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Acute Care Hospital

Maple Grove Hospital

Also listed as: North Memorial Health - Maple Grove Hospital

Maple Grove, Minnesota · Hennepin County · Emergency services listed

Maple Grove Hospital is an acute care hospital at 9875 Hospital Drive, Maple Grove, MN 55369. Phone: (763) 581-1000. It has an emergency department. Medicare overall rating: 5 of 5 stars (CMS, October 2026).

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

Summary

Maple Grove Hospital is an acute care hospital in Maple Grove, Minnesota. Medicare data lists emergency services. CMS overall star rating: 5 of 5 stars. Its official website lists 46 services, specialties and programs. Medicare lists 498 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-10-26.

What is an acute care hospital?

A general hospital for short-term care: emergencies, surgery, illness and injury. Most patients stay a few days. More about hospital types

Compare

Profile from official sources

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

In a medical emergency, call 911.

At a glance

YesEmergency services
5 of 5 stars5 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
46Services listed

Quick answers

Does Maple Grove Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Maple Grove Hospital. In a medical emergency, call 911.
Where is Maple Grove Hospital?
9875 Hospital Drive, Maple Grove, MN 55369, in Hennepin County, Minnesota.
What is the phone number of Maple Grove Hospital?
(763) 581-1000, as listed by Medicare (CMS).
What is the Medicare star rating of Maple Grove Hospital?
5 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
Does Medicare reduce its payments to Maple Grove Hospital for hospital-acquired conditions?
No. For fiscal year 2026, CMS lists no Medicare payment reduction for Maple Grove Hospital under the Hospital-Acquired Condition Reduction Program (Total HAC Score: -0.3674; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Specialties and care areas[4][6]

Conditions treated[9]

Treatments[4][6][7][9]

Procedures[4][7]

Programs and centers[4][6][9][10]

  • OB/GYN hospitalist program
  • Family Birth Center
  • Level III NICU (42 beds)
  • NICU Parent Support Group
  • Antepartum care
  • Lactation services
  • Breast milk depot
  • SafeJourney domestic abuse advocacy
  • Gestational carrier support

Emergency care (hospital website)[4][5][8]

Emergency roomYes
Open 24/7Yes
Stroke designationStroke-ready site designated by the MN Department of Health

Visiting and practical information

VisitingMain entrance open 6 a.m.-9 p.m.; Emergency Care Center entrance open 24/7[4]
ParkingFree parking in the lot in front of the hospital[4]
Interpreters and languagesFree sign-language and foreign-language interpreters available 24/7 for patients[4]

Recognition[4]

  • Minnesota's Best 2026 Bronze – Best Hospital (Star Tribune)

Doctors and clinicians (498)

498 doctors and other clinicians list Maple Grove 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

Doctors with a page on this site (498)

And 474 more: the button below opens the full list.

Other emergency rooms nearby

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

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

Other hospitals near Maple Grove

Hospitals in Hennepin County · Hospitals near me

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

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

Clinics and urgent care

Pharmacies

Assisted living nearby

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

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 Maple Grove 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 hospital4 of 5 stars
Would recommend the hospital5 of 5 stars
Nurses communicated well4 of 5 stars
Doctors communicated well3 of 5 stars
Patients got help quickly from staff3 of 5 stars
Staff explained medicines3 of 5 stars
Information about recovery at home3 of 5 stars
Room and bathroom kept clean3 of 5 stars
Restfulness of Environment4 of 5 stars
Care Coordination3 of 5 stars
Symptoms After Stay3 of 5 stars
Rated the hospital 9 or 10 out of 1078%National average: 72%
Would definitely recommend the hospital78%National average: 71%
Nurses “always” communicated well78%National average: 80%
Doctors “always” communicated well79%National average: 80%
“Always” got help as soon as they wanted62%National average: 64%
Staff “always” explained medicines before giving them61%National average: 62%
Were given information about recovery at home87%National average: 86%
Room and bathroom “always” clean71%National average: 73%
Completed surveys918Response rate: 27%

Source: Patient survey (HCAHPS) - Hospital — CMS, released October 19, 2026; patients discharged January 2025 to December 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)1.242No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)0.798No different from the national benchmark
Surgical site infections after colon surgery0.77No different from the national benchmark
MRSA bloodstream infections1.606No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.187Better than the national benchmark
Not reported to MedicareSurgical site infections after abdominal hysterectomy

Source: Healthcare Associated Infections - Hospital — CMS, released October 19, 2026; data from January 2025 to December 2025.

Complications and deaths

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

Deaths within 30 days: heart failure patients10.5%
Deaths within 30 days: pneumonia patients10.3%
Deaths within 30 days: COPD patients7.5%
Serious complications (patient safety indicator PSI-90)0.86No different from the national rate
Complications after hip or knee replacement3.3%
Not reported to MedicareDeaths within 30 days: coronary bypass surgery (CABG)
Too few cases to reportDeaths within 30 days: heart attack patients; Deaths within 30 days: stroke patients

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)15.8%
Readmitted within 30 days: heart failure20.5%
Readmitted within 30 days: pneumonia16.6%
Readmitted within 30 days: COPD19.9%
Readmitted within 30 days: hip or knee replacement5.7%
Not reported to MedicareReadmitted within 30 days: coronary bypass surgery
Too few cases to reportReadmitted within 30 days: heart attack

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)High (40,000–59,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)194 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)3%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)40%National average: 66%

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

See every measure on Medicare Care Compare →

Medicare payment programs

Medicare (CMS) uses these federal programs to adjust what it pays hospitals, based on quality, safety and cost results. This is a payment to the hospital for Medicare patients, not a price you pay, and not a prediction for any one person. Results for Maple Grove Hospital, fiscal year 2026 (October 2025 to September 2026).

Show the Medicare payment program results

Hospital-Acquired Condition Reduction Program

What this means: Medicare gives each hospital a Total HAC Score built from patient-safety complications and from infections caught in the hospital. The quarter of hospitals with the highest (worst) scores gets a reduction in its Medicare payments. A lower score is better.

CMS says: Hospitals with a Total HAC Score above the 75th percentile of the Total HAC Score distribution will be subject to a 1-percent payment reduction.

Medicare payment reduction, fiscal year 2026NoCMS lists no payment reduction for this hospital.
Total HAC Score-0.3674Lower is better. Hospitals above the 75th percentile of all scores get the reduction.

Source: Hospital-Acquired Condition (HAC) Reduction Program — CMS, released January 26, 2026; patient-safety data from July 2022 to June 2024 and infection data from January 2023 to December 2024.

Hospital Readmissions Reduction Program

What this means: For six conditions, Medicare compares how often this hospital’s patients had to go back into a hospital within 30 days with how often that happens at an average hospital with similar patients. The ratio is that comparison: 1 means as many readmissions as expected, above 1 means more than expected (CMS calls these “excess readmissions”), below 1 means fewer.

CMS says: In October 2012, CMS began reducing Medicare payments for subsection(d) hospitals with excess readmissions under the Hospital Readmissions Reduction Program (HRRP).

Heart failure0.9759Fewer readmissions than expected
Pneumonia0.9357Fewer readmissions than expected
COPD (chronic lung disease)0.9949Fewer readmissions than expected
Hip or knee replacement0.9891Fewer readmissions than expected
No result publishedHeart attack; Coronary bypass surgery (CABG) (not reported, or too few cases)

Source: Hospital Readmissions Reduction Program — CMS, released January 26, 2026; patients discharged July 2021 to June 2024.

Hospital Value-Based Purchasing Program

What this means: Medicare scores hospitals in four areas, each from 0 to 100, and combines them into a Total Performance Score from 0 to 100. A higher score means better results on these measures. Medicare uses the score to adjust what it pays the hospital.

CMS says: This program adjusts payments to hospitals under the Inpatient Prospective Payment System (IPPS) based on the quality of care they deliver.

Total Performance Score60.00 out of 100Median of the 2,455 hospitals in the program: 29.50
Clinical outcomes (deaths and complications)35.00 out of 100
Person and community engagement (patient survey)55.00 out of 100
Safety (infections and sepsis care)60.00 out of 100
Efficiency and cost reduction (Medicare spending)90.00 out of 100

Source: Hospital Value-Based Purchasing (HVBP) - Total Performance Score — CMS, released January 26, 2026, fiscal year 2026. Program description: The Hospital Value-Based Purchasing (VBP) Program — CMS, page last modified September 10, 2024.

Medicare spending per patient (MSPB)

What this means: This compares what Medicare spent on a hospital stay, counting the 3 days before it and the 30 days after, with the national median hospital, after adjusting for the patient’s age and health and for local prices. A ratio of 1.00 is the national median hospital; below 1.00 means Medicare spent less, above 1.00 means more. It measures the cost to Medicare, not the quality of care.

CMS says: The Medicare Spending Per Beneficiary (MSPB) Measure shows whether Medicare spends more, less, or about the same for an episode of care (episode) at a specific hospital compared to all hospitals nationally.

Medicare spending per patient, ratio0.84Below the national median hospital (1.00): Medicare spent less

Source: Medicare Spending Per Beneficiary - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

ER wait times and Medicare ratings nearby

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

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 55 common services exactly as Maple Grove 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 →

Show the prices of 55 common services

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: Emergency department visit, moderately severe problem $642 $338.33 $219.71 – $874
Emergency room visit (moderate): 10 of 26 insurance plan rates
  • AETNA [2200] — Aetna Commercial/First Health: $481.50
  • ALLINA HEALTH-AETNA [2201] — MGH ALLINA HEALTH AETNA MEDICARE: $304.30
  • AMERICA'S PPO [1010] — AMERICA'S PPO HEALTHEZ REIMBURSEMENT CONTRACT: $434.51
  • AMERICA'S PPO [1010] — AMERICA'S PPO REIMBURSEMENT CONTRACT: $462.24
  • BLUE CROSS [1021] — MGH BCBS MED ADV: $288.50
  • BLUE CROSS [1021] — MGH BCBS MSHO: $280.10
  • BLUE CROSS [1021] — MGH BCBS PMAP: $219.71
  • BLUE CROSS [1021] — MGH XR HB BCBS AWARE: $505.35
  • BLUE CROSS [1021] — MGH XR HB BCBS FEDERAL: $496.41
  • HEALTH PARTNERS [1061] — MGH HP MED ADV: $280.66
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: Emergency department visit, problem of high severity $1,059 $558.09 $341.07 – $1,076
Emergency room visit (moderately high): 10 of 26 insurance plan rates
  • AETNA [2200] — Aetna Commercial/First Health: $794.25
  • ALLINA HEALTH-AETNA [2201] — MGH ALLINA HEALTH AETNA MEDICARE: $467.97
  • AMERICA'S PPO [1010] — AMERICA'S PPO HEALTHEZ REIMBURSEMENT CONTRACT: $716.73
  • AMERICA'S PPO [1010] — AMERICA'S PPO REIMBURSEMENT CONTRACT: $762.48
  • BLUE CROSS [1021] — MGH BCBS MED ADV: $443.67
  • BLUE CROSS [1021] — MGH BCBS MSHO: $430.75
  • BLUE CROSS [1021] — MGH BCBS PMAP: $341.07
  • BLUE CROSS [1021] — MGH XR HB BCBS AWARE: $784.44
  • BLUE CROSS [1021] — MGH XR HB BCBS FEDERAL: $770.57
  • HEALTH PARTNERS [1061] — MGH HP MED ADV: $431.61
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: Emergency department visit, problem with significant threat to life or function $1,406 $740.96 $494.63 – $1,429
Emergency room visit (high): 10 of 26 insurance plan rates
  • AETNA [2200] — Aetna Commercial/First Health: $1,054.50
  • ALLINA HEALTH-AETNA [2201] — MGH ALLINA HEALTH AETNA MEDICARE: $673.78
  • AMERICA'S PPO [1010] — AMERICA'S PPO HEALTHEZ REIMBURSEMENT CONTRACT: $951.58
  • AMERICA'S PPO [1010] — AMERICA'S PPO REIMBURSEMENT CONTRACT: $1,012.32
  • BLUE CROSS [1021] — MGH BCBS MED ADV: $638.81
  • BLUE CROSS [1021] — MGH BCBS MSHO: $620.20
  • BLUE CROSS [1021] — MGH BCBS PMAP: $494.63
  • BLUE CROSS [1021] — MGH XR HB BCBS AWARE: $1,137.62
  • BLUE CROSS [1021] — MGH XR HB BCBS FEDERAL: $1,117.50
  • HEALTH PARTNERS [1061] — MGH HP MED ADV: $621.44

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: Basic metbolic panel $47 $24.77 $6.23 – $50.13
Basic metabolic panel (blood test): 10 of 29 insurance plan rates
  • AETNA [2200] — Aetna Commercial/First Health: $35.25
  • ALLINA HEALTH-AETNA [2201] — MGH ALLINA HEALTH AETNA MEDICARE: $9.19
  • AMERICA'S PPO [1010] — AMERICA'S PPO HEALTHEZ REIMBURSEMENT CONTRACT: $31.81
  • AMERICA'S PPO [1010] — AMERICA'S PPO REIMBURSEMENT CONTRACT: $33.84
  • BLUE CROSS [1021] — MGH BCBS MED ADV: $8.71
  • BLUE CROSS [1021] — MGH BCBS MSHO: $8.46
  • BLUE CROSS [1021] — MGH BCBS PMAP: $8.61
  • BLUE CROSS [1021] — MGH XR HB BCBS AWARE: $8.61
  • BLUE CROSS [1021] — MGH XR HB BCBS FEDERAL: $8.46
  • CIGNA HEALTH PARTNERS [1242] — MGH HP CIGNA: $25.18
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: Comprehensive metabolic panel $59 $31.09 $7.66 – $47.81
Comprehensive metabolic panel (blood test): 10 of 29 insurance plan rates
  • AETNA [2200] — Aetna Commercial/First Health: $44.25
  • ALLINA HEALTH-AETNA [2201] — MGH ALLINA HEALTH AETNA MEDICARE: $11.47
  • AMERICA'S PPO [1010] — AMERICA'S PPO HEALTHEZ REIMBURSEMENT CONTRACT: $39.93
  • AMERICA'S PPO [1010] — AMERICA'S PPO REIMBURSEMENT CONTRACT: $42.48
  • BLUE CROSS [1021] — MGH BCBS MED ADV: $10.88
  • BLUE CROSS [1021] — MGH BCBS MSHO: $10.56
  • BLUE CROSS [1021] — MGH BCBS PMAP: $10.75
  • BLUE CROSS [1021] — MGH XR HB BCBS AWARE: $10.75
  • BLUE CROSS [1021] — MGH XR HB BCBS FEDERAL: $10.56
  • CIGNA HEALTH PARTNERS [1242] — MGH HP CIGNA: $31.22
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: Blood test, lipids (cholesterol and triglycerides) $35 $18.44 $8.68 – $40.28
Cholesterol panel (lipid panel): 10 of 30 insurance plan rates
  • AETNA [2200] — Aetna Commercial/First Health: $26.25
  • ALLINA HEALTH-AETNA [2201] — MGH ALLINA HEALTH AETNA MEDICARE: $14.55
  • AMERICA'S PPO [1010] — AMERICA'S PPO HEALTHEZ REIMBURSEMENT CONTRACT: $23.69
  • AMERICA'S PPO [1010] — AMERICA'S PPO REIMBURSEMENT CONTRACT: $25.20
  • BLUE CROSS [1021] — MGH BCBS MED ADV: $13.79
  • BLUE CROSS [1021] — MGH BCBS MSHO: $13.39
  • BLUE CROSS [1021] — MGH BCBS PMAP: $13.63
  • BLUE CROSS [1021] — MGH XR HB BCBS AWARE: $13.63
  • BLUE CROSS [1021] — MGH XR HB BCBS FEDERAL: $13.39
  • CIGNA HEALTH PARTNERS [1242] — MGH HP CIGNA: $40.28
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: Lipid profile $42 $22.13 $8.68 – $40.28
Cholesterol panel (lipid panel): 10 of 30 insurance plan rates
  • AETNA [2200] — Aetna Commercial/First Health: $31.50
  • ALLINA HEALTH-AETNA [2201] — MGH ALLINA HEALTH AETNA MEDICARE: $14.55
  • AMERICA'S PPO [1010] — AMERICA'S PPO HEALTHEZ REIMBURSEMENT CONTRACT: $28.43
  • AMERICA'S PPO [1010] — AMERICA'S PPO REIMBURSEMENT CONTRACT: $30.24
  • BLUE CROSS [1021] — MGH BCBS MED ADV: $13.79
  • BLUE CROSS [1021] — MGH BCBS MSHO: $13.39
  • BLUE CROSS [1021] — MGH BCBS PMAP: $13.63
  • BLUE CROSS [1021] — MGH XR HB BCBS AWARE: $13.63
  • BLUE CROSS [1021] — MGH XR HB BCBS FEDERAL: $13.39
  • CIGNA HEALTH PARTNERS [1242] — MGH HP CIGNA: $40.28
Kidney function panel CPT 80069 · Inpatient or outpatient · Hospital (facility) fee In the file: Kidney function blood test panel $22 $11.59 $6.47 – $47.63
Kidney function panel: 10 of 29 insurance plan rates
  • AETNA [2200] — Aetna Commercial/First Health: $16.50
  • ALLINA HEALTH-AETNA [2201] — MGH ALLINA HEALTH AETNA MEDICARE: $9.43
  • AMERICA'S PPO [1010] — AMERICA'S PPO HEALTHEZ REIMBURSEMENT CONTRACT: $14.89
  • AMERICA'S PPO [1010] — AMERICA'S PPO REIMBURSEMENT CONTRACT: $15.84
  • BLUE CROSS [1021] — MGH BCBS MED ADV: $8.94
  • BLUE CROSS [1021] — MGH BCBS MSHO: $8.68
  • BLUE CROSS [1021] — MGH BCBS PMAP: $8.84
  • BLUE CROSS [1021] — MGH XR HB BCBS AWARE: $8.84
  • BLUE CROSS [1021] — MGH XR HB BCBS FEDERAL: $8.68
  • CIGNA HEALTH PARTNERS [1242] — MGH HP CIGNA: $26.18
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: Liver profile panel $46 $24.24 $5.99 – $74.86
Liver function panel: 10 of 29 insurance plan rates
  • AETNA [2200] — Aetna Commercial/First Health: $34.50
  • ALLINA HEALTH-AETNA [2201] — MGH ALLINA HEALTH AETNA MEDICARE: $8.88
  • AMERICA'S PPO [1010] — AMERICA'S PPO HEALTHEZ REIMBURSEMENT CONTRACT: $31.13
  • AMERICA'S PPO [1010] — AMERICA'S PPO REIMBURSEMENT CONTRACT: $33.12
  • BLUE CROSS [1021] — MGH BCBS MED ADV: $8.42
  • BLUE CROSS [1021] — MGH BCBS MSHO: $8.17
  • BLUE CROSS [1021] — MGH BCBS PMAP: $8.32
  • BLUE CROSS [1021] — MGH XR HB BCBS AWARE: $8.32
  • BLUE CROSS [1021] — MGH XR HB BCBS FEDERAL: $8.17
  • CIGNA HEALTH PARTNERS [1242] — MGH HP CIGNA: $24.17
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: Urinalysis W/ Microscopic $28 $14.76 $2.40 – $22.40
Urine test (automated, with microscope): 10 of 29 insurance plan rates
  • AETNA [2200] — Aetna Commercial/First Health: $21
  • ALLINA HEALTH-AETNA [2201] — MGH ALLINA HEALTH AETNA MEDICARE: $3.44
  • AMERICA'S PPO [1010] — AMERICA'S PPO HEALTHEZ REIMBURSEMENT CONTRACT: $18.95
  • AMERICA'S PPO [1010] — AMERICA'S PPO REIMBURSEMENT CONTRACT: $20.16
  • BLUE CROSS [1021] — MGH BCBS MED ADV: $3.27
  • BLUE CROSS [1021] — MGH BCBS MSHO: $3.17
  • BLUE CROSS [1021] — MGH BCBS PMAP: $3.23
  • BLUE CROSS [1021] — MGH XR HB BCBS AWARE: $3.23
  • BLUE CROSS [1021] — MGH XR HB BCBS FEDERAL: $3.17
  • CIGNA HEALTH PARTNERS [1242] — MGH HP CIGNA: $9.06
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Hospital (facility) fee In the file: Urinalysis, manual test $6 $3.16 $2.25 – $6.26
Urine test (manual, without microscope): 10 of 25 insurance plan rates
  • AETNA [2200] — Aetna Commercial/First Health: $4.50
  • ALLINA HEALTH-AETNA [2201] — MGH ALLINA HEALTH AETNA MEDICARE: $3.78
  • AMERICA'S PPO [1010] — AMERICA'S PPO HEALTHEZ REIMBURSEMENT CONTRACT: $4.06
  • AMERICA'S PPO [1010] — AMERICA'S PPO REIMBURSEMENT CONTRACT: $4.32
  • BLUE CROSS [1021] — MGH BCBS MED ADV: $3.58
  • BLUE CROSS [1021] — MGH BCBS MSHO: $3.48
  • BLUE CROSS [1021] — MGH BCBS PMAP: $3.54
  • BLUE CROSS [1021] — MGH XR HB BCBS AWARE: $3.54
  • BLUE CROSS [1021] — MGH XR HB BCBS FEDERAL: $3.48
  • HEALTH PARTNERS [1061] — MGH HP MED ADV: $3.49
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: Urine Macroscopic $14 $7.38 $1.68 – $11.20
Urine test (automated, without microscope): 10 of 29 insurance plan rates
  • AETNA [2200] — Aetna Commercial/First Health: $10.50
  • ALLINA HEALTH-AETNA [2201] — MGH ALLINA HEALTH AETNA MEDICARE: $2.44
  • AMERICA'S PPO [1010] — AMERICA'S PPO HEALTHEZ REIMBURSEMENT CONTRACT: $9.48
  • AMERICA'S PPO [1010] — AMERICA'S PPO REIMBURSEMENT CONTRACT: $10.08
  • BLUE CROSS [1021] — MGH BCBS MED ADV: $2.32
  • BLUE CROSS [1021] — MGH BCBS MSHO: $2.25
  • BLUE CROSS [1021] — MGH BCBS PMAP: $2.29
  • BLUE CROSS [1021] — MGH XR HB BCBS AWARE: $2.29
  • BLUE CROSS [1021] — MGH XR HB BCBS FEDERAL: $2.25
  • CIGNA HEALTH PARTNERS [1242] — MGH HP CIGNA: $7.05
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: PSA (prostate specific antigen) measurement, total $33.10 $17.44 $13.42 – $54.38
PSA (prostate specific antigen) blood test: 10 of 29 insurance plan rates
  • AETNA [2200] — Aetna Commercial/First Health: $24.83
  • ALLINA HEALTH-AETNA [2201] — MGH ALLINA HEALTH AETNA MEDICARE: $19.98
  • AMERICA'S PPO [1010] — AMERICA'S PPO HEALTHEZ REIMBURSEMENT CONTRACT: $22.40
  • AMERICA'S PPO [1010] — AMERICA'S PPO REIMBURSEMENT CONTRACT: $23.83
  • BLUE CROSS [1021] — MGH BCBS MED ADV: $18.94
  • BLUE CROSS [1021] — MGH BCBS MSHO: $18.39
  • BLUE CROSS [1021] — MGH BCBS PMAP: $18.72
  • BLUE CROSS [1021] — MGH XR HB BCBS AWARE: $18.72
  • BLUE CROSS [1021] — MGH XR HB BCBS FEDERAL: $18.39
  • CIGNA HEALTH PARTNERS [1242] — MGH HP CIGNA: $54.38
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: Blood test, thyroid stimulating hormone (TSH) $30.24 $15.94 $12.21 – $50.86
Thyroid stimulating hormone (TSH) test: 10 of 29 insurance plan rates
  • AETNA [2200] — Aetna Commercial/First Health: $22.68
  • ALLINA HEALTH-AETNA [2201] — MGH ALLINA HEALTH AETNA MEDICARE: $18.25
  • AMERICA'S PPO [1010] — AMERICA'S PPO HEALTHEZ REIMBURSEMENT CONTRACT: $20.47
  • AMERICA'S PPO [1010] — AMERICA'S PPO REIMBURSEMENT CONTRACT: $21.77
  • BLUE CROSS [1021] — MGH BCBS MED ADV: $17.30
  • BLUE CROSS [1021] — MGH BCBS MSHO: $16.80
  • BLUE CROSS [1021] — MGH BCBS PMAP: $17.10
  • BLUE CROSS [1021] — MGH XR HB BCBS AWARE: $17.10
  • BLUE CROSS [1021] — MGH XR HB BCBS FEDERAL: $16.80
  • CIGNA HEALTH PARTNERS [1242] — MGH HP CIGNA: $50.35
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: Complete blood cell count (red cells, white blood cell, platelets), automated test $42 $22.13 $5.75 – $33.60
Complete blood count (CBC) with differential: 10 of 29 insurance plan rates
  • AETNA [2200] — Aetna Commercial/First Health: $31.50
  • ALLINA HEALTH-AETNA [2201] — MGH ALLINA HEALTH AETNA MEDICARE: $8.44
  • AMERICA'S PPO [1010] — AMERICA'S PPO HEALTHEZ REIMBURSEMENT CONTRACT: $28.43
  • AMERICA'S PPO [1010] — AMERICA'S PPO REIMBURSEMENT CONTRACT: $30.24
  • BLUE CROSS [1021] — MGH BCBS MED ADV: $8
  • BLUE CROSS [1021] — MGH BCBS MSHO: $7.77
  • BLUE CROSS [1021] — MGH BCBS PMAP: $7.91
  • BLUE CROSS [1021] — MGH XR HB BCBS AWARE: $7.91
  • BLUE CROSS [1021] — MGH XR HB BCBS FEDERAL: $7.77
  • CIGNA HEALTH PARTNERS [1242] — MGH HP CIGNA: $23.16
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: Complete blood cell count (red cells, white blood cell, platelets), automated test $37 $19.50 $4.31 – $29.60
Complete blood count (CBC), automated: 10 of 29 insurance plan rates
  • AETNA [2200] — Aetna Commercial/First Health: $27.75
  • ALLINA HEALTH-AETNA [2201] — MGH ALLINA HEALTH AETNA MEDICARE: $7.03
  • AMERICA'S PPO [1010] — AMERICA'S PPO HEALTHEZ REIMBURSEMENT CONTRACT: $25.04
  • AMERICA'S PPO [1010] — AMERICA'S PPO REIMBURSEMENT CONTRACT: $26.64
  • BLUE CROSS [1021] — MGH BCBS MED ADV: $6.66
  • BLUE CROSS [1021] — MGH BCBS MSHO: $6.47
  • BLUE CROSS [1021] — MGH BCBS PMAP: $6.59
  • BLUE CROSS [1021] — MGH XR HB BCBS AWARE: $6.59
  • BLUE CROSS [1021] — MGH XR HB BCBS FEDERAL: $6.47
  • CIGNA HEALTH PARTNERS [1242] — MGH HP CIGNA: $19.13
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: Blood test, clotting time $47.20 $24.87 $3.11 – $37.76
Blood clotting time test (prothrombin time, PT): 10 of 29 insurance plan rates
  • AETNA [2200] — Aetna Commercial/First Health: $35.40
  • ALLINA HEALTH-AETNA [2201] — MGH ALLINA HEALTH AETNA MEDICARE: $4.66
  • AMERICA'S PPO [1010] — AMERICA'S PPO HEALTHEZ REIMBURSEMENT CONTRACT: $31.94
  • AMERICA'S PPO [1010] — AMERICA'S PPO REIMBURSEMENT CONTRACT: $33.98
  • BLUE CROSS [1021] — MGH BCBS MED ADV: $4.42
  • BLUE CROSS [1021] — MGH BCBS MSHO: $4.29
  • BLUE CROSS [1021] — MGH BCBS PMAP: $4.37
  • BLUE CROSS [1021] — MGH XR HB BCBS AWARE: $4.37
  • BLUE CROSS [1021] — MGH XR HB BCBS FEDERAL: $4.29
  • CIGNA HEALTH PARTNERS [1242] — MGH HP CIGNA: $13.09
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: Coagulation assessment blood test, plasma or whole blood $66.14 $34.86 $4.31 – $52.91
Blood clotting test (partial thromboplastin time, PTT): 10 of 29 insurance plan rates
  • AETNA [2200] — Aetna Commercial/First Health: $49.61
  • ALLINA HEALTH-AETNA [2201] — MGH ALLINA HEALTH AETNA MEDICARE: $6.53
  • AMERICA'S PPO [1010] — AMERICA'S PPO HEALTHEZ REIMBURSEMENT CONTRACT: $44.76
  • AMERICA'S PPO [1010] — AMERICA'S PPO REIMBURSEMENT CONTRACT: $47.62
  • BLUE CROSS [1021] — MGH BCBS MED ADV: $6.19
  • BLUE CROSS [1021] — MGH BCBS MSHO: $6.01
  • BLUE CROSS [1021] — MGH BCBS PMAP: $6.12
  • BLUE CROSS [1021] — MGH XR HB BCBS AWARE: $6.12
  • BLUE CROSS [1021] — MGH XR HB BCBS FEDERAL: $6.01
  • CIGNA HEALTH PARTNERS [1242] — MGH HP CIGNA: $18.13

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee In the file: CT scan head or brain $1,042 $549.13 $73.93 – $1,432
CT scan of the head or brain, without contrast: 10 of 28 insurance plan rates
  • ALLINA HEALTH-AETNA [2201] — MGH ALLINA HEALTH AETNA MEDICARE: $116.87
  • AMERICA'S PPO [1010] — AMERICA'S PPO HEALTHEZ REIMBURSEMENT CONTRACT: $705.23
  • AMERICA'S PPO [1010] — AMERICA'S PPO REIMBURSEMENT CONTRACT: $750.24
  • BLUE CROSS [1021] — MGH BCBS MED ADV: $110.80
  • BLUE CROSS [1021] — MGH BCBS MSHO: $107.57
  • BLUE CROSS [1021] — MGH BCBS PMAP: $84.67
  • BLUE CROSS [1021] — MGH XR HB BCBS AWARE: $194.73
  • BLUE CROSS [1021] — MGH XR HB BCBS FEDERAL: $191.29
  • CIGNA HEALTH PARTNERS [1242] — MGH HP CIGNA: $202.81
  • HEALTH PARTNERS [1061] — MGH HP COMM: $202.81
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: Magnetic resonance imaging (MRI), brain $1,975 $1,040.82 $258.61 – $2,340
MRI of the brain, before and after contrast: 10 of 29 insurance plan rates
  • ALLINA HEALTH-AETNA [2201] — MGH ALLINA HEALTH AETNA MEDICARE: $392.48
  • AMERICA'S PPO [1010] — AMERICA'S PPO HEALTHEZ REIMBURSEMENT CONTRACT: $1,336.68
  • AMERICA'S PPO [1010] — AMERICA'S PPO REIMBURSEMENT CONTRACT: $1,422
  • BLUE CROSS [1021] — MGH BCBS MED ADV: $372.10
  • BLUE CROSS [1021] — MGH BCBS MSHO: $361.27
  • BLUE CROSS [1021] — MGH BCBS PMAP: $296.15
  • BLUE CROSS [1021] — MGH XR HB BCBS AWARE: $681.12
  • BLUE CROSS [1021] — MGH XR HB BCBS FEDERAL: $669.08
  • CIGNA HEALTH PARTNERS [1242] — MGH HP CIGNA: $709.42
  • HEALTH PARTNERS [1061] — MGH HP COMM: $709.42
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: X-ray of chest, 2 views $271 $142.82 $61.10 – $892
Chest X-ray, 2 views: 10 of 30 insurance plan rates
  • AETNA [2200] — Aetna Commercial/First Health: $203.25
  • ALLINA HEALTH-AETNA [2201] — MGH ALLINA HEALTH AETNA MEDICARE: $96.77
  • AMERICA'S PPO [1010] — AMERICA'S PPO HEALTHEZ REIMBURSEMENT CONTRACT: $183.41
  • AMERICA'S PPO [1010] — AMERICA'S PPO REIMBURSEMENT CONTRACT: $195.12
  • BLUE CROSS [1021] — MGH BCBS MED ADV: $91.74
  • BLUE CROSS [1021] — MGH BCBS MSHO: $89.07
  • BLUE CROSS [1021] — MGH BCBS PMAP: $69.98
  • BLUE CROSS [1021] — MGH XR HB BCBS AWARE: $160.94
  • BLUE CROSS [1021] — MGH XR HB BCBS FEDERAL: $158.09
  • CIGNA HEALTH PARTNERS [1242] — MGH HP CIGNA: $167.62
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee In the file: X-Ray, spine, lumbosacral; minimum of 4 views $421 $221.87 $73.93 – $892
X-ray of the lower spine, at least 4 views: 10 of 30 insurance plan rates
  • AETNA [2200] — Aetna Commercial/First Health: $315.75
  • ALLINA HEALTH-AETNA [2201] — MGH ALLINA HEALTH AETNA MEDICARE: $116.87
  • AMERICA'S PPO [1010] — AMERICA'S PPO HEALTHEZ REIMBURSEMENT CONTRACT: $284.93
  • AMERICA'S PPO [1010] — AMERICA'S PPO REIMBURSEMENT CONTRACT: $303.12
  • BLUE CROSS [1021] — MGH BCBS MED ADV: $110.80
  • BLUE CROSS [1021] — MGH BCBS MSHO: $107.57
  • BLUE CROSS [1021] — MGH BCBS PMAP: $84.67
  • BLUE CROSS [1021] — MGH XR HB BCBS AWARE: $194.73
  • BLUE CROSS [1021] — MGH XR HB BCBS FEDERAL: $191.29
  • CIGNA HEALTH PARTNERS [1242] — MGH HP CIGNA: $202.81
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee In the file: Magnetic resonance imaging (MRI), spinal canal, lumbar $1,407 $741.49 $164.77 – $2,340
MRI of the lower back (lumbar spine), without contrast: 10 of 29 insurance plan rates
  • ALLINA HEALTH-AETNA [2201] — MGH ALLINA HEALTH AETNA MEDICARE: $265.65
  • AMERICA'S PPO [1010] — AMERICA'S PPO HEALTHEZ REIMBURSEMENT CONTRACT: $952.26
  • AMERICA'S PPO [1010] — AMERICA'S PPO REIMBURSEMENT CONTRACT: $1,013.04
  • BLUE CROSS [1021] — MGH BCBS MED ADV: $251.85
  • BLUE CROSS [1021] — MGH BCBS MSHO: $244.52
  • BLUE CROSS [1021] — MGH BCBS PMAP: $188.70
  • BLUE CROSS [1021] — MGH XR HB BCBS AWARE: $433.98
  • BLUE CROSS [1021] — MGH XR HB BCBS FEDERAL: $426.31
  • CIGNA HEALTH PARTNERS [1242] — MGH HP CIGNA: $452.02
  • HEALTH PARTNERS [1061] — MGH HP COMM: $452.02
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee In the file: CT scan pelvis with contrast $1,292 $680.88 $123.55 – $1,432
CT scan of the pelvis, with contrast: 10 of 29 insurance plan rates
  • ALLINA HEALTH-AETNA [2201] — MGH ALLINA HEALTH AETNA MEDICARE: $195.64
  • AMERICA'S PPO [1010] — AMERICA'S PPO HEALTHEZ REIMBURSEMENT CONTRACT: $874.43
  • AMERICA'S PPO [1010] — AMERICA'S PPO REIMBURSEMENT CONTRACT: $930.24
  • BLUE CROSS [1021] — MGH BCBS MED ADV: $185.48
  • BLUE CROSS [1021] — MGH BCBS MSHO: $180.08
  • BLUE CROSS [1021] — MGH BCBS PMAP: $141.48
  • BLUE CROSS [1021] — MGH XR HB BCBS AWARE: $325.41
  • BLUE CROSS [1021] — MGH XR HB BCBS FEDERAL: $319.66
  • CIGNA HEALTH PARTNERS [1242] — MGH HP CIGNA: $338.94
  • HEALTH PARTNERS [1061] — MGH HP COMM: $338.94
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: Magnetic resonance imaging MRI), leg joint $1,530 $806.31 $164.77 – $2,340
MRI of a leg joint (such as the knee), without contrast: 10 of 29 insurance plan rates
  • ALLINA HEALTH-AETNA [2201] — MGH ALLINA HEALTH AETNA MEDICARE: $265.65
  • AMERICA'S PPO [1010] — AMERICA'S PPO HEALTHEZ REIMBURSEMENT CONTRACT: $1,035.50
  • AMERICA'S PPO [1010] — AMERICA'S PPO REIMBURSEMENT CONTRACT: $1,101.60
  • BLUE CROSS [1021] — MGH BCBS MED ADV: $251.85
  • BLUE CROSS [1021] — MGH BCBS MSHO: $244.52
  • BLUE CROSS [1021] — MGH BCBS PMAP: $188.70
  • BLUE CROSS [1021] — MGH XR HB BCBS AWARE: $433.98
  • BLUE CROSS [1021] — MGH XR HB BCBS FEDERAL: $426.31
  • CIGNA HEALTH PARTNERS [1242] — MGH HP CIGNA: $452.02
  • HEALTH PARTNERS [1061] — MGH HP COMM: $452.02
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee · modifier 50 In the file: Magnetic resonance imaging MRI), leg joint|BILATERAL PROCEDURE $3,060 $1,612.62 $377.39 – $2,448
MRI of a leg joint (such as the knee), without contrast: 10 of 12 insurance plan rates
  • AMERICA'S PPO [1010] — AMERICA'S PPO HEALTHEZ REIMBURSEMENT CONTRACT: $2,071.01
  • AMERICA'S PPO [1010] — AMERICA'S PPO REIMBURSEMENT CONTRACT: $2,203.20
  • BLUE CROSS [1021] — MGH BCBS PMAP: $377.39
  • BLUE CROSS [1021] — MGH XR HB BCBS AWARE: $867.97
  • BLUE CROSS [1021] — MGH XR HB BCBS FEDERAL: $852.62
  • MEDICA [1086] — MEDICA ACCLAIM: $2,122
  • MEDICA [1086] — MEDICA CHOICE CARE: $999
  • MEDICA [1086] — MEDICA COMMERCIAL (With WH): $2,340
  • MEDICA [1086] — MEDICA FV NM - ACO VANTAGE: $2,180
  • MEDICA [1086] — MGH MEDICA MSHO: $1,157.38
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee In the file: CT scan of abdomen and pelvis with contrast $1,341 $706.71 $258.61 – $1,432
CT scan of the abdomen and pelvis, with contrast: 10 of 29 insurance plan rates
  • ALLINA HEALTH-AETNA [2201] — MGH ALLINA HEALTH AETNA MEDICARE: $392.48
  • AMERICA'S PPO [1010] — AMERICA'S PPO HEALTHEZ REIMBURSEMENT CONTRACT: $907.59
  • AMERICA'S PPO [1010] — AMERICA'S PPO REIMBURSEMENT CONTRACT: $965.52
  • BLUE CROSS [1021] — MGH BCBS MED ADV: $372.10
  • BLUE CROSS [1021] — MGH BCBS MSHO: $361.27
  • BLUE CROSS [1021] — MGH BCBS PMAP: $296.15
  • BLUE CROSS [1021] — MGH XR HB BCBS AWARE: $681.12
  • BLUE CROSS [1021] — MGH XR HB BCBS FEDERAL: $669.08
  • CIGNA HEALTH PARTNERS [1242] — MGH HP CIGNA: $709.42
  • HEALTH PARTNERS [1061] — MGH HP COMM: $709.42
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: Ultrasound of abdomen $623 $328.32 $73.93 – $498.40
Ultrasound of the abdomen, complete: 10 of 29 insurance plan rates
  • ALLINA HEALTH-AETNA [2201] — MGH ALLINA HEALTH AETNA MEDICARE: $116.87
  • AMERICA'S PPO [1010] — AMERICA'S PPO HEALTHEZ REIMBURSEMENT CONTRACT: $421.65
  • AMERICA'S PPO [1010] — AMERICA'S PPO REIMBURSEMENT CONTRACT: $448.56
  • BLUE CROSS [1021] — MGH BCBS MED ADV: $110.80
  • BLUE CROSS [1021] — MGH BCBS MSHO: $107.57
  • BLUE CROSS [1021] — MGH BCBS PMAP: $84.67
  • BLUE CROSS [1021] — MGH XR HB BCBS AWARE: $194.73
  • BLUE CROSS [1021] — MGH XR HB BCBS FEDERAL: $191.29
  • CIGNA HEALTH PARTNERS [1242] — MGH HP CIGNA: $202.81
  • HEALTH PARTNERS [1061] — MGH HP COMM: $202.81
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: Ultrasound of pregnant uterus $608 $320.42 $73.93 – $486.40
Pregnancy ultrasound (after the first trimester): 10 of 30 insurance plan rates
  • AETNA [2200] — Aetna Commercial/First Health: $456
  • ALLINA HEALTH-AETNA [2201] — MGH ALLINA HEALTH AETNA MEDICARE: $116.87
  • AMERICA'S PPO [1010] — AMERICA'S PPO HEALTHEZ REIMBURSEMENT CONTRACT: $411.49
  • AMERICA'S PPO [1010] — AMERICA'S PPO REIMBURSEMENT CONTRACT: $437.76
  • BLUE CROSS [1021] — MGH BCBS MED ADV: $110.80
  • BLUE CROSS [1021] — MGH BCBS MSHO: $107.57
  • BLUE CROSS [1021] — MGH BCBS PMAP: $84.67
  • BLUE CROSS [1021] — MGH XR HB BCBS AWARE: $194.73
  • BLUE CROSS [1021] — MGH XR HB BCBS FEDERAL: $191.29
  • CIGNA HEALTH PARTNERS [1242] — MGH HP CIGNA: $202.81
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: Ultrasound pelvis through vagina $370 $194.99 $73.93 – $296
Transvaginal ultrasound: 10 of 30 insurance plan rates
  • AETNA [2200] — Aetna Commercial/First Health: $277.50
  • ALLINA HEALTH-AETNA [2201] — MGH ALLINA HEALTH AETNA MEDICARE: $116.87
  • AMERICA'S PPO [1010] — AMERICA'S PPO HEALTHEZ REIMBURSEMENT CONTRACT: $250.42
  • AMERICA'S PPO [1010] — AMERICA'S PPO REIMBURSEMENT CONTRACT: $266.40
  • BLUE CROSS [1021] — MGH BCBS MED ADV: $110.80
  • BLUE CROSS [1021] — MGH BCBS MSHO: $107.57
  • BLUE CROSS [1021] — MGH BCBS PMAP: $84.67
  • BLUE CROSS [1021] — MGH XR HB BCBS AWARE: $194.73
  • BLUE CROSS [1021] — MGH XR HB BCBS FEDERAL: $191.29
  • CIGNA HEALTH PARTNERS [1242] — MGH HP CIGNA: $202.81
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: Mammography of one breast $472 $248.74 $74.66 – $459
Diagnostic mammogram, one breast: 10 of 26 insurance plan rates
  • AETNA [2200] — Aetna Commercial/First Health: $354
  • ALLINA HEALTH-AETNA [2201] — MGH ALLINA HEALTH AETNA MEDICARE: $94.22
  • AMERICA'S PPO [1010] — AMERICA'S PPO HEALTHEZ REIMBURSEMENT CONTRACT: $319.45
  • AMERICA'S PPO [1010] — AMERICA'S PPO REIMBURSEMENT CONTRACT: $339.84
  • BLUE CROSS [1021] — MGH BCBS MED ADV: $89.33
  • BLUE CROSS [1021] — MGH BCBS MSHO: $86.73
  • BLUE CROSS [1021] — MGH BCBS PMAP: $251.63
  • BLUE CROSS [1021] — MGH XR HB BCBS AWARE: $459
  • BLUE CROSS [1021] — MGH XR HB BCBS FEDERAL: $450.88
  • HEALTH PARTNERS [1061] — MGH HP MED ADV: $86.90
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: Mammography of both breasts $584 $307.77 $90.44 – $581.07
Diagnostic mammogram, both breasts: 10 of 26 insurance plan rates
  • AETNA [2200] — Aetna Commercial/First Health: $438
  • ALLINA HEALTH-AETNA [2201] — MGH ALLINA HEALTH AETNA MEDICARE: $120.16
  • AMERICA'S PPO [1010] — AMERICA'S PPO HEALTHEZ REIMBURSEMENT CONTRACT: $395.25
  • AMERICA'S PPO [1010] — AMERICA'S PPO REIMBURSEMENT CONTRACT: $420.48
  • BLUE CROSS [1021] — MGH BCBS MED ADV: $113.92
  • BLUE CROSS [1021] — MGH BCBS MSHO: $110.60
  • BLUE CROSS [1021] — MGH BCBS PMAP: $318.55
  • BLUE CROSS [1021] — MGH XR HB BCBS AWARE: $581.07
  • BLUE CROSS [1021] — MGH XR HB BCBS FEDERAL: $570.80
  • HEALTH PARTNERS [1061] — MGH HP MED ADV: $110.82
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: Mammography of both breasts $462 $243.47 $38.02 – $468.77
Screening mammogram, both breasts: 10 of 26 insurance plan rates
  • AETNA [2200] — Aetna Commercial/First Health: $346.50
  • ALLINA HEALTH-AETNA [2201] — MGH ALLINA HEALTH AETNA MEDICARE: $99.53
  • AMERICA'S PPO [1010] — AMERICA'S PPO HEALTHEZ REIMBURSEMENT CONTRACT: $312.68
  • AMERICA'S PPO [1010] — AMERICA'S PPO REIMBURSEMENT CONTRACT: $332.64
  • BLUE CROSS [1021] — MGH BCBS MED ADV: $94.36
  • BLUE CROSS [1021] — MGH BCBS MSHO: $91.61
  • BLUE CROSS [1021] — MGH BCBS PMAP: $256.98
  • BLUE CROSS [1021] — MGH XR HB BCBS AWARE: $468.77
  • BLUE CROSS [1021] — MGH XR HB BCBS FEDERAL: $460.48
  • HEALTH PARTNERS [1061] — MGH HP MED ADV: $91.79

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient · Hospital (facility) fee In the file: Evaluation and insertion of catheters for recording, pacing, and treatment of abnormal heart rhythm $44,607 $23,507.89 $11,508.61 – $45,384.20
Heart rhythm study with ablation for atrial fibrillation: 10 of 26 insurance plan rates
  • AETNA [2200] — Aetna Commercial/First Health: $33,455.25
  • ALLINA HEALTH-AETNA [2201] — MGH ALLINA HEALTH AETNA MEDICARE: $26,960.52
  • AMERICA'S PPO [1010] — AMERICA'S PPO HEALTHEZ REIMBURSEMENT CONTRACT: $30,190.02
  • AMERICA'S PPO [1010] — AMERICA'S PPO REIMBURSEMENT CONTRACT: $32,117.04
  • BLUE CROSS [1021] — MGH BCBS MED ADV: $25,560.88
  • BLUE CROSS [1021] — MGH BCBS MSHO: $24,816.38
  • BLUE CROSS [1021] — MGH BCBS PMAP: $18,289.28
  • BLUE CROSS [1021] — MGH XR HB BCBS AWARE: $42,064.64
  • BLUE CROSS [1021] — MGH XR HB BCBS FEDERAL: $41,320.86
  • HEALTH PARTNERS [1061] — MGH HP MED ADV: $24,866.02

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes $142 $74.83 $24.31 – $266
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 30 insurance plan rates
  • AETNA [2200] — Aetna Commercial/First Health: $106.50
  • ALLINA HEALTH-AETNA [2201] — MGH ALLINA HEALTH AETNA MEDICARE: $31.34
  • AMERICA'S PPO [1010] — AMERICA'S PPO HEALTHEZ REIMBURSEMENT CONTRACT: $96.11
  • AMERICA'S PPO [1010] — AMERICA'S PPO REIMBURSEMENT CONTRACT: $102.24
  • BLUE CROSS [1021] — MGH BCBS MED ADV: $29.72
  • BLUE CROSS [1021] — MGH BCBS MSHO: $28.33
  • BLUE CROSS [1021] — MGH BCBS PMAP: $39.36
  • BLUE CROSS [1021] — MGH XR HB BCBS AWARE: $71.79
  • BLUE CROSS [1021] — MGH XR HB BCBS FEDERAL: $70.52
  • CIGNA HEALTH PARTNERS [1242] — MGH HP CIGNA: $134.89
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee In the file: Evaluation for physical therapy, typically 20 minutes $277 $145.98 $76.84 – $266
Physical therapy evaluation (low complexity): 10 of 30 insurance plan rates
  • AETNA [2200] — Aetna Commercial/First Health: $207.75
  • ALLINA HEALTH-AETNA [2201] — MGH ALLINA HEALTH AETNA MEDICARE: $106.55
  • AMERICA'S PPO [1010] — AMERICA'S PPO HEALTHEZ REIMBURSEMENT CONTRACT: $187.47
  • AMERICA'S PPO [1010] — AMERICA'S PPO REIMBURSEMENT CONTRACT: $199.44
  • BLUE CROSS [1021] — MGH BCBS MED ADV: $101.02
  • BLUE CROSS [1021] — MGH BCBS MSHO: $96.31
  • BLUE CROSS [1021] — MGH BCBS PMAP: $134.61
  • BLUE CROSS [1021] — MGH XR HB BCBS AWARE: $245.54
  • BLUE CROSS [1021] — MGH XR HB BCBS FEDERAL: $241.20
  • CIGNA HEALTH PARTNERS [1242] — MGH HP CIGNA: $134.89
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee In the file: Evaluation for physical therapy, typically 30 minutes $295 $155.46 $76.84 – $266
Physical therapy evaluation (moderate complexity): 10 of 30 insurance plan rates
  • AETNA [2200] — Aetna Commercial/First Health: $221.25
  • ALLINA HEALTH-AETNA [2201] — MGH ALLINA HEALTH AETNA MEDICARE: $106.55
  • AMERICA'S PPO [1010] — AMERICA'S PPO HEALTHEZ REIMBURSEMENT CONTRACT: $199.66
  • AMERICA'S PPO [1010] — AMERICA'S PPO REIMBURSEMENT CONTRACT: $212.40
  • BLUE CROSS [1021] — MGH BCBS MED ADV: $101.02
  • BLUE CROSS [1021] — MGH BCBS MSHO: $96.31
  • BLUE CROSS [1021] — MGH BCBS PMAP: $134.61
  • BLUE CROSS [1021] — MGH XR HB BCBS AWARE: $245.54
  • BLUE CROSS [1021] — MGH XR HB BCBS FEDERAL: $241.20
  • CIGNA HEALTH PARTNERS [1242] — MGH HP CIGNA: $134.89
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee In the file: Evaluation for physical therapy, typically 45 minutes $368 $193.94 $52.98 – $294.40
Physical therapy evaluation (high complexity): 10 of 29 insurance plan rates
  • AETNA [2200] — Aetna Commercial/First Health: $276
  • ALLINA HEALTH-AETNA [2201] — MGH ALLINA HEALTH AETNA MEDICARE: $106.55
  • AMERICA'S PPO [1010] — AMERICA'S PPO HEALTHEZ REIMBURSEMENT CONTRACT: $249.06
  • AMERICA'S PPO [1010] — AMERICA'S PPO REIMBURSEMENT CONTRACT: $264.96
  • BLUE CROSS [1021] — MGH BCBS MED ADV: $101.02
  • BLUE CROSS [1021] — MGH BCBS MSHO: $96.31
  • BLUE CROSS [1021] — MGH BCBS PMAP: $134.61
  • BLUE CROSS [1021] — MGH XR HB BCBS AWARE: $245.54
  • BLUE CROSS [1021] — MGH XR HB BCBS FEDERAL: $241.20
  • CIGNA HEALTH PARTNERS [1242] — MGH HP CIGNA: $134.89

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion $25,401.55 $13,386.62 $383.27 – $23,099.13
Removal of breast growth (open surgery): 10 of 28 insurance plan rates
  • ALLINA HEALTH-AETNA [2201] — MGH ALLINA HEALTH AETNA MEDICARE: $7,166.96
  • BLUE CROSS [1021] — MGH BCBS MED ADV: $394.77
  • BLUE CROSS [1021] — MGH BCBS MSHO: $383.27
  • BLUE CROSS [1021] — MGH BCBS PMAP: $2,935.26
  • BLUE CROSS [1021] — MGH XR HB BCBS AWARE: $23,099.13
  • BLUE CROSS [1021] — MGH XR HB BCBS FEDERAL: $22,690.70
  • CIGNA HEALTH PARTNERS [1242] — MGH HP CIGNA: $12,029.43
  • HEALTH PARTNERS [1061] — MGH HP COMM: $12,029.43
  • HEALTH PARTNERS [1061] — MGH HP FEDERAL: $12,029.43
  • HEALTH PARTNERS [1061] — MGH HP GOVT MSHO: $4,385.09
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft $30,716.72 $16,187.71 $6,822 – $24,278.31
Total hip replacement: 10 of 28 insurance plan rates
  • ALLINA HEALTH-AETNA [2201] — MGH ALLINA HEALTH AETNA MEDICARE: $14,140.38
  • BLUE CROSS [1021] — MGH BCBS MED ADV: $13,406.29
  • BLUE CROSS [1021] — MGH BCBS MSHO: $13,015.82
  • BLUE CROSS [1021] — MGH BCBS PMAP: $10,134.88
  • BLUE CROSS [1021] — MGH XR HB BCBS AWARE: $23,309.85
  • BLUE CROSS [1021] — MGH XR HB BCBS FEDERAL: $22,897.69
  • CIGNA HEALTH PARTNERS [1242] — MGH HP CIGNA: $24,278.31
  • HEALTH PARTNERS [1061] — MGH HP COMM: $24,278.31
  • HEALTH PARTNERS [1061] — MGH HP FEDERAL: $24,278.31
  • HEALTH PARTNERS [1061] — MGH HP GOVT MSHO: $8,850.18
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft|BILATERAL PROCEDURE $54,822.37 $28,891.39 $8,850.18 – $46,619.70
Total hip replacement: 10 of 28 insurance plan rates
  • ALLINA HEALTH-AETNA [2201] — MGH ALLINA HEALTH AETNA MEDICARE: $14,140.38
  • BLUE CROSS [1021] — MGH BCBS MED ADV: $13,406.29
  • BLUE CROSS [1021] — MGH BCBS MSHO: $13,015.82
  • BLUE CROSS [1021] — MGH BCBS PMAP: $20,269.76
  • BLUE CROSS [1021] — MGH XR HB BCBS AWARE: $46,619.70
  • BLUE CROSS [1021] — MGH XR HB BCBS FEDERAL: $45,795.38
  • CIGNA HEALTH PARTNERS [1242] — MGH HP CIGNA: $24,278.31
  • HEALTH PARTNERS [1061] — MGH HP COMM: $24,278.31
  • HEALTH PARTNERS [1061] — MGH HP FEDERAL: $24,278.31
  • HEALTH PARTNERS [1061] — MGH HP GOVT MSHO: $8,850.18
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Arthrp Kne Condyle&Platu Medial&Lat Compartments $29,427.79 $15,508.45 $6,822 – $24,278.31
Total knee replacement: 10 of 28 insurance plan rates
  • ALLINA HEALTH-AETNA [2201] — MGH ALLINA HEALTH AETNA MEDICARE: $14,140.38
  • BLUE CROSS [1021] — MGH BCBS MED ADV: $13,406.29
  • BLUE CROSS [1021] — MGH BCBS MSHO: $13,015.82
  • BLUE CROSS [1021] — MGH BCBS PMAP: $10,134.88
  • BLUE CROSS [1021] — MGH XR HB BCBS AWARE: $23,309.85
  • BLUE CROSS [1021] — MGH XR HB BCBS FEDERAL: $22,897.69
  • CIGNA HEALTH PARTNERS [1242] — MGH HP CIGNA: $24,278.31
  • HEALTH PARTNERS [1061] — MGH HP COMM: $24,278.31
  • HEALTH PARTNERS [1061] — MGH HP FEDERAL: $24,278.31
  • HEALTH PARTNERS [1061] — MGH HP GOVT MSHO: $8,850.18
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 50 In the file: Arthrp Kne Condyle&Platu Medial&Lat Compartments|BILATERAL PROCEDURE $46,578.74 $24,547 $12,179.08 – $46,619.70
Total knee replacement: 10 of 24 insurance plan rates
  • ALLINA HEALTH-AETNA [2201] — MGH ALLINA HEALTH AETNA MEDICARE: $14,140.38
  • BLUE CROSS [1021] — MGH BCBS MED ADV: $13,406.29
  • BLUE CROSS [1021] — MGH BCBS MSHO: $13,015.82
  • BLUE CROSS [1021] — MGH BCBS PMAP: $20,269.76
  • BLUE CROSS [1021] — MGH XR HB BCBS AWARE: $46,619.70
  • BLUE CROSS [1021] — MGH XR HB BCBS FEDERAL: $45,795.38
  • CIGNA HEALTH PARTNERS [1242] — MGH HP CIGNA: $24,278.31
  • HUMANA [2203] — MGH HUMANA MED ADV: $13,015.82
  • MEDICA [1086] — MGH MEDICA MED ADV: $13,145.98
  • MEDICAID [1087] — MGH MEDICAID MN: $12,179.08
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Arthrs Kne Surg W/Meniscectomy Med/Lat W/Shvg $10,687.41 $5,632.27 $2,036 – $6,002.46
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 28 insurance plan rates
  • ALLINA HEALTH-AETNA [2201] — MGH ALLINA HEALTH AETNA MEDICARE: $3,565.76
  • BLUE CROSS [1021] — MGH BCBS MED ADV: $3,380.65
  • BLUE CROSS [1021] — MGH BCBS MSHO: $3,282.18
  • BLUE CROSS [1021] — MGH BCBS PMAP: $2,492.56
  • BLUE CROSS [1021] — MGH XR HB BCBS AWARE: $5,732.80
  • BLUE CROSS [1021] — MGH XR HB BCBS FEDERAL: $5,631.43
  • CIGNA HEALTH PARTNERS [1242] — MGH HP CIGNA: $5,971.02
  • HEALTH PARTNERS [1061] — MGH HP COMM: $5,971.02
  • HEALTH PARTNERS [1061] — MGH HP FEDERAL: $5,971.02
  • HEALTH PARTNERS [1061] — MGH HP GOVT MSHO: $2,176.62
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Esophagogastroduodenoscopy Transoral Diagnostic $3,870.54 $2,039.77 $609.56 – $3,197
Upper GI endoscopy (diagnostic): 10 of 28 insurance plan rates
  • ALLINA HEALTH-AETNA [2201] — MGH ALLINA HEALTH AETNA MEDICARE: $1,030.36
  • BLUE CROSS [1021] — MGH BCBS MED ADV: $976.87
  • BLUE CROSS [1021] — MGH BCBS MSHO: $948.42
  • BLUE CROSS [1021] — MGH BCBS PMAP: $698.05
  • BLUE CROSS [1021] — MGH XR HB BCBS AWARE: $1,605.49
  • BLUE CROSS [1021] — MGH XR HB BCBS FEDERAL: $1,577.10
  • CIGNA HEALTH PARTNERS [1242] — MGH HP CIGNA: $1,672.19
  • HEALTH PARTNERS [1061] — MGH HP COMM: $1,672.19
  • HEALTH PARTNERS [1061] — MGH HP FEDERAL: $1,672.19
  • HEALTH PARTNERS [1061] — MGH HP GOVT MSHO: $609.56
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd Transoral Biopsy Single/Multiple $4,603.23 $2,425.90 $126.89 – $3,197
Upper GI endoscopy with biopsy: 10 of 28 insurance plan rates
  • ALLINA HEALTH-AETNA [2201] — MGH ALLINA HEALTH AETNA MEDICARE: $1,030.36
  • BLUE CROSS [1021] — MGH BCBS MED ADV: $130.70
  • BLUE CROSS [1021] — MGH BCBS MSHO: $126.89
  • BLUE CROSS [1021] — MGH BCBS PMAP: $698.05
  • BLUE CROSS [1021] — MGH XR HB BCBS AWARE: $1,605.49
  • BLUE CROSS [1021] — MGH XR HB BCBS FEDERAL: $1,577.10
  • CIGNA HEALTH PARTNERS [1242] — MGH HP CIGNA: $1,672.19
  • HEALTH PARTNERS [1061] — MGH HP COMM: $1,672.19
  • HEALTH PARTNERS [1061] — MGH HP FEDERAL: $1,672.19
  • HEALTH PARTNERS [1061] — MGH HP GOVT MSHO: $609.56
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy Flx DX W/Collj Spec When Pfrmd $3,936.91 $2,074.75 $614.59 – $3,197
Colonoscopy (diagnostic): 10 of 28 insurance plan rates
  • ALLINA HEALTH-AETNA [2201] — MGH ALLINA HEALTH AETNA MEDICARE: $1,001.95
  • BLUE CROSS [1021] — MGH BCBS MED ADV: $949.94
  • BLUE CROSS [1021] — MGH BCBS MSHO: $922.27
  • BLUE CROSS [1021] — MGH BCBS PMAP: $703.79
  • BLUE CROSS [1021] — MGH XR HB BCBS AWARE: $1,618.71
  • BLUE CROSS [1021] — MGH XR HB BCBS FEDERAL: $1,590.09
  • CIGNA HEALTH PARTNERS [1242] — MGH HP CIGNA: $1,685.98
  • HEALTH PARTNERS [1061] — MGH HP COMM: $1,685.98
  • HEALTH PARTNERS [1061] — MGH HP FEDERAL: $1,685.98
  • HEALTH PARTNERS [1061] — MGH HP GOVT MSHO: $614.59
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy W/Biopsy Single/Multiple $4,764.40 $2,510.84 $793.54 – $3,197
Colonoscopy with biopsy: 10 of 28 insurance plan rates
  • ALLINA HEALTH-AETNA [2201] — MGH ALLINA HEALTH AETNA MEDICARE: $1,295.79
  • BLUE CROSS [1021] — MGH BCBS MED ADV: $1,228.52
  • BLUE CROSS [1021] — MGH BCBS MSHO: $1,192.73
  • BLUE CROSS [1021] — MGH BCBS PMAP: $908.73
  • BLUE CROSS [1021] — MGH XR HB BCBS AWARE: $2,090.04
  • BLUE CROSS [1021] — MGH XR HB BCBS FEDERAL: $2,053.08
  • CIGNA HEALTH PARTNERS [1242] — MGH HP CIGNA: $2,176.87
  • HEALTH PARTNERS [1061] — MGH HP COMM: $2,176.87
  • HEALTH PARTNERS [1061] — MGH HP FEDERAL: $2,176.87
  • HEALTH PARTNERS [1061] — MGH HP GOVT MSHO: $793.54
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq $4,819.67 $2,539.97 $793.54 – $3,197
Colonoscopy with removal of polyps (snare): 10 of 28 insurance plan rates
  • ALLINA HEALTH-AETNA [2201] — MGH ALLINA HEALTH AETNA MEDICARE: $1,295.79
  • BLUE CROSS [1021] — MGH BCBS MED ADV: $1,228.52
  • BLUE CROSS [1021] — MGH BCBS MSHO: $1,192.73
  • BLUE CROSS [1021] — MGH BCBS PMAP: $908.73
  • BLUE CROSS [1021] — MGH XR HB BCBS AWARE: $2,090.04
  • BLUE CROSS [1021] — MGH XR HB BCBS FEDERAL: $2,053.08
  • CIGNA HEALTH PARTNERS [1242] — MGH HP CIGNA: $2,176.87
  • HEALTH PARTNERS [1061] — MGH HP COMM: $2,176.87
  • HEALTH PARTNERS [1061] — MGH HP FEDERAL: $2,176.87
  • HEALTH PARTNERS [1061] — MGH HP GOVT MSHO: $793.54
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colon cancer screening not high risk individual $3,988.84 $2,102.12 $611 – $4,126
Screening colonoscopy (not high risk): 10 of 28 insurance plan rates
  • ALLINA HEALTH-AETNA [2201] — MGH ALLINA HEALTH AETNA MEDICARE: $1,001.95
  • BLUE CROSS [1021] — MGH BCBS MED ADV: $949.94
  • BLUE CROSS [1021] — MGH BCBS MSHO: $922.27
  • BLUE CROSS [1021] — MGH BCBS PMAP: $703.79
  • BLUE CROSS [1021] — MGH XR HB BCBS AWARE: $1,618.71
  • BLUE CROSS [1021] — MGH XR HB BCBS FEDERAL: $1,590.09
  • CIGNA HEALTH PARTNERS [1242] — MGH HP CIGNA: $1,685.98
  • HEALTH PARTNERS [1061] — MGH HP COMM: $1,685.98
  • HEALTH PARTNERS [1061] — MGH HP FEDERAL: $1,685.98
  • HEALTH PARTNERS [1061] — MGH HP GOVT MSHO: $614.59
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparoscopy Surg Cholecystectomy $12,959.60 $6,829.71 $3,614 – $10,793.43
Gallbladder removal by laparoscope: 10 of 28 insurance plan rates
  • ALLINA HEALTH-AETNA [2201] — MGH ALLINA HEALTH AETNA MEDICARE: $6,411.85
  • BLUE CROSS [1021] — MGH BCBS MED ADV: $6,078.98
  • BLUE CROSS [1021] — MGH BCBS MSHO: $5,901.92
  • BLUE CROSS [1021] — MGH BCBS PMAP: $4,443.23
  • BLUE CROSS [1021] — MGH XR HB BCBS AWARE: $10,219.26
  • BLUE CROSS [1021] — MGH XR HB BCBS FEDERAL: $10,038.57
  • CIGNA HEALTH PARTNERS [1242] — MGH HP CIGNA: $10,643.86
  • HEALTH PARTNERS [1061] — MGH HP COMM: $10,643.86
  • HEALTH PARTNERS [1061] — MGH HP FEDERAL: $10,643.86
  • HEALTH PARTNERS [1061] — MGH HP GOVT MSHO: $3,880.01
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Rpr 1st Ingun Hrna Age 5 Yrs/> Reducible $8,597.43 $4,530.85 $2,036 – $6,528.68
Groin (inguinal) hernia repair, age 5 or older: 10 of 28 insurance plan rates
  • ALLINA HEALTH-AETNA [2201] — MGH ALLINA HEALTH AETNA MEDICARE: $3,878.37
  • BLUE CROSS [1021] — MGH BCBS MED ADV: $3,677.02
  • BLUE CROSS [1021] — MGH BCBS MSHO: $3,569.93
  • BLUE CROSS [1021] — MGH BCBS PMAP: $2,664.16
  • BLUE CROSS [1021] — MGH XR HB BCBS AWARE: $6,127.45
  • BLUE CROSS [1021] — MGH XR HB BCBS FEDERAL: $6,019.11
  • CIGNA HEALTH PARTNERS [1242] — MGH HP CIGNA: $6,382.03
  • HEALTH PARTNERS [1061] — MGH HP COMM: $6,382.03
  • HEALTH PARTNERS [1061] — MGH HP FEDERAL: $6,382.03
  • HEALTH PARTNERS [1061] — MGH HP GOVT MSHO: $2,326.44
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hysteroscopy Bx Endometrium&/Polypc W/WO D&C $8,262.63 $4,354.41 $209.53 – $10,494
Hysteroscopy with biopsy of the uterus lining: 10 of 28 insurance plan rates
  • ALLINA HEALTH-AETNA [2201] — MGH ALLINA HEALTH AETNA MEDICARE: $3,494.24
  • BLUE CROSS [1021] — MGH BCBS MED ADV: $215.82
  • BLUE CROSS [1021] — MGH BCBS MSHO: $209.53
  • BLUE CROSS [1021] — MGH BCBS PMAP: $2,407.50
  • BLUE CROSS [1021] — MGH XR HB BCBS AWARE: $5,537.16
  • BLUE CROSS [1021] — MGH XR HB BCBS FEDERAL: $5,439.25
  • CIGNA HEALTH PARTNERS [1242] — MGH HP CIGNA: $5,767.19
  • HEALTH PARTNERS [1061] — MGH HP COMM: $5,767.19
  • HEALTH PARTNERS [1061] — MGH HP FEDERAL: $5,767.19
  • HEALTH PARTNERS [1061] — MGH HP GOVT MSHO: $2,102.32
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Hospital (facility) fee In the file: Injection of substance into lower spine canal using imaging guidance $1,700 $895.90 $532.53 – $4,126
Spinal injection, lower back (epidural), with imaging guidance: 10 of 26 insurance plan rates
  • AETNA [2200] — Aetna Commercial/First Health: $1,275
  • ALLINA HEALTH-AETNA [2201] — MGH ALLINA HEALTH AETNA MEDICARE: $761.07
  • AMERICA'S PPO [1010] — AMERICA'S PPO HEALTHEZ REIMBURSEMENT CONTRACT: $1,150.56
  • AMERICA'S PPO [1010] — AMERICA'S PPO REIMBURSEMENT CONTRACT: $1,224
  • BLUE CROSS [1021] — MGH BCBS MED ADV: $721.56
  • BLUE CROSS [1021] — MGH BCBS MSHO: $700.54
  • BLUE CROSS [1021] — MGH BCBS PMAP: $532.53
  • BLUE CROSS [1021] — MGH XR HB BCBS AWARE: $1,224.80
  • BLUE CROSS [1021] — MGH XR HB BCBS FEDERAL: $1,203.14
  • HEALTH PARTNERS [1061] — MGH HP MED ADV: $701.94
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Hospital (facility) fee In the file: Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level $2,376 $1,252.15 $611 – $4,126
Nerve root injection, lower back, with imaging guidance: 10 of 28 insurance plan rates
  • AETNA [2200] — Aetna Commercial/First Health: $1,782
  • ALLINA HEALTH-AETNA [2201] — MGH ALLINA HEALTH AETNA MEDICARE: $978.41
  • AMERICA'S PPO [1010] — AMERICA'S PPO HEALTHEZ REIMBURSEMENT CONTRACT: $1,608.08
  • AMERICA'S PPO [1010] — AMERICA'S PPO REIMBURSEMENT CONTRACT: $1,710.72
  • BLUE CROSS [1021] — MGH BCBS MED ADV: $927.62
  • BLUE CROSS [1021] — MGH BCBS MSHO: $900.60
  • BLUE CROSS [1021] — MGH BCBS PMAP: $701.89
  • BLUE CROSS [1021] — MGH XR HB BCBS AWARE: $1,614.32
  • BLUE CROSS [1021] — MGH XR HB BCBS FEDERAL: $1,585.78
  • CIGNA HEALTH PARTNERS [1242] — MGH HP CIGNA: $1,681.40
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Neuroplasty &/Transpos Median Nrv Carpal Tunne $5,463.33 $2,879.17 $1,298.35 – $3,989
Carpal tunnel release: 10 of 28 insurance plan rates
  • ALLINA HEALTH-AETNA [2201] — MGH ALLINA HEALTH AETNA MEDICARE: $2,146.06
  • BLUE CROSS [1021] — MGH BCBS MED ADV: $2,034.64
  • BLUE CROSS [1021] — MGH BCBS MSHO: $1,975.38
  • BLUE CROSS [1021] — MGH BCBS PMAP: $1,486.82
  • BLUE CROSS [1021] — MGH XR HB BCBS AWARE: $3,419.61
  • BLUE CROSS [1021] — MGH XR HB BCBS FEDERAL: $3,359.15
  • CIGNA HEALTH PARTNERS [1242] — MGH HP CIGNA: $3,561.70
  • HEALTH PARTNERS [1061] — MGH HP COMM: $3,561.70
  • HEALTH PARTNERS [1061] — MGH HP FEDERAL: $3,561.70
  • HEALTH PARTNERS [1061] — MGH HP GOVT MSHO: $1,298.35

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
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 $35,958.96 $18,950.37 $14,752.53 – $37,200.50
Hip or knee replacement (major joint of the leg), without major complications: 10 of 23 insurance plan rates
  • ALLINA HEALTH-AETNA [2201] — MGH ALLINA HEALTH AETNA MEDICARE: $16,709.50
  • BLUE CROSS [1021] — MGH BCBS MED ADV: $15,354.67
  • CIGNA HEALTH PARTNERS [1242] — MGH HP CIGNA: $37,200.50
  • HEALTH PARTNERS [1061] — MGH HP COMM: $35,726.51
  • HEALTH PARTNERS [1061] — MGH HP FEDERAL: $35,726.51
  • HEALTH PARTNERS [1061] — MGH HP MED ADV: $15,083.71
  • HUMANA [2203] — MGH HUMANA MED ADV: $14,937.32
  • MEDICA [1086] — MEDICA ACCLAIM: $30,756.28
  • MEDICA [1086] — MEDICA CHOICE CARE: $15,828.77
  • MEDICA [1086] — MEDICA COMMERCIAL (With WH): $33,914.49
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC $37,154.15 $19,580.24 $18,360.70 – $46,708.28
Neck (cervical) spinal fusion, without complications: 10 of 23 insurance plan rates
  • ALLINA HEALTH-AETNA [2201] — MGH ALLINA HEALTH AETNA MEDICARE: $20,796.31
  • BLUE CROSS [1021] — MGH BCBS MED ADV: $19,110.12
  • CIGNA HEALTH PARTNERS [1242] — MGH HP CIGNA: $46,708.28
  • HEALTH PARTNERS [1061] — MGH HP COMM: $44,857.57
  • HEALTH PARTNERS [1061] — MGH HP FEDERAL: $44,857.57
  • HEALTH PARTNERS [1061] — MGH HP MED ADV: $18,772.88
  • HUMANA [2203] — MGH HUMANA MED ADV: $18,589.41
  • MEDICA [1086] — MEDICA ACCLAIM: $38,617.03
  • MEDICA [1086] — MEDICA CHOICE CARE: $19,874.32
  • MEDICA [1086] — MEDICA COMMERCIAL (With WH): $42,582.42
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 $25,395.99 $13,383.69 $9,610.18 – $23,650.09
Uterus and ovary surgery (not for cancer), without complications: 10 of 23 insurance plan rates
  • ALLINA HEALTH-AETNA [2201] — MGH ALLINA HEALTH AETNA MEDICARE: $10,885
  • BLUE CROSS [1021] — MGH BCBS MED ADV: $10,002.44
  • CIGNA HEALTH PARTNERS [1242] — MGH HP CIGNA: $23,650.09
  • HEALTH PARTNERS [1061] — MGH HP COMM: $22,713
  • HEALTH PARTNERS [1061] — MGH HP FEDERAL: $22,713
  • HEALTH PARTNERS [1061] — MGH HP MED ADV: $9,825.92
  • HUMANA [2203] — MGH HUMANA MED ADV: $9,732.39
  • MEDICA [1086] — MEDICA ACCLAIM: $19,553.19
  • MEDICA [1086] — MEDICA CHOICE CARE: $10,063.09
  • MEDICA [1086] — MEDICA COMMERCIAL (With WH): $21,561.02

Source: Maple Grove Hospital’s standard charges file (northmemorial.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on September 25, 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 typeAcute Care Hospital
Address9875 Hospital Drive, Maple Grove, MN 55369
CountyHennepin County
StateMinnesota
Phone(763) 581‑1000
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall rating5 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number240214
Name in Medicare recordsMAPLE GROVE HOSPITAL
Profile levelMedicare data + hospital website
Name on the hospital’s websiteNorth Memorial Health - Maple Grove Hospital
Official websitenorthmemorial.com
CorrectionsReport an error or suggest an update →

Sources

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

From the hospital’s website

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

  1. North Memorial Health - Maple Grove Hospital — northmemorial.com
  2. Emergency Services - North Memorial Health — northmemorial.com
  3. North Memorial Health Family Birth Center – Maple Grove Hospital — northmemorial.com
  4. Surgery at North Memorial Health – Maple Grove Hospital — northmemorial.com
  5. Stroke Program - North Memorial Health — northmemorial.com
  6. North Memorial Health NICU – Maple Grove Hospital — northmemorial.com
  7. Lactation Services - North Memorial Health — northmemorial.com