Does Essentia Health St Joseph's Medical Center have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Essentia Health St Joseph's Medical Center. In a medical emergency, call 911.

Where is Essentia Health St Joseph's Medical Center?

523 North 3rd Street, Brainerd, MN 56401, in Crow Wing County, Minnesota.

What is the phone number of Essentia Health St Joseph's Medical Center?

(218) 829-2861, as listed by Medicare (CMS).

What is the Medicare star rating of Essentia Health St Joseph's Medical Center?

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

Essentia Health St Joseph's Medical Center

Quick answers

Does Essentia Health St Joseph's Medical Center have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Essentia Health St Joseph's Medical Center. In a medical emergency, call 911.
Where is Essentia Health St Joseph's Medical Center?: 523 North 3rd Street, Brainerd, MN 56401, in Crow Wing County, Minnesota.
What is the phone number of Essentia Health St Joseph's Medical Center?: (218) 829-2861, as listed by Medicare (CMS).
What is the Medicare star rating of Essentia Health St Joseph's Medical Center?: 3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4][5]

Anesthesiology
Cardiology
Colorectal Surgery
Critical Care
Emergency Medicine
Endocrine Surgery
General Surgery
Gynecologic Surgery
Hematology
Obstetrics
Oncology
Orthopedic Surgery
Pediatric Hospitalist Services
Podiatric Surgery
Psychiatry
Urologic Surgery
Vascular Medicine
Vascular Surgery
Cardiac Electrophysiology
Interventional Cardiology
Occupational medicine
Supportive and palliative care

Treatments^[4][5][7]

Chemotherapy & Immunotherapy
Infusion Therapy
Cardiac Rehabilitation
Wound Care
Supportive & Palliative Care
Diabetes Education
Ostomy Care
Inpatient Mental Health
Medication management
Lung cancer screening
Physical therapy (inpatient)
Occupational therapy (inpatient)
Speech-language therapy (inpatient)
Dietitian (inpatient)
Grief support
Sleep apnea testing

Procedures^[4][5][9]

CT scan
MRI
Mammography
Lung Cancer Screening
Magnetic resonance imaging (MRI)
Imaging and radiology
Lab services

Programs and centers^[4]

Marilyn Covey Heart & Vascular Center
Cancer Center
Birthing Center
Breast Health
Substance Use Disorder Treatment Program
Community Paramedic Services
Grief Support

Emergency care (hospital website)^[4][5][6]

Emergency room	Yes
Open 24/7	Yes
Trauma designation	Level III
Stroke designation	Primary Stroke Center

Visiting and practical information

Parking	Free valet at main door off North 3rd Street weekdays 7 a.m.-4 p.m.; parking across the street; emergency visits use back door off Ivy Street^[4]

Recognition^[5][7]

Joint Commission accreditation
DNV Certified Primary Stroke Center 2026
Joint Commission Gold Seal of Approval, hip and knee replacement
American College of Radiology ultrasound accreditation (obstetrical, gynecological, general, vascular) 2026
Baby-friendly Designated Birthplace

Doctors and clinicians (341)

341 doctors and other clinicians list Essentia Health St Joseph's Medical Center 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 (341)

Aaron J. Chan, MDGastroenterology
Aaron J. Hegg, MDPulmonary Disease
Aaron J. StanleyNurse Practitioner
Abdallah M. Mansour, MDCardiovascular Disease (Cardiology)
Abigael M. Luke, MDInternal Medicine
Aby Z. PhilipHematology
Adam F. Stibbe, MDDiagnostic Radiology
Adam L. PurcellNurse Practitioner
Adam W. FrearPhysician Assistant
Aditya Khurana, MDDiagnostic Radiology
Ailene Nielsen, NPNurse Practitioner
Alan J. VoegelePhysician Assistant
Alexa J. MeyerNurse Practitioner
Alexis P. HillmerPhysician Assistant
Alicia M. Prahm, MDObstetrics/Gynecology
Alicia R. LorensenNurse Practitioner
Alind Z. Amedi, MDDiagnostic Radiology
Alisha K. Ness, DOHospitalist
Amanda C. NiemannPhysician Assistant
Amanda J. Carroll, NPNurse Practitioner
Amanda J. Petersen, CNACertified Registered Nurse Anesthetist (CRNA)
Amber D. Rossin, NPNurse Practitioner
Amber H. CarringtonPhysician Assistant
Amber M. SmithNurse Practitioner

And 317 more: the button below opens the full list.

Other emergency rooms nearby

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

Cuyuna Regional Medical Center15 mi · Crosby, MN · Critical Access Hospital
Lakewood Health System26 mi · Staples, MN · Critical Access Hospital
Riverwood Healthcare Center27 mi · Aitkin, MN · Critical Access Hospital
St Gabriels Hospital28 mi · Little Falls, MN · Critical Access Hospital
Mille Lacs Health System33 mi · Onamia, MN · Critical Access Hospital

Other hospitals nearby

Community Behavioral Health Hospital - Baxter2.5 mi · Baxter, MN · Psychiatric Hospital

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

Good Samaritan Society - Bethany1.8 mi · Brainerd, MN · 5 of 5 stars
Good Samaritan Society - Woodland2.1 mi · Brainerd, MN · 5 of 5 stars
Heartwood15 mi · Crosby, MN · 5 of 5 stars

All nursing homes in the state →

Hospice providers

Good Samaritan Society Hospice10 mi · Nisswa, MN
Horizon Health Hospice25 mi · Pierz, MN

All hospice providers in the state →

Home health agencies

Good Neighbor HHC of Brainerd3.6 mi · Baxter, MN
Barnabas Health Care Services, Inc4.7 mi · Brainerd, MN
Good Samaritan Home Health10 mi · Nisswa, MN

All home health agencies in the state →

Dialysis facilities

Fresenius Kidney Care Brainerd4.7 mi · Brainerd, MN · 2 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

Brainerd Lakes Surgery Center-Baxter3.6 mi · Baxter, MN

All outpatient surgery centers in the state →

Community care nearby

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

Clinics and urgent care

Lakewood Clinic-Pillager13 mi · Pillager, MN · Rural health clinic
Riverwood Health Care Center19 mi · Garrison, MN · Rural health clinic
Lakewood Clinic-Motley21 mi · Motley, MN · Rural health clinic

Pharmacies

Brainerd Medical Center Inc3.6 mi · Baxter, MN · Community/retail pharmacy
Costco Wholesale Corporation3.6 mi · Baxter, MN · Community/retail pharmacy
Grand St Paul CVS LLC3.6 mi · Baxter, MN · Pharmacy

Assisted living nearby

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

Edgewood Baxter LLC3.6 mi · Baxter, MN
Northern Lakes Senior Living3.6 mi · Baxter, MN
Brainerd Carefree Living by Oxford Living4.7 mi · Brainerd, MN
Central Minnesota Senior Care4.7 mi · Brainerd, MN

About the Medicare star rating

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

Medicare quality data

What Essentia Health St Joseph's Medical Center 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)	3 of 5 stars
Overall rating of the hospital	3 of 5 stars
Would recommend the hospital	3 of 5 stars
Nurses communicated well	4 of 5 stars
Doctors communicated well	4 of 5 stars
Staff explained medicines	3 of 5 stars
Information about recovery at home	4 of 5 stars
Room and bathroom kept clean	2 of 5 stars
Quiet at night	3 of 5 stars
Rated the hospital 9 or 10 out of 10	69%National average: 72%
Would definitely recommend the hospital	65%National average: 71%
Nurses “always” communicated well	80%National average: 80%
Doctors “always” communicated well	81%National average: 80%
Staff “always” explained medicines before giving them	62%National average: 62%
Were given information about recovery at home	90%National average: 86%
Room and bathroom “always” clean	60%National average: 74%
Area around the room “always” quiet at night	55%National average: 60%
Completed surveys	799Response rate: 32%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)	0No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0No different from the national benchmark
Surgical site infections after colon surgery	0No different from the national benchmark
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	Not reported to Medicare
Clostridioides difficile (C. diff) intestinal infections	0.142Better than the national benchmark

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026; data from October 2024 to September 2025.

Complications and deaths

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

Deaths within 30 days: heart attack patients	12.2%
Deaths within 30 days: heart failure patients	10.5%
Deaths within 30 days: pneumonia patients	15.9%
Deaths within 30 days: COPD patients	8.7%
Deaths within 30 days: stroke patients	11.4%
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	1.23No different from the national rate
Complications after hip or knee replacement	4.4%

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	14.2%
Readmitted within 30 days: heart failure	22.1%
Readmitted within 30 days: pneumonia	16.5%
Readmitted within 30 days: COPD	20%
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	5.5%

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	Medium (20,000–39,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	114 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	75%National average: 65%

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in Minnesota Best hospitals in Minnesota

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 82 common services exactly as Essentia Health St Joseph's Medical Center lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

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

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE/OUTPT VISIT,NEW,LEVL III	$145	$97.58	$45.82 – $123.25
New patient office visit (about 30–44 minutes): 10 of 22 insurance plan rates Aetna First Health — Commercial: $123.25 America's PPO — Commercial: $112.38 BLUE PLUS PMAP PCC PRIME — Medicaid: $65.25 Cigna — Commercial: $106.58 HealthPartners — Commercial: $106.58 HealthPartners CARE PMAP — Medicaid: $62.35 HealthPartners PCC PRIME — Commercial: $106.58 Medica — Commercial-FI: $92.22 Medica — Commercial-SI: $97.30 Medica — IFB ACO: $102.52
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	$145	$97.58	$62.19 – $123.25
New patient office visit (about 30–44 minutes): rates for 10 insurance plans Aetna First Health — Commercial: $123.25 America's PPO — Commercial: $112.38 BLUE PLUS PMAP PCC PRIME — Medicaid: $91.64 MN BCBS Commercial — BCBS MN: $101.50 Sanford Health Plan — Commercia-NDPERS: $62.19 Sanford Health Plan — Commercial: $65.47 UCare — Commercial: $95.41 WEA — Commercial: $111.65 WEA — Commercial-Narrow Network: $104.40 WPS — Commercial: $120.35
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 – $146.61
New patient office visit (about 30–44 minutes): rates for 2 insurance plans BLUE PLUS PMAP PCC PRIME — Medicaid: $146.61 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	$225	$151.43	$71.10 – $191.25
New patient office visit (about 45–59 minutes): 10 of 22 insurance plan rates Aetna First Health — Commercial: $191.25 America's PPO — Commercial: $174.38 BLUE PLUS PMAP PCC PRIME — Medicaid: $101.25 Cigna — Commercial: $165.38 HealthPartners — Commercial: $165.38 HealthPartners CARE PMAP — Medicaid: $96.75 HealthPartners PCC PRIME — Commercial: $165.38 Medica — Commercial-FI: $143.10 Medica — Commercial-SI: $150.98 Medica — IFB ACO: $159.07
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	$225	$151.43	$96.50 – $191.25
New patient office visit (about 45–59 minutes): rates for 10 insurance plans Aetna First Health — Commercial: $191.25 America's PPO — Commercial: $174.38 BLUE PLUS PMAP PCC PRIME — Medicaid: $142.20 MN BCBS Commercial — BCBS MN: $157.50 Sanford Health Plan — Commercia-NDPERS: $96.50 Sanford Health Plan — Commercial: $101.59 UCare — Commercial: $148.05 WEA — Commercial: $173.25 WEA — Commercial-Narrow Network: $162 WPS — Commercial: $186.75
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	$235.77 – $237.41
New patient office visit (about 45–59 minutes): rates for 2 insurance plans BLUE PLUS PMAP PCC PRIME — Medicaid: $235.77 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	$284	$191.13	$89.74 – $241.40
New patient office visit (about 60–74 minutes): 10 of 22 insurance plan rates Aetna First Health — Commercial: $241.40 America's PPO — Commercial: $220.10 BLUE PLUS PMAP PCC PRIME — Medicaid: $127.80 Cigna — Commercial: $208.74 HealthPartners — Commercial: $208.74 HealthPartners CARE PMAP — Medicaid: $122.12 HealthPartners PCC PRIME — Commercial: $208.74 Medica — Commercial-FI: $180.62 Medica — Commercial-SI: $190.56 Medica — IFB ACO: $200.79
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	$284	$191.13	$121.81 – $241.40
New patient office visit (about 60–74 minutes): rates for 10 insurance plans Aetna First Health — Commercial: $241.40 America's PPO — Commercial: $220.10 BLUE PLUS PMAP PCC PRIME — Medicaid: $179.49 MN BCBS Commercial — BCBS MN: $198.80 Sanford Health Plan — Commercia-NDPERS: $121.81 Sanford Health Plan — Commercial: $128.23 UCare — Commercial: $186.87 WEA — Commercial: $218.68 WEA — Commercial-Narrow Network: $204.48 WPS — Commercial: $235.72
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	$320.14 – $322.92
New patient office visit (about 60–74 minutes): rates for 2 insurance plans BLUE PLUS PMAP PCC PRIME — Medicaid: $320.14 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: ET THERAPY, 31-45 MINUTES	$371	$249.68	$117.24 – $315.35
Established patient office visit (about 20–29 minutes): 10 of 22 insurance plan rates Aetna First Health — Commercial: $315.35 America's PPO — Commercial: $287.53 BLUE PLUS PMAP PCC PRIME — Medicaid: $166.95 Cigna — Commercial: $272.68 HealthPartners — Commercial: $272.68 HealthPartners CARE PMAP — Medicaid: $159.53 HealthPartners PCC PRIME — Commercial: $272.68 Medica — Commercial-FI: $235.96 Medica — Commercial-SI: $248.94 Medica — IFB ACO: $262.30
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	$111	$74.70	$35.08 – $94.35
Established patient office visit (about 20–29 minutes): 10 of 22 insurance plan rates Aetna First Health — Commercial: $94.35 America's PPO — Commercial: $86.02 BLUE PLUS PMAP PCC PRIME — Medicaid: $49.95 Cigna — Commercial: $81.58 HealthPartners — Commercial: $81.58 HealthPartners CARE PMAP — Medicaid: $47.73 HealthPartners PCC PRIME — Commercial: $81.58 Medica — Commercial-FI: $70.60 Medica — Commercial-SI: $74.48 Medica — IFB ACO: $78.48
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ET THERAPY, 31-45 MINUTES	$371	$249.68	$159.12 – $315.35
Established patient office visit (about 20–29 minutes): rates for 10 insurance plans Aetna First Health — Commercial: $315.35 America's PPO — Commercial: $287.53 BLUE PLUS PMAP PCC PRIME — Medicaid: $234.47 MN BCBS Commercial — BCBS MN: $259.70 Sanford Health Plan — Commercia-NDPERS: $159.12 Sanford Health Plan — Commercial: $167.51 UCare — Commercial: $244.12 WEA — Commercial: $285.67 WEA — Commercial-Narrow Network: $267.12 WPS — Commercial: $307.93
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ET THERAPY, 46-90 MINUTES	$478	$321.69	$151.05 – $406.30
Established patient office visit (about 30–39 minutes): 10 of 22 insurance plan rates Aetna First Health — Commercial: $406.30 America's PPO — Commercial: $370.45 BLUE PLUS PMAP PCC PRIME — Medicaid: $215.10 Cigna — Commercial: $351.33 HealthPartners — Commercial: $351.33 HealthPartners CARE PMAP — Medicaid: $205.54 HealthPartners PCC PRIME — Commercial: $351.33 Medica — Commercial-FI: $304.01 Medica — Commercial-SI: $320.74 Medica — IFB ACO: $337.95
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	$161	$108.35	$50.88 – $136.85
Established patient office visit (about 30–39 minutes): 10 of 22 insurance plan rates Aetna First Health — Commercial: $136.85 America's PPO — Commercial: $124.78 BLUE PLUS PMAP PCC PRIME — Medicaid: $72.45 Cigna — Commercial: $118.34 HealthPartners — Commercial: $118.34 HealthPartners CARE PMAP — Medicaid: $69.23 HealthPartners PCC PRIME — Commercial: $118.34 Medica — Commercial-FI: $102.40 Medica — Commercial-SI: $108.03 Medica — IFB ACO: $113.83
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ET THERAPY, 46-90 MINUTES	$478	$321.69	$205.01 – $406.30
Established patient office visit (about 30–39 minutes): rates for 10 insurance plans Aetna First Health — Commercial: $406.30 America's PPO — Commercial: $370.45 BLUE PLUS PMAP PCC PRIME — Medicaid: $302.10 MN BCBS Commercial — BCBS MN: $334.60 Sanford Health Plan — Commercia-NDPERS: $205.01 Sanford Health Plan — Commercial: $215.82 UCare — Commercial: $314.52 WEA — Commercial: $368.06 WEA — Commercial-Narrow Network: $344.16 WPS — Commercial: $396.74
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 – $156.78
Office consultation with a specialist (moderate): rates for 2 insurance plans BLUE PLUS PMAP PCC PRIME — Medicaid: $156.78 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 – $239.36
Office consultation with a specialist (moderate to high): rates for 2 insurance plans BLUE PLUS PMAP PCC PRIME — Medicaid: $239.36 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 – $166.36
Preventive checkup, new patient, age 18–39: rates for 2 insurance plans BLUE PLUS PMAP PCC PRIME — Medicaid: $166.36 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 – $201.66
Preventive checkup, new patient, age 40–64: rates for 2 insurance plans BLUE PLUS PMAP PCC PRIME — Medicaid: $201.66 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	$820	$551.86	$259.12 – $697
Emergency room visit (moderate): 10 of 22 insurance plan rates Aetna First Health — Commercial: $697 America's PPO — Commercial: $635.50 BLUE PLUS PMAP PCC PRIME — Medicaid: $369 Cigna — Commercial: $602.70 HealthPartners — Commercial: $602.70 HealthPartners CARE PMAP — Medicaid: $352.60 HealthPartners PCC PRIME — Commercial: $602.70 Medica — Commercial-FI: $521.52 Medica — Commercial-SI: $550.22 Medica — IFB ACO: $579.74
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: FACILITY EMERGENCY LEVEL III VISIT	$820	$551.86	$351.70 – $697
Emergency room visit (moderate): rates for 10 insurance plans Aetna First Health — Commercial: $697 America's PPO — Commercial: $635.50 BLUE PLUS PMAP PCC PRIME — Medicaid: $518.24 MN BCBS Commercial — BCBS MN: $574 Sanford Health Plan — Commercia-NDPERS: $351.70 Sanford Health Plan — Commercial: $370.23 UCare — Commercial: $539.56 WEA — Commercial: $631.40 WEA — Commercial-Narrow Network: $590.40 WPS — Commercial: $680.60
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	$275.08 – $1,054.87
Emergency room visit (moderate): 10 of 31 insurance plan rates Advocare/Security Health — Medicare: $297.42 BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $297.42 BLUE PLUS PMAP PCC PRIME — Medicaid: $928.66 Freedom Blue PPO — Medicare: $297.42 HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $297.42 IMCARE MSHO PCC PRIME — Medicare: $297.42 IMCARE MSHO REF REQ — Medicare: $297.42 Itasca Med Care — Medicaid: $276.89 Medica — Commercial-FI: $846 Medica — Commercial-SI: $893
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FACILITY EMERGENCY LEVEL IV VISIT	$1,359	$914.61	$429.44 – $1,155.15
Emergency room visit (moderately high): 10 of 22 insurance plan rates Aetna First Health — Commercial: $1,155.15 America's PPO — Commercial: $1,053.23 BLUE PLUS PMAP PCC PRIME — Medicaid: $611.55 Cigna — Commercial: $998.86 HealthPartners — Commercial: $998.86 HealthPartners CARE PMAP — Medicaid: $584.37 HealthPartners PCC PRIME — Commercial: $998.86 Medica — Commercial-FI: $864.32 Medica — Commercial-SI: $911.89 Medica — IFB ACO: $960.81
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: FACILITY EMERGENCY LEVEL IV VISIT	$1,359	$914.61	$582.88 – $1,155.15
Emergency room visit (moderately high): rates for 10 insurance plans Aetna First Health — Commercial: $1,155.15 America's PPO — Commercial: $1,053.23 BLUE PLUS PMAP PCC PRIME — Medicaid: $858.89 MN BCBS Commercial — BCBS MN: $951.30 Sanford Health Plan — Commercia-NDPERS: $582.88 Sanford Health Plan — Commercial: $613.59 UCare — Commercial: $894.22 WEA — Commercial: $1,046.43 WEA — Commercial-Narrow Network: $978.48 WPS — Commercial: $1,127.97
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	$425.82 – $1,637.46
Emergency room visit (moderately high): 10 of 31 insurance plan rates Advocare/Security Health — Medicare: $457.39 BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $457.39 BLUE PLUS PMAP PCC PRIME — Medicaid: $1,446.30 Freedom Blue PPO — Medicare: $457.39 HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $457.39 IMCARE MSHO PCC PRIME — Medicare: $457.39 IMCARE MSHO REF REQ — Medicare: $457.39 Itasca Med Care — Medicaid: $425.82 Medica — Commercial-FI: $1,301 Medica — Commercial-SI: $1,374
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FACILITY EMERGENCY LEVEL V VISIT	$1,809	$1,217.46	$571.64 – $1,537.65
Emergency room visit (high): 10 of 22 insurance plan rates Aetna First Health — Commercial: $1,537.65 America's PPO — Commercial: $1,401.98 BLUE PLUS PMAP PCC PRIME — Medicaid: $814.05 Cigna — Commercial: $1,329.62 HealthPartners — Commercial: $1,329.62 HealthPartners CARE PMAP — Medicaid: $777.87 HealthPartners PCC PRIME — Commercial: $1,329.62 Medica — Commercial-FI: $1,150.52 Medica — Commercial-SI: $1,213.84 Medica — IFB ACO: $1,278.96
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: FACILITY EMERGENCY LEVEL V VISIT	$1,809	$1,217.46	$775.88 – $1,537.65
Emergency room visit (high): rates for 10 insurance plans Aetna First Health — Commercial: $1,537.65 America's PPO — Commercial: $1,401.98 BLUE PLUS PMAP PCC PRIME — Medicaid: $1,143.29 MN BCBS Commercial — BCBS MN: $1,266.30 Sanford Health Plan — Commercia-NDPERS: $775.88 Sanford Health Plan — Commercial: $816.76 UCare — Commercial: $1,190.32 WEA — Commercial: $1,392.93 WEA — Commercial-Narrow Network: $1,302.48 WPS — Commercial: $1,501.47
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	$613.10 – $2,374.68
Emergency room visit (high): 10 of 31 insurance plan rates Advocare/Security Health — Medicare: $658.56 BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $658.56 BLUE PLUS PMAP PCC PRIME — Medicaid: $2,077.34 Freedom Blue PPO — Medicare: $658.56 HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $658.56 IMCARE MSHO PCC PRIME — Medicare: $658.56 IMCARE MSHO REF REQ — Medicare: $658.56 Itasca Med Care — Medicaid: $613.10 Medica — Commercial-FI: $1,757 Medica — Commercial-SI: $1,854

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAB BASIC METABOLIC PANEL	$235	$158.16	$74.26 – $199.75
Basic metabolic panel (blood test): 10 of 22 insurance plan rates Aetna First Health — Commercial: $199.75 America's PPO — Commercial: $182.12 BLUE PLUS PMAP PCC PRIME — Medicaid: $105.75 Cigna — Commercial: $172.72 HealthPartners — Commercial: $172.72 HealthPartners CARE PMAP — Medicaid: $101.05 HealthPartners PCC PRIME — Commercial: $172.72 Medica — Commercial-FI: $149.46 Medica — Commercial-SI: $157.68 Medica — IFB ACO: $166.14
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LAB BASIC METABOLIC PANEL	$235	$158.16	$100.79 – $199.75
Basic metabolic panel (blood test): rates for 10 insurance plans Aetna First Health — Commercial: $199.75 America's PPO — Commercial: $182.12 BLUE PLUS PMAP PCC PRIME — Medicaid: $148.52 MN BCBS Commercial — BCBS MN: $164.50 Sanford Health Plan — Commercia-NDPERS: $100.79 Sanford Health Plan — Commercial: $106.10 UCare — Commercial: $154.63 WEA — Commercial: $180.95 WEA — Commercial-Narrow Network: $169.20 WPS — Commercial: $195.05
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
Basic metabolic panel (blood test): 10 of 25 insurance plan rates Advocare/Security Health — Medicare: $8.46 BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $8.46 BLUE PLUS PMAP PCC PRIME — Medicaid: $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	$330	$222.09	$104.28 – $280.50
Comprehensive metabolic panel (blood test): 10 of 22 insurance plan rates Aetna First Health — Commercial: $280.50 America's PPO — Commercial: $255.75 BLUE PLUS PMAP PCC PRIME — Medicaid: $148.50 Cigna — Commercial: $242.55 HealthPartners — Commercial: $242.55 HealthPartners CARE PMAP — Medicaid: $141.90 HealthPartners PCC PRIME — Commercial: $242.55 Medica — Commercial-FI: $209.88 Medica — Commercial-SI: $221.43 Medica — IFB ACO: $233.31
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PANEL	$330	$222.09	$141.54 – $280.50
Comprehensive metabolic panel (blood test): rates for 10 insurance plans Aetna First Health — Commercial: $280.50 America's PPO — Commercial: $255.75 BLUE PLUS PMAP PCC PRIME — Medicaid: $208.56 MN BCBS Commercial — BCBS MN: $231 Sanford Health Plan — Commercia-NDPERS: $141.54 Sanford Health Plan — Commercial: $149 UCare — Commercial: $217.14 WEA — Commercial: $254.10 WEA — Commercial-Narrow Network: $237.60 WPS — Commercial: $273.90
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehen metabolic panel	Not listed in the file	Not listed in the file	$10.56
Comprehensive metabolic panel (blood test): 10 of 25 insurance plan rates Advocare/Security Health — Medicare: $10.56 BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $10.56 BLUE PLUS PMAP PCC PRIME — Medicaid: $10.56 Freedom Blue PPO — Medicare: $10.56 HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $10.56 IMCARE MSHO PCC PRIME — Medicare: $10.56 IMCARE MSHO REF REQ — Medicare: $10.56 Itasca Med Care — Medicaid: $10.56 MEDICA ADVANTAGE SOLUTIONS — Medicare: $10.56 MEDICA MSHO/Dual Solutions — Medicare: $10.56
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
Obstetric blood test panel: 10 of 25 insurance plan rates Advocare/Security Health — Medicare: $47.81 BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $47.81 BLUE PLUS PMAP PCC PRIME — Medicaid: $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	$98.93	$46.45 – $124.95
Cholesterol panel (lipid panel): 10 of 22 insurance plan rates Aetna First Health — Commercial: $124.95 America's PPO — Commercial: $113.92 BLUE PLUS PMAP PCC PRIME — Medicaid: $66.15 Cigna — Commercial: $108.04 HealthPartners — Commercial: $108.04 HealthPartners CARE PMAP — Medicaid: $63.21 HealthPartners PCC PRIME — Commercial: $108.04 Medica — Commercial-FI: $93.49 Medica — Commercial-SI: $98.64 Medica — IFB ACO: $103.93
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LIPID PROFILE	$147	$98.93	$63.05 – $124.95
Cholesterol panel (lipid panel): rates for 10 insurance plans Aetna First Health — Commercial: $124.95 America's PPO — Commercial: $113.92 BLUE PLUS PMAP PCC PRIME — Medicaid: $92.90 MN BCBS Commercial — BCBS MN: $102.90 Sanford Health Plan — Commercia-NDPERS: $63.05 Sanford Health Plan — Commercial: $66.37 UCare — Commercial: $96.73 WEA — Commercial: $113.19 WEA — Commercial-Narrow Network: $105.84 WPS — Commercial: $122.01
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
Cholesterol panel (lipid panel): 10 of 25 insurance plan rates Advocare/Security Health — Medicare: $13.39 BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $13.39 BLUE PLUS PMAP PCC PRIME — Medicaid: $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	$200.55	$94.17 – $253.30
Kidney function panel: 10 of 22 insurance plan rates Aetna First Health — Commercial: $253.30 America's PPO — Commercial: $230.95 BLUE PLUS PMAP PCC PRIME — Medicaid: $134.10 Cigna — Commercial: $219.03 HealthPartners — Commercial: $219.03 HealthPartners CARE PMAP — Medicaid: $128.14 HealthPartners PCC PRIME — Commercial: $219.03 Medica — Commercial-FI: $189.53 Medica — Commercial-SI: $199.96 Medica — IFB ACO: $210.69
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL	$298	$200.55	$127.81 – $253.30
Kidney function panel: rates for 10 insurance plans Aetna First Health — Commercial: $253.30 America's PPO — Commercial: $230.95 BLUE PLUS PMAP PCC PRIME — Medicaid: $188.34 MN BCBS Commercial — BCBS MN: $208.60 Sanford Health Plan — Commercia-NDPERS: $127.81 Sanford Health Plan — Commercial: $134.55 UCare — Commercial: $196.08 WEA — Commercial: $229.46 WEA — Commercial-Narrow Network: $214.56 WPS — Commercial: $247.34
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
Kidney function panel: 10 of 25 insurance plan rates Advocare/Security Health — Medicare: $8.68 BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $8.68 BLUE PLUS PMAP PCC PRIME — Medicaid: $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	$204	$137.29	$64.46 – $173.40
Liver function panel: 10 of 22 insurance plan rates Aetna First Health — Commercial: $173.40 America's PPO — Commercial: $158.10 BLUE PLUS PMAP PCC PRIME — Medicaid: $91.80 Cigna — Commercial: $149.94 HealthPartners — Commercial: $149.94 HealthPartners CARE PMAP — Medicaid: $87.72 HealthPartners PCC PRIME — Commercial: $149.94 Medica — Commercial-FI: $129.74 Medica — Commercial-SI: $136.88 Medica — IFB ACO: $144.23
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL	$204	$137.29	$87.50 – $173.40
Liver function panel: rates for 10 insurance plans Aetna First Health — Commercial: $173.40 America's PPO — Commercial: $158.10 BLUE PLUS PMAP PCC PRIME — Medicaid: $128.93 MN BCBS Commercial — BCBS MN: $142.80 Sanford Health Plan — Commercia-NDPERS: $87.50 Sanford Health Plan — Commercial: $92.11 UCare — Commercial: $134.23 WEA — Commercial: $157.08 WEA — Commercial-Narrow Network: $146.88 WPS — Commercial: $169.32
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
Liver function panel: 10 of 25 insurance plan rates Advocare/Security Health — Medicare: $8.17 BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $8.17 BLUE PLUS PMAP PCC PRIME — Medicaid: $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	$98	$65.95	$30.97 – $83.30
Urine test (automated, with microscope): 10 of 22 insurance plan rates Aetna First Health — Commercial: $83.30 America's PPO — Commercial: $75.95 BLUE PLUS PMAP PCC PRIME — Medicaid: $44.10 Cigna — Commercial: $72.03 HealthPartners — Commercial: $72.03 HealthPartners CARE PMAP — Medicaid: $42.14 HealthPartners PCC PRIME — Commercial: $72.03 Medica — Commercial-FI: $62.33 Medica — Commercial-SI: $65.76 Medica — IFB ACO: $69.29
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINALYSIS, AUTO, W/SCOPE	$98	$65.95	$42.03 – $83.30
Urine test (automated, with microscope): rates for 10 insurance plans Aetna First Health — Commercial: $83.30 America's PPO — Commercial: $75.95 BLUE PLUS PMAP PCC PRIME — Medicaid: $61.94 MN BCBS Commercial — BCBS MN: $68.60 Sanford Health Plan — Commercia-NDPERS: $42.03 Sanford Health Plan — Commercial: $44.25 UCare — Commercial: $64.48 WEA — Commercial: $75.46 WEA — Commercial-Narrow Network: $70.56 WPS — Commercial: $81.34
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
Urine test (automated, with microscope): 10 of 25 insurance plan rates Advocare/Security Health — Medicare: $3.17 BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $3.17 BLUE PLUS PMAP PCC PRIME — Medicaid: $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	$20.19	$9.48 – $25.50
Urine test (manual, without microscope): 10 of 22 insurance plan rates Aetna First Health — Commercial: $25.50 America's PPO — Commercial: $23.25 BLUE PLUS PMAP PCC PRIME — Medicaid: $13.50 Cigna — Commercial: $22.05 HealthPartners — Commercial: $22.05 HealthPartners CARE PMAP — Medicaid: $12.90 HealthPartners PCC PRIME — Commercial: $22.05 Medica — Commercial-FI: $19.08 Medica — Commercial-SI: $20.13 Medica — IFB ACO: $21.21
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINALYSIS NONAUTO W/O SCOPE	$30	$20.19	$12.87 – $25.50
Urine test (manual, without microscope): rates for 10 insurance plans Aetna First Health — Commercial: $25.50 America's PPO — Commercial: $23.25 BLUE PLUS PMAP PCC PRIME — Medicaid: $18.96 MN BCBS Commercial — BCBS MN: $21 Sanford Health Plan — Commercia-NDPERS: $12.87 Sanford Health Plan — Commercial: $13.54 UCare — Commercial: $19.74 WEA — Commercial: $23.10 WEA — Commercial-Narrow Network: $21.60 WPS — Commercial: $24.90
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
Urine test (manual, without microscope): 10 of 25 insurance plan rates Advocare/Security Health — Medicare: $3.48 BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $3.48 BLUE PLUS PMAP PCC PRIME — Medicaid: $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	$71	$47.78	$22.44 – $60.35
Urine test (automated, without microscope): 10 of 22 insurance plan rates Aetna First Health — Commercial: $60.35 America's PPO — Commercial: $55.02 BLUE PLUS PMAP PCC PRIME — Medicaid: $31.95 Cigna — Commercial: $52.18 HealthPartners — Commercial: $52.18 HealthPartners CARE PMAP — Medicaid: $30.53 HealthPartners PCC PRIME — Commercial: $52.18 Medica — Commercial-FI: $45.16 Medica — Commercial-SI: $47.64 Medica — IFB ACO: $50.20
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINALYSIS, AUTO W/O SCOPE	$71	$47.78	$30.45 – $60.35
Urine test (automated, without microscope): rates for 10 insurance plans Aetna First Health — Commercial: $60.35 America's PPO — Commercial: $55.02 BLUE PLUS PMAP PCC PRIME — Medicaid: $44.87 MN BCBS Commercial — BCBS MN: $49.70 Sanford Health Plan — Commercia-NDPERS: $30.45 Sanford Health Plan — Commercial: $32.06 UCare — Commercial: $46.72 WEA — Commercial: $54.67 WEA — Commercial-Narrow Network: $51.12 WPS — Commercial: $58.93
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
Urine test (automated, without microscope): 10 of 25 insurance plan rates Advocare/Security Health — Medicare: $2.25 BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $2.25 BLUE PLUS PMAP PCC PRIME — Medicaid: $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: LAB PSA SCREENING	$142	$95.57	$44.87 – $120.70
PSA (prostate specific antigen) blood test: 10 of 22 insurance plan rates Aetna First Health — Commercial: $120.70 America's PPO — Commercial: $110.05 BLUE PLUS PMAP PCC PRIME — Medicaid: $63.90 Cigna — Commercial: $104.37 HealthPartners — Commercial: $104.37 HealthPartners CARE PMAP — Medicaid: $61.06 HealthPartners PCC PRIME — Commercial: $104.37 Medica — Commercial-FI: $90.31 Medica — Commercial-SI: $95.28 Medica — IFB ACO: $100.39
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ASSAY OF PSA TOTAL	$162	$109.03	$51.19 – $137.70
PSA (prostate specific antigen) blood test: 10 of 22 insurance plan rates Aetna First Health — Commercial: $137.70 America's PPO — Commercial: $125.55 BLUE PLUS PMAP PCC PRIME — Medicaid: $72.90 Cigna — Commercial: $119.07 HealthPartners — Commercial: $119.07 HealthPartners CARE PMAP — Medicaid: $69.66 HealthPartners PCC PRIME — Commercial: $119.07 Medica — Commercial-FI: $103.03 Medica — Commercial-SI: $108.70 Medica — IFB ACO: $114.53
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LAB PSA SCREENING	$142	$95.57	$60.90 – $120.70
PSA (prostate specific antigen) blood test: rates for 10 insurance plans Aetna First Health — Commercial: $120.70 America's PPO — Commercial: $110.05 BLUE PLUS PMAP PCC PRIME — Medicaid: $89.74 MN BCBS Commercial — BCBS MN: $99.40 Sanford Health Plan — Commercia-NDPERS: $60.90 Sanford Health Plan — Commercial: $64.11 UCare — Commercial: $93.44 WEA — Commercial: $109.34 WEA — Commercial-Narrow Network: $102.24 WPS — Commercial: $117.86
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ASSAY THYROID STIM HORMONE	$165	$111.04	$52.14 – $140.25
Thyroid stimulating hormone (TSH) test: 10 of 22 insurance plan rates Aetna First Health — Commercial: $140.25 America's PPO — Commercial: $127.88 BLUE PLUS PMAP PCC PRIME — Medicaid: $74.25 Cigna — Commercial: $121.28 HealthPartners — Commercial: $121.28 HealthPartners CARE PMAP — Medicaid: $70.95 HealthPartners PCC PRIME — Commercial: $121.28 Medica — Commercial-FI: $104.94 Medica — Commercial-SI: $110.72 Medica — IFB ACO: $116.65
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ASSAY THYROID STIM HORMONE	$165	$111.04	$70.77 – $140.25
Thyroid stimulating hormone (TSH) test: rates for 10 insurance plans Aetna First Health — Commercial: $140.25 America's PPO — Commercial: $127.88 BLUE PLUS PMAP PCC PRIME — Medicaid: $104.28 MN BCBS Commercial — BCBS MN: $115.50 Sanford Health Plan — Commercia-NDPERS: $70.77 Sanford Health Plan — Commercial: $74.50 UCare — Commercial: $108.57 WEA — Commercial: $127.05 WEA — Commercial-Narrow Network: $118.80 WPS — Commercial: $136.95
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
Thyroid stimulating hormone (TSH) test: 10 of 25 insurance plan rates Advocare/Security Health — Medicare: $16.80 BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $16.80 BLUE PLUS PMAP PCC PRIME — Medicaid: $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	$114.41	$53.72 – $144.50
Complete blood count (CBC) with differential: 10 of 22 insurance plan rates Aetna First Health — Commercial: $144.50 America's PPO — Commercial: $131.75 BLUE PLUS PMAP PCC PRIME — Medicaid: $76.50 Cigna — Commercial: $124.95 HealthPartners — Commercial: $124.95 HealthPartners CARE PMAP — Medicaid: $73.10 HealthPartners PCC PRIME — Commercial: $124.95 Medica — Commercial-FI: $108.12 Medica — Commercial-SI: $114.07 Medica — IFB ACO: $120.19
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPLETE CBC W/AUTO DIFF WBC	$170	$114.41	$72.91 – $144.50
Complete blood count (CBC) with differential: rates for 10 insurance plans Aetna First Health — Commercial: $144.50 America's PPO — Commercial: $131.75 BLUE PLUS PMAP PCC PRIME — Medicaid: $107.44 MN BCBS Commercial — BCBS MN: $119 Sanford Health Plan — Commercia-NDPERS: $72.91 Sanford Health Plan — Commercial: $76.76 UCare — Commercial: $111.86 WEA — Commercial: $130.90 WEA — Commercial-Narrow Network: $122.40 WPS — Commercial: $141.10
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
Complete blood count (CBC) with differential: 10 of 25 insurance plan rates Advocare/Security Health — Medicare: $7.77 BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $7.77 BLUE PLUS PMAP PCC PRIME — Medicaid: $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	$105.66	$49.61 – $133.45
Complete blood count (CBC), automated: 10 of 22 insurance plan rates Aetna First Health — Commercial: $133.45 America's PPO — Commercial: $121.68 BLUE PLUS PMAP PCC PRIME — Medicaid: $70.65 Cigna — Commercial: $115.40 HealthPartners — Commercial: $115.40 HealthPartners CARE PMAP — Medicaid: $67.51 HealthPartners PCC PRIME — Commercial: $115.40 Medica — Commercial-FI: $99.85 Medica — Commercial-SI: $105.35 Medica — IFB ACO: $111
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPLETE CBC AUTOMATED	$157	$105.66	$67.34 – $133.45
Complete blood count (CBC), automated: rates for 10 insurance plans Aetna First Health — Commercial: $133.45 America's PPO — Commercial: $121.68 BLUE PLUS PMAP PCC PRIME — Medicaid: $99.22 MN BCBS Commercial — BCBS MN: $109.90 Sanford Health Plan — Commercia-NDPERS: $67.34 Sanford Health Plan — Commercial: $70.89 UCare — Commercial: $103.31 WEA — Commercial: $120.89 WEA — Commercial-Narrow Network: $113.04 WPS — Commercial: $130.31
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
Complete blood count (CBC), automated: 10 of 25 insurance plan rates Advocare/Security Health — Medicare: $6.47 BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $6.47 BLUE PLUS PMAP PCC PRIME — Medicaid: $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	$43.74	$20.54 – $55.25
Blood clotting time test (prothrombin time, PT): 10 of 22 insurance plan rates Aetna First Health — Commercial: $55.25 America's PPO — Commercial: $50.38 BLUE PLUS PMAP PCC PRIME — Medicaid: $29.25 Cigna — Commercial: $47.78 HealthPartners — Commercial: $47.78 HealthPartners CARE PMAP — Medicaid: $27.95 HealthPartners PCC PRIME — Commercial: $47.78 Medica — Commercial-FI: $41.34 Medica — Commercial-SI: $43.62 Medica — IFB ACO: $45.96
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME (PT/INR)	$65	$43.74	$27.88 – $55.25
Blood clotting time test (prothrombin time, PT): rates for 10 insurance plans Aetna First Health — Commercial: $55.25 America's PPO — Commercial: $50.38 BLUE PLUS PMAP PCC PRIME — Medicaid: $41.08 MN BCBS Commercial — BCBS MN: $45.50 Sanford Health Plan — Commercia-NDPERS: $27.88 Sanford Health Plan — Commercial: $29.35 UCare — Commercial: $42.77 WEA — Commercial: $50.05 WEA — Commercial-Narrow Network: $46.80 WPS — Commercial: $53.95
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
Blood clotting time test (prothrombin time, PT): 10 of 25 insurance plan rates Advocare/Security Health — Medicare: $4.29 BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $4.29 BLUE PLUS PMAP PCC PRIME — Medicaid: $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	$69.32	$32.55 – $87.55
Blood clotting test (partial thromboplastin time, PTT): 10 of 22 insurance plan rates Aetna First Health — Commercial: $87.55 America's PPO — Commercial: $79.82 BLUE PLUS PMAP PCC PRIME — Medicaid: $46.35 Cigna — Commercial: $75.70 HealthPartners — Commercial: $75.70 HealthPartners CARE PMAP — Medicaid: $44.29 HealthPartners PCC PRIME — Commercial: $75.70 Medica — Commercial-FI: $65.51 Medica — Commercial-SI: $69.11 Medica — IFB ACO: $72.82
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: THROMBOPLASTIN TIME PARTIAL	$103	$69.32	$44.18 – $87.55
Blood clotting test (partial thromboplastin time, PTT): rates for 10 insurance plans Aetna First Health — Commercial: $87.55 America's PPO — Commercial: $79.82 BLUE PLUS PMAP PCC PRIME — Medicaid: $65.10 MN BCBS Commercial — BCBS MN: $72.10 Sanford Health Plan — Commercia-NDPERS: $44.18 Sanford Health Plan — Commercial: $46.50 UCare — Commercial: $67.77 WEA — Commercial: $79.31 WEA — Commercial-Narrow Network: $74.16 WPS — Commercial: $85.49
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
Blood clotting test (partial thromboplastin time, PTT): 10 of 25 insurance plan rates Advocare/Security Health — Medicare: $6.01 BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $6.01 BLUE PLUS PMAP PCC PRIME — Medicaid: $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)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct head/brain w/o dye	Not listed in the file	Not listed in the file	$106 – $406.50
CT scan of the head or brain, without contrast: 10 of 25 insurance plan rates Advocare/Security Health — Medicare: $114.23 BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $114.23 BLUE PLUS PMAP PCC PRIME — Medicaid: $405.08 Freedom Blue PPO — Medicare: $114.23 HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $114.23 IMCARE MSHO PCC PRIME — Medicare: $114.23 IMCARE MSHO REF REQ — Medicare: $114.23 Itasca Med Care — Medicaid: $106.34 MEDICA ADVANTAGE SOLUTIONS — Medicare: $114.23 MEDICA MSHO/Dual Solutions — Medicare: $114.23
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	$1,887	$1,269.95	$596.29 – $1,603.95
CT scan of the head or brain, without contrast: 10 of 22 insurance plan rates Aetna First Health — Commercial: $1,603.95 America's PPO — Commercial: $1,462.42 BLUE PLUS PMAP PCC PRIME — Medicaid: $849.15 Cigna — Commercial: $1,386.94 HealthPartners — Commercial: $1,386.94 HealthPartners CARE PMAP — Medicaid: $811.41 HealthPartners PCC PRIME — Commercial: $1,386.94 Medica — Commercial-FI: $1,200.13 Medica — Commercial-SI: $1,266.18 Medica — IFB ACO: $1,334.11
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	$1,887	$1,269.95	$809.33 – $1,603.95
CT scan of the head or brain, without contrast: rates for 10 insurance plans Aetna First Health — Commercial: $1,603.95 America's PPO — Commercial: $1,462.42 BLUE PLUS PMAP PCC PRIME — Medicaid: $1,192.58 MN BCBS Commercial — BCBS MN: $1,320.90 Sanford Health Plan — Commercia-NDPERS: $809.33 Sanford Health Plan — Commercial: $851.98 UCare — Commercial: $1,241.65 WEA — Commercial: $1,452.99 WEA — Commercial-Narrow Network: $1,358.64 WPS — Commercial: $1,566.21
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	$357.13 – $1,421.79
MRI of the brain, before and after contrast: 10 of 25 insurance plan rates Advocare/Security Health — Medicare: $383.61 BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $383.61 BLUE PLUS PMAP PCC PRIME — Medicaid: $1,396.35 Freedom Blue PPO — Medicare: $383.61 HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $383.61 IMCARE MSHO PCC PRIME — Medicare: $383.61 IMCARE MSHO REF REQ — Medicare: $383.61 Itasca Med Care — Medicaid: $357.13 MEDICA ADVANTAGE SOLUTIONS — Medicare: $383.61 MEDICA MSHO/Dual Solutions — Medicare: $383.61
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	$3,975	$2,675.18	$1,256.10 – $3,378.75
MRI of the brain, before and after contrast: 10 of 22 insurance plan rates Aetna First Health — Commercial: $3,378.75 America's PPO — Commercial: $3,080.62 BLUE PLUS PMAP PCC PRIME — Medicaid: $1,788.75 Cigna — Commercial: $2,921.62 HealthPartners — Commercial: $2,921.62 HealthPartners CARE PMAP — Medicaid: $1,709.25 HealthPartners PCC PRIME — Commercial: $2,921.62 Medica — Commercial-FI: $2,528.10 Medica — Commercial-SI: $2,667.23 Medica — IFB ACO: $2,810.32
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	$3,975	$2,675.18	$1,704.88 – $3,378.75
MRI of the brain, before and after contrast: rates for 10 insurance plans Aetna First Health — Commercial: $3,378.75 America's PPO — Commercial: $3,080.62 BLUE PLUS PMAP PCC PRIME — Medicaid: $2,512.20 MN BCBS Commercial — BCBS MN: $2,782.50 Sanford Health Plan — Commercia-NDPERS: $1,704.88 Sanford Health Plan — Commercial: $1,794.71 UCare — Commercial: $2,615.55 WEA — Commercial: $3,060.75 WEA — Commercial-Narrow Network: $2,862 WPS — Commercial: $3,299.25
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	$87.61 – $335.95
Chest X-ray, 2 views: 10 of 25 insurance plan rates Advocare/Security Health — Medicare: $94.57 BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $94.57 BLUE PLUS PMAP PCC PRIME — Medicaid: $329.28 Freedom Blue PPO — Medicare: $94.57 HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $94.57 IMCARE MSHO PCC PRIME — Medicare: $94.57 IMCARE MSHO REF REQ — Medicare: $94.57 Itasca Med Care — Medicaid: $88.05 MEDICA ADVANTAGE SOLUTIONS — Medicare: $94.57 MEDICA MSHO/Dual Solutions — Medicare: $94.57
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	$385	$259.10	$121.66 – $327.25
Chest X-ray, 2 views: 10 of 22 insurance plan rates Aetna First Health — Commercial: $327.25 America's PPO — Commercial: $298.38 BLUE PLUS PMAP PCC PRIME — Medicaid: $173.25 Cigna — Commercial: $282.98 HealthPartners — Commercial: $282.98 HealthPartners CARE PMAP — Medicaid: $165.55 HealthPartners PCC PRIME — Commercial: $282.98 Medica — Commercial-FI: $244.86 Medica — Commercial-SI: $258.34 Medica — IFB ACO: $272.20
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee · modifier TC In the file: X-RAY EXAM CHEST 2 VIEWS	$385	$259.10	$165.13 – $327.25
Chest X-ray, 2 views: rates for 10 insurance plans Aetna First Health — Commercial: $327.25 America's PPO — Commercial: $298.38 BLUE PLUS PMAP PCC PRIME — Medicaid: $243.32 MN BCBS Commercial — BCBS MN: $269.50 Sanford Health Plan — Commercia-NDPERS: $165.13 Sanford Health Plan — Commercial: $173.83 UCare — Commercial: $253.33 WEA — Commercial: $296.45 WEA — Commercial-Narrow Network: $277.20 WPS — Commercial: $319.55
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	$106 – $406.50
X-ray of the lower spine, at least 4 views: 10 of 25 insurance plan rates Advocare/Security Health — Medicare: $114.23 BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $114.23 BLUE PLUS PMAP PCC PRIME — Medicaid: $405.08 Freedom Blue PPO — Medicare: $114.23 HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $114.23 IMCARE MSHO PCC PRIME — Medicare: $114.23 IMCARE MSHO REF REQ — Medicare: $114.23 Itasca Med Care — Medicaid: $106.34 MEDICA ADVANTAGE SOLUTIONS — Medicare: $114.23 MEDICA MSHO/Dual Solutions — Medicare: $114.23
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	$662	$445.53	$209.19 – $562.70
X-ray of the lower spine, at least 4 views: 10 of 22 insurance plan rates Aetna First Health — Commercial: $562.70 America's PPO — Commercial: $513.05 BLUE PLUS PMAP PCC PRIME — Medicaid: $297.90 Cigna — Commercial: $486.57 HealthPartners — Commercial: $486.57 HealthPartners CARE PMAP — Medicaid: $284.66 HealthPartners PCC PRIME — Commercial: $486.57 Medica — Commercial-FI: $421.03 Medica — Commercial-SI: $444.20 Medica — IFB ACO: $468.03
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 – $905.91
MRI of the lower back (lumbar spine), without contrast: 10 of 25 insurance plan rates Advocare/Security Health — Medicare: $259.64 BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $259.64 BLUE PLUS PMAP PCC PRIME — Medicaid: $885.04 Freedom Blue PPO — Medicare: $259.64 HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $259.64 IMCARE MSHO PCC PRIME — Medicare: $259.64 IMCARE MSHO REF REQ — Medicare: $259.64 Itasca Med Care — Medicaid: $241.72 MEDICA ADVANTAGE SOLUTIONS — Medicare: $259.64 MEDICA MSHO/Dual Solutions — Medicare: $259.64
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	$2,886	$1,942.28	$911.98 – $2,453.10
MRI of the lower back (lumbar spine), without contrast: 10 of 22 insurance plan rates Aetna First Health — Commercial: $2,453.10 America's PPO — Commercial: $2,236.65 BLUE PLUS PMAP PCC PRIME — Medicaid: $1,298.70 Cigna — Commercial: $2,121.21 HealthPartners — Commercial: $2,121.21 HealthPartners CARE PMAP — Medicaid: $1,240.98 HealthPartners PCC PRIME — Commercial: $2,121.21 Medica — Commercial-FI: $1,835.50 Medica — Commercial-SI: $1,936.51 Medica — IFB ACO: $2,040.40
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	$2,886	$1,942.28	$1,237.81 – $2,453.10
MRI of the lower back (lumbar spine), without contrast: rates for 10 insurance plans Aetna First Health — Commercial: $2,453.10 America's PPO — Commercial: $2,236.65 BLUE PLUS PMAP PCC PRIME — Medicaid: $1,823.95 MN BCBS Commercial — BCBS MN: $2,020.20 Sanford Health Plan — Commercia-NDPERS: $1,237.81 Sanford Health Plan — Commercial: $1,303.03 UCare — Commercial: $1,898.99 WEA — Commercial: $2,222.22 WEA — Commercial-Narrow Network: $2,077.92 WPS — Commercial: $2,395.38
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	$177.14 – $683.49
CT scan of the pelvis, with contrast: 10 of 25 insurance plan rates Advocare/Security Health — Medicare: $191.22 BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $191.22 BLUE PLUS PMAP PCC PRIME — Medicaid: $683.49 Freedom Blue PPO — Medicare: $191.22 HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $191.22 IMCARE MSHO PCC PRIME — Medicare: $191.22 IMCARE MSHO REF REQ — Medicare: $191.22 Itasca Med Care — Medicaid: $178.02 MEDICA ADVANTAGE SOLUTIONS — Medicare: $191.22 MEDICA MSHO/Dual Solutions — Medicare: $191.22
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	$1,323.12	$621.26 – $1,671.10
CT scan of the pelvis, with contrast: 10 of 22 insurance plan rates Aetna First Health — Commercial: $1,671.10 America's PPO — Commercial: $1,523.65 BLUE PLUS PMAP PCC PRIME — Medicaid: $884.70 Cigna — Commercial: $1,445.01 HealthPartners — Commercial: $1,445.01 HealthPartners CARE PMAP — Medicaid: $845.38 HealthPartners PCC PRIME — Commercial: $1,445.01 Medica — Commercial-FI: $1,250.38 Medica — Commercial-SI: $1,319.19 Medica — IFB ACO: $1,389.96
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	$1,323.12	$843.22 – $1,671.10
CT scan of the pelvis, with contrast: rates for 10 insurance plans Aetna First Health — Commercial: $1,671.10 America's PPO — Commercial: $1,523.65 BLUE PLUS PMAP PCC PRIME — Medicaid: $1,242.51 MN BCBS Commercial — BCBS MN: $1,376.20 Sanford Health Plan — Commercia-NDPERS: $843.22 Sanford Health Plan — Commercial: $887.65 UCare — Commercial: $1,293.63 WEA — Commercial: $1,513.82 WEA — Commercial-Narrow Network: $1,415.52 WPS — Commercial: $1,631.78
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 – $905.91
MRI of a leg joint (such as the knee), without contrast: 10 of 25 insurance plan rates Advocare/Security Health — Medicare: $259.64 BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $259.64 BLUE PLUS PMAP PCC PRIME — Medicaid: $885.04 Freedom Blue PPO — Medicare: $259.64 HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $259.64 IMCARE MSHO PCC PRIME — Medicare: $259.64 IMCARE MSHO REF REQ — Medicare: $259.64 Itasca Med Care — Medicaid: $241.72 MEDICA ADVANTAGE SOLUTIONS — Medicare: $259.64 MEDICA MSHO/Dual Solutions — Medicare: $259.64
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	$2,931	$1,972.56	$926.20 – $2,491.35
MRI of a leg joint (such as the knee), without contrast: 10 of 22 insurance plan rates Aetna First Health — Commercial: $2,491.35 America's PPO — Commercial: $2,271.52 BLUE PLUS PMAP PCC PRIME — Medicaid: $1,318.95 Cigna — Commercial: $2,154.28 HealthPartners — Commercial: $2,154.28 HealthPartners CARE PMAP — Medicaid: $1,260.33 HealthPartners PCC PRIME — Commercial: $2,154.28 Medica — Commercial-FI: $1,864.12 Medica — Commercial-SI: $1,966.70 Medica — IFB ACO: $2,072.22
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	$2,931	$1,972.56	$1,257.11 – $2,491.35
MRI of a leg joint (such as the knee), without contrast: rates for 10 insurance plans Aetna First Health — Commercial: $2,491.35 America's PPO — Commercial: $2,271.52 BLUE PLUS PMAP PCC PRIME — Medicaid: $1,852.39 MN BCBS Commercial — BCBS MN: $2,051.70 Sanford Health Plan — Commercia-NDPERS: $1,257.11 Sanford Health Plan — Commercial: $1,323.35 UCare — Commercial: $1,928.60 WEA — Commercial: $2,256.87 WEA — Commercial-Narrow Network: $2,110.32 WPS — Commercial: $2,432.73
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	$357.13 – $1,421.79
CT scan of the abdomen and pelvis, with contrast: 10 of 25 insurance plan rates Advocare/Security Health — Medicare: $383.61 BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $383.61 BLUE PLUS PMAP PCC PRIME — Medicaid: $1,396.35 Freedom Blue PPO — Medicare: $383.61 HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $383.61 IMCARE MSHO PCC PRIME — Medicare: $383.61 IMCARE MSHO REF REQ — Medicare: $383.61 Itasca Med Care — Medicaid: $357.13 MEDICA ADVANTAGE SOLUTIONS — Medicare: $383.61 MEDICA MSHO/Dual Solutions — Medicare: $383.61
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	$3,959	$2,664.41	$1,251.04 – $3,365.15
CT scan of the abdomen and pelvis, with contrast: 10 of 22 insurance plan rates Aetna First Health — Commercial: $3,365.15 America's PPO — Commercial: $3,068.22 BLUE PLUS PMAP PCC PRIME — Medicaid: $1,781.55 Cigna — Commercial: $2,909.86 HealthPartners — Commercial: $2,909.86 HealthPartners CARE PMAP — Medicaid: $1,702.37 HealthPartners PCC PRIME — Commercial: $2,909.86 Medica — Commercial-FI: $2,517.92 Medica — Commercial-SI: $2,656.49 Medica — IFB ACO: $2,799.01
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	$3,959	$2,664.41	$1,698.02 – $3,365.15
CT scan of the abdomen and pelvis, with contrast: rates for 10 insurance plans Aetna First Health — Commercial: $3,365.15 America's PPO — Commercial: $3,068.22 BLUE PLUS PMAP PCC PRIME — Medicaid: $2,502.09 MN BCBS Commercial — BCBS MN: $2,771.30 Sanford Health Plan — Commercia-NDPERS: $1,698.02 Sanford Health Plan — Commercial: $1,787.49 UCare — Commercial: $2,605.02 WEA — Commercial: $3,048.43 WEA — Commercial-Narrow Network: $2,850.48 WPS — Commercial: $3,285.97
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	$106 – $406.50
Ultrasound of the abdomen, complete: 10 of 25 insurance plan rates Advocare/Security Health — Medicare: $114.23 BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $114.23 BLUE PLUS PMAP PCC PRIME — Medicaid: $405.08 Freedom Blue PPO — Medicare: $114.23 HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $114.23 IMCARE MSHO PCC PRIME — Medicare: $114.23 IMCARE MSHO REF REQ — Medicare: $114.23 Itasca Med Care — Medicaid: $106.34 MEDICA ADVANTAGE SOLUTIONS — Medicare: $114.23 MEDICA MSHO/Dual Solutions — Medicare: $114.23
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: US ABDOMEN TC	$976	$656.85	$308.42 – $829.60
Ultrasound of the abdomen, complete: 10 of 22 insurance plan rates Aetna First Health — Commercial: $829.60 America's PPO — Commercial: $756.40 BLUE PLUS PMAP PCC PRIME — Medicaid: $439.20 Cigna — Commercial: $717.36 HealthPartners — Commercial: $717.36 HealthPartners CARE PMAP — Medicaid: $419.68 HealthPartners PCC PRIME — Commercial: $717.36 Medica — Commercial-FI: $620.74 Medica — Commercial-SI: $654.90 Medica — IFB ACO: $690.03
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee · modifier TC In the file: US ABDOMEN TC	$976	$656.85	$418.61 – $829.60
Ultrasound of the abdomen, complete: rates for 10 insurance plans Aetna First Health — Commercial: $829.60 America's PPO — Commercial: $756.40 BLUE PLUS PMAP PCC PRIME — Medicaid: $616.83 MN BCBS Commercial — BCBS MN: $683.20 Sanford Health Plan — Commercia-NDPERS: $418.61 Sanford Health Plan — Commercial: $440.66 UCare — Commercial: $642.21 WEA — Commercial: $751.52 WEA — Commercial-Narrow Network: $702.72 WPS — Commercial: $810.08
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	$106 – $406.50
Pregnancy ultrasound (after the first trimester): 10 of 25 insurance plan rates Advocare/Security Health — Medicare: $114.23 BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $114.23 BLUE PLUS PMAP PCC PRIME — Medicaid: $405.08 Freedom Blue PPO — Medicare: $114.23 HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $114.23 IMCARE MSHO PCC PRIME — Medicare: $114.23 IMCARE MSHO REF REQ — Medicare: $114.23 Itasca Med Care — Medicaid: $106.34 MEDICA ADVANTAGE SOLUTIONS — Medicare: $114.23 MEDICA MSHO/Dual Solutions — Medicare: $114.23
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight 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	$515.52	$242.06 – $651.10
Pregnancy ultrasound (after the first trimester): 10 of 22 insurance plan rates Aetna First Health — Commercial: $651.10 America's PPO — Commercial: $593.65 BLUE PLUS PMAP PCC PRIME — Medicaid: $344.70 Cigna — Commercial: $563.01 HealthPartners — Commercial: $563.01 HealthPartners CARE PMAP — Medicaid: $329.38 HealthPartners PCC PRIME — Commercial: $563.01 Medica — Commercial-FI: $487.18 Medica — Commercial-SI: $513.99 Medica — IFB ACO: $541.56
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	$106 – $406.50
Transvaginal ultrasound: 10 of 25 insurance plan rates Advocare/Security Health — Medicare: $114.23 BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $114.23 BLUE PLUS PMAP PCC PRIME — Medicaid: $405.08 Freedom Blue PPO — Medicare: $114.23 HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $114.23 IMCARE MSHO PCC PRIME — Medicare: $114.23 IMCARE MSHO REF REQ — Medicare: $114.23 Itasca Med Care — Medicaid: $106.34 MEDICA ADVANTAGE SOLUTIONS — Medicare: $114.23 MEDICA MSHO/Dual Solutions — Medicare: $114.23
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: US TRANSVAGINAL TC	$606	$407.84	$191.50 – $515.10
Transvaginal ultrasound: 10 of 22 insurance plan rates Aetna First Health — Commercial: $515.10 America's PPO — Commercial: $469.65 BLUE PLUS PMAP PCC PRIME — Medicaid: $272.70 Cigna — Commercial: $445.41 HealthPartners — Commercial: $445.41 HealthPartners CARE PMAP — Medicaid: $260.58 HealthPartners PCC PRIME — Commercial: $445.41 Medica — Commercial-FI: $385.42 Medica — Commercial-SI: $406.63 Medica — IFB ACO: $428.44
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee · modifier TC In the file: US TRANSVAGINAL TC	$606	$407.84	$259.91 – $515.10
Transvaginal ultrasound: rates for 10 insurance plans Aetna First Health — Commercial: $515.10 America's PPO — Commercial: $469.65 BLUE PLUS PMAP PCC PRIME — Medicaid: $382.99 MN BCBS Commercial — BCBS MN: $424.20 Sanford Health Plan — Commercia-NDPERS: $259.91 Sanford Health Plan — Commercial: $273.61 UCare — Commercial: $398.75 WEA — Commercial: $466.62 WEA — Commercial-Narrow Network: $436.32 WPS — Commercial: $502.98
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 – $247.18
Diagnostic mammogram, one breast: 10 of 25 insurance plan rates Advocare/Security Health — Medicare: $122.93 BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $122.93 BLUE PLUS PMAP PCC PRIME — Medicaid: $240.34 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, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: DIGITAL MAMM, DIAG, UNILAT, TC W/CAD PERF	$443	$298.14	$139.99 – $376.55
Diagnostic mammogram, one breast: 10 of 22 insurance plan rates Aetna First Health — Commercial: $376.55 America's PPO — Commercial: $343.32 BLUE PLUS PMAP PCC PRIME — Medicaid: $199.35 Cigna — Commercial: $325.60 HealthPartners — Commercial: $325.60 HealthPartners CARE PMAP — Medicaid: $190.49 HealthPartners PCC PRIME — Commercial: $325.60 Medica — Commercial-FI: $281.75 Medica — Commercial-SI: $297.25 Medica — IFB ACO: $313.20
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 – $312.92
Diagnostic mammogram, both breasts: 10 of 25 insurance plan rates Advocare/Security Health — Medicare: $155.27 BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $155.27 BLUE PLUS PMAP PCC PRIME — Medicaid: $302.98 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
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: DIGITAL MAMM, DIAG, BILAT, TC W/CAD PERF	$542	$364.77	$171.27 – $460.70
Diagnostic mammogram, both breasts: 10 of 22 insurance plan rates Aetna First Health — Commercial: $460.70 America's PPO — Commercial: $420.05 BLUE PLUS PMAP PCC PRIME — Medicaid: $243.90 Cigna — Commercial: $398.37 HealthPartners — Commercial: $398.37 HealthPartners CARE PMAP — Medicaid: $233.06 HealthPartners PCC PRIME — Commercial: $398.37 Medica — Commercial-FI: $344.71 Medica — Commercial-SI: $363.68 Medica — IFB ACO: $383.19
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 – $252.44
Screening mammogram, both breasts: 10 of 25 insurance plan rates Advocare/Security Health — Medicare: $125.86 BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $125.86 BLUE PLUS PMAP PCC PRIME — Medicaid: $246.09 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
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: DIGITAL MAMMOGRAM, SCREEN BIL, TC W/CAD PERF	$450	$302.85	$142.20 – $382.50
Screening mammogram, both breasts: 10 of 22 insurance plan rates Aetna First Health — Commercial: $382.50 America's PPO — Commercial: $348.75 BLUE PLUS PMAP PCC PRIME — Medicaid: $202.50 Cigna — Commercial: $330.75 HealthPartners — Commercial: $330.75 HealthPartners CARE PMAP — Medicaid: $193.50 HealthPartners PCC PRIME — Commercial: $330.75 Medica — Commercial-FI: $286.20 Medica — Commercial-SI: $301.95 Medica — IFB ACO: $318.15
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee · modifier TC In the file: DIGITAL MAMMOGRAM, SCREEN BIL, TC W/CAD PERF	$450	$302.85	$193 – $382.50
Screening mammogram, both breasts: rates for 10 insurance plans Aetna First Health — Commercial: $382.50 America's PPO — Commercial: $348.75 BLUE PLUS PMAP PCC PRIME — Medicaid: $284.40 MN BCBS Commercial — BCBS MN: $315 Sanford Health Plan — Commercia-NDPERS: $193 Sanford Health Plan — Commercial: $203.18 UCare — Commercial: $296.10 WEA — Commercial: $346.50 WEA — Commercial-Narrow Network: $324 WPS — Commercial: $373.50

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Electrocardiogram complete	Not listed in the file	Not listed in the file	$25.01 – $25.09
Electrocardiogram (ECG/EKG) with reading: rates for 2 insurance plans BLUE PLUS PMAP PCC PRIME — Medicaid: $25.09 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 – $12,047.07
Left heart catheterization (diagnostic): 10 of 25 insurance plan rates Advocare/Security Health — Medicare: $3,454.91 BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $3,454.91 BLUE PLUS PMAP PCC PRIME — Medicaid: $11,212.56 Freedom Blue PPO — Medicare: $3,454.91 HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $3,454.91 IMCARE MSHO PCC PRIME — Medicare: $3,454.91 IMCARE MSHO REF REQ — Medicare: $3,454.91 Itasca Med Care — Medicaid: $3,216.42 MEDICA ADVANTAGE SOLUTIONS — Medicare: $3,454.91 MEDICA MSHO/Dual Solutions — Medicare: $3,454.91
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 – $27,610.25
Heart rhythm study (electrophysiology evaluation): 10 of 25 insurance plan rates Advocare/Security Health — Medicare: $8,150.75 BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $8,150.75 BLUE PLUS PMAP PCC PRIME — Medicaid: $25,517.12 Freedom Blue PPO — Medicare: $8,150.75 HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $8,150.75 IMCARE MSHO PCC PRIME — Medicare: $8,150.75 IMCARE MSHO REF REQ — Medicare: $8,150.75 Itasca Med Care — Medicaid: $7,588.10 MEDICA ADVANTAGE SOLUTIONS — Medicare: $8,150.75 MEDICA MSHO/Dual Solutions — Medicare: $8,150.75
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 – $88,994.09
Heart rhythm study with ablation for atrial fibrillation: 10 of 25 insurance plan rates Advocare/Security Health — Medicare: $26,351.34 BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $26,351.34 BLUE PLUS PMAP PCC PRIME — Medicaid: $88,994.09 Freedom Blue PPO — Medicare: $26,351.34 HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $26,351.34 IMCARE MSHO PCC PRIME — Medicare: $26,351.34 IMCARE MSHO REF REQ — Medicare: $26,351.34 Itasca Med Care — Medicaid: $24,532.30 MEDICA ADVANTAGE SOLUTIONS — Medicare: $26,351.34 MEDICA MSHO/Dual Solutions — Medicare: $26,351.34
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	$1,008.02 – $3,865.42
Sleep study (overnight, in a sleep lab): 10 of 25 insurance plan rates Advocare/Security Health — Medicare: $1,092.83 BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $1,092.83 BLUE PLUS PMAP PCC PRIME — Medicaid: $3,541.30 Freedom Blue PPO — Medicare: $1,092.83 HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $1,092.83 IMCARE MSHO PCC PRIME — Medicare: $1,092.83 IMCARE MSHO REF REQ — Medicare: $1,092.83 Itasca Med Care — Medicaid: $1,017.39 MEDICA ADVANTAGE SOLUTIONS — Medicare: $1,092.83 MEDICA MSHO/Dual Solutions — Medicare: $1,092.83
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	$3,240.50	$1,521.54 – $4,092.75
Sleep study (overnight, in a sleep lab): 10 of 22 insurance plan rates Aetna First Health — Commercial: $4,092.75 America's PPO — Commercial: $3,731.62 BLUE PLUS PMAP PCC PRIME — Medicaid: $2,166.75 Cigna — Commercial: $3,539.02 HealthPartners — Commercial: $3,539.02 HealthPartners CARE PMAP — Medicaid: $2,070.45 HealthPartners PCC PRIME — Commercial: $3,539.02 Medica — Commercial-FI: $3,062.34 Medica — Commercial-SI: $3,230.86 Medica — IFB ACO: $3,404.20
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee · modifier TC In the file: POLYSOMNOGRAPHY, 4 OR MORE	$4,815	$3,240.50	$2,065.15 – $4,092.75
Sleep study (overnight, in a sleep lab): rates for 10 insurance plans Aetna First Health — Commercial: $4,092.75 America's PPO — Commercial: $3,731.62 BLUE PLUS PMAP PCC PRIME — Medicaid: $3,043.08 MN BCBS Commercial — BCBS MN: $3,370.50 Sanford Health Plan — Commercia-NDPERS: $2,065.15 Sanford Health Plan — Commercial: $2,173.97 UCare — Commercial: $3,168.27 WEA — Commercial: $3,707.55 WEA — Commercial-Narrow Network: $3,466.80 WPS — Commercial: $3,996.45

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THERAPEUTIC EXERCISES	$137	$92.20	$43.29 – $116.45
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 22 insurance plan rates Aetna First Health — Commercial: $116.45 America's PPO — Commercial: $106.18 BLUE PLUS PMAP PCC PRIME — Medicaid: $61.65 Cigna — Commercial: $100.70 HealthPartners — Commercial: $100.70 HealthPartners CARE PMAP — Medicaid: $58.91 HealthPartners PCC PRIME — Commercial: $100.70 Medica — Commercial-FI: $87.13 Medica — Commercial-SI: $91.93 Medica — IFB ACO: $96.86
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: THERAPEUTIC EXERCISES	$137	$92.20	$58.76 – $116.45
Physical therapy: therapeutic exercise (each 15 minutes): rates for 10 insurance plans Aetna First Health — Commercial: $116.45 America's PPO — Commercial: $106.18 BLUE PLUS PMAP PCC PRIME — Medicaid: $86.58 MN BCBS Commercial — BCBS MN: $95.90 Sanford Health Plan — Commercia-NDPERS: $58.76 Sanford Health Plan — Commercial: $61.86 UCare — Commercial: $90.15 WEA — Commercial: $105.49 WEA — Commercial-Narrow Network: $98.64 WPS — Commercial: $113.71
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 – $38.66
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 BLUE PLUS PMAP PCC PRIME — Medicaid: $37.83 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
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PHYSICAL THERAPY EVALUATION LOW COMPLEX	$228	$153.44	$72.05 – $193.80
Physical therapy evaluation (low complexity): 10 of 22 insurance plan rates Aetna First Health — Commercial: $193.80 America's PPO — Commercial: $176.70 BLUE PLUS PMAP PCC PRIME — Medicaid: $102.60 Cigna — Commercial: $167.58 HealthPartners — Commercial: $167.58 HealthPartners CARE PMAP — Medicaid: $98.04 HealthPartners PCC PRIME — Commercial: $167.58 Medica — Commercial-FI: $145.01 Medica — Commercial-SI: $152.99 Medica — IFB ACO: $161.20
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PHYSICAL THERAPY EVALUATION LOW COMPLEX	$228	$153.44	$97.79 – $193.80
Physical therapy evaluation (low complexity): rates for 10 insurance plans Aetna First Health — Commercial: $193.80 America's PPO — Commercial: $176.70 BLUE PLUS PMAP PCC PRIME — Medicaid: $144.10 MN BCBS Commercial — BCBS MN: $159.60 Sanford Health Plan — Commercia-NDPERS: $97.79 Sanford Health Plan — Commercial: $102.94 UCare — Commercial: $150.02 WEA — Commercial: $175.56 WEA — Commercial-Narrow Network: $164.16 WPS — Commercial: $189.24
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 – $132.23
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 BLUE PLUS PMAP PCC PRIME — Medicaid: $128.97 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
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PHYSICAL THERAPY EVALUATION MOD COMPLEX	$249	$167.58	$78.68 – $211.65
Physical therapy evaluation (moderate complexity): 10 of 22 insurance plan rates Aetna First Health — Commercial: $211.65 America's PPO — Commercial: $192.98 BLUE PLUS PMAP PCC PRIME — Medicaid: $112.05 Cigna — Commercial: $183.02 HealthPartners — Commercial: $183.02 HealthPartners CARE PMAP — Medicaid: $107.07 HealthPartners PCC PRIME — Commercial: $183.02 Medica — Commercial-FI: $158.36 Medica — Commercial-SI: $167.08 Medica — IFB ACO: $176.04
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PHYSICAL THERAPY EVALUATION MOD COMPLEX	$249	$167.58	$106.80 – $211.65
Physical therapy evaluation (moderate complexity): rates for 10 insurance plans Aetna First Health — Commercial: $211.65 America's PPO — Commercial: $192.98 BLUE PLUS PMAP PCC PRIME — Medicaid: $157.37 MN BCBS Commercial — BCBS MN: $174.30 Sanford Health Plan — Commercia-NDPERS: $106.80 Sanford Health Plan — Commercial: $112.42 UCare — Commercial: $163.84 WEA — Commercial: $191.73 WEA — Commercial-Narrow Network: $179.28 WPS — Commercial: $206.67
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 – $132.23
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 BLUE PLUS PMAP PCC PRIME — Medicaid: $128.97 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
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PHYSICAL THERAPY EVALUATION HIGH COMPLEX	$271	$182.38	$85.64 – $230.35
Physical therapy evaluation (high complexity): 10 of 22 insurance plan rates Aetna First Health — Commercial: $230.35 America's PPO — Commercial: $210.02 BLUE PLUS PMAP PCC PRIME — Medicaid: $121.95 Cigna — Commercial: $199.18 HealthPartners — Commercial: $199.18 HealthPartners CARE PMAP — Medicaid: $116.53 HealthPartners PCC PRIME — Commercial: $199.18 Medica — Commercial-FI: $172.36 Medica — Commercial-SI: $181.84 Medica — IFB ACO: $191.60
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PHYSICAL THERAPY EVALUATION HIGH COMPLEX	$271	$182.38	$116.23 – $230.35
Physical therapy evaluation (high complexity): rates for 10 insurance plans Aetna First Health — Commercial: $230.35 America's PPO — Commercial: $210.02 BLUE PLUS PMAP PCC PRIME — Medicaid: $171.27 MN BCBS Commercial — BCBS MN: $189.70 Sanford Health Plan — Commercia-NDPERS: $116.23 Sanford Health Plan — Commercial: $122.36 UCare — Commercial: $178.32 WEA — Commercial: $208.67 WEA — Commercial-Narrow Network: $195.12 WPS — Commercial: $224.93
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 – $132.23
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 BLUE PLUS PMAP PCC PRIME — Medicaid: $128.97 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
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY, 30 MINUTES	$173	$116.43	$54.67 – $147.05
Psychotherapy, 30 minutes: 10 of 22 insurance plan rates Aetna First Health — Commercial: $147.05 America's PPO — Commercial: $134.08 BLUE PLUS PMAP PCC PRIME — Medicaid: $77.85 Cigna — Commercial: $127.16 HealthPartners — Commercial: $127.16 HealthPartners CARE PMAP — Medicaid: $74.39 HealthPartners PCC PRIME — Commercial: $127.16 Medica — Commercial-FI: $110.03 Medica — Commercial-SI: $116.08 Medica — IFB ACO: $122.31
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY, 30 MINUTES	$173	$116.43	$74.20 – $147.05
Psychotherapy, 30 minutes: rates for 10 insurance plans Aetna First Health — Commercial: $147.05 America's PPO — Commercial: $134.08 BLUE PLUS PMAP PCC PRIME — Medicaid: $109.34 MN BCBS Commercial — BCBS MN: $121.10 Sanford Health Plan — Commercia-NDPERS: $74.20 Sanford Health Plan — Commercial: $78.11 UCare — Commercial: $113.83 WEA — Commercial: $133.21 WEA — Commercial-Narrow Network: $124.56 WPS — Commercial: $143.59
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 – $589.45
Psychotherapy, 30 minutes: 10 of 25 insurance plan rates Advocare/Security Health — Medicare: $172.59 BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $172.59 BLUE PLUS PMAP PCC PRIME — Medicaid: $552.20 Freedom Blue PPO — Medicare: $172.59 HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $172.59 IMCARE MSHO PCC PRIME — Medicare: $172.59 IMCARE MSHO REF REQ — Medicare: $172.59 Itasca Med Care — Medicaid: $160.67 MEDICA ADVANTAGE SOLUTIONS — Medicare: $172.59 MEDICA MSHO/Dual Solutions — Medicare: $172.59
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY, 45 MINUTES	$256	$172.29	$80.90 – $217.60
Psychotherapy, 45 minutes: 10 of 22 insurance plan rates Aetna First Health — Commercial: $217.60 America's PPO — Commercial: $198.40 BLUE PLUS PMAP PCC PRIME — Medicaid: $115.20 Cigna — Commercial: $188.16 HealthPartners — Commercial: $188.16 HealthPartners CARE PMAP — Medicaid: $110.08 HealthPartners PCC PRIME — Commercial: $188.16 Medica — Commercial-FI: $162.82 Medica — Commercial-SI: $171.78 Medica — IFB ACO: $180.99
Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY, 45 MINUTES	$256	$172.29	$109.80 – $217.60
Psychotherapy, 45 minutes: rates for 10 insurance plans Aetna First Health — Commercial: $217.60 America's PPO — Commercial: $198.40 BLUE PLUS PMAP PCC PRIME — Medicaid: $161.79 MN BCBS Commercial — BCBS MN: $179.20 Sanford Health Plan — Commercia-NDPERS: $109.80 Sanford Health Plan — Commercial: $115.58 UCare — Commercial: $168.45 WEA — Commercial: $197.12 WEA — Commercial-Narrow Network: $184.32 WPS — Commercial: $212.48
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 – $589.45
Psychotherapy, 45 minutes: 10 of 25 insurance plan rates Advocare/Security Health — Medicare: $172.59 BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $172.59 BLUE PLUS PMAP PCC PRIME — Medicaid: $552.20 Freedom Blue PPO — Medicare: $172.59 HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $172.59 IMCARE MSHO PCC PRIME — Medicare: $172.59 IMCARE MSHO REF REQ — Medicare: $172.59 Itasca Med Care — Medicaid: $160.67 MEDICA ADVANTAGE SOLUTIONS — Medicare: $172.59 MEDICA MSHO/Dual Solutions — Medicare: $172.59
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY, 60 MINUTES	$249	$167.58	$78.68 – $211.65
Psychotherapy, 60 minutes: 10 of 22 insurance plan rates Aetna First Health — Commercial: $211.65 America's PPO — Commercial: $192.98 BLUE PLUS PMAP PCC PRIME — Medicaid: $112.05 Cigna — Commercial: $183.02 HealthPartners — Commercial: $183.02 HealthPartners CARE PMAP — Medicaid: $107.07 HealthPartners PCC PRIME — Commercial: $183.02 Medica — Commercial-FI: $158.36 Medica — Commercial-SI: $167.08 Medica — IFB ACO: $176.04
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSYCHOTHERAPY, 60 MINUTES	$249	$167.58	$106.80 – $211.65
Psychotherapy, 60 minutes: rates for 10 insurance plans Aetna First Health — Commercial: $211.65 America's PPO — Commercial: $192.98 BLUE PLUS PMAP PCC PRIME — Medicaid: $157.37 MN BCBS Commercial — BCBS MN: $174.30 Sanford Health Plan — Commercia-NDPERS: $106.80 Sanford Health Plan — Commercial: $112.42 UCare — Commercial: $163.84 WEA — Commercial: $191.73 WEA — Commercial-Narrow Network: $179.28 WPS — Commercial: $206.67
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 – $589.45
Psychotherapy, 60 minutes: 10 of 25 insurance plan rates Advocare/Security Health — Medicare: $172.59 BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $172.59 BLUE PLUS PMAP PCC PRIME — Medicaid: $552.20 Freedom Blue PPO — Medicare: $172.59 HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $172.59 IMCARE MSHO PCC PRIME — Medicare: $172.59 IMCARE MSHO REF REQ — Medicare: $172.59 Itasca Med Care — Medicaid: $160.67 MEDICA ADVANTAGE SOLUTIONS — Medicare: $172.59 MEDICA MSHO/Dual Solutions — Medicare: $172.59
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 – $589.45
Family psychotherapy, without the patient: 10 of 25 insurance plan rates Advocare/Security Health — Medicare: $172.59 BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $172.59 BLUE PLUS PMAP PCC PRIME — Medicaid: $552.20 Freedom Blue PPO — Medicare: $172.59 HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $172.59 IMCARE MSHO PCC PRIME — Medicare: $172.59 IMCARE MSHO REF REQ — Medicare: $172.59 Itasca Med Care — Medicaid: $160.67 MEDICA ADVANTAGE SOLUTIONS — Medicare: $172.59 MEDICA MSHO/Dual Solutions — Medicare: $172.59
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 – $589.45
Family psychotherapy, with the patient: 10 of 25 insurance plan rates Advocare/Security Health — Medicare: $172.59 BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $172.59 BLUE PLUS PMAP PCC PRIME — Medicaid: $552.20 Freedom Blue PPO — Medicare: $172.59 HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $172.59 IMCARE MSHO PCC PRIME — Medicare: $172.59 IMCARE MSHO REF REQ — Medicare: $172.59 Itasca Med Care — Medicaid: $160.67 MEDICA ADVANTAGE SOLUTIONS — Medicare: $172.59 MEDICA MSHO/Dual Solutions — Medicare: $172.59
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GROUP PSYCHOTHERAPY	$602	$405.15	$190.23 – $511.70
Group psychotherapy: 10 of 22 insurance plan rates Aetna First Health — Commercial: $511.70 America's PPO — Commercial: $466.55 BLUE PLUS PMAP PCC PRIME — Medicaid: $270.90 Cigna — Commercial: $442.47 HealthPartners — Commercial: $442.47 HealthPartners CARE PMAP — Medicaid: $258.86 HealthPartners PCC PRIME — Commercial: $442.47 Medica — Commercial-FI: $382.87 Medica — Commercial-SI: $403.94 Medica — IFB ACO: $425.61
Group psychotherapy CPT 90853 · Inpatient (hospital stay) · Hospital (facility) fee In the file: GROUP PSYCHOTHERAPY	$602	$405.15	$258.20 – $511.70
Group psychotherapy: rates for 10 insurance plans Aetna First Health — Commercial: $511.70 America's PPO — Commercial: $466.55 BLUE PLUS PMAP PCC PRIME — Medicaid: $380.46 MN BCBS Commercial — BCBS MN: $421.40 Sanford Health Plan — Commercia-NDPERS: $258.20 Sanford Health Plan — Commercial: $271.80 UCare — Commercial: $396.12 WEA — Commercial: $463.54 WEA — Commercial-Narrow Network: $433.44 WPS — Commercial: $499.66
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 – $329.52
Group psychotherapy: 10 of 25 insurance plan rates Advocare/Security Health — Medicare: $99.36 BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $99.36 BLUE PLUS PMAP PCC PRIME — Medicaid: $287.47 Freedom Blue PPO — Medicare: $99.36 HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $99.36 IMCARE MSHO PCC PRIME — Medicare: $99.36 IMCARE MSHO REF REQ — Medicare: $99.36 Itasca Med Care — Medicaid: $92.50 MEDICA ADVANTAGE SOLUTIONS — Medicare: $99.36 MEDICA MSHO/Dual Solutions — Medicare: $99.36

Procedures and surgery

Service	Hospital charge	Cash price	Insurance 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 – $14,092.16
Removal of breast growth (open surgery): 10 of 25 insurance plan rates Advocare/Security Health — Medicare: $4,113.22 BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $4,113.22 BLUE PLUS PMAP PCC PRIME — Medicaid: $13,029.26 Freedom Blue PPO — Medicare: $4,113.22 HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $4,113.22 IMCARE MSHO PCC PRIME — Medicare: $4,113.22 IMCARE MSHO REF REQ — Medicare: $4,113.22 Itasca Med Care — Medicaid: $3,829.28 MEDICA ADVANTAGE SOLUTIONS — Medicare: $4,113.22 MEDICA MSHO/Dual Solutions — Medicare: $4,113.22
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	$12,688.80 – $49,452.22
Total hip replacement: 10 of 25 insurance plan rates Advocare/Security Health — Medicare: $13,820.88 BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $13,820.88 BLUE PLUS PMAP PCC PRIME — Medicaid: $49,452.22 Freedom Blue PPO — Medicare: $13,820.88 HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $13,820.88 IMCARE MSHO PCC PRIME — Medicare: $13,820.88 IMCARE MSHO REF REQ — Medicare: $13,820.88 Itasca Med Care — Medicaid: $12,866.82 MEDICA ADVANTAGE SOLUTIONS — Medicare: $13,820.88 MEDICA MSHO/Dual Solutions — Medicare: $13,820.88
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	$12,688.80 – $49,452.22
Total knee replacement: 10 of 25 insurance plan rates Advocare/Security Health — Medicare: $13,820.88 BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $13,820.88 BLUE PLUS PMAP PCC PRIME — Medicaid: $49,452.22 Freedom Blue PPO — Medicare: $13,820.88 HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $13,820.88 IMCARE MSHO PCC PRIME — Medicare: $13,820.88 IMCARE MSHO REF REQ — Medicare: $13,820.88 Itasca Med Care — Medicaid: $12,866.82 MEDICA ADVANTAGE SOLUTIONS — Medicare: $13,820.88 MEDICA MSHO/Dual Solutions — Medicare: $13,820.88
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 2 insurance plans BLUE PLUS PMAP PCC PRIME — Medicaid: $1 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) 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 – $11,966.76
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 25 insurance plan rates Advocare/Security Health — Medicare: $3,485.19 BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $3,485.19 BLUE PLUS PMAP PCC PRIME — Medicaid: $11,281.54 Freedom Blue PPO — Medicare: $3,485.19 HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $3,485.19 IMCARE MSHO PCC PRIME — Medicare: $3,485.19 IMCARE MSHO REF REQ — Medicare: $3,485.19 Itasca Med Care — Medicaid: $3,244.61 MEDICA ADVANTAGE SOLUTIONS — Medicare: $3,485.19 MEDICA MSHO/Dual Solutions — Medicare: $3,485.19
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 – $21,650.55
Removal of tonsils and adenoids (under age 12): 10 of 25 insurance plan rates Advocare/Security Health — Medicare: $6,354.30 BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $6,354.30 BLUE PLUS PMAP PCC PRIME — Medicaid: $20,237.35 Freedom Blue PPO — Medicare: $6,354.30 HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $6,354.30 IMCARE MSHO PCC PRIME — Medicare: $6,354.30 IMCARE MSHO REF REQ — Medicare: $6,354.30 Itasca Med Care — Medicaid: $5,915.66 MEDICA ADVANTAGE SOLUTIONS — Medicare: $6,354.30 MEDICA MSHO/Dual Solutions — Medicare: $6,354.30
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UPPER GI ENDOSCOPY,DIAGNOSIS	$2,689	$1,809.70	$849.72 – $2,285.65
Upper GI endoscopy (diagnostic): 10 of 22 insurance plan rates Aetna First Health — Commercial: $2,285.65 America's PPO — Commercial: $2,083.98 BLUE PLUS PMAP PCC PRIME — Medicaid: $1,210.05 Cigna — Commercial: $1,976.42 HealthPartners — Commercial: $1,976.42 HealthPartners CARE PMAP — Medicaid: $1,156.27 HealthPartners PCC PRIME — Commercial: $1,976.42 Medica — Commercial-FI: $1,710.20 Medica — Commercial-SI: $1,804.32 Medica — IFB ACO: $1,901.12
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UPPER GI ENDOSCOPY,DIAGNOSIS	$2,689	$1,809.70	$1,153.31 – $2,285.65
Upper GI endoscopy (diagnostic): rates for 10 insurance plans Aetna First Health — Commercial: $2,285.65 America's PPO — Commercial: $2,083.98 BLUE PLUS PMAP PCC PRIME — Medicaid: $1,699.45 MN BCBS Commercial — BCBS MN: $1,882.30 Sanford Health Plan — Commercia-NDPERS: $1,153.31 Sanford Health Plan — Commercial: $1,214.08 UCare — Commercial: $1,769.36 WEA — Commercial: $2,070.53 WEA — Commercial-Narrow Network: $1,936.08 WPS — Commercial: $2,231.87
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 – $3,351.32
Upper GI endoscopy (diagnostic): 10 of 25 insurance plan rates Advocare/Security Health — Medicare: $1,007.08 BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $1,007.08 BLUE PLUS PMAP PCC PRIME — Medicaid: $3,128.68 Freedom Blue PPO — Medicare: $1,007.08 HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $1,007.08 IMCARE MSHO PCC PRIME — Medicare: $1,007.08 IMCARE MSHO REF REQ — Medicare: $1,007.08 Itasca Med Care — Medicaid: $937.56 MEDICA ADVANTAGE SOLUTIONS — Medicare: $1,007.08 MEDICA MSHO/Dual Solutions — Medicare: $1,007.08
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UPPER GI ENDOSCOPY,BIOPSY	$3,096	$2,083.61	$978.34 – $2,631.60
Upper GI endoscopy with biopsy: 10 of 22 insurance plan rates Aetna First Health — Commercial: $2,631.60 America's PPO — Commercial: $2,399.40 BLUE PLUS PMAP PCC PRIME — Medicaid: $1,393.20 Cigna — Commercial: $2,275.56 HealthPartners — Commercial: $2,275.56 HealthPartners CARE PMAP — Medicaid: $1,331.28 HealthPartners PCC PRIME — Commercial: $2,275.56 Medica — Commercial-FI: $1,969.06 Medica — Commercial-SI: $2,077.42 Medica — IFB ACO: $2,188.87
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UPPER GI ENDOSCOPY,BIOPSY	$3,096	$2,083.61	$1,327.87 – $2,631.60
Upper GI endoscopy with biopsy: rates for 10 insurance plans Aetna First Health — Commercial: $2,631.60 America's PPO — Commercial: $2,399.40 BLUE PLUS PMAP PCC PRIME — Medicaid: $1,956.67 MN BCBS Commercial — BCBS MN: $2,167.20 Sanford Health Plan — Commercia-NDPERS: $1,327.87 Sanford Health Plan — Commercial: $1,397.84 UCare — Commercial: $2,037.17 WEA — Commercial: $2,383.92 WEA — Commercial-Narrow Network: $2,229.12 WPS — Commercial: $2,569.68
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 – $3,351.32
Upper GI endoscopy with biopsy: 10 of 25 insurance plan rates Advocare/Security Health — Medicare: $1,007.08 BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $1,007.08 BLUE PLUS PMAP PCC PRIME — Medicaid: $3,128.68 Freedom Blue PPO — Medicare: $1,007.08 HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $1,007.08 IMCARE MSHO PCC PRIME — Medicare: $1,007.08 IMCARE MSHO REF REQ — Medicare: $1,007.08 Itasca Med Care — Medicaid: $937.56 MEDICA ADVANTAGE SOLUTIONS — Medicare: $1,007.08 MEDICA MSHO/Dual Solutions — Medicare: $1,007.08
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY,FLEX,DIAGNOSTIC	$2,827	$1,902.57	$893.33 – $2,402.95
Colonoscopy (diagnostic): 10 of 22 insurance plan rates Aetna First Health — Commercial: $2,402.95 America's PPO — Commercial: $2,190.93 BLUE PLUS PMAP PCC PRIME — Medicaid: $1,272.15 Cigna — Commercial: $2,077.84 HealthPartners — Commercial: $2,077.84 HealthPartners CARE PMAP — Medicaid: $1,215.61 HealthPartners PCC PRIME — Commercial: $2,077.84 Medica — Commercial-FI: $1,797.97 Medica — Commercial-SI: $1,896.92 Medica — IFB ACO: $1,998.69
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COLONOSCOPY,FLEX,DIAGNOSTIC	$2,827	$1,902.57	$1,212.50 – $2,402.95
Colonoscopy (diagnostic): rates for 10 insurance plans Aetna First Health — Commercial: $2,402.95 America's PPO — Commercial: $2,190.93 BLUE PLUS PMAP PCC PRIME — Medicaid: $1,786.66 MN BCBS Commercial — BCBS MN: $1,978.90 Sanford Health Plan — Commercia-NDPERS: $1,212.50 Sanford Health Plan — Commercial: $1,276.39 UCare — Commercial: $1,860.17 WEA — Commercial: $2,176.79 WEA — Commercial-Narrow Network: $2,035.44 WPS — Commercial: $2,346.41
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 – $3,378.92
Colonoscopy (diagnostic): 10 of 25 insurance plan rates Advocare/Security Health — Medicare: $979.31 BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $979.31 BLUE PLUS PMAP PCC PRIME — Medicaid: $3,149.64 Freedom Blue PPO — Medicare: $979.31 HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $979.31 IMCARE MSHO PCC PRIME — Medicare: $979.31 IMCARE MSHO REF REQ — Medicare: $979.31 Itasca Med Care — Medicaid: $911.71 MEDICA ADVANTAGE SOLUTIONS — Medicare: $979.31 MEDICA MSHO/Dual Solutions — Medicare: $979.31
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY,BIOPSY	$3,064	$2,062.07	$968.22 – $2,604.40
Colonoscopy with biopsy: 10 of 22 insurance plan rates Aetna First Health — Commercial: $2,604.40 America's PPO — Commercial: $2,374.60 BLUE PLUS PMAP PCC PRIME — Medicaid: $1,378.80 Cigna — Commercial: $2,252.04 HealthPartners — Commercial: $2,252.04 HealthPartners CARE PMAP — Medicaid: $1,317.52 HealthPartners PCC PRIME — Commercial: $2,252.04 Medica — Commercial-FI: $1,948.70 Medica — Commercial-SI: $2,055.94 Medica — IFB ACO: $2,166.25
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COLONOSCOPY,BIOPSY	$3,064	$2,062.07	$1,314.15 – $2,604.40
Colonoscopy with biopsy: rates for 10 insurance plans Aetna First Health — Commercial: $2,604.40 America's PPO — Commercial: $2,374.60 BLUE PLUS PMAP PCC PRIME — Medicaid: $1,936.45 MN BCBS Commercial — BCBS MN: $2,144.80 Sanford Health Plan — Commercia-NDPERS: $1,314.15 Sanford Health Plan — Commercial: $1,383.40 UCare — Commercial: $2,016.11 WEA — Commercial: $2,359.28 WEA — Commercial-Narrow Network: $2,206.08 WPS — Commercial: $2,543.12
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 – $4,362.78
Colonoscopy with biopsy: 10 of 25 insurance plan rates Advocare/Security Health — Medicare: $1,266.51 BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $1,266.51 BLUE PLUS PMAP PCC PRIME — Medicaid: $4,104.23 Freedom Blue PPO — Medicare: $1,266.51 HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $1,266.51 IMCARE MSHO PCC PRIME — Medicare: $1,266.51 IMCARE MSHO REF REQ — Medicare: $1,266.51 Itasca Med Care — Medicaid: $1,179.08 MEDICA ADVANTAGE SOLUTIONS — Medicare: $1,266.51 MEDICA MSHO/Dual Solutions — Medicare: $1,266.51
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY,REMV LESN,SNARE	$3,342	$2,249.17	$1,056.07 – $2,840.70
Colonoscopy with removal of polyps (snare): 10 of 22 insurance plan rates Aetna First Health — Commercial: $2,840.70 America's PPO — Commercial: $2,590.05 BLUE PLUS PMAP PCC PRIME — Medicaid: $1,503.90 Cigna — Commercial: $2,456.37 HealthPartners — Commercial: $2,456.37 HealthPartners CARE PMAP — Medicaid: $1,437.06 HealthPartners PCC PRIME — Commercial: $2,456.37 Medica — Commercial-FI: $2,125.51 Medica — Commercial-SI: $2,242.48 Medica — IFB ACO: $2,362.79
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COLONOSCOPY,REMV LESN,SNARE	$3,342	$2,249.17	$1,433.38 – $2,840.70
Colonoscopy with removal of polyps (snare): rates for 10 insurance plans Aetna First Health — Commercial: $2,840.70 America's PPO — Commercial: $2,590.05 BLUE PLUS PMAP PCC PRIME — Medicaid: $2,112.14 MN BCBS Commercial — BCBS MN: $2,339.40 Sanford Health Plan — Commercia-NDPERS: $1,433.38 Sanford Health Plan — Commercial: $1,508.91 UCare — Commercial: $2,199.04 WEA — Commercial: $2,573.34 WEA — Commercial-Narrow Network: $2,406.24 WPS — Commercial: $2,773.86
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 – $4,362.78
Colonoscopy with removal of polyps (snare): 10 of 25 insurance plan rates Advocare/Security Health — Medicare: $1,266.51 BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $1,266.51 BLUE PLUS PMAP PCC PRIME — Medicaid: $4,104.23 Freedom Blue PPO — Medicare: $1,266.51 HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $1,266.51 IMCARE MSHO PCC PRIME — Medicare: $1,266.51 IMCARE MSHO REF REQ — Medicare: $1,266.51 Itasca Med Care — Medicaid: $1,179.08 MEDICA ADVANTAGE SOLUTIONS — Medicare: $1,266.51 MEDICA MSHO/Dual Solutions — Medicare: $1,266.51
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 – $4,362.78
Ultrasound of the lower bowel by endoscope: 10 of 25 insurance plan rates Advocare/Security Health — Medicare: $1,266.51 BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $1,266.51 BLUE PLUS PMAP PCC PRIME — Medicaid: $4,104.23 Freedom Blue PPO — Medicare: $1,266.51 HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $1,266.51 IMCARE MSHO PCC PRIME — Medicare: $1,266.51 IMCARE MSHO REF REQ — Medicare: $1,266.51 Itasca Med Care — Medicaid: $1,179.08 MEDICA ADVANTAGE SOLUTIONS — Medicare: $1,266.51 MEDICA MSHO/Dual Solutions — Medicare: $1,266.51
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY,SCREEN PREV	$2,839	$1,910.65	$897.12 – $2,413.15
Screening colonoscopy (not high risk): 10 of 22 insurance plan rates Aetna First Health — Commercial: $2,413.15 America's PPO — Commercial: $2,200.22 BLUE PLUS PMAP PCC PRIME — Medicaid: $1,277.55 Cigna — Commercial: $2,086.66 HealthPartners — Commercial: $2,086.66 HealthPartners CARE PMAP — Medicaid: $1,220.77 HealthPartners PCC PRIME — Commercial: $2,086.66 Medica — Commercial-FI: $1,805.60 Medica — Commercial-SI: $1,904.97 Medica — IFB ACO: $2,007.17
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 – $3,378.92
Screening colonoscopy (not high risk): 10 of 25 insurance plan rates Advocare/Security Health — Medicare: $979.31 BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $979.31 BLUE PLUS PMAP PCC PRIME — Medicaid: $3,149.64 Freedom Blue PPO — Medicare: $979.31 HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $979.31 IMCARE MSHO PCC PRIME — Medicare: $979.31 IMCARE MSHO REF REQ — Medicare: $979.31 Itasca Med Care — Medicaid: $911.71 MEDICA ADVANTAGE SOLUTIONS — Medicare: $979.31 MEDICA MSHO/Dual Solutions — Medicare: $979.31
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 – $21,331.89
Gallbladder removal by laparoscope: 10 of 25 insurance plan rates Advocare/Security Health — Medicare: $6,266.97 BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $6,266.97 BLUE PLUS PMAP PCC PRIME — Medicaid: $19,754.05 Freedom Blue PPO — Medicare: $6,266.97 HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $6,266.97 IMCARE MSHO PCC PRIME — Medicare: $6,266.97 IMCARE MSHO REF REQ — Medicare: $6,266.97 Itasca Med Care — Medicaid: $5,834.36 MEDICA ADVANTAGE SOLUTIONS — Medicare: $6,266.97 MEDICA MSHO/Dual Solutions — Medicare: $6,266.97
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 – $13,423.91
Groin (inguinal) hernia repair, age 5 or older: 10 of 25 insurance plan rates Advocare/Security Health — Medicare: $3,790.73 BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $3,790.73 BLUE PLUS PMAP PCC PRIME — Medicaid: $13,423.91 Freedom Blue PPO — Medicare: $3,790.73 HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $3,790.73 IMCARE MSHO PCC PRIME — Medicare: $3,790.73 IMCARE MSHO REF REQ — Medicare: $3,790.73 Itasca Med Care — Medicaid: $3,529.06 MEDICA ADVANTAGE SOLUTIONS — Medicare: $3,790.73 MEDICA MSHO/Dual Solutions — Medicare: $3,790.73
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BX OF PROSTATE,NEEDLE/PUNCH(T)	$1,863	$1,253.80	$588.71 – $1,583.55
Prostate biopsy: 10 of 22 insurance plan rates Aetna First Health — Commercial: $1,583.55 America's PPO — Commercial: $1,443.82 BLUE PLUS PMAP PCC PRIME — Medicaid: $838.35 Cigna — Commercial: $1,369.30 HealthPartners — Commercial: $1,369.30 HealthPartners CARE PMAP — Medicaid: $801.09 HealthPartners PCC PRIME — Commercial: $1,369.30 Medica — Commercial-FI: $1,184.87 Medica — Commercial-SI: $1,250.07 Medica — IFB ACO: $1,317.14
Prostate biopsy CPT 55700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BX OF PROSTATE,NEEDLE/PUNCH(T)	$1,863	$1,253.80	$799.04 – $1,583.55
Prostate biopsy: rates for 10 insurance plans Aetna First Health — Commercial: $1,583.55 America's PPO — Commercial: $1,443.82 BLUE PLUS PMAP PCC PRIME — Medicaid: $1,177.42 MN BCBS Commercial — BCBS MN: $1,304.10 Sanford Health Plan — Commercia-NDPERS: $799.04 Sanford Health Plan — Commercial: $841.14 UCare — Commercial: $1,225.85 WEA — Commercial: $1,434.51 WEA — Commercial-Narrow Network: $1,341.36 WPS — Commercial: $1,546.29
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 – $7,530.25
Prostate biopsy: 10 of 25 insurance plan rates Advocare/Security Health — Medicare: $2,200.40 BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $2,200.40 BLUE PLUS PMAP PCC PRIME — Medicaid: $7,030 Freedom Blue PPO — Medicare: $2,200.40 HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $2,200.40 IMCARE MSHO PCC PRIME — Medicare: $2,200.40 IMCARE MSHO REF REQ — Medicare: $2,200.40 Itasca Med Care — Medicaid: $2,048.51 MEDICA ADVANTAGE SOLUTIONS — Medicare: $2,200.40 MEDICA MSHO/Dual Solutions — Medicare: $2,200.40
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 – $38,056.42
Prostate removal by laparoscope (radical prostatectomy): 10 of 25 insurance plan rates Advocare/Security Health — Medicare: $11,183.20 BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $11,183.20 BLUE PLUS PMAP PCC PRIME — Medicaid: $34,440.87 Freedom Blue PPO — Medicare: $11,183.20 HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $11,183.20 IMCARE MSHO PCC PRIME — Medicare: $11,183.20 IMCARE MSHO REF REQ — Medicare: $11,183.20 Itasca Med Care — Medicaid: $10,411.22 MEDICA ADVANTAGE SOLUTIONS — Medicare: $11,183.20 MEDICA MSHO/Dual Solutions — Medicare: $11,183.20
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 – $11,558.36
Hysteroscopy with biopsy of the uterus lining: 10 of 25 insurance plan rates Advocare/Security Health — Medicare: $3,415.28 BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $3,415.28 BLUE PLUS PMAP PCC PRIME — Medicaid: $10,716 Freedom Blue PPO — Medicare: $3,415.28 HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $3,415.28 IMCARE MSHO PCC PRIME — Medicare: $3,415.28 IMCARE MSHO REF REQ — Medicare: $3,415.28 Itasca Med Care — Medicaid: $3,179.53 MEDICA ADVANTAGE SOLUTIONS — Medicare: $3,415.28 MEDICA MSHO/Dual Solutions — Medicare: $3,415.28
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	$1,272.64	$597.56 – $1,607.35
Spinal injection, lower back (epidural), with imaging guidance: 10 of 22 insurance plan rates Aetna First Health — Commercial: $1,607.35 America's PPO — Commercial: $1,465.52 BLUE PLUS PMAP PCC PRIME — Medicaid: $850.95 Cigna — Commercial: $1,389.88 HealthPartners — Commercial: $1,389.88 HealthPartners CARE PMAP — Medicaid: $813.13 HealthPartners PCC PRIME — Commercial: $1,389.88 Medica — Commercial-FI: $1,202.68 Medica — Commercial-SI: $1,268.86 Medica — IFB ACO: $1,336.94
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 – $2,556.66
Spinal injection, lower back (epidural), with imaging guidance: 10 of 25 insurance plan rates Advocare/Security Health — Medicare: $743.87 BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $743.87 BLUE PLUS PMAP PCC PRIME — Medicaid: $2,442.05 Freedom Blue PPO — Medicare: $743.87 HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $743.87 IMCARE MSHO PCC PRIME — Medicare: $743.87 IMCARE MSHO REF REQ — Medicare: $743.87 Itasca Med Care — Medicaid: $692.52 MEDICA ADVANTAGE SOLUTIONS — Medicare: $743.87 MEDICA MSHO/Dual Solutions — Medicare: $743.87
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	$1,299.56	$610.20 – $1,641.35
Nerve root injection, lower back, with imaging guidance: 10 of 22 insurance plan rates Aetna First Health — Commercial: $1,641.35 America's PPO — Commercial: $1,496.52 BLUE PLUS PMAP PCC PRIME — Medicaid: $868.95 Cigna — Commercial: $1,419.28 HealthPartners — Commercial: $1,419.28 HealthPartners CARE PMAP — Medicaid: $830.33 HealthPartners PCC PRIME — Commercial: $1,419.28 Medica — Commercial-FI: $1,228.12 Medica — Commercial-SI: $1,295.70 Medica — IFB ACO: $1,365.22
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	$878.76 – $3,369.77
Nerve root injection, lower back, with imaging guidance: 10 of 25 insurance plan rates Advocare/Security Health — Medicare: $956.30 BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $956.30 BLUE PLUS PMAP PCC PRIME — Medicaid: $3,229.76 Freedom Blue PPO — Medicare: $956.30 HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $956.30 IMCARE MSHO PCC PRIME — Medicare: $956.30 IMCARE MSHO REF REQ — Medicare: $956.30 Itasca Med Care — Medicaid: $890.29 MEDICA ADVANTAGE SOLUTIONS — Medicare: $956.30 MEDICA MSHO/Dual Solutions — Medicare: $956.30
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 – $7,138.18
Carpal tunnel release: 10 of 25 insurance plan rates Advocare/Security Health — Medicare: $2,097.57 BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $2,097.57 BLUE PLUS PMAP PCC PRIME — Medicaid: $6,812.60 Freedom Blue PPO — Medicare: $2,097.57 HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $2,097.57 IMCARE MSHO PCC PRIME — Medicare: $2,097.57 IMCARE MSHO REF REQ — Medicare: $2,097.57 Itasca Med Care — Medicaid: $1,952.77 MEDICA ADVANTAGE SOLUTIONS — Medicare: $2,097.57 MEDICA MSHO/Dual Solutions — Medicare: $2,097.57
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	$548.60 – $2,148.97
Laser treatment of clouding after cataract surgery: 10 of 25 insurance plan rates Advocare/Security Health — Medicare: $589.28 BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $589.28 BLUE PLUS PMAP PCC PRIME — Medicaid: $2,011.62 Freedom Blue PPO — Medicare: $589.28 HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $589.28 IMCARE MSHO PCC PRIME — Medicare: $589.28 IMCARE MSHO REF REQ — Medicare: $589.28 Itasca Med Care — Medicaid: $548.60 MEDICA ADVANTAGE SOLUTIONS — Medicare: $589.28 MEDICA MSHO/Dual Solutions — Medicare: $589.28
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	$2,246.73 – $8,615.51
Cataract removal with lens implant: 10 of 25 insurance plan rates Advocare/Security Health — Medicare: $2,449.84 BLUE CROSS MEDICARE ADVANTAGE CORE — Medicare: $2,449.84 BLUE PLUS PMAP PCC PRIME — Medicaid: $8,184.28 Freedom Blue PPO — Medicare: $2,449.84 HEALTHPARTNERS CARE MSHO / MCR ADV — Medicare: $2,449.84 IMCARE MSHO PCC PRIME — Medicare: $2,449.84 IMCARE MSHO REF REQ — Medicare: $2,449.84 Itasca Med Care — Medicaid: $2,280.73 MEDICA ADVANTAGE SOLUTIONS — Medicare: $2,449.84 MEDICA MSHO/Dual Solutions — Medicare: $2,449.84

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetrical care	Not listed in the file	Not listed in the file	$10,716 – $11,558.36
Vaginal delivery, with care before and after: rates for 2 insurance plans BLUE PLUS PMAP PCC PRIME — Medicaid: $10,716 MN BCBS Commercial — BCBS MN: $11,558.36
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	$5,477.12 – $5,615.34
Cesarean delivery (C-section), with care before and after: rates for 2 insurance plans BLUE PLUS PMAP PCC PRIME — Medicaid: $5,477.12 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	$10,716 – $11,558.36
Vaginal delivery after a previous C-section, with care before and after: rates for 2 insurance plans BLUE PLUS PMAP PCC PRIME — Medicaid: $10,716 MN BCBS Commercial — BCBS MN: $11,558.36

Source: Essentia Health St Joseph's Medical Center’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 type	Acute Care Hospital
Address	523 North 3rd Street, Brainerd, MN 56401
County	Crow Wing County
State	Minnesota
Phone	(218) 829‑2861
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	3 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	240075
Name in Medicare records	ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER
Profile level	Medicare data + hospital website
Name on the hospital’s website	Essentia Health-St. Joseph's Medical Center (Brainerd)
Official website	essentiahealth.org
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

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

Essentia Health-St. Joseph's Medical Center (Brainerd) — essentiahealth.org
Essentia Health-St. Joseph's Medical Center (Brainerd) | Essentia Health — essentiahealth.org
Trauma Centers | Essentia Health — essentiahealth.org
Awards & Recognition | Essentia Health — essentiahealth.org
Lab Services - Essentia Health-St. Joseph's Medical Center (Brainerd) | Essentia Health — essentiahealth.org