Where is M Health Fairview Bethesda Hospital?

45 10th Street West, Saint Paul, MN 55102, in Ramsey County, Minnesota.

What is the phone number of M Health Fairview Bethesda Hospital?

(651) 326-3762, as listed by Medicare (CMS).

M Health Fairview Bethesda Hospital

Quick answers

Where is M Health Fairview Bethesda Hospital?: 45 10th Street West, Saint Paul, MN 55102, in Ramsey County, Minnesota.
What is the phone number of M Health Fairview Bethesda Hospital?: (651) 326-3762, as listed by Medicare (CMS).

Specialties and care areas^[4]

Pulmonology
Nephrology
Infectious disease
Palliative medicine
Psychology
Hospital Medicine
Imaging Services
Laboratory Medicine and Pathology
Long Term Acute Care
Occupational Therapy
Orthotics and Prosthetics
Physical Medicine and Rehabilitation
Physical Therapy
Speech and Language Pathology

Treatments^[4]

Procedures^[4][5]

Laboratory services
Radiology
Telemetry
Pre-operative assessment

Programs and centers^[4]

Long-term acute care hospital (LTACH)

Visiting and practical information

Parking	Paid parking ramp at 59 10th Street East, $5^[4]

Nearest emergency rooms

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

Regions Hospital0.4 mi · Saint Paul, MN · Acute Care Hospital
Allina United Hospital0.6 mi · Saint Paul, MN · Acute Care Hospital
Minneapolis VA Medical Center6.0 mi · Minneapolis, MN · Federal/VA Acute Care Hospital
M Health Fairview Woodwinds Hospital6.2 mi · Woodbury, MN · Acute Care Hospital
M Health Fairview St John's Hospital6.3 mi · Maplewood, MN · Acute Care Hospital

Other hospitals nearby

Gillette Childrens Specialty Hospital0.6 mi · Saint Paul, MN · Children's Hospital
Capitol Park Mental Health Hospital0.7 mi · Saint Paul, MN · Psychiatric Hospital

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

Ebenezer Integrated Care & Rehab0.0 mi · Saint Paul, MN · 4 of 5 stars
Capital View Transitional Care Center0.5 mi · Saint Paul, MN · 5 of 5 stars
Little Sisters of the Poor0.6 mi · Saint Paul, MN · 3 of 5 stars

All nursing homes in the state →

Hospice providers

Amazing Hands Palliative1.6 mi · Saint Paul, MN
Sholom Hospice1.6 mi · Saint Paul, MN
Our Lady of Peace Hospice3.2 mi · Saint Paul, MN · 4 of 5 stars

All hospice providers in the state →

Home health agencies

Sholom Home Care1.6 mi · Saint Paul, MN
Care Plus Home Health Agency Inc2.7 mi · Saint Paul, MN · 2 of 5 stars
Caremate Home Health Care Inc3.2 mi · Saint Paul, MN

All home health agencies in the state →

Dialysis facilities

DaVita St Paul Capitol Dialysis1.5 mi · Saint Paul, MN · 4 of 5 stars
DaVita St Paul Dialysis1.5 mi · Saint Paul, MN · 1 of 5 stars
Fresenius Medical Care - Midway St Paul1.5 mi · Saint Paul, MN · 2 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

Twin Cities Childrens Surgery Center Llc-Maplewood3.8 mi · Maplewood, MN
HealthEast Surgery Center Maplewood5.9 mi · Maplewood, MN
Specialty Surgery Center for Women-Maplewood5.9 mi · Maplewood, MN

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Creative Arts Clinic0.6 mi · Saint Paul, MN · Community health center
West Side Community Health Services, Inc.0.6 mi · St Paul, MN · Community health center
Open Cities Health Center, Inc.0.6 mi · Saint Paul, MN · Community health center

Clinics and urgent care

Ezy Urgent Care Clinic, PLLC2.7 mi · Saint Paul, MN · Urgent care center
American Current Care of Minnesota PC3.2 mi · Saint Paul, MN · Urgent care center
Allina Health System4.3 mi · Saint Paul, MN · Urgent care center

Pharmacies

Regions Hospital0.6 mi · Saint Paul, MN · Pharmacy
Allina Health System1.6 mi · Saint Paul, MN · Community/retail pharmacy
Children's Health Care1.6 mi · Saint Paul, MN · Community/retail pharmacy

Assisted living nearby

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

Better Living Residential Care0.6 mi · St. Paul, MN
Aurora Assisted Living Inc1.5 mi · St. Paul, MN
Avian Care LLC1.5 mi · St. Paul, MN
Bettercare Assisted Living LLC1.5 mi · St. Paul, MN

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 Saint Paul Best hospitals in Minnesota

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 86 common services exactly as M Health Fairview Bethesda Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Doctor (professional) fee In the file: OFFICE O/P NEW LOW 30 MIN	Not listed in the file	Not listed in the file	$55.97 – $387.89
New patient office visit (about 30–44 minutes): 10 of 39 insurance plan rates Blue Cross of Minnesota — Aware Federal: $272.52 Blue Cross of Minnesota — Commercial: $277.43 Blue Cross of Minnesota — Managed Medicaid: $64.74 Blue Cross of Minnesota — Medicare Advantage: $77.96 Health Partners — Cigna Commercial: $325.83 Health Partners — Cigna Great West: $387.89 Health Partners — Commercial: $310.31 Health Partners — Federal: $304.85 Health Partners — Medicare Advantage: $79.46 Health Partners — Medicare Cost: $82.47
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Doctor (professional) fee · modifier GT In the file: OFFICE O/P NEW LOW 30 MIN	Not listed in the file	Not listed in the file	$80.75
New patient office visit (about 30–44 minutes): rates for 1 insurance plan Optum — Behavioral Medicare: $80.75
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Doctor (professional) fee In the file: OFFICE O/P NEW MOD 45 MIN	Not listed in the file	Not listed in the file	$91.85 – $632.16
New patient office visit (about 45–59 minutes): 10 of 39 insurance plan rates Blue Cross of Minnesota — Aware Federal: $443.41 Blue Cross of Minnesota — Commercial: $451.39 Blue Cross of Minnesota — Managed Medicaid: $105.96 Blue Cross of Minnesota — Medicare Advantage: $127.47 Health Partners — Cigna Commercial: $531.02 Health Partners — Cigna Great West: $632.16 Health Partners — Commercial: $505.73 Health Partners — Federal: $496.83 Health Partners — Medicare Advantage: $129.92 Health Partners — Medicare Cost: $134.55
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Doctor (professional) fee · modifier GT In the file: OFFICE O/P NEW MOD 45 MIN	Not listed in the file	Not listed in the file	$142.25
New patient office visit (about 45–59 minutes): rates for 1 insurance plan Optum — Behavioral Medicare: $142.25
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Doctor (professional) fee In the file: OFFICE O/P NEW HI 60 MIN	Not listed in the file	Not listed in the file	$124.62 – $859.94
New patient office visit (about 60–74 minutes): 10 of 39 insurance plan rates Blue Cross of Minnesota — Aware Federal: $603.13 Blue Cross of Minnesota — Commercial: $613.99 Blue Cross of Minnesota — Managed Medicaid: $143.87 Blue Cross of Minnesota — Medicare Advantage: $173.18 Health Partners — Cigna Commercial: $722.35 Health Partners — Cigna Great West: $859.94 Health Partners — Commercial: $687.95 Health Partners — Federal: $675.84 Health Partners — Medicare Advantage: $176.51 Health Partners — Medicare Cost: $182.77
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Doctor (professional) fee · modifier GT In the file: OFFICE O/P NEW HI 60 MIN	Not listed in the file	Not listed in the file	$180
New patient office visit (about 60–74 minutes): rates for 1 insurance plan Optum — Behavioral Medicare: $180
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OUTPT VISIT,EST PATIENT, LEVEL 3	$379.54	$152.20	$93.75 – $341.58
Established patient office visit (about 20–29 minutes): 10 of 29 insurance plan rates America's PPO — Commercial: $273.27 America's PPO — EZCare: $227.72 America's PPO — Health EZ: $227.72 Blue Cross of Minnesota — Aware Federal: $219.75 Blue Cross of Minnesota — Commercial: $223.70 Blue Cross of Minnesota — Managed Medicaid: $104.56 First Health — Commercial: $311.22 Health Partners — Cigna Commercial: $239.34 Health Partners — Cigna Great West: $284.96 Health Partners — Commercial: $227.95
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC OUTPT VISIT,EST PATIENT, LEVEL 3	$380.95	$152.77	$101.87 – $342.86
Established patient office visit (about 20–29 minutes): 10 of 28 insurance plan rates America's PPO — Commercial: $243.43 America's PPO — EZCare: $198.47 America's PPO — Health EZ: $224.76 Blue Cross of Minnesota — Aware Federal: $214.13 Blue Cross of Minnesota — Commercial: $217.98 Blue Cross of Minnesota — Managed Medicaid: $101.87 First Health — Commercial: $312.38 Health Partners — Cigna Commercial: $249.22 Health Partners — Cigna Great West: $296.68 Health Partners — Commercial: $237.33
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Doctor (professional) fee In the file: OFFICE O/P EST LOW 20 MIN	Not listed in the file	Not listed in the file	$45.44 – $313.61
Established patient office visit (about 20–29 minutes): 10 of 39 insurance plan rates Blue Cross of Minnesota — Aware Federal: $218.91 Blue Cross of Minnesota — Commercial: $222.85 Blue Cross of Minnesota — Managed Medicaid: $52.57 Blue Cross of Minnesota — Medicare Advantage: $63.37 Health Partners — Cigna Commercial: $263.43 Health Partners — Cigna Great West: $313.61 Health Partners — Commercial: $250.89 Health Partners — Federal: $246.47 Health Partners — Medicare Advantage: $64.59 Health Partners — Medicare Cost: $66.75
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OUTPT VISIT,EST PATIENT, LEVEL 4	$544.60	$218.39	$134.52 – $490.14
Established patient office visit (about 30–39 minutes): 10 of 29 insurance plan rates America's PPO — Commercial: $392.11 America's PPO — EZCare: $326.76 America's PPO — Health EZ: $326.76 Blue Cross of Minnesota — Aware Federal: $315.32 Blue Cross of Minnesota — Commercial: $320.99 Blue Cross of Minnesota — Managed Medicaid: $150.04 First Health — Commercial: $446.57 Health Partners — Cigna Commercial: $343.42 Health Partners — Cigna Great West: $408.89 Health Partners — Commercial: $327.09
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC OUTPT VISIT,EST PATIENT, LEVEL 4	$551.10	$221	$147.36 – $495.99
Established patient office visit (about 30–39 minutes): 10 of 28 insurance plan rates America's PPO — Commercial: $352.15 America's PPO — EZCare: $287.12 America's PPO — Health EZ: $325.15 Blue Cross of Minnesota — Aware Federal: $309.77 Blue Cross of Minnesota — Commercial: $315.34 Blue Cross of Minnesota — Managed Medicaid: $147.36 First Health — Commercial: $451.90 Health Partners — Cigna Commercial: $360.53 Health Partners — Cigna Great West: $429.20 Health Partners — Commercial: $343.34
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Doctor (professional) fee In the file: OFFICE O/P EST MOD 30 MIN	Not listed in the file	Not listed in the file	$66.97 – $463.81
Established patient office visit (about 30–39 minutes): 10 of 39 insurance plan rates Blue Cross of Minnesota — Aware Federal: $322.78 Blue Cross of Minnesota — Commercial: $328.59 Blue Cross of Minnesota — Managed Medicaid: $77.74 Blue Cross of Minnesota — Medicare Advantage: $93.20 Health Partners — Cigna Commercial: $389.60 Health Partners — Cigna Great West: $463.81 Health Partners — Commercial: $371.05 Health Partners — Federal: $364.52 Health Partners — Medicare Advantage: $95 Health Partners — Medicare Cost: $98.55
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient · Doctor (professional) fee In the file: OFF/OP CNSLTJ NEW/EST LOW 30	Not listed in the file	Not listed in the file	$60.99 – $386.82
Office consultation with a specialist (moderate): 10 of 26 insurance plan rates Blue Cross of Minnesota — Aware Federal: $292.63 Blue Cross of Minnesota — Commercial: $297.90 Blue Cross of Minnesota — Managed Medicaid: $70.82 Health Partners — Medicare Cost: $89.81 Health Partners — PMAP: $66.19 Hennepin Health — PMAP: $68.92 Itasca Medical Care — Managed Medicaid: $60.99 Itasca Medical Care — Medicare Advantage/MSHO: $60.99 Medica — BOLD: $336.39 Medica — Choice: $386.82
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient · Doctor (professional) fee In the file: OFF/OP CNSLTJ NEW/EST MOD 40	Not listed in the file	Not listed in the file	$93.05 – $551.51
Office consultation with a specialist (moderate to high): 10 of 26 insurance plan rates Blue Cross of Minnesota — Aware Federal: $445.64 Blue Cross of Minnesota — Commercial: $453.66 Blue Cross of Minnesota — Managed Medicaid: $107.90 Health Partners — Medicare Cost: $136.64 Health Partners — PMAP: $100.98 Hennepin Health — PMAP: $105.15 Itasca Medical Care — Managed Medicaid: $93.05 Itasca Medical Care — Medicare Advantage/MSHO: $93.05 Medica — BOLD: $479.61 Medica — Choice: $551.51
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient · Doctor (professional) fee In the file: PREV VISIT NEW AGE 18-39	Not listed in the file	Not listed in the file	$65.04 – $448.95
Preventive checkup, new patient, age 18–39: 10 of 29 insurance plan rates Blue Cross of Minnesota — Aware Federal: $310.50 Blue Cross of Minnesota — Commercial: $316.09 Blue Cross of Minnesota — Managed Medicaid: $74.97 Health Partners — Cigna Commercial: $377.12 Health Partners — Cigna Great West: $448.95 Health Partners — Commercial: $359.16 Health Partners — Federal: $352.84 Health Partners — Medicare Cost: $95.20 Health Partners — PMAP: $70.60 Hennepin Health — PMAP: $73.50
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 18-39	Not listed in the file	Not listed in the file	$91.06 – $98.80
Preventive checkup, new patient, age 18–39: rates for 5 insurance plans Hennepin Health — PMAP: $98.34 Itasca Medical Care — Managed Medicaid: $91.06 Primewest — Managed Medicaid: $91.06 South Country Health Alliance — PMAP: $91.06 UCare — PMAP: $98.80
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient · Doctor (professional) fee In the file: PREV VISIT NEW AGE 40-64	Not listed in the file	Not listed in the file	$78.69 – $543.04
Preventive checkup, new patient, age 40–64: 10 of 29 insurance plan rates Blue Cross of Minnesota — Aware Federal: $376.40 Blue Cross of Minnesota — Commercial: $383.18 Blue Cross of Minnesota — Managed Medicaid: $91.01 Health Partners — Cigna Commercial: $456.15 Health Partners — Cigna Great West: $543.04 Health Partners — Commercial: $434.43 Health Partners — Federal: $426.78 Health Partners — Medicare Cost: $115.42 Health Partners — PMAP: $85.41 Hennepin Health — PMAP: $88.92
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 40-64	Not listed in the file	Not listed in the file	$104.82 – $113.73
Preventive checkup, new patient, age 40–64: rates for 5 insurance plans Hennepin Health — PMAP: $113.21 Itasca Medical Care — Managed Medicaid: $104.82 Primewest — Managed Medicaid: $104.82 South Country Health Alliance — PMAP: $104.82 UCare — PMAP: $113.73
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EMERGENCY DEPARTMENT LEVEL 3	$719	$288.32	$177.59 – $647.10
Emergency room visit (moderate): 10 of 45 insurance plan rates America's PPO — Commercial: $517.68 America's PPO — EZCare: $431.40 America's PPO — Health EZ: $431.40 Blue Cross of Minnesota — Aware Federal: $416.30 Blue Cross of Minnesota — Commercial: $423.78 Blue Cross of Minnesota — Managed Medicaid: $198.08 Blue Cross of Minnesota — Medicare Advantage: $286.63 First Health — Commercial: $589.58 Health Partners — Cigna Commercial: $453.40 Health Partners — Cigna Great West: $539.83
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EMERGENCY DEPARTMENT LEVEL 3 W PROCEDURE	$717.69	$287.80	$177.27 – $645.92
Emergency room visit (moderate): 10 of 45 insurance plan rates America's PPO — Commercial: $516.74 America's PPO — EZCare: $430.61 America's PPO — Health EZ: $430.61 Blue Cross of Minnesota — Aware Federal: $415.54 Blue Cross of Minnesota — Commercial: $423.01 Blue Cross of Minnesota — Managed Medicaid: $197.72 Blue Cross of Minnesota — Medicare Advantage: $286.63 First Health — Commercial: $588.51 Health Partners — Cigna Commercial: $452.58 Health Partners — Cigna Great West: $538.84
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EMERGENCY DEPARTMENT LEVEL 3	$716.63	$287.37	$191.63 – $644.96
Emergency room visit (moderate): 10 of 28 insurance plan rates America's PPO — Commercial: $457.92 America's PPO — EZCare: $373.36 America's PPO — Health EZ: $422.81 Blue Cross of Minnesota — Aware Federal: $402.81 Blue Cross of Minnesota — Commercial: $410.05 Blue Cross of Minnesota — Managed Medicaid: $191.63 First Health — Commercial: $587.63 Health Partners — Cigna Commercial: $468.82 Health Partners — Cigna Great West: $558.11 Health Partners — Commercial: $446.46
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EMERGENCY DEPARTMENT LEVEL 4 W PROCEDURE	$1,241.87	$497.99	$306.74 – $1,117.68
Emergency room visit (moderately high): 10 of 45 insurance plan rates America's PPO — Commercial: $894.14 America's PPO — EZCare: $745.12 America's PPO — Health EZ: $745.12 Blue Cross of Minnesota — Aware Federal: $719.04 Blue Cross of Minnesota — Commercial: $731.96 Blue Cross of Minnesota — Managed Medicaid: $342.13 Blue Cross of Minnesota — Medicare Advantage: $440.81 First Health — Commercial: $1,018.33 Health Partners — Cigna Commercial: $783.12 Health Partners — Cigna Great West: $932.39
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EMERGENCY DEPARTMENT LEVEL 4	$1,245.10	$499.29	$307.54 – $1,120.59
Emergency room visit (moderately high): 10 of 45 insurance plan rates America's PPO — Commercial: $896.47 America's PPO — EZCare: $747.06 America's PPO — Health EZ: $747.06 Blue Cross of Minnesota — Aware Federal: $720.92 Blue Cross of Minnesota — Commercial: $733.86 Blue Cross of Minnesota — Managed Medicaid: $343.03 Blue Cross of Minnesota — Medicare Advantage: $440.81 First Health — Commercial: $1,020.99 Health Partners — Cigna Commercial: $785.16 Health Partners — Cigna Great West: $934.82
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EMERGENCY DEPARTMENT LEVEL 4	$1,244.82	$499.18	$332.87 – $1,120.34
Emergency room visit (moderately high): 10 of 28 insurance plan rates America's PPO — Commercial: $795.44 America's PPO — EZCare: $648.55 America's PPO — Health EZ: $734.44 Blue Cross of Minnesota — Aware Federal: $699.71 Blue Cross of Minnesota — Commercial: $712.29 Blue Cross of Minnesota — Managed Medicaid: $332.87 First Health — Commercial: $1,020.75 Health Partners — Cigna Commercial: $814.36 Health Partners — Cigna Great West: $969.47 Health Partners — Commercial: $775.52
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EMERGENCY DEPARTMENT LEVEL 5 W PROCEDURE	$1,766.58	$708.40	$436.35 – $1,589.92
Emergency room visit (high): 10 of 45 insurance plan rates America's PPO — Commercial: $1,271.94 America's PPO — EZCare: $1,059.95 America's PPO — Health EZ: $1,059.95 Blue Cross of Minnesota — Aware Federal: $1,022.85 Blue Cross of Minnesota — Commercial: $1,041.22 Blue Cross of Minnesota — Managed Medicaid: $486.69 Blue Cross of Minnesota — Medicare Advantage: $634.69 First Health — Commercial: $1,448.60 Health Partners — Cigna Commercial: $1,114.01 Health Partners — Cigna Great West: $1,326.35
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EMERGENCY DEPARTMENT LEVEL 5	$1,769.03	$709.39	$436.95 – $1,592.13
Emergency room visit (high): 10 of 45 insurance plan rates America's PPO — Commercial: $1,273.70 America's PPO — EZCare: $1,061.42 America's PPO — Health EZ: $1,061.42 Blue Cross of Minnesota — Aware Federal: $1,024.27 Blue Cross of Minnesota — Commercial: $1,042.67 Blue Cross of Minnesota — Managed Medicaid: $487.37 Blue Cross of Minnesota — Medicare Advantage: $634.69 First Health — Commercial: $1,450.60 Health Partners — Cigna Commercial: $1,115.55 Health Partners — Cigna Great West: $1,328.19
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EMERGENCY DEPARTMENT LEVEL 5	$1,772	$710.58	$473.83 – $1,594.80
Emergency room visit (high): 10 of 28 insurance plan rates America's PPO — Commercial: $1,132.31 America's PPO — EZCare: $923.21 America's PPO — Health EZ: $1,045.48 Blue Cross of Minnesota — Aware Federal: $996.04 Blue Cross of Minnesota — Commercial: $1,013.94 Blue Cross of Minnesota — Managed Medicaid: $473.83 First Health — Commercial: $1,453.04 Health Partners — Cigna Commercial: $1,159.24 Health Partners — Cigna Great West: $1,380.03 Health Partners — Commercial: $1,103.96

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BASIC METABOLIC PROFILE	$179.50	$71.98	$8.32 – $161.55
Basic metabolic panel (blood test): 10 of 45 insurance plan rates America's PPO — Commercial: $129.24 America's PPO — EZCare: $107.70 America's PPO — Health EZ: $107.70 Blue Cross of Minnesota — Aware Federal: $103.93 Blue Cross of Minnesota — Commercial: $105.80 Blue Cross of Minnesota — Managed Medicaid: $49.45 Blue Cross of Minnesota — Medicare Advantage: $8.65 First Health — Commercial: $147.19 Health Partners — Cigna Commercial: $113.19 Health Partners — Cigna Great West: $134.77
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC BASIC METABOLIC PROFILE	$154	$61.76	$41.18 – $138.60
Basic metabolic panel (blood test): 10 of 28 insurance plan rates America's PPO — Commercial: $98.41 America's PPO — EZCare: $80.23 America's PPO — Health EZ: $90.86 Blue Cross of Minnesota — Aware Federal: $86.56 Blue Cross of Minnesota — Commercial: $88.12 Blue Cross of Minnesota — Managed Medicaid: $41.18 First Health — Commercial: $126.28 Health Partners — Cigna Commercial: $100.75 Health Partners — Cigna Great West: $119.94 Health Partners — Commercial: $95.94
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Doctor (professional) fee In the file: BASIC METABOLIC PNL TOTAL CA	Not listed in the file	Not listed in the file	$8.45 – $18.34
Basic metabolic panel (blood test): 10 of 27 insurance plan rates Blue Cross of Minnesota — Aware Federal: $8.46 Blue Cross of Minnesota — Commercial: $8.61 Blue Cross of Minnesota — Managed Medicaid: $9.21 Health Partners — Cigna Commercial: $11.48 Health Partners — Cigna Great West: $13.66 Health Partners — Commercial: $10.93 Health Partners — Federal: $10.74 Health Partners — Medicare Cost: $9.07 Health Partners — PMAP: $8.78 Hennepin Health — PMAP: $9.55
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPREHENSIVE METABOLIC PANEL	$32.80	$13.16	$8.10 – $29.52
Comprehensive metabolic panel (blood test): 10 of 45 insurance plan rates America's PPO — Commercial: $23.62 America's PPO — EZCare: $19.68 America's PPO — Health EZ: $19.68 Blue Cross of Minnesota — Aware Federal: $18.99 Blue Cross of Minnesota — Commercial: $19.33 Blue Cross of Minnesota — Managed Medicaid: $9.04 Blue Cross of Minnesota — Medicare Advantage: $10.81 First Health — Commercial: $26.90 Health Partners — Cigna Commercial: $20.68 Health Partners — Cigna Great West: $24.63
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COMPREHENSIVE METABOLIC PANEL	$208.99	$83.81	$55.88 – $188.09
Comprehensive metabolic panel (blood test): 10 of 28 insurance plan rates America's PPO — Commercial: $133.55 America's PPO — EZCare: $108.89 America's PPO — Health EZ: $123.31 Blue Cross of Minnesota — Aware Federal: $117.47 Blue Cross of Minnesota — Commercial: $119.59 Blue Cross of Minnesota — Managed Medicaid: $55.88 First Health — Commercial: $171.37 Health Partners — Cigna Commercial: $136.72 Health Partners — Cigna Great West: $162.76 Health Partners — Commercial: $130.20
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Doctor (professional) fee In the file: COMPREHEN METABOLIC PANEL	Not listed in the file	Not listed in the file	$10.54 – $22.89
Comprehensive metabolic panel (blood test): 10 of 27 insurance plan rates Blue Cross of Minnesota — Aware Federal: $10.56 Blue Cross of Minnesota — Commercial: $10.75 Blue Cross of Minnesota — Managed Medicaid: $11.50 Health Partners — Cigna Commercial: $14.13 Health Partners — Cigna Great West: $16.83 Health Partners — Commercial: $13.46 Health Partners — Federal: $13.22 Health Partners — Medicare Cost: $11.51 Health Partners — PMAP: $10.95 Hennepin Health — PMAP: $11.91
Obstetric blood test panel CPT 80055 · Inpatient or outpatient · Doctor (professional) fee In the file: OBSTETRIC PANEL	Not listed in the file	Not listed in the file	$47.74 – $103.65
Obstetric blood test panel: 10 of 27 insurance plan rates Blue Cross of Minnesota — Aware Federal: $47.81 Blue Cross of Minnesota — Commercial: $48.67 Blue Cross of Minnesota — Managed Medicaid: $52.08 Health Partners — Cigna Commercial: $64.46 Health Partners — Cigna Great West: $76.74 Health Partners — Commercial: $61.39 Health Partners — Federal: $60.31 Health Partners — Medicare Cost: $51.61 Health Partners — PMAP: $49.58 Hennepin Health — PMAP: $53.95
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL	Not listed in the file	Not listed in the file	$47.05 – $108.12
Obstetric blood test panel: 10 of 18 insurance plan rates Blue Cross of Minnesota — Medicare Advantage: $48.93 Health Partners — Medicare Advantage: $49.87 Hennepin Health — PMAP: $51.59 Itasca Medical Care — Managed Medicaid: $47.77 Itasca Medical Care — Medicare Advantage/MSHO: $47.05 Medica — Medicare Advantage: $49.87 Primewest — Managed Medicaid: $47.77 Primewest — MSHO: $47.05 Sanford Health Plan — Medicare Advantage: $47.05 Security Health Plan — Medicare Advantage: $47.05
Obstetric blood test panel CPT 80055 · Inpatient or outpatient · Doctor (professional) fee · modifier TC In the file: OBSTETRIC PANEL	Not listed in the file	Not listed in the file	$52.01 – $106.23
Obstetric blood test panel: rates for 7 insurance plans Medica — BOLD: $92.39 Medica — Choice: $106.23 Medica — City of St Paul and Essential/Uplan: $102.66 Medica — Individual and Family, Elect: $102.66 Medica — Medicare Advantage: $52.01 Medica — MSHO: $53 Medica — Vantage SI: $100.09
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LIPID PANEL, REFLEX TO DIRECT LDL	$96	$38.50	$13.18 – $86.40
Cholesterol panel (lipid panel): 10 of 45 insurance plan rates America's PPO — Commercial: $69.12 America's PPO — EZCare: $57.60 America's PPO — Health EZ: $57.60 Blue Cross of Minnesota — Aware Federal: $55.58 Blue Cross of Minnesota — Commercial: $56.58 Blue Cross of Minnesota — Managed Medicaid: $26.45 Blue Cross of Minnesota — Medicare Advantage: $13.71 First Health — Commercial: $78.72 Health Partners — Cigna Commercial: $60.54 Health Partners — Cigna Great West: $72.08
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LIPOPROTEIN PARTICLE NMR PROFILE LIP PAN	$40.78	$16.36	$10.07 – $36.70
Cholesterol panel (lipid panel): 10 of 45 insurance plan rates America's PPO — Commercial: $29.36 America's PPO — EZCare: $24.47 America's PPO — Health EZ: $24.47 Blue Cross of Minnesota — Aware Federal: $23.61 Blue Cross of Minnesota — Commercial: $24.03 Blue Cross of Minnesota — Managed Medicaid: $11.23 Blue Cross of Minnesota — Medicare Advantage: $13.71 First Health — Commercial: $33.44 Health Partners — Cigna Commercial: $25.71 Health Partners — Cigna Great West: $30.62
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LIPID PANEL	$40.53	$16.26	$10.01 – $36.48
Cholesterol panel (lipid panel): 10 of 45 insurance plan rates America's PPO — Commercial: $29.18 America's PPO — EZCare: $24.32 America's PPO — Health EZ: $24.32 Blue Cross of Minnesota — Aware Federal: $23.47 Blue Cross of Minnesota — Commercial: $23.89 Blue Cross of Minnesota — Managed Medicaid: $11.17 Blue Cross of Minnesota — Medicare Advantage: $13.71 First Health — Commercial: $33.24 Health Partners — Cigna Commercial: $25.56 Health Partners — Cigna Great West: $30.43
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC RENAL PANEL	$196	$78.60	$8.54 – $176.40
Kidney function panel: 10 of 45 insurance plan rates America's PPO — Commercial: $141.12 America's PPO — EZCare: $117.60 America's PPO — Health EZ: $117.60 Blue Cross of Minnesota — Aware Federal: $113.48 Blue Cross of Minnesota — Commercial: $115.52 Blue Cross of Minnesota — Managed Medicaid: $54 Blue Cross of Minnesota — Medicare Advantage: $8.88 First Health — Commercial: $160.72 Health Partners — Cigna Commercial: $123.60 Health Partners — Cigna Great West: $147.16
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC RENAL PANEL	$182	$72.99	$48.67 – $163.80
Kidney function panel: 10 of 28 insurance plan rates America's PPO — Commercial: $116.30 America's PPO — EZCare: $94.82 America's PPO — Health EZ: $107.38 Blue Cross of Minnesota — Aware Federal: $102.30 Blue Cross of Minnesota — Commercial: $104.14 Blue Cross of Minnesota — Managed Medicaid: $48.67 First Health — Commercial: $149.24 Health Partners — Cigna Commercial: $119.06 Health Partners — Cigna Great West: $141.74 Health Partners — Commercial: $113.39
Kidney function panel CPT 80069 · Inpatient or outpatient · Doctor (professional) fee In the file: RENAL FUNCTION PANEL	Not listed in the file	Not listed in the file	$8.67 – $18.82
Kidney function panel: 10 of 27 insurance plan rates Blue Cross of Minnesota — Aware Federal: $8.68 Blue Cross of Minnesota — Commercial: $8.84 Blue Cross of Minnesota — Managed Medicaid: $9.46 Health Partners — Cigna Commercial: $11.92 Health Partners — Cigna Great West: $14.19 Health Partners — Commercial: $11.35 Health Partners — Federal: $11.15 Health Partners — Medicare Cost: $9.41 Health Partners — PMAP: $9 Hennepin Health — PMAP: $9.80
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC HEPATIC PANEL	$120.03	$48.14	$8.04 – $108.03
Liver function panel: 10 of 45 insurance plan rates America's PPO — Commercial: $86.42 America's PPO — EZCare: $72.02 America's PPO — Health EZ: $72.02 Blue Cross of Minnesota — Aware Federal: $69.50 Blue Cross of Minnesota — Commercial: $70.75 Blue Cross of Minnesota — Managed Medicaid: $33.07 Blue Cross of Minnesota — Medicare Advantage: $8.36 First Health — Commercial: $98.43 Health Partners — Cigna Commercial: $75.69 Health Partners — Cigna Great West: $90.12
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC HEPATIC PANEL	$120	$48.12	$32.09 – $108
Liver function panel: 10 of 28 insurance plan rates America's PPO — Commercial: $76.68 America's PPO — EZCare: $62.52 America's PPO — Health EZ: $70.80 Blue Cross of Minnesota — Aware Federal: $67.45 Blue Cross of Minnesota — Commercial: $68.66 Blue Cross of Minnesota — Managed Medicaid: $32.09 First Health — Commercial: $98.40 Health Partners — Cigna Commercial: $78.50 Health Partners — Cigna Great West: $93.46 Health Partners — Commercial: $74.76
Liver function panel CPT 80076 · Inpatient or outpatient · Doctor (professional) fee In the file: HEPATIC FUNCTION PANEL	Not listed in the file	Not listed in the file	$8.16 – $17.71
Liver function panel: 10 of 27 insurance plan rates Blue Cross of Minnesota — Aware Federal: $8.17 Blue Cross of Minnesota — Commercial: $8.32 Blue Cross of Minnesota — Managed Medicaid: $8.90 Health Partners — Cigna Commercial: $11.05 Health Partners — Cigna Great West: $13.15 Health Partners — Commercial: $10.52 Health Partners — Federal: $10.33 Health Partners — Medicare Cost: $8.72 Health Partners — PMAP: $8.34 Hennepin Health — PMAP: $9.22
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS WITH MICROSCOPIC	$11.97	$4.81	$2.96 – $10.78
Urine test (automated, with microscope): 10 of 45 insurance plan rates America's PPO — Commercial: $8.62 America's PPO — EZCare: $7.18 America's PPO — Health EZ: $7.18 Blue Cross of Minnesota — Aware Federal: $6.93 Blue Cross of Minnesota — Commercial: $7.06 Blue Cross of Minnesota — Managed Medicaid: $3.30 Blue Cross of Minnesota — Medicare Advantage: $3.24 First Health — Commercial: $9.82 Health Partners — Cigna Commercial: $7.55 Health Partners — Cigna Great West: $8.99
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC URINALYSIS WITH MICROSCOPIC	$84.01	$33.69	$22.46 – $75.61
Urine test (automated, with microscope): 10 of 28 insurance plan rates America's PPO — Commercial: $53.68 America's PPO — EZCare: $43.77 America's PPO — Health EZ: $49.57 Blue Cross of Minnesota — Aware Federal: $47.22 Blue Cross of Minnesota — Commercial: $48.07 Blue Cross of Minnesota — Managed Medicaid: $22.46 First Health — Commercial: $68.89 Health Partners — Cigna Commercial: $54.96 Health Partners — Cigna Great West: $65.43 Health Partners — Commercial: $52.34
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Doctor (professional) fee In the file: URINALYSIS AUTO W/SCOPE	Not listed in the file	Not listed in the file	$3.17 – $6.87
Urine test (automated, with microscope): 10 of 27 insurance plan rates Blue Cross of Minnesota — Aware Federal: $3.17 Blue Cross of Minnesota — Commercial: $3.23 Blue Cross of Minnesota — Managed Medicaid: $3.46 Health Partners — Cigna Commercial: $4.41 Health Partners — Cigna Great West: $5.25 Health Partners — Commercial: $4.20 Health Partners — Federal: $4.13 Health Partners — Medicare Cost: $3.49 Health Partners — PMAP: $3.24 Hennepin Health — PMAP: $3.58
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Doctor (professional) fee In the file: URINALYSIS NONAUTO W/O SCOPE	Not listed in the file	Not listed in the file	$3.47 – $7.54
Urine test (manual, without microscope): 10 of 27 insurance plan rates Blue Cross of Minnesota — Aware Federal: $3.48 Blue Cross of Minnesota — Commercial: $3.54 Blue Cross of Minnesota — Managed Medicaid: $3.79 Health Partners — Cigna Commercial: $4.85 Health Partners — Cigna Great West: $5.78 Health Partners — Commercial: $4.62 Health Partners — Federal: $4.54 Health Partners — Medicare Cost: $3.84 Health Partners — PMAP: $3.55 Hennepin Health — PMAP: $3.92
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS NONAUTO W/O SCOPE	Not listed in the file	Not listed in the file	$3.42 – $7.86
Urine test (manual, without microscope): 10 of 18 insurance plan rates Blue Cross of Minnesota — Medicare Advantage: $3.56 Health Partners — Medicare Advantage: $3.63 Hennepin Health — PMAP: $3.76 Itasca Medical Care — Managed Medicaid: $3.48 Itasca Medical Care — Medicare Advantage/MSHO: $3.42 Medica — Medicare Advantage: $3.63 Primewest — Managed Medicaid: $3.48 Primewest — MSHO: $3.42 Sanford Health Plan — Medicare Advantage: $3.42 Security Health Plan — Medicare Advantage: $3.42
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Doctor (professional) fee · modifier TC In the file: URINALYSIS NONAUTO W/O SCOPE	Not listed in the file	Not listed in the file	$3.87 – $8
Urine test (manual, without microscope): rates for 7 insurance plans Medica — BOLD: $6.96 Medica — Choice: $8 Medica — City of St Paul and Essential/Uplan: $7.73 Medica — Individual and Family, Elect: $7.73 Medica — Medicare Advantage: $3.87 Medica — MSHO: $3.94 Medica — Vantage SI: $7.54
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROTEIN URINE QUAL	$9	$3.61	$2.21 – $8.10
Urine test (automated, without microscope): 10 of 45 insurance plan rates America's PPO — Commercial: $6.48 America's PPO — EZCare: $5.40 America's PPO — Health EZ: $5.40 Blue Cross of Minnesota — Aware Federal: $5.21 Blue Cross of Minnesota — Commercial: $5.30 Blue Cross of Minnesota — Managed Medicaid: $2.48 Blue Cross of Minnesota — Medicare Advantage: $2.30 First Health — Commercial: $7.38 Health Partners — Cigna Commercial: $5.68 Health Partners — Cigna Great West: $6.76
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC KETONES URINE QUAL	$70	$28.07	$2.21 – $63
Urine test (automated, without microscope): 10 of 45 insurance plan rates America's PPO — Commercial: $50.40 America's PPO — EZCare: $42 America's PPO — Health EZ: $42 Blue Cross of Minnesota — Aware Federal: $40.53 Blue Cross of Minnesota — Commercial: $41.26 Blue Cross of Minnesota — Managed Medicaid: $19.29 Blue Cross of Minnesota — Medicare Advantage: $2.30 First Health — Commercial: $57.40 Health Partners — Cigna Commercial: $44.14 Health Partners — Cigna Great West: $52.56
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BLOOD URINE POCT INSTRUMENT	$9	$3.61	$2.21 – $8.10
Urine test (automated, without microscope): 10 of 45 insurance plan rates America's PPO — Commercial: $6.48 America's PPO — EZCare: $5.40 America's PPO — Health EZ: $5.40 Blue Cross of Minnesota — Aware Federal: $5.21 Blue Cross of Minnesota — Commercial: $5.30 Blue Cross of Minnesota — Managed Medicaid: $2.48 Blue Cross of Minnesota — Medicare Advantage: $2.30 First Health — Commercial: $7.38 Health Partners — Cigna Commercial: $5.68 Health Partners — Cigna Great West: $6.76
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSA, DIAGNOSTIC (TUMOR MARKER)	$61	$24.47	$15.07 – $54.90
PSA (prostate specific antigen) blood test: 10 of 45 insurance plan rates America's PPO — Commercial: $43.92 America's PPO — EZCare: $36.60 America's PPO — Health EZ: $36.60 Blue Cross of Minnesota — Aware Federal: $35.32 Blue Cross of Minnesota — Commercial: $35.95 Blue Cross of Minnesota — Managed Medicaid: $16.81 Blue Cross of Minnesota — Medicare Advantage: $18.82 First Health — Commercial: $50.02 Health Partners — Cigna Commercial: $38.47 Health Partners — Cigna Great West: $45.80
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSA, ULTRASENSITIVE	$120	$48.12	$18.10 – $108
PSA (prostate specific antigen) blood test: 10 of 45 insurance plan rates America's PPO — Commercial: $86.40 America's PPO — EZCare: $72 America's PPO — Health EZ: $72 Blue Cross of Minnesota — Aware Federal: $69.48 Blue Cross of Minnesota — Commercial: $70.73 Blue Cross of Minnesota — Managed Medicaid: $33.06 Blue Cross of Minnesota — Medicare Advantage: $18.82 First Health — Commercial: $98.40 Health Partners — Cigna Commercial: $75.67 Health Partners — Cigna Great West: $90.10
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSA, TOTAL	$167	$66.97	$18.10 – $150.30
PSA (prostate specific antigen) blood test: 10 of 45 insurance plan rates America's PPO — Commercial: $120.24 America's PPO — EZCare: $100.20 America's PPO — Health EZ: $100.20 Blue Cross of Minnesota — Aware Federal: $96.69 Blue Cross of Minnesota — Commercial: $98.43 Blue Cross of Minnesota — Managed Medicaid: $46.01 Blue Cross of Minnesota — Medicare Advantage: $18.82 First Health — Commercial: $136.94 Health Partners — Cigna Commercial: $105.31 Health Partners — Cigna Great West: $125.38
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC TSH	$89.98	$36.09	$16.53 – $80.98
Thyroid stimulating hormone (TSH) test: 10 of 45 insurance plan rates America's PPO — Commercial: $64.79 America's PPO — EZCare: $53.99 America's PPO — Health EZ: $53.99 Blue Cross of Minnesota — Aware Federal: $52.10 Blue Cross of Minnesota — Commercial: $53.04 Blue Cross of Minnesota — Managed Medicaid: $24.79 Blue Cross of Minnesota — Medicare Advantage: $17.19 First Health — Commercial: $73.78 Health Partners — Cigna Commercial: $56.74 Health Partners — Cigna Great West: $67.56
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC TSH W/FREE T4 REFLEX	$53	$21.26	$13.09 – $47.70
Thyroid stimulating hormone (TSH) test: 10 of 45 insurance plan rates America's PPO — Commercial: $38.16 America's PPO — EZCare: $31.80 America's PPO — Health EZ: $31.80 Blue Cross of Minnesota — Aware Federal: $30.69 Blue Cross of Minnesota — Commercial: $31.24 Blue Cross of Minnesota — Managed Medicaid: $14.60 Blue Cross of Minnesota — Medicare Advantage: $17.19 First Health — Commercial: $43.46 Health Partners — Cigna Commercial: $33.42 Health Partners — Cigna Great West: $39.79
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MISC TEST	$73.75	$29.58	$16.53 – $66.38
Thyroid stimulating hormone (TSH) test: 10 of 45 insurance plan rates America's PPO — Commercial: $53.10 America's PPO — EZCare: $44.25 America's PPO — Health EZ: $44.25 Blue Cross of Minnesota — Aware Federal: $42.70 Blue Cross of Minnesota — Commercial: $43.47 Blue Cross of Minnesota — Managed Medicaid: $20.32 Blue Cross of Minnesota — Medicare Advantage: $17.19 First Health — Commercial: $60.48 Health Partners — Cigna Commercial: $46.51 Health Partners — Cigna Great West: $55.37
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CBC WITH PLATELETS, DIFF GICH TO ALLINA OPNP	$8.68	$3.49	$2.14 – $17.58
Complete blood count (CBC) with differential: 10 of 45 insurance plan rates America's PPO — Commercial: $6.25 America's PPO — EZCare: $5.21 America's PPO — Health EZ: $5.21 Blue Cross of Minnesota — Aware Federal: $5.02 Blue Cross of Minnesota — Commercial: $5.12 Blue Cross of Minnesota — Managed Medicaid: $2.39 Blue Cross of Minnesota — Medicare Advantage: $7.96 First Health — Commercial: $7.12 Health Partners — Cigna Commercial: $5.47 Health Partners — Cigna Great West: $6.52
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CBC WITH PLATELETS, DIFF	$107.77	$43.22	$7.65 – $96.99
Complete blood count (CBC) with differential: 10 of 45 insurance plan rates America's PPO — Commercial: $77.59 America's PPO — EZCare: $64.66 America's PPO — Health EZ: $64.66 Blue Cross of Minnesota — Aware Federal: $62.40 Blue Cross of Minnesota — Commercial: $63.52 Blue Cross of Minnesota — Managed Medicaid: $29.69 Blue Cross of Minnesota — Medicare Advantage: $7.96 First Health — Commercial: $88.37 Health Partners — Cigna Commercial: $67.96 Health Partners — Cigna Great West: $80.91
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CBC WITH PLATELETS, DIFF	$28	$11.23	$7.49 – $25.20
Complete blood count (CBC) with differential: 10 of 28 insurance plan rates America's PPO — Commercial: $17.89 America's PPO — EZCare: $14.59 America's PPO — Health EZ: $16.52 Blue Cross of Minnesota — Aware Federal: $15.74 Blue Cross of Minnesota — Commercial: $16.02 Blue Cross of Minnesota — Managed Medicaid: $7.49 First Health — Commercial: $22.96 Health Partners — Cigna Commercial: $18.32 Health Partners — Cigna Great West: $21.81 Health Partners — Commercial: $17.44
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CBC WITH PLATELETS	$24	$9.63	$5.93 – $21.60
Complete blood count (CBC), automated: 10 of 45 insurance plan rates America's PPO — Commercial: $17.28 America's PPO — EZCare: $14.40 America's PPO — Health EZ: $14.40 Blue Cross of Minnesota — Aware Federal: $13.90 Blue Cross of Minnesota — Commercial: $14.15 Blue Cross of Minnesota — Managed Medicaid: $6.61 Blue Cross of Minnesota — Medicare Advantage: $6.62 First Health — Commercial: $19.68 Health Partners — Cigna Commercial: $15.13 Health Partners — Cigna Great West: $18.02
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CBC WITH PLATELETS	$142.93	$57.32	$38.22 – $128.64
Complete blood count (CBC), automated: 10 of 28 insurance plan rates America's PPO — Commercial: $91.33 America's PPO — EZCare: $74.47 America's PPO — Health EZ: $84.33 Blue Cross of Minnesota — Aware Federal: $80.34 Blue Cross of Minnesota — Commercial: $81.78 Blue Cross of Minnesota — Managed Medicaid: $38.22 First Health — Commercial: $117.20 Health Partners — Cigna Commercial: $93.50 Health Partners — Cigna Great West: $111.31 Health Partners — Commercial: $89.04
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Doctor (professional) fee In the file: COMPLETE CBC AUTOMATED	Not listed in the file	Not listed in the file	$6.46 – $14.03
Complete blood count (CBC), automated: 10 of 27 insurance plan rates Blue Cross of Minnesota — Aware Federal: $6.47 Blue Cross of Minnesota — Commercial: $6.59 Blue Cross of Minnesota — Managed Medicaid: $7.05 Health Partners — Cigna Commercial: $8.83 Health Partners — Cigna Great West: $10.51 Health Partners — Commercial: $8.41 Health Partners — Federal: $8.26 Health Partners — Medicare Cost: $6.97 Health Partners — PMAP: $6.61 Hennepin Health — PMAP: $7.30
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROTHROMBIN TIME/INR	$77.99	$31.28	$4.22 – $70.19
Blood clotting time test (prothrombin time, PT): 10 of 45 insurance plan rates America's PPO — Commercial: $56.15 America's PPO — EZCare: $46.79 America's PPO — Health EZ: $46.79 Blue Cross of Minnesota — Aware Federal: $45.16 Blue Cross of Minnesota — Commercial: $45.97 Blue Cross of Minnesota — Managed Medicaid: $21.49 Blue Cross of Minnesota — Medicare Advantage: $4.39 First Health — Commercial: $63.95 Health Partners — Cigna Commercial: $49.18 Health Partners — Cigna Great West: $58.55
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC INR POCT ISTAT	$78	$31.28	$4.22 – $70.20
Blood clotting time test (prothrombin time, PT): 10 of 45 insurance plan rates America's PPO — Commercial: $56.16 America's PPO — EZCare: $46.80 America's PPO — Health EZ: $46.80 Blue Cross of Minnesota — Aware Federal: $45.16 Blue Cross of Minnesota — Commercial: $45.97 Blue Cross of Minnesota — Managed Medicaid: $21.49 Blue Cross of Minnesota — Medicare Advantage: $4.39 First Health — Commercial: $63.96 Health Partners — Cigna Commercial: $49.19 Health Partners — Cigna Great West: $58.56
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC INR POCT	$78.12	$31.33	$4.22 – $70.30
Blood clotting time test (prothrombin time, PT): 10 of 45 insurance plan rates America's PPO — Commercial: $56.24 America's PPO — EZCare: $46.87 America's PPO — Health EZ: $46.87 Blue Cross of Minnesota — Aware Federal: $45.23 Blue Cross of Minnesota — Commercial: $46.04 Blue Cross of Minnesota — Managed Medicaid: $21.52 Blue Cross of Minnesota — Medicare Advantage: $4.39 First Health — Commercial: $64.06 Health Partners — Cigna Commercial: $49.26 Health Partners — Cigna Great West: $58.65
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LUPUS PTT AL	$147	$58.95	$5.91 – $132.30
Blood clotting test (partial thromboplastin time, PTT): 10 of 45 insurance plan rates America's PPO — Commercial: $105.84 America's PPO — EZCare: $88.20 America's PPO — Health EZ: $88.20 Blue Cross of Minnesota — Aware Federal: $85.11 Blue Cross of Minnesota — Commercial: $86.64 Blue Cross of Minnesota — Managed Medicaid: $40.50 Blue Cross of Minnesota — Medicare Advantage: $6.15 First Health — Commercial: $120.54 Health Partners — Cigna Commercial: $92.70 Health Partners — Cigna Great West: $110.37
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PTT	$139.67	$56.01	$5.91 – $125.70
Blood clotting test (partial thromboplastin time, PTT): 10 of 45 insurance plan rates America's PPO — Commercial: $100.56 America's PPO — EZCare: $83.80 America's PPO — Health EZ: $83.80 Blue Cross of Minnesota — Aware Federal: $80.87 Blue Cross of Minnesota — Commercial: $82.32 Blue Cross of Minnesota — Managed Medicaid: $38.48 Blue Cross of Minnesota — Medicare Advantage: $6.15 First Health — Commercial: $114.53 Health Partners — Cigna Commercial: $88.07 Health Partners — Cigna Great West: $104.86
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC HEPZYMED PTT	$147	$58.95	$5.91 – $132.30
Blood clotting test (partial thromboplastin time, PTT): 10 of 45 insurance plan rates America's PPO — Commercial: $105.84 America's PPO — EZCare: $88.20 America's PPO — Health EZ: $88.20 Blue Cross of Minnesota — Aware Federal: $85.11 Blue Cross of Minnesota — Commercial: $86.64 Blue Cross of Minnesota — Managed Medicaid: $40.50 Blue Cross of Minnesota — Medicare Advantage: $6.15 First Health — Commercial: $120.54 Health Partners — Cigna Commercial: $92.70 Health Partners — Cigna Great West: $110.37

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT HEAD WO CONTRAST	$1,200.58	$481.44	$100.03 – $1,080.52
CT scan of the head or brain, without contrast: 10 of 45 insurance plan rates America's PPO — Commercial: $864.42 America's PPO — EZCare: $720.35 America's PPO — Health EZ: $720.35 Blue Cross of Minnesota — Aware Federal: $695.14 Blue Cross of Minnesota — Commercial: $707.62 Blue Cross of Minnesota — Managed Medicaid: $330.76 Blue Cross of Minnesota — Medicare Advantage: $110.08 First Health — Commercial: $984.47 Health Partners — Cigna Commercial: $757.09 Health Partners — Cigna Great West: $901.39
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT HEAD WO CONTRAST	$1,190.79	$477.51	$318.42 – $1,071.71
CT scan of the head or brain, without contrast: 10 of 28 insurance plan rates America's PPO — Commercial: $760.91 America's PPO — EZCare: $620.40 America's PPO — Health EZ: $702.56 Blue Cross of Minnesota — Aware Federal: $669.34 Blue Cross of Minnesota — Commercial: $681.37 Blue Cross of Minnesota — Managed Medicaid: $318.42 First Health — Commercial: $976.45 Health Partners — Cigna Commercial: $779.01 Health Partners — Cigna Great West: $927.39 Health Partners — Commercial: $741.86
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Doctor (professional) fee In the file: CT HEAD/BRAIN W/O DYE	Not listed in the file	Not listed in the file	$77.01 – $414.37
CT scan of the head or brain, without contrast: 10 of 36 insurance plan rates Blue Cross of Minnesota — Aware Federal: $364.11 Blue Cross of Minnesota — Commercial: $370.66 Blue Cross of Minnesota — Managed Medicaid: $88.56 Blue Cross of Minnesota — Medicare Advantage: $108.37 Health Partners — Cigna Commercial: $177.93 Health Partners — Cigna Great West: $211.83 Health Partners — Commercial: $169.46 Health Partners — Federal: $166.48 Health Partners — Medicare Advantage: $110.45 Health Partners — Medicare Cost: $114.73
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI BRAIN WO&W CONTRAST	$2,898	$1,162.10	$335.92 – $2,608.20
MRI of the brain, before and after contrast: 10 of 45 insurance plan rates America's PPO — Commercial: $2,086.56 America's PPO — EZCare: $1,738.80 America's PPO — Health EZ: $1,738.80 Blue Cross of Minnesota — Aware Federal: $1,677.94 Blue Cross of Minnesota — Commercial: $1,708.08 Blue Cross of Minnesota — Managed Medicaid: $798.40 Blue Cross of Minnesota — Medicare Advantage: $369.71 First Health — Commercial: $2,376.36 Health Partners — Cigna Commercial: $1,827.48 Health Partners — Cigna Great West: $2,175.82
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI BRAIN WO&W CONTRAST	$1,596	$640	$426.77 – $1,436.40
MRI of the brain, before and after contrast: 10 of 28 insurance plan rates America's PPO — Commercial: $1,019.84 America's PPO — EZCare: $831.52 America's PPO — Health EZ: $941.64 Blue Cross of Minnesota — Aware Federal: $897.11 Blue Cross of Minnesota — Commercial: $913.23 Blue Cross of Minnesota — Managed Medicaid: $426.77 First Health — Commercial: $1,308.72 Health Partners — Cigna Commercial: $1,044.10 Health Partners — Cigna Great West: $1,242.96 Health Partners — Commercial: $994.31
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Doctor (professional) fee In the file: MRI BRAIN STEM W/O & W/DYE	Not listed in the file	Not listed in the file	$230.11 – $1,339.98
MRI of the brain, before and after contrast: 10 of 36 insurance plan rates Blue Cross of Minnesota — Aware Federal: $1,096.80 Blue Cross of Minnesota — Commercial: $1,116.54 Blue Cross of Minnesota — Managed Medicaid: $267.05 Blue Cross of Minnesota — Medicare Advantage: $323.72 Health Partners — Cigna Commercial: $537.04 Health Partners — Cigna Great West: $639.34 Health Partners — Commercial: $511.47 Health Partners — Federal: $502.47 Health Partners — Medicare Advantage: $329.95 Health Partners — Medicare Cost: $342.10
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC XRAY CHEST, 2 VIEWS	$345.61	$138.60	$82.82 – $311.05
Chest X-ray, 2 views: 10 of 45 insurance plan rates America's PPO — Commercial: $248.84 America's PPO — EZCare: $207.37 America's PPO — Health EZ: $207.37 Blue Cross of Minnesota — Aware Federal: $200.11 Blue Cross of Minnesota — Commercial: $203.70 Blue Cross of Minnesota — Managed Medicaid: $95.22 Blue Cross of Minnesota — Medicare Advantage: $91.15 First Health — Commercial: $283.40 Health Partners — Cigna Commercial: $217.94 Health Partners — Cigna Great West: $259.49
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC XRAY CHEST, 2 VIEWS	$356.99	$143.16	$95.46 – $321.29
Chest X-ray, 2 views: 10 of 28 insurance plan rates America's PPO — Commercial: $228.12 America's PPO — EZCare: $185.99 America's PPO — Health EZ: $210.63 Blue Cross of Minnesota — Aware Federal: $200.67 Blue Cross of Minnesota — Commercial: $204.27 Blue Cross of Minnesota — Managed Medicaid: $95.46 First Health — Commercial: $292.73 Health Partners — Cigna Commercial: $233.55 Health Partners — Cigna Great West: $278.03 Health Partners — Commercial: $222.41
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Doctor (professional) fee In the file: X-RAY EXAM CHEST 2 VIEWS	Not listed in the file	Not listed in the file	$23.79 – $114.84
Chest X-ray, 2 views: 10 of 36 insurance plan rates Blue Cross of Minnesota — Aware Federal: $112.81 Blue Cross of Minnesota — Commercial: $114.84 Blue Cross of Minnesota — Managed Medicaid: $27.26 Blue Cross of Minnesota — Medicare Advantage: $33.60 Health Partners — Cigna Commercial: $54.79 Health Partners — Cigna Great West: $65.23 Health Partners — Commercial: $52.18 Health Partners — Federal: $51.26 Health Partners — Medicare Advantage: $34.25 Health Partners — Medicare Cost: $35.68
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC X-RAY LUMBAR SPINE MIN 4 VIEWS	$512	$205.32	$100.03 – $460.80
X-ray of the lower spine, at least 4 views: 10 of 45 insurance plan rates America's PPO — Commercial: $368.64 America's PPO — EZCare: $307.20 America's PPO — Health EZ: $307.20 Blue Cross of Minnesota — Aware Federal: $296.45 Blue Cross of Minnesota — Commercial: $301.77 Blue Cross of Minnesota — Managed Medicaid: $141.06 Blue Cross of Minnesota — Medicare Advantage: $110.08 First Health — Commercial: $419.84 Health Partners — Cigna Commercial: $322.87 Health Partners — Cigna Great West: $384.41
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC X-RAY LUMBAR SPINE MIN 4 VIEWS	$512	$205.32	$136.91 – $460.80
X-ray of the lower spine, at least 4 views: 10 of 28 insurance plan rates America's PPO — Commercial: $327.17 America's PPO — EZCare: $266.75 America's PPO — Health EZ: $302.08 Blue Cross of Minnesota — Aware Federal: $287.80 Blue Cross of Minnesota — Commercial: $292.97 Blue Cross of Minnesota — Managed Medicaid: $136.91 First Health — Commercial: $419.84 Health Partners — Cigna Commercial: $334.95 Health Partners — Cigna Great West: $398.75 Health Partners — Commercial: $318.98
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Doctor (professional) fee In the file: X-RAY EXAM L-2 SPINE 4/>VWS	Not listed in the file	Not listed in the file	$36.97 – $177.38
X-ray of the lower spine, at least 4 views: 10 of 36 insurance plan rates Blue Cross of Minnesota — Aware Federal: $174.24 Blue Cross of Minnesota — Commercial: $177.38 Blue Cross of Minnesota — Managed Medicaid: $42.39 Blue Cross of Minnesota — Medicare Advantage: $52.23 Health Partners — Cigna Commercial: $85.17 Health Partners — Cigna Great West: $101.39 Health Partners — Commercial: $81.11 Health Partners — Federal: $79.68 Health Partners — Medicare Advantage: $53.23 Health Partners — Medicare Cost: $55.27
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI LUMBAR SPINE W/O CONTRAST	$1,895	$759.90	$227.36 – $1,705.50
MRI of the lower back (lumbar spine), without contrast: 10 of 45 insurance plan rates America's PPO — Commercial: $1,364.40 America's PPO — EZCare: $1,137 America's PPO — Health EZ: $1,137 Blue Cross of Minnesota — Aware Federal: $1,097.21 Blue Cross of Minnesota — Commercial: $1,116.91 Blue Cross of Minnesota — Managed Medicaid: $522.07 Blue Cross of Minnesota — Medicare Advantage: $250.23 First Health — Commercial: $1,553.90 Health Partners — Cigna Commercial: $1,194.99 Health Partners — Cigna Great West: $1,422.77
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI LUMBAR SPINE W/O CONTRAST	$1,895	$759.90	$506.72 – $1,705.50
MRI of the lower back (lumbar spine), without contrast: 10 of 28 insurance plan rates America's PPO — Commercial: $1,210.91 America's PPO — EZCare: $987.30 America's PPO — Health EZ: $1,118.05 Blue Cross of Minnesota — Aware Federal: $1,065.18 Blue Cross of Minnesota — Commercial: $1,084.32 Blue Cross of Minnesota — Managed Medicaid: $506.72 First Health — Commercial: $1,553.90 Health Partners — Cigna Commercial: $1,239.71 Health Partners — Cigna Great West: $1,475.83 Health Partners — Commercial: $1,180.59
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Doctor (professional) fee In the file: MRI LUMBAR SPINE W/O DYE	Not listed in the file	Not listed in the file	$137.78 – $798.52
MRI of the lower back (lumbar spine), without contrast: 10 of 36 insurance plan rates Blue Cross of Minnesota — Aware Federal: $658.97 Blue Cross of Minnesota — Commercial: $670.83 Blue Cross of Minnesota — Managed Medicaid: $160.13 Blue Cross of Minnesota — Medicare Advantage: $194.10 Health Partners — Cigna Commercial: $321.69 Health Partners — Cigna Great West: $382.96 Health Partners — Commercial: $306.37 Health Partners — Federal: $300.98 Health Partners — Medicare Advantage: $197.83 Health Partners — Medicare Cost: $205.33
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT SCAN OF PELVIS CONTRAST	$1,621	$650.03	$167.46 – $1,458.90
CT scan of the pelvis, with contrast: 10 of 45 insurance plan rates America's PPO — Commercial: $1,167.12 America's PPO — EZCare: $972.60 America's PPO — Health EZ: $972.60 Blue Cross of Minnesota — Aware Federal: $938.56 Blue Cross of Minnesota — Commercial: $955.42 Blue Cross of Minnesota — Managed Medicaid: $446.59 Blue Cross of Minnesota — Medicare Advantage: $184.29 First Health — Commercial: $1,329.22 Health Partners — Cigna Commercial: $1,022.20 Health Partners — Cigna Great West: $1,217.05
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT SCAN OF PELVIS CONTRAST	$1,621	$650.03	$433.46 – $1,458.90
CT scan of the pelvis, with contrast: 10 of 28 insurance plan rates America's PPO — Commercial: $1,035.82 America's PPO — EZCare: $844.54 America's PPO — Health EZ: $956.39 Blue Cross of Minnesota — Aware Federal: $911.16 Blue Cross of Minnesota — Commercial: $927.54 Blue Cross of Minnesota — Managed Medicaid: $433.46 First Health — Commercial: $1,329.22 Health Partners — Cigna Commercial: $1,060.46 Health Partners — Cigna Great West: $1,262.43 Health Partners — Commercial: $1,009.88
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Doctor (professional) fee In the file: CT PELVIS W/DYE	Not listed in the file	Not listed in the file	$164.39 – $868.28
CT scan of the pelvis, with contrast: 10 of 36 insurance plan rates Blue Cross of Minnesota — Aware Federal: $787.41 Blue Cross of Minnesota — Commercial: $801.58 Blue Cross of Minnesota — Managed Medicaid: $190.63 Blue Cross of Minnesota — Medicare Advantage: $231.47 Health Partners — Cigna Commercial: $387.32 Health Partners — Cigna Great West: $461.10 Health Partners — Commercial: $368.88 Health Partners — Federal: $362.39 Health Partners — Medicare Advantage: $235.92 Health Partners — Medicare Cost: $244.51
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI LOWER EXTREMITY JNT W/O CONT	$2,009.53	$805.83	$227.36 – $1,808.58
MRI of a leg joint (such as the knee), without contrast: 10 of 45 insurance plan rates America's PPO — Commercial: $1,446.86 America's PPO — EZCare: $1,205.72 America's PPO — Health EZ: $1,205.72 Blue Cross of Minnesota — Aware Federal: $1,163.52 Blue Cross of Minnesota — Commercial: $1,184.42 Blue Cross of Minnesota — Managed Medicaid: $553.63 Blue Cross of Minnesota — Medicare Advantage: $250.23 First Health — Commercial: $1,647.81 Health Partners — Cigna Commercial: $1,267.21 Health Partners — Cigna Great West: $1,508.75
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI LOWER EXTREMITY JNT W/O CONT	$2,009.53	$805.83	$537.35 – $1,808.58
MRI of a leg joint (such as the knee), without contrast: 10 of 28 insurance plan rates America's PPO — Commercial: $1,284.09 America's PPO — EZCare: $1,046.96 America's PPO — Health EZ: $1,185.62 Blue Cross of Minnesota — Aware Federal: $1,129.56 Blue Cross of Minnesota — Commercial: $1,149.85 Blue Cross of Minnesota — Managed Medicaid: $537.35 First Health — Commercial: $1,647.81 Health Partners — Cigna Commercial: $1,314.63 Health Partners — Cigna Great West: $1,565.02 Health Partners — Commercial: $1,251.94
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Doctor (professional) fee In the file: MRI JNT OF LWR EXTRE W/O DYE	Not listed in the file	Not listed in the file	$146.96 – $840.26
MRI of a leg joint (such as the knee), without contrast: 10 of 36 insurance plan rates Blue Cross of Minnesota — Aware Federal: $698.06 Blue Cross of Minnesota — Commercial: $710.63 Blue Cross of Minnesota — Managed Medicaid: $170.11 Blue Cross of Minnesota — Medicare Advantage: $206.75 Health Partners — Cigna Commercial: $342.29 Health Partners — Cigna Great West: $407.49 Health Partners — Commercial: $325.99 Health Partners — Federal: $320.25 Health Partners — Medicare Advantage: $210.73 Health Partners — Medicare Cost: $218.62
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT SCAN, ABDOMEN AND PELVIS W CONTRAST	$1,832.02	$734.65	$335.92 – $1,648.82
CT scan of the abdomen and pelvis, with contrast: 10 of 45 insurance plan rates America's PPO — Commercial: $1,319.06 America's PPO — EZCare: $1,099.21 America's PPO — Health EZ: $1,099.21 Blue Cross of Minnesota — Aware Federal: $1,060.74 Blue Cross of Minnesota — Commercial: $1,079.79 Blue Cross of Minnesota — Managed Medicaid: $504.72 Blue Cross of Minnesota — Medicare Advantage: $369.71 First Health — Commercial: $1,502.26 Health Partners — Cigna Commercial: $1,155.27 Health Partners — Cigna Great West: $1,375.48
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT SCAN, ABDOMEN AND PELVIS W CONTRAST	$1,813.24	$727.11	$484.86 – $1,631.91
CT scan of the abdomen and pelvis, with contrast: 10 of 28 insurance plan rates America's PPO — Commercial: $1,158.66 America's PPO — EZCare: $944.70 America's PPO — Health EZ: $1,069.81 Blue Cross of Minnesota — Aware Federal: $1,019.22 Blue Cross of Minnesota — Commercial: $1,037.53 Blue Cross of Minnesota — Managed Medicaid: $484.86 First Health — Commercial: $1,486.85 Health Partners — Cigna Commercial: $1,186.22 Health Partners — Cigna Great West: $1,412.15 Health Partners — Commercial: $1,129.65
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Doctor (professional) fee In the file: CT ABD & PELVIS W/CONTRAST	Not listed in the file	Not listed in the file	$218.34 – $1,174.30
CT scan of the abdomen and pelvis, with contrast: 10 of 36 insurance plan rates Blue Cross of Minnesota — Aware Federal: $1,043.18 Blue Cross of Minnesota — Commercial: $1,061.96 Blue Cross of Minnesota — Managed Medicaid: $254.90 Blue Cross of Minnesota — Medicare Advantage: $307.42 Health Partners — Cigna Commercial: $512.63 Health Partners — Cigna Great West: $610.28 Health Partners — Commercial: $488.22 Health Partners — Federal: $479.63 Health Partners — Medicare Advantage: $313.34 Health Partners — Medicare Cost: $324.96
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US ABDOMEN COMPLETE	$693.99	$278.29	$100.03 – $624.59
Ultrasound of the abdomen, complete: 10 of 45 insurance plan rates America's PPO — Commercial: $499.67 America's PPO — EZCare: $416.39 America's PPO — Health EZ: $416.39 Blue Cross of Minnesota — Aware Federal: $401.82 Blue Cross of Minnesota — Commercial: $409.04 Blue Cross of Minnesota — Managed Medicaid: $191.19 Blue Cross of Minnesota — Medicare Advantage: $110.08 First Health — Commercial: $569.07 Health Partners — Cigna Commercial: $437.63 Health Partners — Cigna Great West: $521.05
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC US ABDOMEN COMPLETE	$694.11	$278.34	$185.61 – $624.70
Ultrasound of the abdomen, complete: 10 of 28 insurance plan rates America's PPO — Commercial: $443.54 America's PPO — EZCare: $361.63 America's PPO — Health EZ: $409.53 Blue Cross of Minnesota — Aware Federal: $390.16 Blue Cross of Minnesota — Commercial: $397.17 Blue Cross of Minnesota — Managed Medicaid: $185.61 First Health — Commercial: $569.17 Health Partners — Cigna Commercial: $454.09 Health Partners — Cigna Great West: $540.57 Health Partners — Commercial: $432.43
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Doctor (professional) fee In the file: US EXAM ABDOM COMPLETE	Not listed in the file	Not listed in the file	$81.72 – $396.82
Ultrasound of the abdomen, complete: 10 of 36 insurance plan rates Blue Cross of Minnesota — Aware Federal: $389.80 Blue Cross of Minnesota — Commercial: $396.82 Blue Cross of Minnesota — Managed Medicaid: $94.78 Blue Cross of Minnesota — Medicare Advantage: $115.28 Health Partners — Cigna Commercial: $190.95 Health Partners — Cigna Great West: $227.33 Health Partners — Commercial: $181.86 Health Partners — Federal: $178.66 Health Partners — Medicare Advantage: $117.50 Health Partners — Medicare Cost: $121.73
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US OB 2-3 TRIMESTER MAT/FETAL, SINGLE GESTATION	$683	$273.89	$100.03 – $614.70
Pregnancy ultrasound (after the first trimester): 10 of 45 insurance plan rates America's PPO — Commercial: $491.76 America's PPO — EZCare: $409.80 America's PPO — Health EZ: $409.80 Blue Cross of Minnesota — Aware Federal: $395.46 Blue Cross of Minnesota — Commercial: $402.56 Blue Cross of Minnesota — Managed Medicaid: $188.17 Blue Cross of Minnesota — Medicare Advantage: $110.08 First Health — Commercial: $560.06 Health Partners — Cigna Commercial: $430.70 Health Partners — Cigna Great West: $512.80
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC US OB 2-3 TRIMESTER MAT/FETAL, SINGLE GESTATION	$683	$273.89	$182.63 – $614.70
Pregnancy ultrasound (after the first trimester): 10 of 28 insurance plan rates America's PPO — Commercial: $436.44 America's PPO — EZCare: $355.84 America's PPO — Health EZ: $402.97 Blue Cross of Minnesota — Aware Federal: $383.91 Blue Cross of Minnesota — Commercial: $390.81 Blue Cross of Minnesota — Managed Medicaid: $182.63 First Health — Commercial: $560.06 Health Partners — Cigna Commercial: $446.82 Health Partners — Cigna Great West: $531.92 Health Partners — Commercial: $425.51
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Doctor (professional) fee In the file: OB US >/= 14 WKS SNGL FETUS	Not listed in the file	Not listed in the file	$96.63 – $462.76
Pregnancy ultrasound (after the first trimester): 10 of 36 insurance plan rates Blue Cross of Minnesota — Aware Federal: $454.58 Blue Cross of Minnesota — Commercial: $462.76 Blue Cross of Minnesota — Managed Medicaid: $113.43 Blue Cross of Minnesota — Medicare Advantage: $134.14 Health Partners — Cigna Commercial: $222.95 Health Partners — Cigna Great West: $265.41 Health Partners — Commercial: $212.33 Health Partners — Federal: $208.59 Health Partners — Medicare Advantage: $136.72 Health Partners — Medicare Cost: $141.67
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US TRANSVAGINAL, NON-OB	$542.68	$217.62	$100.03 – $488.42
Transvaginal ultrasound: 10 of 45 insurance plan rates America's PPO — Commercial: $390.73 America's PPO — EZCare: $325.61 America's PPO — Health EZ: $325.61 Blue Cross of Minnesota — Aware Federal: $314.21 Blue Cross of Minnesota — Commercial: $319.86 Blue Cross of Minnesota — Managed Medicaid: $149.51 Blue Cross of Minnesota — Medicare Advantage: $110.08 First Health — Commercial: $445 Health Partners — Cigna Commercial: $342.22 Health Partners — Cigna Great West: $407.45
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC US TRANSVAGINAL, NON-OB	$542.68	$217.62	$145.11 – $488.42
Transvaginal ultrasound: 10 of 28 insurance plan rates America's PPO — Commercial: $346.78 America's PPO — EZCare: $282.74 America's PPO — Health EZ: $320.18 Blue Cross of Minnesota — Aware Federal: $305.04 Blue Cross of Minnesota — Commercial: $310.52 Blue Cross of Minnesota — Managed Medicaid: $145.11 First Health — Commercial: $445 Health Partners — Cigna Commercial: $355.02 Health Partners — Cigna Great West: $422.64 Health Partners — Commercial: $338.09
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Doctor (professional) fee In the file: TRANSVAGINAL US NON-OB	Not listed in the file	Not listed in the file	$83.84 – $407.05
Transvaginal ultrasound: 10 of 36 insurance plan rates Blue Cross of Minnesota — Aware Federal: $399.85 Blue Cross of Minnesota — Commercial: $407.05 Blue Cross of Minnesota — Managed Medicaid: $97.48 Blue Cross of Minnesota — Medicare Advantage: $118.01 Health Partners — Cigna Commercial: $196.38 Health Partners — Cigna Great West: $233.79 Health Partners — Commercial: $187.03 Health Partners — Federal: $183.74 Health Partners — Medicare Advantage: $120.28 Health Partners — Medicare Cost: $124.88
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC DX MAMMO INCL CAD, UNILATERAL	$446	$178.85	$88.50 – $401.40
Diagnostic mammogram, one breast: 10 of 45 insurance plan rates America's PPO — Commercial: $321.12 America's PPO — EZCare: $267.60 America's PPO — Health EZ: $267.60 Blue Cross of Minnesota — Aware Federal: $258.23 Blue Cross of Minnesota — Commercial: $262.87 Blue Cross of Minnesota — Managed Medicaid: $122.87 Blue Cross of Minnesota — Medicare Advantage: $125.80 First Health — Commercial: $365.72 Health Partners — Cigna Commercial: $281.25 Health Partners — Cigna Great West: $334.86
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC DX MAMMO INCL CAD, UNILATERAL	$446	$178.85	$119.26 – $401.40
Diagnostic mammogram, one breast: 10 of 28 insurance plan rates America's PPO — Commercial: $284.99 America's PPO — EZCare: $232.37 America's PPO — Health EZ: $263.14 Blue Cross of Minnesota — Aware Federal: $250.70 Blue Cross of Minnesota — Commercial: $255.20 Blue Cross of Minnesota — Managed Medicaid: $119.26 First Health — Commercial: $365.72 Health Partners — Cigna Commercial: $291.77 Health Partners — Cigna Great West: $347.34 Health Partners — Commercial: $277.86
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Doctor (professional) fee In the file: DX MAMMO INCL CAD UNI	Not listed in the file	Not listed in the file	$89.26 – $427.51
Diagnostic mammogram, one breast: 10 of 36 insurance plan rates Blue Cross of Minnesota — Aware Federal: $419.95 Blue Cross of Minnesota — Commercial: $427.51 Blue Cross of Minnesota — Managed Medicaid: $102.33 Blue Cross of Minnesota — Medicare Advantage: $125.80 Health Partners — Cigna Commercial: $206.14 Health Partners — Cigna Great West: $245.40 Health Partners — Commercial: $196.32 Health Partners — Federal: $192.86 Health Partners — Medicare Advantage: $128.22 Health Partners — Medicare Cost: $132.92
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC DX MAMMO INCL CAD, BILATERAL	$576	$230.98	$80.31 – $518.40
Diagnostic mammogram, both breasts: 10 of 45 insurance plan rates America's PPO — Commercial: $414.72 America's PPO — EZCare: $345.60 America's PPO — Health EZ: $345.60 Blue Cross of Minnesota — Aware Federal: $333.50 Blue Cross of Minnesota — Commercial: $339.49 Blue Cross of Minnesota — Managed Medicaid: $158.69 Blue Cross of Minnesota — Medicare Advantage: $158.90 First Health — Commercial: $472.32 Health Partners — Cigna Commercial: $363.23 Health Partners — Cigna Great West: $432.46
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC DX MAMMO INCL CAD, BILATERAL	$576.03	$231	$154.03 – $518.43
Diagnostic mammogram, both breasts: 10 of 28 insurance plan rates America's PPO — Commercial: $368.09 America's PPO — EZCare: $300.11 America's PPO — Health EZ: $339.86 Blue Cross of Minnesota — Aware Federal: $323.79 Blue Cross of Minnesota — Commercial: $329.61 Blue Cross of Minnesota — Managed Medicaid: $154.03 First Health — Commercial: $472.35 Health Partners — Cigna Commercial: $376.84 Health Partners — Cigna Great West: $448.62 Health Partners — Commercial: $358.87
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Doctor (professional) fee In the file: DX MAMMO INCL CAD BI	Not listed in the file	Not listed in the file	$112.82 – $541.21
Diagnostic mammogram, both breasts: 10 of 36 insurance plan rates Blue Cross of Minnesota — Aware Federal: $531.64 Blue Cross of Minnesota — Commercial: $541.21 Blue Cross of Minnesota — Managed Medicaid: $129.61 Blue Cross of Minnesota — Medicare Advantage: $158.90 Health Partners — Cigna Commercial: $260.38 Health Partners — Cigna Great West: $309.98 Health Partners — Commercial: $247.98 Health Partners — Federal: $243.62 Health Partners — Medicare Advantage: $161.96 Health Partners — Medicare Cost: $167.90
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC SCREEN MAMMO INCL CAD, BILATERAL	$469	$188.07	$66.64 – $422.10
Screening mammogram, both breasts: 10 of 45 insurance plan rates America's PPO — Commercial: $337.68 America's PPO — EZCare: $281.40 America's PPO — Health EZ: $281.40 Blue Cross of Minnesota — Aware Federal: $271.55 Blue Cross of Minnesota — Commercial: $276.43 Blue Cross of Minnesota — Managed Medicaid: $129.21 Blue Cross of Minnesota — Medicare Advantage: $128.80 First Health — Commercial: $384.58 Health Partners — Cigna Commercial: $295.75 Health Partners — Cigna Great West: $352.12
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MAMMO SCREEN IMPLANT BILAT, INCL CAD WHEN PERF	$469	$188.07	$66.64 – $422.10
Screening mammogram, both breasts: 10 of 45 insurance plan rates America's PPO — Commercial: $337.68 America's PPO — EZCare: $281.40 America's PPO — Health EZ: $281.40 Blue Cross of Minnesota — Aware Federal: $271.55 Blue Cross of Minnesota — Commercial: $276.43 Blue Cross of Minnesota — Managed Medicaid: $129.21 Blue Cross of Minnesota — Medicare Advantage: $128.80 First Health — Commercial: $384.58 Health Partners — Cigna Commercial: $295.75 Health Partners — Cigna Great West: $352.13
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MAMMO SCREEN IMPLANT BILAT, INCL CAD WHEN PERF	$469	$188.07	$125.41 – $422.10
Screening mammogram, both breasts: 10 of 28 insurance plan rates America's PPO — Commercial: $299.69 America's PPO — EZCare: $244.35 America's PPO — Health EZ: $276.71 Blue Cross of Minnesota — Aware Federal: $263.62 Blue Cross of Minnesota — Commercial: $268.36 Blue Cross of Minnesota — Managed Medicaid: $125.41 First Health — Commercial: $384.58 Health Partners — Cigna Commercial: $306.82 Health Partners — Cigna Great West: $365.26 Health Partners — Commercial: $292.19

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient or outpatient · Doctor (professional) fee In the file: ELECTROCARDIOGRAM COMPLETE	Not listed in the file	Not listed in the file	$9.89 – $70.98
Electrocardiogram (ECG/EKG) with reading: 10 of 36 insurance plan rates Blue Cross of Minnesota — Aware Federal: $48.03 Blue Cross of Minnesota — Commercial: $48.89 Blue Cross of Minnesota — Managed Medicaid: $11.34 Blue Cross of Minnesota — Medicare Advantage: $13.97 Health Partners — Cigna Commercial: $59.62 Health Partners — Cigna Great West: $70.98 Health Partners — Commercial: $56.78 Health Partners — Federal: $55.78 Health Partners — Medicare Advantage: $14.24 Health Partners — Medicare Cost: $15.04
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LEFT HEART CATH INJECT VETRICULOGRAPHY, IMAGE SUPERVISE/INTERP	$8,848	$3,548.05	$2,185.46 – $7,963.20
Left heart catheterization (diagnostic): 10 of 45 insurance plan rates America's PPO — Commercial: $6,370.56 America's PPO — EZCare: $5,308.80 America's PPO — Health EZ: $5,308.80 Blue Cross of Minnesota — Aware Federal: $5,122.99 Blue Cross of Minnesota — Commercial: $5,215.01 Blue Cross of Minnesota — Managed Medicaid: $2,437.62 Blue Cross of Minnesota — Medicare Advantage: $3,334.30 First Health — Commercial: $7,255.36 Health Partners — Cigna Commercial: $5,579.55 Health Partners — Cigna Great West: $6,643.08
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC LEFT HEART CATH INJECT VETRICULOGRAPHY, IMAGE SUPERVISE/INTERP	$8,848	$3,548.05	$2,365.96 – $7,963.20
Left heart catheterization (diagnostic): 10 of 28 insurance plan rates America's PPO — Commercial: $5,653.87 America's PPO — EZCare: $4,609.81 America's PPO — Health EZ: $5,220.32 Blue Cross of Minnesota — Aware Federal: $4,973.46 Blue Cross of Minnesota — Commercial: $5,062.83 Blue Cross of Minnesota — Managed Medicaid: $2,365.96 First Health — Commercial: $7,255.36 Health Partners — Cigna Commercial: $5,788.36 Health Partners — Cigna Great West: $6,890.82 Health Partners — Commercial: $5,512.30
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · Doctor (professional) fee In the file: LEFT HRT CATH W/VENTRCLGRPHY	Not listed in the file	Not listed in the file	$601.54 – $4,360.78
Left heart catheterization (diagnostic): 10 of 36 insurance plan rates Blue Cross of Minnesota — Aware Federal: $2,962.02 Blue Cross of Minnesota — Commercial: $3,015.34 Blue Cross of Minnesota — Managed Medicaid: $713.13 Blue Cross of Minnesota — Medicare Advantage: $846.03 Health Partners — Cigna Commercial: $3,663.05 Health Partners — Cigna Great West: $4,360.78 Health Partners — Commercial: $3,488.62 Health Partners — Federal: $3,427.22 Health Partners — Medicare Advantage: $862.30 Health Partners — Medicare Cost: $892.96
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient · Doctor (professional) fee In the file: COMPREHENSIVE EP EVALUATION	Not listed in the file	Not listed in the file	$439.26 – $3,386.95
Heart rhythm study (electrophysiology evaluation): 10 of 36 insurance plan rates Blue Cross of Minnesota — Aware Federal: $1,250.93 Blue Cross of Minnesota — Commercial: $1,273.45 Blue Cross of Minnesota — Managed Medicaid: $504.68 Blue Cross of Minnesota — Medicare Advantage: $683.65 Health Partners — Cigna Commercial: $2,845.04 Health Partners — Cigna Great West: $3,386.95 Health Partners — Commercial: $2,709.56 Health Partners — Federal: $2,661.87 Health Partners — Medicare Advantage: $696.80 Health Partners — Medicare Cost: $721.43
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE EP EVALUATION	Not listed in the file	Not listed in the file	$7,076.34 – $17,357.14
Heart rhythm study (electrophysiology evaluation): 10 of 18 insurance plan rates Blue Cross of Minnesota — Medicare Advantage: $7,855.28 Health Partners — Medicare Advantage: $8,006.34 Hennepin Health — PMAP: $7,642.45 Itasca Medical Care — Managed Medicaid: $7,076.34 Itasca Medical Care — Medicare Advantage/MSHO: $7,553.15 Medica — Medicare Advantage: $8,006.34 Primewest — Managed Medicaid: $7,076.34 Primewest — MSHO: $7,553.15 Sanford Health Plan — Medicare Advantage: $7,553.15 Security Health Plan — Medicare Advantage: $7,553.15
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient · Doctor (professional) fee · modifier 26 In the file: COMPREHENSIVE EP EVALUATION	Not listed in the file	Not listed in the file	$242.83 – $1,706.68
Heart rhythm study (electrophysiology evaluation): 10 of 36 insurance plan rates Blue Cross of Minnesota — Aware Federal: $1,250.93 Blue Cross of Minnesota — Commercial: $1,273.45 Blue Cross of Minnesota — Managed Medicaid: $278.94 Blue Cross of Minnesota — Medicare Advantage: $342.52 Health Partners — Cigna Commercial: $1,433.61 Health Partners — Cigna Great West: $1,706.68 Health Partners — Commercial: $1,365.34 Health Partners — Federal: $1,341.31 Health Partners — Medicare Advantage: $349.11 Health Partners — Medicare Cost: $361.59
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EPHYS EVL TRNSPTL TX ATRIAL FIB ISOLAT PULM VEIN	$50,369	$20,197.97	$12,441.14 – $56,115.60
Heart rhythm study with ablation for atrial fibrillation: 10 of 45 insurance plan rates America's PPO — Commercial: $36,265.68 America's PPO — EZCare: $30,221.40 America's PPO — Health EZ: $30,221.40 Blue Cross of Minnesota — Aware Federal: $29,163.65 Blue Cross of Minnesota — Commercial: $29,687.49 Blue Cross of Minnesota — Managed Medicaid: $13,876.66 Blue Cross of Minnesota — Medicare Advantage: $25,396.09 First Health — Commercial: $41,302.58 Health Partners — Cigna Commercial: $31,762.69 Health Partners — Cigna Great West: $37,817.05
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EPHYS EVL TRNSPTL TX ATRIAL FIB ISOLAT PULM VEIN	$50,369	$20,197.97	$13,468.67 – $45,332.10
Heart rhythm study with ablation for atrial fibrillation: 10 of 28 insurance plan rates America's PPO — Commercial: $32,185.79 America's PPO — EZCare: $26,242.25 America's PPO — Health EZ: $29,717.71 Blue Cross of Minnesota — Aware Federal: $28,312.41 Blue Cross of Minnesota — Commercial: $28,821.14 Blue Cross of Minnesota — Managed Medicaid: $13,468.67 First Health — Commercial: $41,302.58 Health Partners — Cigna Commercial: $32,951.40 Health Partners — Cigna Great West: $39,227.38 Health Partners — Commercial: $31,379.89
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient · Doctor (professional) fee In the file: COMPRE EP EVAL ABLTJ ATR FIB	Not listed in the file	Not listed in the file	$592.35 – $4,151.16
Heart rhythm study with ablation for atrial fibrillation: 10 of 36 insurance plan rates Blue Cross of Minnesota — Aware Federal: $3,092.70 Blue Cross of Minnesota — Commercial: $3,148.37 Blue Cross of Minnesota — Managed Medicaid: $679.11 Blue Cross of Minnesota — Medicare Advantage: $835.02 Health Partners — Cigna Commercial: $3,486.98 Health Partners — Cigna Great West: $4,151.16 Health Partners — Commercial: $3,320.93 Health Partners — Federal: $3,262.48 Health Partners — Medicare Advantage: $851.07 Health Partners — Medicare Cost: $881.09
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC POLYSOM SLEEP STAGE >=4 PARAM, AGE 6+, ATTENDED	$4,904.06	$1,966.53	$948.77 – $4,413.65
Sleep study (overnight, in a sleep lab): 10 of 45 insurance plan rates America's PPO — Commercial: $3,530.92 America's PPO — EZCare: $2,942.43 America's PPO — Health EZ: $2,942.43 Blue Cross of Minnesota — Aware Federal: $2,839.45 Blue Cross of Minnesota — Commercial: $2,890.45 Blue Cross of Minnesota — Managed Medicaid: $1,351.07 Blue Cross of Minnesota — Medicare Advantage: $1,053.21 First Health — Commercial: $4,021.33 Health Partners — Cigna Commercial: $3,092.50 Health Partners — Cigna Great West: $3,681.96
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC POLYSOM SLEEP STAGE >=4 PARAM, AGE 6+, ATTENDED	$4,904.06	$1,966.53	$1,311.34 – $4,413.65
Sleep study (overnight, in a sleep lab): 10 of 28 insurance plan rates America's PPO — Commercial: $3,133.69 America's PPO — EZCare: $2,555.01 America's PPO — Health EZ: $2,893.39 Blue Cross of Minnesota — Aware Federal: $2,756.57 Blue Cross of Minnesota — Commercial: $2,806.10 Blue Cross of Minnesota — Managed Medicaid: $1,311.34 First Health — Commercial: $4,021.33 Health Partners — Cigna Commercial: $3,208.23 Health Partners — Cigna Great West: $3,819.28 Health Partners — Commercial: $3,055.23
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Doctor (professional) fee In the file: POLYSOM 6/> YRS 4/> PARAM	Not listed in the file	Not listed in the file	$448.21 – $2,201.79
Sleep study (overnight, in a sleep lab): 10 of 36 insurance plan rates Blue Cross of Minnesota — Aware Federal: $2,090.84 Blue Cross of Minnesota — Commercial: $2,128.48 Blue Cross of Minnesota — Managed Medicaid: $511.71 Blue Cross of Minnesota — Medicare Advantage: $630.39 Health Partners — Cigna Commercial: $1,371.11 Health Partners — Cigna Great West: $1,632.28 Health Partners — Commercial: $1,305.82 Health Partners — Federal: $1,282.84 Health Partners — Medicare Advantage: $642.51 Health Partners — Medicare Cost: $665.18

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OT THERAPY PROC, EA 15 MIN	$173.84	$69.71	$21.83 – $156.45
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 45 insurance plan rates America's PPO — Commercial: $125.16 America's PPO — EZCare: $104.30 America's PPO — Health EZ: $104.30 Blue Cross of Minnesota — Aware Federal: $100.65 Blue Cross of Minnesota — Commercial: $102.46 Blue Cross of Minnesota — Managed Medicaid: $47.89 Blue Cross of Minnesota — Medicare Advantage: $29.59 First Health — Commercial: $142.55 Health Partners — Cigna Commercial: $109.62 Health Partners — Cigna Great West: $130.52
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT THERAPY PROC, EA 15 MIN	$174	$69.78	$21.83 – $156.60
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 45 insurance plan rates America's PPO — Commercial: $125.28 America's PPO — EZCare: $104.40 America's PPO — Health EZ: $104.40 Blue Cross of Minnesota — Aware Federal: $100.74 Blue Cross of Minnesota — Commercial: $102.55 Blue Cross of Minnesota — Managed Medicaid: $47.94 Blue Cross of Minnesota — Medicare Advantage: $29.59 First Health — Commercial: $142.68 Health Partners — Cigna Commercial: $109.72 Health Partners — Cigna Great West: $130.64
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC OT THERAPY PROC, EA 15 MIN	$173.36	$69.52	$46.36 – $156.02
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 28 insurance plan rates America's PPO — Commercial: $110.78 America's PPO — EZCare: $90.32 America's PPO — Health EZ: $102.28 Blue Cross of Minnesota — Aware Federal: $97.44 Blue Cross of Minnesota — Commercial: $99.19 Blue Cross of Minnesota — Managed Medicaid: $46.36 First Health — Commercial: $142.15 Health Partners — Cigna Commercial: $113.41 Health Partners — Cigna Great West: $135.01 Health Partners — Commercial: $108
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVAL, LOW COMPLEXITY	$316.52	$126.93	$74.30 – $284.87
Physical therapy evaluation (low complexity): 10 of 45 insurance plan rates America's PPO — Commercial: $227.90 America's PPO — EZCare: $189.91 America's PPO — Health EZ: $189.91 Blue Cross of Minnesota — Aware Federal: $183.27 Blue Cross of Minnesota — Commercial: $186.56 Blue Cross of Minnesota — Managed Medicaid: $87.20 Blue Cross of Minnesota — Medicare Advantage: $100.58 First Health — Commercial: $259.55 Health Partners — Cigna Commercial: $199.60 Health Partners — Cigna Great West: $237.65
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT EVAL, LOW COMPLEXITY	$319.86	$128.27	$85.53 – $287.87
Physical therapy evaluation (low complexity): 10 of 28 insurance plan rates America's PPO — Commercial: $204.39 America's PPO — EZCare: $166.65 America's PPO — Health EZ: $188.72 Blue Cross of Minnesota — Aware Federal: $179.79 Blue Cross of Minnesota — Commercial: $183.02 Blue Cross of Minnesota — Managed Medicaid: $85.53 First Health — Commercial: $262.28 Health Partners — Cigna Commercial: $209.25 Health Partners — Cigna Great West: $249.10 Health Partners — Commercial: $199.27
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Doctor (professional) fee In the file: PT EVAL LOW COMPLEX 20 MIN	Not listed in the file	Not listed in the file	$75.95 – $342.24
Physical therapy evaluation (low complexity): 10 of 36 insurance plan rates Blue Cross of Minnesota — Aware Federal: $336.19 Blue Cross of Minnesota — Commercial: $342.24 Blue Cross of Minnesota — Managed Medicaid: $81.27 Blue Cross of Minnesota — Medicare Advantage: $100.58 Health Partners — Cigna Commercial: $88.39 Health Partners — Cigna Great West: $105.23 Health Partners — Commercial: $84.18 Health Partners — Federal: $82.70 Health Partners — Medicare Advantage: $102.51 Health Partners — Medicare Cost: $106.54
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVAL, MODERATE COMPLEXITY	$321	$128.73	$74.30 – $288.90
Physical therapy evaluation (moderate complexity): 10 of 45 insurance plan rates America's PPO — Commercial: $231.12 America's PPO — EZCare: $192.60 America's PPO — Health EZ: $192.60 Blue Cross of Minnesota — Aware Federal: $185.86 Blue Cross of Minnesota — Commercial: $189.20 Blue Cross of Minnesota — Managed Medicaid: $88.44 Blue Cross of Minnesota — Medicare Advantage: $100.58 First Health — Commercial: $263.22 Health Partners — Cigna Commercial: $202.42 Health Partners — Cigna Great West: $241.01
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT EVAL, MODERATE COMPLEXITY	$338.90	$135.90	$90.62 – $305.01
Physical therapy evaluation (moderate complexity): 10 of 28 insurance plan rates America's PPO — Commercial: $216.56 America's PPO — EZCare: $176.57 America's PPO — Health EZ: $199.95 Blue Cross of Minnesota — Aware Federal: $190.50 Blue Cross of Minnesota — Commercial: $193.92 Blue Cross of Minnesota — Managed Medicaid: $90.62 First Health — Commercial: $277.90 Health Partners — Cigna Commercial: $221.71 Health Partners — Cigna Great West: $263.94 Health Partners — Commercial: $211.14
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Doctor (professional) fee In the file: PT EVAL MOD COMPLEX 30 MIN	Not listed in the file	Not listed in the file	$75.95 – $342.24
Physical therapy evaluation (moderate complexity): 10 of 36 insurance plan rates Blue Cross of Minnesota — Aware Federal: $336.19 Blue Cross of Minnesota — Commercial: $342.24 Blue Cross of Minnesota — Managed Medicaid: $81.27 Blue Cross of Minnesota — Medicare Advantage: $100.58 Health Partners — Cigna Commercial: $88.39 Health Partners — Cigna Great West: $105.23 Health Partners — Commercial: $84.18 Health Partners — Federal: $82.70 Health Partners — Medicare Advantage: $102.51 Health Partners — Medicare Cost: $106.54
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVAL, HIGH COMPLEXITY	$370.33	$148.51	$74.30 – $333.30
Physical therapy evaluation (high complexity): 10 of 45 insurance plan rates America's PPO — Commercial: $266.64 America's PPO — EZCare: $222.20 America's PPO — Health EZ: $222.20 Blue Cross of Minnesota — Aware Federal: $214.42 Blue Cross of Minnesota — Commercial: $218.27 Blue Cross of Minnesota — Managed Medicaid: $102.03 Blue Cross of Minnesota — Medicare Advantage: $100.58 First Health — Commercial: $303.67 Health Partners — Cigna Commercial: $233.53 Health Partners — Cigna Great West: $278.05
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT EVAL, HIGH COMPLEXITY	$398	$159.60	$106.43 – $358.20
Physical therapy evaluation (high complexity): 10 of 28 insurance plan rates America's PPO — Commercial: $254.32 America's PPO — EZCare: $207.36 America's PPO — Health EZ: $234.82 Blue Cross of Minnesota — Aware Federal: $223.72 Blue Cross of Minnesota — Commercial: $227.74 Blue Cross of Minnesota — Managed Medicaid: $106.43 First Health — Commercial: $326.36 Health Partners — Cigna Commercial: $260.37 Health Partners — Cigna Great West: $309.96 Health Partners — Commercial: $247.95
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Doctor (professional) fee In the file: PT EVAL HIGH COMPLEX 45 MIN	Not listed in the file	Not listed in the file	$75.95 – $342.24
Physical therapy evaluation (high complexity): 10 of 36 insurance plan rates Blue Cross of Minnesota — Aware Federal: $336.19 Blue Cross of Minnesota — Commercial: $342.24 Blue Cross of Minnesota — Managed Medicaid: $81.27 Blue Cross of Minnesota — Medicare Advantage: $100.58 Health Partners — Cigna Commercial: $88.39 Health Partners — Cigna Great West: $105.23 Health Partners — Commercial: $84.18 Health Partners — Federal: $82.70 Health Partners — Medicare Advantage: $102.51 Health Partners — Medicare Cost: $106.54
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Doctor (professional) fee In the file: PR PSYCHOTHERAPY W/PATIENT 16- 37 MINUTES	$273	$171.18	$56.55 – $245.70
Psychotherapy, 30 minutes: 10 of 48 insurance plan rates America's PPO — Commercial: $215.67 America's PPO — EZCare: $207.48 America's PPO — Health EZ: $207.48 Blue Cross of Minnesota — Aware Federal: $228.96 Blue Cross of Minnesota — Commercial: $233.08 Blue Cross of Minnesota — Managed Medicaid: $60.51 Blue Cross of Minnesota — Medicare Advantage: $69.77 First Health — Commercial: $223.86 Health Partners — Cigna Commercial: $172.87 Health Partners — Cigna Great West: $205.80
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY W PATIENT 16-37 MINUTES, IOP	$314	$125.92	$77.56 – $367.52
Psychotherapy, 30 minutes: 10 of 47 insurance plan rates America's PPO — Commercial: $226.08 America's PPO — EZCare: $188.40 America's PPO — Health EZ: $188.40 Blue Cross of Minnesota — Aware Federal: $181.81 Blue Cross of Minnesota — Commercial: $185.07 Blue Cross of Minnesota — Managed Medicaid: $86.51 Blue Cross of Minnesota — Medicare Advantage: $166.33 First Health — Commercial: $257.48 Health Partners — Cigna Commercial: $198.01 Health Partners — Cigna Great West: $235.75
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY W PATIENT 16-37 MINUTES	$401	$160.81	$99.05 – $367.52
Psychotherapy, 30 minutes: 10 of 47 insurance plan rates America's PPO — Commercial: $288.72 America's PPO — EZCare: $240.60 America's PPO — Health EZ: $240.60 Blue Cross of Minnesota — Aware Federal: $232.18 Blue Cross of Minnesota — Commercial: $236.35 Blue Cross of Minnesota — Managed Medicaid: $110.48 Blue Cross of Minnesota — Medicare Advantage: $166.33 First Health — Commercial: $328.82 Health Partners — Cigna Commercial: $252.87 Health Partners — Cigna Great West: $301.07
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY W PATIENT, 38-52 MINUTES, CD/IOP	$514	$206.12	$84 – $462.60
Psychotherapy, 45 minutes: 10 of 48 insurance plan rates America's PPO — Commercial: $370.08 America's PPO — EZCare: $308.40 America's PPO — Health EZ: $308.40 Blue Cross of Minnesota — Aware Federal: $297.61 Blue Cross of Minnesota — Commercial: $302.95 Blue Cross of Minnesota — Managed Medicaid: $141.61 Blue Cross of Minnesota — Medicare Advantage: $166.33 First Health — Commercial: $421.48 Health Partners — Cigna Commercial: $324.13 Health Partners — Cigna Great West: $385.91
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC INDIVIDUAL THERAPY 38-52MIN (DRUG)	$524	$210.13	$84 – $471.60
Psychotherapy, 45 minutes: 10 of 48 insurance plan rates America's PPO — Commercial: $377.28 America's PPO — EZCare: $314.40 America's PPO — Health EZ: $314.40 Blue Cross of Minnesota — Aware Federal: $303.40 Blue Cross of Minnesota — Commercial: $308.85 Blue Cross of Minnesota — Managed Medicaid: $144.36 Blue Cross of Minnesota — Medicare Advantage: $166.33 First Health — Commercial: $429.68 Health Partners — Cigna Commercial: $330.43 Health Partners — Cigna Great West: $393.42
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Doctor (professional) fee In the file: PR PSYCHOTHERAPY W PATIENT 38-52 MINUTES	$362	$226.98	$74.74 – $325.80
Psychotherapy, 45 minutes: 10 of 48 insurance plan rates America's PPO — Commercial: $285.98 America's PPO — EZCare: $275.12 America's PPO — Health EZ: $275.12 Blue Cross of Minnesota — Aware Federal: $302.68 Blue Cross of Minnesota — Commercial: $308.13 Blue Cross of Minnesota — Managed Medicaid: $79.97 Blue Cross of Minnesota — Medicare Advantage: $92.11 First Health — Commercial: $296.84 Health Partners — Cigna Commercial: $228.23 Health Partners — Cigna Great West: $271.70
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC INDIVIDUAL THERAPY 1 HR (MINIMUM 53 MIN) (DRUG)	$698	$279.90	$84 – $628.20
Psychotherapy, 60 minutes: 10 of 48 insurance plan rates America's PPO — Commercial: $502.56 America's PPO — EZCare: $418.80 America's PPO — Health EZ: $418.80 Blue Cross of Minnesota — Aware Federal: $404.14 Blue Cross of Minnesota — Commercial: $411.40 Blue Cross of Minnesota — Managed Medicaid: $192.30 Blue Cross of Minnesota — Medicare Advantage: $166.33 First Health — Commercial: $572.36 Health Partners — Cigna Commercial: $440.16 Health Partners — Cigna Great West: $524.06
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY W PATIENT, 53 OR > MINUTES, CD/IOP	$668	$267.87	$84 – $601.20
Psychotherapy, 60 minutes: 10 of 48 insurance plan rates America's PPO — Commercial: $480.96 America's PPO — EZCare: $400.80 America's PPO — Health EZ: $400.80 Blue Cross of Minnesota — Aware Federal: $386.77 Blue Cross of Minnesota — Commercial: $393.72 Blue Cross of Minnesota — Managed Medicaid: $184.03 Blue Cross of Minnesota — Medicare Advantage: $166.33 First Health — Commercial: $547.76 Health Partners — Cigna Commercial: $421.24 Health Partners — Cigna Great West: $501.53
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY W PATIENT, 38-52 MINUTES, CD/IOP	$499	$200.10	$84 – $449.10
Psychotherapy, 60 minutes: 10 of 48 insurance plan rates America's PPO — Commercial: $359.28 America's PPO — EZCare: $299.40 America's PPO — Health EZ: $299.40 Blue Cross of Minnesota — Aware Federal: $288.92 Blue Cross of Minnesota — Commercial: $294.11 Blue Cross of Minnesota — Managed Medicaid: $137.47 Blue Cross of Minnesota — Medicare Advantage: $166.33 First Health — Commercial: $409.18 Health Partners — Cigna Commercial: $314.67 Health Partners — Cigna Great West: $374.65
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC FAMILY THERAPY W/O PATIENT 26- 50 MIN, IOP	$569	$228.17	$140.54 – $512.10
Family psychotherapy, without the patient: 10 of 47 insurance plan rates America's PPO — Commercial: $409.68 America's PPO — EZCare: $341.40 America's PPO — Health EZ: $341.40 Blue Cross of Minnesota — Aware Federal: $329.45 Blue Cross of Minnesota — Commercial: $335.37 Blue Cross of Minnesota — Managed Medicaid: $156.76 Blue Cross of Minnesota — Medicare Advantage: $166.33 First Health — Commercial: $466.58 Health Partners — Cigna Commercial: $358.81 Health Partners — Cigna Great West: $427.21
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC FAMILY THERAPY W/O PATIENT 26- 50 MIN	$569	$228.17	$140.54 – $512.10
Family psychotherapy, without the patient: 10 of 45 insurance plan rates America's PPO — Commercial: $409.68 America's PPO — EZCare: $341.40 America's PPO — Health EZ: $341.40 Blue Cross of Minnesota — Aware Federal: $329.45 Blue Cross of Minnesota — Commercial: $335.37 Blue Cross of Minnesota — Managed Medicaid: $156.76 Blue Cross of Minnesota — Medicare Advantage: $166.33 First Health — Commercial: $466.58 Health Partners — Cigna Commercial: $358.81 Health Partners — Cigna Great West: $427.21
Family psychotherapy, without the patient CPT 90846 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC FAMILY THERAPY W/O PATIENT 26- 50 MIN, IOP	$569	$228.17	$152.15 – $512.10
Family psychotherapy, without the patient: 10 of 28 insurance plan rates America's PPO — Commercial: $363.59 America's PPO — EZCare: $296.45 America's PPO — Health EZ: $335.71 Blue Cross of Minnesota — Aware Federal: $319.83 Blue Cross of Minnesota — Commercial: $325.58 Blue Cross of Minnesota — Managed Medicaid: $152.15 First Health — Commercial: $466.58 Health Partners — Cigna Commercial: $372.24 Health Partners — Cigna Great West: $443.14 Health Partners — Commercial: $354.49
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC FAMILY THERAPY W PATIENT 26-50 MIN, IOP	$516.67	$207.19	$127.62 – $465
Family psychotherapy, with the patient: 10 of 47 insurance plan rates America's PPO — Commercial: $372 America's PPO — EZCare: $310 America's PPO — Health EZ: $310 Blue Cross of Minnesota — Aware Federal: $299.15 Blue Cross of Minnesota — Commercial: $304.52 Blue Cross of Minnesota — Managed Medicaid: $142.34 Blue Cross of Minnesota — Medicare Advantage: $166.33 First Health — Commercial: $423.67 Health Partners — Cigna Commercial: $325.81 Health Partners — Cigna Great West: $387.91
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC FAMILY THERAPY W PATIENT 1HR (DRUG)	$719.50	$288.52	$149.83 – $647.55
Family psychotherapy, with the patient: 10 of 47 insurance plan rates America's PPO — Commercial: $518.04 America's PPO — EZCare: $431.70 America's PPO — Health EZ: $431.70 Blue Cross of Minnesota — Aware Federal: $416.59 Blue Cross of Minnesota — Commercial: $424.07 Blue Cross of Minnesota — Managed Medicaid: $198.22 Blue Cross of Minnesota — Medicare Advantage: $166.33 First Health — Commercial: $589.99 Health Partners — Cigna Commercial: $453.72 Health Partners — Cigna Great West: $540.20
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC FAMILY THERAPY-PARTIAL , PER HOUR, CHILD	$713	$285.92	$149.83 – $641.70
Family psychotherapy, with the patient: 10 of 45 insurance plan rates America's PPO — Commercial: $513.36 America's PPO — EZCare: $427.80 America's PPO — Health EZ: $427.80 Blue Cross of Minnesota — Aware Federal: $412.83 Blue Cross of Minnesota — Commercial: $420.24 Blue Cross of Minnesota — Managed Medicaid: $196.43 Blue Cross of Minnesota — Medicare Advantage: $166.33 First Health — Commercial: $584.66 Health Partners — Cigna Commercial: $449.62 Health Partners — Cigna Great West: $535.32
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC GROUP THERAPY, 0.5HR CD	$390	$156.39	$42 – $351
Group psychotherapy: 10 of 48 insurance plan rates America's PPO — Commercial: $280.80 America's PPO — EZCare: $234 America's PPO — Health EZ: $234 Blue Cross of Minnesota — Aware Federal: $225.81 Blue Cross of Minnesota — Commercial: $229.87 Blue Cross of Minnesota — Managed Medicaid: $107.45 Blue Cross of Minnesota — Medicare Advantage: $95.75 First Health — Commercial: $319.80 Health Partners — Cigna Commercial: $245.93 Health Partners — Cigna Great West: $292.81
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC GROUP THERAPY 1HR CD/IOP	$336	$134.74	$42 – $302.40
Group psychotherapy: 10 of 48 insurance plan rates America's PPO — Commercial: $241.92 America's PPO — EZCare: $201.60 America's PPO — Health EZ: $201.60 Blue Cross of Minnesota — Aware Federal: $194.54 Blue Cross of Minnesota — Commercial: $198.04 Blue Cross of Minnesota — Managed Medicaid: $92.57 Blue Cross of Minnesota — Medicare Advantage: $95.75 First Health — Commercial: $275.52 Health Partners — Cigna Commercial: $211.88 Health Partners — Cigna Great West: $252.27
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC GROUP THERAPY 1HR CD	$371	$148.78	$42 – $333.90
Group psychotherapy: 10 of 48 insurance plan rates America's PPO — Commercial: $267.12 America's PPO — EZCare: $222.60 America's PPO — Health EZ: $222.60 Blue Cross of Minnesota — Aware Federal: $214.81 Blue Cross of Minnesota — Commercial: $218.67 Blue Cross of Minnesota — Managed Medicaid: $102.21 Blue Cross of Minnesota — Medicare Advantage: $95.75 First Health — Commercial: $304.22 Health Partners — Cigna Commercial: $233.95 Health Partners — Cigna Great West: $278.55

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · Doctor (professional) fee In the file: REMOVAL OF BREAST LESION	Not listed in the file	Not listed in the file	$278.86 – $1,941.06
Removal of breast growth (open surgery): 10 of 36 insurance plan rates Blue Cross of Minnesota — Aware Federal: $1,414 Blue Cross of Minnesota — Commercial: $1,439.45 Blue Cross of Minnesota — Managed Medicaid: $317.55 Blue Cross of Minnesota — Medicare Advantage: $393.01 Health Partners — Cigna Commercial: $1,630.49 Health Partners — Cigna Great West: $1,941.06 Health Partners — Commercial: $1,552.85 Health Partners — Federal: $1,525.52 Health Partners — Medicare Advantage: $400.56 Health Partners — Medicare Cost: $414.17
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF BREAST LESION	Not listed in the file	Not listed in the file	$3,571.01 – $8,759.17
Removal of breast growth (open surgery): 10 of 18 insurance plan rates Blue Cross of Minnesota — Medicare Advantage: $3,964.12 Health Partners — Medicare Advantage: $4,040.35 Hennepin Health — PMAP: $3,856.69 Itasca Medical Care — Managed Medicaid: $3,571.01 Itasca Medical Care — Medicare Advantage/MSHO: $3,811.65 Medica — Medicare Advantage: $4,040.35 Primewest — Managed Medicaid: $3,571.01 Primewest — MSHO: $3,811.65 Sanford Health Plan — Medicare Advantage: $3,811.65 Security Health Plan — Medicare Advantage: $3,811.65
Total hip replacement CPT 27130 · Inpatient or outpatient · Doctor (professional) fee In the file: TOTAL HIP ARTHROPLASTY	Not listed in the file	Not listed in the file	$858.26 – $5,973.38
Total hip replacement: 10 of 36 insurance plan rates Blue Cross of Minnesota — Aware Federal: $4,314.58 Blue Cross of Minnesota — Commercial: $4,392.24 Blue Cross of Minnesota — Managed Medicaid: $976.95 Blue Cross of Minnesota — Medicare Advantage: $1,208.91 Health Partners — Cigna Commercial: $5,017.64 Health Partners — Cigna Great West: $5,973.38 Health Partners — Commercial: $4,778.70 Health Partners — Federal: $4,694.59 Health Partners — Medicare Advantage: $1,232.15 Health Partners — Medicare Cost: $1,274.26
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	$11,999.04 – $29,431.77
Total hip replacement: 10 of 18 insurance plan rates Blue Cross of Minnesota — Medicare Advantage: $13,319.86 Health Partners — Medicare Advantage: $13,576.01 Hennepin Health — PMAP: $12,958.96 Itasca Medical Care — Managed Medicaid: $11,999.04 Itasca Medical Care — Medicare Advantage/MSHO: $12,807.56 Medica — Medicare Advantage: $13,576.01 Primewest — Managed Medicaid: $11,999.04 Primewest — MSHO: $12,807.56 Sanford Health Plan — Medicare Advantage: $12,807.56 Security Health Plan — Medicare Advantage: $12,807.56
Total knee replacement CPT 27447 · Inpatient or outpatient · Doctor (professional) fee In the file: TOTAL KNEE ARTHROPLASTY	Not listed in the file	Not listed in the file	$857.09 – $5,963.48
Total knee replacement: 10 of 36 insurance plan rates Blue Cross of Minnesota — Aware Federal: $4,307.88 Blue Cross of Minnesota — Commercial: $4,385.42 Blue Cross of Minnesota — Managed Medicaid: $975.60 Blue Cross of Minnesota — Medicare Advantage: $1,207.45 Health Partners — Cigna Commercial: $5,009.32 Health Partners — Cigna Great West: $5,963.48 Health Partners — Commercial: $4,770.78 Health Partners — Federal: $4,686.81 Health Partners — Medicare Advantage: $1,230.67 Health Partners — Medicare Cost: $1,272.51
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	$11,999.04 – $29,431.77
Total knee replacement: 10 of 18 insurance plan rates Blue Cross of Minnesota — Medicare Advantage: $13,319.86 Health Partners — Medicare Advantage: $13,576.01 Hennepin Health — PMAP: $12,958.96 Itasca Medical Care — Managed Medicaid: $11,999.04 Itasca Medical Care — Medicare Advantage/MSHO: $12,807.56 Medica — Medicare Advantage: $13,576.01 Primewest — Managed Medicaid: $11,999.04 Primewest — MSHO: $12,807.56 Sanford Health Plan — Medicare Advantage: $12,807.56 Security Health Plan — Medicare Advantage: $12,807.56
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient · Doctor (professional) fee In the file: SHO ARTHRS SRG DECOMPRESSION	Not listed in the file	Not listed in the file	$112.11 – $780.71
Shoulder arthroscopy: shaving of shoulder bone: 10 of 36 insurance plan rates Blue Cross of Minnesota — Aware Federal: $569.62 Blue Cross of Minnesota — Commercial: $579.87 Blue Cross of Minnesota — Managed Medicaid: $127.72 Blue Cross of Minnesota — Medicare Advantage: $158.10 Health Partners — Cigna Commercial: $655.80 Health Partners — Cigna Great West: $780.71 Health Partners — Commercial: $624.57 Health Partners — Federal: $613.58 Health Partners — Medicare Advantage: $161.14 Health Partners — Medicare Cost: $166.78
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient · Doctor (professional) fee In the file: ARTHRS KNE SRG MNISECTMY M/L	Not listed in the file	Not listed in the file	$373.08 – $2,594.68
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 36 insurance plan rates Blue Cross of Minnesota — Aware Federal: $1,842.89 Blue Cross of Minnesota — Commercial: $1,876.06 Blue Cross of Minnesota — Managed Medicaid: $424.47 Blue Cross of Minnesota — Medicare Advantage: $525.42 Health Partners — Cigna Commercial: $2,179.53 Health Partners — Cigna Great West: $2,594.68 Health Partners — Commercial: $2,075.74 Health Partners — Federal: $2,039.21 Health Partners — Medicare Advantage: $535.52 Health Partners — Medicare Cost: $554.08
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHRS KNE SRG MNISECTMY M/L	Not listed in the file	Not listed in the file	$3,025.78 – $7,421.78
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 18 insurance plan rates Blue Cross of Minnesota — Medicare Advantage: $3,358.86 Health Partners — Medicare Advantage: $3,423.45 Hennepin Health — PMAP: $3,267.84 Itasca Medical Care — Managed Medicaid: $3,025.78 Itasca Medical Care — Medicare Advantage/MSHO: $3,229.67 Medica — Medicare Advantage: $3,423.45 Primewest — Managed Medicaid: $3,025.78 Primewest — MSHO: $3,229.67 Sanford Health Plan — Medicare Advantage: $3,229.67 Security Health Plan — Medicare Advantage: $3,229.67
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient or outpatient · Doctor (professional) fee In the file: REMOVE TONSILS AND ADENOIDS	Not listed in the file	Not listed in the file	$201.14 – $1,406.28
Removal of tonsils and adenoids (under age 12): 10 of 36 insurance plan rates Blue Cross of Minnesota — Aware Federal: $988.46 Blue Cross of Minnesota — Commercial: $1,006.25 Blue Cross of Minnesota — Managed Medicaid: $230.06 Blue Cross of Minnesota — Medicare Advantage: $283.50 Health Partners — Cigna Commercial: $1,181.27 Health Partners — Cigna Great West: $1,406.28 Health Partners — Commercial: $1,125.02 Health Partners — Federal: $1,105.22 Health Partners — Medicare Advantage: $288.96 Health Partners — Medicare Cost: $298.68
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVE TONSILS AND ADENOIDS	Not listed in the file	Not listed in the file	$5,516.69 – $13,531.59
Removal of tonsils and adenoids (under age 12): 10 of 18 insurance plan rates Blue Cross of Minnesota — Medicare Advantage: $6,123.96 Health Partners — Medicare Advantage: $6,241.73 Hennepin Health — PMAP: $5,958.03 Itasca Medical Care — Managed Medicaid: $5,516.69 Itasca Medical Care — Medicare Advantage/MSHO: $5,888.42 Medica — Medicare Advantage: $6,241.73 Primewest — Managed Medicaid: $5,516.69 Primewest — MSHO: $5,888.42 Sanford Health Plan — Medicare Advantage: $5,888.42 Security Health Plan — Medicare Advantage: $5,888.42
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC UGI ENDOSCOPY DIAG W OR W/O BRUSH/WASH	$2,041	$818.45	$504.13 – $2,144.59
Upper GI endoscopy (diagnostic): 10 of 45 insurance plan rates America's PPO — Commercial: $1,469.52 America's PPO — EZCare: $1,224.60 America's PPO — Health EZ: $1,224.60 Blue Cross of Minnesota — Aware Federal: $1,181.74 Blue Cross of Minnesota — Commercial: $1,202.97 Blue Cross of Minnesota — Managed Medicaid: $562.30 Blue Cross of Minnesota — Medicare Advantage: $970.57 First Health — Commercial: $1,673.62 Health Partners — Cigna Commercial: $1,287.05 Health Partners — Cigna Great West: $1,532.38
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC UGI ENDOSCOPY DIAG W OR W/O BRUSH/WASH	$2,041	$818.45	$545.76 – $1,836.90
Upper GI endoscopy (diagnostic): 10 of 28 insurance plan rates America's PPO — Commercial: $1,304.20 America's PPO — EZCare: $1,063.36 America's PPO — Health EZ: $1,204.19 Blue Cross of Minnesota — Aware Federal: $1,147.25 Blue Cross of Minnesota — Commercial: $1,167.86 Blue Cross of Minnesota — Managed Medicaid: $545.76 First Health — Commercial: $1,673.62 Health Partners — Cigna Commercial: $1,335.22 Health Partners — Cigna Great West: $1,589.53 Health Partners — Commercial: $1,271.54
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Doctor (professional) fee In the file: EGD DIAGNOSTIC BRUSH WASH	Not listed in the file	Not listed in the file	$81.95 – $574.40
Upper GI endoscopy (diagnostic): 10 of 36 insurance plan rates Blue Cross of Minnesota — Aware Federal: $405.43 Blue Cross of Minnesota — Commercial: $412.73 Blue Cross of Minnesota — Managed Medicaid: $93.96 Blue Cross of Minnesota — Medicare Advantage: $115.63 Health Partners — Cigna Commercial: $482.50 Health Partners — Cigna Great West: $574.40 Health Partners — Commercial: $459.52 Health Partners — Federal: $451.43 Health Partners — Medicare Advantage: $117.85 Health Partners — Medicare Cost: $121.77
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC UGI ENDOSCOPY DIAG W BIOPSY (NOT TO DUODENUM)	$2,083	$835.29	$514.50 – $2,144.59
Upper GI endoscopy with biopsy: 10 of 45 insurance plan rates America's PPO — Commercial: $1,499.76 America's PPO — EZCare: $1,249.80 America's PPO — Health EZ: $1,249.80 Blue Cross of Minnesota — Aware Federal: $1,206.06 Blue Cross of Minnesota — Commercial: $1,227.72 Blue Cross of Minnesota — Managed Medicaid: $573.87 Blue Cross of Minnesota — Medicare Advantage: $970.57 First Health — Commercial: $1,708.06 Health Partners — Cigna Commercial: $1,313.54 Health Partners — Cigna Great West: $1,563.92
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC UGI ENDOSCOPY DIAG W BIOPSY	$2,088.23	$837.39	$515.79 – $2,144.59
Upper GI endoscopy with biopsy: 10 of 45 insurance plan rates America's PPO — Commercial: $1,503.53 America's PPO — EZCare: $1,252.94 America's PPO — Health EZ: $1,252.94 Blue Cross of Minnesota — Aware Federal: $1,209.09 Blue Cross of Minnesota — Commercial: $1,230.80 Blue Cross of Minnesota — Managed Medicaid: $575.31 Blue Cross of Minnesota — Medicare Advantage: $970.57 First Health — Commercial: $1,712.35 Health Partners — Cigna Commercial: $1,316.84 Health Partners — Cigna Great West: $1,567.84
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC UGI ENDOSCOPY DIAG W BIOPSY	$2,083	$835.29	$556.99 – $1,874.70
Upper GI endoscopy with biopsy: 10 of 28 insurance plan rates America's PPO — Commercial: $1,331.04 America's PPO — EZCare: $1,085.24 America's PPO — Health EZ: $1,228.97 Blue Cross of Minnesota — Aware Federal: $1,170.85 Blue Cross of Minnesota — Commercial: $1,191.89 Blue Cross of Minnesota — Managed Medicaid: $556.99 First Health — Commercial: $1,708.06 Health Partners — Cigna Commercial: $1,362.70 Health Partners — Cigna Great West: $1,622.24 Health Partners — Commercial: $1,297.71
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COLONOSCOPY W/WO BRUSH/WASH	$2,554.68	$1,024.43	$631.01 – $2,299.21
Colonoscopy (diagnostic): 10 of 45 insurance plan rates America's PPO — Commercial: $1,839.37 America's PPO — EZCare: $1,532.81 America's PPO — Health EZ: $1,532.81 Blue Cross of Minnesota — Aware Federal: $1,479.16 Blue Cross of Minnesota — Commercial: $1,505.73 Blue Cross of Minnesota — Managed Medicaid: $703.81 Blue Cross of Minnesota — Medicare Advantage: $943.81 First Health — Commercial: $2,094.84 Health Partners — Cigna Commercial: $1,610.98 Health Partners — Cigna Great West: $1,918.05
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COLONOSCOPY W/WO BRUSH/WASH	$2,554.68	$1,024.43	$683.12 – $2,299.21
Colonoscopy (diagnostic): 10 of 28 insurance plan rates America's PPO — Commercial: $1,632.44 America's PPO — EZCare: $1,330.99 America's PPO — Health EZ: $1,507.26 Blue Cross of Minnesota — Aware Federal: $1,435.99 Blue Cross of Minnesota — Commercial: $1,461.79 Blue Cross of Minnesota — Managed Medicaid: $683.12 First Health — Commercial: $2,094.84 Health Partners — Cigna Commercial: $1,671.27 Health Partners — Cigna Great West: $1,989.58 Health Partners — Commercial: $1,591.57
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Doctor (professional) fee In the file: DIAGNOSTIC COLONOSCOPY	Not listed in the file	Not listed in the file	$122.70 – $858.29
Colonoscopy (diagnostic): 10 of 36 insurance plan rates Blue Cross of Minnesota — Aware Federal: $608.71 Blue Cross of Minnesota — Commercial: $619.67 Blue Cross of Minnesota — Managed Medicaid: $140.41 Blue Cross of Minnesota — Medicare Advantage: $172.92 Health Partners — Cigna Commercial: $720.96 Health Partners — Cigna Great West: $858.29 Health Partners — Commercial: $686.63 Health Partners — Federal: $674.55 Health Partners — Medicare Advantage: $176.25 Health Partners — Medicare Cost: $182.14
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COLONOSCOPY W BIOPSY	$2,825.80	$1,133.15	$697.97 – $2,697.05
Colonoscopy with biopsy: 10 of 45 insurance plan rates America's PPO — Commercial: $2,034.58 America's PPO — EZCare: $1,695.48 America's PPO — Health EZ: $1,695.48 Blue Cross of Minnesota — Aware Federal: $1,636.14 Blue Cross of Minnesota — Commercial: $1,665.53 Blue Cross of Minnesota — Managed Medicaid: $778.51 Blue Cross of Minnesota — Medicare Advantage: $1,220.60 First Health — Commercial: $2,317.16 Health Partners — Cigna Commercial: $1,781.95 Health Partners — Cigna Great West: $2,121.61
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COLONOSCOPY W BIOPSY	$2,816.71	$1,129.51	$753.19 – $2,535.04
Colonoscopy with biopsy: 10 of 28 insurance plan rates America's PPO — Commercial: $1,799.88 America's PPO — EZCare: $1,467.51 America's PPO — Health EZ: $1,661.86 Blue Cross of Minnesota — Aware Federal: $1,583.28 Blue Cross of Minnesota — Commercial: $1,611.72 Blue Cross of Minnesota — Managed Medicaid: $753.19 First Health — Commercial: $2,309.71 Health Partners — Cigna Commercial: $1,842.69 Health Partners — Cigna Great West: $2,193.66 Health Partners — Commercial: $1,754.81
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Doctor (professional) fee In the file: COLONOSCOPY AND BIOPSY	Not listed in the file	Not listed in the file	$133.30 – $934.21
Colonoscopy with biopsy: 10 of 36 insurance plan rates Blue Cross of Minnesota — Aware Federal: $661.20 Blue Cross of Minnesota — Commercial: $673.10 Blue Cross of Minnesota — Managed Medicaid: $152.84 Blue Cross of Minnesota — Medicare Advantage: $187.99 Health Partners — Cigna Commercial: $784.74 Health Partners — Cigna Great West: $934.21 Health Partners — Commercial: $747.37 Health Partners — Federal: $734.22 Health Partners — Medicare Advantage: $191.61 Health Partners — Medicare Cost: $198.19
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COLONOSCOPY W SNARE REMOVAL TUMOR/POLYP/LESION	$2,937.07	$1,177.77	$725.46 – $2,697.05
Colonoscopy with removal of polyps (snare): 10 of 45 insurance plan rates America's PPO — Commercial: $2,114.69 America's PPO — EZCare: $1,762.24 America's PPO — Health EZ: $1,762.24 Blue Cross of Minnesota — Aware Federal: $1,700.56 Blue Cross of Minnesota — Commercial: $1,731.11 Blue Cross of Minnesota — Managed Medicaid: $809.16 Blue Cross of Minnesota — Medicare Advantage: $1,220.60 First Health — Commercial: $2,408.40 Health Partners — Cigna Commercial: $1,852.11 Health Partners — Cigna Great West: $2,205.15
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COLONOSCOPY W SNARE REMOVAL TUMOR/POLYP/LESION	$2,796.33	$1,121.33	$747.74 – $2,516.70
Colonoscopy with removal of polyps (snare): 10 of 28 insurance plan rates America's PPO — Commercial: $1,786.86 America's PPO — EZCare: $1,456.89 America's PPO — Health EZ: $1,649.84 Blue Cross of Minnesota — Aware Federal: $1,571.82 Blue Cross of Minnesota — Commercial: $1,600.06 Blue Cross of Minnesota — Managed Medicaid: $747.74 First Health — Commercial: $2,292.99 Health Partners — Cigna Commercial: $1,829.36 Health Partners — Cigna Great West: $2,177.78 Health Partners — Commercial: $1,742.12
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · Doctor (professional) fee In the file: COLONOSCOPY W/LESION REMOVAL	Not listed in the file	Not listed in the file	$168.40 – $1,181.80
Colonoscopy with removal of polyps (snare): 10 of 36 insurance plan rates Blue Cross of Minnesota — Aware Federal: $836.56 Blue Cross of Minnesota — Commercial: $851.62 Blue Cross of Minnesota — Managed Medicaid: $193.06 Blue Cross of Minnesota — Medicare Advantage: $237.60 Health Partners — Cigna Commercial: $992.71 Health Partners — Cigna Great West: $1,181.80 Health Partners — Commercial: $945.44 Health Partners — Federal: $928.80 Health Partners — Medicare Advantage: $242.17 Health Partners — Medicare Cost: $250.52
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COLONOSCOPY, FLEXIBLE, PROXIMAL TO SPLENIC FLEXURE; W/ENDOSCOPIC US EXAM	$2,950	$1,182.95	$728.65 – $2,697.05
Ultrasound of the lower bowel by endoscope: 10 of 45 insurance plan rates America's PPO — Commercial: $2,124 America's PPO — EZCare: $1,770 America's PPO — Health EZ: $1,770 Blue Cross of Minnesota — Aware Federal: $1,708.05 Blue Cross of Minnesota — Commercial: $1,738.73 Blue Cross of Minnesota — Managed Medicaid: $812.73 Blue Cross of Minnesota — Medicare Advantage: $1,220.60 First Health — Commercial: $2,419 Health Partners — Cigna Commercial: $1,860.27 Health Partners — Cigna Great West: $2,214.86
Ultrasound of the lower bowel by endoscope CPT 45391 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COLONOSCOPY, FLEXIBLE, PROXIMAL TO SPLENIC FLEXURE; W/ENDOSCOPIC US EXAM	$2,950	$1,182.95	$788.83 – $2,655
Ultrasound of the lower bowel by endoscope: 10 of 28 insurance plan rates America's PPO — Commercial: $1,885.05 America's PPO — EZCare: $1,536.95 America's PPO — Health EZ: $1,740.50 Blue Cross of Minnesota — Aware Federal: $1,658.20 Blue Cross of Minnesota — Commercial: $1,687.99 Blue Cross of Minnesota — Managed Medicaid: $788.83 First Health — Commercial: $2,419 Health Partners — Cigna Commercial: $1,929.89 Health Partners — Cigna Great West: $2,297.46 Health Partners — Commercial: $1,837.85
Ultrasound of the lower bowel by endoscope CPT 45391 · Inpatient or outpatient · Doctor (professional) fee In the file: COLONOSCOPY W/ENDOSCOPE US	Not listed in the file	Not listed in the file	$171.23 – $1,199.95
Ultrasound of the lower bowel by endoscope: 10 of 36 insurance plan rates Blue Cross of Minnesota — Aware Federal: $847.73 Blue Cross of Minnesota — Commercial: $862.99 Blue Cross of Minnesota — Managed Medicaid: $196.30 Blue Cross of Minnesota — Medicare Advantage: $241.40 Health Partners — Cigna Commercial: $1,007.96 Health Partners — Cigna Great West: $1,199.95 Health Partners — Commercial: $959.96 Health Partners — Federal: $943.06 Health Partners — Medicare Advantage: $246.05 Health Partners — Medicare Cost: $254.36
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COLOREC CANC SCRN,SCOPY NOT HI RISK	$2,060	$826.06	$508.82 – $2,076.98
Screening colonoscopy (not high risk): 10 of 45 insurance plan rates America's PPO — Commercial: $1,483.20 America's PPO — EZCare: $1,236 America's PPO — Health EZ: $1,236 Blue Cross of Minnesota — Aware Federal: $1,192.74 Blue Cross of Minnesota — Commercial: $1,214.16 Blue Cross of Minnesota — Managed Medicaid: $567.53 Blue Cross of Minnesota — Medicare Advantage: $939.97 First Health — Commercial: $1,689.20 Health Partners — Cigna Commercial: $1,299.04 Health Partners — Cigna Great West: $1,546.65
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COLOREC CANC SCRN,SCOPY NOT HI RISK	$2,058.90	$825.62	$550.55 – $1,853.01
Screening colonoscopy (not high risk): 10 of 28 insurance plan rates America's PPO — Commercial: $1,315.63 America's PPO — EZCare: $1,072.69 America's PPO — Health EZ: $1,214.75 Blue Cross of Minnesota — Aware Federal: $1,157.31 Blue Cross of Minnesota — Commercial: $1,178.10 Blue Cross of Minnesota — Managed Medicaid: $550.55 First Health — Commercial: $1,688.30 Health Partners — Cigna Commercial: $1,346.93 Health Partners — Cigna Great West: $1,603.47 Health Partners — Commercial: $1,282.69
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · Doctor (professional) fee In the file: Colon ca scrn not hi rsk ind	Not listed in the file	Not listed in the file	$122.70 – $620.81
Screening colonoscopy (not high risk): 10 of 36 insurance plan rates Blue Cross of Minnesota — Aware Federal: $609.83 Blue Cross of Minnesota — Commercial: $620.81 Blue Cross of Minnesota — Managed Medicaid: $140.41 Blue Cross of Minnesota — Medicare Advantage: $173.01 Health Partners — Cigna Commercial: $208.44 Health Partners — Cigna Great West: $248.14 Health Partners — Commercial: $198.51 Health Partners — Federal: $195.02 Health Partners — Medicare Advantage: $176.34 Health Partners — Medicare Cost: $182.48
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient · Doctor (professional) fee In the file: LAPAROSCOPIC CHOLECYSTECTOMY	Not listed in the file	Not listed in the file	$432.19 – $3,010.63
Gallbladder removal by laparoscope: 10 of 36 insurance plan rates Blue Cross of Minnesota — Aware Federal: $2,224.86 Blue Cross of Minnesota — Commercial: $2,264.91 Blue Cross of Minnesota — Managed Medicaid: $492.52 Blue Cross of Minnesota — Medicare Advantage: $609.09 Health Partners — Cigna Commercial: $2,528.93 Health Partners — Cigna Great West: $3,010.63 Health Partners — Commercial: $2,408.50 Health Partners — Federal: $2,366.11 Health Partners — Medicare Advantage: $620.80 Health Partners — Medicare Cost: $642.01
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPAROSCOPIC CHOLECYSTECTOMY	Not listed in the file	Not listed in the file	$5,440.87 – $13,345.61
Gallbladder removal by laparoscope: 10 of 18 insurance plan rates Blue Cross of Minnesota — Medicare Advantage: $6,039.79 Health Partners — Medicare Advantage: $6,155.94 Hennepin Health — PMAP: $5,876.14 Itasca Medical Care — Managed Medicaid: $5,440.87 Itasca Medical Care — Medicare Advantage/MSHO: $5,807.49 Medica — Medicare Advantage: $6,155.94 Primewest — Managed Medicaid: $5,440.87 Primewest — MSHO: $5,807.49 Sanford Health Plan — Medicare Advantage: $5,807.49 Security Health Plan — Medicare Advantage: $5,807.49
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient · Doctor (professional) fee In the file: PRP I/HERN INIT REDUC >5 YR	Not listed in the file	Not listed in the file	$345.28 – $2,403.21
Groin (inguinal) hernia repair, age 5 or older: 10 of 36 insurance plan rates Blue Cross of Minnesota — Aware Federal: $1,766.94 Blue Cross of Minnesota — Commercial: $1,798.74 Blue Cross of Minnesota — Managed Medicaid: $392.88 Blue Cross of Minnesota — Medicare Advantage: $486.49 Health Partners — Cigna Commercial: $2,018.70 Health Partners — Cigna Great West: $2,403.21 Health Partners — Commercial: $1,922.57 Health Partners — Federal: $1,888.73 Health Partners — Medicare Advantage: $495.85 Health Partners — Medicare Cost: $512.91
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PRP I/HERN INIT REDUC >5 YR	Not listed in the file	Not listed in the file	$3,291.05 – $8,072.44
Groin (inguinal) hernia repair, age 5 or older: 10 of 18 insurance plan rates Blue Cross of Minnesota — Medicare Advantage: $3,653.32 Health Partners — Medicare Advantage: $3,723.58 Hennepin Health — PMAP: $3,554.33 Itasca Medical Care — Managed Medicaid: $3,291.05 Itasca Medical Care — Medicare Advantage/MSHO: $3,512.81 Medica — Medicare Advantage: $3,723.58 Primewest — Managed Medicaid: $3,291.05 Primewest — MSHO: $3,512.81 Sanford Health Plan — Medicare Advantage: $3,512.81 Security Health Plan — Medicare Advantage: $3,512.81
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BIOPSY PROSTATE NEEDLE/PUNCH	$5,351	$2,145.76	$1,321.70 – $4,815.90
Prostate biopsy: 10 of 45 insurance plan rates America's PPO — Commercial: $3,852.72 America's PPO — EZCare: $3,210.60 America's PPO — Health EZ: $3,210.60 Blue Cross of Minnesota — Aware Federal: $3,098.23 Blue Cross of Minnesota — Commercial: $3,153.88 Blue Cross of Minnesota — Managed Medicaid: $1,474.20 Blue Cross of Minnesota — Medicare Advantage: $2,120.64 First Health — Commercial: $4,387.82 Health Partners — Cigna Commercial: $3,374.34 Health Partners — Cigna Great West: $4,017.53
Prostate biopsy CPT 55700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC BIOPSY PROSTATE NEEDLE/PUNCH	$5,351	$2,145.76	$1,430.86 – $4,815.90
Prostate biopsy: 10 of 28 insurance plan rates America's PPO — Commercial: $3,419.29 America's PPO — EZCare: $2,787.87 America's PPO — Health EZ: $3,157.09 Blue Cross of Minnesota — Aware Federal: $3,007.80 Blue Cross of Minnesota — Commercial: $3,061.84 Blue Cross of Minnesota — Managed Medicaid: $1,430.86 First Health — Commercial: $4,387.82 Health Partners — Cigna Commercial: $3,500.62 Health Partners — Cigna Great West: $4,167.36 Health Partners — Commercial: $3,333.67
Prostate biopsy CPT 55700 · Inpatient or outpatient · Doctor (professional) fee In the file: Fee Schedule	Not listed in the file	Not listed in the file	$86.43 – $605.76
Prostate biopsy: 10 of 36 insurance plan rates Blue Cross of Minnesota — Aware Federal: $431.12 Blue Cross of Minnesota — Commercial: $438.88 Blue Cross of Minnesota — Managed Medicaid: $98.83 Blue Cross of Minnesota — Medicare Advantage: $121.94 Health Partners — Cigna Commercial: $508.84 Health Partners — Cigna Great West: $605.76 Health Partners — Commercial: $484.61 Health Partners — Federal: $476.08 Health Partners — Medicare Advantage: $124.29 Health Partners — Medicare Cost: $128.75
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Inpatient or outpatient · Doctor (professional) fee In the file: LAPS SURG PRST8ECT RPBIC RAD	Not listed in the file	Not listed in the file	$801.04 – $5,590.45
Prostate removal by laparoscope (radical prostatectomy): 10 of 36 insurance plan rates Blue Cross of Minnesota — Aware Federal: $3,968.35 Blue Cross of Minnesota — Commercial: $4,039.78 Blue Cross of Minnesota — Managed Medicaid: $914.57 Blue Cross of Minnesota — Medicare Advantage: $1,128.98 Health Partners — Cigna Commercial: $4,695.98 Health Partners — Cigna Great West: $5,590.45 Health Partners — Commercial: $4,472.36 Health Partners — Federal: $4,393.65 Health Partners — Medicare Advantage: $1,150.69 Health Partners — Medicare Cost: $1,189.82
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPS SURG PRST8ECT RPBIC RAD	Not listed in the file	Not listed in the file	$9,709.04 – $23,814.79
Prostate removal by laparoscope (radical prostatectomy): 10 of 18 insurance plan rates Blue Cross of Minnesota — Medicare Advantage: $10,777.80 Health Partners — Medicare Advantage: $10,985.07 Hennepin Health — PMAP: $10,485.76 Itasca Medical Care — Managed Medicaid: $9,709.04 Itasca Medical Care — Medicare Advantage/MSHO: $10,363.27 Medica — Medicare Advantage: $10,985.07 Primewest — Managed Medicaid: $9,709.04 Primewest — MSHO: $10,363.27 Sanford Health Plan — Medicare Advantage: $10,363.27 Security Health Plan — Medicare Advantage: $10,363.27
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient · Doctor (professional) fee In the file: HYSTEROSCOPY BIOPSY	Not listed in the file	Not listed in the file	$152.38 – $1,067.91
Hysteroscopy with biopsy of the uterus lining: 10 of 36 insurance plan rates Blue Cross of Minnesota — Aware Federal: $772.89 Blue Cross of Minnesota — Commercial: $786.80 Blue Cross of Minnesota — Managed Medicaid: $174.71 Blue Cross of Minnesota — Medicare Advantage: $214.98 Health Partners — Cigna Commercial: $897.05 Health Partners — Cigna Great West: $1,067.91 Health Partners — Commercial: $854.33 Health Partners — Federal: $839.29 Health Partners — Medicare Advantage: $219.11 Health Partners — Medicare Cost: $226.45
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	$2,965.09 – $7,272.92
Hysteroscopy with biopsy of the uterus lining: 10 of 18 insurance plan rates Blue Cross of Minnesota — Medicare Advantage: $3,291.49 Health Partners — Medicare Advantage: $3,354.78 Hennepin Health — PMAP: $3,202.30 Itasca Medical Care — Managed Medicaid: $2,965.09 Itasca Medical Care — Medicare Advantage/MSHO: $3,164.89 Medica — Medicare Advantage: $3,354.78 Primewest — Managed Medicaid: $2,965.09 Primewest — MSHO: $3,164.89 Sanford Health Plan — Medicare Advantage: $3,164.89 Security Health Plan — Medicare Advantage: $3,164.89
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC INJ EPIDURAL LUMBAR/SACRAL, W IMAGING	$1,875	$751.88	$463.13 – $1,687.50
Spinal injection, lower back (epidural), with imaging guidance: 10 of 45 insurance plan rates America's PPO — Commercial: $1,350 America's PPO — EZCare: $1,125 America's PPO — Health EZ: $1,125 Blue Cross of Minnesota — Aware Federal: $1,085.63 Blue Cross of Minnesota — Commercial: $1,105.13 Blue Cross of Minnesota — Managed Medicaid: $516.56 Blue Cross of Minnesota — Medicare Advantage: $716.90 First Health — Commercial: $1,537.50 Health Partners — Cigna Commercial: $1,182.38 Health Partners — Cigna Great West: $1,407.75
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC INJ EPIDURAL LUMBAR/SACRAL, W IMAGING	$1,875	$751.88	$501.38 – $1,687.50
Spinal injection, lower back (epidural), with imaging guidance: 10 of 28 insurance plan rates America's PPO — Commercial: $1,198.13 America's PPO — EZCare: $976.88 America's PPO — Health EZ: $1,106.25 Blue Cross of Minnesota — Aware Federal: $1,053.94 Blue Cross of Minnesota — Commercial: $1,072.88 Blue Cross of Minnesota — Managed Medicaid: $501.38 First Health — Commercial: $1,537.50 Health Partners — Cigna Commercial: $1,226.63 Health Partners — Cigna Great West: $1,460.25 Health Partners — Commercial: $1,168.13
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Doctor (professional) fee In the file: NJX INTERLAMINAR LMBR/SAC	Not listed in the file	Not listed in the file	$67.36 – $470.40
Spinal injection, lower back (epidural), with imaging guidance: 10 of 36 insurance plan rates Blue Cross of Minnesota — Aware Federal: $330.60 Blue Cross of Minnesota — Commercial: $336.55 Blue Cross of Minnesota — Managed Medicaid: $76.95 Blue Cross of Minnesota — Medicare Advantage: $95.20 Health Partners — Cigna Commercial: $395.14 Health Partners — Cigna Great West: $470.40 Health Partners — Commercial: $376.32 Health Partners — Federal: $369.70 Health Partners — Medicare Advantage: $97.03 Health Partners — Medicare Cost: $100.49
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC INJ TRANSFORAMIN EPIDURAL, LUMB/SACR SINGLE	$2,509.80	$1,006.43	$619.92 – $2,258.82
Nerve root injection, lower back, with imaging guidance: 10 of 45 insurance plan rates America's PPO — Commercial: $1,807.06 America's PPO — EZCare: $1,505.88 America's PPO — Health EZ: $1,505.88 Blue Cross of Minnesota — Aware Federal: $1,453.17 Blue Cross of Minnesota — Commercial: $1,479.28 Blue Cross of Minnesota — Managed Medicaid: $691.45 Blue Cross of Minnesota — Medicare Advantage: $921.64 First Health — Commercial: $2,058.04 Health Partners — Cigna Commercial: $1,582.68 Health Partners — Cigna Great West: $1,884.36
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC INJ TRANSFORAMIN EPIDURAL, LUMB/SACR SINGLE	$3,774	$1,513.38	$1,009.17 – $3,396.60
Nerve root injection, lower back, with imaging guidance: 10 of 28 insurance plan rates America's PPO — Commercial: $2,411.59 America's PPO — EZCare: $1,966.25 America's PPO — Health EZ: $2,226.66 Blue Cross of Minnesota — Aware Federal: $2,121.37 Blue Cross of Minnesota — Commercial: $2,159.48 Blue Cross of Minnesota — Managed Medicaid: $1,009.17 First Health — Commercial: $3,094.68 Health Partners — Cigna Commercial: $2,468.95 Health Partners — Cigna Great West: $2,939.19 Health Partners — Commercial: $2,351.20
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Doctor (professional) fee In the file: NJX AA&/STRD TFRM EPI L/S 1	Not listed in the file	Not listed in the file	$76.30 – $531.49
Nerve root injection, lower back, with imaging guidance: 10 of 36 insurance plan rates Blue Cross of Minnesota — Aware Federal: $370.81 Blue Cross of Minnesota — Commercial: $377.48 Blue Cross of Minnesota — Managed Medicaid: $86.95 Blue Cross of Minnesota — Medicare Advantage: $107.58 Health Partners — Cigna Commercial: $446.45 Health Partners — Cigna Great West: $531.49 Health Partners — Commercial: $425.19 Health Partners — Federal: $417.71 Health Partners — Medicare Advantage: $109.65 Health Partners — Medicare Cost: $113.40
Carpal tunnel release CPT 64721 · Inpatient or outpatient · Doctor (professional) fee In the file: CARPAL TUNNEL SURGERY	Not listed in the file	Not listed in the file	$305.24 – $2,119.33
Carpal tunnel release: 10 of 36 insurance plan rates Blue Cross of Minnesota — Aware Federal: $1,493.30 Blue Cross of Minnesota — Commercial: $1,520.18 Blue Cross of Minnesota — Managed Medicaid: $346.71 Blue Cross of Minnesota — Medicare Advantage: $429.84 Health Partners — Cigna Commercial: $1,780.23 Health Partners — Cigna Great West: $2,119.33 Health Partners — Commercial: $1,695.46 Health Partners — Federal: $1,665.62 Health Partners — Medicare Advantage: $438.11 Health Partners — Medicare Cost: $453.25
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CARPAL TUNNEL SURGERY	Not listed in the file	Not listed in the file	$1,821.08 – $4,466.81
Carpal tunnel release: 10 of 18 insurance plan rates Blue Cross of Minnesota — Medicare Advantage: $2,021.53 Health Partners — Medicare Advantage: $2,060.41 Hennepin Health — PMAP: $1,966.77 Itasca Medical Care — Managed Medicaid: $1,821.08 Itasca Medical Care — Medicare Advantage/MSHO: $1,943.78 Medica — Medicare Advantage: $2,060.41 Primewest — Managed Medicaid: $1,821.08 Primewest — MSHO: $1,943.78 Sanford Health Plan — Medicare Advantage: $1,943.78 Security Health Plan — Medicare Advantage: $1,943.78
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC YAG LASER CAPSULOTOMY	$4,468	$1,791.67	$511.60 – $4,021.20
Laser treatment of clouding after cataract surgery: 10 of 45 insurance plan rates America's PPO — Commercial: $3,216.96 America's PPO — EZCare: $2,680.80 America's PPO — Health EZ: $2,680.80 Blue Cross of Minnesota — Aware Federal: $2,586.97 Blue Cross of Minnesota — Commercial: $2,633.44 Blue Cross of Minnesota — Managed Medicaid: $1,230.93 Blue Cross of Minnesota — Medicare Advantage: $567.91 First Health — Commercial: $3,663.76 Health Partners — Cigna Commercial: $2,817.52 Health Partners — Cigna Great West: $3,354.57
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC YAG LASER CAPSULOTOMY	$2,295	$920.30	$613.68 – $2,065.50
Laser treatment of clouding after cataract surgery: 10 of 28 insurance plan rates America's PPO — Commercial: $1,466.51 America's PPO — EZCare: $1,195.70 America's PPO — Health EZ: $1,354.05 Blue Cross of Minnesota — Aware Federal: $1,290.02 Blue Cross of Minnesota — Commercial: $1,313.20 Blue Cross of Minnesota — Managed Medicaid: $613.68 First Health — Commercial: $1,881.90 Health Partners — Cigna Commercial: $1,501.39 Health Partners — Cigna Great West: $1,787.35 Health Partners — Commercial: $1,429.79
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient · Doctor (professional) fee In the file: AFTER CATARACT LASER SURGERY	Not listed in the file	Not listed in the file	$216.45 – $1,528.41
Laser treatment of clouding after cataract surgery: 10 of 36 insurance plan rates Blue Cross of Minnesota — Aware Federal: $1,037.60 Blue Cross of Minnesota — Commercial: $1,056.28 Blue Cross of Minnesota — Managed Medicaid: $249.77 Blue Cross of Minnesota — Medicare Advantage: $304.69 Health Partners — Cigna Commercial: $1,283.87 Health Partners — Cigna Great West: $1,528.41 Health Partners — Commercial: $1,222.73 Health Partners — Federal: $1,201.21 Health Partners — Medicare Advantage: $310.55 Health Partners — Medicare Cost: $321.36
Cataract removal with lens implant CPT 66984 · Inpatient or outpatient · Doctor (professional) fee In the file: XCAPSL CTRC RMVL W/O ECP	Not listed in the file	Not listed in the file	$374.96 – $2,635.95
Cataract removal with lens implant: 10 of 36 insurance plan rates Blue Cross of Minnesota — Aware Federal: $1,802.68 Blue Cross of Minnesota — Commercial: $1,835.13 Blue Cross of Minnesota — Managed Medicaid: $430.95 Blue Cross of Minnesota — Medicare Advantage: $528 Health Partners — Cigna Commercial: $2,214.20 Health Partners — Cigna Great West: $2,635.95 Health Partners — Commercial: $2,108.76 Health Partners — Federal: $2,071.65 Health Partners — Medicare Advantage: $538.15 Health Partners — Medicare Cost: $556.88
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	$2,126.92 – $5,216.99
Cataract removal with lens implant: 10 of 18 insurance plan rates Blue Cross of Minnesota — Medicare Advantage: $2,361.04 Health Partners — Medicare Advantage: $2,406.44 Hennepin Health — PMAP: $2,297.07 Itasca Medical Care — Managed Medicaid: $2,126.92 Itasca Medical Care — Medicare Advantage/MSHO: $2,270.23 Medica — Medicare Advantage: $2,406.44 Primewest — Managed Medicaid: $2,126.92 Primewest — MSHO: $2,270.23 Sanford Health Plan — Medicare Advantage: $2,270.23 Security Health Plan — Medicare Advantage: $2,270.23

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Inpatient or outpatient · Doctor (professional) fee In the file: OBSTETRICAL CARE	Not listed in the file	Not listed in the file	$1,305.47 – $10,977.88
Vaginal delivery, with care before and after: 10 of 36 insurance plan rates Blue Cross of Minnesota — Aware Federal: $8,153.37 Blue Cross of Minnesota — Commercial: $8,300.13 Blue Cross of Minnesota — Managed Medicaid: $1,511.77 Blue Cross of Minnesota — Medicare Advantage: $2,198.71 Health Partners — Cigna Commercial: $9,221.42 Health Partners — Cigna Great West: $10,977.88 Health Partners — Commercial: $8,782.30 Health Partners — Federal: $8,627.73 Health Partners — Medicare Advantage: $2,240.99 Health Partners — Medicare Cost: $2,317.53
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient or outpatient · Doctor (professional) fee In the file: CESAREAN DELIVERY	Not listed in the file	Not listed in the file	$1,305.47 – $12,068.90
Cesarean delivery (C-section), with care before and after: 10 of 36 insurance plan rates Blue Cross of Minnesota — Aware Federal: $9,065.88 Blue Cross of Minnesota — Commercial: $9,229.07 Blue Cross of Minnesota — Managed Medicaid: $1,511.77 Blue Cross of Minnesota — Medicare Advantage: $2,415.42 Health Partners — Cigna Commercial: $10,137.88 Health Partners — Cigna Great West: $12,068.90 Health Partners — Commercial: $9,655.12 Health Partners — Federal: $9,485.19 Health Partners — Medicare Advantage: $2,461.87 Health Partners — Medicare Cost: $2,546.07
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Inpatient or outpatient · Doctor (professional) fee In the file: VBAC DELIVERY	Not listed in the file	Not listed in the file	$1,305.47 – $11,364.10
Vaginal delivery after a previous C-section, with care before and after: 10 of 36 insurance plan rates Blue Cross of Minnesota — Aware Federal: $8,547.64 Blue Cross of Minnesota — Commercial: $8,701.50 Blue Cross of Minnesota — Managed Medicaid: $1,511.77 Blue Cross of Minnesota — Medicare Advantage: $2,274.38 Health Partners — Cigna Commercial: $9,545.84 Health Partners — Cigna Great West: $11,364.10 Health Partners — Commercial: $9,091.28 Health Partners — Federal: $8,931.27 Health Partners — Medicare Advantage: $2,318.11 Health Partners — Medicare Cost: $2,397.43

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	Not listed in the file	Not listed in the file	$51,088.14 – $119,648.42
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 13 insurance plan rates Blue Cross of Minnesota — Medicare Advantage: $53,131.67 Health Partners — Medicare Advantage: $54,153.43 Itasca Medical Care — Medicare Advantage/MSHO: $51,088.14 Medica — Medicare Advantage: $54,153.43 Primewest — MSHO: $51,088.14 Sanford Health Plan — Medicare Advantage: $51,088.14 Security Health Plan — Medicare Advantage: $51,088.14 South Country Health Alliance — Medicare Advantage: $51,088.14 UCare — Individual and Family: $119,648.42 UCare — Individual and Family with M Health Fairview: $89,864.04
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	Not listed in the file	Not listed in the file	$32,765.28 – $76,736.29
Hip or knee replacement (major joint of the leg), without major complications: 10 of 13 insurance plan rates Blue Cross of Minnesota — Medicare Advantage: $34,075.89 Health Partners — Medicare Advantage: $34,731.20 Itasca Medical Care — Medicare Advantage/MSHO: $32,765.28 Medica — Medicare Advantage: $34,731.20 Primewest — MSHO: $32,765.28 Sanford Health Plan — Medicare Advantage: $32,765.28 Security Health Plan — Medicare Advantage: $32,765.28 South Country Health Alliance — Medicare Advantage: $32,765.28 UCare — Individual and Family: $76,736.29 UCare — Individual and Family with M Health Fairview: $57,634.13
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	$39,328.05 – $92,106.29
Neck (cervical) spinal fusion, without complications: 10 of 13 insurance plan rates Blue Cross of Minnesota — Medicare Advantage: $40,901.17 Health Partners — Medicare Advantage: $41,687.73 Itasca Medical Care — Medicare Advantage/MSHO: $39,328.05 Medica — Medicare Advantage: $41,687.73 Primewest — MSHO: $39,328.05 Sanford Health Plan — Medicare Advantage: $39,328.05 Security Health Plan — Medicare Advantage: $39,328.05 South Country Health Alliance — Medicare Advantage: $39,328.05 UCare — Individual and Family: $92,106.29 UCare — Individual and Family with M Health Fairview: $69,178.04
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	$78,553.55 – $183,972.41
Uterus and ovary surgery (not for cancer), without complications: 10 of 13 insurance plan rates Blue Cross of Minnesota — Medicare Advantage: $81,695.69 Health Partners — Medicare Advantage: $83,266.76 Itasca Medical Care — Medicare Advantage/MSHO: $78,553.55 Medica — Medicare Advantage: $83,266.76 Primewest — MSHO: $78,553.55 Sanford Health Plan — Medicare Advantage: $78,553.55 Security Health Plan — Medicare Advantage: $78,553.55 South Country Health Alliance — Medicare Advantage: $78,553.55 UCare — Individual and Family: $183,972.41 UCare — Individual and Family with M Health Fairview: $138,175.69

Source: M Health Fairview Bethesda Hospital’s standard charges file (requiredlearning.fairview.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on January 29, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Long-Term Acute Care Hospital
Address	45 10th Street West, Saint Paul, MN 55102
County	Ramsey County
State	Minnesota
Phone	(651) 326‑3762
Ownership	Non-profit
CMS Certification Number	242004
Name in Medicare records	M HEALTH FAIRVIEW BETHESDA HOSPITAL
Profile level	Medicare data + hospital website
Official website	mhealthfairview.org
Corrections	Report an error or suggest an update →

Sources

Long-Term Care Hospital - General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-08-12, retrieved 2026-10-29
Medicare Care Compare — official Medicare tool to look up and compare this type of hospital
U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

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

M Health Fairview Bethesda Hospital — mhealthfairview.org
M Health Fairview Bethesda Hospital Lab | M Health Fairview — mhealthfairview.org

M Health Fairview Bethesda Hospital

Summary

Profile from official sources

At a glance

Quick answers

Specialties and care areas^[4]

Treatments^[4]

Procedures^[4][5]

Programs and centers^[4]

Visiting and practical information

Nearest emergency rooms

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

Nursing homes

Hospice providers

Home health agencies

Dialysis facilities

Outpatient surgery centers nearby

Community care nearby

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

ER wait times and Medicare ratings nearby

Prices

Office and emergency visits

Lab tests

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

Heart tests and sleep study

Physical therapy and mental health

Procedures and surgery

Pregnancy and childbirth

Hospital stays (whole stay, MS-DRG)

Hospital information

Sources

From the hospital’s website

M Health Fairview Bethesda Hospital

Summary

Profile from official sources

At a glance

Quick answers

Specialties and care areas[4]

Treatments[4]

Procedures[4][5]

Programs and centers[4]

Visiting and practical information

Nearest emergency rooms

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

Nursing homes

Hospice providers

Home health agencies

Dialysis facilities

Outpatient surgery centers nearby

Community care nearby

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

ER wait times and Medicare ratings nearby

Prices

Office and emergency visits

Lab tests

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

Heart tests and sleep study

Physical therapy and mental health

Procedures and surgery

Pregnancy and childbirth

Hospital stays (whole stay, MS-DRG)

Hospital information

Sources

From the hospital’s website

Specialties and care areas^[4]

Treatments^[4]

Procedures^[4][5]

Programs and centers^[4]