328.54
  • Sanford Health Plan — Commercial: $345.85
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Transvaginal us non-ob Not listed in the file Not listed in the file $104.37 – $188.31
Transvaginal ultrasound: 10 of 30 insurance plan rates
  • Advocare/Security Health — Medicare: $104.37
  • BCBS WI — Commercial: $212.68
  • BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $104.37
  • Freedom Blue PPO — Medicare: $104.37
  • HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $104.37
  • IMCARE MSHO PCC PRIME — Medicare: $104.37
  • IMCARE MSHO REF REQ — Medicare: $104.37
  • Itasca Med Care — Medicaid: $106.34
  • MEDICA ADVANTAGE SOLUTIONS — Medicare: $104.37
  • MEDICA MSHO/Dual Solutions — Medicare: $104.37
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: US TRANSVAGINAL TC $606 $399.96 $200.59 – $521.16
Transvaginal ultrasound: 10 of 28 insurance plan rates
  • Aetna First Health — Commercial: $515.10
  • America's PPO — Commercial: $469.65
  • BCBS MN — Medicaid: $250.58
  • BCBS MN — SHP: $250.64
  • BCBS WI — Commercial: $460.56
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $250.58
  • Cigna — Commercial: $433.29
  • HealthEOS — Commercial: $521.16
  • HealthPartners — Commercial: $433.29
  • HealthPartners — SHP: $433.29
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee · modifier TC In the file: US TRANSVAGINAL TC $606 $399.96 $250.64 – $521.16
Transvaginal ultrasound: 10 of 16 insurance plan rates
  • Aetna First Health — Commercial: $515.10
  • America's PPO — Commercial: $469.65
  • BCBS MN — Medicaid: $363.60
  • BCBS MN — SHP: $250.64
  • BCBS WI — Commercial: $460.56
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $363.60
  • HealthEOS — Commercial: $521.16
  • MN BCBS Commercial — BCBS MN: $404.44
  • Sanford Health Plan — Commercia-NDPERS: $259.91
  • Sanford Health Plan — Commercial: $273.61
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Dx mammo incl cad uni Not listed in the file Not listed in the file $86.73 – $256.31
Diagnostic mammogram, one breast: 10 of 30 insurance plan rates
  • Advocare/Security Health — Medicare: $122.93
  • BCBS WI — Commercial: $208
  • BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $122.93
  • Freedom Blue PPO — Medicare: $122.93
  • HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $122.93
  • IMCARE MSHO PCC PRIME — Medicare: $122.93
  • IMCARE MSHO REF REQ — Medicare: $122.93
  • Itasca Med Care — Medicaid: $86.73
  • MEDICA ADVANTAGE SOLUTIONS — Medicare: $122.93
  • MEDICA MSHO/Dual Solutions — Medicare: $122.93
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Dx mammo incl cad bi Not listed in the file Not listed in the file $110.60 – $323.74
Diagnostic mammogram, both breasts: 10 of 30 insurance plan rates
  • Advocare/Security Health — Medicare: $155.27
  • BCBS WI — Commercial: $208
  • BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $155.27
  • Freedom Blue PPO — Medicare: $155.27
  • HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $155.27
  • IMCARE MSHO PCC PRIME — Medicare: $155.27
  • IMCARE MSHO REF REQ — Medicare: $155.27
  • Itasca Med Care — Medicaid: $110.60
  • MEDICA ADVANTAGE SOLUTIONS — Medicare: $155.27
  • MEDICA MSHO/Dual Solutions — Medicare: $155.27
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Scr mammo bi incl cad Not listed in the file Not listed in the file $91.61 – $262.42
Screening mammogram, both breasts: 10 of 30 insurance plan rates
  • Advocare/Security Health — Medicare: $125.86
  • BCBS WI — Commercial: $208
  • BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $125.86
  • Freedom Blue PPO — Medicare: $125.86
  • HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $125.86
  • IMCARE MSHO PCC PRIME — Medicare: $125.86
  • IMCARE MSHO REF REQ — Medicare: $125.86
  • Itasca Med Care — Medicaid: $91.61
  • MEDICA ADVANTAGE SOLUTIONS — Medicare: $125.86
  • MEDICA MSHO/Dual Solutions — Medicare: $125.86

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Electrocardiogram complete Not listed in the file Not listed in the file $25.01
Electrocardiogram (ECG/EKG) with reading: rates for 1 insurance plan
  • MN BCBS Commercial — BCBS MN: $25.01
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Left hrt cath w/ventrclgrphy Not listed in the file Not listed in the file $3,141.61 – $5,695.61
Left heart catheterization (diagnostic): 10 of 25 insurance plan rates
  • Advocare/Security Health — Medicare: $3,156.59
  • BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $3,156.59
  • Freedom Blue PPO — Medicare: $3,156.59
  • HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $3,156.59
  • IMCARE MSHO PCC PRIME — Medicare: $3,156.59
  • IMCARE MSHO REF REQ — Medicare: $3,156.59
  • Itasca Med Care — Medicaid: $3,216.42
  • MEDICA ADVANTAGE SOLUTIONS — Medicare: $3,156.59
  • MEDICA MSHO/Dual Solutions — Medicare: $3,156.59
  • MEDICA PRIME SOLUTION GROUP — Medicare: $3,156.59
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: LEFT HEART CATH W/VENTRCLGRPHY $9,051 $5,973.66 $2,995.88 – $7,783.86
Left heart catheterization (diagnostic): 10 of 28 insurance plan rates
  • Aetna First Health — Commercial: $7,693.35
  • America's PPO — Commercial: $7,014.52
  • BCBS MN — Medicaid: $3,742.59
  • BCBS MN — SHP: $3,743.49
  • BCBS WI — Commercial: $6,878.76
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $3,742.59
  • Cigna — Commercial: $6,471.46
  • HealthEOS — Commercial: $7,783.86
  • HealthPartners — Commercial: $6,471.46
  • HealthPartners — SHP: $6,471.46
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) · Hospital (facility) fee · modifier TC In the file: LEFT HEART CATH W/VENTRCLGRPHY $9,051 $5,973.66 $3,743.49 – $7,783.86
Left heart catheterization (diagnostic): 10 of 16 insurance plan rates
  • Aetna First Health — Commercial: $7,693.35
  • America's PPO — Commercial: $7,014.52
  • BCBS MN — Medicaid: $5,430.60
  • BCBS MN — SHP: $3,743.49
  • BCBS WI — Commercial: $6,878.76
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $5,430.60
  • HealthEOS — Commercial: $7,783.86
  • MN BCBS Commercial — BCBS MN: $6,040.64
  • Sanford Health Plan — Commercia-NDPERS: $3,881.97
  • Sanford Health Plan — Commercial: $4,086.53
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehensive ep evaluation Not listed in the file Not listed in the file $7,200.15 – $13,436.97
Heart rhythm study (electrophysiology evaluation): 10 of 25 insurance plan rates
  • Advocare/Security Health — Medicare: $7,446.96
  • BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $7,446.96
  • Freedom Blue PPO — Medicare: $7,446.96
  • HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $7,446.96
  • IMCARE MSHO PCC PRIME — Medicare: $7,446.96
  • IMCARE MSHO REF REQ — Medicare: $7,446.96
  • Itasca Med Care — Medicaid: $7,588.10
  • MEDICA ADVANTAGE SOLUTIONS — Medicare: $7,446.96
  • MEDICA MSHO/Dual Solutions — Medicare: $7,446.96
  • MEDICA PRIME SOLUTION GROUP — Medicare: $7,446.96
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: ELECTROPHYSIOLOGY EVALUATION $7,890 $5,207.40 $2,611.59 – $6,785.40
Heart rhythm study (electrophysiology evaluation): 10 of 28 insurance plan rates
  • Aetna First Health — Commercial: $6,706.50
  • America's PPO — Commercial: $6,114.75
  • BCBS MN — Medicaid: $3,262.52
  • BCBS MN — SHP: $3,263.30
  • BCBS WI — Commercial: $5,996.40
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $3,262.52
  • Cigna — Commercial: $5,641.35
  • HealthEOS — Commercial: $6,785.40
  • HealthPartners — Commercial: $5,641.35
  • HealthPartners — SHP: $5,641.35
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient (hospital stay) · Hospital (facility) fee · modifier TC In the file: ELECTROPHYSIOLOGY EVALUATION $7,890 $5,207.40 $3,263.30 – $6,785.40
Heart rhythm study (electrophysiology evaluation): 10 of 16 insurance plan rates
  • Aetna First Health — Commercial: $6,706.50
  • America's PPO — Commercial: $6,114.75
  • BCBS MN — Medicaid: $4,734
  • BCBS MN — SHP: $3,263.30
  • BCBS WI — Commercial: $5,996.40
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $4,734
  • HealthEOS — Commercial: $6,785.40
  • MN BCBS Commercial — BCBS MN: $5,265.79
  • Sanford Health Plan — Commercia-NDPERS: $3,384.02
  • Sanford Health Plan — Commercial: $3,562.34
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 $43,128 $28,464.48 $14,275.37 – $37,090.08
Heart rhythm study with ablation for atrial fibrillation: 10 of 28 insurance plan rates
  • Aetna First Health — Commercial: $36,658.80
  • America's PPO — Commercial: $33,424.20
  • BCBS MN — Medicaid: $17,833.43
  • BCBS MN — SHP: $17,837.74
  • BCBS WI — Commercial: $32,777.28
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $17,833.43
  • Cigna — Commercial: $30,836.52
  • HealthEOS — Commercial: $37,090.08
  • HealthPartners — Commercial: $30,836.52
  • HealthPartners — SHP: $30,836.52
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 $43,128 $28,464.48 $17,837.74 – $37,090.08
Heart rhythm study with ablation for atrial fibrillation: 10 of 16 insurance plan rates
  • Aetna First Health — Commercial: $36,658.80
  • America's PPO — Commercial: $33,424.20
  • BCBS MN — Medicaid: $25,876.80
  • BCBS MN — SHP: $17,837.74
  • BCBS WI — Commercial: $32,777.28
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $25,876.80
  • HealthEOS — Commercial: $37,090.08
  • MN BCBS Commercial — BCBS MN: $28,783.63
  • Sanford Health Plan — Commercia-NDPERS: $18,497.60
  • Sanford Health Plan — Commercial: $19,472.29
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Compre ep eval abltj atr fib Not listed in the file Not listed in the file $22,898.03 – $43,441.67
Heart rhythm study with ablation for atrial fibrillation: 10 of 25 insurance plan rates
  • Advocare/Security Health — Medicare: $24,076
  • BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $24,076
  • Freedom Blue PPO — Medicare: $24,076
  • HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $24,076
  • IMCARE MSHO PCC PRIME — Medicare: $24,076
  • IMCARE MSHO REF REQ — Medicare: $24,076
  • Itasca Med Care — Medicaid: $24,532.30
  • MEDICA ADVANTAGE SOLUTIONS — Medicare: $24,076
  • MEDICA MSHO/Dual Solutions — Medicare: $24,076
  • MEDICA PRIME SOLUTION GROUP — Medicare: $24,076
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Polysom 6/> yrs 4/> param Not listed in the file Not listed in the file $998.47 – $1,801.59
Sleep study (overnight, in a sleep lab): 10 of 26 insurance plan rates
  • Advocare/Security Health — Medicare: $998.47
  • BCBS WI — Commercial: $2,793
  • BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $998.47
  • Freedom Blue PPO — Medicare: $998.47
  • HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $998.47
  • IMCARE MSHO PCC PRIME — Medicare: $998.47
  • IMCARE MSHO REF REQ — Medicare: $998.47
  • Itasca Med Care — Medicaid: $1,017.39
  • MEDICA ADVANTAGE SOLUTIONS — Medicare: $998.47
  • MEDICA MSHO/Dual Solutions — Medicare: $998.47
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: POLYSOMNOGRAPHY, 4 OR MORE $4,815 $3,177.90 $1,593.76 – $4,140.90
Sleep study (overnight, in a sleep lab): 10 of 28 insurance plan rates
  • Aetna First Health — Commercial: $4,092.75
  • America's PPO — Commercial: $3,731.62
  • BCBS MN — Medicaid: $1,991
  • BCBS MN — SHP: $1,991.48
  • BCBS WI — Commercial: $3,659.40
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $1,991
  • Cigna — Commercial: $3,442.72
  • HealthEOS — Commercial: $4,140.90
  • HealthPartners — Commercial: $3,442.72
  • HealthPartners — SHP: $3,442.72

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THERAPEUTIC EXERCISES $137 $90.42 $45.35 – $117.82
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 28 insurance plan rates
  • Aetna First Health — Commercial: $116.45
  • America's PPO — Commercial: $106.18
  • BCBS MN — Medicaid: $56.65
  • BCBS MN — SHP: $56.66
  • BCBS WI — Commercial: $104.12
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $56.65
  • Cigna — Commercial: $97.96
  • HealthEOS — Commercial: $117.82
  • HealthPartners — Commercial: $97.96
  • HealthPartners — SHP: $97.96
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: THERAPEUTIC EXERCISES $137 $90.42 $56.66 – $117.82
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 16 insurance plan rates
  • Aetna First Health — Commercial: $116.45
  • America's PPO — Commercial: $106.18
  • BCBS MN — Medicaid: $82.20
  • BCBS MN — SHP: $56.66
  • BCBS WI — Commercial: $104.12
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $82.20
  • HealthEOS — Commercial: $117.82
  • MN BCBS Commercial — BCBS MN: $91.43
  • Sanford Health Plan — Commercia-NDPERS: $58.76
  • Sanford Health Plan — Commercial: $61.86
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Therapeutic exercises Not listed in the file Not listed in the file $28.85 – $60.28
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 25 insurance plan rates
  • Advocare/Security Health — Medicare: $28.91
  • BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $28.91
  • Freedom Blue PPO — Medicare: $28.91
  • HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $28.91
  • IMCARE MSHO PCC PRIME — Medicare: $28.91
  • IMCARE MSHO REF REQ — Medicare: $28.91
  • Itasca Med Care — Medicaid: $28.85
  • MEDICA ADVANTAGE SOLUTIONS — Medicare: $28.91
  • MEDICA MSHO/Dual Solutions — Medicare: $28.91
  • MEDICA PRIME SOLUTION GROUP — Medicare: $28.91
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PHYSICAL THERAPY EVALUATION LOW COMPLEX $228 $150.48 $75.47 – $196.08
Physical therapy evaluation (low complexity): 10 of 28 insurance plan rates
  • Aetna First Health — Commercial: $193.80
  • America's PPO — Commercial: $176.70
  • BCBS MN — Medicaid: $94.28
  • BCBS MN — SHP: $94.30
  • BCBS WI — Commercial: $173.28
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $94.28
  • Cigna — Commercial: $163.02
  • HealthEOS — Commercial: $196.08
  • HealthPartners — Commercial: $163.02
  • HealthPartners — SHP: $163.02
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PHYSICAL THERAPY EVALUATION LOW COMPLEX $228 $150.48 $94.30 – $196.08
Physical therapy evaluation (low complexity): 10 of 16 insurance plan rates
  • Aetna First Health — Commercial: $193.80
  • America's PPO — Commercial: $176.70
  • BCBS MN — Medicaid: $136.80
  • BCBS MN — SHP: $94.30
  • BCBS WI — Commercial: $173.28
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $136.80
  • HealthEOS — Commercial: $196.08
  • MN BCBS Commercial — BCBS MN: $152.17
  • Sanford Health Plan — Commercia-NDPERS: $97.79
  • Sanford Health Plan — Commercial: $102.94
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval low complex 20 min Not listed in the file Not listed in the file $98.08 – $204.91
Physical therapy evaluation (low complexity): 10 of 25 insurance plan rates
  • Advocare/Security Health — Medicare: $98.28
  • BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $98.28
  • Freedom Blue PPO — Medicare: $98.28
  • HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $98.28
  • IMCARE MSHO PCC PRIME — Medicare: $98.28
  • IMCARE MSHO REF REQ — Medicare: $98.28
  • Itasca Med Care — Medicaid: $98.08
  • MEDICA ADVANTAGE SOLUTIONS — Medicare: $98.28
  • MEDICA MSHO/Dual Solutions — Medicare: $98.28
  • MEDICA PRIME SOLUTION GROUP — Medicare: $98.28
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PHYSICAL THERAPY EVALUATION MOD COMPLEX $249 $164.34 $82.42 – $214.14
Physical therapy evaluation (moderate complexity): 10 of 28 insurance plan rates
  • Aetna First Health — Commercial: $211.65
  • America's PPO — Commercial: $192.98
  • BCBS MN — Medicaid: $102.96
  • BCBS MN — SHP: $102.99
  • BCBS WI — Commercial: $189.24
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $102.96
  • Cigna — Commercial: $178.04
  • HealthEOS — Commercial: $214.14
  • HealthPartners — Commercial: $178.04
  • HealthPartners — SHP: $178.04
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PHYSICAL THERAPY EVALUATION MOD COMPLEX $249 $164.34 $102.99 – $214.14
Physical therapy evaluation (moderate complexity): 10 of 16 insurance plan rates
  • Aetna First Health — Commercial: $211.65
  • America's PPO — Commercial: $192.98
  • BCBS MN — Medicaid: $149.40
  • BCBS MN — SHP: $102.99
  • BCBS WI — Commercial: $189.24
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $149.40
  • HealthEOS — Commercial: $214.14
  • MN BCBS Commercial — BCBS MN: $166.18
  • Sanford Health Plan — Commercia-NDPERS: $106.80
  • Sanford Health Plan — Commercial: $112.42
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval mod complex 30 min Not listed in the file Not listed in the file $98.08 – $204.91
Physical therapy evaluation (moderate complexity): 10 of 25 insurance plan rates
  • Advocare/Security Health — Medicare: $98.28
  • BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $98.28
  • Freedom Blue PPO — Medicare: $98.28
  • HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $98.28
  • IMCARE MSHO PCC PRIME — Medicare: $98.28
  • IMCARE MSHO REF REQ — Medicare: $98.28
  • Itasca Med Care — Medicaid: $98.08
  • MEDICA ADVANTAGE SOLUTIONS — Medicare: $98.28
  • MEDICA MSHO/Dual Solutions — Medicare: $98.28
  • MEDICA PRIME SOLUTION GROUP — Medicare: $98.28
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PHYSICAL THERAPY EVALUATION HIGH COMPLEX $271 $178.86 $89.70 – $233.06
Physical therapy evaluation (high complexity): 10 of 28 insurance plan rates
  • Aetna First Health — Commercial: $230.35
  • America's PPO — Commercial: $210.02
  • BCBS MN — Medicaid: $112.06
  • BCBS MN — SHP: $112.09
  • BCBS WI — Commercial: $205.96
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $112.06
  • Cigna — Commercial: $193.76
  • HealthEOS — Commercial: $233.06
  • HealthPartners — Commercial: $193.76
  • HealthPartners — SHP: $193.76
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PHYSICAL THERAPY EVALUATION HIGH COMPLEX $271 $178.86 $112.09 – $233.06
Physical therapy evaluation (high complexity): 10 of 16 insurance plan rates
  • Aetna First Health — Commercial: $230.35
  • America's PPO — Commercial: $210.02
  • BCBS MN — Medicaid: $162.60
  • BCBS MN — SHP: $112.09
  • BCBS WI — Commercial: $205.96
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $162.60
  • HealthEOS — Commercial: $233.06
  • MN BCBS Commercial — BCBS MN: $180.87
  • Sanford Health Plan — Commercia-NDPERS: $116.23
  • Sanford Health Plan — Commercial: $122.36
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval high complex 45 min Not listed in the file Not listed in the file $98.08 – $204.91
Physical therapy evaluation (high complexity): 10 of 25 insurance plan rates
  • Advocare/Security Health — Medicare: $98.28
  • BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $98.28
  • Freedom Blue PPO — Medicare: $98.28
  • HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $98.28
  • IMCARE MSHO PCC PRIME — Medicare: $98.28
  • IMCARE MSHO REF REQ — Medicare: $98.28
  • Itasca Med Care — Medicaid: $98.08
  • MEDICA ADVANTAGE SOLUTIONS — Medicare: $98.28
  • MEDICA MSHO/Dual Solutions — Medicare: $98.28
  • MEDICA PRIME SOLUTION GROUP — Medicare: $98.28
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY, 30 MINUTES $173 $114.18 $57.26 – $148.78
Psychotherapy, 30 minutes: 10 of 28 insurance plan rates
  • Aetna First Health — Commercial: $147.05
  • America's PPO — Commercial: $134.08
  • BCBS MN — Medicaid: $71.54
  • BCBS MN — SHP: $71.55
  • BCBS WI — Commercial: $131.48
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $71.54
  • Cigna — Commercial: $123.70
  • HealthEOS — Commercial: $148.78
  • HealthPartners — Commercial: $123.70
  • HealthPartners — SHP: $123.70
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY, 30 MINUTES $173 $114.18 $71.55 – $148.78
Psychotherapy, 30 minutes: 10 of 16 insurance plan rates
  • Aetna First Health — Commercial: $147.05
  • America's PPO — Commercial: $134.08
  • BCBS MN — Medicaid: $103.80
  • BCBS MN — SHP: $71.55
  • BCBS WI — Commercial: $131.48
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $103.80
  • HealthEOS — Commercial: $148.78
  • MN BCBS Commercial — BCBS MN: $115.46
  • Sanford Health Plan — Commercia-NDPERS: $74.20
  • Sanford Health Plan — Commercial: $78.11
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx w pt 30 minutes Not listed in the file Not listed in the file $153.72 – $284.52
Psychotherapy, 30 minutes: 10 of 25 insurance plan rates
  • Advocare/Security Health — Medicare: $157.69
  • BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $157.69
  • Freedom Blue PPO — Medicare: $157.69
  • HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $157.69
  • IMCARE MSHO PCC PRIME — Medicare: $157.69
  • IMCARE MSHO REF REQ — Medicare: $157.69
  • Itasca Med Care — Medicaid: $160.67
  • MEDICA ADVANTAGE SOLUTIONS — Medicare: $157.69
  • MEDICA MSHO/Dual Solutions — Medicare: $157.69
  • MEDICA PRIME SOLUTION GROUP — Medicare: $157.69
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY, 45 MINUTES $224 $147.84 $74.14 – $192.64
Psychotherapy, 45 minutes: 10 of 28 insurance plan rates
  • Aetna First Health — Commercial: $190.40
  • America's PPO — Commercial: $173.60
  • BCBS MN — Medicaid: $92.62
  • BCBS MN — SHP: $92.65
  • BCBS WI — Commercial: $170.24
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $92.62
  • Cigna — Commercial: $160.16
  • HealthEOS — Commercial: $192.64
  • HealthPartners — Commercial: $160.16
  • HealthPartners — SHP: $160.16
Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY, 45 MINUTES $224 $147.84 $92.65 – $192.64
Psychotherapy, 45 minutes: 10 of 16 insurance plan rates
  • Aetna First Health — Commercial: $190.40
  • America's PPO — Commercial: $173.60
  • BCBS MN — Medicaid: $134.40
  • BCBS MN — SHP: $92.65
  • BCBS WI — Commercial: $170.24
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $134.40
  • HealthEOS — Commercial: $192.64
  • MN BCBS Commercial — BCBS MN: $149.50
  • Sanford Health Plan — Commercia-NDPERS: $96.07
  • Sanford Health Plan — Commercial: $101.14
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx w pt 45 minutes Not listed in the file Not listed in the file $153.72 – $284.52
Psychotherapy, 45 minutes: 10 of 25 insurance plan rates
  • Advocare/Security Health — Medicare: $157.69
  • BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $157.69
  • Freedom Blue PPO — Medicare: $157.69
  • HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $157.69
  • IMCARE MSHO PCC PRIME — Medicare: $157.69
  • IMCARE MSHO REF REQ — Medicare: $157.69
  • Itasca Med Care — Medicaid: $160.67
  • MEDICA ADVANTAGE SOLUTIONS — Medicare: $157.69
  • MEDICA MSHO/Dual Solutions — Medicare: $157.69
  • MEDICA PRIME SOLUTION GROUP — Medicare: $157.69
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY, 60 MINUTES $292 $192.72 $96.65 – $251.12
Psychotherapy, 60 minutes: 10 of 28 insurance plan rates
  • Aetna First Health — Commercial: $248.20
  • America's PPO — Commercial: $226.30
  • BCBS MN — Medicaid: $120.74
  • BCBS MN — SHP: $120.77
  • BCBS WI — Commercial: $221.92
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $120.74
  • Cigna — Commercial: $208.78
  • HealthEOS — Commercial: $251.12
  • HealthPartners — Commercial: $208.78
  • HealthPartners — SHP: $208.78
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY, 60 MINUTES $292 $192.72 $120.77 – $251.12
Psychotherapy, 60 minutes: 10 of 16 insurance plan rates
  • Aetna First Health — Commercial: $248.20
  • America's PPO — Commercial: $226.30
  • BCBS MN — Medicaid: $175.20
  • BCBS MN — SHP: $120.77
  • BCBS WI — Commercial: $221.92
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $175.20
  • HealthEOS — Commercial: $251.12
  • MN BCBS Commercial — BCBS MN: $194.88
  • Sanford Health Plan — Commercia-NDPERS: $125.24
  • Sanford Health Plan — Commercial: $131.84
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Psytx w pt 60 minutes Not listed in the file Not listed in the file $153.72 – $284.52
Psychotherapy, 60 minutes: 10 of 25 insurance plan rates
  • Advocare/Security Health — Medicare: $157.69
  • BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $157.69
  • Freedom Blue PPO — Medicare: $157.69
  • HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $157.69
  • IMCARE MSHO PCC PRIME — Medicare: $157.69
  • IMCARE MSHO REF REQ — Medicare: $157.69
  • Itasca Med Care — Medicaid: $160.67
  • MEDICA ADVANTAGE SOLUTIONS — Medicare: $157.69
  • MEDICA MSHO/Dual Solutions — Medicare: $157.69
  • MEDICA PRIME SOLUTION GROUP — Medicare: $157.69
Family psychotherapy, without the patient CPT 90846 · Inpatient (hospital stay) · Hospital (facility) fee In the file: FAMILY PSYCHOTHERAPY, 50 MINS W/O PT $230 $151.80 $95.13 – $197.80
Family psychotherapy, without the patient: 10 of 16 insurance plan rates
  • Aetna First Health — Commercial: $195.50
  • America's PPO — Commercial: $178.25
  • BCBS MN — Medicaid: $138
  • BCBS MN — SHP: $95.13
  • BCBS WI — Commercial: $174.80
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $138
  • HealthEOS — Commercial: $197.80
  • MN BCBS Commercial — BCBS MN: $153.50
  • Sanford Health Plan — Commercia-NDPERS: $98.65
  • Sanford Health Plan — Commercial: $103.84
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Family psytx w/o pt 50 min Not listed in the file Not listed in the file $153.72 – $284.52
Family psychotherapy, without the patient: 10 of 25 insurance plan rates
  • Advocare/Security Health — Medicare: $157.69
  • BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $157.69
  • Freedom Blue PPO — Medicare: $157.69
  • HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $157.69
  • IMCARE MSHO PCC PRIME — Medicare: $157.69
  • IMCARE MSHO REF REQ — Medicare: $157.69
  • Itasca Med Care — Medicaid: $160.67
  • MEDICA ADVANTAGE SOLUTIONS — Medicare: $157.69
  • MEDICA MSHO/Dual Solutions — Medicare: $157.69
  • MEDICA PRIME SOLUTION GROUP — Medicare: $157.69
Family psychotherapy, with the patient CPT 90847 · Inpatient (hospital stay) · Hospital (facility) fee In the file: FAMILY (CONJOINT) PSYCHOTHERAPY, 50 MINS W/PT $255 $168.30 $105.47 – $219.30
Family psychotherapy, with the patient: 10 of 16 insurance plan rates
  • Aetna First Health — Commercial: $216.75
  • America's PPO — Commercial: $197.62
  • BCBS MN — Medicaid: $153
  • BCBS MN — SHP: $105.47
  • BCBS WI — Commercial: $193.80
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $153
  • HealthEOS — Commercial: $219.30
  • MN BCBS Commercial — BCBS MN: $170.19
  • Sanford Health Plan — Commercia-NDPERS: $109.37
  • Sanford Health Plan — Commercial: $115.13
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Family psytx w/pt 50 min Not listed in the file Not listed in the file $153.72 – $284.52
Family psychotherapy, with the patient: 10 of 25 insurance plan rates
  • Advocare/Security Health — Medicare: $157.69
  • BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $157.69
  • Freedom Blue PPO — Medicare: $157.69
  • HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $157.69
  • IMCARE MSHO PCC PRIME — Medicare: $157.69
  • IMCARE MSHO REF REQ — Medicare: $157.69
  • Itasca Med Care — Medicaid: $160.67
  • MEDICA ADVANTAGE SOLUTIONS — Medicare: $157.69
  • MEDICA MSHO/Dual Solutions — Medicare: $157.69
  • MEDICA PRIME SOLUTION GROUP — Medicare: $157.69
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GROUP PSYCHOTHERAPY $160 $105.60 $52.96 – $137.60
Group psychotherapy: 10 of 28 insurance plan rates
  • Aetna First Health — Commercial: $136
  • America's PPO — Commercial: $124
  • BCBS MN — Medicaid: $66.16
  • BCBS MN — SHP: $66.18
  • BCBS WI — Commercial: $121.60
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $66.16
  • Cigna — Commercial: $114.40
  • HealthEOS — Commercial: $137.60
  • HealthPartners — Commercial: $114.40
  • HealthPartners — SHP: $114.40
Group psychotherapy CPT 90853 · Inpatient (hospital stay) · Hospital (facility) fee In the file: GROUP PSYCHOTHERAPY $160 $105.60 $66.18 – $137.60
Group psychotherapy: 10 of 16 insurance plan rates
  • Aetna First Health — Commercial: $136
  • America's PPO — Commercial: $124
  • BCBS MN — Medicaid: $96
  • BCBS MN — SHP: $66.18
  • BCBS WI — Commercial: $121.60
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $96
  • HealthEOS — Commercial: $137.60
  • MN BCBS Commercial — BCBS MN: $106.78
  • Sanford Health Plan — Commercia-NDPERS: $68.62
  • Sanford Health Plan — Commercial: $72.24
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Group psychotherapy Not listed in the file Not listed in the file $85.94 – $163.81
Group psychotherapy: 10 of 25 insurance plan rates
  • Advocare/Security Health — Medicare: $90.78
  • BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $90.78
  • Freedom Blue PPO — Medicare: $90.78
  • HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $90.78
  • IMCARE MSHO PCC PRIME — Medicare: $90.78
  • IMCARE MSHO REF REQ — Medicare: $90.78
  • Itasca Med Care — Medicaid: $92.50
  • MEDICA ADVANTAGE SOLUTIONS — Medicare: $90.78
  • MEDICA MSHO/Dual Solutions — Medicare: $90.78
  • MEDICA PRIME SOLUTION GROUP — Medicare: $90.78

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Removal of breast lesion Not listed in the file Not listed in the file $3,674.93 – $6,780.87
Removal of breast growth (open surgery): 10 of 25 insurance plan rates
  • Advocare/Security Health — Medicare: $3,758.06
  • BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $3,758.06
  • Freedom Blue PPO — Medicare: $3,758.06
  • HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $3,758.06
  • IMCARE MSHO PCC PRIME — Medicare: $3,758.06
  • IMCARE MSHO REF REQ — Medicare: $3,758.06
  • Itasca Med Care — Medicaid: $3,829.28
  • MEDICA ADVANTAGE SOLUTIONS — Medicare: $3,758.06
  • MEDICA MSHO/Dual Solutions — Medicare: $3,758.06
  • MEDICA PRIME SOLUTION GROUP — Medicare: $3,758.06
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total hip arthroplasty Not listed in the file Not listed in the file $12,627.50 – $22,784.50
Total hip replacement: 10 of 25 insurance plan rates
  • Advocare/Security Health — Medicare: $12,627.50
  • BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $12,627.50
  • Freedom Blue PPO — Medicare: $12,627.50
  • HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $12,627.50
  • IMCARE MSHO PCC PRIME — Medicare: $12,627.50
  • IMCARE MSHO REF REQ — Medicare: $12,627.50
  • Itasca Med Care — Medicaid: $12,866.82
  • MEDICA ADVANTAGE SOLUTIONS — Medicare: $12,627.50
  • MEDICA MSHO/Dual Solutions — Medicare: $12,627.50
  • MEDICA PRIME SOLUTION GROUP — Medicare: $12,627.50
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total knee arthroplasty Not listed in the file Not listed in the file $12,627.50 – $22,784.50
Total knee replacement: 10 of 25 insurance plan rates
  • Advocare/Security Health — Medicare: $12,627.50
  • BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $12,627.50
  • Freedom Blue PPO — Medicare: $12,627.50
  • HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $12,627.50
  • IMCARE MSHO PCC PRIME — Medicare: $12,627.50
  • IMCARE MSHO REF REQ — Medicare: $12,627.50
  • Itasca Med Care — Medicaid: $12,866.82
  • MEDICA ADVANTAGE SOLUTIONS — Medicare: $12,627.50
  • MEDICA MSHO/Dual Solutions — Medicare: $12,627.50
  • MEDICA PRIME SOLUTION GROUP — Medicare: $12,627.50
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Sho arthrs srg decompression Not listed in the file Not listed in the file $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Shoulder arthroscopy: shaving of shoulder bone: rates for 1 insurance plan
  • MN BCBS Commercial — BCBS MN: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
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 $3,120.67 – $5,745.54
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 25 insurance plan rates
  • Advocare/Security Health — Medicare: $3,184.26
  • BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $3,184.26
  • Freedom Blue PPO — Medicare: $3,184.26
  • HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $3,184.26
  • IMCARE MSHO PCC PRIME — Medicare: $3,184.26
  • IMCARE MSHO REF REQ — Medicare: $3,184.26
  • Itasca Med Care — Medicaid: $3,244.61
  • MEDICA ADVANTAGE SOLUTIONS — Medicare: $3,184.26
  • MEDICA MSHO/Dual Solutions — Medicare: $3,184.26
  • MEDICA PRIME SOLUTION GROUP — Medicare: $3,184.26
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Remove tonsils and adenoids Not listed in the file Not listed in the file $5,645.99 – $10,475.42
Removal of tonsils and adenoids (under age 12): 10 of 25 insurance plan rates
  • Advocare/Security Health — Medicare: $5,805.63
  • BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $5,805.63
  • Freedom Blue PPO — Medicare: $5,805.63
  • HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $5,805.63
  • IMCARE MSHO PCC PRIME — Medicare: $5,805.63
  • IMCARE MSHO REF REQ — Medicare: $5,805.63
  • Itasca Med Care — Medicaid: $5,915.66
  • MEDICA ADVANTAGE SOLUTIONS — Medicare: $5,805.63
  • MEDICA MSHO/Dual Solutions — Medicare: $5,805.63
  • MEDICA PRIME SOLUTION GROUP — Medicare: $5,805.63
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UPPER GI ENDOSCOPY,DIAGNOSIS $2,689 $1,774.74 $890.06 – $2,312.54
Upper GI endoscopy (diagnostic): 10 of 28 insurance plan rates
  • Aetna First Health — Commercial: $2,285.65
  • America's PPO — Commercial: $2,083.98
  • BCBS MN — Medicaid: $1,111.90
  • BCBS MN — SHP: $1,112.17
  • BCBS WI — Commercial: $2,043.64
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $1,111.90
  • Cigna — Commercial: $1,922.64
  • HealthEOS — Commercial: $2,312.54
  • HealthPartners — Commercial: $1,922.64
  • HealthPartners — SHP: $1,922.64
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UPPER GI ENDOSCOPY,DIAGNOSIS $2,689 $1,774.74 $1,112.17 – $2,312.54
Upper GI endoscopy (diagnostic): 10 of 16 insurance plan rates
  • Aetna First Health — Commercial: $2,285.65
  • America's PPO — Commercial: $2,083.98
  • BCBS MN — Medicaid: $1,613.40
  • BCBS MN — SHP: $1,112.17
  • BCBS WI — Commercial: $2,043.64
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $1,613.40
  • HealthEOS — Commercial: $2,312.54
  • MN BCBS Commercial — BCBS MN: $1,794.64
  • Sanford Health Plan — Commercia-NDPERS: $1,153.31
  • Sanford Health Plan — Commercial: $1,214.08
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd diagnostic brush wash Not listed in the file Not listed in the file $873.95 – $1,660.22
Upper GI endoscopy (diagnostic): 10 of 25 insurance plan rates
  • Advocare/Security Health — Medicare: $920.12
  • BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $920.12
  • Freedom Blue PPO — Medicare: $920.12
  • HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $920.12
  • IMCARE MSHO PCC PRIME — Medicare: $920.12
  • IMCARE MSHO REF REQ — Medicare: $920.12
  • Itasca Med Care — Medicaid: $937.56
  • MEDICA ADVANTAGE SOLUTIONS — Medicare: $920.12
  • MEDICA MSHO/Dual Solutions — Medicare: $920.12
  • MEDICA PRIME SOLUTION GROUP — Medicare: $920.12
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UPPER GI ENDOSCOPY,BIOPSY $2,914 $1,923.24 $964.53 – $2,506.04
Upper GI endoscopy with biopsy: 10 of 28 insurance plan rates
  • Aetna First Health — Commercial: $2,476.90
  • America's PPO — Commercial: $2,258.35
  • BCBS MN — Medicaid: $1,204.94
  • BCBS MN — SHP: $1,205.23
  • BCBS WI — Commercial: $2,214.64
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $1,204.94
  • Cigna — Commercial: $2,083.51
  • HealthEOS — Commercial: $2,506.04
  • HealthPartners — Commercial: $2,083.51
  • HealthPartners — SHP: $2,083.51
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UPPER GI ENDOSCOPY,BIOPSY $2,914 $1,923.24 $1,205.23 – $2,506.04
Upper GI endoscopy with biopsy: 10 of 16 insurance plan rates
  • Aetna First Health — Commercial: $2,476.90
  • America's PPO — Commercial: $2,258.35
  • BCBS MN — Medicaid: $1,748.40
  • BCBS MN — SHP: $1,205.23
  • BCBS WI — Commercial: $2,214.64
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $1,748.40
  • HealthEOS — Commercial: $2,506.04
  • MN BCBS Commercial — BCBS MN: $1,944.80
  • Sanford Health Plan — Commercia-NDPERS: $1,249.81
  • Sanford Health Plan — Commercial: $1,315.67
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd biopsy single/multiple Not listed in the file Not listed in the file $873.95 – $1,660.22
Upper GI endoscopy with biopsy: 10 of 25 insurance plan rates
  • Advocare/Security Health — Medicare: $920.12
  • BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $920.12
  • Freedom Blue PPO — Medicare: $920.12
  • HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $920.12
  • IMCARE MSHO PCC PRIME — Medicare: $920.12
  • IMCARE MSHO REF REQ — Medicare: $920.12
  • Itasca Med Care — Medicaid: $937.56
  • MEDICA ADVANTAGE SOLUTIONS — Medicare: $920.12
  • MEDICA MSHO/Dual Solutions — Medicare: $920.12
  • MEDICA PRIME SOLUTION GROUP — Medicare: $920.12
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY,FLEX,DIAGNOSTIC $2,827 $1,865.82 $935.74 – $2,431.22
Colonoscopy (diagnostic): 10 of 28 insurance plan rates
  • Aetna First Health — Commercial: $2,402.95
  • America's PPO — Commercial: $2,190.93
  • BCBS MN — Medicaid: $1,168.96
  • BCBS MN — SHP: $1,169.25
  • BCBS WI — Commercial: $2,148.52
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $1,168.96
  • Cigna — Commercial: $2,021.30
  • HealthEOS — Commercial: $2,431.22
  • HealthPartners — Commercial: $2,021.30
  • HealthPartners — SHP: $2,021.30
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COLONOSCOPY,FLEX,DIAGNOSTIC $2,827 $1,865.82 $1,169.25 – $2,431.22
Colonoscopy (diagnostic): 10 of 16 insurance plan rates
  • Aetna First Health — Commercial: $2,402.95
  • America's PPO — Commercial: $2,190.93
  • BCBS MN — Medicaid: $1,696.20
  • BCBS MN — SHP: $1,169.25
  • BCBS WI — Commercial: $2,148.52
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $1,696.20
  • HealthEOS — Commercial: $2,431.22
  • MN BCBS Commercial — BCBS MN: $1,886.74
  • Sanford Health Plan — Commercia-NDPERS: $1,212.50
  • Sanford Health Plan — Commercial: $1,276.39
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 $881.16 – $1,614.45
Colonoscopy (diagnostic): 10 of 25 insurance plan rates
  • Advocare/Security Health — Medicare: $894.75
  • BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $894.75
  • Freedom Blue PPO — Medicare: $894.75
  • HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $894.75
  • IMCARE MSHO PCC PRIME — Medicare: $894.75
  • IMCARE MSHO REF REQ — Medicare: $894.75
  • Itasca Med Care — Medicaid: $911.71
  • MEDICA ADVANTAGE SOLUTIONS — Medicare: $894.75
  • MEDICA MSHO/Dual Solutions — Medicare: $894.75
  • MEDICA PRIME SOLUTION GROUP — Medicare: $894.75
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY,BIOPSY $3,064 $2,022.24 $1,014.18 – $2,635.04
Colonoscopy with biopsy: 10 of 28 insurance plan rates
  • Aetna First Health — Commercial: $2,604.40
  • America's PPO — Commercial: $2,374.60
  • BCBS MN — Medicaid: $1,266.96
  • BCBS MN — SHP: $1,267.27
  • BCBS WI — Commercial: $2,328.64
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $1,266.96
  • Cigna — Commercial: $2,190.76
  • HealthEOS — Commercial: $2,635.04
  • HealthPartners — Commercial: $2,190.76
  • HealthPartners — SHP: $2,190.76
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COLONOSCOPY,BIOPSY $3,064 $2,022.24 $1,267.27 – $2,635.04
Colonoscopy with biopsy: 10 of 16 insurance plan rates
  • Aetna First Health — Commercial: $2,604.40
  • America's PPO — Commercial: $2,374.60
  • BCBS MN — Medicaid: $1,838.40
  • BCBS MN — SHP: $1,267.27
  • BCBS WI — Commercial: $2,328.64
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $1,838.40
  • HealthEOS — Commercial: $2,635.04
  • MN BCBS Commercial — BCBS MN: $2,044.91
  • Sanford Health Plan — Commercia-NDPERS: $1,314.15
  • Sanford Health Plan — Commercial: $1,383.40
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 $1,137.72 – $2,087.91
Colonoscopy with biopsy: 10 of 25 insurance plan rates
  • Advocare/Security Health — Medicare: $1,157.15
  • BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $1,157.15
  • Freedom Blue PPO — Medicare: $1,157.15
  • HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $1,157.15
  • IMCARE MSHO PCC PRIME — Medicare: $1,157.15
  • IMCARE MSHO REF REQ — Medicare: $1,157.15
  • Itasca Med Care — Medicaid: $1,179.08
  • MEDICA ADVANTAGE SOLUTIONS — Medicare: $1,157.15
  • MEDICA MSHO/Dual Solutions — Medicare: $1,157.15
  • MEDICA PRIME SOLUTION GROUP — Medicare: $1,157.15
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY,REMV LESN,SNARE $3,342 $2,205.72 $1,106.20 – $2,874.12
Colonoscopy with removal of polyps (snare): 10 of 28 insurance plan rates
  • Aetna First Health — Commercial: $2,840.70
  • America's PPO — Commercial: $2,590.05
  • BCBS MN — Medicaid: $1,381.92
  • BCBS MN — SHP: $1,382.25
  • BCBS WI — Commercial: $2,539.92
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $1,381.92
  • Cigna — Commercial: $2,389.53
  • HealthEOS — Commercial: $2,874.12
  • HealthPartners — Commercial: $2,389.53
  • HealthPartners — SHP: $2,389.53
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COLONOSCOPY,REMV LESN,SNARE $3,342 $2,205.72 $1,382.25 – $2,874.12
Colonoscopy with removal of polyps (snare): 10 of 16 insurance plan rates
  • Aetna First Health — Commercial: $2,840.70
  • America's PPO — Commercial: $2,590.05
  • BCBS MN — Medicaid: $2,005.20
  • BCBS MN — SHP: $1,382.25
  • BCBS WI — Commercial: $2,539.92
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $2,005.20
  • HealthEOS — Commercial: $2,874.12
  • MN BCBS Commercial — BCBS MN: $2,230.45
  • Sanford Health Plan — Commercia-NDPERS: $1,433.38
  • Sanford Health Plan — Commercial: $1,508.91
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w/lesion removal Not listed in the file Not listed in the file $1,137.72 – $2,087.91
Colonoscopy with removal of polyps (snare): 10 of 25 insurance plan rates
  • Advocare/Security Health — Medicare: $1,157.15
  • BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $1,157.15
  • Freedom Blue PPO — Medicare: $1,157.15
  • HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $1,157.15
  • IMCARE MSHO PCC PRIME — Medicare: $1,157.15
  • IMCARE MSHO REF REQ — Medicare: $1,157.15
  • Itasca Med Care — Medicaid: $1,179.08
  • MEDICA ADVANTAGE SOLUTIONS — Medicare: $1,157.15
  • MEDICA MSHO/Dual Solutions — Medicare: $1,157.15
  • MEDICA PRIME SOLUTION GROUP — Medicare: $1,157.15
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY FLEX PROX TO SPLENIC FLEXURE W ENDOSCOPIC ULTRASOUND EXAM $2,607 $1,720.62 $862.92 – $2,242.02
Ultrasound of the lower bowel by endoscope: 10 of 28 insurance plan rates
  • Aetna First Health — Commercial: $2,215.95
  • America's PPO — Commercial: $2,020.42
  • BCBS MN — Medicaid: $1,077.99
  • BCBS MN — SHP: $1,078.26
  • BCBS WI — Commercial: $1,981.32
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $1,077.99
  • Cigna — Commercial: $1,864
  • HealthEOS — Commercial: $2,242.02
  • HealthPartners — Commercial: $1,864
  • HealthPartners — SHP: $1,864
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 $1,137.72 – $2,087.91
Ultrasound of the lower bowel by endoscope: 10 of 25 insurance plan rates
  • Advocare/Security Health — Medicare: $1,157.15
  • BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $1,157.15
  • Freedom Blue PPO — Medicare: $1,157.15
  • HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $1,157.15
  • IMCARE MSHO PCC PRIME — Medicare: $1,157.15
  • IMCARE MSHO REF REQ — Medicare: $1,157.15
  • Itasca Med Care — Medicaid: $1,179.08
  • MEDICA ADVANTAGE SOLUTIONS — Medicare: $1,157.15
  • MEDICA MSHO/Dual Solutions — Medicare: $1,157.15
  • MEDICA PRIME SOLUTION GROUP — Medicare: $1,157.15
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY,SCREEN PREV $2,839 $1,873.74 $939.71 – $2,441.54
Screening colonoscopy (not high risk): 10 of 28 insurance plan rates
  • Aetna First Health — Commercial: $2,413.15
  • America's PPO — Commercial: $2,200.22
  • BCBS MN — Medicaid: $1,173.93
  • BCBS MN — SHP: $1,174.21
  • BCBS WI — Commercial: $2,157.64
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $1,173.93
  • Cigna — Commercial: $2,029.88
  • HealthEOS — Commercial: $2,441.54
  • HealthPartners — Commercial: $2,029.88
  • HealthPartners — SHP: $2,029.88
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COLONOSCOPY,SCREEN PREV $2,839 $1,873.74 $1,174.21 – $2,441.54
Screening colonoscopy (not high risk): 10 of 16 insurance plan rates
  • Aetna First Health — Commercial: $2,413.15
  • America's PPO — Commercial: $2,200.22
  • BCBS MN — Medicaid: $1,703.40
  • BCBS MN — SHP: $1,174.21
  • BCBS WI — Commercial: $2,157.64
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $1,703.40
  • HealthEOS — Commercial: $2,441.54
  • MN BCBS Commercial — BCBS MN: $1,894.75
  • Sanford Health Plan — Commercia-NDPERS: $1,217.65
  • Sanford Health Plan — Commercial: $1,281.81
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colon ca scrn not hi rsk ind Not listed in the file Not listed in the file $881.16 – $1,614.45
Screening colonoscopy (not high risk): 10 of 25 insurance plan rates
  • Advocare/Security Health — Medicare: $894.75
  • BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $894.75
  • Freedom Blue PPO — Medicare: $894.75
  • HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $894.75
  • IMCARE MSHO PCC PRIME — Medicare: $894.75
  • IMCARE MSHO REF REQ — Medicare: $894.75
  • Itasca Med Care — Medicaid: $911.71
  • MEDICA ADVANTAGE SOLUTIONS — Medicare: $894.75
  • MEDICA MSHO/Dual Solutions — Medicare: $894.75
  • MEDICA PRIME SOLUTION GROUP — Medicare: $894.75
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 $5,562.90 – $10,331.46
Gallbladder removal by laparoscope: 10 of 25 insurance plan rates
  • Advocare/Security Health — Medicare: $5,725.84
  • BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $5,725.84
  • Freedom Blue PPO — Medicare: $5,725.84
  • HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $5,725.84
  • IMCARE MSHO PCC PRIME — Medicare: $5,725.84
  • IMCARE MSHO REF REQ — Medicare: $5,725.84
  • Itasca Med Care — Medicaid: $5,834.36
  • MEDICA ADVANTAGE SOLUTIONS — Medicare: $5,725.84
  • MEDICA MSHO/Dual Solutions — Medicare: $5,725.84
  • MEDICA PRIME SOLUTION GROUP — Medicare: $5,725.84
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REPAIR ING HERNIA,5+Y/O,REDUCIBL $4,342 $2,865.72 $1,437.20 – $3,734.12
Groin (inguinal) hernia repair, age 5 or older: 10 of 28 insurance plan rates
  • Aetna First Health — Commercial: $3,690.70
  • America's PPO — Commercial: $3,365.05
  • BCBS MN — Medicaid: $1,795.42
  • BCBS MN — SHP: $1,795.85
  • BCBS WI — Commercial: $3,299.92
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $1,795.42
  • Cigna — Commercial: $3,104.53
  • HealthEOS — Commercial: $3,734.12
  • HealthPartners — Commercial: $3,104.53
  • HealthPartners — SHP: $3,104.53
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient (hospital stay) · Hospital (facility) fee In the file: REPAIR ING HERNIA,5+Y/O,REDUCIBL $4,342 $2,865.72 $1,795.85 – $3,734.12
Groin (inguinal) hernia repair, age 5 or older: 10 of 16 insurance plan rates
  • Aetna First Health — Commercial: $3,690.70
  • America's PPO — Commercial: $3,365.05
  • BCBS MN — Medicaid: $2,605.20
  • BCBS MN — SHP: $1,795.85
  • BCBS WI — Commercial: $3,299.92
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $2,605.20
  • HealthEOS — Commercial: $3,734.12
  • MN BCBS Commercial — BCBS MN: $2,897.85
  • Sanford Health Plan — Commercia-NDPERS: $1,862.28
  • Sanford Health Plan — Commercial: $1,960.41
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prp i/hern init reduc >5 yr Not listed in the file Not listed in the file $3,335.50 – $6,249.24
Groin (inguinal) hernia repair, age 5 or older: 10 of 25 insurance plan rates
  • Advocare/Security Health — Medicare: $3,463.42
  • BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $3,463.42
  • Freedom Blue PPO — Medicare: $3,463.42
  • HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $3,463.42
  • IMCARE MSHO PCC PRIME — Medicare: $3,463.42
  • IMCARE MSHO REF REQ — Medicare: $3,463.42
  • Itasca Med Care — Medicaid: $3,529.06
  • MEDICA ADVANTAGE SOLUTIONS — Medicare: $3,463.42
  • MEDICA MSHO/Dual Solutions — Medicare: $3,463.42
  • MEDICA PRIME SOLUTION GROUP — Medicare: $3,463.42
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BX OF PROSTATE,NEEDLE/PUNCH(T) $1,378 $909.48 $456.12 – $1,185.08
Prostate biopsy: 10 of 28 insurance plan rates
  • Aetna First Health — Commercial: $1,171.30
  • America's PPO — Commercial: $1,067.95
  • BCBS MN — Medicaid: $569.80
  • BCBS MN — SHP: $569.94
  • BCBS WI — Commercial: $1,047.28
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $569.80
  • Cigna — Commercial: $985.27
  • HealthEOS — Commercial: $1,185.08
  • HealthPartners — Commercial: $985.27
  • HealthPartners — SHP: $985.27
Prostate biopsy CPT 55700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BX OF PROSTATE,NEEDLE/PUNCH(T) $1,378 $909.48 $569.94 – $1,185.08
Prostate biopsy: 10 of 16 insurance plan rates
  • Aetna First Health — Commercial: $1,171.30
  • America's PPO — Commercial: $1,067.95
  • BCBS MN — Medicaid: $826.80
  • BCBS MN — SHP: $569.94
  • BCBS WI — Commercial: $1,047.28
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $826.80
  • HealthEOS — Commercial: $1,185.08
  • MN BCBS Commercial — BCBS MN: $919.68
  • Sanford Health Plan — Commercia-NDPERS: $591.02
  • Sanford Health Plan — Commercial: $622.17
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Biopsy of prostate Not listed in the file Not listed in the file $1,963.71 – $3,627.48
Prostate biopsy: 10 of 25 insurance plan rates
  • Advocare/Security Health — Medicare: $2,010.40
  • BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $2,010.40
  • Freedom Blue PPO — Medicare: $2,010.40
  • HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $2,010.40
  • IMCARE MSHO PCC PRIME — Medicare: $2,010.40
  • IMCARE MSHO REF REQ — Medicare: $2,010.40
  • Itasca Med Care — Medicaid: $2,048.51
  • MEDICA ADVANTAGE SOLUTIONS — Medicare: $2,010.40
  • MEDICA MSHO/Dual Solutions — Medicare: $2,010.40
  • MEDICA PRIME SOLUTION GROUP — Medicare: $2,010.40
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 $9,924.28 – $18,436.14
Prostate removal by laparoscope (radical prostatectomy): 10 of 25 insurance plan rates
  • Advocare/Security Health — Medicare: $10,217.57
  • BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $10,217.57
  • Freedom Blue PPO — Medicare: $10,217.57
  • HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $10,217.57
  • IMCARE MSHO PCC PRIME — Medicare: $10,217.57
  • IMCARE MSHO REF REQ — Medicare: $10,217.57
  • Itasca Med Care — Medicaid: $10,411.22
  • MEDICA ADVANTAGE SOLUTIONS — Medicare: $10,217.57
  • MEDICA MSHO/Dual Solutions — Medicare: $10,217.57
  • MEDICA PRIME SOLUTION GROUP — Medicare: $10,217.57
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY,W/ENDO BX $3,652 $2,410.32 $1,208.81 – $3,140.72
Hysteroscopy with biopsy of the uterus lining: 10 of 28 insurance plan rates
  • Aetna First Health — Commercial: $3,104.20
  • America's PPO — Commercial: $2,830.30
  • BCBS MN — Medicaid: $1,510.10
  • BCBS MN — SHP: $1,510.47
  • BCBS WI — Commercial: $2,775.52
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $1,510.10
  • Cigna — Commercial: $2,611.18
  • HealthEOS — Commercial: $3,140.72
  • HealthPartners — Commercial: $2,611.18
  • HealthPartners — SHP: $2,611.18
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HYSTEROSCOPY,W/ENDO BX $3,652 $2,410.32 $1,510.47 – $3,140.72
Hysteroscopy with biopsy of the uterus lining: 10 of 16 insurance plan rates
  • Aetna First Health — Commercial: $3,104.20
  • America's PPO — Commercial: $2,830.30
  • BCBS MN — Medicaid: $2,191.20
  • BCBS MN — SHP: $1,510.47
  • BCBS WI — Commercial: $2,775.52
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $2,191.20
  • HealthEOS — Commercial: $3,140.72
  • MN BCBS Commercial — BCBS MN: $2,437.34
  • Sanford Health Plan — Commercia-NDPERS: $1,566.34
  • Sanford Health Plan — Commercial: $1,648.88
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 $3,014.16 – $5,630.29
Hysteroscopy with biopsy of the uterus lining: 10 of 25 insurance plan rates
  • Advocare/Security Health — Medicare: $3,120.39
  • BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $3,120.39
  • Freedom Blue PPO — Medicare: $3,120.39
  • HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $3,120.39
  • IMCARE MSHO PCC PRIME — Medicare: $3,120.39
  • IMCARE MSHO REF REQ — Medicare: $3,120.39
  • Itasca Med Care — Medicaid: $3,179.53
  • MEDICA ADVANTAGE SOLUTIONS — Medicare: $3,120.39
  • MEDICA MSHO/Dual Solutions — Medicare: $3,120.39
  • MEDICA PRIME SOLUTION GROUP — Medicare: $3,120.39
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJ LUMBAR/SACRAL WITH IMAGE GUIDANCE $1,891 $1,248.06 $625.92 – $1,626.26
Spinal injection, lower back (epidural), with imaging guidance: 10 of 28 insurance plan rates
  • Aetna First Health — Commercial: $1,607.35
  • America's PPO — Commercial: $1,465.52
  • BCBS MN — Medicaid: $781.93
  • BCBS MN — SHP: $782.12
  • BCBS WI — Commercial: $1,437.16
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $781.93
  • Cigna — Commercial: $1,352.06
  • HealthEOS — Commercial: $1,626.26
  • HealthPartners — Commercial: $1,352.06
  • HealthPartners — SHP: $1,352.06
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Hospital (facility) fee In the file: INJ LUMBAR/SACRAL WITH IMAGE GUIDANCE $1,891 $1,248.06 $782.12 – $1,626.26
Spinal injection, lower back (epidural), with imaging guidance: 10 of 16 insurance plan rates
  • Aetna First Health — Commercial: $1,607.35
  • America's PPO — Commercial: $1,465.52
  • BCBS MN — Medicaid: $1,134.60
  • BCBS MN — SHP: $782.12
  • BCBS WI — Commercial: $1,437.16
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $1,134.60
  • HealthEOS — Commercial: $1,626.26
  • MN BCBS Commercial — BCBS MN: $1,262.05
  • Sanford Health Plan — Commercia-NDPERS: $811.05
  • Sanford Health Plan — Commercial: $853.79
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Njx interlaminar lmbr/sac Not listed in the file Not listed in the file $666.72 – $1,226.31
Spinal injection, lower back (epidural), with imaging guidance: 10 of 25 insurance plan rates
  • Advocare/Security Health — Medicare: $679.64
  • BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $679.64
  • Freedom Blue PPO — Medicare: $679.64
  • HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $679.64
  • IMCARE MSHO PCC PRIME — Medicare: $679.64
  • IMCARE MSHO REF REQ — Medicare: $679.64
  • Itasca Med Care — Medicaid: $692.52
  • MEDICA ADVANTAGE SOLUTIONS — Medicare: $679.64
  • MEDICA MSHO/Dual Solutions — Medicare: $679.64
  • MEDICA PRIME SOLUTION GROUP — Medicare: $679.64
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: INJ,FORAMEN,L/S,1 LEVEL(T) $1,931 $1,274.46 $639.16 – $1,660.66
Nerve root injection, lower back, with imaging guidance: 10 of 28 insurance plan rates
  • Aetna First Health — Commercial: $1,641.35
  • America's PPO — Commercial: $1,496.52
  • BCBS MN — Medicaid: $798.47
  • BCBS MN — SHP: $798.66
  • BCBS WI — Commercial: $1,467.56
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $798.47
  • Cigna — Commercial: $1,380.66
  • HealthEOS — Commercial: $1,660.66
  • HealthPartners — Commercial: $1,380.66
  • HealthPartners — SHP: $1,380.66
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Njx aa&/strd tfrm epi l/s 1 Not listed in the file Not listed in the file $873.73 – $1,576.52
Nerve root injection, lower back, with imaging guidance: 10 of 25 insurance plan rates
  • Advocare/Security Health — Medicare: $873.73
  • BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $873.73
  • Freedom Blue PPO — Medicare: $873.73
  • HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $873.73
  • IMCARE MSHO PCC PRIME — Medicare: $873.73
  • IMCARE MSHO REF REQ — Medicare: $873.73
  • Itasca Med Care — Medicaid: $890.29
  • MEDICA ADVANTAGE SOLUTIONS — Medicare: $873.73
  • MEDICA MSHO/Dual Solutions — Medicare: $873.73
  • MEDICA PRIME SOLUTION GROUP — Medicare: $873.73
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REVISE MEDIAN N/CARPAL TUNNEL SURG $2,955 $1,950.30 $978.10 – $2,541.30
Carpal tunnel release: 10 of 28 insurance plan rates
  • Aetna First Health — Commercial: $2,511.75
  • America's PPO — Commercial: $2,290.12
  • BCBS MN — Medicaid: $1,221.89
  • BCBS MN — SHP: $1,222.19
  • BCBS WI — Commercial: $2,245.80
  • BLUE PLUS PMAP PCC PRIME — Medicaid: $1,221.89
  • Cigna — Commercial: $2,112.82
  • HealthEOS — Commercial: $2,541.30
  • HealthPartners — Commercial: $2,112.82
  • HealthPartners — SHP: $2,112.82
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 $1,861.48 – $3,457.96
Carpal tunnel release: 10 of 25 insurance plan rates
  • Advocare/Security Health — Medicare: $1,916.45
  • BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $1,916.45
  • Freedom Blue PPO — Medicare: $1,916.45
  • HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $1,916.45
  • IMCARE MSHO PCC PRIME — Medicare: $1,916.45
  • IMCARE MSHO REF REQ — Medicare: $1,916.45
  • Itasca Med Care — Medicaid: $1,952.77
  • MEDICA ADVANTAGE SOLUTIONS — Medicare: $1,916.45
  • MEDICA MSHO/Dual Solutions — Medicare: $1,916.45
  • MEDICA PRIME SOLUTION GROUP — Medicare: $1,916.45
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 $538.40 – $971.46
Laser treatment of clouding after cataract surgery: 10 of 25 insurance plan rates
  • Advocare/Security Health — Medicare: $538.40
  • BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $538.40
  • Freedom Blue PPO — Medicare: $538.40
  • HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $538.40
  • IMCARE MSHO PCC PRIME — Medicare: $538.40
  • IMCARE MSHO REF REQ — Medicare: $538.40
  • Itasca Med Care — Medicaid: $548.60
  • MEDICA ADVANTAGE SOLUTIONS — Medicare: $538.40
  • MEDICA MSHO/Dual Solutions — Medicare: $538.40
  • MEDICA PRIME SOLUTION GROUP — Medicare: $538.40
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Xcapsl ctrc rmvl w/o ecp Not listed in the file Not listed in the file $2,238.31 – $4,038.70
Cataract removal with lens implant: 10 of 25 insurance plan rates
  • Advocare/Security Health — Medicare: $2,238.31
  • BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $2,238.31
  • Freedom Blue PPO — Medicare: $2,238.31
  • HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $2,238.31
  • IMCARE MSHO PCC PRIME — Medicare: $2,238.31
  • IMCARE MSHO REF REQ — Medicare: $2,238.31
  • Itasca Med Care — Medicaid: $2,280.73
  • MEDICA ADVANTAGE SOLUTIONS — Medicare: $2,238.31
  • MEDICA MSHO/Dual Solutions — Medicare: $2,238.31
  • MEDICA PRIME SOLUTION GROUP — Medicare: $2,238.31

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance 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 $4,918.01
Vaginal delivery, with care before and after: rates for 1 insurance plan
  • MN BCBS Commercial — BCBS MN: $4,918.01
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 $5,615.34
Cesarean delivery (C-section), with care before and after: rates for 1 insurance plan
  • MN BCBS Commercial — BCBS MN: $5,615.34
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 $4,918.01
Vaginal delivery after a previous C-section, with care before and after: rates for 1 insurance plan
  • MN BCBS Commercial — BCBS MN: $4,918.01

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

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

Hospital information

Hospital typeAcute Care Hospital
Address502 East Second Street, Duluth, MN 55805
CountySt. Louis County
StateMinnesota
Phone(218) 786‑2652
Emergency servicesNot listed
OwnershipVoluntary non-profit - Private
Medicare overall ratingNot rated by CMS
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number240019
Name in Medicare recordsESSENTIA HEALTH DULUTH
Profile levelMedicare data + hospital website
Main phone on the hospital’s website(218) 727‑8762[4]
Name on the hospital’s websiteEssentia Health-Duluth (Miller-Dwan, Building D)
Official websiteessentiahealth.org
CorrectionsReport an error or suggest an update →

Sources

  1. Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
  2. Medicare Care Compare — official Medicare profile of this hospital
  3. U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

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

  1. Essentia Health-Duluth (Miller-Dwan, Building D) — essentiahealth.org
  2. Essentia Health-Duluth (Miller-Dwan, Building D) | Essentia Health — essentiahealth.org
  3. Interpreter Services | Essentia Health — essentiahealth.org
  4. Awards & Recognition | Essentia Health — essentiahealth.org
  5. Downtown Duluth, MN Parking | Essentia Health — essentiahealth.org
  6. Orthopedic Surgery - Essentia Health-Duluth (Miller-Dwan, Building D) | Essentia Health — essentiahealth.org