Does M Health Fairview Southdale Hospital have an emergency room?

Yes. Medicare (CMS) data lists emergency services at M Health Fairview Southdale Hospital. In a medical emergency, call 911.

Where is M Health Fairview Southdale Hospital?

6401 France Avenue South, Edina, MN 55435, in Hennepin County, Minnesota.

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

(952) 924-5000, as listed by Medicare (CMS).

What is the Medicare star rating of M Health Fairview Southdale Hospital?

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

M Health Fairview Southdale Hospital

Quick answers

Does M Health Fairview Southdale Hospital have an emergency room?: Yes. Medicare (CMS) data lists emergency services at M Health Fairview Southdale Hospital. In a medical emergency, call 911.
Where is M Health Fairview Southdale Hospital?: 6401 France Avenue South, Edina, MN 55435, in Hennepin County, Minnesota.
What is the phone number of M Health Fairview Southdale Hospital?: (952) 924-5000, as listed by Medicare (CMS).
What is the Medicare star rating of M Health Fairview Southdale Hospital?: 5 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4]

Coronary Intensive Care Unit
Hospitalists
Imaging Services
Neonatal Intensive Care Unit (NICU)
Nutrition Services
Stroke Care
The Birthplace (maternity)
Cardiology
Orthopedics
Oncology
Obstetrics
Primary care
Neurosciences
Critical care
Vascular

Treatments^[4][6]

Telestroke evaluation
Imaging services
Home medical equipment
Medication therapy management
Nutrition services
Pre-operative assessment
Express lab testing
Laboratory services

Programs and centers^[4]

Emergency heart attack program
Women's heart program
CORE program for heart failure and vascular disease
Pre-Operative Assessment
CORE program (heart failure and vascular disease management)
The Birthplace at Southdale Hospital

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

Emergency room	Yes
Open 24/7	Yes
Stroke designation	Thrombectomy-Capable Stroke Center

Visiting and practical information

Parking	Two paid ramps (Skyway Ramp and East Ramp); valet weekdays 5:30 a.m.-5 p.m. at Door 2^[4]
Interpreters and languages	Interpreter/other-language assistance line 612-273-3780; relay services available^[4]

Doctors and clinicians (1,507)

1,507 doctors and other clinicians list M Health Fairview Southdale Hospital as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

And 1,483 more: the button below opens the full list.

Other emergency rooms nearby

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

Park Nicollet Methodist Hospital3.2 mi · Saint Louis Park, MN · Acute Care Hospital
Abbott Northwestern Hospital5.6 mi · Minneapolis, MN · Acute Care Hospital
Children's Hospitals & Clinics of MN5.9 mi · Minneapolis, MN · Children's Hospital
Minneapolis VA Medical Center6.2 mi · Minneapolis, MN · Federal/VA Acute Care Hospital
Hennepin County Medical Center6.8 mi · Minneapolis, MN · Acute Care Hospital

Other hospitals nearby

M Health Fairview University of MN Medical Center7.1 mi · Minneapolis, MN · Acute Care Hospital

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

Aurora on France0.0 mi · Edina, MN · 4 of 5 stars
Edenbrook of Edina0.6 mi · Minneapolis, MN · 2 of 5 stars
Mount Olivet Careview Home2.3 mi · Minneapolis, MN · 4 of 5 stars

All nursing homes in the state →

Hospice providers

Caretenders Hospice2.3 mi · Minneapolis, MN
Gentiva2.3 mi · Edina, MN
Brighton Hospice4.4 mi · Saint Louis Park, MN · 3 of 5 stars

All hospice providers in the state →

Home health agencies

Almost Family2.3 mi · Edina, MN
Aveanna Home Health2.3 mi · Edina, MN · 4 of 5 stars
Carextra Home Health LLC2.3 mi · Edina, MN

All home health agencies in the state →

Dialysis facilities

DaVita Richfield Dialysis2.4 mi · Richfield, MN · 4 of 5 stars
DaVita Minneapolis Uptown Dialysis3.8 mi · Minneapolis, MN · 2 of 5 stars
FMC Dialysis - South Minneapolis3.8 mi · Minneapolis, MN · 1 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.

Allina Health Minneapolis Heart Institute Surgery Center-Edina0.9 mi · Edina, MN
Crosstown Surgery Center LLC0.9 mi · Edina, MN
Edina Specialty Surgery Center0.9 mi · Edina, 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

Southside Dental, Vision, Behavioral Health, and Administration4.0 mi · Minneapolis, MN · Community health center
Southside Clinic4.3 mi · Minneapolis, MN · Community health center
Southside Medical Clinic4.3 mi · Minneapolis, MN · Community health center

Clinics and urgent care

Allina Health System0.9 mi · Edina, MN · Urgent care center
Physician's Urgent Care P.A.0.9 mi · Edina, MN · Urgent care center
Medtech LLC4.3 mi · Bloomington, MN · Urgent care center

Pharmacies

Fairview Health Servcies0.9 mi · Edina, MN · Clinic pharmacy
Fairview Pharmacy Services LLC0.9 mi · Edina, MN · Community/retail pharmacy
Fairview Pharmacy Services LLC0.9 mi · Edina, MN · Pharmacy

Assisted living nearby

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

Aurora on France Senior Living0.9 mi · Edina, MN
Eden Vista of Edina0.9 mi · Edina, MN
Eden Vista of Edina0.9 mi · Edina, MN
Sunrise of Edina0.9 mi · Edina, MN

About the Medicare star rating

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

Medicare quality data

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

What patients said (patient survey)

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

Summary star rating (all survey topics)	3 of 5 stars
Overall rating of the hospital	3 of 5 stars
Would recommend the hospital	4 of 5 stars
Nurses communicated well	3 of 5 stars
Doctors communicated well	3 of 5 stars
Staff explained medicines	2 of 5 stars
Information about recovery at home	4 of 5 stars
Room and bathroom kept clean	2 of 5 stars
Quiet at night	4 of 5 stars
Rated the hospital 9 or 10 out of 10	70%National average: 72%
Would definitely recommend the hospital	71%National average: 71%
Nurses “always” communicated well	77%National average: 80%
Doctors “always” communicated well	79%National average: 80%
Staff “always” explained medicines before giving them	57%National average: 62%
Were given information about recovery at home	88%National average: 86%
Room and bathroom “always” clean	59%National average: 74%
Area around the room “always” quiet at night	61%National average: 60%
Completed surveys	515Response rate: 24%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)	0.81No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0.624No different from the national benchmark
Surgical site infections after colon surgery	0.406Better than the national benchmark
Surgical site infections after abdominal hysterectomy	1.465No different from the national benchmark
MRSA bloodstream infections	1.115No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.385Better than the national benchmark

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

Complications and deaths

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

Deaths within 30 days: heart attack patients	10.1%
Deaths within 30 days: heart failure patients	7.8%
Deaths within 30 days: pneumonia patients	11.5%
Deaths within 30 days: COPD patients	7.4%
Deaths within 30 days: stroke patients	10.4%
Deaths within 30 days: coronary bypass surgery (CABG)	2.3%
Serious complications (patient safety indicator PSI-90)	0.76No different from the national rate
Complications after hip or knee replacement	4.8%

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	14.8%
Readmitted within 30 days: heart failure	18.9%
Readmitted within 30 days: pneumonia	16.5%
Readmitted within 30 days: COPD	18.7%
Readmitted within 30 days: coronary bypass surgery	12.2%
Readmitted within 30 days: hip or knee replacement	6.6%

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	Very high (60,000 or more)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	204 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	4%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	72%National average: 65%

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in Minnesota Best hospitals in Minnesota

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 86 common services exactly as M Health Fairview Southdale 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 →

$ 55 amounts are marked with “!”: they are more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. They are shown exactly as listed; ask the hospital before relying on them.

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OFFICE/OUTPATIENT NEW LOW MDM 30-44 MINUTES	$454.23	$284.81	$55.97 – $408.81
New patient office visit (about 30–44 minutes): 10 of 48 insurance plan rates America's PPO — Commercial: $358.84 America's PPO — EZCare: $345.21 America's PPO — Health EZ: $345.21 Blue Cross of Minnesota — Aware Federal: $272.52 Blue Cross of Minnesota — Aware/Blue Plus: $277.43 Blue Cross of Minnesota — Medicare Advantage: $77.96 Blue Cross of Minnesota — PMAP: $64.74 First Health — Commercial: $372.47 Health Partners — Cigna Commercial: $325.83 Health Partners — Cigna Great West: $387.89
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW LOW 30 MIN	Not listed in the file	Not listed in the file	$169.06 – $944.33
New patient office visit (about 30–44 minutes): 10 of 16 insurance plan rates Blue Cross of Minnesota — Aware Federal: $419.25 Blue Cross of Minnesota — Aware/Blue Plus: $426.80 Blue Cross of Minnesota — PMAP: $176.65 Health Partners — Cigna Commercial: $793.23 Health Partners — Cigna Great West: $944.33 Health Partners — Commercial: $755.46 Health Partners — Federal: $742.10 Health Partners — Medicare Cost: $232.55 Health Partners — PMAP: $236.74 Medica — Bold: $313.11
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Doctor (professional) fee · modifier 57 In the file: PR OFFICE/OUTPATIENT NEW LOW MDM 30-44 MINUTES	$455	$285.29	$55.97 – $409.50
New patient office visit (about 30–44 minutes): 10 of 48 insurance plan rates America's PPO — Commercial: $359.45 America's PPO — EZCare: $345.80 America's PPO — Health EZ: $345.80 Blue Cross of Minnesota — Aware Federal: $272.52 Blue Cross of Minnesota — Aware/Blue Plus: $277.43 Blue Cross of Minnesota — Medicare Advantage: $77.96 Blue Cross of Minnesota — PMAP: $64.74 First Health — Commercial: $373.10 Health Partners — Cigna Commercial: $325.83 Health Partners — Cigna Great West: $387.89
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OFFICE/OUTPATIENT NEW MODERATE MDM 45-59 MINUTES	$642	$402.54	$91.85 – $632.16
New patient office visit (about 45–59 minutes): 10 of 48 insurance plan rates America's PPO — Commercial: $507.18 America's PPO — EZCare: $487.92 America's PPO — Health EZ: $487.92 Blue Cross of Minnesota — Aware Federal: $443.41 Blue Cross of Minnesota — Aware/Blue Plus: $451.39 Blue Cross of Minnesota — Medicare Advantage: $127.47 Blue Cross of Minnesota — PMAP: $105.96 First Health — Commercial: $526.44 Health Partners — Cigna Commercial: $531.02 Health Partners — Cigna Great West: $632.16
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW MOD 45 MIN	Not listed in the file	Not listed in the file	$276.14 – $1,410.74
New patient office visit (about 45–59 minutes): 10 of 16 insurance plan rates Blue Cross of Minnesota — Aware Federal: $709.80 Blue Cross of Minnesota — Aware/Blue Plus: $722.58 Blue Cross of Minnesota — PMAP: $299.07 Health Partners — Cigna Commercial: $1,185.02 Health Partners — Cigna Great West: $1,410.74 Health Partners — Commercial: $1,128.59 Health Partners — Federal: $1,108.63 Health Partners — Medicare Cost: $347.41 Health Partners — PMAP: $353.66 Medica — Bold: $511.41
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Doctor (professional) fee · modifier 57 In the file: PR OFFICE/OUTPATIENT NEW MODERATE MDM 45-59 MINUTES	$674.80	$423.10	$91.85 – $632.16
New patient office visit (about 45–59 minutes): 10 of 48 insurance plan rates America's PPO — Commercial: $533.09 America's PPO — EZCare: $512.84 America's PPO — Health EZ: $512.84 Blue Cross of Minnesota — Aware Federal: $443.41 Blue Cross of Minnesota — Aware/Blue Plus: $451.39 Blue Cross of Minnesota — Medicare Advantage: $127.47 Blue Cross of Minnesota — PMAP: $105.96 First Health — Commercial: $553.33 Health Partners — Cigna Commercial: $531.02 Health Partners — Cigna Great West: $632.16
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OFFICE/OUTPATIENT NEW HIGH MDM 60-74 MINUTES	$888.54	$557.12	$124.62 – $859.94
New patient office visit (about 60–74 minutes): 10 of 48 insurance plan rates America's PPO — Commercial: $701.94 America's PPO — EZCare: $675.29 America's PPO — Health EZ: $675.29 Blue Cross of Minnesota — Aware Federal: $603.13 Blue Cross of Minnesota — Aware/Blue Plus: $613.99 Blue Cross of Minnesota — Medicare Advantage: $173.18 Blue Cross of Minnesota — PMAP: $143.87 First Health — Commercial: $728.60 Health Partners — Cigna Commercial: $722.35 Health Partners — Cigna Great West: $859.94
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW HI 60 MIN	Not listed in the file	Not listed in the file	$375.48 – $1,859.86
New patient office visit (about 60–74 minutes): 10 of 16 insurance plan rates Blue Cross of Minnesota — Aware Federal: $926.25 Blue Cross of Minnesota — Aware/Blue Plus: $942.92 Blue Cross of Minnesota — PMAP: $390.27 Health Partners — Cigna Commercial: $1,562.28 Health Partners — Cigna Great West: $1,859.86 Health Partners — Commercial: $1,487.89 Health Partners — Federal: $1,461.58 Health Partners — Medicare Cost: $458.01 Health Partners — PMAP: $466.26 Medica — Bold: $695.41
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Doctor (professional) fee · modifier FS In the file: PR OFFICE/OUTPATIENT NEW HIGH MDM 60-74 MINUTES	$890	$558.03	$124.62 – $859.94
New patient office visit (about 60–74 minutes): 10 of 48 insurance plan rates America's PPO — Commercial: $703.10 America's PPO — EZCare: $676.40 America's PPO — Health EZ: $676.40 Blue Cross of Minnesota — Aware Federal: $603.13 Blue Cross of Minnesota — Aware/Blue Plus: $613.99 Blue Cross of Minnesota — Medicare Advantage: $173.18 Blue Cross of Minnesota — PMAP: $143.87 First Health — Commercial: $729.80 Health Partners — Cigna Commercial: $722.35 Health Partners — Cigna Great West: $859.94
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20-29 MIN	$369	$231.37	$45.44 – $332.10
Established patient office visit (about 20–29 minutes): 10 of 48 insurance plan rates America's PPO — Commercial: $291.51 America's PPO — EZCare: $280.44 America's PPO — Health EZ: $280.44 Blue Cross of Minnesota — Aware Federal: $218.91 Blue Cross of Minnesota — Aware/Blue Plus: $222.85 Blue Cross of Minnesota — Medicare Advantage: $63.37 Blue Cross of Minnesota — PMAP: $52.57 First Health — Commercial: $302.58 Health Partners — Cigna Commercial: $263.43 Health Partners — Cigna Great West: $313.61
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	$361	$144.77	$118.31 – $774.45
Established patient office visit (about 20–29 minutes): 10 of 29 insurance plan rates America's PPO — Commercial: $259.92 America's PPO — EZCare: $216.60 America's PPO — Health EZ: $216.60 Blue Cross of Minnesota — Aware Federal: $280.80 Blue Cross of Minnesota — Aware/Blue Plus: $285.85 Blue Cross of Minnesota — PMAP: $118.31 First Health — Commercial: $296.02 Health Partners — Cigna Commercial: $650.54 Health Partners — Cigna Great West: $774.45 Health Partners — Commercial: $619.56
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	$152.38	$197.98 – $342
Established patient office visit (about 20–29 minutes): 10 of 11 insurance plan rates America's PPO — Commercial: $242.82 America's PPO — EZCare: $197.98 America's PPO — Health EZ: $224.20 First Health — Commercial: $311.60 MultiPlan — Commercial: $323 Private Healthcare Systems — Commercial: $323 Sanford Health Plan — Commercial: $223.82 Security Health Plan — Commercial: $285 United Healthcare — Commercial: $144.40 United Healthcare — Core: $144.40
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30-39 MIN	$482	$302.22	$66.97 – $463.81
Established patient office visit (about 30–39 minutes): 10 of 48 insurance plan rates America's PPO — Commercial: $380.78 America's PPO — EZCare: $366.32 America's PPO — Health EZ: $366.32 Blue Cross of Minnesota — Aware Federal: $322.78 Blue Cross of Minnesota — Aware/Blue Plus: $328.59 Blue Cross of Minnesota — Medicare Advantage: $93.20 Blue Cross of Minnesota — PMAP: $77.74 First Health — Commercial: $395.24 Health Partners — Cigna Commercial: $389.60 Health Partners — Cigna Great West: $463.81
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	$547	$219.35	$182.41 – $1,091.15
Established patient office visit (about 30–39 minutes): 10 of 28 insurance plan rates America's PPO — Commercial: $393.84 America's PPO — EZCare: $328.20 America's PPO — Health EZ: $328.20 Blue Cross of Minnesota — Aware Federal: $432.90 Blue Cross of Minnesota — Aware/Blue Plus: $440.69 Blue Cross of Minnesota — PMAP: $182.41 First Health — Commercial: $448.54 Health Partners — Cigna Commercial: $916.57 Health Partners — Cigna Great West: $1,091.15 Health Partners — Commercial: $872.92
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	$547	$219.35	$284.99 – $492.30
Established patient office visit (about 30–39 minutes): rates for 9 insurance plans America's PPO — Commercial: $349.53 America's PPO — EZCare: $284.99 America's PPO — Health EZ: $322.73 First Health — Commercial: $448.54 MultiPlan — Commercial: $464.95 Private Healthcare Systems — Commercial: $464.95 Sanford Health Plan — Commercial: $322.18 Security Health Plan — Commercial: $410.25 Wisconsin Physician Services — Commercial: $492.30
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OFFICE OR OTHER OUTPATIENT CONSULT, 30 TO 39 MIN	$411	$257.70	$60.99 – $415.19
Office consultation with a specialist (moderate): 10 of 38 insurance plan rates America's PPO — Commercial: $324.69 America's PPO — EZCare: $312.36 America's PPO — Health EZ: $312.36 Blue Cross of Minnesota — Aware Federal: $292.63 Blue Cross of Minnesota — Aware/Blue Plus: $297.90 Blue Cross of Minnesota — PMAP: $70.82 First Health — Commercial: $337.02 Health Partners — Cigna Commercial: $388.40 Health Partners — Cigna Great West: $415.19 Health Partners — Commercial: $376.56
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFF/OP CNSLTJ NEW/EST LOW 30	Not listed in the file	Not listed in the file	$184.61 – $535.98
Office consultation with a specialist (moderate): rates for 10 insurance plans Blue Cross of Minnesota — Aware Federal: $526.50 Blue Cross of Minnesota — Aware/Blue Plus: $535.98 Blue Cross of Minnesota — PMAP: $221.84 Medica — Bold: $341.91 Medica — Choice: $393.24 Medica — City of St. Paul/Essential-Uplan: $353.91 Medica — Individual and Family Business Except ACO: $380.03 Medica — Managed Medicaid/AccessAbility: $184.61 Medica — MSHO/Medicare Advantage SNP: $199.62 Medica — Vantage Self Insured: $371.62
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient · Doctor (professional) fee · modifier 57 In the file: PR OFFICE OR OTHER OUTPATIENT CONSULT, 30 TO 39 MIN	$411	$257.70	$60.99 – $415.19
Office consultation with a specialist (moderate): 10 of 38 insurance plan rates America's PPO — Commercial: $324.69 America's PPO — EZCare: $312.36 America's PPO — Health EZ: $312.36 Blue Cross of Minnesota — Aware Federal: $292.63 Blue Cross of Minnesota — Aware/Blue Plus: $297.90 Blue Cross of Minnesota — PMAP: $70.82 First Health — Commercial: $337.02 Health Partners — Cigna Commercial: $388.40 Health Partners — Cigna Great West: $415.19 Health Partners — Commercial: $376.56
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient · Doctor (professional) fee In the file: PR OFFICE OR OTHER OUTPATIENT CONSULT, 40 TO 54 MIN	$591.83	$371.08	$93.05 – $597.86
Office consultation with a specialist (moderate to high): 10 of 38 insurance plan rates America's PPO — Commercial: $467.54 America's PPO — EZCare: $449.79 America's PPO — Health EZ: $449.79 Blue Cross of Minnesota — Aware Federal: $445.64 Blue Cross of Minnesota — Aware/Blue Plus: $453.66 Blue Cross of Minnesota — PMAP: $107.90 First Health — Commercial: $485.30 Health Partners — Cigna Commercial: $559.27 Health Partners — Cigna Great West: $597.86 Health Partners — Commercial: $542.23
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFF/OP CNSLTJ NEW/EST MOD 40	Not listed in the file	Not listed in the file	$281.65 – $861.53
Office consultation with a specialist (moderate to high): rates for 10 insurance plans Blue Cross of Minnesota — Aware Federal: $846.30 Blue Cross of Minnesota — Aware/Blue Plus: $861.53 Blue Cross of Minnesota — PMAP: $356.59 Medica — Bold: $521.62 Medica — Choice: $599.93 Medica — City of St. Paul/Essential-Uplan: $539.93 Medica — Individual and Family Business Except ACO: $579.78 Medica — Managed Medicaid/AccessAbility: $281.65 Medica — MSHO/Medicare Advantage SNP: $304.54 Medica — Vantage Self Insured: $566.95
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient · Doctor (professional) fee · modifier FS In the file: PR OFFICE OR OTHER OUTPATIENT CONSULT, 40 TO 54 MIN	$594	$372.44	$93.05 – $600.06
Office consultation with a specialist (moderate to high): 10 of 38 insurance plan rates America's PPO — Commercial: $469.26 America's PPO — EZCare: $451.44 America's PPO — Health EZ: $451.44 Blue Cross of Minnesota — Aware Federal: $445.64 Blue Cross of Minnesota — Aware/Blue Plus: $453.66 Blue Cross of Minnesota — PMAP: $107.90 First Health — Commercial: $487.08 Health Partners — Cigna Commercial: $561.33 Health Partners — Cigna Great West: $600.06 Health Partners — Commercial: $544.22
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 28 insurance plan rates Blue Cross of Minnesota — Aware Federal: $310.50 Blue Cross of Minnesota — Aware/Blue Plus: $316.09 Blue Cross of Minnesota — PMAP: $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 – $1,105.55
Preventive checkup, new patient, age 18–39: 10 of 21 insurance plan rates Blue Cross of Minnesota — Aware Federal: $538.20 Blue Cross of Minnesota — Aware/Blue Plus: $547.89 Blue Cross of Minnesota — PMAP: $226.77 Health Partners — Cigna Commercial: $928.66 Health Partners — Cigna Great West: $1,105.55 Health Partners — Commercial: $884.44 Health Partners — Federal: $868.80 Health Partners — Medicare Cost: $272.26 Health Partners — PMAP: $277.16 Hennepin Health — PMAP: $98.34
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient · Doctor (professional) fee In the file: PR PREVENTIVE VISIT,NEW,40-64	$611	$383.10	$78.69 – $549.90
Preventive checkup, new patient, age 40–64: 10 of 37 insurance plan rates America's PPO — Commercial: $482.69 America's PPO — EZCare: $464.36 America's PPO — Health EZ: $464.36 Blue Cross of Minnesota — Aware Federal: $376.40 Blue Cross of Minnesota — Aware/Blue Plus: $383.18 Blue Cross of Minnesota — PMAP: $91.01 First Health — Commercial: $501.02 Health Partners — Cigna Commercial: $456.15 Health Partners — Cigna Great West: $543.04 Health Partners — Commercial: $434.43
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV VISIT NEW AGE 40-64	Not listed in the file	Not listed in the file	$104.82 – $1,269.65
Preventive checkup, new patient, age 40–64: 10 of 21 insurance plan rates Blue Cross of Minnesota — Aware Federal: $655.20 Blue Cross of Minnesota — Aware/Blue Plus: $666.99 Blue Cross of Minnesota — PMAP: $276.07 Health Partners — Cigna Commercial: $1,066.51 Health Partners — Cigna Great West: $1,269.65 Health Partners — Commercial: $1,015.72 Health Partners — Federal: $997.76 Health Partners — Medicare Cost: $312.67 Health Partners — PMAP: $318.30 Hennepin Health — PMAP: $113.21
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EMERGENCY DEPARTMENT LEVEL 3	$718.62	$288.17	$182.53 – $1,617
Emergency room visit (moderate): 10 of 45 insurance plan rates America's PPO — Commercial: $517.41 America's PPO — EZCare: $431.17 America's PPO — Health EZ: $431.17 Blue Cross of Minnesota — Aware Federal: $534.16 Blue Cross of Minnesota — Aware/Blue Plus: $543.77 Blue Cross of Minnesota — Medicare Advantage: $286.63 Blue Cross of Minnesota — PMAP: $225.88 First Health — Commercial: $589.27 Health Partners — Cigna Commercial: $523.43 Health Partners — Cigna Great West: $623.13
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EMERGENCY DEPARTMENT LEVEL 3 W PROCEDURE	$718.57	$288.15	$182.52 – $1,617
Emergency room visit (moderate): 10 of 45 insurance plan rates America's PPO — Commercial: $517.37 America's PPO — EZCare: $431.14 America's PPO — Health EZ: $431.14 Blue Cross of Minnesota — Aware Federal: $534.16 Blue Cross of Minnesota — Aware/Blue Plus: $543.77 Blue Cross of Minnesota — Medicare Advantage: $286.63 Blue Cross of Minnesota — PMAP: $225.88 First Health — Commercial: $589.23 Health Partners — Cigna Commercial: $523.43 Health Partners — Cigna Great West: $623.13
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EMERGENCY DEPARTMENT LEVEL 3	$718.62	$288.17	$374.40 – $646.76
Emergency room visit (moderate): rates for 9 insurance plans America's PPO — Commercial: $459.20 America's PPO — EZCare: $374.40 America's PPO — Health EZ: $423.99 First Health — Commercial: $589.27 MultiPlan — Commercial: $610.83 Private Healthcare Systems — Commercial: $610.83 Sanford Health Plan — Commercial: $423.27 Security Health Plan — Commercial: $538.96 Wisconsin Physician Services — Commercial: $646.76
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EMERGENCY DEPARTMENT LEVEL 4	$1,240.73	$497.54	$227.90 – $1,617
Emergency room visit (moderately high): 10 of 45 insurance plan rates America's PPO — Commercial: $893.33 America's PPO — EZCare: $744.44 America's PPO — Health EZ: $744.44 Blue Cross of Minnesota — Aware Federal: $538.91 Blue Cross of Minnesota — Aware/Blue Plus: $548.61 Blue Cross of Minnesota — Medicare Advantage: $440.81 Blue Cross of Minnesota — PMAP: $227.90 First Health — Commercial: $1,017.40 Health Partners — Cigna Commercial: $804.97 Health Partners — Cigna Great West: $958.30
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EMERGENCY DEPARTMENT LEVEL 4 W PROCEDURE	$1,241.46	$497.83	$227.90 – $1,617
Emergency room visit (moderately high): 10 of 45 insurance plan rates America's PPO — Commercial: $893.85 America's PPO — EZCare: $744.88 America's PPO — Health EZ: $744.88 Blue Cross of Minnesota — Aware Federal: $538.91 Blue Cross of Minnesota — Aware/Blue Plus: $548.61 Blue Cross of Minnesota — Medicare Advantage: $440.81 Blue Cross of Minnesota — PMAP: $227.90 First Health — Commercial: $1,018 Health Partners — Cigna Commercial: $804.97 Health Partners — Cigna Great West: $958.30
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EMERGENCY DEPARTMENT LEVEL 4	$1,244.86	$499.20	$648.57 – $1,120.38
Emergency room visit (moderately high): rates for 9 insurance plans America's PPO — Commercial: $795.47 America's PPO — EZCare: $648.57 America's PPO — Health EZ: $734.47 First Health — Commercial: $1,020.79 MultiPlan — Commercial: $1,058.13 Private Healthcare Systems — Commercial: $1,058.13 Sanford Health Plan — Commercial: $733.23 Security Health Plan — Commercial: $933.65 Wisconsin Physician Services — Commercial: $1,120.38
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EMERGENCY DEPARTMENT LEVEL 5	$1,763.91	$707.33	$228.73 – $2,423
Emergency room visit (high): 10 of 45 insurance plan rates America's PPO — Commercial: $1,270.02 America's PPO — EZCare: $1,058.35 America's PPO — Health EZ: $1,058.35 Blue Cross of Minnesota — Aware Federal: $540.88 Blue Cross of Minnesota — Aware/Blue Plus: $550.62 Blue Cross of Minnesota — Medicare Advantage: $634.69 Blue Cross of Minnesota — PMAP: $228.73 First Health — Commercial: $1,446.41 Health Partners — Cigna Commercial: $1,159.01 Health Partners — Cigna Great West: $1,379.78
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EMERGENCY DEPARTMENT LEVEL 5 W PROCEDURE	$1,519	$609.12	$228.73 – $2,423
Emergency room visit (high): 10 of 45 insurance plan rates America's PPO — Commercial: $1,093.68 America's PPO — EZCare: $911.40 America's PPO — Health EZ: $911.40 Blue Cross of Minnesota — Aware Federal: $540.88 Blue Cross of Minnesota — Aware/Blue Plus: $550.62 Blue Cross of Minnesota — Medicare Advantage: $634.69 Blue Cross of Minnesota — PMAP: $228.73 First Health — Commercial: $1,245.58 Health Partners — Cigna Commercial: $1,159.01 Health Partners — Cigna Great West: $1,379.78
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EMERGENCY DEPARTMENT LEVEL 5 W PROCEDURE	$1,519	$609.12	$791.40 – $1,367.10
Emergency room visit (high): rates for 9 insurance plans America's PPO — Commercial: $970.64 America's PPO — EZCare: $791.40 America's PPO — Health EZ: $896.21 First Health — Commercial: $1,245.58 MultiPlan — Commercial: $1,291.15 Private Healthcare Systems — Commercial: $1,291.15 Sanford Health Plan — Commercial: $894.69 Security Health Plan — Commercial: $1,139.25 Wisconsin Physician Services — Commercial: $1,367.10

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	$154	$61.76	$8.32 – $138.60
Basic metabolic panel (blood test): 10 of 45 insurance plan rates America's PPO — Commercial: $110.88 America's PPO — EZCare: $92.40 America's PPO — Health EZ: $92.40 Blue Cross of Minnesota — Aware Federal: $39.67 Blue Cross of Minnesota — Aware/Blue Plus: $40.38 Blue Cross of Minnesota — Medicare Advantage: $8.65 Blue Cross of Minnesota — PMAP: $16.61 First Health — Commercial: $126.28 Health Partners — Cigna Commercial: $62.88 Health Partners — Cigna Great West: $74.86
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC BASIC METABOLIC PROFILE	$146	$58.55	$76.07 – $131.40
Basic metabolic panel (blood test): rates for 9 insurance plans America's PPO — Commercial: $93.29 America's PPO — EZCare: $76.07 America's PPO — Health EZ: $86.14 First Health — Commercial: $119.72 MultiPlan — Commercial: $124.10 Private Healthcare Systems — Commercial: $124.10 Sanford Health Plan — Commercial: $85.99 Security Health Plan — Commercial: $109.50 Wisconsin Physician Services — Commercial: $131.40
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 26 insurance plan rates Blue Cross of Minnesota — Aware Federal: $8.46 Blue Cross of Minnesota — Aware/Blue Plus: $8.61 Blue Cross of Minnesota — PMAP: $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	$209	$83.81	$10.39 – $188.10
Comprehensive metabolic panel (blood test): 10 of 45 insurance plan rates America's PPO — Commercial: $150.48 America's PPO — EZCare: $125.40 America's PPO — Health EZ: $125.40 Blue Cross of Minnesota — Aware Federal: $39.67 Blue Cross of Minnesota — Aware/Blue Plus: $40.38 Blue Cross of Minnesota — Medicare Advantage: $10.81 Blue Cross of Minnesota — PMAP: $16.61 First Health — Commercial: $171.38 Health Partners — Cigna Commercial: $77.39 Health Partners — Cigna Great West: $92.13
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COMPREHENSIVE METABOLIC PANEL	$210.97	$84.60	$109.91 – $189.87
Comprehensive metabolic panel (blood test): rates for 9 insurance plans America's PPO — Commercial: $134.81 America's PPO — EZCare: $109.91 America's PPO — Health EZ: $124.47 First Health — Commercial: $172.99 MultiPlan — Commercial: $179.32 Private Healthcare Systems — Commercial: $179.32 Sanford Health Plan — Commercial: $124.26 Security Health Plan — Commercial: $158.23 Wisconsin Physician Services — Commercial: $189.87
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 26 insurance plan rates Blue Cross of Minnesota — Aware Federal: $10.56 Blue Cross of Minnesota — Aware/Blue Plus: $10.75 Blue Cross of Minnesota — PMAP: $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 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL	Not listed in the file	Not listed in the file	$16.61 – $420.35
Obstetric blood test panel: 10 of 36 insurance plan rates Blue Cross of Minnesota — Aware Federal: $39.67 Blue Cross of Minnesota — Aware/Blue Plus: $40.38 Blue Cross of Minnesota — Medicare Advantage: $48.93 Blue Cross of Minnesota — PMAP: $16.61 Health Partners — Cigna Commercial: $353.09 Health Partners — Cigna Great West: $420.35 Health Partners — Commercial: $336.28 Health Partners — Federal: $330.33 Health Partners — Medicare Advantage: $49.87 Health Partners — Medicare Cost: $103.51
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 26 insurance plan rates Blue Cross of Minnesota — Aware Federal: $47.81 Blue Cross of Minnesota — Aware/Blue Plus: $48.67 Blue Cross of Minnesota — PMAP: $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 · 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/Essential-Uplan: $102.66 Medica — Individual and Family Business Except ACO: $102.66 Medica — Medicare Advantage Non-SNP: $52.01 Medica — MSHO/Medicare Advantage SNP: $53 Medica — Vantage Self Insured: $100.09
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LIPOPROTEIN PARTICLE NMR PROFILE LIP PAN	$94.60	$37.94	$13.18 – $118.04
Cholesterol panel (lipid panel): 10 of 45 insurance plan rates America's PPO — Commercial: $68.11 America's PPO — EZCare: $56.76 America's PPO — Health EZ: $56.76 Blue Cross of Minnesota — Aware Federal: $39.67 Blue Cross of Minnesota — Aware/Blue Plus: $40.38 Blue Cross of Minnesota — Medicare Advantage: $13.71 Blue Cross of Minnesota — PMAP: $16.61 First Health — Commercial: $77.57 Health Partners — Cigna Commercial: $99.15 Health Partners — Cigna Great West: $118.04
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LIPID PANEL	$102.25	$41.01	$13.18 – $118.04
Cholesterol panel (lipid panel): 10 of 45 insurance plan rates America's PPO — Commercial: $73.62 America's PPO — EZCare: $61.35 America's PPO — Health EZ: $61.35 Blue Cross of Minnesota — Aware Federal: $39.67 Blue Cross of Minnesota — Aware/Blue Plus: $40.38 Blue Cross of Minnesota — Medicare Advantage: $13.71 Blue Cross of Minnesota — PMAP: $16.61 First Health — Commercial: $83.85 Health Partners — Cigna Commercial: $99.15 Health Partners — Cigna Great West: $118.04
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LIPID PANEL, REFLEX TO DIRECT LDL	$97.33	$39.04	$13.18 – $118.04
Cholesterol panel (lipid panel): 10 of 45 insurance plan rates America's PPO — Commercial: $70.08 America's PPO — EZCare: $58.40 America's PPO — Health EZ: $58.40 Blue Cross of Minnesota — Aware Federal: $39.67 Blue Cross of Minnesota — Aware/Blue Plus: $40.38 Blue Cross of Minnesota — Medicare Advantage: $13.71 Blue Cross of Minnesota — PMAP: $16.61 First Health — Commercial: $79.81 Health Partners — Cigna Commercial: $99.15 Health Partners — Cigna Great West: $118.04
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: $39.67 Blue Cross of Minnesota — Aware/Blue Plus: $40.38 Blue Cross of Minnesota — Medicare Advantage: $8.88 Blue Cross of Minnesota — PMAP: $16.61 First Health — Commercial: $160.72 Health Partners — Cigna Commercial: $65.30 Health Partners — Cigna Great West: $77.74
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC RENAL PANEL	$196	$78.60	$102.12 – $176.40
Kidney function panel: rates for 9 insurance plans America's PPO — Commercial: $125.24 America's PPO — EZCare: $102.12 America's PPO — Health EZ: $115.64 First Health — Commercial: $160.72 MultiPlan — Commercial: $166.60 Private Healthcare Systems — Commercial: $166.60 Sanford Health Plan — Commercial: $115.44 Security Health Plan — Commercial: $147 Wisconsin Physician Services — Commercial: $176.40
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 26 insurance plan rates Blue Cross of Minnesota — Aware Federal: $8.68 Blue Cross of Minnesota — Aware/Blue Plus: $8.84 Blue Cross of Minnesota — PMAP: $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	$48.12	$8.04 – $108
Liver function panel: 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: $39.67 Blue Cross of Minnesota — Aware/Blue Plus: $40.38 Blue Cross of Minnesota — Medicare Advantage: $8.36 Blue Cross of Minnesota — PMAP: $16.61 First Health — Commercial: $98.40 Health Partners — Cigna Commercial: $60.46 Health Partners — Cigna Great West: $71.98
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC HEPATIC PANEL	$120.03	$48.14	$62.54 – $108.03
Liver function panel: rates for 9 insurance plans America's PPO — Commercial: $76.70 America's PPO — EZCare: $62.54 America's PPO — Health EZ: $70.82 First Health — Commercial: $98.43 MultiPlan — Commercial: $102.03 Private Healthcare Systems — Commercial: $102.03 Sanford Health Plan — Commercial: $70.70 Security Health Plan — Commercial: $90.02 Wisconsin Physician Services — Commercial: $108.03
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 26 insurance plan rates Blue Cross of Minnesota — Aware Federal: $8.17 Blue Cross of Minnesota — Aware/Blue Plus: $8.32 Blue Cross of Minnesota — PMAP: $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	$83	$33.29	$2.35 – $74.70
Urine test (automated, with microscope): 10 of 45 insurance plan rates America's PPO — Commercial: $59.76 America's PPO — EZCare: $49.80 America's PPO — Health EZ: $49.80 Blue Cross of Minnesota — Aware Federal: $5.57 Blue Cross of Minnesota — Aware/Blue Plus: $5.67 Blue Cross of Minnesota — Medicare Advantage: $3.24 Blue Cross of Minnesota — PMAP: $2.35 First Health — Commercial: $68.06 Health Partners — Cigna Commercial: $24.19 Health Partners — Cigna Great West: $28.80
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC URINALYSIS WITH MICROSCOPIC	$83.59	$33.53	$43.55 – $75.23
Urine test (automated, with microscope): rates for 9 insurance plans America's PPO — Commercial: $53.42 America's PPO — EZCare: $43.55 America's PPO — Health EZ: $49.32 First Health — Commercial: $68.55 MultiPlan — Commercial: $71.05 Private Healthcare Systems — Commercial: $71.05 Sanford Health Plan — Commercial: $49.24 Security Health Plan — Commercial: $62.70 Wisconsin Physician Services — Commercial: $75.23
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 26 insurance plan rates Blue Cross of Minnesota — Aware Federal: $3.17 Blue Cross of Minnesota — Aware/Blue Plus: $3.23 Blue Cross of Minnesota — PMAP: $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 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS NONAUTO W/O SCOPE	Not listed in the file	Not listed in the file	$2.33 – $31.68
Urine test (manual, without microscope): 10 of 36 insurance plan rates Blue Cross of Minnesota — Aware Federal: $5.51 Blue Cross of Minnesota — Aware/Blue Plus: $5.61 Blue Cross of Minnesota — Medicare Advantage: $3.56 Blue Cross of Minnesota — PMAP: $2.33 Health Partners — Cigna Commercial: $26.61 Health Partners — Cigna Great West: $31.68 Health Partners — Commercial: $25.34 Health Partners — Federal: $24.89 Health Partners — Medicare Advantage: $3.63 Health Partners — Medicare Cost: $7.80
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 26 insurance plan rates Blue Cross of Minnesota — Aware Federal: $3.48 Blue Cross of Minnesota — Aware/Blue Plus: $3.54 Blue Cross of Minnesota — PMAP: $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 · 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/Essential-Uplan: $7.73 Medica — Individual and Family Business Except ACO: $7.73 Medica — Medicare Advantage Non-SNP: $3.87 Medica — MSHO/Medicare Advantage SNP: $3.94 Medica — Vantage Self Insured: $7.54
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROTEIN URINE QUAL	$50	$20.05	$1.69 – $45
Urine test (automated, without microscope): 10 of 45 insurance plan rates America's PPO — Commercial: $36 America's PPO — EZCare: $30 America's PPO — Health EZ: $30 Blue Cross of Minnesota — Aware Federal: $3.99 Blue Cross of Minnesota — Aware/Blue Plus: $4.06 Blue Cross of Minnesota — Medicare Advantage: $2.30 Blue Cross of Minnesota — PMAP: $1.69 First Health — Commercial: $41 Health Partners — Cigna Commercial: $16.94 Health Partners — Cigna Great West: $20.16
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS, MACROSCPOIC	$41.92	$16.82	$1.69 – $37.73
Urine test (automated, without microscope): 10 of 45 insurance plan rates America's PPO — Commercial: $30.18 America's PPO — EZCare: $25.15 America's PPO — Health EZ: $25.15 Blue Cross of Minnesota — Aware Federal: $3.99 Blue Cross of Minnesota — Aware/Blue Plus: $4.06 Blue Cross of Minnesota — Medicare Advantage: $2.30 Blue Cross of Minnesota — PMAP: $1.69 First Health — Commercial: $34.38 Health Partners — Cigna Commercial: $16.94 Health Partners — Cigna Great West: $20.16
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY	$44.02	$17.66	$1.69 – $39.62
Urine test (automated, without microscope): 10 of 45 insurance plan rates America's PPO — Commercial: $31.70 America's PPO — EZCare: $26.41 America's PPO — Health EZ: $26.41 Blue Cross of Minnesota — Aware Federal: $3.99 Blue Cross of Minnesota — Aware/Blue Plus: $4.06 Blue Cross of Minnesota — Medicare Advantage: $2.30 Blue Cross of Minnesota — PMAP: $1.69 First Health — Commercial: $36.10 Health Partners — Cigna Commercial: $16.94 Health Partners — Cigna Great West: $20.16
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSA, DIAGNOSTIC (TUMOR MARKER)	$146.01	$58.55	$18.10 – $161.23
PSA (prostate specific antigen) blood test: 10 of 45 insurance plan rates America's PPO — Commercial: $105.13 America's PPO — EZCare: $87.60 America's PPO — Health EZ: $87.60 Blue Cross of Minnesota — Aware Federal: $43.76 Blue Cross of Minnesota — Aware/Blue Plus: $44.55 Blue Cross of Minnesota — Medicare Advantage: $18.82 Blue Cross of Minnesota — PMAP: $18.33 First Health — Commercial: $119.73 Health Partners — Cigna Commercial: $135.43 Health Partners — Cigna Great West: $161.23
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 – $161.23
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: $43.76 Blue Cross of Minnesota — Aware/Blue Plus: $44.55 Blue Cross of Minnesota — Medicare Advantage: $18.82 Blue Cross of Minnesota — PMAP: $18.33 First Health — Commercial: $98.40 Health Partners — Cigna Commercial: $135.43 Health Partners — Cigna Great West: $161.23
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PSA, DIAGNOSTIC (TUMOR MARKER)	$139	$55.74	$72.42 – $125.10
PSA (prostate specific antigen) blood test: rates for 9 insurance plans America's PPO — Commercial: $88.82 America's PPO — EZCare: $72.42 America's PPO — Health EZ: $82.01 First Health — Commercial: $113.98 MultiPlan — Commercial: $118.15 Private Healthcare Systems — Commercial: $118.15 Sanford Health Plan — Commercial: $81.87 Security Health Plan — Commercial: $104.25 Wisconsin Physician Services — Commercial: $125.10
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 – $146.84
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: $43.20 Blue Cross of Minnesota — Aware/Blue Plus: $43.98 Blue Cross of Minnesota — Medicare Advantage: $17.19 Blue Cross of Minnesota — PMAP: $18.10 First Health — Commercial: $60.48 Health Partners — Cigna Commercial: $123.34 Health Partners — Cigna Great West: $146.84
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 – $146.84
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: $43.20 Blue Cross of Minnesota — Aware/Blue Plus: $43.98 Blue Cross of Minnesota — Medicare Advantage: $17.19 Blue Cross of Minnesota — PMAP: $18.10 First Health — Commercial: $73.78 Health Partners — Cigna Commercial: $123.34 Health Partners — Cigna Great West: $146.84
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC TSH W/FREE T4 REFLEX	$90	$36.09	$16.53 – $146.84
Thyroid stimulating hormone (TSH) test: 10 of 45 insurance plan rates America's PPO — Commercial: $64.80 America's PPO — EZCare: $54 America's PPO — Health EZ: $54 Blue Cross of Minnesota — Aware Federal: $43.20 Blue Cross of Minnesota — Aware/Blue Plus: $43.98 Blue Cross of Minnesota — Medicare Advantage: $17.19 Blue Cross of Minnesota — PMAP: $18.10 First Health — Commercial: $73.80 Health Partners — Cigna Commercial: $123.34 Health Partners — Cigna Great West: $146.84
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CBC WITH PLATELETS, DIFF	$134	$53.74	$5.25 – $120.60
Complete blood count (CBC) with differential: 10 of 45 insurance plan rates America's PPO — Commercial: $96.48 America's PPO — EZCare: $80.40 America's PPO — Health EZ: $80.40 Blue Cross of Minnesota — Aware Federal: $12.42 Blue Cross of Minnesota — Aware/Blue Plus: $12.64 Blue Cross of Minnesota — Medicare Advantage: $7.96 Blue Cross of Minnesota — PMAP: $5.25 First Health — Commercial: $109.88 Health Partners — Cigna Commercial: $58.04 Health Partners — Cigna Great West: $69.10
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CBC WITH PLATELETS, DIFF	$107.23	$43	$55.87 – $96.51
Complete blood count (CBC) with differential: rates for 9 insurance plans America's PPO — Commercial: $68.52 America's PPO — EZCare: $55.87 America's PPO — Health EZ: $63.27 First Health — Commercial: $87.93 MultiPlan — Commercial: $91.15 Private Healthcare Systems — Commercial: $91.15 Sanford Health Plan — Commercial: $63.16 Security Health Plan — Commercial: $80.42 Wisconsin Physician Services — Commercial: $96.51
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Doctor (professional) fee In the file: COMPLETE CBC W/AUTO DIFF WBC	Not listed in the file	Not listed in the file	$7.76 – $16.85
Complete blood count (CBC) with differential: 10 of 26 insurance plan rates Blue Cross of Minnesota — Aware Federal: $7.77 Blue Cross of Minnesota — Aware/Blue Plus: $7.91 Blue Cross of Minnesota — PMAP: $8.46 Health Partners — Cigna Commercial: $10.59 Health Partners — Cigna Great West: $12.61 Health Partners — Commercial: $10.09 Health Partners — Federal: $9.91 Health Partners — Medicare Cost: $8.37 Health Partners — PMAP: $7.93 Hennepin Health — PMAP: $8.77
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CBC WITH PLATELETS	$219	$87.82	$4.80 – $197.10
Complete blood count (CBC), automated: 10 of 45 insurance plan rates America's PPO — Commercial: $157.68 America's PPO — EZCare: $131.40 America's PPO — Health EZ: $131.40 Blue Cross of Minnesota — Aware Federal: $11.37 Blue Cross of Minnesota — Aware/Blue Plus: $11.57 Blue Cross of Minnesota — Medicare Advantage: $6.62 Blue Cross of Minnesota — PMAP: $4.80 First Health — Commercial: $179.58 Health Partners — Cigna Commercial: $48.36 Health Partners — Cigna Great West: $57.58
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CBC WITH PLATELETS	$77	$30.88	$40.12 – $69.30
Complete blood count (CBC), automated: rates for 9 insurance plans America's PPO — Commercial: $49.20 America's PPO — EZCare: $40.12 America's PPO — Health EZ: $45.43 First Health — Commercial: $63.14 MultiPlan — Commercial: $65.45 Private Healthcare Systems — Commercial: $65.45 Sanford Health Plan — Commercial: $45.35 Security Health Plan — Commercial: $57.75 Wisconsin Physician Services — Commercial: $69.30
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 26 insurance plan rates Blue Cross of Minnesota — Aware Federal: $6.47 Blue Cross of Minnesota — Aware/Blue Plus: $6.59 Blue Cross of Minnesota — PMAP: $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 INR SP COAG	$56.79	$22.78	$4.22 – $51.11
Blood clotting time test (prothrombin time, PT): 10 of 45 insurance plan rates America's PPO — Commercial: $40.89 America's PPO — EZCare: $34.07 America's PPO — Health EZ: $34.07 Blue Cross of Minnesota — Aware Federal: $33.31 Blue Cross of Minnesota — Aware/Blue Plus: $33.91 Blue Cross of Minnesota — Medicare Advantage: $4.39 Blue Cross of Minnesota — PMAP: $13.96 First Health — Commercial: $46.57 Health Partners — Cigna Commercial: $31.44 Health Partners — Cigna Great West: $37.43
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROTHROMBIN TIME/INR	$56	$22.46	$4.22 – $50.40
Blood clotting time test (prothrombin time, PT): 10 of 45 insurance plan rates America's PPO — Commercial: $40.32 America's PPO — EZCare: $33.60 America's PPO — Health EZ: $33.60 Blue Cross of Minnesota — Aware Federal: $33.31 Blue Cross of Minnesota — Aware/Blue Plus: $33.91 Blue Cross of Minnesota — Medicare Advantage: $4.39 Blue Cross of Minnesota — PMAP: $13.96 First Health — Commercial: $45.92 Health Partners — Cigna Commercial: $31.44 Health Partners — Cigna Great West: $37.43
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: $33.31 Blue Cross of Minnesota — Aware/Blue Plus: $33.91 Blue Cross of Minnesota — Medicare Advantage: $4.39 Blue Cross of Minnesota — PMAP: $13.96 First Health — Commercial: $64.06 Health Partners — Cigna Commercial: $31.44 Health Partners — Cigna Great West: $37.43
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: $33.31 Blue Cross of Minnesota — Aware/Blue Plus: $33.91 Blue Cross of Minnesota — Medicare Advantage: $6.15 Blue Cross of Minnesota — PMAP: $13.96 First Health — Commercial: $120.54 Health Partners — Cigna Commercial: $43.53 Health Partners — Cigna Great West: $51.83
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: $33.31 Blue Cross of Minnesota — Aware/Blue Plus: $33.91 Blue Cross of Minnesota — Medicare Advantage: $6.15 Blue Cross of Minnesota — PMAP: $13.96 First Health — Commercial: $114.53 Health Partners — Cigna Commercial: $43.53 Health Partners — Cigna Great West: $51.83
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: $33.31 Blue Cross of Minnesota — Aware/Blue Plus: $33.91 Blue Cross of Minnesota — Medicare Advantage: $6.15 Blue Cross of Minnesota — PMAP: $13.96 First Health — Commercial: $120.54 Health Partners — Cigna Commercial: $43.53 Health Partners — Cigna Great West: $51.83

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	$1,179.33	$472.92	$90.95 – $1,061.40
CT scan of the head or brain, without contrast: 10 of 45 insurance plan rates America's PPO — Commercial: $849.12 America's PPO — EZCare: $707.60 America's PPO — Health EZ: $707.60 Blue Cross of Minnesota — Aware Federal: $479.72 Blue Cross of Minnesota — Aware/Blue Plus: $488.35 Blue Cross of Minnesota — Medicare Advantage: $110.08 Blue Cross of Minnesota — PMAP: $202.87 First Health — Commercial: $967.05 Health Partners — Cigna Commercial: $267.71 Health Partners — Cigna Great West: $318.70
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	$1,188.95	$476.77	$619.44 – $1,070.05
CT scan of the head or brain, without contrast: rates for 9 insurance plans America's PPO — Commercial: $759.74 America's PPO — EZCare: $619.44 America's PPO — Health EZ: $701.48 First Health — Commercial: $974.94 MultiPlan — Commercial: $1,010.60 Private Healthcare Systems — Commercial: $1,010.60 Sanford Health Plan — Commercial: $700.29 Security Health Plan — Commercial: $891.71 Wisconsin Physician Services — Commercial: $1,070.05
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 — Aware/Blue Plus: $370.66 Blue Cross of Minnesota — Medicare Advantage: $108.37 Blue Cross of Minnesota — PMAP: $88.56 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: $899.48 Blue Cross of Minnesota — Aware/Blue Plus: $915.67 Blue Cross of Minnesota — Medicare Advantage: $369.71 Blue Cross of Minnesota — PMAP: $380.38 First Health — Commercial: $2,376.36 Health Partners — Cigna Commercial: $1,141.80 Health Partners — Cigna Great West: $1,359.29
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Doctor (professional) fee In the file: AS MRI BRAIN WO&W CONTRAST	$49.30	$30.92	$29.04 – $1,339.98
MRI of the brain, before and after contrast: 10 of 45 insurance plan rates America's PPO — Commercial: $38.95 America's PPO — EZCare: $37.47 America's PPO — Health EZ: $37.47 Blue Cross of Minnesota — Aware Federal: $1,096.80 Blue Cross of Minnesota — Aware/Blue Plus: $1,116.54 Blue Cross of Minnesota — Medicare Advantage: $323.72 Blue Cross of Minnesota — PMAP: $267.05 First Health — Commercial: $40.43 Health Partners — Cigna Commercial: $537.04 Health Partners — Cigna Great West: $639.34
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	$2,857.31	$1,145.79	$1,488.66 – $2,571.58
MRI of the brain, before and after contrast: rates for 9 insurance plans America's PPO — Commercial: $1,825.82 America's PPO — EZCare: $1,488.66 America's PPO — Health EZ: $1,685.81 First Health — Commercial: $2,343 MultiPlan — Commercial: $2,428.72 Private Healthcare Systems — Commercial: $2,428.72 Sanford Health Plan — Commercial: $1,682.96 Security Health Plan — Commercial: $2,142.98 Wisconsin Physician Services — Commercial: $2,571.58
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC XRAY CHEST, 2 VIEWS	$357	$143.16	$51.22 – $321.30
Chest X-ray, 2 views: 10 of 45 insurance plan rates America's PPO — Commercial: $257.04 America's PPO — EZCare: $214.20 America's PPO — Health EZ: $214.20 Blue Cross of Minnesota — Aware Federal: $173.55 Blue Cross of Minnesota — Aware/Blue Plus: $176.67 Blue Cross of Minnesota — Medicare Advantage: $91.15 Blue Cross of Minnesota — PMAP: $73.12 First Health — Commercial: $292.74 Health Partners — Cigna Commercial: $221.63 Health Partners — Cigna Great West: $263.85
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC XRAY CHEST, 2 VIEWS	$357	$143.16	$186 – $321.30
Chest X-ray, 2 views: rates for 9 insurance plans America's PPO — Commercial: $228.12 America's PPO — EZCare: $186 America's PPO — Health EZ: $210.63 First Health — Commercial: $292.74 MultiPlan — Commercial: $303.45 Private Healthcare Systems — Commercial: $303.45 Sanford Health Plan — Commercial: $210.27 Security Health Plan — Commercial: $267.75 Wisconsin Physician Services — Commercial: $321.30
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 — Aware/Blue Plus: $114.84 Blue Cross of Minnesota — Medicare Advantage: $33.60 Blue Cross of Minnesota — PMAP: $27.26 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	$71.62 – $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: $170.95 Blue Cross of Minnesota — Aware/Blue Plus: $174.03 Blue Cross of Minnesota — Medicare Advantage: $110.08 Blue Cross of Minnesota — PMAP: $71.62 First Health — Commercial: $419.84 Health Partners — Cigna Commercial: $267.71 Health Partners — Cigna Great West: $318.70
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	$266.75 – $460.80
X-ray of the lower spine, at least 4 views: rates for 9 insurance plans America's PPO — Commercial: $327.17 America's PPO — EZCare: $266.75 America's PPO — Health EZ: $302.08 First Health — Commercial: $419.84 MultiPlan — Commercial: $435.20 Private Healthcare Systems — Commercial: $435.20 Sanford Health Plan — Commercial: $301.57 Security Health Plan — Commercial: $384 Wisconsin Physician Services — Commercial: $460.80
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 — Aware/Blue Plus: $177.38 Blue Cross of Minnesota — Medicare Advantage: $52.23 Blue Cross of Minnesota — PMAP: $42.39 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: $899.48 Blue Cross of Minnesota — Aware/Blue Plus: $915.67 Blue Cross of Minnesota — Medicare Advantage: $250.23 Blue Cross of Minnesota — PMAP: $380.38 First Health — Commercial: $1,553.90 Health Partners — Cigna Commercial: $1,141.82 Health Partners — Cigna Great West: $1,359.31
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Doctor (professional) fee In the file: AS MRI LUMBAR SPINE W/O CONTRAST	$48.50	$30.41	$28.57 – $798.52
MRI of the lower back (lumbar spine), without contrast: 10 of 45 insurance plan rates America's PPO — Commercial: $38.32 America's PPO — EZCare: $36.86 America's PPO — Health EZ: $36.86 Blue Cross of Minnesota — Aware Federal: $658.97 Blue Cross of Minnesota — Aware/Blue Plus: $670.83 Blue Cross of Minnesota — Medicare Advantage: $194.10 Blue Cross of Minnesota — PMAP: $160.13 First Health — Commercial: $39.77 Health Partners — Cigna Commercial: $321.69 Health Partners — Cigna Great West: $382.96
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	$987.30 – $1,705.50
MRI of the lower back (lumbar spine), without contrast: rates for 9 insurance plans America's PPO — Commercial: $1,210.91 America's PPO — EZCare: $987.30 America's PPO — Health EZ: $1,118.05 First Health — Commercial: $1,553.90 MultiPlan — Commercial: $1,610.75 Private Healthcare Systems — Commercial: $1,610.75 Sanford Health Plan — Commercial: $1,116.16 Security Health Plan — Commercial: $1,421.25 Wisconsin Physician Services — Commercial: $1,705.50
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: $479.72 Blue Cross of Minnesota — Aware/Blue Plus: $488.35 Blue Cross of Minnesota — Medicare Advantage: $184.29 Blue Cross of Minnesota — PMAP: $202.87 First Health — Commercial: $1,329.22 Health Partners — Cigna Commercial: $739 Health Partners — Cigna Great West: $879.76
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	$844.54 – $1,458.90
CT scan of the pelvis, with contrast: rates for 9 insurance plans America's PPO — Commercial: $1,035.82 America's PPO — EZCare: $844.54 America's PPO — Health EZ: $956.39 First Health — Commercial: $1,329.22 MultiPlan — Commercial: $1,377.85 Private Healthcare Systems — Commercial: $1,377.85 Sanford Health Plan — Commercial: $954.77 Security Health Plan — Commercial: $1,215.75 Wisconsin Physician Services — Commercial: $1,458.90
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 — Aware/Blue Plus: $801.58 Blue Cross of Minnesota — Medicare Advantage: $231.47 Blue Cross of Minnesota — PMAP: $190.63 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	$3,007.78	$1,206.13	$227.36 – $2,707
MRI of a leg joint (such as the knee), without contrast: 10 of 45 insurance plan rates America's PPO — Commercial: $2,165.60 America's PPO — EZCare: $1,804.67 America's PPO — Health EZ: $1,804.67 Blue Cross of Minnesota — Aware Federal: $899.48 Blue Cross of Minnesota — Aware/Blue Plus: $915.67 Blue Cross of Minnesota — Medicare Advantage: $250.23 Blue Cross of Minnesota — PMAP: $380.38 First Health — Commercial: $2,466.38 Health Partners — Cigna Commercial: $1,141.82 Health Partners — Cigna Great West: $1,359.31
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Doctor (professional) fee In the file: AS MRI LOWER EXTREMITY JNT W/O CONT	$49.14	$30.81	$28.94 – $840.26
MRI of a leg joint (such as the knee), without contrast: 10 of 45 insurance plan rates America's PPO — Commercial: $38.82 America's PPO — EZCare: $37.34 America's PPO — Health EZ: $37.34 Blue Cross of Minnesota — Aware Federal: $698.06 Blue Cross of Minnesota — Aware/Blue Plus: $710.63 Blue Cross of Minnesota — Medicare Advantage: $206.75 Blue Cross of Minnesota — PMAP: $170.11 First Health — Commercial: $40.29 Health Partners — Cigna Commercial: $342.29 Health Partners — Cigna Great West: $407.49
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI LOWER EXTREMITY JNT W/O CONT	$2,010	$806.01	$1,047.21 – $1,809
MRI of a leg joint (such as the knee), without contrast: rates for 9 insurance plans America's PPO — Commercial: $1,284.39 America's PPO — EZCare: $1,047.21 America's PPO — Health EZ: $1,185.90 First Health — Commercial: $1,648.20 MultiPlan — Commercial: $1,708.50 Private Healthcare Systems — Commercial: $1,708.50 Sanford Health Plan — Commercial: $1,183.89 Security Health Plan — Commercial: $1,507.50 Wisconsin Physician Services — Commercial: $1,809
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	$734.64	$202.87 – $1,648.80
CT scan of the abdomen and pelvis, with contrast: 10 of 45 insurance plan rates America's PPO — Commercial: $1,319.04 America's PPO — EZCare: $1,099.20 America's PPO — Health EZ: $1,099.20 Blue Cross of Minnesota — Aware Federal: $479.72 Blue Cross of Minnesota — Aware/Blue Plus: $488.35 Blue Cross of Minnesota — Medicare Advantage: $369.71 Blue Cross of Minnesota — PMAP: $202.87 First Health — Commercial: $1,502.24 Health Partners — Cigna Commercial: $1,141.80 Health Partners — Cigna Great West: $1,359.29
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Doctor (professional) fee In the file: AS CT SCAN, ABDOMEN AND PELVIS W CONTRAST	$49.40	$30.98	$29.10 – $1,174.30
CT scan of the abdomen and pelvis, with contrast: 10 of 45 insurance plan rates America's PPO — Commercial: $39.03 America's PPO — EZCare: $37.54 America's PPO — Health EZ: $37.54 Blue Cross of Minnesota — Aware Federal: $1,043.18 Blue Cross of Minnesota — Aware/Blue Plus: $1,061.96 Blue Cross of Minnesota — Medicare Advantage: $307.42 Blue Cross of Minnesota — PMAP: $254.90 First Health — Commercial: $40.51 Health Partners — Cigna Commercial: $512.63 Health Partners — Cigna Great West: $610.28
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	$1,832	$734.64	$954.47 – $1,648.80
CT scan of the abdomen and pelvis, with contrast: rates for 9 insurance plans America's PPO — Commercial: $1,170.65 America's PPO — EZCare: $954.47 America's PPO — Health EZ: $1,080.88 First Health — Commercial: $1,502.24 MultiPlan — Commercial: $1,557.20 Private Healthcare Systems — Commercial: $1,557.20 Sanford Health Plan — Commercial: $1,079.05 Security Health Plan — Commercial: $1,374 Wisconsin Physician Services — Commercial: $1,648.80
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US ABDOMEN COMPLETE	$694	$278.30	$90.95 – $624.60
Ultrasound of the abdomen, complete: 10 of 45 insurance plan rates America's PPO — Commercial: $499.68 America's PPO — EZCare: $416.40 America's PPO — Health EZ: $416.40 Blue Cross of Minnesota — Aware Federal: $314.30 Blue Cross of Minnesota — Aware/Blue Plus: $319.96 Blue Cross of Minnesota — Medicare Advantage: $110.08 Blue Cross of Minnesota — PMAP: $131.68 First Health — Commercial: $569.08 Health Partners — Cigna Commercial: $267.71 Health Partners — Cigna Great West: $318.70
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC US ABDOMEN COMPLETE	$694	$278.30	$361.57 – $624.60
Ultrasound of the abdomen, complete: rates for 9 insurance plans America's PPO — Commercial: $443.46 America's PPO — EZCare: $361.57 America's PPO — Health EZ: $409.46 First Health — Commercial: $569.08 MultiPlan — Commercial: $589.90 Private Healthcare Systems — Commercial: $589.90 Sanford Health Plan — Commercial: $408.76 Security Health Plan — Commercial: $520.50 Wisconsin Physician Services — Commercial: $624.60
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 — Aware/Blue Plus: $396.82 Blue Cross of Minnesota — Medicare Advantage: $115.28 Blue Cross of Minnesota — PMAP: $94.78 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	$90.95 – $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: $357.01 Blue Cross of Minnesota — Aware/Blue Plus: $363.44 Blue Cross of Minnesota — Medicare Advantage: $110.08 Blue Cross of Minnesota — PMAP: $149.56 First Health — Commercial: $560.06 Health Partners — Cigna Commercial: $267.71 Health Partners — Cigna Great West: $318.70
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	$355.84 – $614.70
Pregnancy ultrasound (after the first trimester): rates for 9 insurance plans America's PPO — Commercial: $436.44 America's PPO — EZCare: $355.84 America's PPO — Health EZ: $402.97 First Health — Commercial: $560.06 MultiPlan — Commercial: $580.55 Private Healthcare Systems — Commercial: $580.55 Sanford Health Plan — Commercial: $402.29 Security Health Plan — Commercial: $512.25 Wisconsin Physician Services — Commercial: $614.70
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 — Aware/Blue Plus: $462.76 Blue Cross of Minnesota — Medicare Advantage: $134.14 Blue Cross of Minnesota — PMAP: $113.43 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	$557.04	$223.38	$90.95 – $501.34
Transvaginal ultrasound: 10 of 45 insurance plan rates America's PPO — Commercial: $401.07 America's PPO — EZCare: $334.23 America's PPO — Health EZ: $334.23 Blue Cross of Minnesota — Aware Federal: $314.30 Blue Cross of Minnesota — Aware/Blue Plus: $319.96 Blue Cross of Minnesota — Medicare Advantage: $110.08 Blue Cross of Minnesota — PMAP: $131.68 First Health — Commercial: $456.78 Health Partners — Cigna Commercial: $267.71 Health Partners — Cigna Great West: $318.70
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC US TRANSVAGINAL, NON-OB	$489	$196.09	$254.77 – $440.10
Transvaginal ultrasound: rates for 9 insurance plans America's PPO — Commercial: $312.47 America's PPO — EZCare: $254.77 America's PPO — Health EZ: $288.51 First Health — Commercial: $400.98 MultiPlan — Commercial: $415.65 Private Healthcare Systems — Commercial: $415.65 Sanford Health Plan — Commercial: $288.02 Security Health Plan — Commercial: $366.75 Wisconsin Physician Services — Commercial: $440.10
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 — Aware/Blue Plus: $407.05 Blue Cross of Minnesota — Medicare Advantage: $118.01 Blue Cross of Minnesota — PMAP: $97.48 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 – $1,094.04
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: $359.72 Blue Cross of Minnesota — Aware/Blue Plus: $366.19 Blue Cross of Minnesota — Medicare Advantage: $125.80 Blue Cross of Minnesota — PMAP: $152.12 First Health — Commercial: $365.72 Health Partners — Cigna Commercial: $918.99 Health Partners — Cigna Great West: $1,094.04
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC DX MAMMO INCL CAD, UNILATERAL	$446	$178.85	$232.37 – $401.40
Diagnostic mammogram, one breast: rates for 9 insurance plans America's PPO — Commercial: $284.99 America's PPO — EZCare: $232.37 America's PPO — Health EZ: $263.14 First Health — Commercial: $365.72 MultiPlan — Commercial: $379.10 Private Healthcare Systems — Commercial: $379.10 Sanford Health Plan — Commercial: $262.69 Security Health Plan — Commercial: $334.50 Wisconsin Physician Services — Commercial: $401.40
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 — Aware/Blue Plus: $427.51 Blue Cross of Minnesota — Medicare Advantage: $125.80 Blue Cross of Minnesota — PMAP: $102.33 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	$576.03	$231	$80.31 – $1,381.94
Diagnostic mammogram, both breasts: 10 of 45 insurance plan rates America's PPO — Commercial: $414.75 America's PPO — EZCare: $345.62 America's PPO — Health EZ: $345.62 Blue Cross of Minnesota — Aware Federal: $455.13 Blue Cross of Minnesota — Aware/Blue Plus: $463.32 Blue Cross of Minnesota — Medicare Advantage: $158.90 Blue Cross of Minnesota — PMAP: $192.47 First Health — Commercial: $472.35 Health Partners — Cigna Commercial: $1,160.83 Health Partners — Cigna Great West: $1,381.94
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC DX MAMMO INCL CAD, BILATERAL	$576.03	$231	$300.11 – $518.43
Diagnostic mammogram, both breasts: rates for 9 insurance plans America's PPO — Commercial: $368.09 America's PPO — EZCare: $300.11 America's PPO — Health EZ: $339.86 First Health — Commercial: $472.35 MultiPlan — Commercial: $489.63 Private Healthcare Systems — Commercial: $489.63 Sanford Health Plan — Commercial: $339.28 Security Health Plan — Commercial: $432.03 Wisconsin Physician Services — Commercial: $518.43
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 — Aware/Blue Plus: $541.21 Blue Cross of Minnesota — Medicare Advantage: $158.90 Blue Cross of Minnesota — PMAP: $129.61 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 – $1,117.06
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: $366.40 Blue Cross of Minnesota — Aware/Blue Plus: $373 Blue Cross of Minnesota — Medicare Advantage: $128.80 Blue Cross of Minnesota — PMAP: $154.94 First Health — Commercial: $384.58 Health Partners — Cigna Commercial: $938.33 Health Partners — Cigna Great West: $1,117.06
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 – $1,117.06
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: $366.40 Blue Cross of Minnesota — Aware/Blue Plus: $373 Blue Cross of Minnesota — Medicare Advantage: $128.80 Blue Cross of Minnesota — PMAP: $154.94 First Health — Commercial: $384.58 Health Partners — Cigna Commercial: $938.33 Health Partners — Cigna Great West: $1,117.06
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	$244.35 – $422.10
Screening mammogram, both breasts: rates for 9 insurance plans America's PPO — Commercial: $299.69 America's PPO — EZCare: $244.35 America's PPO — Health EZ: $276.71 First Health — Commercial: $384.58 MultiPlan — Commercial: $398.65 Private Healthcare Systems — Commercial: $398.65 Sanford Health Plan — Commercial: $276.24 Security Health Plan — Commercial: $351.75 Wisconsin Physician Services — Commercial: $422.10

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: PR ELECTROCARDIOGRAM, COMP W/READ	$59	$37	$9.89 – $70.98
Electrocardiogram (ECG/EKG) with reading: 10 of 45 insurance plan rates America's PPO — Commercial: $46.61 America's PPO — EZCare: $44.84 America's PPO — Health EZ: $44.84 Blue Cross of Minnesota — Aware Federal: $48.03 Blue Cross of Minnesota — Aware/Blue Plus: $48.89 Blue Cross of Minnesota — Medicare Advantage: $13.97 Blue Cross of Minnesota — PMAP: $11.34 First Health — Commercial: $48.38 Health Partners — Cigna Commercial: $59.62 Health Partners — Cigna Great West: $70.98
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ELECTROCARDIOGRAM COMPLETE	Not listed in the file	Not listed in the file	$30.43 – $128.83
Electrocardiogram (ECG/EKG) with reading: 10 of 16 insurance plan rates Blue Cross of Minnesota — Aware Federal: $126.55 Blue Cross of Minnesota — Aware/Blue Plus: $128.83 Blue Cross of Minnesota — PMAP: $53.02 Health Partners — Cigna Commercial: $103.99 Health Partners — Cigna Great West: $123.80 Health Partners — Commercial: $99.04 Health Partners — Federal: $97.29 Health Partners — Medicare Cost: $30.49 Health Partners — PMAP: $31.04 Medica — Bold: $56.36
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient or outpatient · Doctor (professional) fee · modifier 76 In the file: PR ELECTROCARDIOGRAM, COMP W/READ	$59	$37	$9.89 – $70.98
Electrocardiogram (ECG/EKG) with reading: 10 of 45 insurance plan rates America's PPO — Commercial: $46.61 America's PPO — EZCare: $44.84 America's PPO — Health EZ: $44.84 Blue Cross of Minnesota — Aware Federal: $48.03 Blue Cross of Minnesota — Aware/Blue Plus: $48.89 Blue Cross of Minnesota — Medicare Advantage: $13.97 Blue Cross of Minnesota — PMAP: $11.34 First Health — Commercial: $48.38 Health Partners — Cigna Commercial: $59.62 Health Partners — Cigna Great West: $70.98
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	$1,580 – $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: $5,992.60 Blue Cross of Minnesota — Aware/Blue Plus: $6,100.47 Blue Cross of Minnesota — Medicare Advantage: $3,334.30 Blue Cross of Minnesota — PMAP: $2,510.58 First Health — Commercial: $7,255.36 Health Partners — Cigna Commercial: $6,080.33 Health Partners — Cigna Great West: $7,238.49
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	$4,609.81 – $7,963.20
Left heart catheterization (diagnostic): rates for 9 insurance plans America's PPO — Commercial: $5,653.87 America's PPO — EZCare: $4,609.81 America's PPO — Health EZ: $5,220.32 First Health — Commercial: $7,255.36 MultiPlan — Commercial: $7,520.80 Private Healthcare Systems — Commercial: $7,520.80 Sanford Health Plan — Commercial: $5,211.47 Security Health Plan — Commercial: $6,636 Wisconsin Physician Services — Commercial: $7,963.20
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 — Aware/Blue Plus: $3,015.34 Blue Cross of Minnesota — Medicare Advantage: $846.03 Blue Cross of Minnesota — PMAP: $713.13 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 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE EP EVALUATION	Not listed in the file	Not listed in the file	$2,466 – $17,357.14
Heart rhythm study (electrophysiology evaluation): 10 of 36 insurance plan rates Blue Cross of Minnesota — Aware Federal: $14,391.60 Blue Cross of Minnesota — Aware/Blue Plus: $14,650.65 Blue Cross of Minnesota — Medicare Advantage: $7,855.28 Blue Cross of Minnesota — PMAP: $6,086.01 Health Partners — Cigna Commercial: $14,344.59 Health Partners — Cigna Great West: $17,076.89 Health Partners — Commercial: $13,661.51 Health Partners — Federal: $13,419.95 Health Partners — Medicare Advantage: $8,006.34 Health Partners — Medicare Cost: $6,489.57
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 — Aware/Blue Plus: $1,273.45 Blue Cross of Minnesota — Medicare Advantage: $683.65 Blue Cross of Minnesota — PMAP: $504.68 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 · 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 — Aware/Blue Plus: $1,273.45 Blue Cross of Minnesota — Medicare Advantage: $342.52 Blue Cross of Minnesota — PMAP: $278.94 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	$50,408.85	$20,213.95	$2,949 – $56,115.60
Heart rhythm study with ablation for atrial fibrillation: 10 of 45 insurance plan rates America's PPO — Commercial: $36,294.37 America's PPO — EZCare: $30,245.31 America's PPO — Health EZ: $30,245.31 Blue Cross of Minnesota — Aware Federal: $38,377.60 Blue Cross of Minnesota — Aware/Blue Plus: $39,068.40 Blue Cross of Minnesota — Medicare Advantage: $25,396.09 Blue Cross of Minnesota — PMAP: $16,229.36 First Health — Commercial: $41,335.26 Health Partners — Cigna Commercial: $46,375.98 Health Partners — Cigna Great West: $55,209.50
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient · Doctor (professional) fee In the file: PR EPHYS EVL TRNSPTL TX ATRIAL FIB ISOLAT PULM VEIN	$3,934	$2,466.62	$592.35 – $4,151.16
Heart rhythm study with ablation for atrial fibrillation: 10 of 45 insurance plan rates America's PPO — Commercial: $3,107.86 America's PPO — EZCare: $2,989.84 America's PPO — Health EZ: $2,989.84 Blue Cross of Minnesota — Aware Federal: $3,092.70 Blue Cross of Minnesota — Aware/Blue Plus: $3,148.37 Blue Cross of Minnesota — Medicare Advantage: $835.02 Blue Cross of Minnesota — PMAP: $679.11 First Health — Commercial: $3,225.88 Health Partners — Cigna Commercial: $3,486.98 Health Partners — Cigna Great West: $4,151.16
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient · Doctor (professional) fee In the file: AS EPHYS EVL TRNSPTL TX ATRIAL FIB ISOLAT PULM VEIN	$48.04 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)	$30.13 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)	$28.30 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $4,151.16
Heart rhythm study with ablation for atrial fibrillation: 10 of 45 insurance plan rates America's PPO — Commercial: $37.95 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) America's PPO — EZCare: $36.51 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) America's PPO — Health EZ: $36.51 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Blue Cross of Minnesota — Aware Federal: $3,092.70 Blue Cross of Minnesota — Aware/Blue Plus: $3,148.37 Blue Cross of Minnesota — Medicare Advantage: $835.02 Blue Cross of Minnesota — PMAP: $679.11 First Health — Commercial: $39.39 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Health Partners — Cigna Commercial: $3,486.98 Health Partners — Cigna Great West: $4,151.16
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POLYSOM 6/> YRS 4/> PARAM	Not listed in the file	Not listed in the file	$870.10 – $2,979.10
Sleep study (overnight, in a sleep lab): 10 of 36 insurance plan rates Blue Cross of Minnesota — Aware Federal: $2,926.42 Blue Cross of Minnesota — Aware/Blue Plus: $2,979.10 Blue Cross of Minnesota — Medicare Advantage: $1,053.21 Blue Cross of Minnesota — PMAP: $1,226.02 Health Partners — Cigna Commercial: $1,923.29 Health Partners — Cigna Great West: $2,289.63 Health Partners — Commercial: $1,831.70 Health Partners — Federal: $1,799.31 Health Partners — Medicare Advantage: $1,073.46 Health Partners — Medicare Cost: $870.10
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 — Aware/Blue Plus: $2,128.48 Blue Cross of Minnesota — Medicare Advantage: $630.39 Blue Cross of Minnesota — PMAP: $511.71 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
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Doctor (professional) fee · modifier 26 In the file: POLYSOM 6/> YRS 4/> PARAM	Not listed in the file	Not listed in the file	$80.54 – $398.38
Sleep study (overnight, in a sleep lab): 10 of 36 insurance plan rates Blue Cross of Minnesota — Aware Federal: $387.56 Blue Cross of Minnesota — Aware/Blue Plus: $394.54 Blue Cross of Minnesota — Medicare Advantage: $113.74 Blue Cross of Minnesota — PMAP: $92.35 Health Partners — Cigna Commercial: $248.18 Health Partners — Cigna Great West: $295.45 Health Partners — Commercial: $236.36 Health Partners — Federal: $232.20 Health Partners — Medicare Advantage: $115.93 Health Partners — Medicare Cost: $119.83

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT THERAPY PROC, EA 15 MIN	$172.64	$69.23	$21.83 – $222.08
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 45 insurance plan rates America's PPO — Commercial: $124.30 America's PPO — EZCare: $103.58 America's PPO — Health EZ: $103.58 Blue Cross of Minnesota — Aware Federal: $63.65 Blue Cross of Minnesota — Aware/Blue Plus: $64.80 Blue Cross of Minnesota — Medicare Advantage: $29.59 Blue Cross of Minnesota — PMAP: $26.92 First Health — Commercial: $141.56 Health Partners — Cigna Commercial: $186.54 Health Partners — Cigna Great West: $222.08
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	$173.74	$69.67	$21.83 – $222.08
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 45 insurance plan rates America's PPO — Commercial: $125.09 America's PPO — EZCare: $104.24 America's PPO — Health EZ: $104.24 Blue Cross of Minnesota — Aware Federal: $63.65 Blue Cross of Minnesota — Aware/Blue Plus: $64.80 Blue Cross of Minnesota — Medicare Advantage: $29.59 Blue Cross of Minnesota — PMAP: $26.92 First Health — Commercial: $142.46 Health Partners — Cigna Commercial: $186.54 Health Partners — Cigna Great West: $222.08
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	$174	$69.78	$90.65 – $156.60
Physical therapy: therapeutic exercise (each 15 minutes): rates for 9 insurance plans America's PPO — Commercial: $111.19 America's PPO — EZCare: $90.65 America's PPO — Health EZ: $102.66 First Health — Commercial: $142.68 MultiPlan — Commercial: $147.90 Private Healthcare Systems — Commercial: $147.90 Sanford Health Plan — Commercial: $102.49 Security Health Plan — Commercial: $130.50 Wisconsin Physician Services — Commercial: $156.60
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT EVAL, LOW COMPLEXITY	$319.86	$128.27	$74.25 – $335.26
Physical therapy evaluation (low complexity): 10 of 45 insurance plan rates America's PPO — Commercial: $230.30 America's PPO — EZCare: $191.91 America's PPO — Health EZ: $191.91 Blue Cross of Minnesota — Aware Federal: $175.58 Blue Cross of Minnesota — Aware/Blue Plus: $178.74 Blue Cross of Minnesota — Medicare Advantage: $100.58 Blue Cross of Minnesota — PMAP: $74.25 First Health — Commercial: $262.28 Health Partners — Cigna Commercial: $186.54 Health Partners — Cigna Great West: $222.08
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT EVAL, LOW COMPLEXITY	$322	$129.13	$167.76 – $289.80
Physical therapy evaluation (low complexity): rates for 9 insurance plans America's PPO — Commercial: $205.76 America's PPO — EZCare: $167.76 America's PPO — Health EZ: $189.98 First Health — Commercial: $264.04 MultiPlan — Commercial: $273.70 Private Healthcare Systems — Commercial: $273.70 Sanford Health Plan — Commercial: $189.66 Security Health Plan — Commercial: $241.50 Wisconsin Physician Services — Commercial: $289.80
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 — Aware/Blue Plus: $342.24 Blue Cross of Minnesota — Medicare Advantage: $100.58 Blue Cross of Minnesota — PMAP: $81.27 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	$302	$121.11	$74.25 – $335.26
Physical therapy evaluation (moderate complexity): 10 of 45 insurance plan rates America's PPO — Commercial: $217.44 America's PPO — EZCare: $181.20 America's PPO — Health EZ: $181.20 Blue Cross of Minnesota — Aware Federal: $175.58 Blue Cross of Minnesota — Aware/Blue Plus: $178.74 Blue Cross of Minnesota — Medicare Advantage: $100.58 Blue Cross of Minnesota — PMAP: $74.25 First Health — Commercial: $247.64 Health Partners — Cigna Commercial: $186.54 Health Partners — Cigna Great West: $222.08
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT EVAL, MODERATE COMPLEXITY	$340	$136.34	$177.14 – $306
Physical therapy evaluation (moderate complexity): rates for 9 insurance plans America's PPO — Commercial: $217.26 America's PPO — EZCare: $177.14 America's PPO — Health EZ: $200.60 First Health — Commercial: $278.80 MultiPlan — Commercial: $289 Private Healthcare Systems — Commercial: $289 Sanford Health Plan — Commercial: $200.26 Security Health Plan — Commercial: $255 Wisconsin Physician Services — Commercial: $306
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 — Aware/Blue Plus: $342.24 Blue Cross of Minnesota — Medicare Advantage: $100.58 Blue Cross of Minnesota — PMAP: $81.27 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	$398	$159.60	$74.25 – $358.20
Physical therapy evaluation (high complexity): 10 of 45 insurance plan rates America's PPO — Commercial: $286.56 America's PPO — EZCare: $238.80 America's PPO — Health EZ: $238.80 Blue Cross of Minnesota — Aware Federal: $175.58 Blue Cross of Minnesota — Aware/Blue Plus: $178.74 Blue Cross of Minnesota — Medicare Advantage: $100.58 Blue Cross of Minnesota — PMAP: $74.25 First Health — Commercial: $326.36 Health Partners — Cigna Commercial: $186.54 Health Partners — Cigna Great West: $222.08
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT EVAL, HIGH COMPLEXITY	$398	$159.60	$207.36 – $358.20
Physical therapy evaluation (high complexity): rates for 9 insurance plans America's PPO — Commercial: $254.32 America's PPO — EZCare: $207.36 America's PPO — Health EZ: $234.82 First Health — Commercial: $326.36 MultiPlan — Commercial: $338.30 Private Healthcare Systems — Commercial: $338.30 Sanford Health Plan — Commercial: $234.42 Security Health Plan — Commercial: $298.50 Wisconsin Physician Services — Commercial: $358.20
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 — Aware/Blue Plus: $342.24 Blue Cross of Minnesota — Medicare Advantage: $100.58 Blue Cross of Minnesota — PMAP: $81.27 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 — Aware/Blue Plus: $233.08 Blue Cross of Minnesota — Medicare Advantage: $69.77 Blue Cross of Minnesota — PMAP: $60.51 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	$173.01	$69.38	$35.24 – $367.52
Psychotherapy, 30 minutes: 10 of 44 insurance plan rates America's PPO — Commercial: $124.57 America's PPO — EZCare: $103.81 America's PPO — Health EZ: $103.81 Blue Cross of Minnesota — Aware Federal: $70.49 Blue Cross of Minnesota — Aware/Blue Plus: $71.75 Blue Cross of Minnesota — Medicare Advantage: $166.33 Blue Cross of Minnesota — PMAP: $35.24 First Health — Commercial: $141.87 Health Partners — Cigna Commercial: $303.73 Health Partners — Cigna Great West: $361.59
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	$81.68 – $367.52
Psychotherapy, 30 minutes: 10 of 44 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: $163.37 Blue Cross of Minnesota — Aware/Blue Plus: $166.29 Blue Cross of Minnesota — Medicare Advantage: $166.33 Blue Cross of Minnesota — PMAP: $81.68 First Health — Commercial: $328.82 Health Partners — Cigna Commercial: $303.73 Health Partners — Cigna Great West: $361.59
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC INDIVIDUAL THERAPY 30-37 MIN, (DRUG)	$377	$151.18	$76.79 – $410.87
Psychotherapy, 45 minutes: 10 of 44 insurance plan rates America's PPO — Commercial: $271.44 America's PPO — EZCare: $226.20 America's PPO — Health EZ: $226.20 Blue Cross of Minnesota — Aware Federal: $153.59 Blue Cross of Minnesota — Aware/Blue Plus: $156.34 Blue Cross of Minnesota — Medicare Advantage: $166.33 Blue Cross of Minnesota — PMAP: $76.79 First Health — Commercial: $309.14 Health Partners — Cigna Commercial: $303.73 Health Partners — Cigna Great West: $361.59
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY W PATIENT 38-52 MINUTES, IOP	$416.60	$167.06	$84.86 – $410.87
Psychotherapy, 45 minutes: 10 of 44 insurance plan rates America's PPO — Commercial: $299.95 America's PPO — EZCare: $249.96 America's PPO — Health EZ: $249.96 Blue Cross of Minnesota — Aware Federal: $169.72 Blue Cross of Minnesota — Aware/Blue Plus: $172.76 Blue Cross of Minnesota — Medicare Advantage: $166.33 Blue Cross of Minnesota — PMAP: $84.86 First Health — Commercial: $341.61 Health Partners — Cigna Commercial: $303.73 Health Partners — Cigna Great West: $361.59
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	$104.70 – $462.60
Psychotherapy, 45 minutes: 10 of 44 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: $209.40 Blue Cross of Minnesota — Aware/Blue Plus: $213.16 Blue Cross of Minnesota — Medicare Advantage: $166.33 Blue Cross of Minnesota — PMAP: $104.70 First Health — Commercial: $421.48 Health Partners — Cigna Commercial: $303.73 Health Partners — Cigna Great West: $361.59
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	$101.65 – $606.24
Psychotherapy, 60 minutes: 10 of 44 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: $203.29 Blue Cross of Minnesota — Aware/Blue Plus: $206.94 Blue Cross of Minnesota — Medicare Advantage: $166.33 Blue Cross of Minnesota — PMAP: $101.65 First Health — Commercial: $409.18 Health Partners — Cigna Commercial: $303.73 Health Partners — Cigna Great West: $361.59
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY W PATIENT, 53 OR > MINUTES, CD/IOP	$743	$297.95	$137.41 – $668.70
Psychotherapy, 60 minutes: 10 of 44 insurance plan rates America's PPO — Commercial: $534.96 America's PPO — EZCare: $445.80 America's PPO — Health EZ: $445.80 Blue Cross of Minnesota — Aware Federal: $302.70 Blue Cross of Minnesota — Aware/Blue Plus: $308.12 Blue Cross of Minnesota — Medicare Advantage: $166.33 Blue Cross of Minnesota — PMAP: $151.35 First Health — Commercial: $609.26 Health Partners — Cigna Commercial: $303.73 Health Partners — Cigna Great West: $361.59
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY 53 OR > MIN	$726	$291.13	$137.41 – $653.40
Psychotherapy, 60 minutes: 10 of 44 insurance plan rates America's PPO — Commercial: $522.72 America's PPO — EZCare: $435.60 America's PPO — Health EZ: $435.60 Blue Cross of Minnesota — Aware Federal: $295.77 Blue Cross of Minnesota — Aware/Blue Plus: $301.07 Blue Cross of Minnesota — Medicare Advantage: $166.33 Blue Cross of Minnesota — PMAP: $147.89 First Health — Commercial: $595.32 Health Partners — Cigna Commercial: $303.73 Health Partners — Cigna Great West: $361.59
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	$586	$234.99	$108.90 – $527.40
Family psychotherapy, without the patient: 10 of 44 insurance plan rates America's PPO — Commercial: $421.92 America's PPO — EZCare: $351.60 America's PPO — Health EZ: $351.60 Blue Cross of Minnesota — Aware Federal: $257.51 Blue Cross of Minnesota — Aware/Blue Plus: $262.15 Blue Cross of Minnesota — Medicare Advantage: $166.33 Blue Cross of Minnesota — PMAP: $108.90 First Health — Commercial: $480.52 Health Partners — Cigna Commercial: $303.73 Health Partners — Cigna Great West: $361.59
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	$108.90 – $512.10
Family psychotherapy, without the patient: 10 of 44 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: $257.51 Blue Cross of Minnesota — Aware/Blue Plus: $262.15 Blue Cross of Minnesota — Medicare Advantage: $166.33 Blue Cross of Minnesota — PMAP: $108.90 First Health — Commercial: $466.58 Health Partners — Cigna Commercial: $303.73 Health Partners — Cigna Great West: $361.59
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	$586	$234.99	$305.31 – $527.40
Family psychotherapy, without the patient: rates for 9 insurance plans America's PPO — Commercial: $374.45 America's PPO — EZCare: $305.31 America's PPO — Health EZ: $345.74 First Health — Commercial: $480.52 MultiPlan — Commercial: $498.10 Private Healthcare Systems — Commercial: $498.10 Sanford Health Plan — Commercial: $345.15 Security Health Plan — Commercial: $439.50 Wisconsin Physician Services — Commercial: $527.40
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	$456.17	$182.93	$114.12 – $462.22
Family psychotherapy, with the patient: 10 of 44 insurance plan rates America's PPO — Commercial: $328.44 America's PPO — EZCare: $273.70 America's PPO — Health EZ: $273.70 Blue Cross of Minnesota — Aware Federal: $269.84 Blue Cross of Minnesota — Aware/Blue Plus: $274.70 Blue Cross of Minnesota — Medicare Advantage: $166.33 Blue Cross of Minnesota — PMAP: $114.12 First Health — Commercial: $374.06 Health Partners — Cigna Commercial: $303.73 Health Partners — Cigna Great West: $361.59
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	$457.68	$183.54	$114.12 – $462.22
Family psychotherapy, with the patient: 10 of 44 insurance plan rates America's PPO — Commercial: $329.53 America's PPO — EZCare: $274.61 America's PPO — Health EZ: $274.61 Blue Cross of Minnesota — Aware Federal: $269.84 Blue Cross of Minnesota — Aware/Blue Plus: $274.70 Blue Cross of Minnesota — Medicare Advantage: $166.33 Blue Cross of Minnesota — PMAP: $114.12 First Health — Commercial: $375.30 Health Partners — Cigna Commercial: $303.73 Health Partners — Cigna Great West: $361.59
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	$114.12 – $647.55
Family psychotherapy, with the patient: 10 of 44 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: $269.84 Blue Cross of Minnesota — Aware/Blue Plus: $274.70 Blue Cross of Minnesota — Medicare Advantage: $166.33 Blue Cross of Minnesota — PMAP: $114.12 First Health — Commercial: $589.99 Health Partners — Cigna Commercial: $303.73 Health Partners — Cigna Great West: $361.59
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC GROUP THERAPY, 1.5 HR, IOP	$483	$193.69	$51.03 – $434.70
Group psychotherapy: 10 of 44 insurance plan rates America's PPO — Commercial: $347.76 America's PPO — EZCare: $289.80 America's PPO — Health EZ: $289.80 Blue Cross of Minnesota — Aware Federal: $409.14 Blue Cross of Minnesota — Aware/Blue Plus: $416.50 Blue Cross of Minnesota — Medicare Advantage: $95.75 Blue Cross of Minnesota — PMAP: $173.02 First Health — Commercial: $396.06 Health Partners — Cigna Commercial: $174.87 Health Partners — Cigna Great West: $208.18
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY W PATIENT, 38-52 MINUTES, CD/IOP	$499	$200.10	$51.03 – $449.10
Group psychotherapy: 10 of 44 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: $409.14 Blue Cross of Minnesota — Aware/Blue Plus: $416.50 Blue Cross of Minnesota — Medicare Advantage: $95.75 Blue Cross of Minnesota — PMAP: $173.02 First Health — Commercial: $409.18 Health Partners — Cigna Commercial: $174.87 Health Partners — Cigna Great West: $208.18
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC GROUP THERAPY 1HR CD/IOP	$347.17	$139.22	$51.03 – $416.50
Group psychotherapy: 10 of 44 insurance plan rates America's PPO — Commercial: $249.97 America's PPO — EZCare: $208.30 America's PPO — Health EZ: $208.30 Blue Cross of Minnesota — Aware Federal: $409.14 Blue Cross of Minnesota — Aware/Blue Plus: $416.50 Blue Cross of Minnesota — Medicare Advantage: $95.75 Blue Cross of Minnesota — PMAP: $173.02 First Health — Commercial: $284.68 Health Partners — Cigna Commercial: $174.87 Health Partners — Cigna Great West: $208.18

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: AS EXCISION BREAST LESION, OPEN >=1	$47.58	$29.84	$28.02 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $1,941.06
Removal of breast growth (open surgery): 10 of 45 insurance plan rates America's PPO — Commercial: $37.59 America's PPO — EZCare: $36.16 America's PPO — Health EZ: $36.16 Blue Cross of Minnesota — Aware Federal: $1,414 Blue Cross of Minnesota — Aware/Blue Plus: $1,439.45 Blue Cross of Minnesota — Medicare Advantage: $393.01 Blue Cross of Minnesota — PMAP: $317.55 First Health — Commercial: $39.01 Health Partners — Cigna Commercial: $1,630.49 Health Partners — Cigna Great West: $1,941.06
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	$1,124 – $8,759.17
Removal of breast growth (open surgery): 10 of 36 insurance plan rates Blue Cross of Minnesota — Aware Federal: $2,843.63 Blue Cross of Minnesota — Aware/Blue Plus: $2,894.82 Blue Cross of Minnesota — Medicare Advantage: $3,964.12 Blue Cross of Minnesota — PMAP: $1,191.33 Health Partners — Cigna Commercial: $7,238.89 Health Partners — Cigna Great West: $8,617.73 Health Partners — Commercial: $6,894.18 Health Partners — Federal: $6,772.28 Health Partners — Medicare Advantage: $4,040.35 Health Partners — Medicare Cost: $3,274.92
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · Doctor (professional) fee · modifier RT In the file: PR EXCISION BREAST LESION, OPEN >=1	$2,070	$1,297.89	$278.86 – $1,941.06
Removal of breast growth (open surgery): 10 of 45 insurance plan rates America's PPO — Commercial: $1,635.30 America's PPO — EZCare: $1,573.20 America's PPO — Health EZ: $1,573.20 Blue Cross of Minnesota — Aware Federal: $1,414 Blue Cross of Minnesota — Aware/Blue Plus: $1,439.45 Blue Cross of Minnesota — Medicare Advantage: $393.01 Blue Cross of Minnesota — PMAP: $317.55 First Health — Commercial: $1,697.40 Health Partners — Cigna Commercial: $1,630.49 Health Partners — Cigna Great West: $1,941.06
Total hip replacement CPT 27130 · Inpatient or outpatient · Doctor (professional) fee In the file: AS TOTAL HIP ARTHROPLASTY	$47.03 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)	$29.49 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)	$27.70 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $5,973.38
Total hip replacement: 10 of 45 insurance plan rates America's PPO — Commercial: $37.16 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) America's PPO — EZCare: $35.75 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) America's PPO — Health EZ: $35.75 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Blue Cross of Minnesota — Aware Federal: $4,314.58 Blue Cross of Minnesota — Aware/Blue Plus: $4,392.24 Blue Cross of Minnesota — Medicare Advantage: $1,208.91 Blue Cross of Minnesota — PMAP: $976.95 First Health — Commercial: $38.57 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Health Partners — Cigna Commercial: $5,017.64 Health Partners — Cigna Great West: $5,973.38
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL HIP ARTHROPLASTY	Not listed in the file	Not listed in the file	$2,193 – $29,431.77
Total hip replacement: 10 of 36 insurance plan rates Blue Cross of Minnesota — Aware Federal: $7,622.55 Blue Cross of Minnesota — Aware/Blue Plus: $7,759.76 Blue Cross of Minnesota — Medicare Advantage: $13,319.86 Blue Cross of Minnesota — PMAP: $3,211.74 Health Partners — Cigna Commercial: $24,323.50 Health Partners — Cigna Great West: $28,956.55 Health Partners — Commercial: $23,165.24 Health Partners — Federal: $22,755.64 Health Partners — Medicare Advantage: $13,576.01 Health Partners — Medicare Cost: $11,004.09
Total hip replacement CPT 27130 · Inpatient or outpatient · Doctor (professional) fee · modifier LT In the file: PR TOTAL HIP ARTHROPLASTY	$5,035	$3,156.95	$858.26 – $5,973.38
Total hip replacement: 10 of 45 insurance plan rates America's PPO — Commercial: $3,977.65 America's PPO — EZCare: $3,826.60 America's PPO — Health EZ: $3,826.60 Blue Cross of Minnesota — Aware Federal: $4,314.58 Blue Cross of Minnesota — Aware/Blue Plus: $4,392.24 Blue Cross of Minnesota — Medicare Advantage: $1,208.91 Blue Cross of Minnesota — PMAP: $976.95 First Health — Commercial: $4,128.70 Health Partners — Cigna Commercial: $5,017.64 Health Partners — Cigna Great West: $5,973.38
Total knee replacement CPT 27447 · Inpatient or outpatient · Doctor (professional) fee In the file: AS TOTAL KNEE ARTHROPLASTY	$47.25 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)	$29.63 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)	$27.83 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $5,963.48
Total knee replacement: 10 of 45 insurance plan rates America's PPO — Commercial: $37.33 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) America's PPO — EZCare: $35.91 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) America's PPO — Health EZ: $35.91 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Blue Cross of Minnesota — Aware Federal: $4,307.88 Blue Cross of Minnesota — Aware/Blue Plus: $4,385.42 Blue Cross of Minnesota — Medicare Advantage: $1,207.45 Blue Cross of Minnesota — PMAP: $975.60 First Health — Commercial: $38.74 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Health Partners — Cigna Commercial: $5,009.32 Health Partners — Cigna Great West: $5,963.48
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL KNEE ARTHROPLASTY	Not listed in the file	Not listed in the file	$2,193 – $29,431.77
Total knee replacement: 10 of 36 insurance plan rates Blue Cross of Minnesota — Aware Federal: $7,618.65 Blue Cross of Minnesota — Aware/Blue Plus: $7,755.79 Blue Cross of Minnesota — Medicare Advantage: $13,319.86 Blue Cross of Minnesota — PMAP: $3,210.10 Health Partners — Cigna Commercial: $24,323.50 Health Partners — Cigna Great West: $28,956.55 Health Partners — Commercial: $23,165.24 Health Partners — Federal: $22,755.64 Health Partners — Medicare Advantage: $13,576.01 Health Partners — Medicare Cost: $11,004.09
Total knee replacement CPT 27447 · Inpatient or outpatient · Doctor (professional) fee · modifier LT In the file: PR TOTAL KNEE ARTHROPLASTY	$5,031	$3,154.44	$857.09 – $5,963.48
Total knee replacement: 10 of 45 insurance plan rates America's PPO — Commercial: $3,974.49 America's PPO — EZCare: $3,823.56 America's PPO — Health EZ: $3,823.56 Blue Cross of Minnesota — Aware Federal: $4,307.88 Blue Cross of Minnesota — Aware/Blue Plus: $4,385.42 Blue Cross of Minnesota — Medicare Advantage: $1,207.45 Blue Cross of Minnesota — PMAP: $975.60 First Health — Commercial: $4,125.42 Health Partners — Cigna Commercial: $5,009.32 Health Partners — Cigna Great West: $5,963.48
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 — Aware/Blue Plus: $579.87 Blue Cross of Minnesota — Medicare Advantage: $158.10 Blue Cross of Minnesota — PMAP: $127.72 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
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SHO ARTHRS SRG DECOMPRESSION	Not listed in the file	Not listed in the file	$321 – $1,831.33
Shoulder arthroscopy: shaving of shoulder bone: 10 of 12 insurance plan rates Blue Cross of Minnesota — Aware Federal: $1,798.95 Blue Cross of Minnesota — Aware/Blue Plus: $1,831.33 Blue Cross of Minnesota — PMAP: $760.75 Medica — Bold: $841 Medica — Choice: $967 Medica — City of St. Paul/Essential-Uplan: $870 Medica — Individual and Family Business Except ACO: $934 Medica — Managed Medicaid/AccessAbility: $321 Medica — MSHO/Medicare Advantage SNP: $445 Medica — Vantage Self Insured: $911
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient · Doctor (professional) fee In the file: AS KNEE SCOPE,MED/LAT MENISECTOMY	$48.96	$30.70 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)	$28.84 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $2,594.68
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 45 insurance plan rates America's PPO — Commercial: $38.68 America's PPO — EZCare: $37.21 America's PPO — Health EZ: $37.21 Blue Cross of Minnesota — Aware Federal: $1,842.89 Blue Cross of Minnesota — Aware/Blue Plus: $1,876.06 Blue Cross of Minnesota — Medicare Advantage: $525.42 Blue Cross of Minnesota — PMAP: $424.47 First Health — Commercial: $40.15 Health Partners — Cigna Commercial: $2,179.53 Health Partners — Cigna Great West: $2,594.68
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	$1,383 – $7,421.78
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 36 insurance plan rates Blue Cross of Minnesota — Aware Federal: $5,396.85 Blue Cross of Minnesota — Aware/Blue Plus: $5,493.99 Blue Cross of Minnesota — Medicare Advantage: $3,358.86 Blue Cross of Minnesota — PMAP: $2,282.25 Health Partners — Cigna Commercial: $6,133.63 Health Partners — Cigna Great West: $7,301.94 Health Partners — Commercial: $5,841.55 Health Partners — Federal: $5,738.26 Health Partners — Medicare Advantage: $3,423.45 Health Partners — Medicare Cost: $2,774.89
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient · Doctor (professional) fee · modifier LT In the file: PR KNEE SCOPE,MED/LAT MENISECTOMY	$2,176	$1,364.36	$373.08 – $2,594.68
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 45 insurance plan rates America's PPO — Commercial: $1,719.04 America's PPO — EZCare: $1,653.76 America's PPO — Health EZ: $1,653.76 Blue Cross of Minnesota — Aware Federal: $1,842.89 Blue Cross of Minnesota — Aware/Blue Plus: $1,876.06 Blue Cross of Minnesota — Medicare Advantage: $525.42 Blue Cross of Minnesota — PMAP: $424.47 First Health — Commercial: $1,784.32 Health Partners — Cigna Commercial: $2,179.53 Health Partners — Cigna Great West: $2,594.68
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	$1,124 – $13,531.59
Removal of tonsils and adenoids (under age 12): 10 of 36 insurance plan rates Blue Cross of Minnesota — Aware Federal: $10,074.12 Blue Cross of Minnesota — Aware/Blue Plus: $10,255.45 Blue Cross of Minnesota — Medicare Advantage: $6,123.96 Blue Cross of Minnesota — PMAP: $4,260.21 Health Partners — Cigna Commercial: $11,182.99 Health Partners — Cigna Great West: $13,313.09 Health Partners — Commercial: $10,650.47 Health Partners — Federal: $10,462.15 Health Partners — Medicare Advantage: $6,241.73 Health Partners — Medicare Cost: $5,059.25
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 — Aware/Blue Plus: $1,006.25 Blue Cross of Minnesota — Medicare Advantage: $283.50 Blue Cross of Minnesota — PMAP: $230.06 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
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	$2,041.49	$818.64	$659.32 – $3,365
Upper GI endoscopy (diagnostic): 10 of 45 insurance plan rates America's PPO — Commercial: $1,469.87 America's PPO — EZCare: $1,224.89 America's PPO — Health EZ: $1,224.89 Blue Cross of Minnesota — Aware Federal: $1,559.09 Blue Cross of Minnesota — Aware/Blue Plus: $1,587.15 Blue Cross of Minnesota — Medicare Advantage: $970.57 Blue Cross of Minnesota — PMAP: $659.32 First Health — Commercial: $1,674.02 Health Partners — Cigna Commercial: $2,360.15 Health Partners — Cigna Great West: $2,809.70
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Doctor (professional) fee In the file: AS UGI ENDOSCOPY DIAG W OR W/O BRUSH/WASH	$49.58	$31.09	$29.20 – $574.40
Upper GI endoscopy (diagnostic): 10 of 45 insurance plan rates America's PPO — Commercial: $39.16 America's PPO — EZCare: $37.68 America's PPO — Health EZ: $37.68 Blue Cross of Minnesota — Aware Federal: $405.43 Blue Cross of Minnesota — Aware/Blue Plus: $412.73 Blue Cross of Minnesota — Medicare Advantage: $115.63 Blue Cross of Minnesota — PMAP: $93.96 First Health — Commercial: $40.65 Health Partners — Cigna Commercial: $482.50 Health Partners — Cigna Great West: $574.40
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Doctor (professional) fee In the file: PR UGI ENDOSCOPY DIAG W OR W/O BRUSH/WASH	$1,204	$754.91	$81.95 – $1,083.60
Upper GI endoscopy (diagnostic): 10 of 45 insurance plan rates America's PPO — Commercial: $951.16 America's PPO — EZCare: $915.04 America's PPO — Health EZ: $915.04 Blue Cross of Minnesota — Aware Federal: $405.43 Blue Cross of Minnesota — Aware/Blue Plus: $412.73 Blue Cross of Minnesota — Medicare Advantage: $115.63 Blue Cross of Minnesota — PMAP: $93.96 First Health — Commercial: $987.28 Health Partners — Cigna Commercial: $482.50 Health Partners — Cigna Great West: $574.40
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC UGI ENDOSCOPY DIAG W BIOPSY	$2,083	$835.29	$659.32 – $3,365
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: $1,559.09 Blue Cross of Minnesota — Aware/Blue Plus: $1,587.15 Blue Cross of Minnesota — Medicare Advantage: $970.57 Blue Cross of Minnesota — PMAP: $659.32 First Health — Commercial: $1,708.06 Health Partners — Cigna Commercial: $2,360.15 Health Partners — Cigna Great West: $2,809.70
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	$659.32 – $3,365
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: $1,559.09 Blue Cross of Minnesota — Aware/Blue Plus: $1,587.15 Blue Cross of Minnesota — Medicare Advantage: $970.57 Blue Cross of Minnesota — PMAP: $659.32 First Health — Commercial: $1,708.06 Health Partners — Cigna Commercial: $2,360.15 Health Partners — Cigna Great West: $2,809.70
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Doctor (professional) fee In the file: PR UGI ENDOSCOPY DIAG W BIOPSY	$1,577.86	$989.32	$92.32 – $1,420.07
Upper GI endoscopy with biopsy: 10 of 45 insurance plan rates America's PPO — Commercial: $1,246.51 America's PPO — EZCare: $1,199.17 America's PPO — Health EZ: $1,199.17 Blue Cross of Minnesota — Aware Federal: $457.93 Blue Cross of Minnesota — Aware/Blue Plus: $466.17 Blue Cross of Minnesota — Medicare Advantage: $130.17 Blue Cross of Minnesota — PMAP: $105.84 First Health — Commercial: $1,293.84 Health Partners — Cigna Commercial: $544.89 Health Partners — Cigna Great West: $648.68
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COLONOSCOPY W/WO BRUSH/WASH	$3,012	$1,207.82	$779.72 – $3,418.48
Colonoscopy (diagnostic): 10 of 45 insurance plan rates America's PPO — Commercial: $2,168.64 America's PPO — EZCare: $1,807.20 America's PPO — Health EZ: $1,807.20 Blue Cross of Minnesota — Aware Federal: $3,358.04 Blue Cross of Minnesota — Aware/Blue Plus: $3,418.48 Blue Cross of Minnesota — Medicare Advantage: $943.81 Blue Cross of Minnesota — PMAP: $1,420.07 First Health — Commercial: $2,469.84 Health Partners — Cigna Commercial: $2,295.09 Health Partners — Cigna Great West: $2,732.25
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Doctor (professional) fee In the file: AS COLONOSCOPY W/WO BRUSH/WASH	$48.99	$30.72	$28.85 – $858.29
Colonoscopy (diagnostic): 10 of 45 insurance plan rates America's PPO — Commercial: $38.70 America's PPO — EZCare: $37.23 America's PPO — Health EZ: $37.23 Blue Cross of Minnesota — Aware Federal: $608.71 Blue Cross of Minnesota — Aware/Blue Plus: $619.67 Blue Cross of Minnesota — Medicare Advantage: $172.92 Blue Cross of Minnesota — PMAP: $140.41 First Health — Commercial: $40.17 Health Partners — Cigna Commercial: $720.96 Health Partners — Cigna Great West: $858.29
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Doctor (professional) fee In the file: PR COLONOSCOPY W/WO BRUSH/WASH	$1,402.48	$879.36	$122.70 – $1,262.24
Colonoscopy (diagnostic): 10 of 45 insurance plan rates America's PPO — Commercial: $1,107.96 America's PPO — EZCare: $1,065.89 America's PPO — Health EZ: $1,065.89 Blue Cross of Minnesota — Aware Federal: $608.71 Blue Cross of Minnesota — Aware/Blue Plus: $619.67 Blue Cross of Minnesota — Medicare Advantage: $172.92 Blue Cross of Minnesota — PMAP: $140.41 First Health — Commercial: $1,150.04 Health Partners — Cigna Commercial: $720.96 Health Partners — Cigna Great West: $858.29
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COLONOSCOPY W BIOPSY	$2,829.38	$1,134.59	$829 – $3,533.51
Colonoscopy with biopsy: 10 of 45 insurance plan rates America's PPO — Commercial: $2,037.16 America's PPO — EZCare: $1,697.63 America's PPO — Health EZ: $1,697.63 Blue Cross of Minnesota — Aware Federal: $3,358.04 Blue Cross of Minnesota — Aware/Blue Plus: $3,418.48 Blue Cross of Minnesota — Medicare Advantage: $1,220.60 Blue Cross of Minnesota — PMAP: $1,420.07 First Health — Commercial: $2,320.09 Health Partners — Cigna Commercial: $2,968.15 Health Partners — Cigna Great West: $3,533.51
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Doctor (professional) fee In the file: PR COLONOSCOPY W BIOPSY	$1,803.46	$1,130.78	$133.30 – $1,623.12
Colonoscopy with biopsy: 10 of 45 insurance plan rates America's PPO — Commercial: $1,424.74 America's PPO — EZCare: $1,370.63 America's PPO — Health EZ: $1,370.63 Blue Cross of Minnesota — Aware Federal: $661.20 Blue Cross of Minnesota — Aware/Blue Plus: $673.10 Blue Cross of Minnesota — Medicare Advantage: $187.99 Blue Cross of Minnesota — PMAP: $152.84 First Health — Commercial: $1,478.84 Health Partners — Cigna Commercial: $784.74 Health Partners — Cigna Great West: $934.21
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Doctor (professional) fee In the file: AS COLONOSCOPY W BIOPSY	$48.63	$30.50	$28.64 – $934.21
Colonoscopy with biopsy: 10 of 45 insurance plan rates America's PPO — Commercial: $38.42 America's PPO — EZCare: $36.96 America's PPO — Health EZ: $36.96 Blue Cross of Minnesota — Aware Federal: $661.20 Blue Cross of Minnesota — Aware/Blue Plus: $673.10 Blue Cross of Minnesota — Medicare Advantage: $187.99 Blue Cross of Minnesota — PMAP: $152.84 First Health — Commercial: $39.88 Health Partners — Cigna Commercial: $784.74 Health Partners — Cigna Great West: $934.21
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	$2,903.33	$1,164.24	$811.47 – $3,533.51
Colonoscopy with removal of polyps (snare): 10 of 45 insurance plan rates America's PPO — Commercial: $2,090.40 America's PPO — EZCare: $1,742 America's PPO — Health EZ: $1,742 Blue Cross of Minnesota — Aware Federal: $1,918.88 Blue Cross of Minnesota — Aware/Blue Plus: $1,953.42 Blue Cross of Minnesota — Medicare Advantage: $1,220.60 Blue Cross of Minnesota — PMAP: $811.47 First Health — Commercial: $2,380.73 Health Partners — Cigna Commercial: $2,968.15 Health Partners — Cigna Great West: $3,533.51
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · Doctor (professional) fee In the file: PR COLONOSCOPY W SNARE REMOVAL TUMOR/POLYP/LESION	$1,875	$1,175.63	$168.40 – $1,687.50
Colonoscopy with removal of polyps (snare): 10 of 45 insurance plan rates America's PPO — Commercial: $1,481.25 America's PPO — EZCare: $1,425 America's PPO — Health EZ: $1,425 Blue Cross of Minnesota — Aware Federal: $836.56 Blue Cross of Minnesota — Aware/Blue Plus: $851.62 Blue Cross of Minnesota — Medicare Advantage: $237.60 Blue Cross of Minnesota — PMAP: $193.06 First Health — Commercial: $1,537.50 Health Partners — Cigna Commercial: $992.71 Health Partners — Cigna Great West: $1,181.80
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · Doctor (professional) fee In the file: AS COLONOSCOPY W SNARE REMOVAL TUMOR/POLYP/LESION	$50.09	$31.41	$29.50 – $1,181.80
Colonoscopy with removal of polyps (snare): 10 of 45 insurance plan rates America's PPO — Commercial: $39.57 America's PPO — EZCare: $38.07 America's PPO — Health EZ: $38.07 Blue Cross of Minnesota — Aware Federal: $836.56 Blue Cross of Minnesota — Aware/Blue Plus: $851.62 Blue Cross of Minnesota — Medicare Advantage: $237.60 Blue Cross of Minnesota — PMAP: $193.06 First Health — Commercial: $41.07 Health Partners — Cigna Commercial: $992.71 Health Partners — Cigna Great West: $1,181.80
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	$620.33 – $3,533.51
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: $1,472.25 Blue Cross of Minnesota — Aware/Blue Plus: $1,498.75 Blue Cross of Minnesota — Medicare Advantage: $1,220.60 Blue Cross of Minnesota — PMAP: $620.33 First Health — Commercial: $2,419 Health Partners — Cigna Commercial: $2,968.15 Health Partners — Cigna Great West: $3,533.51
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	$1,536.95 – $2,655
Ultrasound of the lower bowel by endoscope: rates for 9 insurance plans America's PPO — Commercial: $1,885.05 America's PPO — EZCare: $1,536.95 America's PPO — Health EZ: $1,740.50 First Health — Commercial: $2,419 MultiPlan — Commercial: $2,507.50 Private Healthcare Systems — Commercial: $2,507.50 Sanford Health Plan — Commercial: $1,737.55 Security Health Plan — Commercial: $2,212.50 Wisconsin Physician Services — Commercial: $2,655
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 — Aware/Blue Plus: $862.99 Blue Cross of Minnesota — Medicare Advantage: $241.40 Blue Cross of Minnesota — PMAP: $196.30 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	$653 – $2,762
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: $1,798.95 Blue Cross of Minnesota — Aware/Blue Plus: $1,831.33 Blue Cross of Minnesota — Medicare Advantage: $939.97 Blue Cross of Minnesota — PMAP: $760.75 First Health — Commercial: $1,689.20 Health Partners — Cigna Commercial: $2,295.09 Health Partners — Cigna Great West: $2,732.25
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · Doctor (professional) fee In the file: PR COLOREC CANC SCRN,SCOPY NOT HI RISK	$1,237.42	$775.87	$122.70 – $1,113.68
Screening colonoscopy (not high risk): 10 of 45 insurance plan rates America's PPO — Commercial: $977.56 America's PPO — EZCare: $940.44 America's PPO — Health EZ: $940.44 Blue Cross of Minnesota — Aware Federal: $609.83 Blue Cross of Minnesota — Aware/Blue Plus: $620.81 Blue Cross of Minnesota — Medicare Advantage: $173.01 Blue Cross of Minnesota — PMAP: $140.41 First Health — Commercial: $1,014.69 Health Partners — Cigna Commercial: $208.44 Health Partners — Cigna Great West: $248.14
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · Doctor (professional) fee In the file: AS COLOREC CANC SCRN,SCOPY NOT HI RISK	$49.72	$31.18	$29.29 – $620.81
Screening colonoscopy (not high risk): 10 of 45 insurance plan rates America's PPO — Commercial: $39.28 America's PPO — EZCare: $37.79 America's PPO — Health EZ: $37.79 Blue Cross of Minnesota — Aware Federal: $609.83 Blue Cross of Minnesota — Aware/Blue Plus: $620.81 Blue Cross of Minnesota — Medicare Advantage: $173.01 Blue Cross of Minnesota — PMAP: $140.41 First Health — Commercial: $40.77 Health Partners — Cigna Commercial: $208.44 Health Partners — Cigna Great West: $248.14
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient · Doctor (professional) fee In the file: AS LAPAROSCOPY, SURGICAL; CHOLECYSTECTOMY	$47.84	$30 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)	$28.18 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $3,010.63
Gallbladder removal by laparoscope: 10 of 45 insurance plan rates America's PPO — Commercial: $37.79 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) America's PPO — EZCare: $36.36 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) America's PPO — Health EZ: $36.36 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Blue Cross of Minnesota — Aware Federal: $2,224.86 Blue Cross of Minnesota — Aware/Blue Plus: $2,264.91 Blue Cross of Minnesota — Medicare Advantage: $609.09 Blue Cross of Minnesota — PMAP: $492.52 First Health — Commercial: $39.23 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Health Partners — Cigna Commercial: $2,528.93 Health Partners — Cigna Great West: $3,010.63
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient · Doctor (professional) fee In the file: PR LAPAROSCOPY, SURGICAL; CHOLECYSTECTOMY	$2,536.16	$1,590.18	$432.19 – $3,010.63
Gallbladder removal by laparoscope: 10 of 45 insurance plan rates America's PPO — Commercial: $2,003.57 America's PPO — EZCare: $1,927.48 America's PPO — Health EZ: $1,927.48 Blue Cross of Minnesota — Aware Federal: $2,224.86 Blue Cross of Minnesota — Aware/Blue Plus: $2,264.91 Blue Cross of Minnesota — Medicare Advantage: $609.09 Blue Cross of Minnesota — PMAP: $492.52 First Health — Commercial: $2,079.65 Health Partners — Cigna Commercial: $2,528.93 Health Partners — Cigna Great West: $3,010.63
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPAROSCOPIC CHOLECYSTECTOMY	Not listed in the file	Not listed in the file	$1,566.84 – $13,345.61
Gallbladder removal by laparoscope: 10 of 36 insurance plan rates Blue Cross of Minnesota — Aware Federal: $3,718.65 Blue Cross of Minnesota — Aware/Blue Plus: $3,785.59 Blue Cross of Minnesota — Medicare Advantage: $6,039.79 Blue Cross of Minnesota — PMAP: $1,566.84 Health Partners — Cigna Commercial: $11,029.31 Health Partners — Cigna Great West: $13,130.13 Health Partners — Commercial: $10,504.10 Health Partners — Federal: $10,318.37 Health Partners — Medicare Advantage: $6,155.94 Health Partners — Medicare Cost: $4,989.72
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient · Doctor (professional) fee In the file: AS REPAIR ING HERNIA,5+Y/O,REDUCIBL	$46.39	$29.09 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)	$27.32 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $2,403.21
Groin (inguinal) hernia repair, age 5 or older: 10 of 45 insurance plan rates America's PPO — Commercial: $36.65 America's PPO — EZCare: $35.26 America's PPO — Health EZ: $35.26 Blue Cross of Minnesota — Aware Federal: $1,766.94 Blue Cross of Minnesota — Aware/Blue Plus: $1,798.74 Blue Cross of Minnesota — Medicare Advantage: $486.49 Blue Cross of Minnesota — PMAP: $392.88 First Health — Commercial: $38.04 Health Partners — Cigna Commercial: $2,018.70 Health Partners — Cigna Great West: $2,403.21
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient · Doctor (professional) fee In the file: PR REPAIR ING HERNIA,5+Y/O,REDUCIBL	$2,027	$1,270.93	$345.28 – $2,403.21
Groin (inguinal) hernia repair, age 5 or older: 10 of 45 insurance plan rates America's PPO — Commercial: $1,601.33 America's PPO — EZCare: $1,540.52 America's PPO — Health EZ: $1,540.52 Blue Cross of Minnesota — Aware Federal: $1,766.94 Blue Cross of Minnesota — Aware/Blue Plus: $1,798.74 Blue Cross of Minnesota — Medicare Advantage: $486.49 Blue Cross of Minnesota — PMAP: $392.88 First Health — Commercial: $1,662.14 Health Partners — Cigna Commercial: $2,018.70 Health Partners — Cigna Great West: $2,403.21
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PRP I/HERN INIT REDUC >5 YR	Not listed in the file	Not listed in the file	$1,383 – $8,072.44
Groin (inguinal) hernia repair, age 5 or older: 10 of 36 insurance plan rates Blue Cross of Minnesota — Aware Federal: $6,236.36 Blue Cross of Minnesota — Aware/Blue Plus: $6,348.61 Blue Cross of Minnesota — Medicare Advantage: $3,653.32 Blue Cross of Minnesota — PMAP: $2,637.27 Health Partners — Cigna Commercial: $6,671.34 Health Partners — Cigna Great West: $7,942.08 Health Partners — Commercial: $6,353.66 Health Partners — Federal: $6,241.32 Health Partners — Medicare Advantage: $3,723.58 Health Partners — Medicare Cost: $3,018.16
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BIOPSY PROSTATE NEEDLE/PUNCH	$5,351	$2,145.76	$980 – $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: $2,998.25 Blue Cross of Minnesota — Aware/Blue Plus: $3,052.22 Blue Cross of Minnesota — Medicare Advantage: $2,120.64 Blue Cross of Minnesota — PMAP: $1,267.92 First Health — Commercial: $4,387.82 Health Partners — Cigna Commercial: $3,872.51 Health Partners — Cigna Great West: $4,610.13
Prostate biopsy CPT 55700 · Inpatient or outpatient · Doctor (professional) fee In the file: PR BIOPSY OF PROSTATE,NEEDLE/PUNCH	$992	$621.99	$86.43 – $892.80
Prostate biopsy: 10 of 45 insurance plan rates America's PPO — Commercial: $783.68 America's PPO — EZCare: $753.92 America's PPO — Health EZ: $753.92 Blue Cross of Minnesota — Aware Federal: $431.12 Blue Cross of Minnesota — Aware/Blue Plus: $438.88 Blue Cross of Minnesota — Medicare Advantage: $121.94 Blue Cross of Minnesota — PMAP: $98.83 First Health — Commercial: $813.44 Health Partners — Cigna Commercial: $508.84 Health Partners — Cigna Great West: $605.76
Prostate biopsy CPT 55700 · Inpatient or outpatient · Doctor (professional) fee In the file: AS BIOPSY PROSTATE NEEDLE/PUNCH	$47.50	$29.79	$27.98 – $605.76
Prostate biopsy: 10 of 45 insurance plan rates America's PPO — Commercial: $37.53 America's PPO — EZCare: $36.10 America's PPO — Health EZ: $36.10 Blue Cross of Minnesota — Aware Federal: $431.12 Blue Cross of Minnesota — Aware/Blue Plus: $438.88 Blue Cross of Minnesota — Medicare Advantage: $121.94 Blue Cross of Minnesota — PMAP: $98.83 First Health — Commercial: $38.95 Health Partners — Cigna Commercial: $508.84 Health Partners — Cigna Great West: $605.76
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Inpatient or outpatient · Doctor (professional) fee In the file: AS LAPAROSCOPY, SURGICAL PROSTATECTOMY, RETROPUBIC RADICAL, W/NERVE SPARING	$48.06 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)	$30.14 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)	$28.31 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $5,590.45
Prostate removal by laparoscope (radical prostatectomy): 10 of 45 insurance plan rates America's PPO — Commercial: $37.97 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) America's PPO — EZCare: $36.53 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) America's PPO — Health EZ: $36.53 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Blue Cross of Minnesota — Aware Federal: $3,968.35 Blue Cross of Minnesota — Aware/Blue Plus: $4,039.78 Blue Cross of Minnesota — Medicare Advantage: $1,128.98 Blue Cross of Minnesota — PMAP: $914.57 First Health — Commercial: $39.41 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Health Partners — Cigna Commercial: $4,695.98 Health Partners — Cigna Great West: $5,590.45
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Inpatient or outpatient · Doctor (professional) fee In the file: PR LAPAROSCOPY, SURGICAL PROSTATECTOMY, RETROPUBIC RADICAL, W/NERVE SPARING	$5,027	$3,151.93	$801.04 – $5,590.45
Prostate removal by laparoscope (radical prostatectomy): 10 of 45 insurance plan rates America's PPO — Commercial: $3,971.33 America's PPO — EZCare: $3,820.52 America's PPO — Health EZ: $3,820.52 Blue Cross of Minnesota — Aware Federal: $3,968.35 Blue Cross of Minnesota — Aware/Blue Plus: $4,039.78 Blue Cross of Minnesota — Medicare Advantage: $1,128.98 Blue Cross of Minnesota — PMAP: $914.57 First Health — Commercial: $4,122.14 Health Partners — Cigna Commercial: $4,695.98 Health Partners — Cigna Great West: $5,590.45
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	$2,193 – $23,814.79
Prostate removal by laparoscope (radical prostatectomy): 10 of 36 insurance plan rates Blue Cross of Minnesota — Aware Federal: $8,147.10 Blue Cross of Minnesota — Aware/Blue Plus: $8,293.75 Blue Cross of Minnesota — Medicare Advantage: $10,777.80 Blue Cross of Minnesota — PMAP: $3,432.76 Health Partners — Cigna Commercial: $19,681.42 Health Partners — Cigna Great West: $23,430.26 Health Partners — Commercial: $18,744.21 Health Partners — Federal: $18,412.78 Health Partners — Medicare Advantage: $10,985.07 Health Partners — Medicare Cost: $8,903.99
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient · Doctor (professional) fee In the file: PR HYSTEROSCOPY W ENDOMETRIAL BX/POLYPECTOMY W/WO D&C	$5,660.23	$3,548.97	$152.38 – $5,094.21
Hysteroscopy with biopsy of the uterus lining: 10 of 45 insurance plan rates America's PPO — Commercial: $4,471.58 America's PPO — EZCare: $4,301.77 America's PPO — Health EZ: $4,301.77 Blue Cross of Minnesota — Aware Federal: $772.89 Blue Cross of Minnesota — Aware/Blue Plus: $786.80 Blue Cross of Minnesota — Medicare Advantage: $214.98 Blue Cross of Minnesota — PMAP: $174.71 First Health — Commercial: $4,641.39 Health Partners — Cigna Commercial: $897.05 Health Partners — Cigna Great West: $1,067.91
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient · Doctor (professional) fee In the file: AS HYSTEROSCOPY W ENDOMETRIAL BX/POLYPECTOMY W/WO D&C	$47.50	$29.79 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)	$27.98 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $1,067.91
Hysteroscopy with biopsy of the uterus lining: 10 of 45 insurance plan rates America's PPO — Commercial: $37.53 America's PPO — EZCare: $36.10 America's PPO — Health EZ: $36.10 Blue Cross of Minnesota — Aware Federal: $772.89 Blue Cross of Minnesota — Aware/Blue Plus: $786.80 Blue Cross of Minnesota — Medicare Advantage: $214.98 Blue Cross of Minnesota — PMAP: $174.71 First Health — Commercial: $38.95 Health Partners — Cigna Commercial: $897.05 Health Partners — Cigna Great West: $1,067.91
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY BIOPSY	Not listed in the file	Not listed in the file	$1,124 – $7,272.92
Hysteroscopy with biopsy of the uterus lining: 10 of 36 insurance plan rates Blue Cross of Minnesota — Aware Federal: $4,797.20 Blue Cross of Minnesota — Aware/Blue Plus: $4,883.55 Blue Cross of Minnesota — Medicare Advantage: $3,291.49 Blue Cross of Minnesota — PMAP: $2,028.67 Health Partners — Cigna Commercial: $6,010.60 Health Partners — Cigna Great West: $7,155.48 Health Partners — Commercial: $5,724.38 Health Partners — Federal: $5,623.16 Health Partners — Medicare Advantage: $3,354.78 Health Partners — Medicare Cost: $2,719.23
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	$1,875.57	$752.11	$447.85 – $2,762
Spinal injection, lower back (epidural), with imaging guidance: 10 of 45 insurance plan rates America's PPO — Commercial: $1,350.41 America's PPO — EZCare: $1,125.34 America's PPO — Health EZ: $1,125.34 Blue Cross of Minnesota — Aware Federal: $1,059.02 Blue Cross of Minnesota — Aware/Blue Plus: $1,078.08 Blue Cross of Minnesota — Medicare Advantage: $716.90 Blue Cross of Minnesota — PMAP: $447.85 First Health — Commercial: $1,537.97 Health Partners — Cigna Commercial: $1,309.15 Health Partners — Cigna Great West: $1,558.51
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	$976.88 – $1,687.50
Spinal injection, lower back (epidural), with imaging guidance: rates for 9 insurance plans America's PPO — Commercial: $1,198.13 America's PPO — EZCare: $976.88 America's PPO — Health EZ: $1,106.25 First Health — Commercial: $1,537.50 MultiPlan — Commercial: $1,593.75 Private Healthcare Systems — Commercial: $1,593.75 Sanford Health Plan — Commercial: $1,104.38 Security Health Plan — Commercial: $1,406.25 Wisconsin Physician Services — Commercial: $1,687.50
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 — Aware/Blue Plus: $336.55 Blue Cross of Minnesota — Medicare Advantage: $95.20 Blue Cross of Minnesota — PMAP: $76.95 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	$3,774	$1,513.38	$262.09 – $3,396.60
Nerve root injection, lower back, with imaging guidance: 10 of 45 insurance plan rates America's PPO — Commercial: $2,717.28 America's PPO — EZCare: $2,264.40 America's PPO — Health EZ: $2,264.40 Blue Cross of Minnesota — Aware Federal: $622.05 Blue Cross of Minnesota — Aware/Blue Plus: $633.25 Blue Cross of Minnesota — Medicare Advantage: $921.64 Blue Cross of Minnesota — PMAP: $262.09 First Health — Commercial: $3,094.68 Health Partners — Cigna Commercial: $1,683 Health Partners — Cigna Great West: $2,003.58
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC INJ TRANSFORAMIN EPIDURAL, LUMB/SACR SINGLE	$2,516	$1,008.92	$1,310.84 – $2,264.40
Nerve root injection, lower back, with imaging guidance: rates for 9 insurance plans America's PPO — Commercial: $1,607.72 America's PPO — EZCare: $1,310.84 America's PPO — Health EZ: $1,484.44 First Health — Commercial: $2,063.12 MultiPlan — Commercial: $2,138.60 Private Healthcare Systems — Commercial: $2,138.60 Sanford Health Plan — Commercial: $1,481.92 Security Health Plan — Commercial: $1,887 Wisconsin Physician Services — Commercial: $2,264.40
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 — Aware/Blue Plus: $377.48 Blue Cross of Minnesota — Medicare Advantage: $107.58 Blue Cross of Minnesota — PMAP: $86.95 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: AS REVISE MEDIAN N/CARPAL TUNNEL SURG	$48.91	$30.67	$28.81 – $2,119.33
Carpal tunnel release: 10 of 45 insurance plan rates America's PPO — Commercial: $38.64 America's PPO — EZCare: $37.17 America's PPO — Health EZ: $37.17 Blue Cross of Minnesota — Aware Federal: $1,493.30 Blue Cross of Minnesota — Aware/Blue Plus: $1,520.18 Blue Cross of Minnesota — Medicare Advantage: $429.84 Blue Cross of Minnesota — PMAP: $346.71 First Health — Commercial: $40.11 Health Partners — Cigna Commercial: $1,780.23 Health Partners — Cigna Great West: $2,119.33
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	$1,012.25 – $4,564
Carpal tunnel release: 10 of 36 insurance plan rates Blue Cross of Minnesota — Aware Federal: $2,402.40 Blue Cross of Minnesota — Aware/Blue Plus: $2,445.64 Blue Cross of Minnesota — Medicare Advantage: $2,021.53 Blue Cross of Minnesota — PMAP: $1,012.25 Health Partners — Cigna Commercial: $3,691.53 Health Partners — Cigna Great West: $4,394.68 Health Partners — Commercial: $3,515.74 Health Partners — Federal: $3,453.58 Health Partners — Medicare Advantage: $2,060.41 Health Partners — Medicare Cost: $1,670.07
Carpal tunnel release CPT 64721 · Inpatient or outpatient · Doctor (professional) fee · modifier LT In the file: PR REVISE MEDIAN N/CARPAL TUNNEL SURG	$1,809	$1,134.25	$305.24 – $2,119.33
Carpal tunnel release: 10 of 45 insurance plan rates America's PPO — Commercial: $1,429.11 America's PPO — EZCare: $1,374.84 America's PPO — Health EZ: $1,374.84 Blue Cross of Minnesota — Aware Federal: $1,493.30 Blue Cross of Minnesota — Aware/Blue Plus: $1,520.18 Blue Cross of Minnesota — Medicare Advantage: $429.84 Blue Cross of Minnesota — PMAP: $346.71 First Health — Commercial: $1,483.38 Health Partners — Cigna Commercial: $1,780.23 Health Partners — Cigna Great West: $2,119.33
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	$469.18 – $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: $1,679.02 Blue Cross of Minnesota — Aware/Blue Plus: $1,709.24 Blue Cross of Minnesota — Medicare Advantage: $567.91 Blue Cross of Minnesota — PMAP: $710.03 First Health — Commercial: $3,663.76 Health Partners — Cigna Commercial: $1,037.07 Health Partners — Cigna Great West: $1,234.61
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC YAG LASER CAPSULOTOMY	$4,477.49	$1,795.48	$2,332.77 – $4,029.74
Laser treatment of clouding after cataract surgery: rates for 9 insurance plans America's PPO — Commercial: $2,861.12 America's PPO — EZCare: $2,332.77 America's PPO — Health EZ: $2,641.72 First Health — Commercial: $3,671.54 MultiPlan — Commercial: $3,805.87 Private Healthcare Systems — Commercial: $3,805.87 Sanford Health Plan — Commercial: $2,637.24 Security Health Plan — Commercial: $3,358.12 Wisconsin Physician Services — Commercial: $4,029.74
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 — Aware/Blue Plus: $1,056.28 Blue Cross of Minnesota — Medicare Advantage: $304.69 Blue Cross of Minnesota — PMAP: $249.77 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 · 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	$1,124 – $5,216.99
Cataract removal with lens implant: 10 of 36 insurance plan rates Blue Cross of Minnesota — Aware Federal: $5,031.40 Blue Cross of Minnesota — Aware/Blue Plus: $5,121.97 Blue Cross of Minnesota — Medicare Advantage: $2,361.04 Blue Cross of Minnesota — PMAP: $2,107.89 Health Partners — Cigna Commercial: $4,311.50 Health Partners — Cigna Great West: $5,132.74 Health Partners — Commercial: $4,106.19 Health Partners — Federal: $4,033.59 Health Partners — Medicare Advantage: $2,406.44 Health Partners — Medicare Cost: $1,950.55
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 — Aware/Blue Plus: $1,835.13 Blue Cross of Minnesota — Medicare Advantage: $528 Blue Cross of Minnesota — PMAP: $430.95 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

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: AS FULL ROUT OBSTE CARE,VAGINAL DELIV	$0.45 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)	$0.29 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)	$0.27 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $10,977.88
Vaginal delivery, with care before and after: 10 of 45 insurance plan rates America's PPO — Commercial: $0.36 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) America's PPO — EZCare: $0.34 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) America's PPO — Health EZ: $0.34 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Blue Cross of Minnesota — Aware Federal: $8,153.37 Blue Cross of Minnesota — Aware/Blue Plus: $8,300.13 Blue Cross of Minnesota — Medicare Advantage: $2,198.71 Blue Cross of Minnesota — PMAP: $1,511.77 First Health — Commercial: $0.37 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Health Partners — Cigna Commercial: $9,221.42 Health Partners — Cigna Great West: $10,977.88
Vaginal delivery, with care before and after CPT 59400 · Inpatient or outpatient · Doctor (professional) fee In the file: PR FULL ROUT OBSTE CARE,VAGINAL DELIV	$9,184.36	$5,758.60	$1,305.47 – $10,977.88
Vaginal delivery, with care before and after: 10 of 45 insurance plan rates America's PPO — Commercial: $7,255.65 America's PPO — EZCare: $6,980.12 America's PPO — Health EZ: $6,980.12 Blue Cross of Minnesota — Aware Federal: $8,153.37 Blue Cross of Minnesota — Aware/Blue Plus: $8,300.13 Blue Cross of Minnesota — Medicare Advantage: $2,198.71 Blue Cross of Minnesota — PMAP: $1,511.77 First Health — Commercial: $7,531.18 Health Partners — Cigna Commercial: $9,221.42 Health Partners — Cigna Great West: $10,977.88
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRICAL CARE	Not listed in the file	Not listed in the file	$673 – $19,148.44
Vaginal delivery, with care before and after: 10 of 16 insurance plan rates Blue Cross of Minnesota — Aware Federal: $11,783.85 Blue Cross of Minnesota — Aware/Blue Plus: $11,995.96 Blue Cross of Minnesota — PMAP: $4,965.10 Health Partners — Cigna Commercial: $16,084.69 Health Partners — Cigna Great West: $19,148.44 Health Partners — Commercial: $15,318.75 Health Partners — Federal: $15,047.89 Health Partners — Medicare Cost: $4,715.56 Health Partners — PMAP: $4,800.44 Medica — Bold: $1,774
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient or outpatient · Doctor (professional) fee In the file: PR CESAREAN W/ASSIST SPLIT	$10,064	$6,310.13	$1,305.47 – $12,068.90
Cesarean delivery (C-section), with care before and after: 10 of 45 insurance plan rates America's PPO — Commercial: $7,950.56 America's PPO — EZCare: $7,648.64 America's PPO — Health EZ: $7,648.64 Blue Cross of Minnesota — Aware Federal: $9,065.88 Blue Cross of Minnesota — Aware/Blue Plus: $9,229.07 Blue Cross of Minnesota — Medicare Advantage: $2,415.42 Blue Cross of Minnesota — PMAP: $1,511.77 First Health — Commercial: $8,252.48 Health Partners — Cigna Commercial: $10,137.88 Health Partners — Cigna Great West: $12,068.90
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient or outpatient · Doctor (professional) fee In the file: AS FULL ROUT OBSTE CARE,CESAREAN DELIV	$31.97 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)	$20.05 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)	$18.83 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $12,068.90
Cesarean delivery (C-section), with care before and after: 10 of 45 insurance plan rates America's PPO — Commercial: $25.26 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) America's PPO — EZCare: $24.30 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) America's PPO — Health EZ: $24.30 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Blue Cross of Minnesota — Aware Federal: $9,065.88 Blue Cross of Minnesota — Aware/Blue Plus: $9,229.07 Blue Cross of Minnesota — Medicare Advantage: $2,415.42 Blue Cross of Minnesota — PMAP: $1,511.77 First Health — Commercial: $26.22 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) Health Partners — Cigna Commercial: $10,137.88 Health Partners — Cigna Great West: $12,068.90
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient or outpatient · Doctor (professional) fee In the file: PR FULL ROUT OBSTE CARE,CESAREAN DELIV	$10,038.74	$6,294.29	$1,305.47 – $12,068.90
Cesarean delivery (C-section), with care before and after: 10 of 45 insurance plan rates America's PPO — Commercial: $7,930.60 America's PPO — EZCare: $7,629.44 America's PPO — Health EZ: $7,629.44 Blue Cross of Minnesota — Aware Federal: $9,065.88 Blue Cross of Minnesota — Aware/Blue Plus: $9,229.07 Blue Cross of Minnesota — Medicare Advantage: $2,415.42 Blue Cross of Minnesota — PMAP: $1,511.77 First Health — Commercial: $8,231.76 Health Partners — Cigna Commercial: $10,137.88 Health Partners — Cigna Great West: $12,068.90
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Inpatient or outpatient · Doctor (professional) fee In the file: PR ROUT OB CARE,VAG DELIV,PREV C-SEC	$9,443.33	$5,920.97	$1,305.47 – $11,364.10
Vaginal delivery after a previous C-section, with care before and after: 10 of 45 insurance plan rates America's PPO — Commercial: $7,460.23 America's PPO — EZCare: $7,176.93 America's PPO — Health EZ: $7,176.93 Blue Cross of Minnesota — Aware Federal: $8,547.64 Blue Cross of Minnesota — Aware/Blue Plus: $8,701.50 Blue Cross of Minnesota — Medicare Advantage: $2,274.38 Blue Cross of Minnesota — PMAP: $1,511.77 First Health — Commercial: $7,743.53 Health Partners — Cigna Commercial: $9,545.84 Health Partners — Cigna Great West: $11,364.10
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: VBAC DELIVERY	Not listed in the file	Not listed in the file	$673 – $19,822.13
Vaginal delivery after a previous C-section, with care before and after: 10 of 16 insurance plan rates Blue Cross of Minnesota — Aware Federal: $12,364.95 Blue Cross of Minnesota — Aware/Blue Plus: $12,587.52 Blue Cross of Minnesota — PMAP: $5,209.94 Health Partners — Cigna Commercial: $16,650.59 Health Partners — Cigna Great West: $19,822.13 Health Partners — Commercial: $15,857.70 Health Partners — Federal: $15,577.31 Health Partners — Medicare Cost: $4,881.47 Health Partners — PMAP: $4,969.33 Medica — Bold: $1,774
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Inpatient or outpatient · Doctor (professional) fee · modifier 22 In the file: PR ROUT OB CARE,VAG DELIV,PREV C-SEC	$11,898.75	$7,460.52	$1,305.47 – $11,364.10
Vaginal delivery after a previous C-section, with care before and after: 10 of 45 insurance plan rates America's PPO — Commercial: $9,400.01 America's PPO — EZCare: $9,043.05 America's PPO — Health EZ: $9,043.05 Blue Cross of Minnesota — Aware Federal: $8,547.64 Blue Cross of Minnesota — Aware/Blue Plus: $8,701.50 Blue Cross of Minnesota — Medicare Advantage: $2,274.38 Blue Cross of Minnesota — PMAP: $1,511.77 First Health — Commercial: $9,756.98 Health Partners — Cigna Commercial: $9,545.84 Health Partners — Cigna Great West: $11,364.10

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	$40,569.27 – $199,666.95
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 28 insurance plan rates Blue Cross of Minnesota — Medicare Advantage: $76,372.40 Health Partners — Cigna Commercial: $156,204.78 Health Partners — Cigna Great West: $185,958.07 Health Partners — Commercial: $148,766.46 Health Partners — Federal: $146,136.01 Health Partners — Medicare Advantage: $77,841.10 Health Partners — Medicare Cost: $57,902.40 Health Partners — PMAP: $58,944.64 Itasca Medical Care — Medicare Advantage/MSHO: $73,435 Medica — Bold: $173,625.13
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	$7,999.15 – $39,368.85
Hip or knee replacement (major joint of the leg), without major complications: 10 of 28 insurance plan rates Blue Cross of Minnesota — Medicare Advantage: $15,441.92 Health Partners — Cigna Commercial: $30,519.37 Health Partners — Cigna Great West: $36,332.58 Health Partners — Commercial: $29,066.06 Health Partners — Federal: $28,552.13 Health Partners — Medicare Advantage: $15,738.88 Health Partners — Medicare Cost: $11,313 Health Partners — PMAP: $11,516.63 Itasca Medical Care — Medicare Advantage/MSHO: $14,848 Medica — Bold: $34,234.12
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	$10,124.07 – $49,826.93
Neck (cervical) spinal fusion, without complications: 10 of 28 insurance plan rates Blue Cross of Minnesota — Medicare Advantage: $19,416.80 Health Partners — Cigna Commercial: $38,316.33 Health Partners — Cigna Great West: $45,614.68 Health Partners — Commercial: $36,491.75 Health Partners — Federal: $35,846.51 Health Partners — Medicare Advantage: $19,790.20 Health Partners — Medicare Cost: $14,203.20 Health Partners — PMAP: $14,458.86 Itasca Medical Care — Medicare Advantage/MSHO: $18,670 Medica — Bold: $43,328.19
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	$5,145.18 – $25,322.69
Uterus and ovary surgery (not for cancer), without complications: 10 of 28 insurance plan rates Blue Cross of Minnesota — Medicare Advantage: $10,102.56 Health Partners — Cigna Commercial: $19,400.96 Health Partners — Cigna Great West: $23,096.38 Health Partners — Commercial: $18,477.11 Health Partners — Federal: $18,150.40 Health Partners — Medicare Advantage: $10,296.84 Health Partners — Medicare Cost: $7,191.60 Health Partners — PMAP: $7,321.05 Itasca Medical Care — Medicare Advantage/MSHO: $9,714 Medica — Bold: $22,019.94

Source: M Health Fairview Southdale 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 February 6, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Acute Care Hospital
Address	6401 France Avenue South, Edina, MN 55435
County	Hennepin County
State	Minnesota
Phone	(952) 924‑5000
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	5 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	240078
Name in Medicare records	M HEALTH FAIRVIEW SOUTHDALE HOSPITAL
Profile level	Medicare data + hospital website
Official website	mhealthfairview.org
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

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

M Health Fairview Southdale Hospital — mhealthfairview.org
Emergency Department - M Health Fairview Southdale Hospital — mhealthfairview.org
M Health Fairview Southdale Hospital Lab | M Health Fairview — mhealthfairview.org