Quick answers
- Does Grand Itasca Clinic and Hospital have an emergency room?
- Yes. Medicare (CMS) data lists emergency services at Grand Itasca Clinic and Hospital. In a medical emergency, call 911.
- Where is Grand Itasca Clinic and Hospital?
- 1601 Golf Course Road, Grand Rapids, MN 55744, in Itasca County, Minnesota.
- What is the phone number of Grand Itasca Clinic and Hospital?
- (218) 326-3401, as listed by Medicare (CMS).
- What is the Medicare star rating of Grand Itasca Clinic and Hospital?
- 4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).
Specialties and care areas[4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19]
- Bone, joint and muscle
- Brain, spine and pain management
- Breathing, lung and sleep health
- Cancer care
- Ear, nose and throat
- Emergency medicine
- Intensive care
- Family medicine
- Heart care
- Hospital care
- Imaging
- Internal medicine
- Kidney, prostate and urinary
- Mental health
- Surgery
- Women's health
- Pediatric care
- Addiction medicine
- Therapy and rehabilitation
- Occupational medicine
Conditions treated[6][7][8][9][10][11][13][14][15][16][18]
- Anticoagulation medication monitoring
- Breast cancer
- Lung cancer screening
- Heart failure
- Irregular heart rhythms
- Coronary artery disease
- Angina
- Heart attack
- Stroke
- Parkinson's disease
- Epilepsy
- Multiple sclerosis
- Sleep disorders
- Sleep apnea
- Asthma
- COPD
- Chronic pain
- Concussion
- Diabetes
- Opioid use disorder
- Neonatal abstinence syndrome
- Osteoporosis
- Fractures
- Hernia
- Gallbladder disease
- Appendicitis
- Kidney stones
- Enlarged prostate
Treatments[6][7][8][11][13][14][15][16]
- Chemotherapy
- Immunotherapy
- IV infusion therapy
- Blood transfusion
- CT scan
- MRI
- Mammography
- Bone density (DEXA) scan
- Ultrasound
- Nuclear medicine
- Echocardiography
- Cardiac CT angiography
- PET/CT
- X-ray
- Fluoroscopy
- Cardiac rehabilitation
- Sleep study
- Pulmonary function testing
- Pulmonary rehabilitation
- Respiratory therapy
- Physical therapy
- Occupational therapy
- Speech-language therapy
- Sports medicine
- Orthotics
- Spinal decompression
- Aquatic therapy
- Medications for opioid use disorder
- Telestroke evaluation
- Pain management injections
- Chiropractic care
Procedures[6][8][9][14][16]
- Breast surgery
- Gynecological surgery
- Orthopedic surgery
- Joint replacement
- General surgery, minimally invasive
- Appendectomy
- Gallbladder surgery
- Hernia repair
- Colonoscopy
- Endoscopy
- Biopsy
- Urologic surgery
- Amputation
- Arthroscopic surgery
- ACL reconstruction
- Shoulder surgery
- Knee surgery
- Hip surgery
- Cardiac monitoring
- Electrocardiogram
- Anesthesia care (CRNA)
Programs and centers[6][11][13][14][16][18][19]
- Cancer & Infusion Center
- Cancer support group
- Joint Camp class
- Diabetes support group
- Sleep lab
- Eat, Sleep, Console (newborn care)
- Tele-ICU
- Pediatric aural rehabilitation
Emergency care (hospital website)[4][5][15]
| Emergency room | Yes |
|---|---|
| Open 24/7 | Yes |
| Trauma designation | Level III |
| Stroke designation | Acute Stroke Ready Hospital |
Visiting and practical information
| Visiting | No visitor limits or minimum visitor age; please do not visit if sick[4] |
|---|---|
| Parking | Separate lots/entrances for clinic and hospital, cancer and infusion center, and urgent care/emergency (red awning)[4] |
| Interpreters and languages | Free language assistance available; Language Services 612-273-3780[4] |
Recognition[5]
- Level III Trauma Center
- Acute Stroke Ready Hospital
Doctors and clinicians (236)
236 doctors and other clinicians list Grand Itasca Clinic and Hospital as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.
Main specialties
- Nurse Practitioner44
- Family Practice36
- Physician Assistant28
- Cardiovascular Disease (Cardiology)15
- Emergency Medicine14
- Pathology14
- Internal Medicine11
- Orthopedic Surgery9
- Diagnostic Radiology9
- Certified Registered Nurse Anesthetist (CRNA)7
- Hospitalist7
- General Surgery6
Doctors with a page on this site (236)
- Aaron E. RobinsonEmergency Medicine
- Alan K. OkadaEmergency Medicine
- Alan P. JohnsonPhysician Assistant
- Alejandra Gutierrez BernalCardiovascular Disease (Cardiology)
- Alexander G. BianchiPhysician Assistant
- Alexander J. Sherlock, PAPhysician Assistant
- Alexis C. Martire, NPNurse Practitioner
- Amy B. KargerPathology
- Amy K. Hilde-Philips, MDFamily Practice
- Amy S. Swaser, NPNurse Practitioner
- Anastas C. Provatas, MDHematology/Oncology
- Andrea Elliott, MDCardiovascular Disease (Cardiology)
- Andrew M. Blair, CNACertified Registered Nurse Anesthetist (CRNA)
- Angela L. Degrio, MDObstetrics/Gynecology
- Anne E. Tofte, MDFamily Practice
- Anne T. Goldschmidt, MDDiagnostic Radiology
- Anthony A. Killeen, MDPathology
- Anthony R. TeasckNurse Practitioner
- Antoinette L. Youngdahl-Palecek, MDFamily Practice
- Aparna K. BasuHematology/Oncology
- Arie J. Degrio, MDFamily Practice
- Austin A. Anderson, NPNurse Practitioner
- Austin CulverCardiovascular Disease (Cardiology)
- Ayman L. Matta, MDPathology
And 212 more: the button below opens the full list.
Names link to the doctor’s page on this site when there is one, otherwise to the official NPI Registry record (U.S. Department of Health and Human Services). Find a doctor · Source: CMS Facility Affiliation Data
Other emergency rooms nearby
Hospitals that list emergency services, by straight-line distance (not driving distance).
- Essentia Health Deer River14 mi · Deer River, MN · Critical Access Hospital
- Range Regional Health Services32 mi · Hibbing, MN · Acute Care Hospital
- Bigfork Valley Hospital37 mi · Bigfork, MN · Critical Access Hospital
- Riverwood Healthcare Center48 mi · Aitkin, MN · Critical Access Hospital
- Cass Lake Indian Health Services Hospital51 mi · Cass Lake, MN · Critical Access Hospital
Other hospitals nearby
- Essentia Health Virginia52 mi · Virginia, MN · Acute Care Hospital
Nursing homes, hospice, home health and dialysis nearby
Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.
Nursing homes
- The Emeralds at Grand Rapids LLC1.7 mi · Grand Rapids, MN · 1 of 5 stars
- Grand Village1.7 mi · Grand Rapids, MN · 5 of 5 stars
- Essentia Health Homestead14 mi · Deer River, MN · 2 of 5 stars
All nursing homes in the state →
Hospice providers
- St Croix Hospice2.3 mi · Grand Rapids, MN · 4 of 5 stars
All hospice providers in the state →
Home health agencies
- Aveanna Home Health2.3 mi · Grand Rapids, MN · 5 of 5 stars
- Grand Itasca Home Care2.3 mi · Grand Rapids, MN
- Essentia Health Deer River Home Care18 mi · Deer River, MN
All home health agencies in the state →
Dialysis facilities
- FMC Dialysis - Grand Rapids2.3 mi · Grand Rapids, MN · 2 of 5 stars
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.
Pharmacies
- Grand Itasca Clinic and Hospital2.3 mi · Grand Rapids, MN · Community/retail pharmacy
- J & L Urevig Inc2.3 mi · Grand Rapids, MN · Community/retail pharmacy
- The Duluth Clinic Ltd2.3 mi · Grand Rapids, MN · Community/retail pharmacy
Assisted living nearby
Licensed homes from the official state licence list, by straight-line distance.
- Americare Lodges2.3 mi · Grand Rapids, MN
- Brookstone Manor2.3 mi · Grand Rapids, MN
- Diamond Willow Assisted Living2.3 mi · Grand Rapids, MN
- Garden Court Chateau2.3 mi · Grand Rapids, 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 Grand Itasca Clinic and Hospital reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.
What patients said (patient survey)
What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.
| Summary star rating (all survey topics) | 4 of 5 stars |
|---|---|
| Overall rating of the hospital | 4 of 5 stars |
| Would recommend the hospital | 4 of 5 stars |
| Nurses communicated well | 4 of 5 stars |
| Doctors communicated well | 4 of 5 stars |
| Staff explained medicines | 4 of 5 stars |
| Information about recovery at home | 4 of 5 stars |
| Room and bathroom kept clean | 4 of 5 stars |
| Quiet at night | 3 of 5 stars |
| Rated the hospital 9 or 10 out of 10 | 73%National average: 72% |
| Would definitely recommend the hospital | 66%National average: 71% |
| Nurses “always” communicated well | 81%National average: 80% |
| Doctors “always” communicated well | 83%National average: 80% |
| Staff “always” explained medicines before giving them | 67%National average: 62% |
| Were given information about recovery at home | 88%National average: 86% |
| Room and bathroom “always” clean | 74%National average: 74% |
| Area around the room “always” quiet at night | 56%National average: 60% |
| Completed surveys | 328Response rate: 25% |
Source: Patient survey (HCAHPS) - Hospital — CMS, released July 22, 2026; patients discharged October 2024 to September 2025.
Infections caught in the hospital
What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.
| Central line bloodstream infections (CLABSI) | Not reported to Medicare |
|---|---|
| Catheter-associated urinary tract infections (CAUTI) | Not reported to Medicare |
| Surgical site infections after colon surgery | Not reported to Medicare |
| Surgical site infections after abdominal hysterectomy | Not reported to Medicare |
| MRSA bloodstream infections | Not reported to Medicare |
| Clostridioides difficile (C. diff) intestinal infections | 0No different from 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 | Too few cases to report |
|---|---|
| Deaths within 30 days: heart failure patients | 11.7% |
| Deaths within 30 days: pneumonia patients | 14.9% |
| Deaths within 30 days: COPD patients | Too few cases to report |
| Deaths within 30 days: stroke patients | 11.2% |
| Deaths within 30 days: coronary bypass surgery (CABG) | Not reported to Medicare |
| Serious complications (patient safety indicator PSI-90) | 1.15No different from the national rate |
| Complications after hip or knee replacement | Too few cases to report |
Source: Complications and Deaths - Hospital — CMS, released September 10, 2026; data from July 2022 to June 2025.
Return visits to the hospital (readmissions)
What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.
| Returned to any hospital within 30 days (all patients) | Not reported to Medicare |
|---|---|
| Readmitted within 30 days: heart attack | Too few cases to report |
| Readmitted within 30 days: heart failure | 22.5% |
| Readmitted within 30 days: pneumonia | 17% |
| Readmitted within 30 days: COPD | 19.4% |
| Readmitted within 30 days: coronary bypass surgery | Not reported to Medicare |
| Readmitted within 30 days: hip or knee replacement | Too few cases to report |
Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026; data from July 2023 to June 2025.
Emergency room times and sepsis care
What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.
| Emergency room volume (patients per year) | Low (under 20,000) |
|---|---|
| Average (median) time patients spent in the emergency room before leaving (OP-18b) | 149 minutesNational average: 162 minutes |
| Patients who left the emergency room before being seen (OP-22) | 3%National average: 2% |
| Sepsis patients who got all the recommended early care (SEP-1) | 72%National average: 65% |
Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026; data from January 2024 to December 2024.
ER wait times and Medicare ratings nearby
How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.
Prices
Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 86 common services exactly as Grand Itasca Clinic and Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.
What the prices mean
- Hospital charge
- The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
- Cash price
- The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
- Insurance rates
- The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
- Hospital and doctor fees
- A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.
How to use hospital prices: estimates, financial assistance and your rights →
$! 11 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 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OFFICE/OUTPATIENT NEW LOW MDM 30-44 MINUTES | $504 | $214.20 | $55.97 – $463.68 |
New patient office visit (about 30–44 minutes): 10 of 35 insurance plan rates
| |||
| 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 | $412.80 – $1,011.18 |
New patient office visit (about 30–44 minutes): rates for 3 insurance plans
| |||
| New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Doctor (professional) fee · modifier 25 In the file: PR OFFICE/OUTPATIENT NEW LOW MDM 30-44 MINUTES | $504 | $214.20 | $55.97 – $463.68 |
New patient office visit (about 30–44 minutes): 10 of 35 insurance plan rates
| |||
| New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Doctor (professional) fee In the file: OFFICE O/P NEW MOD 45 MIN | Not listed in the file | Not listed in the file | $91.85 – $544.34 |
New patient office visit (about 45–59 minutes): 10 of 28 insurance plan rates
| |||
| 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 | $698.88 – $1,711.95 |
New patient office visit (about 45–59 minutes): rates for 3 insurance plans
| |||
| New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Doctor (professional) fee · modifier 57 In the file: PR OFFICE/OUTPATIENT NEW MODERATE MDM 45-59 MINUTES | $747 | $317.48 | $91.85 – $687.24 |
New patient office visit (about 45–59 minutes): 10 of 35 insurance plan rates
| |||
| New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Doctor (professional) fee In the file: OFFICE O/P NEW HI 60 MIN | Not listed in the file | Not listed in the file | $124.62 – $740.46 |
New patient office visit (about 60–74 minutes): 10 of 28 insurance plan rates
| |||
| 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 | $912 – $2,234 |
New patient office visit (about 60–74 minutes): rates for 3 insurance plans
| |||
| Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20-29 MIN | $406 | $172.55 | $45.44 – $373.52 |
Established patient office visit (about 20–29 minutes): 10 of 35 insurance plan rates
| |||
| Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P EST LOW 20 MIN | Not listed in the file | Not listed in the file | $276.48 – $677.26 |
Established patient office visit (about 20–29 minutes): rates for 3 insurance plans
| |||
| Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Doctor (professional) fee · modifier 24 In the file: PR OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20-29 MIN | $406 | $172.55 | $45.44 – $373.52 |
Established patient office visit (about 20–29 minutes): 10 of 35 insurance plan rates
| |||
| Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30-39 MIN | $573 | $243.53 | $66.97 – $527.16 |
Established patient office visit (about 30–39 minutes): 10 of 35 insurance plan rates
| |||
| Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P EST MOD 30 MIN | Not listed in the file | Not listed in the file | $426.24 – $1,044.10 |
Established patient office visit (about 30–39 minutes): rates for 3 insurance plans
| |||
| Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Doctor (professional) fee · modifier 25 In the file: PR OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30-39 MIN | $573 | $243.53 | $66.97 – $527.16 |
Established patient office visit (about 30–39 minutes): 10 of 35 insurance plan rates
| |||
| Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient · Doctor (professional) fee In the file: OFF/OP CNSLTJ NEW/EST LOW 30 | Not listed in the file | Not listed in the file | $60.99 – $307.88 |
Office consultation with a specialist (moderate): 10 of 13 insurance plan rates
| |||
| 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 | $518.40 – $1,269.85 |
Office consultation with a specialist (moderate): rates for 3 insurance plans
| |||
| Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient · Doctor (professional) fee In the file: OFF/OP CNSLTJ NEW/EST MOD 40 | Not listed in the file | Not listed in the file | $93.05 – $438.96 |
Office consultation with a specialist (moderate to high): 10 of 13 insurance plan rates
| |||
| 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 | $833.28 – $2,041.17 |
Office consultation with a specialist (moderate to high): rates for 3 insurance plans
| |||
| Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient · Doctor (professional) fee In the file: PREV VISIT NEW AGE 18-39 | Not listed in the file | Not listed in the file | $65.04 – $386.59 |
Preventive checkup, new patient, age 18–39: 10 of 17 insurance plan rates
| |||
| 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 | $91.06 – $1,298.07 |
Preventive checkup, new patient, age 18–39: rates for 6 insurance plans
| |||
| Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient · Doctor (professional) fee In the file: PREV VISIT NEW AGE 40-64 | Not listed in the file | Not listed in the file | $78.69 – $467.59 |
Preventive checkup, new patient, age 40–64: 10 of 17 insurance plan rates
| |||
| 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 | $104.82 – $1,580.26 |
Preventive checkup, new patient, age 40–64: rates for 6 insurance plans
| |||
| Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EMERGENCY DEPARTMENT LEVEL 3 | $716.89 | $304.68 | $202.47 – $770 |
Emergency room visit (moderate): 10 of 35 insurance plan rates
| |||
| Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EMERGENCY DEPARTMENT LEVEL 3 W PROCEDURE | $716.48 | $304.51 | $202.47 – $770 |
Emergency room visit (moderate): 10 of 35 insurance plan rates
| |||
| Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EMERGENCY DEPARTMENT LEVEL 3 W PROCEDURE | $716.48 | $304.51 | $326 – $712.97 |
Emergency room visit (moderate): 10 of 15 insurance plan rates
| |||
| Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EMERGENCY DEPARTMENT LEVEL 4 W PROCEDURE | $1,249 | $530.83 | $204.27 – $1,261.74 |
Emergency room visit (moderately high): 10 of 35 insurance plan rates
| |||
| Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EMERGENCY DEPARTMENT LEVEL 4 | $1,234.43 | $524.64 | $204.27 – $1,247.02 |
Emergency room visit (moderately high): 10 of 35 insurance plan rates
| |||
| Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EMERGENCY DEPARTMENT LEVEL 4 | $1,234.43 | $524.64 | $561.66 – $1,228.38 |
Emergency room visit (moderately high): 10 of 15 insurance plan rates
| |||
| Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EMERGENCY DEPARTMENT LEVEL 5 W PROCEDURE | $1,756.50 | $746.52 | $205.02 – $1,774.42 |
Emergency room visit (high): 10 of 35 insurance plan rates
| |||
| Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EMERGENCY DEPARTMENT LEVEL 5 | $1,769.03 | $751.84 | $205.02 – $1,787.07 |
Emergency room visit (high): 10 of 35 insurance plan rates
| |||
| Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EMERGENCY DEPARTMENT LEVEL 5 | $1,772 | $753.10 | $806.26 – $1,763.32 |
Emergency room visit (high): 10 of 15 insurance plan rates
| |||
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: HC BASIC METABOLIC PROFILE | $27 | $11.48 | $8.32 – $124.22 |
Basic metabolic panel (blood test): 10 of 35 insurance plan rates
| |||
| Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC BASIC METABOLIC PROFILE | $188 | $79.90 | $85.54 – $187.08 |
Basic metabolic panel (blood test): 10 of 15 insurance plan rates
| |||
| Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Doctor (professional) fee In the file: BASIC METABOLIC PNL TOTAL CA | Not listed in the file | Not listed in the file | $8.45 – $16.47 |
Basic metabolic panel (blood test): 10 of 18 insurance plan rates
| |||
| Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPREHENSIVE METABOLIC PANEL | $33 | $14.03 | $10.39 – $124.22 |
Comprehensive metabolic panel (blood test): 10 of 35 insurance plan rates
| |||
| Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COMPREHENSIVE METABOLIC PANEL | $33 | $14.03 | $15.02 – $32.84 |
Comprehensive metabolic panel (blood test): 10 of 15 insurance plan rates
| |||
| Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Doctor (professional) fee In the file: COMPREHEN METABOLIC PANEL | Not listed in the file | Not listed in the file | $10.54 – $20.56 |
Comprehensive metabolic panel (blood test): 10 of 18 insurance plan rates
| |||
| 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 | $47.05 – $124.22 |
Obstetric blood test panel: 10 of 20 insurance plan rates
| |||
| Obstetric blood test panel CPT 80055 · Inpatient or outpatient · Doctor (professional) fee In the file: OBSTETRIC PANEL | Not listed in the file | Not listed in the file | $47.74 – $93.07 |
Obstetric blood test panel: 10 of 18 insurance plan rates
| |||
| Obstetric blood test panel CPT 80055 · Inpatient or outpatient · Doctor (professional) fee · modifier TC In the file: OBSTETRIC PANEL | Not listed in the file | Not listed in the file | $58.56 |
Obstetric blood test panel: rates for 1 insurance plan
| |||
| Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LIPID PANEL, REFLEX TO DIRECT LDL | $41 | $17.43 | $13.18 – $124.22 |
Cholesterol panel (lipid panel): 10 of 35 insurance plan rates
| |||
| Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LIPID PANEL | $40.53 | $17.23 | $13.18 – $124.22 |
Cholesterol panel (lipid panel): 10 of 35 insurance plan rates
| |||
| Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LIPOPROTEIN PARTICLE NMR PROFILE LIP PAN | $41 | $17.43 | $13.18 – $124.22 |
Cholesterol panel (lipid panel): 10 of 35 insurance plan rates
| |||
| Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC RENAL PANEL | $27 | $11.48 | $8.54 – $124.22 |
Kidney function panel: 10 of 35 insurance plan rates
| |||
| Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC RENAL PANEL | $27 | $11.48 | $12.29 – $26.87 |
Kidney function panel: 10 of 15 insurance plan rates
| |||
| Kidney function panel CPT 80069 · Inpatient or outpatient · Doctor (professional) fee In the file: RENAL FUNCTION PANEL | Not listed in the file | Not listed in the file | $8.67 – $16.90 |
Kidney function panel: 10 of 18 insurance plan rates
| |||
| Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC HEPATIC PANEL | $26 | $11.05 | $8.04 – $124.22 |
Liver function panel: 10 of 35 insurance plan rates
| |||
| Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC HEPATIC PANEL | $120 | $51 | $54.60 – $119.41 |
Liver function panel: 10 of 15 insurance plan rates
| |||
| Liver function panel CPT 80076 · Inpatient or outpatient · Doctor (professional) fee In the file: HEPATIC FUNCTION PANEL | Not listed in the file | Not listed in the file | $8.16 – $15.90 |
Liver function panel: 10 of 18 insurance plan rates
| |||
| Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS WITH MICROSCOPIC | $11.97 | $5.09 | $2.11 – $12.10 |
Urine test (automated, with microscope): 10 of 35 insurance plan rates
| |||
| Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC URINALYSIS WITH MICROSCOPIC | $11.97 | $5.09 | $5.45 – $11.92 |
Urine test (automated, with microscope): 10 of 15 insurance plan rates
| |||
| Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Doctor (professional) fee In the file: URINALYSIS AUTO W/SCOPE | Not listed in the file | Not listed in the file | $3.17 – $6.17 |
Urine test (automated, with microscope): 10 of 18 insurance plan rates
| |||
| 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 | $2.09 – $9.32 |
Urine test (manual, without microscope): 10 of 20 insurance plan rates
| |||
| Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Doctor (professional) fee In the file: URINALYSIS NONAUTO W/O SCOPE | Not listed in the file | Not listed in the file | $3.47 – $6.77 |
Urine test (manual, without microscope): 10 of 18 insurance plan rates
| |||
| Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Doctor (professional) fee · modifier TC In the file: URINALYSIS NONAUTO W/O SCOPE | Not listed in the file | Not listed in the file | $4.41 |
Urine test (manual, without microscope): rates for 1 insurance plan
| |||
| Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS, MACROSCPOIC | $9 | $3.83 | $1.51 – $9.09 |
Urine test (automated, without microscope): 10 of 35 insurance plan rates
| |||
| Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BLOOD URINE POCT INSTRUMENT | $9 | $3.83 | $1.51 – $9.09 |
Urine test (automated, without microscope): 10 of 35 insurance plan rates
| |||
| Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC KETONES URINE QUAL | $70 | $29.75 | $1.51 – $70.71 |
Urine test (automated, without microscope): 10 of 35 insurance plan rates
| |||
| PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSA, DIAGNOSTIC (TUMOR MARKER) | $61 | $25.93 | $18.10 – $137.04 |
PSA (prostate specific antigen) blood test: 10 of 35 insurance plan rates
| |||
| PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MISC TEST | $1,472 | $625.60 | $18.10 – $1,487.01 |
PSA (prostate specific antigen) blood test: 10 of 35 insurance plan rates
| |||
| PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSA, TOTAL | $167 | $70.98 | $18.10 – $168.70 |
PSA (prostate specific antigen) blood test: 10 of 35 insurance plan rates
| |||
| Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC TSH W/FREE T4 REFLEX | $90.09 | $38.29 | $16.53 – $135.27 |
Thyroid stimulating hormone (TSH) test: 10 of 35 insurance plan rates
| |||
| Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC TSH | $53 | $22.53 | $16.53 – $135.27 |
Thyroid stimulating hormone (TSH) test: 10 of 35 insurance plan rates
| |||
| Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC TSH | $90 | $38.25 | $40.95 – $89.56 |
Thyroid stimulating hormone (TSH) test: 10 of 15 insurance plan rates
| |||
| Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CBC WITH PLATELETS, DIFF GICH TO ALLINA OPNP | $7.40 | $3.15 | $3.86 – $20.35 |
Complete blood count (CBC) with differential: 10 of 35 insurance plan rates
| |||
| Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CBC WITH PLATELETS, DIFF | $27.75 | $11.80 | $4.71 – $28.03 |
Complete blood count (CBC) with differential: 10 of 35 insurance plan rates
| |||
| Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CBC WITH PLATELETS, DIFF GICH TO ALLINA OPNP | $8.68 | $3.69 | $3.95 – $8.64 |
Complete blood count (CBC) with differential: 10 of 15 insurance plan rates
| |||
| Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CBC WITH PLATELETS | $148 | $62.90 | $4.31 – $149.51 |
Complete blood count (CBC), automated: 10 of 35 insurance plan rates
| |||
| Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CBC WITH PLATELETS | $148 | $62.90 | $67.34 – $147.27 |
Complete blood count (CBC), automated: 10 of 15 insurance plan rates
| |||
| Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Doctor (professional) fee In the file: COMPLETE CBC AUTOMATED | Not listed in the file | Not listed in the file | $6.46 – $12.60 |
Complete blood count (CBC), automated: 10 of 18 insurance plan rates
| |||
| Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROTHROMBIN TIME/INR | $15 | $6.38 | $4.22 – $104.32 |
Blood clotting time test (prothrombin time, PT): 10 of 35 insurance plan rates
| |||
| Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC INR POCT | $15 | $6.38 | $4.22 – $104.32 |
Blood clotting time test (prothrombin time, PT): 10 of 35 insurance plan rates
| |||
| Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT MIXING STUDIES | $78 | $33.15 | $4.22 – $104.32 |
Blood clotting time test (prothrombin time, PT): 10 of 35 insurance plan rates
| |||
| Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PTT | $145.74 | $61.95 | $5.91 – $147.23 |
Blood clotting test (partial thromboplastin time, PTT): 10 of 35 insurance plan rates
| |||
| Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LUPUS PTT AL | $20.89 | $8.88 | $5.91 – $104.32 |
Blood clotting test (partial thromboplastin time, PTT): 10 of 35 insurance plan rates
| |||
| Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PTT | $147.10 | $62.52 | $66.93 – $146.38 |
Blood clotting test (partial thromboplastin time, PTT): 10 of 15 insurance plan rates
| |||
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: HC CT HEAD WO CONTRAST | $1,149.98 | $488.75 | $100.03 – $1,602 |
CT scan of the head or brain, without contrast: 10 of 35 insurance plan rates
| |||
| CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Doctor (professional) fee In the file: AS CT HEAD WO CONTRAST | $90 | $38.25 | $53.01 – $513.46 |
CT scan of the head or brain, without contrast: 10 of 35 insurance plan rates
| |||
| CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT HEAD WO CONTRAST | $1,198 | $509.15 | $545.09 – $1,192.13 |
CT scan of the head or brain, without contrast: 10 of 15 insurance plan rates
| |||
| MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI BRAIN WO&W CONTRAST | $1,596 | $678.30 | $335.92 – $1,612.28 |
MRI of the brain, before and after contrast: 10 of 35 insurance plan rates
| |||
| MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI BRAIN WO&W CONTRAST | $1,596 | $678.30 | $726.18 – $1,588.18 |
MRI of the brain, before and after contrast: 10 of 15 insurance plan rates
| |||
| MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Doctor (professional) fee In the file: MRI BRAIN STEM W/O & W/DYE | Not listed in the file | Not listed in the file | $230.11 – $1,339.98 |
MRI of the brain, before and after contrast: 10 of 28 insurance plan rates
| |||
| Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC XRAY CHEST, 2 VIEWS | $356.90 | $151.69 | $82.82 – $418.58 |
Chest X-ray, 2 views: 10 of 35 insurance plan rates
| |||
| Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC XRAY CHEST, 2 VIEWS | $357 | $151.73 | $162.44 – $355.25 |
Chest X-ray, 2 views: 10 of 15 insurance plan rates
| |||
| Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Doctor (professional) fee In the file: X-RAY EXAM CHEST 2 VIEWS | Not listed in the file | Not listed in the file | $23.79 – $107.73 |
Chest X-ray, 2 views: 10 of 28 insurance plan rates
| |||
| X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC X-RAY LUMBAR SPINE MIN 4 VIEWS | $512 | $217.60 | $100.03 – $535.35 |
X-ray of the lower spine, at least 4 views: 10 of 35 insurance plan rates
| |||
| X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC X-RAY LUMBAR SPINE MIN 4 VIEWS | $512 | $217.60 | $232.96 – $509.49 |
X-ray of the lower spine, at least 4 views: 10 of 15 insurance plan rates
| |||
| X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Doctor (professional) fee In the file: X-RAY EXAM L-2 SPINE 4/>VWS | Not listed in the file | Not listed in the file | $36.97 – $166.40 |
X-ray of the lower spine, at least 4 views: 10 of 28 insurance plan rates
| |||
| MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI LUMBAR SPINE W/O CONTRAST | $1,895 | $805.38 | $227.36 – $1,914.33 |
MRI of the lower back (lumbar spine), without contrast: 10 of 35 insurance plan rates
| |||
| MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI LUMBAR SPINE W/O CONTRAST | $1,895 | $805.38 | $862.23 – $1,885.71 |
MRI of the lower back (lumbar spine), without contrast: 10 of 15 insurance plan rates
| |||
| MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Doctor (professional) fee In the file: MRI LUMBAR SPINE W/O DYE | Not listed in the file | Not listed in the file | $137.78 – $1,044.03 |
MRI of the lower back (lumbar spine), without contrast: 10 of 28 insurance plan rates
| |||
| CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT SCAN OF PELVIS CONTRAST | $1,621 | $688.93 | $167.46 – $1,637.53 |
CT scan of the pelvis, with contrast: 10 of 35 insurance plan rates
| |||
| CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT SCAN OF PELVIS CONTRAST | $1,621 | $688.93 | $737.56 – $1,613.06 |
CT scan of the pelvis, with contrast: 10 of 15 insurance plan rates
| |||
| CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Doctor (professional) fee In the file: CT PELVIS W/DYE | Not listed in the file | Not listed in the file | $164.39 – $868.28 |
CT scan of the pelvis, with contrast: 10 of 28 insurance plan rates
| |||
| MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI LOWER EXTREMITY JNT W/O CONT | $2,012.93 | $855.50 | $227.36 – $2,033.46 |
MRI of a leg joint (such as the knee), without contrast: 10 of 35 insurance plan rates
| |||
| MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI LOWER EXTREMITY JNT W/O CONT | $2,010 | $854.25 | $914.55 – $2,000.15 |
MRI of a leg joint (such as the knee), without contrast: 10 of 15 insurance plan rates
| |||
| MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Doctor (professional) fee In the file: MRI JNT OF LWR EXTRE W/O DYE | Not listed in the file | Not listed in the file | $146.96 – $1,029.35 |
MRI of a leg joint (such as the knee), without contrast: 10 of 28 insurance plan rates
| |||
| CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT SCAN, ABDOMEN AND PELVIS W CONTRAST | $1,831.85 | $778.54 | $181.84 – $1,850.53 |
CT scan of the abdomen and pelvis, with contrast: 10 of 35 insurance plan rates
| |||
| CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Doctor (professional) fee In the file: PR CT SCAN, ABDOMEN AND PELVIS W CONTRAST | $1,148 | $487.90 | $218.34 – $1,174.30 |
CT scan of the abdomen and pelvis, with contrast: 10 of 35 insurance plan rates
| |||
| CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT SCAN, ABDOMEN AND PELVIS W CONTRAST | $1,831.85 | $778.54 | $833.49 – $1,822.87 |
CT scan of the abdomen and pelvis, with contrast: 10 of 15 insurance plan rates
| |||
| Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US ABDOMEN COMPLETE | $693.99 | $294.95 | $100.03 – $984.26 |
Ultrasound of the abdomen, complete: 10 of 35 insurance plan rates
| |||
| Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC US ABDOMEN COMPLETE | $694.11 | $295 | $315.82 – $690.71 |
Ultrasound of the abdomen, complete: 10 of 15 insurance plan rates
| |||
| Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Doctor (professional) fee In the file: US EXAM ABDOM COMPLETE | Not listed in the file | Not listed in the file | $81.72 – $372.26 |
Ultrasound of the abdomen, complete: 10 of 28 insurance plan rates
| |||
| Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US OB 2-3 TRIMESTER MAT/FETAL, SINGLE GESTATION | $404 | $171.70 | $100.03 – $1,117.99 |
Pregnancy ultrasound (after the first trimester): 10 of 35 insurance plan rates
| |||
| Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC US OB 2-3 TRIMESTER MAT/FETAL, SINGLE GESTATION | $404 | $171.70 | $183.82 – $402.02 |
Pregnancy ultrasound (after the first trimester): 10 of 15 insurance plan rates
| |||
| Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Doctor (professional) fee In the file: OB US >/= 14 WKS SNGL FETUS | Not listed in the file | Not listed in the file | $96.63 – $434.13 |
Pregnancy ultrasound (after the first trimester): 10 of 28 insurance plan rates
| |||
| Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US TRANSVAGINAL, NON-OB | $557 | $236.73 | $100.03 – $984.26 |
Transvaginal ultrasound: 10 of 35 insurance plan rates
| |||
| Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC US TRANSVAGINAL, NON-OB | $557 | $236.73 | $253.44 – $554.27 |
Transvaginal ultrasound: 10 of 15 insurance plan rates
| |||
| Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Doctor (professional) fee In the file: TRANSVAGINAL US NON-OB | Not listed in the file | Not listed in the file | $83.84 – $381.86 |
Transvaginal ultrasound: 10 of 28 insurance plan rates
| |||
| Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC DX MAMMO INCL CAD, UNILATERAL | $396 | $168.30 | $88.50 – $400.04 |
Diagnostic mammogram, one breast: 10 of 35 insurance plan rates
| |||
| Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC DX MAMMO INCL CAD, UNILATERAL | $396 | $168.30 | $180.18 – $394.06 |
Diagnostic mammogram, one breast: 10 of 15 insurance plan rates
| |||
| Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Doctor (professional) fee In the file: DX MAMMO INCL CAD UNI | Not listed in the file | Not listed in the file | $89.26 – $401.06 |
Diagnostic mammogram, one breast: 10 of 28 insurance plan rates
| |||
| Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC DX MAMMO INCL CAD, BILATERAL | $576 | $244.80 | $80.31 – $581.88 |
Diagnostic mammogram, both breasts: 10 of 35 insurance plan rates
| |||
| Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC DX MAMMO INCL CAD, BILATERAL | $576 | $244.80 | $262.08 – $573.18 |
Diagnostic mammogram, both breasts: 10 of 15 insurance plan rates
| |||
| Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Doctor (professional) fee In the file: DX MAMMO INCL CAD BI | Not listed in the file | Not listed in the file | $112.82 – $507.73 |
Diagnostic mammogram, both breasts: 10 of 28 insurance plan rates
| |||
| Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC SCREEN MAMMO INCL CAD, BILATERAL | $469 | $199.33 | $66.64 – $473.78 |
Screening mammogram, both breasts: 10 of 35 insurance plan rates
| |||
| Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MAMMO SCREEN IMPLANT BILAT, INCL CAD WHEN PERF | $419 | $178.08 | $66.64 – $423.27 |
Screening mammogram, both breasts: 10 of 35 insurance plan rates
| |||
| Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC SCREEN MAMMO INCL CAD, BILATERAL | $469 | $199.33 | $213.40 – $466.70 |
Screening mammogram, both breasts: 10 of 15 insurance plan rates
| |||
Heart tests and sleep study
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient or outpatient · Doctor (professional) fee In the file: ELECTROCARDIOGRAM COMPLETE | Not listed in the file | Not listed in the file | $9.89 – $61.11 |
Electrocardiogram (ECG/EKG) with reading: 10 of 28 insurance plan rates
| |||
| 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 | $162.08 – $396.32 |
Electrocardiogram (ECG/EKG) with reading: rates for 3 insurance plans
| |||
| Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · Doctor (professional) fee In the file: LEFT HRT CATH W/VENTRCLGRPHY | Not listed in the file | Not listed in the file | $601.54 – $3,754.96 |
Left heart catheterization (diagnostic): 10 of 28 insurance plan rates
| |||
| 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 | $2,999.48 – $18,766.17 |
Left heart catheterization (diagnostic): 10 of 16 insurance plan rates
| |||
| Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · Doctor (professional) fee · modifier 26 In the file: LEFT HRT CATH W/VENTRCLGRPHY | Not listed in the file | Not listed in the file | $149.09 – $901.08 |
Left heart catheterization (diagnostic): 10 of 28 insurance plan rates
| |||
| Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient · Doctor (professional) fee In the file: COMPREHENSIVE EP EVALUATION | Not listed in the file | Not listed in the file | $439.26 – $2,916.41 |
Heart rhythm study (electrophysiology evaluation): 10 of 28 insurance plan rates
| |||
| 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 | $5,455.20 – $14,981.89 |
Heart rhythm study (electrophysiology evaluation): 10 of 16 insurance plan rates
| |||
| Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient · Doctor (professional) fee · modifier 26 In the file: COMPREHENSIVE EP EVALUATION | Not listed in the file | Not listed in the file | $242.83 – $1,469.58 |
Heart rhythm study (electrophysiology evaluation): 10 of 28 insurance plan rates
| |||
| Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient · Doctor (professional) fee In the file: COMPRE EP EVAL ABLTJ ATR FIB | Not listed in the file | Not listed in the file | $592.35 – $3,574.45 |
Heart rhythm study with ablation for atrial fibrillation: 10 of 28 insurance plan rates
| |||
| 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 | $14,547.20 – $48,436.40 |
Heart rhythm study with ablation for atrial fibrillation: 10 of 16 insurance plan rates
| |||
| Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC POLYSOM SLEEP STAGE >=4 PARAM, AGE 6+, ATTENDED | $4,904.06 | $2,084.23 | $948.77 – $9,164.26 |
Sleep study (overnight, in a sleep lab): 10 of 35 insurance plan rates
| |||
| Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC POLYSOM SLEEP STAGE >=4 PARAM, AGE 6+, ATTENDED | $4,904.06 | $2,084.23 | $2,231.35 – $4,880.03 |
Sleep study (overnight, in a sleep lab): 10 of 15 insurance plan rates
| |||
| Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Doctor (professional) fee In the file: POLYSOM 6/> YRS 4/> PARAM | Not listed in the file | Not listed in the file | $448.21 – $1,996.79 |
Sleep study (overnight, in a sleep lab): 10 of 28 insurance plan rates
| |||
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: HC PT THERAPY PROC, EA 15 MIN | $165 | $70.13 | $21.83 – $166.68 |
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 35 insurance plan rates
| |||
| Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OT THERAPY PROC, EA 15 MIN | $165 | $70.13 | $21.83 – $166.68 |
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 35 insurance plan rates
| |||
| Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC OT THERAPY PROC, EA 15 MIN | $173.84 | $73.89 | $79.10 – $172.98 |
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 15 insurance plan rates
| |||
| Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVAL, LOW COMPLEXITY | $316.52 | $134.53 | $66.55 – $319.75 |
Physical therapy evaluation (low complexity): 10 of 35 insurance plan rates
| |||
| Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT EVAL, LOW COMPLEXITY | $316.05 | $134.33 | $143.80 – $314.50 |
Physical therapy evaluation (low complexity): 10 of 15 insurance plan rates
| |||
| Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Doctor (professional) fee In the file: PT EVAL LOW COMPLEX 20 MIN | Not listed in the file | Not listed in the file | $75.95 – $321.07 |
Physical therapy evaluation (low complexity): 10 of 28 insurance plan rates
| |||
| Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVAL, MODERATE COMPLEXITY | $338.90 | $144.04 | $66.55 – $342.36 |
Physical therapy evaluation (moderate complexity): 10 of 35 insurance plan rates
| |||
| Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT EVAL, MODERATE COMPLEXITY | $340 | $144.50 | $154.70 – $338.33 |
Physical therapy evaluation (moderate complexity): 10 of 15 insurance plan rates
| |||
| Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Doctor (professional) fee In the file: PT EVAL MOD COMPLEX 30 MIN | Not listed in the file | Not listed in the file | $75.95 – $321.07 |
Physical therapy evaluation (moderate complexity): 10 of 28 insurance plan rates
| |||
| Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVAL, HIGH COMPLEXITY | $398 | $169.15 | $66.55 – $402.06 |
Physical therapy evaluation (high complexity): 10 of 35 insurance plan rates
| |||
| Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT EVAL, HIGH COMPLEXITY | $370.33 | $157.40 | $168.50 – $368.52 |
Physical therapy evaluation (high complexity): 10 of 15 insurance plan rates
| |||
| Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Doctor (professional) fee In the file: PT EVAL HIGH COMPLEX 45 MIN | Not listed in the file | Not listed in the file | $75.95 – $321.07 |
Physical therapy evaluation (high complexity): 10 of 28 insurance plan rates
| |||
| Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY W PATIENT 16-37 MINUTES | $225 | $95.63 | $45.83 – $317.22 |
Psychotherapy, 30 minutes: 10 of 35 insurance plan rates
| |||
| Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY W PATIENT 16-37 MINUTES | $314 | $133.45 | $142.87 – $312.46 |
Psychotherapy, 30 minutes: 10 of 15 insurance plan rates
| |||
| Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Doctor (professional) fee In the file: PSYTX W PT 30 MINUTES | Not listed in the file | Not listed in the file | $56.55 – $218.67 |
Psychotherapy, 30 minutes: 10 of 28 insurance plan rates
| |||
| Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY W PATIENT 38-52 MINUTES | $268 | $113.90 | $54.59 – $317.22 |
Psychotherapy, 45 minutes: 10 of 35 insurance plan rates
| |||
| Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY W PATIENT 38-52 MINUTES | $268.05 | $113.93 | $121.96 – $266.74 |
Psychotherapy, 45 minutes: 10 of 15 insurance plan rates
| |||
| Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Doctor (professional) fee In the file: PSYTX W PT 45 MINUTES | Not listed in the file | Not listed in the file | $74.74 – $289.06 |
Psychotherapy, 45 minutes: 10 of 28 insurance plan rates
| |||
| Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY 53 OR > MIN | $331.08 | $140.71 | $67.44 – $334.45 |
Psychotherapy, 60 minutes: 10 of 35 insurance plan rates
| |||
| Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY 53 OR > MIN | $331.08 | $140.71 | $150.64 – $329.45 |
Psychotherapy, 60 minutes: 10 of 15 insurance plan rates
| |||
| Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Doctor (professional) fee In the file: PSYTX W PT 60 MINUTES | Not listed in the file | Not listed in the file | $110.30 – $426.66 |
Psychotherapy, 60 minutes: 10 of 28 insurance plan rates
| |||
| Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient · Doctor (professional) fee In the file: FAMILY PSYTX W/O PT 50 MIN | Not listed in the file | Not listed in the file | $80.34 – $311.47 |
Family psychotherapy, without the patient: 10 of 28 insurance plan rates
| |||
| 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 | $97.61 – $317.22 |
Family psychotherapy, without the patient: 10 of 16 insurance plan rates
| |||
| Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC FAMILY THERAPY W PATIENT 26-50 MIN, IOP | $269 | $114.33 | $92.81 – $317.22 |
Family psychotherapy, with the patient: 10 of 35 insurance plan rates
| |||
| Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC FAMILY THERAPY W PATIENT 26-50 MIN | $458 | $194.65 | $102.29 – $462.67 |
Family psychotherapy, with the patient: 10 of 35 insurance plan rates
| |||
| Family psychotherapy, with the patient CPT 90847 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC FAMILY THERAPY W PATIENT 26-50 MIN, IOP | $236 | $100.30 | $107.38 – $234.84 |
Family psychotherapy, with the patient: 10 of 15 insurance plan rates
| |||
| Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC GROUP THERAPY (30+ MIN) | $91.85 | $39.04 | $31.69 – $416.50 |
Group psychotherapy: 10 of 35 insurance plan rates
| |||
| Group psychotherapy CPT 90853 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC GROUP THERAPY (30+ MIN) | $92 | $39.10 | $41.86 – $91.55 |
Group psychotherapy: 10 of 15 insurance plan rates
| |||
| Group psychotherapy CPT 90853 · Inpatient or outpatient · Doctor (professional) fee In the file: GROUP PSYCHOTHERAPY | Not listed in the file | Not listed in the file | $19.60 – $76.80 |
Group psychotherapy: 10 of 28 insurance plan rates
| |||
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: HC EXCISION BREAST LESION, OPEN >=1 | $2,077 | $882.73 | $716.57 – $8,904.99 |
Removal of breast growth (open surgery): 10 of 35 insurance plan rates
| |||
| Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · Doctor (professional) fee In the file: AS EXCISION BREAST LESION, OPEN >=1 | $90 | $38.25 | $53.01 – $1,671.39 |
Removal of breast growth (open surgery): 10 of 35 insurance plan rates
| |||
| Removal of breast growth (open surgery) CPT 19120 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EXCISION BREAST LESION, OPEN >=1 | $2,077 | $882.73 | $945.04 – $2,066.82 |
Removal of breast growth (open surgery): 10 of 15 insurance plan rates
| |||
| Total hip replacement CPT 27130 · Inpatient or outpatient · Doctor (professional) fee In the file: AS TOTAL HIP ARTHROPLASTY | $90 | $38.25! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) | $53.01! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $5,143.53 |
Total hip replacement: 10 of 35 insurance plan rates
| |||
| 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 | $7,505.28 – $25,404.15 |
Total hip replacement: 10 of 16 insurance plan rates
| |||
| Total hip replacement CPT 27130 · Inpatient or outpatient · Doctor (professional) fee · modifier 22 In the file: PR TOTAL HIP ARTHROPLASTY | $7,247.50 | $3,080.19 | $858.26 – $6,667.70 |
Total hip replacement: 10 of 35 insurance plan rates
| |||
| Total knee replacement CPT 27447 · Inpatient or outpatient · Doctor (professional) fee In the file: AS TOTAL KNEE ARTHROPLASTY | $89.85 | $38.19! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) | $52.92! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $5,135 |
Total knee replacement: 10 of 35 insurance plan rates
| |||
| Total knee replacement CPT 27447 · Inpatient or outpatient · Doctor (professional) fee In the file: PR TOTAL KNEE ARTHROPLASTY | $5,791 | $2,461.18 | $857.09 – $5,327.72 |
Total knee replacement: 10 of 35 insurance plan rates
| |||
| 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 | $7,501.44 – $25,404.15 |
Total knee replacement: 10 of 16 insurance plan rates
| |||
| Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient · Doctor (professional) fee In the file: SHO ARTHRS SRG DECOMPRESSION | Not listed in the file | Not listed in the file | $112.11 – $672.25 |
Shoulder arthroscopy: shaving of shoulder bone: 10 of 28 insurance plan rates
| |||
| 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 | $681.90 – $1,831.33 |
Shoulder arthroscopy: shaving of shoulder bone: rates for 3 insurance plans
| |||
| Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient · Doctor (professional) fee · modifier LT In the file: PR SHLDR ARTHROSCOP,PART ACROMIOPLAS | $768.92 | $326.79 | $112.11 – $707.40 |
Shoulder arthroscopy: shaving of shoulder bone: 10 of 35 insurance plan rates
| |||
| Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient · Doctor (professional) fee In the file: AS KNEE SCOPE,MED/LAT MENISECTOMY | $89.53 | $38.05 | $52.73 – $2,234.21 |
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 35 insurance plan rates
| |||
| Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHRS KNE SRG MNISECTMY M/L | Not listed in the file | Not listed in the file | $2,045.70 – $6,406.13 |
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 16 insurance plan rates
| |||
| Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient · Doctor (professional) fee · modifier LT In the file: PR KNEE SCOPE,MED/LAT MENISECTOMY | $2,467 | $1,048.48 | $373.08 – $2,269.64 |
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 35 insurance plan rates
| |||
| Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient or outpatient · Doctor (professional) fee In the file: REMOVE TONSILS AND ADENOIDS | Not listed in the file | Not listed in the file | $201.14 – $1,210.91 |
Removal of tonsils and adenoids (under age 12): 10 of 28 insurance plan rates
| |||
| 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 | $3,818.64 – $11,679.84 |
Removal of tonsils and adenoids (under age 12): 10 of 16 insurance plan rates
| |||
| Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC UGI ENDOSCOPY DIAG W OR W/O BRUSH/WASH | $2,038.05 | $866.18 | $590.98 – $2,058.84 |
Upper GI endoscopy (diagnostic): 10 of 35 insurance plan rates
| |||
| Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Doctor (professional) fee In the file: AS UGI ENDOSCOPY DIAG W OR W/O BRUSH/WASH | $90 | $38.25 | $53.01 – $494.60 |
Upper GI endoscopy (diagnostic): 10 of 35 insurance plan rates
| |||
| Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Doctor (professional) fee In the file: PR UGI ENDOSCOPY DIAG W OR W/O BRUSH/WASH | $1,306.67 | $555.34 | $81.95 – $1,202.13 |
Upper GI endoscopy (diagnostic): 10 of 35 insurance plan rates
| |||
| Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC UGI ENDOSCOPY DIAG W BIOPSY | $2,083 | $885.28 | $590.98 – $2,104.25 |
Upper GI endoscopy with biopsy: 10 of 35 insurance plan rates
| |||
| Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Doctor (professional) fee In the file: PR UGI ENDOSCOPY DIAG W BIOPSY | $1,713 | $728.03 | $92.32 – $1,575.96 |
Upper GI endoscopy with biopsy: 10 of 35 insurance plan rates
| |||
| Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Doctor (professional) fee In the file: AS UGI ENDOSCOPY DIAG W BIOPSY | $90 | $38.25 | $53.01 – $558.55 |
Upper GI endoscopy with biopsy: 10 of 35 insurance plan rates
| |||
| Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COLONOSCOPY W/WO BRUSH/WASH | $2,554.68 | $1,085.74 | $850.21 – $3,418.48 |
Colonoscopy (diagnostic): 10 of 35 insurance plan rates
| |||
| Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Doctor (professional) fee In the file: PR COLONOSCOPY W/WO BRUSH/WASH | $1,540 | $654.50 | $122.70 – $1,416.80 |
Colonoscopy (diagnostic): 10 of 35 insurance plan rates
| |||
| Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Doctor (professional) fee In the file: AS COLONOSCOPY W/WO BRUSH/WASH | $89.93 | $38.22 | $52.97 – $739.05 |
Colonoscopy (diagnostic): 10 of 35 insurance plan rates
| |||
| Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COLONOSCOPY W BIOPSY | $2,782.52 | $1,182.58 | $959.97 – $3,418.48 |
Colonoscopy with biopsy: 10 of 35 insurance plan rates
| |||
| Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Doctor (professional) fee In the file: AS COLONOSCOPY W BIOPSY | $90 | $38.25 | $53.01 – $804.44 |
Colonoscopy with biopsy: 10 of 35 insurance plan rates
| |||
| Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Doctor (professional) fee In the file: PR COLONOSCOPY W BIOPSY | $1,966.86 | $835.92 | $133.30 – $1,809.51 |
Colonoscopy with biopsy: 10 of 35 insurance plan rates
| |||
| Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COLONOSCOPY W SNARE REMOVAL TUMOR/POLYP/LESION | $2,921.17 | $1,241.50 | $727.36 – $2,950.96 |
Colonoscopy with removal of polyps (snare): 10 of 35 insurance plan rates
| |||
| Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · Doctor (professional) fee In the file: AS COLONOSCOPY W SNARE REMOVAL TUMOR/POLYP/LESION | $90 | $38.25 | $53.01 – $1,017.61 |
Colonoscopy with removal of polyps (snare): 10 of 35 insurance plan rates
| |||
| Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · Doctor (professional) fee In the file: PR COLONOSCOPY W SNARE REMOVAL TUMOR/POLYP/LESION | $2,052.61 | $872.36 | $168.40 – $1,888.40 |
Colonoscopy with removal of polyps (snare): 10 of 35 insurance plan rates
| |||
| Ultrasound of the lower bowel by endoscope CPT 45391 · Inpatient or outpatient · Doctor (professional) fee In the file: COLONOSCOPY W/ENDOSCOPE US | Not listed in the file | Not listed in the file | $171.23 – $1,033.26 |
Ultrasound of the lower bowel by endoscope: 10 of 28 insurance plan rates
| |||
| 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 | $1,099.55 – $3,550.89 |
Ultrasound of the lower bowel by endoscope: 10 of 16 insurance plan rates
| |||
| Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COLOREC CANC SCRN,SCOPY NOT HI RISK | $2,058.90 | $875.04 | $681.90 – $2,079.90 |
Screening colonoscopy (not high risk): 10 of 35 insurance plan rates
| |||
| Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · Doctor (professional) fee In the file: PR COLOREC CANC SCRN,SCOPY NOT HI RISK | $1,540.34 | $654.65 | $122.70 – $1,417.11 |
Screening colonoscopy (not high risk): 10 of 35 insurance plan rates
| |||
| Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COLOREC CANC SCRN,SCOPY NOT HI RISK | $2,038.67 | $866.44 | $927.59 – $2,028.68 |
Screening colonoscopy (not high risk): 10 of 15 insurance plan rates
| |||
| Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient · Doctor (professional) fee In the file: PR LAPAROSCOPY, SURGICAL; CHOLECYSTECTOMY | $2,985 | $1,268.63 | $432.19 – $2,746.20 |
Gallbladder removal by laparoscope: 10 of 35 insurance plan rates
| |||
| Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient · Doctor (professional) fee In the file: AS LAPAROSCOPY, SURGICAL; CHOLECYSTECTOMY | $90 | $38.25! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) | $53.01 – $2,592.38 |
Gallbladder removal by laparoscope: 10 of 35 insurance plan rates
| |||
| 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 | $3,661.44 – $11,519.31 |
Gallbladder removal by laparoscope: 10 of 16 insurance plan rates
| |||
| Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient · Doctor (professional) fee In the file: AS REPAIR ING HERNIA,5+Y/O,REDUCIBL | $90 | $38.25 | $53.01 – $2,069.35 |
Groin (inguinal) hernia repair, age 5 or older: 10 of 35 insurance plan rates
| |||
| 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 | $2,363.92 – $6,967.75 |
Groin (inguinal) hernia repair, age 5 or older: 10 of 16 insurance plan rates
| |||
| Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient · Doctor (professional) fee · modifier 50 In the file: PR REPAIR ING HERNIA,5+Y/O,REDUCIBL | $3,556.50 | $1,511.52 | $345.28 – $3,271.98 |
Groin (inguinal) hernia repair, age 5 or older: 10 of 35 insurance plan rates
| |||
| Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BIOPSY PROSTATE NEEDLE/PUNCH | $973 | $413.53 | $335.69 – $4,044.56 |
Prostate biopsy: 10 of 35 insurance plan rates
| |||
| Prostate biopsy CPT 55700 · Inpatient or outpatient · Doctor (professional) fee In the file: AS BIOPSY PROSTATE NEEDLE/PUNCH | $90 | $38.25 | $53.01 – $521.60 |
Prostate biopsy: 10 of 35 insurance plan rates
| |||
| Prostate biopsy CPT 55700 · Inpatient or outpatient · Doctor (professional) fee In the file: PR BIOPSY OF PROSTATE,NEEDLE/PUNCH | $1,090 | $463.25 | $86.43 – $1,002.80 |
Prostate biopsy: 10 of 35 insurance plan rates
| |||
| Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Inpatient or outpatient · Doctor (professional) fee In the file: LAPS SURG PRST8ECT RPBIC RAD | Not listed in the file | Not listed in the file | $801.04 – $4,813.79 |
Prostate removal by laparoscope (radical prostatectomy): 10 of 28 insurance plan rates
| |||
| 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 | $8,021.76 – $20,555.83 |
Prostate removal by laparoscope (radical prostatectomy): 10 of 16 insurance plan rates
| |||
| Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient · Doctor (professional) fee In the file: PR HYSTEROSCOPY W ENDOMETRIAL BX/POLYPECTOMY W/WO D&C | $4,016 | $1,706.80 | $152.38 – $3,694.72 |
Hysteroscopy with biopsy of the uterus lining: 10 of 35 insurance plan rates
| |||
| Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient · Doctor (professional) fee In the file: AS HYSTEROSCOPY W ENDOMETRIAL BX/POLYPECTOMY W/WO D&C | $90 | $38.25 | $53.01 – $919.55 |
Hysteroscopy with biopsy of the uterus lining: 10 of 35 insurance plan rates
| |||
| Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY BIOPSY | Not listed in the file | Not listed in the file | $1,818.40 – $6,277.63 |
Hysteroscopy with biopsy of the uterus lining: 10 of 16 insurance plan rates
| |||
| Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC INJ EPIDURAL LUMBAR/SACRAL, W IMAGING | $1,875 | $796.88 | $401.43 – $1,894.13 |
Spinal injection, lower back (epidural), with imaging guidance: 10 of 35 insurance plan rates
| |||
| Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Doctor (professional) fee In the file: PR INJ EPIDURAL LUMBAR/SACRAL, W IMAGING | $1,113 | $473.03 | $67.36 – $1,023.96 |
Spinal injection, lower back (epidural), with imaging guidance: 10 of 35 insurance plan rates
| |||
| Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC INJ EPIDURAL LUMBAR/SACRAL, W IMAGING | $1,875 | $796.88 | $853.13 – $1,865.81 |
Spinal injection, lower back (epidural), with imaging guidance: 10 of 15 insurance plan rates
| |||
| Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC INJ TRANSFORAMIN EPIDURAL, LUMB/SACR SINGLE | $2,733 | $1,161.53 | $612.48 – $2,760.88 |
Nerve root injection, lower back, with imaging guidance: 10 of 35 insurance plan rates
| |||
| Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Doctor (professional) fee In the file: PR INJ TRANSFORAMIN EPIDURAL, LUMB/SACR SINGLE | $1,059 | $450.08 | $76.30 – $974.28 |
Nerve root injection, lower back, with imaging guidance: 10 of 35 insurance plan rates
| |||
| Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC INJ TRANSFORAMIN EPIDURAL, LUMB/SACR SINGLE | $2,509.80 | $1,066.67 | $1,141.96 – $2,497.50 |
Nerve root injection, lower back, with imaging guidance: 10 of 15 insurance plan rates
| |||
| Carpal tunnel release CPT 64721 · Inpatient or outpatient · Doctor (professional) fee In the file: AS REVISE MEDIAN N/CARPAL TUNNEL SURG | $90 | $38.25 | $53.01 – $1,824.89 |
Carpal tunnel release: 10 of 35 insurance plan rates
| |||
| 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 | $1,821.08 – $5,794.29 |
Carpal tunnel release: 10 of 16 insurance plan rates
| |||
| Carpal tunnel release CPT 64721 · Inpatient or outpatient · Doctor (professional) fee · modifier RT In the file: PR REVISE MEDIAN N/CARPAL TUNNEL SURG | $2,030 | $862.75 | $305.24 – $1,867.60 |
Carpal tunnel release: 10 of 35 insurance plan rates
| |||
| Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient · Doctor (professional) fee In the file: AFTER CATARACT LASER SURGERY | Not listed in the file | Not listed in the file | $216.45 – $1,316.09 |
Laser treatment of clouding after cataract surgery: 10 of 28 insurance plan rates
| |||
| 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 | $511.60 – $1,709.24 |
Laser treatment of clouding after cataract surgery: 10 of 16 insurance plan rates
| |||
| Cataract removal with lens implant CPT 66984 · Inpatient or outpatient · Doctor (professional) fee In the file: XCAPSL CTRC RMVL W/O ECP | Not listed in the file | Not listed in the file | $374.96 – $2,269.75 |
Cataract removal with lens implant: 10 of 28 insurance plan rates
| |||
| 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 | $2,126.92 – $15,756.14 |
Cataract removal with lens implant: 10 of 16 insurance plan rates
| |||
Pregnancy and childbirth
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Vaginal delivery, with care before and after CPT 59400 · Inpatient or outpatient · Doctor (professional) fee In the file: PR FULL ROUT OBSTE CARE,VAGINAL DELIV | $10,788 | $4,584.90 | $1,305.47 – $9,924.96 |
Vaginal delivery, with care before and after: 10 of 35 insurance plan rates
| |||
| Vaginal delivery, with care before and after CPT 59400 · Inpatient or outpatient · Doctor (professional) fee In the file: AS FULL ROUT OBSTE CARE,VAGINAL DELIV | $90 | $38.25 | $53.01 – $9,452.76 |
Vaginal delivery, with care before and after: 10 of 35 insurance plan rates
| |||
| Vaginal delivery, with care before and after CPT 59400 · Inpatient or outpatient · Doctor (professional) fee In the file: PR FULL ROUT OBSTE CARE VAGINAL DELIV - GICH ONLY | $10,823.23 | $4,599.88 | $1,305.47 – $9,957.37 |
Vaginal delivery, with care before and after: 10 of 35 insurance plan rates
| |||
| Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient or outpatient · Doctor (professional) fee In the file: PR FULL ROUT OBSTE CARE CESAREAN DELIV - GICH ONLY | $12,009 | $5,103.83 | $1,305.47 – $11,048.28 |
Cesarean delivery (C-section), with care before and after: 10 of 35 insurance plan rates
| |||
| Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient or outpatient · Doctor (professional) fee In the file: AS FULL ROUT OBSTE CARE,CESAREAN DELIV | $90 | $38.25! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) | $53.01 – $10,392.21 |
Cesarean delivery (C-section), with care before and after: 10 of 35 insurance plan rates
| |||
| Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient or outpatient · Doctor (professional) fee In the file: PR FULL ROUT OBSTE CARE,CESAREAN DELIV | $12,556 | $5,336.30 | $1,305.47 – $11,551.52 |
Cesarean delivery (C-section), with care before and after: 10 of 35 insurance plan rates
| |||
| Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Inpatient or outpatient · Doctor (professional) fee In the file: AS ROUT OB CARE,VAG DELIV,PREV C-SEC | $90 | $38.25! (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) | $53.01 – $9,785.35 |
Vaginal delivery after a previous C-section, with care before and after: 10 of 35 insurance plan rates
| |||
| Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Inpatient or outpatient · Doctor (professional) fee In the file: PR VBAC DELIVERY - GICH ONLY | $11,368 | $4,831.40 | $1,305.47 – $10,458.56 |
Vaginal delivery after a previous C-section, with care before and after: 10 of 35 insurance plan rates
| |||
| 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 | $12,174.72 – $29,822.74 |
Vaginal delivery after a previous C-section, with care before and after: rates for 3 insurance plans
| |||
Hospital stays (whole stay, MS-DRG)
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | Not listed in the file | Not listed in the file | $53,707.57 – $151,439.68 |
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 14 insurance plan rates
| |||
| Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | Not listed in the file | Not listed in the file | $10,589.66 – $30,763.37 |
Hip or knee replacement (major joint of the leg), without major complications: 10 of 14 insurance plan rates
| |||
| Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC | Not listed in the file | Not listed in the file | $13,402.74 – $38,635.31 |
Neck (cervical) spinal fusion, without complications: 10 of 14 insurance plan rates
| |||
| Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | Not listed in the file | Not listed in the file | $6,811.44 – $20,188.09 |
Uterus and ovary surgery (not for cancer), without complications: 10 of 14 insurance plan rates
| |||
Source: Grand Itasca Clinic and Hospital’s standard charges file (requiredlearning.fairview.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on January 28, 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 | 1601 Golf Course Road, Grand Rapids, MN 55744 |
| County | Itasca County |
| State | Minnesota |
| Phone | (218) 326‑3401 |
| Emergency services | Yes |
| Ownership | Voluntary non-profit - Private |
| Medicare overall rating | 4 of 5 stars |
| Birthing-friendly designation | Yes (meets CMS criteria) |
| CMS Certification Number | 240064 |
| Name in Medicare records | GRAND ITASCA CLINIC AND HOSPITAL |
| Profile level | Medicare data + hospital website |
| Name on the hospital’s website | Grand Itasca Clinic & Hospital |
| Official website | granditasca.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.
- Grand Itasca Clinic & Hospital — granditasca.org
- Emergency Medicine — granditasca.org
- Cancer Care | Grand Itasca Clinic & Hospital — granditasca.org
- Heart Care | Grand Itasca Clinic & Hospital — granditasca.org
- Imaging (Radiology & Diagnostic Imaging) | Grand Itasca Clinic & Hospital — granditasca.org
- Surgery | Grand Itasca Clinic & Hospital — granditasca.org
- Pediatric Care | Grand Itasca Clinic & Hospital — granditasca.org
- Therapy and Rehabilitation | Grand Itasca Clinic & Hospital — granditasca.org
- Women's Health | Grand Itasca Clinic & Hospital — granditasca.org
- Addiction Medicine | Grand Itasca Clinic & Hospital — granditasca.org
- Bone, Joint & Muscle | Grand Itasca Clinic & Hospital — granditasca.org
- Brain, Spine & Pain Management | Grand Itasca Clinic & Hospital — granditasca.org
- Breathing, Lung & Sleep Health | Grand Itasca Clinic & Hospital — granditasca.org
- Ear, Nose & Throat | Grand Itasca Clinic & Hospital — granditasca.org
- Family Medicine | Grand Itasca Clinic & Hospital — granditasca.org
- Hospital & Intensive Care | Grand Itasca Clinic & Hospital — granditasca.org