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Critical Access Hospital

Huron Regional Medical Center

Huron, South Dakota · Beadle County · Emergency services listed

Huron Regional Medical Center is a critical access hospital at 172 Fourth Street SE, Huron, SD 57350. Phone: (605) 353-6200. It has an emergency department. Medicare overall rating: 2 of 5 stars (CMS, October 2026).

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

Summary

Huron Regional Medical Center is a critical access hospital in Huron, South Dakota. Medicare data lists emergency services. CMS overall star rating: 2 of 5 stars. Its official website lists 49 services, specialties and programs. Medicare lists 115 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-10-26.

What is a critical access hospital?

A small rural hospital with 24-hour emergency care, designated by Medicare to keep care available far from big cities. More about hospital types

Call(605) 353‑6200 Directions Website Medicare profile
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Profile from official sources

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

In a medical emergency, call 911.

At a glance

YesEmergency services
2 of 5 stars2 of 5 stars · Medicare rating
115Doctors and clinicians
49Services listed

Quick answers

Does Huron Regional Medical Center have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Huron Regional Medical Center. In a medical emergency, call 911.
Where is Huron Regional Medical Center?
172 Fourth Street SE, Huron, SD 57350, in Beadle County, South Dakota.
What is the phone number of Huron Regional Medical Center?
(605) 353-6200, as listed by Medicare (CMS).
What is the Medicare star rating of Huron Regional Medical Center?
2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).

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

Conditions treated[4][5]

Treatments[4][7][16]

Procedures[10][11][12][13][14][15][16]

Programs and centers[4][7][11][17]

  • Blood bank
  • Birthing center
  • Prenatal education classes
  • Lactation support
  • Social services
  • Registered dietitian nutrition services
  • We've Got You Covered free mammogram and women's cancer screening program

Emergency care (hospital website)[5][10]

Emergency roomYes
Open 24/7Yes

Visiting and practical information

VisitingFamily and friends may visit at hours of your choosing, if it does not infringe on other patients' rights; ICU check in at nurse's station[10]
ParkingConvenient parking near the various entrances in downtown Huron; ER entrance is on the east side via the alley[10]
Interpreters and languagesSpanish and Karen interpreters as needed; other languages by telephone language services[17]
Patient portalHealtheLife Portal

Doctors and clinicians (115)

115 doctors and other clinicians list Huron Regional 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 (115)

And 91 more: the button below opens the full list.

Other emergency rooms nearby

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

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

Other hospitals near Huron

Hospitals in Beadle County · Hospitals near me

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Community care nearby

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

Community health centers

Pharmacies

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 Huron Regional 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) 4 of 5 stars
Overall rating of the hospital3 of 5 stars
Would recommend the hospital3 of 5 stars
Nurses communicated well4 of 5 stars
Doctors communicated well4 of 5 stars
Patients got help quickly from staff4 of 5 stars
Staff explained medicines2 of 5 stars
Information about recovery at home3 of 5 stars
Room and bathroom kept clean3 of 5 stars
Restfulness of Environment4 of 5 stars
Care Coordination4 of 5 stars
Symptoms After Stay4 of 5 stars
Rated the hospital 9 or 10 out of 1062%National average: 72%
Would definitely recommend the hospital63%National average: 71%
Nurses “always” communicated well81%National average: 80%
Doctors “always” communicated well81%National average: 80%
“Always” got help as soon as they wanted65%National average: 64%
Staff “always” explained medicines before giving them54%National average: 62%
Were given information about recovery at home86%National average: 86%
Room and bathroom “always” clean66%National average: 73%
Completed surveys123Response rate: 21%

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

Complications and deaths

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

Deaths within 30 days: pneumonia patients20.8%
Deaths within 30 days: COPD patients9.5%
Not reported to MedicareDeaths within 30 days: coronary bypass surgery (CABG); Serious complications (patient safety indicator PSI-90)
Too few cases to reportDeaths within 30 days: heart attack patients; Deaths within 30 days: heart failure patients; Deaths within 30 days: stroke patients; Complications after hip or knee replacement

Source: Complications and Deaths - Hospital — CMS, released October 20, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)15.3%
Readmitted within 30 days: pneumonia16.9%
Readmitted within 30 days: COPD19.8%
Not reported to MedicareReadmitted within 30 days: coronary bypass surgery
Too few cases to reportReadmitted within 30 days: heart attack; Readmitted within 30 days: heart failure; Readmitted within 30 days: hip or knee replacement

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)106 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)0%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)62%National average: 66%

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

Not reported to Medicare: infections caught in the hospital. For these topics Medicare shows no result for this hospital (not reported, or too few cases).

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 South DakotaBest hospitals in South Dakota

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 84 common services exactly as Huron Regional 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 →

Show the prices of 84 common services

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Office Visit New Patient Level 2 $100 $60 $84.16 – $250.26
New patient office visit (about 30–44 minutes): 10 of 16 insurance plan rates
  • Avera — ACA PPO Facility: $112.37
  • Avera — ACA PPO Non-Facility: $156.05
  • Avera — ASO_AHEHBP Facility: $131.10
  • Avera — ASO_AHEHBP Non-Facility: $182.06
  • Avera — High Performance Network HMO Facility: $84.16
  • Avera — High Performance Network HMO Non-Facility: $116.88
  • Avera — Non-ACA PPO Facility: $140.47
  • Avera — Non-ACA PPO Non-Facility: $195.07
  • HealthPartners — All Products: $96
  • Medica — All Products & Medicare Advantage: $90.30
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: E/M, Level 3, New Pt $317.50 $190.50 $84.16 – $250.26
New patient office visit (about 30–44 minutes): 10 of 16 insurance plan rates
  • Avera — ACA PPO Facility: $112.37
  • Avera — ACA PPO Non-Facility: $156.05
  • Avera — ASO_AHEHBP Facility: $131.10
  • Avera — ASO_AHEHBP Non-Facility: $182.06
  • Avera — High Performance Network HMO Facility: $84.16
  • Avera — High Performance Network HMO Non-Facility: $116.88
  • Avera — Non-ACA PPO Facility: $140.47
  • Avera — Non-ACA PPO Non-Facility: $195.07
  • HealthPartners — All Products: $304.80
  • Medica — All Products & Medicare Advantage: $286.70
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: E/M, Level 3, New Pt $228 $136.80 $164.16 – $221.16
New patient office visit (about 30–44 minutes): 10 of 11 insurance plan rates
  • Americas — PPO: $221.16
  • Avera — All Products: $112.85
  • First Choice of the Midwest — All Products: $221.16
  • First Health Coventry — All Products: $221.16
  • HealthPartners — All Products: $218.88
  • Integrated Health Plan — All Products: $221.16
  • Medica — All Products & Medicare Advantage: $205.88
  • Multiplan — All Products: $205.20
  • Sanford — All Products: $212.04
  • TLC Advantage — All Products: $221.16
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Office Visit New Patient Level 3 $146 $87.60 $137.39 – $375.01
New patient office visit (about 45–59 minutes): 10 of 16 insurance plan rates
  • Avera — ACA PPO Facility: $183.44
  • Avera — ACA PPO Non-Facility: $233.84
  • Avera — ASO_AHEHBP Facility: $214.01
  • Avera — ASO_AHEHBP Non-Facility: $272.81
  • Avera — High Performance Network HMO Facility: $137.39
  • Avera — High Performance Network HMO Non-Facility: $175.14
  • Avera — Non-ACA PPO Facility: $229.30
  • Avera — Non-ACA PPO Non-Facility: $292.30
  • HealthPartners — All Products: $140.16
  • Medica — All Products & Medicare Advantage: $131.84
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: E/M, Level 4, New Pt $476 $285.60 $137.39 – $375.01
New patient office visit (about 45–59 minutes): 10 of 16 insurance plan rates
  • Avera — ACA PPO Facility: $183.44
  • Avera — ACA PPO Non-Facility: $233.84
  • Avera — ASO_AHEHBP Facility: $214.01
  • Avera — ASO_AHEHBP Non-Facility: $272.81
  • Avera — High Performance Network HMO Facility: $137.39
  • Avera — High Performance Network HMO Non-Facility: $175.14
  • Avera — Non-ACA PPO Facility: $229.30
  • Avera — Non-ACA PPO Non-Facility: $292.30
  • HealthPartners — All Products: $456.96
  • Medica — All Products & Medicare Advantage: $429.83
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: E/M, Level 4, New Pt $373 $223.80 $268.56 – $361.81
New patient office visit (about 45–59 minutes): 10 of 11 insurance plan rates
  • Americas — PPO: $361.81
  • Avera — All Products: $184.40
  • First Choice of the Midwest — All Products: $361.81
  • First Health Coventry — All Products: $361.81
  • HealthPartners — All Products: $358.08
  • Integrated Health Plan — All Products: $361.81
  • Medica — All Products & Medicare Advantage: $336.82
  • Multiplan — All Products: $335.70
  • Sanford — All Products: $346.89
  • TLC Advantage — All Products: $361.81
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Office Visit New Patient Level 4 $189 $113.40 $186.80 – $495.31
New patient office visit (about 60–74 minutes): 10 of 16 insurance plan rates
  • Avera — ACA PPO Facility: $249.41
  • Avera — ACA PPO Non-Facility: $307.97
  • Avera — ASO_AHEHBP Facility: $290.98
  • Avera — ASO_AHEHBP Non-Facility: $359.30
  • Avera — High Performance Network HMO Facility: $186.80
  • Avera — High Performance Network HMO Non-Facility: $230.66
  • Avera — Non-ACA PPO Facility: $311.76
  • Avera — Non-ACA PPO Non-Facility: $384.96
  • HealthPartners — All Products: $181.44
  • Medica — All Products & Medicare Advantage: $170.67
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: New patient, level 5 $462 $277.20 $186.80 – $495.31
New patient office visit (about 60–74 minutes): 10 of 16 insurance plan rates
  • Avera — ACA PPO Facility: $249.41
  • Avera — ACA PPO Non-Facility: $307.97
  • Avera — ASO_AHEHBP Facility: $290.98
  • Avera — ASO_AHEHBP Non-Facility: $359.30
  • Avera — High Performance Network HMO Facility: $186.80
  • Avera — High Performance Network HMO Non-Facility: $230.66
  • Avera — Non-ACA PPO Facility: $311.76
  • Avera — Non-ACA PPO Non-Facility: $384.96
  • HealthPartners — All Products: $443.52
  • Medica — All Products & Medicare Advantage: $417.19
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: New patient, level 5 $189 $113.40 $136.08 – $183.33
New patient office visit (about 60–74 minutes): 10 of 11 insurance plan rates
  • Americas — PPO: $183.33
  • Avera — All Products: $250.55
  • First Choice of the Midwest — All Products: $183.33
  • First Health Coventry — All Products: $183.33
  • HealthPartners — All Products: $181.44
  • Integrated Health Plan — All Products: $183.33
  • Medica — All Products & Medicare Advantage: $170.67
  • Multiplan — All Products: $170.10
  • Sanford — All Products: $175.77
  • TLC Advantage — All Products: $183.33
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Office Visit Established Pt Level 3 $71.50 $42.90 $68.24 – $204.22
Established patient office visit (about 20–29 minutes): 10 of 16 insurance plan rates
  • Avera — ACA PPO Facility: $91.11
  • Avera — ACA PPO Non-Facility: $128.07
  • Avera — ASO_AHEHBP Facility: $106.30
  • Avera — ASO_AHEHBP Non-Facility: $149.42
  • Avera — High Performance Network HMO Facility: $68.24
  • Avera — High Performance Network HMO Non-Facility: $95.92
  • Avera — Non-ACA PPO Facility: $113.89
  • Avera — Non-ACA PPO Non-Facility: $160.09
  • HealthPartners — All Products: $68.64
  • Medica — All Products & Medicare Advantage: $64.56
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Office/OP, Est, Level 3 $261 $156.60 $68.24 – $204.22
Established patient office visit (about 20–29 minutes): 10 of 16 insurance plan rates
  • Avera — ACA PPO Facility: $91.11
  • Avera — ACA PPO Non-Facility: $128.07
  • Avera — ASO_AHEHBP Facility: $106.30
  • Avera — ASO_AHEHBP Non-Facility: $149.42
  • Avera — High Performance Network HMO Facility: $68.24
  • Avera — High Performance Network HMO Non-Facility: $95.92
  • Avera — Non-ACA PPO Facility: $113.89
  • Avera — Non-ACA PPO Non-Facility: $160.09
  • HealthPartners — All Products: $250.56
  • Medica — All Products & Medicare Advantage: $235.68
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office/OP, Est, Level 3 $185 $111 $133.20 – $179.45
Established patient office visit (about 20–29 minutes): 10 of 11 insurance plan rates
  • Americas — PPO: $179.45
  • Avera — All Products: $91.59
  • First Choice of the Midwest — All Products: $179.45
  • First Health Coventry — All Products: $179.45
  • HealthPartners — All Products: $177.60
  • Integrated Health Plan — All Products: $179.45
  • Medica — All Products & Medicare Advantage: $167.06
  • Multiplan — All Products: $166.50
  • Sanford — All Products: $172.05
  • TLC Advantage — All Products: $179.45
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Office Visit Established Pt Level 4 $100 $60 $100.79 – $287.39
Established patient office visit (about 30–39 minutes): 10 of 16 insurance plan rates
  • Avera — ACA PPO Facility: $134.57
  • Avera — ACA PPO Non-Facility: $180.65
  • Avera — ASO_AHEHBP Facility: $156.99
  • Avera — ASO_AHEHBP Non-Facility: $210.75
  • Avera — High Performance Network HMO Facility: $100.79
  • Avera — High Performance Network HMO Non-Facility: $135.30
  • Avera — Non-ACA PPO Facility: $168.21
  • Avera — Non-ACA PPO Non-Facility: $225.81
  • HealthPartners — All Products: $96
  • Medica — All Products & Medicare Advantage: $90.30
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Office/OP Visit Level IV $366.50 $219.90 $100.79 – $287.39
Established patient office visit (about 30–39 minutes): 10 of 16 insurance plan rates
  • Avera — ACA PPO Facility: $134.57
  • Avera — ACA PPO Non-Facility: $180.65
  • Avera — ASO_AHEHBP Facility: $156.99
  • Avera — ASO_AHEHBP Non-Facility: $210.75
  • Avera — High Performance Network HMO Facility: $100.79
  • Avera — High Performance Network HMO Non-Facility: $135.30
  • Avera — Non-ACA PPO Facility: $168.21
  • Avera — Non-ACA PPO Non-Facility: $225.81
  • HealthPartners — All Products: $351.84
  • Medica — All Products & Medicare Advantage: $330.95
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office/OP Visit Level IV $272.50 $163.50 $196.20 – $264.33
Established patient office visit (about 30–39 minutes): 10 of 11 insurance plan rates
  • Americas — PPO: $264.33
  • Avera — All Products: $134.75
  • First Choice of the Midwest — All Products: $264.33
  • First Health Coventry — All Products: $264.33
  • HealthPartners — All Products: $261.60
  • Integrated Health Plan — All Products: $264.33
  • Medica — All Products & Medicare Advantage: $246.07
  • Multiplan — All Products: $245.25
  • Sanford — All Products: $253.43
  • TLC Advantage — All Products: $264.33
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Preventive Care New Pt 18-39 Years $107.50 $64.50 $97.07 – $104.28
Preventive checkup, new patient, age 18–39: rates for 8 insurance plans
  • HealthPartners — All Products: $103.20
  • Medica — All Products & Medicare Advantage: $97.07
  • Midlands — All Products Facility: $183.30
  • Midlands — All Products Non-Facility: $244.43
  • Sanford — All Products Facility: $207.93
  • Sanford — All Products Non-Facility: $289.61
  • TLC Advantage — All Products: $104.28
  • UHC — All Products Non-Facility: $273.08
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 $130.54
Preventive checkup, new patient, age 18–39: rates for 1 insurance plan
  • Avera — All Products: $130.54
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Preventive Care New Pt 40-64 Years $122 $73.20 $110.17 – $118.34
Preventive checkup, new patient, age 40–64: rates for 8 insurance plans
  • HealthPartners — All Products: $117.12
  • Medica — All Products & Medicare Advantage: $110.17
  • Midlands — All Products Facility: $222.84
  • Midlands — All Products Non-Facility: $283.98
  • Sanford — All Products Facility: $251.74
  • Sanford — All Products Non-Facility: $333.43
  • TLC Advantage — All Products: $118.34
  • UHC — All Products Non-Facility: $316.93
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 $158.27
Preventive checkup, new patient, age 40–64: rates for 1 insurance plan
  • Avera — All Products: $158.27
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: ER Visit Level 3 Pro Fee $380.50 $228.30 $72.08 – $156.69
Emergency room visit (moderate): 10 of 15 insurance plan rates
  • Avera — ACA PPO Facility: $96.24
  • Avera — ACA PPO Non-Facility: $96.24
  • Avera — ASO_AHEHBP Facility: $112.28
  • Avera — ASO_AHEHBP Non-Facility: $112.28
  • Avera — High Performance Network HMO Facility: $72.08
  • Avera — High Performance Network HMO Non-Facility: $72.08
  • Avera — Non-ACA PPO Facility: $120.30
  • Avera — Non-ACA PPO Non-Facility: $120.30
  • HealthPartners — All Products: $365.28
  • Medica — All Products & Medicare Advantage: $343.59
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER Visit Level 3 Facility Fee $527.50 $316.50 $379.80 – $511.68
Emergency room visit (moderate): 10 of 11 insurance plan rates
  • Americas — PPO: $511.68
  • Avera — All Products: $96.53
  • First Choice of the Midwest — All Products: $511.68
  • First Health Coventry — All Products: $511.68
  • HealthPartners — All Products: $506.40
  • Integrated Health Plan — All Products: $511.68
  • Medica — All Products & Medicare Advantage: $476.33
  • Multiplan — All Products: $474.75
  • Sanford — All Products: $490.58
  • TLC Advantage — All Products: $511.68
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: ER Visit Level 4 Pro Fee $594.50 $356.70 $122.62 – $267.34
Emergency room visit (moderately high): 10 of 15 insurance plan rates
  • Avera — ACA PPO Facility: $163.72
  • Avera — ACA PPO Non-Facility: $163.72
  • Avera — ASO_AHEHBP Facility: $191
  • Avera — ASO_AHEHBP Non-Facility: $191
  • Avera — High Performance Network HMO Facility: $122.62
  • Avera — High Performance Network HMO Non-Facility: $122.62
  • Avera — Non-ACA PPO Facility: $204.65
  • Avera — Non-ACA PPO Non-Facility: $204.65
  • HealthPartners — All Products: $570.72
  • Medica — All Products & Medicare Advantage: $536.83
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER Visit Level 4 Facility Fee $958 $574.80 $689.76 – $929.26
Emergency room visit (moderately high): 10 of 11 insurance plan rates
  • Americas — PPO: $929.26
  • Avera — All Products: $164.20
  • First Choice of the Midwest — All Products: $929.26
  • First Health Coventry — All Products: $929.26
  • HealthPartners — All Products: $919.68
  • Integrated Health Plan — All Products: $929.26
  • Medica — All Products & Medicare Advantage: $865.07
  • Multiplan — All Products: $862.20
  • Sanford — All Products: $890.94
  • TLC Advantage — All Products: $929.26
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: ER Visit Level 5 Pro Fee $853 $511.80 $177.61 – $387.64
Emergency room visit (high): 10 of 15 insurance plan rates
  • Avera — ACA PPO Facility: $237.14
  • Avera — ACA PPO Non-Facility: $237.14
  • Avera — ASO_AHEHBP Facility: $276.66
  • Avera — ASO_AHEHBP Non-Facility: $276.66
  • Avera — High Performance Network HMO Facility: $177.61
  • Avera — High Performance Network HMO Non-Facility: $177.61
  • Avera — Non-ACA PPO Facility: $296.43
  • Avera — Non-ACA PPO Non-Facility: $296.43
  • HealthPartners — All Products: $818.88
  • Medica — All Products & Medicare Advantage: $770.26
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ER Visit Level 5 Facility Fee $1,381 $828.60 $994.32 – $1,339.57
Emergency room visit (high): 10 of 11 insurance plan rates
  • Americas — PPO: $1,339.57
  • Avera — All Products: $237.80
  • First Choice of the Midwest — All Products: $1,339.57
  • First Health Coventry — All Products: $1,339.57
  • HealthPartners — All Products: $1,325.76
  • Integrated Health Plan — All Products: $1,339.57
  • Medica — All Products & Medicare Advantage: $1,247.04
  • Multiplan — All Products: $1,242.90
  • Sanford — All Products: $1,284.33
  • TLC Advantage — All Products: $1,339.57

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL $205 $123 $147.60 – $198.85
Basic metabolic panel (blood test): 10 of 12 insurance plan rates
  • Americas — PPO: $198.85
  • Avera — All Products: $8.46
  • First Choice of the Midwest — All Products: $198.85
  • First Health Coventry — All Products: $198.85
  • HealthPartners — All Products: $196.80
  • Integrated Health Plan — All Products: $198.85
  • Medica — All Products & Medicare Advantage: $185.12
  • Multiplan — All Products: $184.50
  • Sanford — All Products: $190.65
  • TLC Advantage — All Products: $198.85
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMP METABOLIC PANEL $278.50 $167.10 $200.52 – $270.15
Comprehensive metabolic panel (blood test): 10 of 12 insurance plan rates
  • Americas — PPO: $270.15
  • Avera — All Products: $10.56
  • First Choice of the Midwest — All Products: $270.15
  • First Health Coventry — All Products: $270.15
  • HealthPartners — All Products: $267.36
  • Integrated Health Plan — All Products: $270.15
  • Medica — All Products & Medicare Advantage: $251.49
  • Multiplan — All Products: $250.65
  • Sanford — All Products: $259.01
  • TLC Advantage — All Products: $270.15
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: .OB PANEL /c HIV $476.50 $285.90 $343.08 – $462.21
Obstetric blood test panel: 10 of 12 insurance plan rates
  • Americas — PPO: $462.21
  • Avera — All Products: $352.09
  • First Choice of the Midwest — All Products: $462.21
  • First Health Coventry — All Products: $462.21
  • HealthPartners — All Products: $457.44
  • Integrated Health Plan — All Products: $462.21
  • Medica — All Products & Medicare Advantage: $430.28
  • Multiplan — All Products: $428.85
  • Sanford — All Products: $443.15
  • TLC Advantage — All Products: $462.21
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipoprotein Metabolism Profile SF $283.50 $170.10 $204.12 – $275
Cholesterol panel (lipid panel): 10 of 12 insurance plan rates
  • Americas — PPO: $275
  • Avera — All Products: $13.39
  • First Choice of the Midwest — All Products: $275
  • First Health Coventry — All Products: $275
  • HealthPartners — All Products: $272.16
  • Integrated Health Plan — All Products: $275
  • Medica — All Products & Medicare Advantage: $256
  • Multiplan — All Products: $255.15
  • Sanford — All Products: $263.66
  • TLC Advantage — All Products: $275
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipid Plus Piccolo $132 $79.20 $95.04 – $128.04
Cholesterol panel (lipid panel): 10 of 12 insurance plan rates
  • Americas — PPO: $128.04
  • Avera — All Products: $13.39
  • First Choice of the Midwest — All Products: $128.04
  • First Health Coventry — All Products: $128.04
  • HealthPartners — All Products: $126.72
  • Integrated Health Plan — All Products: $128.04
  • Medica — All Products & Medicare Advantage: $119.20
  • Multiplan — All Products: $118.80
  • Sanford — All Products: $122.76
  • TLC Advantage — All Products: $128.04
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL $283.50 $170.10 $204.12 – $275
Cholesterol panel (lipid panel): 10 of 12 insurance plan rates
  • Americas — PPO: $275
  • Avera — All Products: $13.39
  • First Choice of the Midwest — All Products: $275
  • First Health Coventry — All Products: $275
  • HealthPartners — All Products: $272.16
  • Integrated Health Plan — All Products: $275
  • Medica — All Products & Medicare Advantage: $256
  • Multiplan — All Products: $255.15
  • Sanford — All Products: $263.66
  • TLC Advantage — All Products: $275
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL $308.50 $185.10 $222.12 – $299.25
Kidney function panel: 10 of 12 insurance plan rates
  • Americas — PPO: $299.25
  • Avera — All Products: $8.68
  • First Choice of the Midwest — All Products: $299.25
  • First Health Coventry — All Products: $299.25
  • HealthPartners — All Products: $296.16
  • Integrated Health Plan — All Products: $299.25
  • Medica — All Products & Medicare Advantage: $278.58
  • Multiplan — All Products: $277.65
  • Sanford — All Products: $286.91
  • TLC Advantage — All Products: $299.25
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL $262.50 $157.50 $189 – $254.63
Liver function panel: 10 of 12 insurance plan rates
  • Americas — PPO: $254.63
  • Avera — All Products: $8.17
  • First Choice of the Midwest — All Products: $254.63
  • First Health Coventry — All Products: $254.63
  • HealthPartners — All Products: $252
  • Integrated Health Plan — All Products: $254.63
  • Medica — All Products & Medicare Advantage: $237.04
  • Multiplan — All Products: $236.25
  • Sanford — All Products: $244.13
  • TLC Advantage — All Products: $254.63
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis with Microscopic $84 $50.40 $60.48 – $81.48
Urine test (automated, with microscope): 10 of 12 insurance plan rates
  • Americas — PPO: $81.48
  • Avera — All Products: $3.17
  • First Choice of the Midwest — All Products: $81.48
  • First Health Coventry — All Products: $81.48
  • HealthPartners — All Products: $80.64
  • Integrated Health Plan — All Products: $81.48
  • Medica — All Products & Medicare Advantage: $75.85
  • Multiplan — All Products: $75.60
  • Sanford — All Products: $78.12
  • TLC Advantage — All Products: $81.48
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 $25.28
Urine test (manual, without microscope): rates for 1 insurance plan
  • Wellmark — All Products: $25.28
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UA DIPSTICK ONLY $67 $40.20 $48.24 – $64.99
Urine test (automated, without microscope): 10 of 12 insurance plan rates
  • Americas — PPO: $64.99
  • Avera — All Products: $2.25
  • First Choice of the Midwest — All Products: $64.99
  • First Health Coventry — All Products: $64.99
  • HealthPartners — All Products: $64.32
  • Integrated Health Plan — All Products: $64.99
  • Medica — All Products & Medicare Advantage: $60.50
  • Multiplan — All Products: $60.30
  • Sanford — All Products: $62.31
  • TLC Advantage — All Products: $64.99
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: KETONES URINE $67 $40.20 $48.24 – $64.99
Urine test (automated, without microscope): 10 of 12 insurance plan rates
  • Americas — PPO: $64.99
  • Avera — All Products: $2.25
  • First Choice of the Midwest — All Products: $64.99
  • First Health Coventry — All Products: $64.99
  • HealthPartners — All Products: $64.32
  • Integrated Health Plan — All Products: $64.99
  • Medica — All Products & Medicare Advantage: $60.50
  • Multiplan — All Products: $60.30
  • Sanford — All Products: $62.31
  • TLC Advantage — All Products: $64.99
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GLUCOSE URINE $67 $40.20 $48.24 – $64.99
Urine test (automated, without microscope): 10 of 12 insurance plan rates
  • Americas — PPO: $64.99
  • Avera — All Products: $2.25
  • First Choice of the Midwest — All Products: $64.99
  • First Health Coventry — All Products: $64.99
  • HealthPartners — All Products: $64.32
  • Integrated Health Plan — All Products: $64.99
  • Medica — All Products & Medicare Advantage: $60.50
  • Multiplan — All Products: $60.30
  • Sanford — All Products: $62.31
  • TLC Advantage — All Products: $64.99
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSA DIAGNOSTIC $184 $110.40 $132.48 – $178.48
PSA (prostate specific antigen) blood test: 10 of 12 insurance plan rates
  • Americas — PPO: $178.48
  • Avera — All Products: $18.39
  • First Choice of the Midwest — All Products: $178.48
  • First Health Coventry — All Products: $178.48
  • HealthPartners — All Products: $176.64
  • Integrated Health Plan — All Products: $178.48
  • Medica — All Products & Medicare Advantage: $166.15
  • Multiplan — All Products: $165.60
  • Sanford — All Products: $171.12
  • TLC Advantage — All Products: $178.48
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TSH $208.50 $125.10 $150.12 – $202.25
Thyroid stimulating hormone (TSH) test: 10 of 12 insurance plan rates
  • Americas — PPO: $202.25
  • Avera — All Products: $16.80
  • First Choice of the Midwest — All Products: $202.25
  • First Health Coventry — All Products: $202.25
  • HealthPartners — All Products: $200.16
  • Integrated Health Plan — All Products: $202.25
  • Medica — All Products & Medicare Advantage: $188.28
  • Multiplan — All Products: $187.65
  • Sanford — All Products: $193.91
  • TLC Advantage — All Products: $202.25
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC PLATELETS AUTO DIFF $173.50 $104.10 $124.92 – $168.30
Complete blood count (CBC) with differential: 10 of 12 insurance plan rates
  • Americas — PPO: $168.30
  • Avera — All Products: $7.77
  • First Choice of the Midwest — All Products: $168.30
  • First Health Coventry — All Products: $168.30
  • HealthPartners — All Products: $166.56
  • Integrated Health Plan — All Products: $168.30
  • Medica — All Products & Medicare Advantage: $156.67
  • Multiplan — All Products: $156.15
  • Sanford — All Products: $161.36
  • TLC Advantage — All Products: $168.30
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC w/ Man Diff $173.50 $104.10 $124.92 – $168.30
Complete blood count (CBC), automated: 10 of 12 insurance plan rates
  • Americas — PPO: $168.30
  • Avera — All Products: $6.47
  • First Choice of the Midwest — All Products: $168.30
  • First Health Coventry — All Products: $168.30
  • HealthPartners — All Products: $166.56
  • Integrated Health Plan — All Products: $168.30
  • Medica — All Products & Medicare Advantage: $156.67
  • Multiplan — All Products: $156.15
  • Sanford — All Products: $161.36
  • TLC Advantage — All Products: $168.30
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC without Differential $140 $84 $100.80 – $135.80
Complete blood count (CBC), automated: 10 of 12 insurance plan rates
  • Americas — PPO: $135.80
  • Avera — All Products: $6.47
  • First Choice of the Midwest — All Products: $135.80
  • First Health Coventry — All Products: $135.80
  • HealthPartners — All Products: $134.40
  • Integrated Health Plan — All Products: $135.80
  • Medica — All Products & Medicare Advantage: $126.42
  • Multiplan — All Products: $126
  • Sanford — All Products: $130.20
  • TLC Advantage — All Products: $135.80
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTIME WITH INR $106 $63.60 $76.32 – $102.82
Blood clotting time test (prothrombin time, PT): 10 of 12 insurance plan rates
  • Americas — PPO: $102.82
  • Avera — All Products: $4.29
  • First Choice of the Midwest — All Products: $102.82
  • First Health Coventry — All Products: $102.82
  • HealthPartners — All Products: $101.76
  • Integrated Health Plan — All Products: $102.82
  • Medica — All Products & Medicare Advantage: $95.72
  • Multiplan — All Products: $95.40
  • Sanford — All Products: $98.58
  • TLC Advantage — All Products: $102.82
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PARTIAL THROMBOPLASTIN TIME $212 $127.20 $152.64 – $205.64
Blood clotting test (partial thromboplastin time, PTT): 10 of 12 insurance plan rates
  • Americas — PPO: $205.64
  • Avera — All Products: $6.01
  • First Choice of the Midwest — All Products: $205.64
  • First Health Coventry — All Products: $205.64
  • HealthPartners — All Products: $203.52
  • Integrated Health Plan — All Products: $205.64
  • Medica — All Products & Medicare Advantage: $191.44
  • Multiplan — All Products: $190.80
  • Sanford — All Products: $197.16
  • TLC Advantage — All Products: $205.64

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT HEAD/BRAIN W/O DYE Not listed in the file Not listed in the file $183.49
CT scan of the head or brain, without contrast: rates for 1 insurance plan
  • Avera — All Products: $183.49
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 WO CM $2,183 $1,309.80 $1,571.76 – $2,117.51
CT scan of the head or brain, without contrast: 10 of 12 insurance plan rates
  • Americas — PPO: $2,117.51
  • Avera — All Products: $1,613.02
  • First Choice of the Midwest — All Products: $2,117.51
  • First Health Coventry — All Products: $2,117.51
  • HealthPartners — All Products: $2,095.68
  • Integrated Health Plan — All Products: $2,117.51
  • Medica — All Products & Medicare Advantage: $1,971.25
  • Multiplan — All Products: $1,964.70
  • Sanford — All Products: $2,030.19
  • TLC Advantage — All Products: $2,117.51
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: PROFEE CT Head w/o Contrast $121 $72.60 $109.26 – $117.37
CT scan of the head or brain, without contrast: rates for 7 insurance plans
  • HealthPartners — All Products: $116.16
  • Medica — All Products & Medicare Advantage: $109.26
  • Midlands — All Products Facility: $98.58
  • Midlands — All Products Non-Facility: $98.58
  • Sanford — All Products Non-Facility: $89.11
  • TLC Advantage — All Products: $117.37
  • UHC — All Products Non-Facility: $89.67
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: MRI BRAIN WWO CM $5,211.50 $3,126.90 $3,752.28 – $5,055.16
MRI of the brain, before and after contrast: 10 of 12 insurance plan rates
  • Americas — PPO: $5,055.16
  • Avera — All Products: $3,850.78
  • First Choice of the Midwest — All Products: $5,055.16
  • First Health Coventry — All Products: $5,055.16
  • HealthPartners — All Products: $5,003.04
  • Integrated Health Plan — All Products: $5,055.16
  • Medica — All Products & Medicare Advantage: $4,705.98
  • Multiplan — All Products: $4,690.35
  • Sanford — All Products: $4,846.70
  • TLC Advantage — All Products: $5,055.16
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: MRI IAC WWO CM $5,211.50 $3,126.90 $3,752.28 – $5,055.16
MRI of the brain, before and after contrast: 10 of 12 insurance plan rates
  • Americas — PPO: $5,055.16
  • Avera — All Products: $3,850.78
  • First Choice of the Midwest — All Products: $5,055.16
  • First Health Coventry — All Products: $5,055.16
  • HealthPartners — All Products: $5,003.04
  • Integrated Health Plan — All Products: $5,055.16
  • Medica — All Products & Medicare Advantage: $4,705.98
  • Multiplan — All Products: $4,690.35
  • Sanford — All Products: $4,846.70
  • TLC Advantage — All Products: $5,055.16
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: MRI PITUITARY WWO CM $5,211.50 $3,126.90 $3,752.28 – $5,055.16
MRI of the brain, before and after contrast: 10 of 12 insurance plan rates
  • Americas — PPO: $5,055.16
  • Avera — All Products: $3,850.78
  • First Choice of the Midwest — All Products: $5,055.16
  • First Health Coventry — All Products: $5,055.16
  • HealthPartners — All Products: $5,003.04
  • Integrated Health Plan — All Products: $5,055.16
  • Medica — All Products & Medicare Advantage: $4,705.98
  • Multiplan — All Products: $4,690.35
  • Sanford — All Products: $4,846.70
  • TLC Advantage — All Products: $5,055.16
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 $56.87
Chest X-ray, 2 views: rates for 1 insurance plan
  • Avera — All Products: $56.87
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: CHEST TWO VIEWS PA and LATERAL $522.50 $313.50 $376.20 – $506.83
Chest X-ray, 2 views: 10 of 12 insurance plan rates
  • Americas — PPO: $506.83
  • Avera — All Products: $386.08
  • First Choice of the Midwest — All Products: $506.83
  • First Health Coventry — All Products: $506.83
  • HealthPartners — All Products: $501.60
  • Integrated Health Plan — All Products: $506.83
  • Medica — All Products & Medicare Advantage: $471.82
  • Multiplan — All Products: $470.25
  • Sanford — All Products: $485.93
  • TLC Advantage — All Products: $506.83
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: PROFEE XR Chest 2 Views $50 $30 $45.15 – $48.50
Chest X-ray, 2 views: rates for 7 insurance plans
  • HealthPartners — All Products: $48
  • Medica — All Products & Medicare Advantage: $45.15
  • Midlands — All Products Facility: $25.43
  • Midlands — All Products Non-Facility: $25.43
  • Sanford — All Products Non-Facility: $23.02
  • TLC Advantage — All Products: $48.50
  • UHC — All Products Non-Facility: $22.91
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 $88.22
X-ray of the lower spine, at least 4 views: rates for 1 insurance plan
  • Avera — All Products: $88.22
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: LUMBAR SPINE AP LAT FLEX EXT $940 $564 $676.80 – $911.80
X-ray of the lower spine, at least 4 views: 10 of 12 insurance plan rates
  • Americas — PPO: $911.80
  • Avera — All Products: $694.57
  • First Choice of the Midwest — All Products: $911.80
  • First Health Coventry — All Products: $911.80
  • HealthPartners — All Products: $902.40
  • Integrated Health Plan — All Products: $911.80
  • Medica — All Products & Medicare Advantage: $848.82
  • Multiplan — All Products: $846
  • Sanford — All Products: $874.20
  • TLC Advantage — All Products: $911.80
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: LUMBAR SPINE AP LAT OBLIQUES $940 $564 $676.80 – $911.80
X-ray of the lower spine, at least 4 views: 10 of 12 insurance plan rates
  • Americas — PPO: $911.80
  • Avera — All Products: $694.57
  • First Choice of the Midwest — All Products: $911.80
  • First Health Coventry — All Products: $911.80
  • HealthPartners — All Products: $902.40
  • Integrated Health Plan — All Products: $911.80
  • Medica — All Products & Medicare Advantage: $848.82
  • Multiplan — All Products: $846
  • Sanford — All Products: $874.20
  • TLC Advantage — All Products: $911.80
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 $328.57
MRI of the lower back (lumbar spine), without contrast: rates for 1 insurance plan
  • Avera — All Products: $328.57
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: MRI LUMBAR WO CM $5,337.50 $3,202.50 $3,843 – $5,177.38
MRI of the lower back (lumbar spine), without contrast: 10 of 12 insurance plan rates
  • Americas — PPO: $5,177.38
  • Avera — All Products: $3,943.88
  • First Choice of the Midwest — All Products: $5,177.38
  • First Health Coventry — All Products: $5,177.38
  • HealthPartners — All Products: $5,124
  • Integrated Health Plan — All Products: $5,177.38
  • Medica — All Products & Medicare Advantage: $4,819.76
  • Multiplan — All Products: $4,803.75
  • Sanford — All Products: $4,963.88
  • TLC Advantage — All Products: $5,177.38
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: PROFEE MRI Spine Lumbar w/o Contrast $169 $101.40 $152.61 – $163.93
MRI of the lower back (lumbar spine), without contrast: rates for 7 insurance plans
  • HealthPartners — All Products: $162.24
  • Medica — All Products & Medicare Advantage: $152.61
  • Midlands — All Products Facility: $172.54
  • Midlands — All Products Non-Facility: $172.54
  • Sanford — All Products Non-Facility: $155.20
  • TLC Advantage — All Products: $163.93
  • UHC — All Products Non-Facility: $156.43
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: CT PELVIS W IV AND GASTRO $3,404.50 $2,042.70 $2,451.24 – $3,302.37
CT scan of the pelvis, with contrast: 10 of 12 insurance plan rates
  • Americas — PPO: $3,302.37
  • Avera — All Products: $2,515.59
  • First Choice of the Midwest — All Products: $3,302.37
  • First Health Coventry — All Products: $3,302.37
  • HealthPartners — All Products: $3,268.32
  • Integrated Health Plan — All Products: $3,302.37
  • Medica — All Products & Medicare Advantage: $3,074.26
  • Multiplan — All Products: $3,064.05
  • Sanford — All Products: $3,166.19
  • TLC Advantage — All Products: $3,302.37
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: PROFEE CT Pelvis w/ Contrast $131.80 $79.08 $119.02 – $127.85
CT scan of the pelvis, with contrast: rates for 7 insurance plans
  • HealthPartners — All Products: $126.53
  • Medica — All Products & Medicare Advantage: $119.02
  • Midlands — All Products Facility: $135.13
  • Midlands — All Products Non-Facility: $135.13
  • Sanford — All Products Non-Facility: $121.04
  • TLC Advantage — All Products: $127.85
  • UHC — All Products Non-Facility: $121.93
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 $349.66
MRI of a leg joint (such as the knee), without contrast: rates for 1 insurance plan
  • Avera — All Products: $349.66
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 HIP RT WO CM $5,211.50 $3,126.90 $3,752.28 – $5,055.16
MRI of a leg joint (such as the knee), without contrast: 10 of 12 insurance plan rates
  • Americas — PPO: $5,055.16
  • Avera — All Products: $3,850.78
  • First Choice of the Midwest — All Products: $5,055.16
  • First Health Coventry — All Products: $5,055.16
  • HealthPartners — All Products: $5,003.04
  • Integrated Health Plan — All Products: $5,055.16
  • Medica — All Products & Medicare Advantage: $4,705.98
  • Multiplan — All Products: $4,690.35
  • Sanford — All Products: $4,846.70
  • TLC Advantage — All Products: $5,055.16
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 HIP LT WO CM $5,211.50 $3,126.90 $3,752.28 – $5,055.16
MRI of a leg joint (such as the knee), without contrast: 10 of 12 insurance plan rates
  • Americas — PPO: $5,055.16
  • Avera — All Products: $3,850.78
  • First Choice of the Midwest — All Products: $5,055.16
  • First Health Coventry — All Products: $5,055.16
  • HealthPartners — All Products: $5,003.04
  • Integrated Health Plan — All Products: $5,055.16
  • Medica — All Products & Medicare Advantage: $4,705.98
  • Multiplan — All Products: $4,690.35
  • Sanford — All Products: $4,846.70
  • TLC Advantage — All Products: $5,055.16
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 $519.60
CT scan of the abdomen and pelvis, with contrast: rates for 1 insurance plan
  • Avera — All Products: $519.60
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 IV AND GASTRO $4,391 $2,634.60 $3,161.52 – $4,259.27
CT scan of the abdomen and pelvis, with contrast: 10 of 12 insurance plan rates
  • Americas — PPO: $4,259.27
  • Avera — All Products: $3,244.51
  • First Choice of the Midwest — All Products: $4,259.27
  • First Health Coventry — All Products: $4,259.27
  • HealthPartners — All Products: $4,215.36
  • Integrated Health Plan — All Products: $4,259.27
  • Medica — All Products & Medicare Advantage: $3,965.07
  • Multiplan — All Products: $3,951.90
  • Sanford — All Products: $4,083.63
  • TLC Advantage — All Products: $4,259.27
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier 26 In the file: PROFEE CT Abdomen and Pelvis w/ Contrast $203.50 $122.10 $183.76 – $197.40
CT scan of the abdomen and pelvis, with contrast: rates for 7 insurance plans
  • HealthPartners — All Products: $195.36
  • Medica — All Products & Medicare Advantage: $183.76
  • Midlands — All Products Facility: $212.17
  • Midlands — All Products Non-Facility: $212.17
  • Sanford — All Products Non-Facility: $191.59
  • TLC Advantage — All Products: $197.40
  • UHC — All Products Non-Facility: $191.40
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: US Abdominal Complete Non OB Global $828 $496.80 $747.68 – $803.16
Ultrasound of the abdomen, complete: rates for 7 insurance plans
  • HealthPartners — All Products: $794.88
  • Medica — All Products & Medicare Advantage: $747.68
  • Midlands — All Products Facility: $271.77
  • Midlands — All Products Non-Facility: $271.77
  • Sanford — All Products Non-Facility: $256.94
  • TLC Advantage — All Products: $803.16
  • UHC — All Products Non-Facility: $260
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: US Abdominal Complete Non OB Profee $217 $130.20 $195.95 – $210.49
Ultrasound of the abdomen, complete: rates for 7 insurance plans
  • HealthPartners — All Products: $208.32
  • Medica — All Products & Medicare Advantage: $195.95
  • Midlands — All Products Facility: $271.77
  • Midlands — All Products Non-Facility: $271.77
  • Sanford — All Products Non-Facility: $256.94
  • TLC Advantage — All Products: $210.49
  • UHC — All Products Non-Facility: $260
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 $195.11
Ultrasound of the abdomen, complete: rates for 1 insurance plan
  • Avera — All Products: $195.11
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: US OB Fetal/Maternal Eval >= 14 Weeks $541.50 $324.90 $488.97 – $525.26
Pregnancy ultrasound (after the first trimester): rates for 7 insurance plans
  • HealthPartners — All Products: $519.84
  • Medica — All Products & Medicare Advantage: $488.97
  • Midlands — All Products Facility: $313.83
  • Midlands — All Products Non-Facility: $313.83
  • Sanford — All Products Non-Facility: $298.53
  • TLC Advantage — All Products: $525.26
  • UHC — All Products Non-Facility: $302.34
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: US OB Fetal/Maternal Eval >= 14 Weeks Global $741 $444.60 $669.12 – $718.77
Pregnancy ultrasound (after the first trimester): rates for 7 insurance plans
  • HealthPartners — All Products: $711.36
  • Medica — All Products & Medicare Advantage: $669.12
  • Midlands — All Products Facility: $313.83
  • Midlands — All Products Non-Facility: $313.83
  • Sanford — All Products Non-Facility: $298.53
  • TLC Advantage — All Products: $718.77
  • UHC — All Products Non-Facility: $302.34
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: US OB Fetal/Maternal Eval >= 14 Weeks Profee $199 $119.40 $179.70 – $193.03
Pregnancy ultrasound (after the first trimester): rates for 7 insurance plans
  • HealthPartners — All Products: $191.04
  • Medica — All Products & Medicare Advantage: $179.70
  • Midlands — All Products Facility: $313.83
  • Midlands — All Products Non-Facility: $313.83
  • Sanford — All Products Non-Facility: $298.53
  • TLC Advantage — All Products: $193.03
  • UHC — All Products Non-Facility: $302.34
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: US Transvaginal (Not OB) $482 $289.20 $145.30 – $271.64
Transvaginal ultrasound: 10 of 15 insurance plan rates
  • Avera — ACA PPO Facility: $202.30
  • Avera — ACA PPO Non-Facility: $202.30
  • Avera — ASO_AHEHBP Facility: $216.50
  • Avera — ASO_AHEHBP Non-Facility: $216.50
  • Avera — High Performance Network HMO Facility: $145.30
  • Avera — High Performance Network HMO Non-Facility: $145.30
  • Avera — Non-ACA PPO Facility: $223.59
  • Avera — Non-ACA PPO Non-Facility: $223.59
  • HealthPartners — All Products: $462.72
  • Medica — All Products & Medicare Advantage: $435.25
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: US Transvaginal (Not OB) Global $648 $388.80 $145.30 – $271.64
Transvaginal ultrasound: 10 of 15 insurance plan rates
  • Avera — ACA PPO Facility: $202.30
  • Avera — ACA PPO Non-Facility: $202.30
  • Avera — ASO_AHEHBP Facility: $216.50
  • Avera — ASO_AHEHBP Non-Facility: $216.50
  • Avera — High Performance Network HMO Facility: $145.30
  • Avera — High Performance Network HMO Non-Facility: $145.30
  • Avera — Non-ACA PPO Facility: $223.59
  • Avera — Non-ACA PPO Non-Facility: $223.59
  • HealthPartners — All Products: $622.08
  • Medica — All Products & Medicare Advantage: $585.14
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: US Transvaginal (Not OB) Profee $166 $99.60 $145.30 – $271.64
Transvaginal ultrasound: 10 of 15 insurance plan rates
  • Avera — ACA PPO Facility: $202.30
  • Avera — ACA PPO Non-Facility: $202.30
  • Avera — ASO_AHEHBP Facility: $216.50
  • Avera — ASO_AHEHBP Non-Facility: $216.50
  • Avera — High Performance Network HMO Facility: $145.30
  • Avera — High Performance Network HMO Non-Facility: $145.30
  • Avera — Non-ACA PPO Facility: $223.59
  • Avera — Non-ACA PPO Non-Facility: $223.59
  • HealthPartners — All Products: $159.36
  • Medica — All Products & Medicare Advantage: $149.90
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 $212.78
Diagnostic mammogram, one breast: rates for 1 insurance plan
  • Avera — All Products: $212.78
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Diagnostic Mammo w/CAD, RT $780.50 $468.30 $561.96 – $757.09
Diagnostic mammogram, one breast: 10 of 12 insurance plan rates
  • Americas — PPO: $757.09
  • Avera — All Products: $576.71
  • First Choice of the Midwest — All Products: $757.09
  • First Health Coventry — All Products: $757.09
  • HealthPartners — All Products: $749.28
  • Integrated Health Plan — All Products: $757.09
  • Medica — All Products & Medicare Advantage: $704.79
  • Multiplan — All Products: $702.45
  • Sanford — All Products: $725.87
  • TLC Advantage — All Products: $757.09
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Diagnostic Mammo w/CAD, LT $780.50 $468.30 $561.96 – $757.09
Diagnostic mammogram, one breast: 10 of 12 insurance plan rates
  • Americas — PPO: $757.09
  • Avera — All Products: $576.71
  • First Choice of the Midwest — All Products: $757.09
  • First Health Coventry — All Products: $757.09
  • HealthPartners — All Products: $749.28
  • Integrated Health Plan — All Products: $757.09
  • Medica — All Products & Medicare Advantage: $704.79
  • Multiplan — All Products: $702.45
  • Sanford — All Products: $725.87
  • TLC Advantage — All Products: $757.09
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 $268.64
Diagnostic mammogram, both breasts: rates for 1 insurance plan
  • Avera — All Products: $268.64
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Diagnostic Mammo w/ CAD, Bilateral $780.50 $468.30 $561.96 – $757.09
Diagnostic mammogram, both breasts: 10 of 12 insurance plan rates
  • Americas — PPO: $757.09
  • Avera — All Products: $576.71
  • First Choice of the Midwest — All Products: $757.09
  • First Health Coventry — All Products: $757.09
  • HealthPartners — All Products: $749.28
  • Integrated Health Plan — All Products: $757.09
  • Medica — All Products & Medicare Advantage: $704.79
  • Multiplan — All Products: $702.45
  • Sanford — All Products: $725.87
  • TLC Advantage — All Products: $757.09
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: Diagnostic mammo, post clip, bilateral $1,561 $936.60 $1,123.92 – $1,514.17
Diagnostic mammogram, both breasts: 10 of 12 insurance plan rates
  • Americas — PPO: $1,514.17
  • Avera — All Products: $1,153.42
  • First Choice of the Midwest — All Products: $1,514.17
  • First Health Coventry — All Products: $1,514.17
  • HealthPartners — All Products: $1,498.56
  • Integrated Health Plan — All Products: $1,514.17
  • Medica — All Products & Medicare Advantage: $1,409.58
  • Multiplan — All Products: $1,404.90
  • Sanford — All Products: $1,451.73
  • TLC Advantage — All Products: $1,514.17
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 $217.69
Screening mammogram, both breasts: rates for 1 insurance plan
  • Avera — All Products: $217.69
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: MM DIGITAL MAMMO SCR UNI RT W CAD $780.50 $468.30 $561.96 – $757.09
Screening mammogram, both breasts: 10 of 12 insurance plan rates
  • Americas — PPO: $757.09
  • Avera — All Products: $576.71
  • First Choice of the Midwest — All Products: $757.09
  • First Health Coventry — All Products: $757.09
  • HealthPartners — All Products: $749.28
  • Integrated Health Plan — All Products: $757.09
  • Medica — All Products & Medicare Advantage: $704.79
  • Multiplan — All Products: $702.45
  • Sanford — All Products: $725.87
  • TLC Advantage — All Products: $757.09
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: MM DIGITAL MAMMO SCR UNI LT W CAD $780.50 $468.30 $561.96 – $757.09
Screening mammogram, both breasts: 10 of 12 insurance plan rates
  • Americas — PPO: $757.09
  • Avera — All Products: $576.71
  • First Choice of the Midwest — All Products: $757.09
  • First Health Coventry — All Products: $757.09
  • HealthPartners — All Products: $749.28
  • Integrated Health Plan — All Products: $757.09
  • Medica — All Products & Medicare Advantage: $704.79
  • Multiplan — All Products: $702.45
  • Sanford — All Products: $725.87
  • TLC Advantage — All Products: $757.09

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: EKG with Interpretation and Report $426.50 $255.90 $15.01 – $35.26
Electrocardiogram (ECG/EKG) with reading: 10 of 15 insurance plan rates
  • Avera — ACA PPO Facility: $20.46
  • Avera — ACA PPO Non-Facility: $20.46
  • Avera — ASO_AHEHBP Facility: $22.97
  • Avera — ASO_AHEHBP Non-Facility: $22.97
  • Avera — High Performance Network HMO Facility: $15.01
  • Avera — High Performance Network HMO Non-Facility: $15.01
  • Avera — Non-ACA PPO Facility: $24.64
  • Avera — Non-ACA PPO Non-Facility: $24.64
  • HealthPartners — All Products: $409.44
  • Medica — All Products & Medicare Advantage: $385.13
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 $20.46
Electrocardiogram (ECG/EKG) with reading: rates for 1 insurance plan
  • Avera — All Products: $20.46
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 $86.56
Electrocardiogram (ECG/EKG) with reading: rates for 1 insurance plan
  • Wellmark — All Products: $86.56
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 $4,922.32
Left heart catheterization (diagnostic): rates for 1 insurance plan
  • Wellmark — All Products: $4,922.32
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 $14,809.08
Heart rhythm study (electrophysiology evaluation): rates for 1 insurance plan
  • Wellmark — All Products: $14,809.08
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 $28,178.08
Heart rhythm study with ablation for atrial fibrillation: rates for 1 insurance plan
  • Wellmark — All Products: $28,178.08
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: EEG PSG POLYSOMNOGRAPHY $7,295.50 $4,377.30 $5,252.76 – $7,076.64
Sleep study (overnight, in a sleep lab): 10 of 12 insurance plan rates
  • Americas — PPO: $7,076.64
  • Avera — All Products: $5,390.64
  • First Choice of the Midwest — All Products: $7,076.64
  • First Health Coventry — All Products: $7,076.64
  • HealthPartners — All Products: $7,003.68
  • Integrated Health Plan — All Products: $7,076.64
  • Medica — All Products & Medicare Advantage: $6,587.84
  • Multiplan — All Products: $6,565.95
  • Sanford — All Products: $6,784.82
  • TLC Advantage — All Products: $7,076.64

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: Therapuetic Exercise by PTA $226 $135.60 $162.72 – $219.22
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 12 insurance plan rates
  • Americas — PPO: $219.22
  • Avera — All Products: $166.99
  • First Choice of the Midwest — All Products: $219.22
  • First Health Coventry — All Products: $219.22
  • HealthPartners — All Products: $216.96
  • Integrated Health Plan — All Products: $219.22
  • Medica — All Products & Medicare Advantage: $204.08
  • Multiplan — All Products: $203.40
  • Sanford — All Products: $210.18
  • TLC Advantage — All Products: $219.22
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT THERAPEUTIC EXERCISE $226 $135.60 $162.72 – $219.22
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 12 insurance plan rates
  • Americas — PPO: $219.22
  • Avera — All Products: $166.99
  • First Choice of the Midwest — All Products: $219.22
  • First Health Coventry — All Products: $219.22
  • HealthPartners — All Products: $216.96
  • Integrated Health Plan — All Products: $219.22
  • Medica — All Products & Medicare Advantage: $204.08
  • Multiplan — All Products: $203.40
  • Sanford — All Products: $210.18
  • TLC Advantage — All Products: $219.22
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GO In the file: OT THERAPEUTIC EXERCISE $226 $135.60 $162.72 – $219.22
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 12 insurance plan rates
  • Americas — PPO: $219.22
  • Avera — All Products: $166.99
  • First Choice of the Midwest — All Products: $219.22
  • First Health Coventry — All Products: $219.22
  • HealthPartners — All Products: $216.96
  • Integrated Health Plan — All Products: $219.22
  • Medica — All Products & Medicare Advantage: $204.08
  • Multiplan — All Products: $203.40
  • Sanford — All Products: $210.18
  • TLC Advantage — All Products: $219.22
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 $117.21
Physical therapy evaluation (low complexity): rates for 1 insurance plan
  • Avera — All Products: $117.21
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL LOW COMPLEX $420 $252 $302.40 – $407.40
Physical therapy evaluation (low complexity): 10 of 12 insurance plan rates
  • Americas — PPO: $407.40
  • Avera — All Products: $310.34
  • First Choice of the Midwest — All Products: $407.40
  • First Health Coventry — All Products: $407.40
  • HealthPartners — All Products: $403.20
  • Integrated Health Plan — All Products: $407.40
  • Medica — All Products & Medicare Advantage: $379.26
  • Multiplan — All Products: $378
  • Sanford — All Products: $390.60
  • TLC Advantage — All Products: $407.40
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL MOD COMPLEX $522 $313.20 $375.84 – $506.34
Physical therapy evaluation (moderate complexity): 10 of 12 insurance plan rates
  • Americas — PPO: $506.34
  • Avera — All Products: $385.71
  • First Choice of the Midwest — All Products: $506.34
  • First Health Coventry — All Products: $506.34
  • HealthPartners — All Products: $501.12
  • Integrated Health Plan — All Products: $506.34
  • Medica — All Products & Medicare Advantage: $471.37
  • Multiplan — All Products: $469.80
  • Sanford — All Products: $485.46
  • TLC Advantage — All Products: $506.34
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT EVAL HIGH COMPLEX $549.50 $329.70 $395.64 – $533.02
Physical therapy evaluation (high complexity): 10 of 12 insurance plan rates
  • Americas — PPO: $533.02
  • Avera — All Products: $406.03
  • First Choice of the Midwest — All Products: $533.02
  • First Health Coventry — All Products: $533.02
  • HealthPartners — All Products: $527.52
  • Integrated Health Plan — All Products: $533.02
  • Medica — All Products & Medicare Advantage: $496.20
  • Multiplan — All Products: $494.55
  • Sanford — All Products: $511.04
  • TLC Advantage — All Products: $533.02
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 $137.11
Psychotherapy, 30 minutes: rates for 1 insurance plan
  • Wellmark — All Products: $137.11
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 $273.46
Psychotherapy, 45 minutes: rates for 1 insurance plan
  • Wellmark — All Products: $273.46
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 $273.46
Psychotherapy, 60 minutes: rates for 1 insurance plan
  • Wellmark — All Products: $273.46
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 $238.23
Family psychotherapy, without the patient: rates for 1 insurance plan
  • Wellmark — All Products: $238.23
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 $238.23
Family psychotherapy, with the patient: rates for 1 insurance plan
  • Wellmark — All Products: $238.23
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 $178.48
Group psychotherapy: rates for 1 insurance plan
  • Wellmark — All Products: $178.48

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Excision of cyst fibroadenoma or other benign or malig $958.90 $575.34 $865.89 – $930.13
Removal of breast growth (open surgery): rates for 8 insurance plans
  • HealthPartners — All Products: $920.54
  • Medica — All Products & Medicare Advantage: $865.89
  • Midlands — All Products Facility: $902.72
  • Midlands — All Products Non-Facility: $1,087.84
  • Sanford — All Products Facility: $947.56
  • Sanford — All Products Non-Facility: $1,171.82
  • TLC Advantage — All Products: $930.13
  • UHC — All Products Non-Facility: $998.53
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Excision Cyst/Fibroadenoma/Tumor/Tissue/Lesion Open $2,464.50 $1,478.70 $2,225.44 – $2,390.57
Removal of breast growth (open surgery): rates for 8 insurance plans
  • HealthPartners — All Products: $2,365.92
  • Medica — All Products & Medicare Advantage: $2,225.44
  • Midlands — All Products Facility: $902.72
  • Midlands — All Products Non-Facility: $1,087.84
  • Sanford — All Products Facility: $947.56
  • Sanford — All Products Non-Facility: $1,171.82
  • TLC Advantage — All Products: $2,390.57
  • UHC — All Products Non-Facility: $998.53
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 $2,921.52
Removal of breast growth (open surgery): rates for 1 insurance plan
  • Wellmark — All Products: $2,921.52
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Arthroplasty Total Hip $7,773.50 $4,664.10 $1,479.55 – $2,995.48
Total hip replacement: 10 of 15 insurance plan rates
  • Avera — ACA PPO Facility: $2,457.48
  • Avera — ACA PPO Non-Facility: $2,457.48
  • Avera — ASO_AHEHBP Facility: $2,602.04
  • Avera — ASO_AHEHBP Non-Facility: $2,602.04
  • Avera — High Performance Network HMO Facility: $1,479.55
  • Avera — High Performance Network HMO Non-Facility: $1,479.55
  • Avera — Non-ACA PPO Facility: $2,710.46
  • Avera — Non-ACA PPO Non-Facility: $2,710.46
  • HealthPartners — All Products: $7,462.56
  • Medica — All Products & Medicare Advantage: $7,019.47
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 $2,479.56
Total hip replacement: rates for 1 insurance plan
  • Avera — All Products: $2,479.56
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 $23,318.57
Total hip replacement: rates for 1 insurance plan
  • Wellmark — All Products: $23,318.57
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Arthroplasty Knee Total (TKA) $6,429.50 $3,857.70 $1,477.60 – $2,993.94
Total knee replacement: 10 of 15 insurance plan rates
  • Avera — ACA PPO Facility: $2,454.24
  • Avera — ACA PPO Non-Facility: $2,454.24
  • Avera — ASO_AHEHBP Facility: $2,598.61
  • Avera — ASO_AHEHBP Non-Facility: $2,598.61
  • Avera — High Performance Network HMO Facility: $1,477.60
  • Avera — High Performance Network HMO Non-Facility: $1,477.60
  • Avera — Non-ACA PPO Facility: $2,706.89
  • Avera — Non-ACA PPO Non-Facility: $2,706.89
  • HealthPartners — All Products: $6,172.32
  • Medica — All Products & Medicare Advantage: $5,805.84
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 $2,476.58
Total knee replacement: rates for 1 insurance plan
  • Avera — All Products: $2,476.58
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 $23,318.57
Total knee replacement: rates for 1 insurance plan
  • Wellmark — All Products: $23,318.57
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Arthroscopy Decompression Partial Acromioplasty $2,983.50 $1,790.10 $194.12 – $388.02
Shoulder arthroscopy: shaving of shoulder bone: 10 of 15 insurance plan rates
  • Avera — ACA PPO Facility: $322.43
  • Avera — ACA PPO Non-Facility: $322.43
  • Avera — ASO_AHEHBP Facility: $341.39
  • Avera — ASO_AHEHBP Non-Facility: $341.39
  • Avera — High Performance Network HMO Facility: $194.12
  • Avera — High Performance Network HMO Non-Facility: $194.12
  • Avera — Non-ACA PPO Facility: $355.62
  • Avera — Non-ACA PPO Non-Facility: $355.62
  • HealthPartners — All Products: $2,864.16
  • Medica — All Products & Medicare Advantage: $2,694.10
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 $5,715.89
Shoulder arthroscopy: shaving of shoulder bone: rates for 1 insurance plan
  • Wellmark — All Products: $5,715.89
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Arthroscopy Knee Medial or Lateral Menisectomy $3,838 $2,302.80 $640.09 – $1,235.69
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 15 insurance plan rates
  • Avera — ACA PPO Facility: $1,063.17
  • Avera — ACA PPO Non-Facility: $1,063.17
  • Avera — ASO_AHEHBP Facility: $1,125.71
  • Avera — ASO_AHEHBP Non-Facility: $1,125.71
  • Avera — High Performance Network HMO Facility: $640.09
  • Avera — High Performance Network HMO Non-Facility: $640.09
  • Avera — Non-ACA PPO Facility: $1,172.61
  • Avera — Non-ACA PPO Non-Facility: $1,172.61
  • HealthPartners — All Products: $3,684.48
  • Medica — All Products & Medicare Advantage: $3,465.71
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 $5,715.89
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 1 insurance plan
  • Wellmark — All Products: $5,715.89
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 $4,119.55
Removal of tonsils and adenoids (under age 12): rates for 1 insurance plan
  • Wellmark — All Products: $4,119.55
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: EGD Flexible Transoral DX Brushing/Washing $2,780.50 $1,668.30 $142.03 – $635.20
Upper GI endoscopy (diagnostic): 10 of 16 insurance plan rates
  • Avera — ACA PPO Facility: $235.91
  • Avera — ACA PPO Non-Facility: $575.91
  • Avera — ASO_AHEHBP Facility: $249.79
  • Avera — ASO_AHEHBP Non-Facility: $609.79
  • Avera — High Performance Network HMO Facility: $142.03
  • Avera — High Performance Network HMO Non-Facility: $346.73
  • Avera — Non-ACA PPO Facility: $260.20
  • Avera — Non-ACA PPO Non-Facility: $635.20
  • HealthPartners — All Products: $2,669.28
  • Medica — All Products & Medicare Advantage: $2,510.79
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 $2,530.10
Upper GI endoscopy (diagnostic): rates for 1 insurance plan
  • Wellmark — All Products: $2,530.10
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: EGD Flexible Transoral DX BX $2,961 $1,776.60 $160.26 – $832.10
Upper GI endoscopy with biopsy: 10 of 16 insurance plan rates
  • Avera — ACA PPO Facility: $266.19
  • Avera — ACA PPO Non-Facility: $754.43
  • Avera — ASO_AHEHBP Facility: $281.85
  • Avera — ASO_AHEHBP Non-Facility: $798.81
  • Avera — High Performance Network HMO Facility: $160.26
  • Avera — High Performance Network HMO Non-Facility: $454.21
  • Avera — Non-ACA PPO Facility: $293.60
  • Avera — Non-ACA PPO Non-Facility: $832.10
  • HealthPartners — All Products: $2,842.56
  • Medica — All Products & Medicare Advantage: $2,673.78
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 $266.61
Upper GI endoscopy with biopsy: rates for 1 insurance plan
  • Avera — All Products: $266.61
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 $2,530.10
Upper GI endoscopy with biopsy: rates for 1 insurance plan
  • Wellmark — All Products: $2,530.10
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Colonoscopy Flexible DX Brushing/Washing $1,878.50 $1,127.10 $212.50 – $752.25
Colonoscopy (diagnostic): 10 of 16 insurance plan rates
  • Avera — ACA PPO Facility: $352.95
  • Avera — ACA PPO Non-Facility: $675.27
  • Avera — ASO_AHEHBP Facility: $373.71
  • Avera — ASO_AHEHBP Non-Facility: $714.99
  • Avera — High Performance Network HMO Facility: $212.50
  • Avera — High Performance Network HMO Non-Facility: $406.55
  • Avera — Non-ACA PPO Facility: $389.28
  • Avera — Non-ACA PPO Non-Facility: $744.78
  • HealthPartners — All Products: $1,803.36
  • Medica — All Products & Medicare Advantage: $1,696.29
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 $354.57
Colonoscopy (diagnostic): rates for 1 insurance plan
  • Avera — All Products: $354.57
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 $2,831.14
Colonoscopy (diagnostic): rates for 1 insurance plan
  • Wellmark — All Products: $2,831.14
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Colonoscopy Flexible DX BX $2,099 $1,259.40 $231.23 – $953.86
Colonoscopy with biopsy: 10 of 16 insurance plan rates
  • Avera — ACA PPO Facility: $384.07
  • Avera — ACA PPO Non-Facility: $864.83
  • Avera — ASO_AHEHBP Facility: $406.66
  • Avera — ASO_AHEHBP Non-Facility: $915.70
  • Avera — High Performance Network HMO Facility: $231.23
  • Avera — High Performance Network HMO Non-Facility: $520.68
  • Avera — Non-ACA PPO Facility: $423.61
  • Avera — Non-ACA PPO Non-Facility: $953.86
  • HealthPartners — All Products: $2,015.04
  • Medica — All Products & Medicare Advantage: $1,895.40
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY AND BIOPSY Not listed in the file Not listed in the file $385.53
Colonoscopy with biopsy: rates for 1 insurance plan
  • Avera — All Products: $385.53
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 $2,831.14
Colonoscopy with biopsy: rates for 1 insurance plan
  • Wellmark — All Products: $2,831.14
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Colonoscopy Flexible DX Snare $2,406 $1,443.60 $292.47 – $999.54
Colonoscopy with removal of polyps (snare): 10 of 16 insurance plan rates
  • Avera — ACA PPO Facility: $485.79
  • Avera — ACA PPO Non-Facility: $901.27
  • Avera — ASO_AHEHBP Facility: $514.36
  • Avera — ASO_AHEHBP Non-Facility: $954.28
  • Avera — High Performance Network HMO Facility: $292.47
  • Avera — High Performance Network HMO Non-Facility: $542.62
  • Avera — Non-ACA PPO Facility: $535.79
  • Avera — Non-ACA PPO Non-Facility: $994.04
  • HealthPartners — All Products: $2,309.76
  • Medica — All Products & Medicare Advantage: $2,172.62
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 $487.15
Colonoscopy with removal of polyps (snare): rates for 1 insurance plan
  • Avera — All Products: $487.15
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 $2,831.14
Colonoscopy with removal of polyps (snare): rates for 1 insurance plan
  • Wellmark — All Products: $2,831.14
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 $2,831.14
Ultrasound of the lower bowel by endoscope: rates for 1 insurance plan
  • Wellmark — All Products: $2,831.14
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: SCREENING COLONOSCOPY $1,915.50 $1,149.30 $1,729.70 – $1,858.04
Screening colonoscopy (not high risk): rates for 8 insurance plans
  • HealthPartners — All Products: $1,838.88
  • Medica — All Products & Medicare Advantage: $1,729.70
  • Midlands — All Products Facility: $288.55
  • Midlands — All Products Non-Facility: $488.77
  • Sanford — All Products Facility: $407.69
  • Sanford — All Products Non-Facility: $753
  • TLC Advantage — All Products: $1,858.04
  • UHC — All Products Non-Facility: $656.10
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 $2,831.14
Screening colonoscopy (not high risk): rates for 1 insurance plan
  • Wellmark — All Products: $2,831.14
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Laparoscopy Cholecystectomy $9,331.50 $5,598.90 $748.73 – $1,489.66
Gallbladder removal by laparoscope: 10 of 15 insurance plan rates
  • Avera — ACA PPO Facility: $1,243.62
  • Avera — ACA PPO Non-Facility: $1,243.62
  • Avera — ASO_AHEHBP Facility: $1,316.77
  • Avera — ASO_AHEHBP Non-Facility: $1,316.77
  • Avera — High Performance Network HMO Facility: $748.73
  • Avera — High Performance Network HMO Non-Facility: $748.73
  • Avera — Non-ACA PPO Facility: $1,371.64
  • Avera — Non-ACA PPO Non-Facility: $1,371.64
  • HealthPartners — All Products: $8,958.24
  • Medica — All Products & Medicare Advantage: $8,426.34
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 $1,253.98
Gallbladder removal by laparoscope: rates for 1 insurance plan
  • Avera — All Products: $1,253.98
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 $9,067.91
Gallbladder removal by laparoscope: rates for 1 insurance plan
  • Wellmark — All Products: $9,067.91
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Repair Hernia Inguinal Initial >5 years Reducible $3,537.50 $2,122.50 $3,194.36 – $3,431.38
Groin (inguinal) hernia repair, age 5 or older: rates for 7 insurance plans
  • HealthPartners — All Products: $3,396
  • Medica — All Products & Medicare Advantage: $3,194.36
  • Midlands — All Products Facility: $1,138.61
  • Midlands — All Products Non-Facility: $1,138.61
  • Sanford — All Products Non-Facility: $1,183.70
  • TLC Advantage — All Products: $3,431.38
  • UHC — All Products Non-Facility: $1,048.24
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 $1,000.29
Groin (inguinal) hernia repair, age 5 or older: rates for 1 insurance plan
  • Avera — All Products: $1,000.29
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 $7,836.18
Groin (inguinal) hernia repair, age 5 or older: rates for 1 insurance plan
  • Wellmark — All Products: $7,836.18
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 $3,282.31
Prostate biopsy: rates for 1 insurance plan
  • Wellmark — All Products: $3,282.31
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier GF In the file: Biopsy of Prostate $856 $513.60 $772.97 – $830.32
Prostate biopsy: rates for 3 insurance plans
  • HealthPartners — All Products: $821.76
  • Medica — All Products & Medicare Advantage: $772.97
  • TLC Advantage — All Products: $830.32
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 $12,942.34
Prostate removal by laparoscope (radical prostatectomy): rates for 1 insurance plan
  • Wellmark — All Products: $12,942.34
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Hysteroscopy w/BX of Endometrium/Polypectomy $2,267 $1,360.20 $2,047.10 – $2,198.99
Hysteroscopy with biopsy of the uterus lining: rates for 8 insurance plans
  • HealthPartners — All Products: $2,176.32
  • Medica — All Products & Medicare Advantage: $2,047.10
  • Midlands — All Products Facility: $521.87
  • Midlands — All Products Non-Facility: $3,029.16
  • Sanford — All Products Facility: $515.36
  • Sanford — All Products Non-Facility: $2,771.38
  • TLC Advantage — All Products: $2,198.99
  • UHC — All Products Non-Facility: $2,878.64
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 $5,849.18
Hysteroscopy with biopsy of the uterus lining: rates for 1 insurance plan
  • Wellmark — All Products: $5,849.18
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: CRNA LUMBAR ESI w IMAGING $1,347 $808.20 $116.63 – $573.66
Spinal injection, lower back (epidural), with imaging guidance: 10 of 16 insurance plan rates
  • Avera — ACA PPO Facility: $193.72
  • Avera — ACA PPO Non-Facility: $520.12
  • Avera — ASO_AHEHBP Facility: $205.11
  • Avera — ASO_AHEHBP Non-Facility: $550.71
  • Avera — High Performance Network HMO Facility: $116.63
  • Avera — High Performance Network HMO Non-Facility: $313.14
  • Avera — Non-ACA PPO Facility: $213.66
  • Avera — Non-ACA PPO Non-Facility: $573.66
  • HealthPartners — All Products: $1,293.12
  • Medica — All Products & Medicare Advantage: $1,216.34
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CRNA LUMBAR ESI w IMAGING $2,044.50 $1,226.70 $1,472.04 – $1,983.17
Spinal injection, lower back (epidural), with imaging guidance: 10 of 12 insurance plan rates
  • Americas — PPO: $1,983.17
  • Avera — All Products: $194.82
  • First Choice of the Midwest — All Products: $1,983.17
  • First Health Coventry — All Products: $1,983.17
  • HealthPartners — All Products: $1,962.72
  • Integrated Health Plan — All Products: $1,983.17
  • Medica — All Products & Medicare Advantage: $1,846.18
  • Multiplan — All Products: $1,840.05
  • Sanford — All Products: $1,901.39
  • TLC Advantage — All Products: $1,983.17
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Injection Nerve Transforaminal Epidural w/Imaging Lumbar/Sacral $1,152 $691.20 $131.37 – $546.66
Nerve root injection, lower back, with imaging guidance: 10 of 16 insurance plan rates
  • Avera — ACA PPO Facility: $218.20
  • Avera — ACA PPO Non-Facility: $495.64
  • Avera — ASO_AHEHBP Facility: $231.03
  • Avera — ASO_AHEHBP Non-Facility: $524.79
  • Avera — High Performance Network HMO Facility: $131.37
  • Avera — High Performance Network HMO Non-Facility: $298.40
  • Avera — Non-ACA PPO Facility: $240.66
  • Avera — Non-ACA PPO Non-Facility: $546.66
  • HealthPartners — All Products: $1,105.92
  • Medica — All Products & Medicare Advantage: $1,040.26
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Injection Nerve Transforaminal Epidural w/Imaging Lumbar/Sacral $2,162 $1,297.20 $1,556.64 – $2,097.14
Nerve root injection, lower back, with imaging guidance: 10 of 12 insurance plan rates
  • Americas — PPO: $2,097.14
  • Avera — All Products: $219.72
  • First Choice of the Midwest — All Products: $2,097.14
  • First Health Coventry — All Products: $2,097.14
  • HealthPartners — All Products: $2,075.52
  • Integrated Health Plan — All Products: $2,097.14
  • Medica — All Products & Medicare Advantage: $1,952.29
  • Multiplan — All Products: $1,945.80
  • Sanford — All Products: $2,010.66
  • TLC Advantage — All Products: $2,097.14
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Neuroplasty/Transposition Median Nerve at Carpal Tunnel $2,473 $1,483.80 $2,233.12 – $2,398.81
Carpal tunnel release: rates for 8 insurance plans
  • HealthPartners — All Products: $2,374.08
  • Medica — All Products & Medicare Advantage: $2,233.12
  • Midlands — All Products Facility: $945.76
  • Midlands — All Products Non-Facility: $955.88
  • Sanford — All Products Facility: $1,001.77
  • Sanford — All Products Non-Facility: $1,018.85
  • TLC Advantage — All Products: $2,398.81
  • UHC — All Products Non-Facility: $881.41
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 $875.72
Carpal tunnel release: rates for 1 insurance plan
  • Avera — All Products: $875.72
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 $3,620.88
Carpal tunnel release: rates for 1 insurance plan
  • Wellmark — All Products: $3,620.88
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 $975.88
Laser treatment of clouding after cataract surgery: rates for 1 insurance plan
  • Wellmark — All Products: $975.88
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 $4,880.95
Cataract removal with lens implant: rates for 1 insurance plan
  • Wellmark — All Products: $4,880.95

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OB Care Routine (AP Vag Delivery PP) $7,320 $4,392 $2,730.55 – $5,407.61
Vaginal delivery, with care before and after: 10 of 15 insurance plan rates
  • Avera — ACA PPO Facility: $4,535.36
  • Avera — ACA PPO Non-Facility: $4,535.36
  • Avera — ASO_AHEHBP Facility: $4,802.14
  • Avera — ASO_AHEHBP Non-Facility: $4,802.14
  • Avera — High Performance Network HMO Facility: $2,730.55
  • Avera — High Performance Network HMO Non-Facility: $2,730.55
  • Avera — Non-ACA PPO Facility: $5,002.23
  • Avera — Non-ACA PPO Non-Facility: $5,002.23
  • HealthPartners — All Products: $7,027.20
  • Medica — All Products & Medicare Advantage: $6,609.96
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRICAL CARE Not listed in the file Not listed in the file $4,529
Vaginal delivery, with care before and after: rates for 1 insurance plan
  • Avera — All Products: $4,529
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 $5,422.51
Vaginal delivery, with care before and after: rates for 1 insurance plan
  • Wellmark — All Products: $5,422.51
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OB Care w/Csection/AP/PP $9,336 $5,601.60 $3,007.09 – $6,006.89
Cesarean delivery (C-section), with care before and after: 10 of 15 insurance plan rates
  • Avera — ACA PPO Facility: $4,994.68
  • Avera — ACA PPO Non-Facility: $4,994.68
  • Avera — ASO_AHEHBP Facility: $5,288.48
  • Avera — ASO_AHEHBP Non-Facility: $5,288.48
  • Avera — High Performance Network HMO Facility: $3,007.09
  • Avera — High Performance Network HMO Non-Facility: $3,007.09
  • Avera — Non-ACA PPO Facility: $5,508.84
  • Avera — Non-ACA PPO Non-Facility: $5,508.84
  • HealthPartners — All Products: $8,962.56
  • Medica — All Products & Medicare Advantage: $8,430.41
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 $4,983.62
Cesarean delivery (C-section), with care before and after: rates for 1 insurance plan
  • Avera — All Products: $4,983.62
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 $6,513.30
Cesarean delivery (C-section), with care before and after: rates for 1 insurance plan
  • Wellmark — All Products: $6,513.30
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: OB Care w/Vaginal Delivery after Previous Csection $7,665 $4,599 $6,921.50 – $7,435.05
Vaginal delivery after a previous C-section, with care before and after: rates for 7 insurance plans
  • HealthPartners — All Products: $7,358.40
  • Medica — All Products & Medicare Advantage: $6,921.50
  • Midlands — All Products Facility: $3,741.77
  • Midlands — All Products Non-Facility: $3,741.77
  • Sanford — All Products Non-Facility: $5,664.55
  • TLC Advantage — All Products: $7,435.05
  • UHC — All Products Non-Facility: $4,385.75
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: VBAC DELIVERY Not listed in the file Not listed in the file $4,693.68
Vaginal delivery after a previous C-section, with care before and after: rates for 1 insurance plan
  • Avera — All Products: $4,693.68
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 $5,422.51
Vaginal delivery after a previous C-section, with care before and after: rates for 1 insurance plan
  • Wellmark — All Products: $5,422.51

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance 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 $144,609.09
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 11 insurance plan rates
  • Sanford — All Products: $144,609.09
  • Americas — PPO: 97% (a percentage in the contract, not a dollar amount)
  • Avera — All Products: 73.89% (a percentage in the contract, not a dollar amount)
  • First Choice of the Midwest — All Products: 97% (a percentage in the contract, not a dollar amount)
  • First Health Coventry — All Products: 97% (a percentage in the contract, not a dollar amount)
  • HealthPartners — All Products: 96% (a percentage in the contract, not a dollar amount)
  • Integrated Health Plan — All Products: 97% (a percentage in the contract, not a dollar amount)
  • Medica — All Products & Medicare Advantage: 90.3% (a percentage in the contract, not a dollar amount)
  • Multiplan — All Products: 90% (a percentage in the contract, not a dollar amount)
  • TLC Advantage — All Products: 97% (a percentage in the contract, not a dollar amount)
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 joint replacement or reattachment of lower extremity w/o MCC Not listed in the file Not listed in the file $28,251.75
Hip or knee replacement (major joint of the leg), without major complications: 10 of 11 insurance plan rates
  • Sanford — All Products: $28,251.75
  • Americas — PPO: 97% (a percentage in the contract, not a dollar amount)
  • Avera — All Products: 73.89% (a percentage in the contract, not a dollar amount)
  • First Choice of the Midwest — All Products: 97% (a percentage in the contract, not a dollar amount)
  • First Health Coventry — All Products: 97% (a percentage in the contract, not a dollar amount)
  • HealthPartners — All Products: 96% (a percentage in the contract, not a dollar amount)
  • Integrated Health Plan — All Products: 97% (a percentage in the contract, not a dollar amount)
  • Medica — All Products & Medicare Advantage: 90.3% (a percentage in the contract, not a dollar amount)
  • Multiplan — All Products: 90% (a percentage in the contract, not a dollar amount)
  • TLC Advantage — All Products: 97% (a percentage in the contract, not a dollar amount)
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 $35,472.39
Neck (cervical) spinal fusion, without complications: 10 of 11 insurance plan rates
  • Sanford — All Products: $35,472.39
  • Americas — PPO: 97% (a percentage in the contract, not a dollar amount)
  • Avera — All Products: 73.89% (a percentage in the contract, not a dollar amount)
  • First Choice of the Midwest — All Products: 97% (a percentage in the contract, not a dollar amount)
  • First Health Coventry — All Products: 97% (a percentage in the contract, not a dollar amount)
  • HealthPartners — All Products: 96% (a percentage in the contract, not a dollar amount)
  • Integrated Health Plan — All Products: 97% (a percentage in the contract, not a dollar amount)
  • Medica — All Products & Medicare Advantage: 90.3% (a percentage in the contract, not a dollar amount)
  • Multiplan — All Products: 90% (a percentage in the contract, not a dollar amount)
  • TLC Advantage — All Products: 97% (a percentage in the contract, not a dollar amount)
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 $17,960.95
Uterus and ovary surgery (not for cancer), without complications: 10 of 11 insurance plan rates
  • Sanford — All Products: $17,960.95
  • Americas — PPO: 97% (a percentage in the contract, not a dollar amount)
  • Avera — All Products: 73.89% (a percentage in the contract, not a dollar amount)
  • First Choice of the Midwest — All Products: 97% (a percentage in the contract, not a dollar amount)
  • First Health Coventry — All Products: 97% (a percentage in the contract, not a dollar amount)
  • HealthPartners — All Products: 96% (a percentage in the contract, not a dollar amount)
  • Integrated Health Plan — All Products: 97% (a percentage in the contract, not a dollar amount)
  • Medica — All Products & Medicare Advantage: 90.3% (a percentage in the contract, not a dollar amount)
  • Multiplan — All Products: 90% (a percentage in the contract, not a dollar amount)
  • TLC Advantage — All Products: 97% (a percentage in the contract, not a dollar amount)

Source: Huron Regional Medical Center’s standard charges file (huron.pt.panaceainc.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 31, 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 typeCritical Access Hospital
Address172 Fourth Street SE, Huron, SD 57350
CountyBeadle County
StateSouth Dakota
Phone(605) 353‑6200
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall rating2 of 5 stars
CMS Certification Number431335
Name in Medicare recordsHURON REGIONAL MEDICAL CENTER
Profile levelMedicare data + hospital website
Official websitehuronregional.org
CorrectionsReport an error or suggest an update →

Sources

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

From the hospital’s website

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

  1. Services - Huron Regional Medical Center — huronregional.org
  2. Emergency Room Services - Huron Regional Medical Center — huronregional.org
  3. Maternity - Birthing Center | Huron Regional Medical Center — huronregional.org
  4. Directions & Hospital Map | Huron Regional Medical Center — huronregional.org
  5. Mammogram Program | Huron Regional Medical Center — huronregional.org
  6. Computed Tomography (CT) | Huron Regional Medical Center — huronregional.org
  7. Ultrasound | Huron Regional Medical Center — huronregional.org
  8. MRI | Huron Regional Medical Center — huronregional.org
  9. Orthopedics | Huron Regional Medical Center — huronregional.org
  10. Surgery | Huron Regional Medical Center — huronregional.org
  11. Support Services | Huron Regional Medical Center — huronregional.org