Does Mahnomen Health Center have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Mahnomen Health Center. In a medical emergency, call 911.

Where is Mahnomen Health Center?

414 W Jefferson PO Box 396, Mahnomen, MN 56557, in Mahnomen County, Minnesota.

What is the phone number of Mahnomen Health Center?

(218) 935-2511, as listed by Medicare (CMS).

What is the Medicare star rating of Mahnomen Health Center?

CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Mahnomen Health Center — Phone, Address & ER

Quick answers

Does Mahnomen Health Center have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Mahnomen Health Center. In a medical emergency, call 911.
Where is Mahnomen Health Center?: 414 W Jefferson PO Box 396, Mahnomen, MN 56557, in Mahnomen County, Minnesota.
What is the phone number of Mahnomen Health Center?: (218) 935-2511, as listed by Medicare (CMS).
What is the Medicare star rating of Mahnomen Health Center?: CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Specialties and care areas^{[4][5][9][11]}

Conditions treated^[8][9][11]

Sprains and strains
Joint and muscle pain
Pinched nerves
Balance problems or dizziness
Sports-related injuries
Stroke
Parkinson's disease
Multiple sclerosis
Autism
Hearing impairments
Osteoporosis
Urinary tract infections
Kidney disorders
Liver problems

Treatments^{[4][5][8][11]}

Laboratory services
Ambulance service
Post-acute recovery
CT scan
MRI
Echocardiogram
Ultrasound
X-ray
Bone density (DXA) test
Complete blood count (CBC) testing
Urinalysis
Blood typing and blood products
Cholesterol and glucose testing

Procedures^[8][9]

Digital mammography
Speech and swallowing evaluation
Home and job site evaluations (occupational therapy)

Programs and centers^[9][12][13]

Ambulance service (ALS and BLS, 24/7)
Hospice care through partner HIA Hospice
Outpatient rehabilitation by Big Stone Therapies

Emergency care (hospital website)^[4][7]

Emergency room	Yes
Open 24/7	Yes
Trauma designation	Level IV
Stroke designation	Stroke Ready

Visiting and practical information

Visiting	No set hours; visitation is arranged with each patient's care team. Use the Main Entrance^[6]
Parking	Visitor parking is on the south side of the building^[6]

Doctors and clinicians (25)

25 doctors and other clinicians list Mahnomen Health Center as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

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

Other emergency rooms nearby

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

Essentia Health Fosston21 mi · Fosston, MN · Critical Access Hospital
Essentia Health Ada27 mi · Ada, MN · Critical Access Hospital
Sanford Bagley Medical Center30 mi · Bagley, MN · Critical Access Hospital
Essentia Health St Marys - Detroit Lakes35 mi · Detroit Lakes, MN · Acute Care Hospital
Riverview Hospital44 mi · Crookston, MN · Critical Access Hospital

Find the closest emergency room to where you are →

Other hospitals near Mahnomen

Fargo VA Medical Center47 mi · Fargo, ND · Federal/VA Acute Care Hospital

Hospitals in Mahnomen County · Hospitals near me

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

Mahnomen Health Center0.4 mi · Mahnomen, MN · 2 of 5 stars
First Care Living Center21 mi · Fosston, MN · 4 of 5 stars
Fair Meadow Nursing Home21 mi · Fertile, MN · 4 of 5 stars

All nursing homes in the state →

Hospice providers

Essentia Health Hospice West21 mi · Fosston, MN

All hospice providers in the state →

Home health agencies

White Earth Home Health15 mi · White Earth, MN

All home health agencies in the state →

Dialysis facilities

White Earth Dialysis15 mi · White Earth, MN · 3 of 5 stars

All dialysis facilities in the state →

Community care nearby

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

Clinics and urgent care

Essentia Health St Mary's Mahnomen Clinic6.0 mi · Mahnomen, MN · Rural health clinic
Sanford Health Mahnomen Clinic6.0 mi · Mahnomen, MN · Rural health clinic
Sanford Health Twin Valley Clinic14 mi · Twin Valley, MN · Rural health clinic

Pharmacies

Thrifty Drug Stores Inc6.0 mi · Mahnomen, MN · Community/retail pharmacy

Assisted living nearby

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

Twin Valley Assisted Living14 mi · Twin Valley, 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 Mahnomen Health Center reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

Not reported to Medicare: the patient survey, infections caught in the hospital, complications and deaths, readmissions, emergency room times and sepsis care. For these topics Medicare shows no result for this hospital (not reported, or too few cases).

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in 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 68 common services exactly as Mahnomen Health Center lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

Show the prices of 68 common services

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED 99283 EMER CASE LEVEL III	$531	$477.90	$149.42 – $861
Emergency room visit (moderate): 10 of 12 insurance plan rates Blue Cross Blue Shield of Minnesota — Blue Cross Blue Plus: $382.43 Blue Cross Blue Shield of Minnesota — Minnesota Health Care Programs (MHCP): $149.42 Medica — Choice Care: $628 Medica — Commercial: $861 Medica — Medicare Advantage: $238.95 Medica — Minnesota Senior Health Options/Select Solution/Prime Soluti: $615 Sanford Health Plan — Commercial: $504.45 Sanford Health Plan — Medicare Advantage: $276.89 UCare Minnesota — Medicare Advantage: $290.73 United Healthcare — Commercial: $350.46
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ED 99283 EMER CASE LEVEL III	$531	$531	Not listed in the file
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Doctor (professional) fee In the file: MD 99283 EMERGENCY DEPT VISIT LVL III	$223	$200.70	Not listed in the file
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED 99284 EMER CASE LEVEL IV	$948	$853.20	$266.77 – $1,014
Emergency room visit (moderately high): 10 of 12 insurance plan rates Blue Cross Blue Shield of Minnesota — Blue Cross Blue Plus: $682.75 Blue Cross Blue Shield of Minnesota — Minnesota Health Care Programs (MHCP): $266.77 Medica — Choice Care: $628 Medica — Commercial: $1,014 Medica — Medicare Advantage: $426.60 Medica — Minnesota Senior Health Options/Select Solution/Prime Soluti: $615 Sanford Health Plan — Commercial: $900.60 Sanford Health Plan — Medicare Advantage: $425.82 UCare Minnesota — Medicare Advantage: $447.11 United Healthcare — Commercial: $625.68
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ED 99284 EMER CASE LEVEL IV	$948	$948	Not listed in the file
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Doctor (professional) fee In the file: MD 99284 EMERGENCY DEPT VISIT LVL IV	$415	$373.50	Not listed in the file
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED 99285 EMER CASE LEVEL V	$1,489	$1,340.10	$419 – $2,230
Emergency room visit (high): 10 of 12 insurance plan rates Blue Cross Blue Shield of Minnesota — Blue Cross Blue Plus: $1,072.38 Blue Cross Blue Shield of Minnesota — Minnesota Health Care Programs (MHCP): $419 Medica — Choice Care: $628 Medica — Commercial: $2,230 Medica — Medicare Advantage: $670.05 Medica — Minnesota Senior Health Options/Select Solution/Prime Soluti: $615 Sanford Health Plan — Commercial: $1,414.55 Sanford Health Plan — Medicare Advantage: $613.10 UCare Minnesota — Medicare Advantage: $643.76 United Healthcare — Commercial: $982.74
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ED 99285 EMER CASE LEVEL V	$1,489	$1,489	Not listed in the file
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Doctor (professional) fee In the file: MD 99285 EMERGENCY DEPT VISIT LVL V	$577	$519.30	Not listed in the file

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: BASIC METABOLIC PANEL 80048	$157	$141.30	$8.46 – $149.15
Basic metabolic panel (blood test): 10 of 12 insurance plan rates Blue Cross Blue Shield of Minnesota — Blue Cross Blue Plus: $113.07 Blue Cross Blue Shield of Minnesota — Minnesota Health Care Programs (MHCP): $44.18 Medica — Choice Care: $76.93 Medica — Commercial: $135.96 Medica — Medicare Advantage: $70.65 Medica — Minnesota Senior Health Options/Select Solution/Prime Soluti: $75.36 Sanford Health Plan — Commercial: $149.15 Sanford Health Plan — Medicare Advantage: $8.46 UCare Minnesota — Medicare Advantage: $8.88 United Healthcare — Commercial: $103.62
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL 80048	$157	$157	Not listed in the file
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PANEL 80053	$242	$217.80	$10.56 – $229.90
Comprehensive metabolic panel (blood test): 10 of 12 insurance plan rates Blue Cross Blue Shield of Minnesota — Blue Cross Blue Plus: $174.29 Blue Cross Blue Shield of Minnesota — Minnesota Health Care Programs (MHCP): $68.10 Medica — Choice Care: $118.58 Medica — Commercial: $209.57 Medica — Medicare Advantage: $108.90 Medica — Minnesota Senior Health Options/Select Solution/Prime Soluti: $116.16 Sanford Health Plan — Commercial: $229.90 Sanford Health Plan — Medicare Advantage: $10.56 UCare Minnesota — Medicare Advantage: $11.09 United Healthcare — Commercial: $159.72
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PANEL 80053	$242	$242	Not listed in the file
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL 80055	$683	$614.70	$47.81 – $648.85
Obstetric blood test panel: 10 of 12 insurance plan rates Blue Cross Blue Shield of Minnesota — Blue Cross Blue Plus: $491.90 Blue Cross Blue Shield of Minnesota — Minnesota Health Care Programs (MHCP): $192.20 Medica — Choice Care: $334.67 Medica — Commercial: $591.48 Medica — Medicare Advantage: $307.35 Medica — Minnesota Senior Health Options/Select Solution/Prime Soluti: $327.84 Sanford Health Plan — Commercial: $648.85 Sanford Health Plan — Medicare Advantage: $47.81 UCare Minnesota — Medicare Advantage: $50.20 United Healthcare — Commercial: $450.78
Obstetric blood test panel CPT 80055 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL 80055	$683	$683	Not listed in the file
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL 80061	$215	$193.50	$13.39 – $204.25
Cholesterol panel (lipid panel): 10 of 12 insurance plan rates Blue Cross Blue Shield of Minnesota — Blue Cross Blue Plus: $154.84 Blue Cross Blue Shield of Minnesota — Minnesota Health Care Programs (MHCP): $60.50 Medica — Choice Care: $105.35 Medica — Commercial: $186.19 Medica — Medicare Advantage: $96.75 Medica — Minnesota Senior Health Options/Select Solution/Prime Soluti: $103.20 Sanford Health Plan — Commercial: $204.25 Sanford Health Plan — Medicare Advantage: $13.39 UCare Minnesota — Medicare Advantage: $14.06 United Healthcare — Commercial: $141.90
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LIPID PANEL 80061	$215	$215	Not listed in the file
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL 80069	$209	$188.10	$8.68 – $198.55
Kidney function panel: 10 of 12 insurance plan rates Blue Cross Blue Shield of Minnesota — Blue Cross Blue Plus: $150.52 Blue Cross Blue Shield of Minnesota — Minnesota Health Care Programs (MHCP): $58.81 Medica — Choice Care: $102.41 Medica — Commercial: $180.99 Medica — Medicare Advantage: $94.05 Medica — Minnesota Senior Health Options/Select Solution/Prime Soluti: $100.32 Sanford Health Plan — Commercial: $198.55 Sanford Health Plan — Medicare Advantage: $8.68 UCare Minnesota — Medicare Advantage: $9.11 United Healthcare — Commercial: $137.94
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL 80069	$209	$209	Not listed in the file
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL 80076	$192	$172.80	$8.17 – $182.40
Liver function panel: 10 of 12 insurance plan rates Blue Cross Blue Shield of Minnesota — Blue Cross Blue Plus: $138.28 Blue Cross Blue Shield of Minnesota — Minnesota Health Care Programs (MHCP): $54.03 Medica — Choice Care: $94.08 Medica — Commercial: $166.27 Medica — Medicare Advantage: $86.40 Medica — Minnesota Senior Health Options/Select Solution/Prime Soluti: $92.16 Sanford Health Plan — Commercial: $182.40 Sanford Health Plan — Medicare Advantage: $8.17 UCare Minnesota — Medicare Advantage: $8.58 United Healthcare — Commercial: $126.72
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL 80076	$192	$192	Not listed in the file
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/SCOPE 81001	$97	$87.30	$3.17 – $92.15
Urine test (automated, with microscope): 10 of 12 insurance plan rates Blue Cross Blue Shield of Minnesota — Blue Cross Blue Plus: $69.86 Blue Cross Blue Shield of Minnesota — Minnesota Health Care Programs (MHCP): $27.30 Medica — Choice Care: $47.53 Medica — Commercial: $84 Medica — Medicare Advantage: $43.65 Medica — Minnesota Senior Health Options/Select Solution/Prime Soluti: $46.56 Sanford Health Plan — Commercial: $92.15 Sanford Health Plan — Medicare Advantage: $3.17 UCare Minnesota — Medicare Advantage: $3.33 United Healthcare — Commercial: $64.02
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/SCOPE 81001	$97	$97	Not listed in the file
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CLINITEST DIPSTICK TABLET81002	$68	$61.20	$3.48 – $64.60
Urine test (manual, without microscope): 10 of 12 insurance plan rates Blue Cross Blue Shield of Minnesota — Blue Cross Blue Plus: $48.97 Blue Cross Blue Shield of Minnesota — Minnesota Health Care Programs (MHCP): $19.14 Medica — Choice Care: $33.32 Medica — Commercial: $58.89 Medica — Medicare Advantage: $30.60 Medica — Minnesota Senior Health Options/Select Solution/Prime Soluti: $32.64 Sanford Health Plan — Commercial: $64.60 Sanford Health Plan — Medicare Advantage: $3.48 UCare Minnesota — Medicare Advantage: $3.65 United Healthcare — Commercial: $44.88
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CLINITEST DIPSTICK TABLET81002	$68	$68	Not listed in the file
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS-DIPSTICK ONLY 81003	$68	$61.20	$2.25 – $64.60
Urine test (automated, without microscope): 10 of 12 insurance plan rates Blue Cross Blue Shield of Minnesota — Blue Cross Blue Plus: $48.97 Blue Cross Blue Shield of Minnesota — Minnesota Health Care Programs (MHCP): $19.14 Medica — Choice Care: $33.32 Medica — Commercial: $58.89 Medica — Medicare Advantage: $30.60 Medica — Minnesota Senior Health Options/Select Solution/Prime Soluti: $32.64 Sanford Health Plan — Commercial: $64.60 Sanford Health Plan — Medicare Advantage: $2.25 UCare Minnesota — Medicare Advantage: $2.36 United Healthcare — Commercial: $44.88
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINE AUTO NO MICRO SGL ANALYT	$68	$61.20	$2.25 – $64.60
Urine test (automated, without microscope): 10 of 12 insurance plan rates Blue Cross Blue Shield of Minnesota — Blue Cross Blue Plus: $48.97 Blue Cross Blue Shield of Minnesota — Minnesota Health Care Programs (MHCP): $19.14 Medica — Choice Care: $33.32 Medica — Commercial: $58.89 Medica — Medicare Advantage: $30.60 Medica — Minnesota Senior Health Options/Select Solution/Prime Soluti: $32.64 Sanford Health Plan — Commercial: $64.60 Sanford Health Plan — Medicare Advantage: $2.25 UCare Minnesota — Medicare Advantage: $2.36 United Healthcare — Commercial: $44.88
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS DIPSTICK POCT	$68	$61.20	$2.25 – $64.60
Urine test (automated, without microscope): 10 of 12 insurance plan rates Blue Cross Blue Shield of Minnesota — Blue Cross Blue Plus: $48.97 Blue Cross Blue Shield of Minnesota — Minnesota Health Care Programs (MHCP): $19.14 Medica — Choice Care: $33.32 Medica — Commercial: $58.89 Medica — Medicare Advantage: $30.60 Medica — Minnesota Senior Health Options/Select Solution/Prime Soluti: $32.64 Sanford Health Plan — Commercial: $64.60 Sanford Health Plan — Medicare Advantage: $2.25 UCare Minnesota — Medicare Advantage: $2.36 United Healthcare — Commercial: $44.88
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CDMR ASSAY OF PSA TOTAL 84153	$227	$204.30	$18.39 – $215.65
PSA (prostate specific antigen) blood test: 10 of 12 insurance plan rates Blue Cross Blue Shield of Minnesota — Blue Cross Blue Plus: $163.49 Blue Cross Blue Shield of Minnesota — Minnesota Health Care Programs (MHCP): $63.88 Medica — Choice Care: $111.23 Medica — Commercial: $196.58 Medica — Medicare Advantage: $102.15 Medica — Minnesota Senior Health Options/Select Solution/Prime Soluti: $108.96 Sanford Health Plan — Commercial: $215.65 Sanford Health Plan — Medicare Advantage: $18.39 UCare Minnesota — Medicare Advantage: $19.31 United Healthcare — Commercial: $149.82
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROSTATE HEALTH INDEX SO 84153.900	$197	$177.30	$18.39 – $187.15
PSA (prostate specific antigen) blood test: 10 of 12 insurance plan rates Blue Cross Blue Shield of Minnesota — Blue Cross Blue Plus: $141.88 Blue Cross Blue Shield of Minnesota — Minnesota Health Care Programs (MHCP): $55.44 Medica — Choice Care: $96.53 Medica — Commercial: $170.60 Medica — Medicare Advantage: $88.65 Medica — Minnesota Senior Health Options/Select Solution/Prime Soluti: $94.56 Sanford Health Plan — Commercial: $187.15 Sanford Health Plan — Medicare Advantage: $18.39 UCare Minnesota — Medicare Advantage: $19.31 United Healthcare — Commercial: $130.02
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CDMR ASSAY OF PSA TOTAL 84153	$227	$227	Not listed in the file
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THYROID STIMULATING HORMONE (TSH) 84443	$274	$246.60	$16.80 – $260.30
Thyroid stimulating hormone (TSH) test: 10 of 12 insurance plan rates Blue Cross Blue Shield of Minnesota — Blue Cross Blue Plus: $197.33 Blue Cross Blue Shield of Minnesota — Minnesota Health Care Programs (MHCP): $77.10 Medica — Choice Care: $134.26 Medica — Commercial: $237.28 Medica — Medicare Advantage: $123.30 Medica — Minnesota Senior Health Options/Select Solution/Prime Soluti: $131.52 Sanford Health Plan — Commercial: $260.30 Sanford Health Plan — Medicare Advantage: $16.80 UCare Minnesota — Medicare Advantage: $17.64 United Healthcare — Commercial: $180.84
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: THYROID STIMULATING HORMONE (TSH) 84443	$274	$274	Not listed in the file
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE CBC W/AUTO DIFF WBC 85025	$181	$162.90	$7.77 – $171.95
Complete blood count (CBC) with differential: 10 of 12 insurance plan rates Blue Cross Blue Shield of Minnesota — Blue Cross Blue Plus: $130.36 Blue Cross Blue Shield of Minnesota — Minnesota Health Care Programs (MHCP): $50.93 Medica — Choice Care: $88.69 Medica — Commercial: $156.75 Medica — Medicare Advantage: $81.45 Medica — Minnesota Senior Health Options/Select Solution/Prime Soluti: $86.88 Sanford Health Plan — Commercial: $171.95 Sanford Health Plan — Medicare Advantage: $7.77 UCare Minnesota — Medicare Advantage: $8.16 United Healthcare — Commercial: $119.46
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPLETE CBC W/AUTO DIFF WBC 85025	$181	$181	Not listed in the file
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD COUNT COMPLETE AUTOMATED 85027	$139	$125.10	$6.47 – $132.05
Complete blood count (CBC), automated: 10 of 12 insurance plan rates Blue Cross Blue Shield of Minnesota — Blue Cross Blue Plus: $100.11 Blue Cross Blue Shield of Minnesota — Minnesota Health Care Programs (MHCP): $39.11 Medica — Choice Care: $68.11 Medica — Commercial: $120.37 Medica — Medicare Advantage: $62.55 Medica — Minnesota Senior Health Options/Select Solution/Prime Soluti: $66.72 Sanford Health Plan — Commercial: $132.05 Sanford Health Plan — Medicare Advantage: $6.47 UCare Minnesota — Medicare Advantage: $6.79 United Healthcare — Commercial: $91.74
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BLOOD COUNT COMPLETE AUTOMATED 85027	$139	$139	Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTIME 85610	$116	$104.40	$4.29 – $110.20
Blood clotting time test (prothrombin time, PT): 10 of 12 insurance plan rates Blue Cross Blue Shield of Minnesota — Blue Cross Blue Plus: $83.54 Blue Cross Blue Shield of Minnesota — Minnesota Health Care Programs (MHCP): $32.64 Medica — Choice Care: $56.84 Medica — Commercial: $100.46 Medica — Medicare Advantage: $52.20 Medica — Minnesota Senior Health Options/Select Solution/Prime Soluti: $55.68 Sanford Health Plan — Commercial: $110.20 Sanford Health Plan — Medicare Advantage: $4.29 UCare Minnesota — Medicare Advantage: $4.50 United Healthcare — Commercial: $76.56
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTIME - PROTIME CLINIC 85610	$116	$104.40	$4.29 – $110.20
Blood clotting time test (prothrombin time, PT): 10 of 12 insurance plan rates Blue Cross Blue Shield of Minnesota — Blue Cross Blue Plus: $83.54 Blue Cross Blue Shield of Minnesota — Minnesota Health Care Programs (MHCP): $32.64 Medica — Choice Care: $56.84 Medica — Commercial: $100.46 Medica — Medicare Advantage: $52.20 Medica — Minnesota Senior Health Options/Select Solution/Prime Soluti: $55.68 Sanford Health Plan — Commercial: $110.20 Sanford Health Plan — Medicare Advantage: $4.29 UCare Minnesota — Medicare Advantage: $4.50 United Healthcare — Commercial: $76.56
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT INR FINGERSTICK-QW 85610	$34	$30.60	$4.29 – $32.30
Blood clotting time test (prothrombin time, PT): 10 of 12 insurance plan rates Blue Cross Blue Shield of Minnesota — Blue Cross Blue Plus: $24.49 Blue Cross Blue Shield of Minnesota — Minnesota Health Care Programs (MHCP): $9.57 Medica — Choice Care: $16.66 Medica — Commercial: $29.44 Medica — Medicare Advantage: $15.30 Medica — Minnesota Senior Health Options/Select Solution/Prime Soluti: $16.32 Sanford Health Plan — Commercial: $32.30 Sanford Health Plan — Medicare Advantage: $4.29 UCare Minnesota — Medicare Advantage: $4.50 United Healthcare — Commercial: $22.44
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THROMBOPLASTIN TIME PARTIAL PLASMA WHOLE BLOOD (PTT) 85730	$151	$135.90	$6.01 – $143.45
Blood clotting test (partial thromboplastin time, PTT): 10 of 12 insurance plan rates Blue Cross Blue Shield of Minnesota — Blue Cross Blue Plus: $108.75 Blue Cross Blue Shield of Minnesota — Minnesota Health Care Programs (MHCP): $42.49 Medica — Choice Care: $73.99 Medica — Commercial: $130.77 Medica — Medicare Advantage: $67.95 Medica — Minnesota Senior Health Options/Select Solution/Prime Soluti: $72.48 Sanford Health Plan — Commercial: $143.45 Sanford Health Plan — Medicare Advantage: $6.01 UCare Minnesota — Medicare Advantage: $6.31 United Healthcare — Commercial: $99.66
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LUPUS ANTICOAG PANEL PTT 85730.900	$177	$159.30	$6.01 – $168.15
Blood clotting test (partial thromboplastin time, PTT): 10 of 12 insurance plan rates Blue Cross Blue Shield of Minnesota — Blue Cross Blue Plus: $127.48 Blue Cross Blue Shield of Minnesota — Minnesota Health Care Programs (MHCP): $49.81 Medica — Choice Care: $86.73 Medica — Commercial: $153.28 Medica — Medicare Advantage: $79.65 Medica — Minnesota Senior Health Options/Select Solution/Prime Soluti: $84.96 Sanford Health Plan — Commercial: $168.15 Sanford Health Plan — Medicare Advantage: $6.01 UCare Minnesota — Medicare Advantage: $6.31 United Healthcare — Commercial: $116.82
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: THROMBOPLASTIN TIME PARTIAL PLASMA WHOLE BLOOD (PTT) 85730	$151	$151	Not listed in the file

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT HEAD WO CONTRAST	$2,172	$1,954.80	$106.34 – $2,063.40
CT scan of the head or brain, without contrast: 10 of 12 insurance plan rates Blue Cross Blue Shield of Minnesota — Blue Cross Blue Plus: $1,564.27 Blue Cross Blue Shield of Minnesota — Minnesota Health Care Programs (MHCP): $611.20 Medica — Choice Care: $667 Medica — Commercial: $1,014 Medica — Medicare Advantage: $977.40 Medica — Minnesota Senior Health Options/Select Solution/Prime Soluti: $654 Sanford Health Plan — Commercial: $2,063.40 Sanford Health Plan — Medicare Advantage: $106.34 UCare Minnesota — Medicare Advantage: $111.66 United Healthcare — Commercial: $1,433.52
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT HEAD WO CONTRAST	$2,172	$2,172	Not listed in the file
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI BRAIN WO THEN W CONT	$6,276	$5,648.40	$357.13 – $5,962.20
MRI of the brain, before and after contrast: 10 of 12 insurance plan rates Blue Cross Blue Shield of Minnesota — Blue Cross Blue Plus: $4,519.98 Blue Cross Blue Shield of Minnesota — Minnesota Health Care Programs (MHCP): $1,766.07 Medica — Choice Care: $889 Medica — Commercial: $1,573 Medica — Medicare Advantage: $2,824.20 Medica — Minnesota Senior Health Options/Select Solution/Prime Soluti: $871 Sanford Health Plan — Commercial: $5,962.20 Sanford Health Plan — Medicare Advantage: $357.13 UCare Minnesota — Medicare Advantage: $374.99 United Healthcare — Commercial: $4,142.16
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI BRAIN WO THEN W CONT	$6,276	$6,276	Not listed in the file
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RAD EXAM CHEST 2 VWS	$458	$412.20	$88.05 – $435.10
Chest X-ray, 2 views: 10 of 12 insurance plan rates Blue Cross Blue Shield of Minnesota — Blue Cross Blue Plus: $329.85 Blue Cross Blue Shield of Minnesota — Minnesota Health Care Programs (MHCP): $128.88 Medica — Choice Care: $224.42 Medica — Commercial: $319 Medica — Medicare Advantage: $206.10 Medica — Minnesota Senior Health Options/Select Solution/Prime Soluti: $219.84 Sanford Health Plan — Commercial: $435.10 Sanford Health Plan — Medicare Advantage: $88.05 UCare Minnesota — Medicare Advantage: $92.45 United Healthcare — Commercial: $302.28
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RAD EXAM CHEST 2 VWS	$458	$458	Not listed in the file
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RAD EXAM SPINE LUMB MIN 4 VWS	$816	$734.40	$106.34 – $775.20
X-ray of the lower spine, at least 4 views: 10 of 12 insurance plan rates Blue Cross Blue Shield of Minnesota — Blue Cross Blue Plus: $587.68 Blue Cross Blue Shield of Minnesota — Minnesota Health Care Programs (MHCP): $229.62 Medica — Choice Care: $399.84 Medica — Commercial: $319 Medica — Medicare Advantage: $367.20 Medica — Minnesota Senior Health Options/Select Solution/Prime Soluti: $391.68 Sanford Health Plan — Commercial: $775.20 Sanford Health Plan — Medicare Advantage: $106.34 UCare Minnesota — Medicare Advantage: $111.66 United Healthcare — Commercial: $538.56
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RAD EXAM SPINE LUMB MIN 4 VWS	$816	$816	Not listed in the file
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI L SPINE WO CONTRAST	$4,250	$3,825	$241.72 – $4,037.50
MRI of the lower back (lumbar spine), without contrast: 10 of 12 insurance plan rates Blue Cross Blue Shield of Minnesota — Blue Cross Blue Plus: $3,060.85 Blue Cross Blue Shield of Minnesota — Minnesota Health Care Programs (MHCP): $1,195.95 Medica — Choice Care: $889 Medica — Commercial: $1,573 Medica — Medicare Advantage: $1,912.50 Medica — Minnesota Senior Health Options/Select Solution/Prime Soluti: $871 Sanford Health Plan — Commercial: $4,037.50 Sanford Health Plan — Medicare Advantage: $241.72 UCare Minnesota — Medicare Advantage: $253.81 United Healthcare — Commercial: $2,805
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI L SPINE WO CONTRAST	$4,250	$4,250	Not listed in the file
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT PELVIS W CONTRAST	$2,429	$2,186.10	$178.02 – $2,307.55
CT scan of the pelvis, with contrast: 10 of 12 insurance plan rates Blue Cross Blue Shield of Minnesota — Blue Cross Blue Plus: $1,749.37 Blue Cross Blue Shield of Minnesota — Minnesota Health Care Programs (MHCP): $683.52 Medica — Choice Care: $667 Medica — Commercial: $1,014 Medica — Medicare Advantage: $1,093.05 Medica — Minnesota Senior Health Options/Select Solution/Prime Soluti: $654 Sanford Health Plan — Commercial: $2,307.55 Sanford Health Plan — Medicare Advantage: $178.02 UCare Minnesota — Medicare Advantage: $186.92 United Healthcare — Commercial: $1,603.14
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT PELVIS W CONTRAST	$2,429	$2,429	Not listed in the file
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI LOWER EXT JT WO CONTRAST	$3,687	$3,318.30	$241.72 – $3,502.65
MRI of a leg joint (such as the knee), without contrast: 10 of 12 insurance plan rates Blue Cross Blue Shield of Minnesota — Blue Cross Blue Plus: $2,655.38 Blue Cross Blue Shield of Minnesota — Minnesota Health Care Programs (MHCP): $1,037.52 Medica — Choice Care: $889 Medica — Commercial: $1,573 Medica — Medicare Advantage: $1,659.15 Medica — Minnesota Senior Health Options/Select Solution/Prime Soluti: $871 Sanford Health Plan — Commercial: $3,502.65 Sanford Health Plan — Medicare Advantage: $241.72 UCare Minnesota — Medicare Advantage: $253.81 United Healthcare — Commercial: $2,433.42
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI LOWER EXT JT WO CONTRAST	$3,687	$3,687	Not listed in the file
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT ABD PELVIS W CONTRAST	$6,201	$5,580.90	$357.13 – $5,890.95
CT scan of the abdomen and pelvis, with contrast: 10 of 12 insurance plan rates Blue Cross Blue Shield of Minnesota — Blue Cross Blue Plus: $4,465.96 Blue Cross Blue Shield of Minnesota — Minnesota Health Care Programs (MHCP): $1,744.96 Medica — Choice Care: $667 Medica — Commercial: $1,014 Medica — Medicare Advantage: $2,790.45 Medica — Minnesota Senior Health Options/Select Solution/Prime Soluti: $654 Sanford Health Plan — Commercial: $5,890.95 Sanford Health Plan — Medicare Advantage: $357.13 UCare Minnesota — Medicare Advantage: $374.99 United Healthcare — Commercial: $4,092.66
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT ABD PELVIS W CONTRAST	$6,201	$6,201	Not listed in the file
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US ABD COMPLETE	$777	$699.30	$106.34 – $738.15
Ultrasound of the abdomen, complete: 10 of 12 insurance plan rates Blue Cross Blue Shield of Minnesota — Blue Cross Blue Plus: $559.60 Blue Cross Blue Shield of Minnesota — Minnesota Health Care Programs (MHCP): $218.65 Medica — Choice Care: $380.73 Medica — Commercial: $326 Medica — Medicare Advantage: $349.65 Medica — Minnesota Senior Health Options/Select Solution/Prime Soluti: $372.96 Sanford Health Plan — Commercial: $738.15 Sanford Health Plan — Medicare Advantage: $106.34 UCare Minnesota — Medicare Advantage: $111.66 United Healthcare — Commercial: $512.82
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US ABD COMPLETE	$777	$777	Not listed in the file
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US PG UTR 2-3TRI SGL 1ST	$689	$620.10	$106.34 – $654.55
Pregnancy ultrasound (after the first trimester): 10 of 12 insurance plan rates Blue Cross Blue Shield of Minnesota — Blue Cross Blue Plus: $496.22 Blue Cross Blue Shield of Minnesota — Minnesota Health Care Programs (MHCP): $193.88 Medica — Choice Care: $337.61 Medica — Commercial: $326 Medica — Medicare Advantage: $310.05 Medica — Minnesota Senior Health Options/Select Solution/Prime Soluti: $330.72 Sanford Health Plan — Commercial: $654.55 Sanford Health Plan — Medicare Advantage: $106.34 UCare Minnesota — Medicare Advantage: $111.66 United Healthcare — Commercial: $454.74
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US PG UTR 2-3TRI SGL 1ST	$689	$689	Not listed in the file
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US TRANSVAGINAL	$418	$376.20	$106.34 – $397.10
Transvaginal ultrasound: 10 of 12 insurance plan rates Blue Cross Blue Shield of Minnesota — Blue Cross Blue Plus: $301.04 Blue Cross Blue Shield of Minnesota — Minnesota Health Care Programs (MHCP): $117.63 Medica — Choice Care: $204.82 Medica — Commercial: $326 Medica — Medicare Advantage: $188.10 Medica — Minnesota Senior Health Options/Select Solution/Prime Soluti: $200.64 Sanford Health Plan — Commercial: $397.10 Sanford Health Plan — Medicare Advantage: $106.34 UCare Minnesota — Medicare Advantage: $111.66 United Healthcare — Commercial: $275.88
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US TRANSVAGINAL	$418	$418	Not listed in the file
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMMO DX UNILAT INCL CAD	$462	$415.80	$86.73 – $438.90
Diagnostic mammogram, one breast: 10 of 12 insurance plan rates Blue Cross Blue Shield of Minnesota — Blue Cross Blue Plus: $332.73 Blue Cross Blue Shield of Minnesota — Minnesota Health Care Programs (MHCP): $130.01 Medica — Choice Care: $226.38 Medica — Commercial: $298 Medica — Medicare Advantage: $207.90 Medica — Minnesota Senior Health Options/Select Solution/Prime Soluti: $221.76 Sanford Health Plan — Commercial: $438.90 Sanford Health Plan — Medicare Advantage: $86.73 UCare Minnesota — Medicare Advantage: $91.07 United Healthcare — Commercial: $304.92
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAMMO DX UNILAT INCL CAD	$462	$462	Not listed in the file
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMMO DX BILAT INCL CAD	$462	$415.80	$110.60 – $438.90
Diagnostic mammogram, both breasts: 10 of 12 insurance plan rates Blue Cross Blue Shield of Minnesota — Blue Cross Blue Plus: $332.73 Blue Cross Blue Shield of Minnesota — Minnesota Health Care Programs (MHCP): $130.01 Medica — Choice Care: $226.38 Medica — Commercial: $298 Medica — Medicare Advantage: $207.90 Medica — Minnesota Senior Health Options/Select Solution/Prime Soluti: $221.76 Sanford Health Plan — Commercial: $438.90 Sanford Health Plan — Medicare Advantage: $110.60 UCare Minnesota — Medicare Advantage: $116.13 United Healthcare — Commercial: $304.92
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAMMO DX BILAT INCL CAD	$462	$462	Not listed in the file
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMMO SCREEN BILAT INCL CAD	$544	$489.60	$91.61 – $516.80
Screening mammogram, both breasts: 10 of 12 insurance plan rates Blue Cross Blue Shield of Minnesota — Blue Cross Blue Plus: $391.79 Blue Cross Blue Shield of Minnesota — Minnesota Health Care Programs (MHCP): $153.08 Medica — Choice Care: $266.56 Medica — Commercial: $298 Medica — Medicare Advantage: $244.80 Medica — Minnesota Senior Health Options/Select Solution/Prime Soluti: $261.12 Sanford Health Plan — Commercial: $516.80 Sanford Health Plan — Medicare Advantage: $91.61 UCare Minnesota — Medicare Advantage: $96.19 United Healthcare — Commercial: $359.04
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMMO SCREEN UNILAT INCL CAD M52	$544	$489.60	$91.61 – $516.80
Screening mammogram, both breasts: 10 of 12 insurance plan rates Blue Cross Blue Shield of Minnesota — Blue Cross Blue Plus: $391.79 Blue Cross Blue Shield of Minnesota — Minnesota Health Care Programs (MHCP): $153.08 Medica — Choice Care: $266.56 Medica — Commercial: $298 Medica — Medicare Advantage: $244.80 Medica — Minnesota Senior Health Options/Select Solution/Prime Soluti: $261.12 Sanford Health Plan — Commercial: $516.80 Sanford Health Plan — Medicare Advantage: $91.61 UCare Minnesota — Medicare Advantage: $96.19 United Healthcare — Commercial: $359.04
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAMMO SCREEN BILAT INCL CAD	$544	$544	Not listed in the file

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LEFT HRT CATH W/VENTRCLGRPHY	Not listed in the file	Not listed in the file	$3,216.41 – $3,377.23
Left heart catheterization (diagnostic): rates for 3 insurance plans Sanford Health Plan — Medicare Advantage: $3,216.41 UCare Minnesota — Medicare Advantage: $3,377.23 United Healthcare — Managed Medicaid: $3,377.23
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ELECTROPHYSIOLOGY EVALUATION	Not listed in the file	Not listed in the file	$7,588.10 – $7,967.51
Heart rhythm study (electrophysiology evaluation): rates for 3 insurance plans Sanford Health Plan — Medicare Advantage: $7,588.10 UCare Minnesota — Medicare Advantage: $7,967.51 United Healthcare — Managed Medicaid: $7,967.51
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPRE EP EVAL ABLTJ ATR FIB	Not listed in the file	Not listed in the file	$24,532.30 – $25,758.92
Heart rhythm study with ablation for atrial fibrillation: rates for 3 insurance plans Sanford Health Plan — Medicare Advantage: $24,532.30 UCare Minnesota — Medicare Advantage: $25,758.92 United Healthcare — Managed Medicaid: $25,758.92
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SLEEP STUDY PARTIAL 95810 M52	$3,147	$2,832.30	$885.57 – $4,003
Sleep study (overnight, in a sleep lab): 10 of 12 insurance plan rates Blue Cross Blue Shield of Minnesota — Blue Cross Blue Plus: $2,266.47 Blue Cross Blue Shield of Minnesota — Minnesota Health Care Programs (MHCP): $885.57 Medica — Choice Care: $1,542.03 Medica — Commercial: $4,003 Medica — Medicare Advantage: $1,416.15 Medica — Minnesota Senior Health Options/Select Solution/Prime Soluti: $1,510.56 Sanford Health Plan — Commercial: $2,989.65 Sanford Health Plan — Medicare Advantage: $1,017.39 UCare Minnesota — Medicare Advantage: $1,068.26 United Healthcare — Commercial: $2,077.02
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SLEEP STUDY PARTIAL 95810 M52	$3,147	$3,147	Not listed in the file

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: THER EXERCISE EA 15 MIN 97110	$181	$162.90	$28.91 – $171.95
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 12 insurance plan rates Blue Cross Blue Shield of Minnesota — Blue Cross Blue Plus: $130.36 Blue Cross Blue Shield of Minnesota — Minnesota Health Care Programs (MHCP): $50.93 Medica — Choice Care: $88.69 Medica — Commercial: $156.75 Medica — Medicare Advantage: $81.45 Medica — Minnesota Senior Health Options/Select Solution/Prime Soluti: $86.88 Sanford Health Plan — Commercial: $171.95 Sanford Health Plan — Medicare Advantage: $28.91 UCare Minnesota — Medicare Advantage: $30.36 United Healthcare — Commercial: $119.46
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: THER EXERCISE EA 15 MIN 97110	$181	$181	Not listed in the file
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL LOW COMPLEXITY 97161	$440	$396	$98.28 – $418
Physical therapy evaluation (low complexity): 10 of 12 insurance plan rates Blue Cross Blue Shield of Minnesota — Blue Cross Blue Plus: $316.89 Blue Cross Blue Shield of Minnesota — Minnesota Health Care Programs (MHCP): $123.82 Medica — Choice Care: $215.60 Medica — Commercial: $381.04 Medica — Medicare Advantage: $198 Medica — Minnesota Senior Health Options/Select Solution/Prime Soluti: $211.20 Sanford Health Plan — Commercial: $418 Sanford Health Plan — Medicare Advantage: $98.28 UCare Minnesota — Medicare Advantage: $103.19 United Healthcare — Commercial: $290.40
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT EVAL LOW COMPLEXITY 97161	$440	$440	Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL MODERATE COMPLEXITY 97162	$484	$435.60	$98.28 – $459.80
Physical therapy evaluation (moderate complexity): 10 of 12 insurance plan rates Blue Cross Blue Shield of Minnesota — Blue Cross Blue Plus: $348.58 Blue Cross Blue Shield of Minnesota — Minnesota Health Care Programs (MHCP): $136.20 Medica — Choice Care: $237.16 Medica — Commercial: $419.14 Medica — Medicare Advantage: $217.80 Medica — Minnesota Senior Health Options/Select Solution/Prime Soluti: $232.32 Sanford Health Plan — Commercial: $459.80 Sanford Health Plan — Medicare Advantage: $98.28 UCare Minnesota — Medicare Advantage: $103.19 United Healthcare — Commercial: $319.44
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT EVAL MODERATE COMPLEXITY 97162	$484	$484	Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL HIGH COMPLEXITY 97163	$534	$480.60	$98.28 – $507.30
Physical therapy evaluation (high complexity): 10 of 12 insurance plan rates Blue Cross Blue Shield of Minnesota — Blue Cross Blue Plus: $384.59 Blue Cross Blue Shield of Minnesota — Minnesota Health Care Programs (MHCP): $150.27 Medica — Choice Care: $261.66 Medica — Commercial: $462.44 Medica — Medicare Advantage: $240.30 Medica — Minnesota Senior Health Options/Select Solution/Prime Soluti: $256.32 Sanford Health Plan — Commercial: $507.30 Sanford Health Plan — Medicare Advantage: $98.28 UCare Minnesota — Medicare Advantage: $103.19 United Healthcare — Commercial: $352.44
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT EVAL HIGH COMPLEXITY 97163	$534	$534	Not listed in the file
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 30 MINUTES	Not listed in the file	Not listed in the file	$160.67 – $168.70
Psychotherapy, 30 minutes: rates for 3 insurance plans Sanford Health Plan — Medicare Advantage: $160.67 UCare Minnesota — Medicare Advantage: $168.70 United Healthcare — Managed Medicaid: $168.70
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 45 MINUTES	Not listed in the file	Not listed in the file	$160.67 – $168.70
Psychotherapy, 45 minutes: rates for 3 insurance plans Sanford Health Plan — Medicare Advantage: $160.67 UCare Minnesota — Medicare Advantage: $168.70 United Healthcare — Managed Medicaid: $168.70
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSYTX W PT 60 MINUTES	Not listed in the file	Not listed in the file	$160.67 – $168.70
Psychotherapy, 60 minutes: rates for 3 insurance plans Sanford Health Plan — Medicare Advantage: $160.67 UCare Minnesota — Medicare Advantage: $168.70 United Healthcare — Managed Medicaid: $168.70
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/O PT 50 MIN	Not listed in the file	Not listed in the file	$160.67 – $168.70
Family psychotherapy, without the patient: rates for 3 insurance plans Sanford Health Plan — Medicare Advantage: $160.67 UCare Minnesota — Medicare Advantage: $168.70 United Healthcare — Managed Medicaid: $168.70
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/PT 50 MIN	Not listed in the file	Not listed in the file	$160.67 – $168.70
Family psychotherapy, with the patient: rates for 3 insurance plans Sanford Health Plan — Medicare Advantage: $160.67 UCare Minnesota — Medicare Advantage: $168.70 United Healthcare — Managed Medicaid: $168.70
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: GROUP PSYCHOTHERAPY	Not listed in the file	Not listed in the file	$92.50 – $97.13
Group psychotherapy: rates for 3 insurance plans Sanford Health Plan — Medicare Advantage: $92.50 UCare Minnesota — Medicare Advantage: $97.13 United Healthcare — Managed Medicaid: $97.13

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF BREAST LESION	Not listed in the file	Not listed in the file	$3,829.28 – $4,020.74
Removal of breast growth (open surgery): rates for 3 insurance plans Sanford Health Plan — Medicare Advantage: $3,829.28 UCare Minnesota — Medicare Advantage: $4,020.74 United Healthcare — Managed Medicaid: $4,020.74
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL HIP ARTHROPLASTY	Not listed in the file	Not listed in the file	$12,866.82 – $13,510.16
Total hip replacement: rates for 3 insurance plans Sanford Health Plan — Medicare Advantage: $12,866.82 UCare Minnesota — Medicare Advantage: $13,510.16 United Healthcare — Managed Medicaid: $13,510.16
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL KNEE ARTHROPLASTY	Not listed in the file	Not listed in the file	$12,866.82 – $13,510.16
Total knee replacement: rates for 3 insurance plans Sanford Health Plan — Medicare Advantage: $12,866.82 UCare Minnesota — Medicare Advantage: $13,510.16 United Healthcare — Managed Medicaid: $13,510.16
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: KNEE ARTHROSCOPY/SURGERY	Not listed in the file	Not listed in the file	$3,244.61 – $3,406.84
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 3 insurance plans Sanford Health Plan — Medicare Advantage: $3,244.61 UCare Minnesota — Medicare Advantage: $3,406.84 United Healthcare — Managed Medicaid: $3,406.84
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVE TONSILS AND ADENOIDS	Not listed in the file	Not listed in the file	$5,915.66 – $6,211.44
Removal of tonsils and adenoids (under age 12): rates for 3 insurance plans Sanford Health Plan — Medicare Advantage: $5,915.66 UCare Minnesota — Medicare Advantage: $6,211.44 United Healthcare — Managed Medicaid: $6,211.44
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD DIAGNOSTIC BRUSH WASH	Not listed in the file	Not listed in the file	$937.56 – $984.44
Upper GI endoscopy (diagnostic): rates for 3 insurance plans Sanford Health Plan — Medicare Advantage: $937.56 UCare Minnesota — Medicare Advantage: $984.44 United Healthcare — Managed Medicaid: $984.44
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD BIOPSY SINGLE/MULTIPLE	Not listed in the file	Not listed in the file	$937.56 – $984.44
Upper GI endoscopy with biopsy: rates for 3 insurance plans Sanford Health Plan — Medicare Advantage: $937.56 UCare Minnesota — Medicare Advantage: $984.44 United Healthcare — Managed Medicaid: $984.44
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC COLONOSCOPY	Not listed in the file	Not listed in the file	$911.71 – $957.30
Colonoscopy (diagnostic): rates for 3 insurance plans Sanford Health Plan — Medicare Advantage: $911.71 UCare Minnesota — Medicare Advantage: $957.30 United Healthcare — Managed Medicaid: $957.30
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY AND BIOPSY	Not listed in the file	Not listed in the file	$1,179.08 – $1,238.03
Colonoscopy with biopsy: rates for 3 insurance plans Sanford Health Plan — Medicare Advantage: $1,179.08 UCare Minnesota — Medicare Advantage: $1,238.03 United Healthcare — Managed Medicaid: $1,238.03
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/LESION REMOVAL	Not listed in the file	Not listed in the file	$1,179.08 – $1,238.03
Colonoscopy with removal of polyps (snare): rates for 3 insurance plans Sanford Health Plan — Medicare Advantage: $1,179.08 UCare Minnesota — Medicare Advantage: $1,238.03 United Healthcare — Managed Medicaid: $1,238.03
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/ENDOSCOPE US	Not listed in the file	Not listed in the file	$1,179.08 – $1,238.03
Ultrasound of the lower bowel by endoscope: rates for 3 insurance plans Sanford Health Plan — Medicare Advantage: $1,179.08 UCare Minnesota — Medicare Advantage: $1,238.03 United Healthcare — Managed Medicaid: $1,238.03
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colon ca scrn not hi rsk ind	Not listed in the file	Not listed in the file	$911.71 – $957.30
Screening colonoscopy (not high risk): rates for 3 insurance plans Sanford Health Plan — Medicare Advantage: $911.71 UCare Minnesota — Medicare Advantage: $957.30 United Healthcare — Managed Medicaid: $957.30
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPAROSCOPIC CHOLECYSTECTOMY	Not listed in the file	Not listed in the file	$5,834.36 – $6,126.08
Gallbladder removal by laparoscope: rates for 3 insurance plans Sanford Health Plan — Medicare Advantage: $5,834.36 UCare Minnesota — Medicare Advantage: $6,126.08 United Healthcare — Managed Medicaid: $6,126.08
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PRP I/HERN INIT REDUC >5 YR	Not listed in the file	Not listed in the file	$3,529.06 – $3,705.51
Groin (inguinal) hernia repair, age 5 or older: rates for 3 insurance plans Sanford Health Plan — Medicare Advantage: $3,529.06 UCare Minnesota — Medicare Advantage: $3,705.51 United Healthcare — Managed Medicaid: $3,705.51
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF PROSTATE	Not listed in the file	Not listed in the file	$2,048.51 – $2,150.94
Prostate biopsy: rates for 3 insurance plans Sanford Health Plan — Medicare Advantage: $2,048.51 UCare Minnesota — Medicare Advantage: $2,150.94 United Healthcare — Managed Medicaid: $2,150.94
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPARO RADICAL PROSTATECTOMY	Not listed in the file	Not listed in the file	$10,411.22 – $10,931.78
Prostate removal by laparoscope (radical prostatectomy): rates for 3 insurance plans Sanford Health Plan — Medicare Advantage: $10,411.22 UCare Minnesota — Medicare Advantage: $10,931.78 United Healthcare — Managed Medicaid: $10,931.78
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY BIOPSY	Not listed in the file	Not listed in the file	$3,179.53 – $3,338.51
Hysteroscopy with biopsy of the uterus lining: rates for 3 insurance plans Sanford Health Plan — Medicare Advantage: $3,179.53 UCare Minnesota — Medicare Advantage: $3,338.51 United Healthcare — Managed Medicaid: $3,338.51
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX INTERLAMINAR LMBR/SAC	Not listed in the file	Not listed in the file	$692.52 – $727.15
Spinal injection, lower back (epidural), with imaging guidance: rates for 3 insurance plans Sanford Health Plan — Medicare Advantage: $692.52 UCare Minnesota — Medicare Advantage: $727.15 United Healthcare — Managed Medicaid: $727.15
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX AA&/STRD TFRM EPI L/S 1	Not listed in the file	Not listed in the file	$890.29 – $934.80
Nerve root injection, lower back, with imaging guidance: rates for 3 insurance plans Sanford Health Plan — Medicare Advantage: $890.29 UCare Minnesota — Medicare Advantage: $934.80 United Healthcare — Managed Medicaid: $934.80
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	$1,952.77 – $2,050.41
Carpal tunnel release: rates for 3 insurance plans Sanford Health Plan — Medicare Advantage: $1,952.77 UCare Minnesota — Medicare Advantage: $2,050.41 United Healthcare — Managed Medicaid: $2,050.41
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AFTER CATARACT LASER SURGERY	Not listed in the file	Not listed in the file	$548.60 – $576.03
Laser treatment of clouding after cataract surgery: rates for 3 insurance plans Sanford Health Plan — Medicare Advantage: $548.60 UCare Minnesota — Medicare Advantage: $576.03 United Healthcare — Managed Medicaid: $576.03
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XCAPSL CTRC RMVL W/O ECP	Not listed in the file	Not listed in the file	$2,280.73 – $2,394.77
Cataract removal with lens implant: rates for 3 insurance plans Sanford Health Plan — Medicare Advantage: $2,280.73 UCare Minnesota — Medicare Advantage: $2,394.77 United Healthcare — Managed Medicaid: $2,394.77

Source: Mahnomen Health Center’s standard charges file (sthpiprd.blob.core.windows.net, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on July 16, 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	Rural Emergency Hospital
Address	414 W Jefferson PO Box 396, Mahnomen, MN 56557
County	Mahnomen County
State	Minnesota
Phone	(218) 935‑2511
Emergency services	Yes
Ownership	Government - Local
Medicare overall rating	Not rated by CMS
CMS Certification Number	240779
Name in Medicare records	MAHNOMEN HEALTH CENTER
Profile level	Medicare data + hospital website
Name on the hospital’s website	Mahnomen Health
Official website	mahnomenhealth.org
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
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.

Mahnomen Health — mahnomenhealth.org
Care & Services — mahnomenhealth.org
Patients & Visitors — mahnomenhealth.org
Mahnomen ER located at Mahnomen Health — mahnomenhealth.org
Mahnomen Radiology Department at Mahnomen Health — mahnomenhealth.org
Physical Therapy, Occupational, Speech at Mahnomen, MN — mahnomenhealth.org
Medical Lab Services in Mahnomen at Mahnomen Health — mahnomenhealth.org
Mahnomen Health Ambulance — mahnomenhealth.org
Hospice Care at Mahnomen Health, Hospice of Red River Valley — mahnomenhealth.org

Mahnomen Health Center

Summary

Profile from official sources

At a glance

Quick answers

Specialties and care areas^{[4][5][9][11]}

Conditions treated^[8][9][11]

Treatments^{[4][5][8][11]}

Procedures^[8][9]

Programs and centers^[9][12][13]

Emergency care (hospital website)^[4][7]

Visiting and practical information

Doctors and clinicians (25)

Main specialties

Doctors with a page on this site (25)

Other emergency rooms nearby

Other hospitals near Mahnomen

Nursing homes, hospice, home health and dialysis nearby

Nursing homes

Hospice providers

Home health agencies

Dialysis facilities

Community care nearby

Clinics and urgent care

Pharmacies

Assisted living nearby

About the Medicare star rating

Medicare quality data

ER wait times and Medicare ratings nearby

Prices

Office and emergency visits

Lab tests

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

Heart tests and sleep study

Physical therapy and mental health

Procedures and surgery

Hospital information

Sources

From the hospital’s website

Mahnomen Health Center

Summary

Profile from official sources

At a glance

Quick answers

Specialties and care areas[4][5][9][11]

Conditions treated[8][9][11]

Treatments[4][5][8][11]

Procedures[8][9]

Programs and centers[9][12][13]

Emergency care (hospital website)[4][7]

Visiting and practical information

Doctors and clinicians (25)

Main specialties

Doctors with a page on this site (25)

Other emergency rooms nearby

Other hospitals near Mahnomen

Nursing homes, hospice, home health and dialysis nearby

Nursing homes

Hospice providers

Home health agencies

Dialysis facilities

Community care nearby

Clinics and urgent care

Pharmacies

Assisted living nearby

About the Medicare star rating

Medicare quality data

ER wait times and Medicare ratings nearby

Prices

Office and emergency visits

Lab tests

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

Heart tests and sleep study

Physical therapy and mental health

Procedures and surgery

Hospital information

Sources

From the hospital’s website

Specialties and care areas^{[4][5][9][11]}

Conditions treated^[8][9][11]

Treatments^{[4][5][8][11]}

Procedures^[8][9]

Programs and centers^[9][12][13]

Emergency care (hospital website)^[4][7]