Does Olivia Hospital & Clinic have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Olivia Hospital & Clinic. In a medical emergency, call 911.

Where is Olivia Hospital & Clinic?

100 Healthy Way, Olivia, MN 56277, in Renville County, Minnesota.

What is the phone number of Olivia Hospital & Clinic?

(320) 523-1261, as listed by Medicare (CMS).

What is the Medicare star rating of Olivia Hospital & Clinic?

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

Olivia Hospital & Clinic — Olivia, MN

Quick answers

Does Olivia Hospital & Clinic have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Olivia Hospital & Clinic. In a medical emergency, call 911.
Where is Olivia Hospital & Clinic?: 100 Healthy Way, Olivia, MN 56277, in Renville County, Minnesota.
What is the phone number of Olivia Hospital & Clinic?: (320) 523-1261, as listed by Medicare (CMS).
What is the Medicare star rating of Olivia Hospital & Clinic?: 2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^{[4][5][7][8][9][10][11]}

Cancer care
Heart care
OB-GYN
Orthopedics
Pain management
General surgery
Family medicine
Emergency medicine
Pediatrics
Cardiology
Sports medicine
Obstetrics & gynecology
Oncology & hematology
Radiology
Laboratory
Mammography
Physical therapy
Occupational therapy
Speech-language pathology
Cardiac rehabilitation
Pulmonary medicine
Podiatry
Mental / chemical health care
Nutrition
Hospice

Conditions treated^{[5][9][10][12]}

Coronary artery disease
Congestive heart failure
Valvular heart disease
Arrhythmias
Congenital heart disease
High blood pressure
High cholesterol
Peripheral arterial disease
Postural orthostatic tachycardia syndrome (POTS)
Heart attack
Stroke
Asthma and respiratory conditions
Concussion and traumatic brain injury
Fractures and dislocations
Sprains
Wounds, lacerations and burns
Arthritis
Osteoarthritis
Low back pain
Acute pain
Chronic pain
Back and neck pain
Musculoskeletal pain
Nerve disorders
Fibromyalgia
Migraine and headaches
Sports injuries
Hand and wrist conditions

Treatments^{[5][8][9][10][11][12]}

Cardiac rehabilitation
Telecardiology appointments
Telestroke consultation
Heart attack care and clot-busting medication
Physical therapy
Occupational therapy
Speech therapy
Nonsurgical orthopedic treatment
Medication management for pain
Cognitive behavioral therapy
Therapeutic injections
Epidural steroid injections
Facet joint injections
Trigger point injections
Botox injections for migraine
Platelet rich plasma (PRP) treatment
Radiofrequency ablation for pain
Microlight laser therapy
Prenatal care
Postpartum care
Breastfeeding and lactation support
Diabetes education

Procedures^{[5][8][9][10][11][12]}

Hip, knee and shoulder joint replacement
Arthroscopic surgery (knee, hip, shoulder, ankle, elbow, wrist)
Foot and ankle surgery
Labor epidural (inpatient pain services)
Echocardiogram
Electrocardiogram (EKG)
Cardiac stress testing
Extended heart monitoring (Holter, Zio, event monitors)
CT scan
MRI
Ultrasound
X-ray
3D mammography
Bone density (DEXA) scan
Nonstress tests and ultrasounds in pregnancy

Programs and centers^{[5][8][9][11][12]}

Level I Heart Attack Program
Cardiac rehabilitation program
Pain Management Clinic
Outpatient Lactation Clinic
Acute Stroke Ready program with telestroke
Sexual assault care with specially trained nurses
Safe Place for Newborns
Nationally accredited diabetes education

Emergency care (hospital website)^[4][5][7]

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

Visiting and practical information

Visiting	Patient-named family any time; other visitors 11 a.m.-8 p.m.; quiet time 12:30-2 p.m^[13]
Parking	South lot is for Emergency Center patients (free); other visitors use the north lot near the main entrance^[5][14]
Interpreters and languages	Site links language-assistance information for patients in many languages; no interpreter details stated for this hospital^[15]
Patient portal	HealthPartners online account

Recognition^{[4][5][7][11]}

Level I Heart Attack Center
Level IV Trauma Center
Acute Stroke Ready Hospital
5-Star Patient Rated Hospital
Safe Place for Newborns

Doctors and clinicians (141)

141 doctors and other clinicians list Olivia Hospital & Clinic 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 117 more: the button below opens the full list.

Other emergency rooms nearby

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

CentraCare - Redwood17 mi · Redwood Falls, MN · Critical Access Hospital
Centracare- Rice Memorial Hospital25 mi · Willmar, MN · Acute Care Hospital
Avera Granite Falls27 mi · Granite Falls, MN · Critical Access Hospital
Hutchinson Health31 mi · Hutchinson, MN · Acute Care Hospital
Meeker Memorial Hospital33 mi · Litchfield, MN · Critical Access Hospital

Other hospitals nearby

Child and Adolescent Behavioral Health Hospital26 mi · Willmar, MN · Psychiatric Hospital

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

Olivia Restorative Care Center0.9 mi · Olivia, MN · 1 of 5 stars
Renvilla Health Center11 mi · Renville, MN · 4 of 5 stars
River Valley Health and Rehabilitation Center LLC17 mi · Redwood Falls, MN · 3 of 5 stars

All nursing homes in the state →

Hospice providers

Olivia Hospital & Clinic - Hospice0.0 mi · Olivia, MN
CentraCare Hospice18 mi · Redwood Falls, MN
Bethesda Hospice23 mi · Willmar, MN

All hospice providers in the state →

Home health agencies

Renville County PHNS0.0 mi · Olivia, MN · 2 of 5 stars
CentraCare Home Health18 mi · Redwood Falls, MN · 3 of 5 stars
Bethesda Home Health23 mi · Willmar, MN · 2 of 5 stars

All home health agencies in the state →

Dialysis facilities

Fresenius Kidney Care Olivia0.0 mi · Olivia, MN
DaVita Redwood Falls Dialysis18 mi · Redwood Falls, MN · 4 of 5 stars
Fresenius Kidney Care Willmar23 mi · Willmar, MN · 3 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

CentraCare Willmar Surgery Center23 mi · Willmar, MN
Family Surgery Center LLC23 mi · Willmar, MN

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Community Health Service Inc. - Willmar25 mi · Willmar, MN · Community health center

Clinics and urgent care

Olivia Hospital & Clinic0.0 mi · Olivia, MN · Rural health clinic
Renville Clinic11 mi · Renville, MN · Rural health clinic
Hector Clinic13 mi · Hector, MN · Rural health clinic

Pharmacies

Thrifty Drug Stores, Inc.0.0 mi · Olivia, MN · Pharmacy

Assisted living nearby

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

Island Living Inc5.8 mi · Bird Island, MN
Prairie View13 mi · Hector, 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 Olivia Hospital & Clinic 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)	Not reported to Medicare
Overall rating of the hospital	Not reported to Medicare
Would recommend the hospital	Not reported to Medicare
Nurses communicated well	Not reported to Medicare
Doctors communicated well	Not reported to Medicare
Staff explained medicines	Not reported to Medicare
Information about recovery at home	Not reported to Medicare
Room and bathroom kept clean	Not reported to Medicare
Quiet at night	Not reported to Medicare
Rated the hospital 9 or 10 out of 10	85%National average: 72%
Would definitely recommend the hospital	80%National average: 71%
Nurses “always” communicated well	87%National average: 80%
Doctors “always” communicated well	91%National average: 80%
Staff “always” explained medicines before giving them	74%National average: 62%
Were given information about recovery at home	93%National average: 86%
Room and bathroom “always” clean	92%National average: 74%
Area around the room “always” quiet at night	90%National average: 60%
Completed surveys	59Response rate: 39%

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

Infections caught in the hospital

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

Central line bloodstream infections (CLABSI)	Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)	Not reported to Medicare
Surgical site infections after colon surgery	Not reported to Medicare
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	Not reported to Medicare
Clostridioides difficile (C. diff) intestinal infections	Not reported to Medicare

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026.

Complications and deaths

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

Deaths within 30 days: heart attack patients	Too few cases to report
Deaths within 30 days: heart failure patients	Too few cases to report
Deaths within 30 days: pneumonia patients	Too few cases to report
Deaths within 30 days: COPD patients	Too few cases to report
Deaths within 30 days: stroke patients	Too few cases to report
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	Not reported to Medicare
Complications after hip or knee replacement	4.2%

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026; data from April 2023 to March 2025.

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	Too few cases to report
Readmitted within 30 days: heart failure	21.5%
Readmitted within 30 days: pneumonia	17.7%
Readmitted within 30 days: COPD	Too few cases to report
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	Too few cases to report

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

Emergency room times and sepsis care

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

Emergency room volume (patients per year)	Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	124 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	0%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	46%National average: 65%

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

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in Minnesota Best hospitals in Minnesota

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 66 common services exactly as Olivia Hospital & Clinic lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Hospital (facility) fee In the file: Office Visit	$234	$142.74	$40.76 – $227.14
New patient office visit (about 30–44 minutes): 10 of 12 insurance plan rates BCBS [900043] — BCBS MN [90043]: $227.14 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296]: $40.76 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299]: $91.11 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334]: $226.98 HEALTHPARTNERS [900713] — HP SELF INSURED [91021]: $204.15 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327]: $106 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307]: $89.80 MEDICA [900156] — MEDICA CHOICE [90156]: $223.94 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314]: $94.77 MEDICA MEDICARE REPLACEMENT [950299] — MEDICA GOVERNMENT ADVANTAGE [50316]: $93.74
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Hospital (facility) fee In the file: Office Visit	$563	$343.43	$98.07 – $546.50
New patient office visit (about 45–59 minutes): 10 of 12 insurance plan rates BCBS [900043] — BCBS MN [90043]: $546.50 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296]: $98.07 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299]: $148.97 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334]: $546.11 HEALTHPARTNERS [900713] — HP SELF INSURED [91021]: $491.18 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327]: $255.04 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307]: $146.83 MEDICA [900156] — MEDICA CHOICE [90156]: $538.79 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314]: $228.02 MEDICA MEDICARE REPLACEMENT [950299] — MEDICA GOVERNMENT ADVANTAGE [50316]: $153.27
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Hospital (facility) fee In the file: Office Visit	$825	$503.25	$143.72 – $800.83
New patient office visit (about 60–74 minutes): 10 of 12 insurance plan rates BCBS [900043] — BCBS MN [90043]: $800.83 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296]: $143.72 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299]: $202.40 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334]: $800.25 HEALTHPARTNERS [900713] — HP SELF INSURED [91021]: $719.75 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327]: $373.73 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307]: $199.48 MEDICA [900156] — MEDICA CHOICE [90156]: $789.53 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314]: $334.13 MEDICA MEDICARE REPLACEMENT [950299] — MEDICA GOVERNMENT ADVANTAGE [50316]: $208.24
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: Office Visit	$167	$101.87	$29.09 – $162.11
Established patient office visit (about 20–29 minutes): 10 of 12 insurance plan rates BCBS [900043] — BCBS MN [90043]: $162.11 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296]: $29.09 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299]: $74.06 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334]: $161.99 HEALTHPARTNERS [900713] — HP SELF INSURED [91021]: $145.70 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327]: $75.65 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307]: $72.99 MEDICA [900156] — MEDICA CHOICE [90156]: $159.82 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314]: $67.64 MEDICA MEDICARE REPLACEMENT [950299] — MEDICA GOVERNMENT ADVANTAGE [50316]: $76.19
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Hospital (facility) fee In the file: Office Visit	$232	$141.52	$40.41 – $225.20
Established patient office visit (about 30–39 minutes): 10 of 12 insurance plan rates BCBS [900043] — BCBS MN [90043]: $225.20 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296]: $40.41 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299]: $108.93 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334]: $225.04 HEALTHPARTNERS [900713] — HP SELF INSURED [91021]: $202.40 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327]: $105.10 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307]: $107.36 MEDICA [900156] — MEDICA CHOICE [90156]: $222.02 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314]: $93.96 MEDICA MEDICARE REPLACEMENT [950299] — MEDICA GOVERNMENT ADVANTAGE [50316]: $112.07
Office consultation with a specialist (moderate) CPT 99243 · Inpatient or outpatient · Hospital (facility) fee In the file: Office Consultation	$438	$267.18	$76.30 – $425.17
Office consultation with a specialist (moderate): 10 of 12 insurance plan rates BCBS [900043] — BCBS MN [90043]: $425.17 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296]: $76.30 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299]: $150.32 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334]: $424.86 HEALTHPARTNERS [900713] — HP SELF INSURED [91021]: $382.12 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327]: $198.41 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307]: $148.15 MEDICA [900156] — MEDICA CHOICE [90156]: $419.17 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314]: $177.39 MEDICA MEDICARE REPLACEMENT [950299] — MEDICA GOVERNMENT ADVANTAGE [50316]: $154.66
Office consultation with a specialist (moderate to high) CPT 99244 · Inpatient or outpatient · Hospital (facility) fee In the file: Office Consultation	$563	$343.43	$98.07 – $546.50
Office consultation with a specialist (moderate to high): 10 of 12 insurance plan rates BCBS [900043] — BCBS MN [90043]: $546.50 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296]: $98.07 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299]: $193.22 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334]: $546.11 HEALTHPARTNERS [900713] — HP SELF INSURED [91021]: $491.18 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327]: $255.04 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307]: $190.43 MEDICA [900156] — MEDICA CHOICE [90156]: $538.79 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314]: $228.02 MEDICA MEDICARE REPLACEMENT [950299] — MEDICA GOVERNMENT ADVANTAGE [50316]: $198.80
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient · Hospital (facility) fee In the file: Prev Visit, New, Age 18-	$308	$187.88	$53.65 – $298.98
Preventive checkup, new patient, age 18–39: 10 of 14 insurance plan rates BCBS [900043] — BCBS MN [90043]: $298.98 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296]: $53.65 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299]: $105.71 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334]: $298.76 HEALTHPARTNERS [900713] — HP SELF INSURED [91021]: $268.71 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327]: $139.52 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307]: $104.18 MA WISCONSIN REPLACEMENT [950271] — GHC OF EAU CLAIRE MA HMO [50261]: $91.07 MEDICA [900156] — MEDICA CHOICE [90156]: $294.76 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314]: $124.74
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient · Hospital (facility) fee In the file: Prev Visit, New, Age 40-	$308	$187.88	$104.82 – $322.50
Preventive checkup, new patient, age 40–64: rates for 10 insurance plans BCBS [900043] — BCBS MN [90043]: $201.53 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296]: $201.53 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334]: $298.76 HEALTHPARTNERS [900713] — HP SELF INSURED [91021]: $268.71 MA WISCONSIN REPLACEMENT [950271] — GHC OF EAU CLAIRE MA HMO [50261]: $104.82 MEDICA [900156] — MEDICA CHOICE [90156]: $262.11 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314]: $120.87 UCARE MEDICAID REPLACEMENT [950289] — UCARE PMAP [50283]: $108.88 UHC MEDICAID REPLACEMENT [950280] — UHC WI COMMUNITY PLAN [50274]: $104.82 UNITEDHEALTHCARE [900444] — UHC [50131]: $322.50
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: Emergency Room visit	$648	$395.28	$49.09 – $641.91
Emergency room visit (moderate): 10 of 13 insurance plan rates BCBS [900043] — BCBS MN [90043]: $629.01 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296]: $112.88 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299]: $222.39 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334]: $628.56 HEALTHPARTNERS [900713] — HP SELF INSURED [91021]: $565.33 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327]: $293.54 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307]: $219.19 MEDICA [900156] — MEDICA CHOICE [90156]: $572.18 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314]: $49.09 MEDICA MEDICARE REPLACEMENT [950299] — MEDICA GOVERNMENT ADVANTAGE [50316]: $228.81
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: Emergency Room visit	$897	$547.17	$83.87 – $888.57
Emergency room visit (moderately high): 10 of 13 insurance plan rates BCBS [900043] — BCBS MN [90043]: $870.72 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296]: $156.26 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299]: $307.85 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334]: $870.09 HEALTHPARTNERS [900713] — HP SELF INSURED [91021]: $782.57 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327]: $406.34 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307]: $303.41 MEDICA [900156] — MEDICA CHOICE [90156]: $792.05 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314]: $83.87 MEDICA MEDICARE REPLACEMENT [950299] — MEDICA GOVERNMENT ADVANTAGE [50316]: $316.73
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: Emergency Room visit	$1,076	$656.36	$121.35 – $1,065.89
Emergency room visit (high): 10 of 13 insurance plan rates BCBS [900043] — BCBS MN [90043]: $1,044.47 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296]: $187.44 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299]: $369.28 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334]: $1,043.72 HEALTHPARTNERS [900713] — HP SELF INSURED [91021]: $938.73 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327]: $487.43 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307]: $363.96 MEDICA [900156] — MEDICA CHOICE [90156]: $950.11 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314]: $121.35 MEDICA MEDICARE REPLACEMENT [950299] — MEDICA GOVERNMENT ADVANTAGE [50316]: $379.94

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: Organ/Disease oriented panels	$210	$128.10	$7.89 – $208.03
Basic metabolic panel (blood test): 10 of 15 insurance plan rates BCBS [900043] — BCBS MN [90043]: $173.25 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296]: $57.75 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299]: $72.07 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334]: $203.70 HEALTHPARTNERS [900713] — HP SELF INSURED [91021]: $183.21 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327]: $95.13 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307]: $71.03 MA WISCONSIN REPLACEMENT [950271] — GHC OF EAU CLAIRE MA HMO [50261]: $7.89 MEDICA [900156] — MEDICA CHOICE [90156]: $200.97 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314]: $85.05
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: Organ/Disease oriented panels	$293	$178.73	$9.85 – $290.25
Comprehensive metabolic panel (blood test): 10 of 15 insurance plan rates BCBS [900043] — BCBS MN [90043]: $222.75 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296]: $74.25 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299]: $100.56 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334]: $284.21 HEALTHPARTNERS [900713] — HP SELF INSURED [91021]: $255.62 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327]: $132.73 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307]: $99.11 MA WISCONSIN REPLACEMENT [950271] — GHC OF EAU CLAIRE MA HMO [50261]: $9.85 MEDICA [900156] — MEDICA CHOICE [90156]: $280.40 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314]: $118.67
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: Organ/Disease oriented panels	$188	$114.68	$12.49 – $186.23
Cholesterol panel (lipid panel): 10 of 15 insurance plan rates BCBS [900043] — BCBS MN [90043]: $140.25 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296]: $46.75 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299]: $64.52 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334]: $182.36 HEALTHPARTNERS [900713] — HP SELF INSURED [91021]: $164.02 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327]: $85.16 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307]: $63.59 MA WISCONSIN REPLACEMENT [950271] — GHC OF EAU CLAIRE MA HMO [50261]: $12.49 MEDICA [900156] — MEDICA CHOICE [90156]: $179.92 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314]: $76.14
Kidney function panel CPT 80069 · Inpatient or outpatient · Hospital (facility) fee In the file: Organ/Disease oriented panels	$411	$250.71	$8.09 – $407.14
Kidney function panel: 10 of 15 insurance plan rates BCBS [900043] — BCBS MN [90043]: $398.96 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296]: $71.60 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299]: $141.06 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334]: $398.67 HEALTHPARTNERS [900713] — HP SELF INSURED [91021]: $358.57 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327]: $186.18 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307]: $139.02 MA WISCONSIN REPLACEMENT [950271] — GHC OF EAU CLAIRE MA HMO [50261]: $8.09 MEDICA [900156] — MEDICA CHOICE [90156]: $393.33 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314]: $166.46
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: Organ/Disease oriented panels	$318	$193.98	$7.62 – $315.01
Liver function panel: 10 of 15 insurance plan rates BCBS [900043] — BCBS MN [90043]: $308.68 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296]: $55.40 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299]: $109.14 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334]: $308.46 HEALTHPARTNERS [900713] — HP SELF INSURED [91021]: $277.43 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327]: $144.05 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307]: $107.56 MA WISCONSIN REPLACEMENT [950271] — GHC OF EAU CLAIRE MA HMO [50261]: $7.62 MEDICA [900156] — MEDICA CHOICE [90156]: $304.33 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314]: $128.79
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: Urinalysis	$104	$63.44	$2.96 – $103.02
Urine test (automated, with microscope): 10 of 15 insurance plan rates BCBS [900043] — BCBS MN [90043]: $100.95 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296]: $18.12 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299]: $3.30 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334]: $100.88 HEALTHPARTNERS [900713] — HP SELF INSURED [91021]: $90.73 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327]: $47.11 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307]: $35.18 MA WISCONSIN REPLACEMENT [950271] — GHC OF EAU CLAIRE MA HMO [50261]: $2.96 MEDICA [900156] — MEDICA CHOICE [90156]: $99.53 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314]: $42.12
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Hospital (facility) fee In the file: Urinalysis	$19	$11.59	$3.31 – $18.82
Urine test (manual, without microscope): 10 of 13 insurance plan rates BCBS [900043] — BCBS MN [90043]: $18.44 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296]: $3.31 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299]: $6.52 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334]: $18.43 HEALTHPARTNERS [900713] — HP SELF INSURED [91021]: $16.58 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327]: $8.61 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307]: $6.43 MEDICA [900156] — MEDICA CHOICE [90156]: $18.18 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314]: $7.70 MEDICA MEDICARE REPLACEMENT [950299] — MEDICA GOVERNMENT ADVANTAGE [50316]: $6.71
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: Urinalysis	$58	$35.38	$2.10 – $57.45
Urine test (automated, without microscope): 10 of 15 insurance plan rates BCBS [900043] — BCBS MN [90043]: $56.30 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296]: $10.10 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299]: $2.34 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334]: $56.26 HEALTHPARTNERS [900713] — HP SELF INSURED [91021]: $50.60 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327]: $26.27 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307]: $19.62 MA WISCONSIN REPLACEMENT [950271] — GHC OF EAU CLAIRE MA HMO [50261]: $2.10 MEDICA [900156] — MEDICA CHOICE [90156]: $55.51 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314]: $23.49
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: Dot Urinalysis, No Micro	$58	$58	$2.10 – $57.45
Urine test (automated, without microscope): 10 of 15 insurance plan rates BCBS [900043] — BCBS MN [90043]: $56.30 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296]: $10.10 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299]: $2.34 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334]: $56.26 HEALTHPARTNERS [900713] — HP SELF INSURED [91021]: $50.60 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327]: $26.27 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307]: $19.62 MA WISCONSIN REPLACEMENT [950271] — GHC OF EAU CLAIRE MA HMO [50261]: $2.10 MEDICA [900156] — MEDICA CHOICE [90156]: $55.51 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314]: $23.49
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: Chemistry	$162	$98.82	$17.15 – $160.48
PSA (prostate specific antigen) blood test: 10 of 15 insurance plan rates BCBS [900043] — BCBS MN [90043]: $157.25 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296]: $28.22 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299]: $55.60 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334]: $157.14 HEALTHPARTNERS [900713] — HP SELF INSURED [91021]: $141.33 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327]: $73.39 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307]: $54.80 MA WISCONSIN REPLACEMENT [950271] — GHC OF EAU CLAIRE MA HMO [50261]: $17.15 MEDICA [900156] — MEDICA CHOICE [90156]: $155.03 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314]: $65.61
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: Chemistry	$185	$112.85	$15.67 – $183.26
Thyroid stimulating hormone (TSH) test: 10 of 15 insurance plan rates BCBS [900043] — BCBS MN [90043]: $148.50 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296]: $49.50 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299]: $63.49 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334]: $179.45 HEALTHPARTNERS [900713] — HP SELF INSURED [91021]: $161.40 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327]: $83.81 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307]: $62.58 MA WISCONSIN REPLACEMENT [950271] — GHC OF EAU CLAIRE MA HMO [50261]: $15.67 MEDICA [900156] — MEDICA CHOICE [90156]: $177.05 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314]: $74.93
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: Hematology and Coagulation	$198	$120.78	$7.25 – $196.14
Complete blood count (CBC) with differential: 10 of 15 insurance plan rates BCBS [900043] — BCBS MN [90043]: $123.75 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296]: $41.25 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299]: $67.95 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334]: $192.06 HEALTHPARTNERS [900713] — HP SELF INSURED [91021]: $172.74 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327]: $89.69 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307]: $66.97 MA WISCONSIN REPLACEMENT [950271] — GHC OF EAU CLAIRE MA HMO [50261]: $7.25 MEDICA [900156] — MEDICA CHOICE [90156]: $189.49 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314]: $80.19
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: Hematology and Coagulation	$175	$106.75	$6.03 – $173.36
Complete blood count (CBC), automated: 10 of 15 insurance plan rates BCBS [900043] — BCBS MN [90043]: $169.87 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296]: $30.49 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299]: $60.06 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334]: $169.75 HEALTHPARTNERS [900713] — HP SELF INSURED [91021]: $152.67 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327]: $79.28 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307]: $59.19 MA WISCONSIN REPLACEMENT [950271] — GHC OF EAU CLAIRE MA HMO [50261]: $6.03 MEDICA [900156] — MEDICA CHOICE [90156]: $167.48 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314]: $70.88
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: Hematology and Coagulation	$118	$71.98	$4 – $116.89
Blood clotting time test (prothrombin time, PT): 10 of 15 insurance plan rates BCBS [900043] — BCBS MN [90043]: $114.54 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296]: $20.56 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299]: $40.50 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334]: $114.46 HEALTHPARTNERS [900713] — HP SELF INSURED [91021]: $102.95 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327]: $53.45 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307]: $39.91 MA WISCONSIN REPLACEMENT [950271] — GHC OF EAU CLAIRE MA HMO [50261]: $4 MEDICA [900156] — MEDICA CHOICE [90156]: $112.93 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314]: $47.79
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: Hematology and Coagulation	$144	$87.84	$5.60 – $142.65
Blood clotting test (partial thromboplastin time, PTT): 10 of 15 insurance plan rates BCBS [900043] — BCBS MN [90043]: $139.78 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296]: $25.08 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299]: $49.42 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334]: $139.68 HEALTHPARTNERS [900713] — HP SELF INSURED [91021]: $125.63 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327]: $65.23 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307]: $48.71 MA WISCONSIN REPLACEMENT [950271] — GHC OF EAU CLAIRE MA HMO [50261]: $5.60 MEDICA [900156] — MEDICA CHOICE [90156]: $137.81 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314]: $58.32

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 · Inpatient or outpatient · Hospital (facility) fee In the file: CT of Head/Brain	$2,134	$1,301.74	$470.25 – $2,113.94
CT scan of the head or brain, without contrast: 10 of 13 insurance plan rates BCBS [900043] — BCBS MN [90043]: $1,410.75 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296]: $470.25 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299]: $732.39 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334]: $2,069.98 HEALTHPARTNERS [900713] — HP SELF INSURED [91021]: $1,861.76 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327]: $966.70 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307]: $721.83 MEDICA [900156] — MEDICA CHOICE [90156]: $2,042.24 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314]: $864.27 MEDICA MEDICARE REPLACEMENT [950299] — MEDICA GOVERNMENT ADVANTAGE [50316]: $753.52
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: MRI brain with and without contrast	$3,986	$2,431.46	$607.75 – $3,948.53
MRI of the brain, before and after contrast: 10 of 13 insurance plan rates BCBS [900043] — BCBS MN [90043]: $1,823.25 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296]: $607.75 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299]: $1,368 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334]: $3,866.42 HEALTHPARTNERS [900713] — HP SELF INSURED [91021]: $3,477.49 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327]: $1,805.66 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307]: $1,348.26 MEDICA [900156] — MEDICA CHOICE [90156]: $3,814.60 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314]: $1,614.33 MEDICA MEDICARE REPLACEMENT [950299] — MEDICA GOVERNMENT ADVANTAGE [50316]: $1,407.46
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: X-ray chest	$413	$251.93	$118.25 – $409.12
Chest X-ray, 2 views: 10 of 13 insurance plan rates BCBS [900043] — BCBS MN [90043]: $354.75 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296]: $118.25 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299]: $141.74 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334]: $400.61 HEALTHPARTNERS [900713] — HP SELF INSURED [91021]: $360.31 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327]: $187.09 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307]: $139.70 MEDICA [900156] — MEDICA CHOICE [90156]: $395.24 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314]: $167.27 MEDICA MEDICARE REPLACEMENT [950299] — MEDICA GOVERNMENT ADVANTAGE [50316]: $145.83
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee In the file: Xray; Lower spine	$165	$100.65	$28.74 – $163.45
X-ray of the lower spine, at least 4 views: 10 of 13 insurance plan rates BCBS [900043] — BCBS MN [90043]: $160.17 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296]: $28.74 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299]: $56.63 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334]: $160.05 HEALTHPARTNERS [900713] — HP SELF INSURED [91021]: $143.95 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327]: $74.75 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307]: $55.81 MEDICA [900156] — MEDICA CHOICE [90156]: $157.91 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314]: $66.83 MEDICA MEDICARE REPLACEMENT [950299] — MEDICA GOVERNMENT ADVANTAGE [50316]: $58.26
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee In the file: MRI lumbar spine	$3,573	$2,179.53	$578.05 – $3,539.41
MRI of the lower back (lumbar spine), without contrast: 10 of 13 insurance plan rates BCBS [900043] — BCBS MN [90043]: $1,734.15 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296]: $578.05 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299]: $1,226.25 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334]: $3,465.81 HEALTHPARTNERS [900713] — HP SELF INSURED [91021]: $3,117.18 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327]: $1,618.57 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307]: $1,208.57 MEDICA [900156] — MEDICA CHOICE [90156]: $3,419.36 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314]: $1,447.07 MEDICA MEDICARE REPLACEMENT [950299] — MEDICA GOVERNMENT ADVANTAGE [50316]: $1,261.63
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee In the file: CT Pelvis with contrast	$2,140	$1,305.40	$446.60 – $2,119.88
CT scan of the pelvis, with contrast: 10 of 13 insurance plan rates BCBS [900043] — BCBS MN [90043]: $1,339.80 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296]: $446.60 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299]: $734.45 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334]: $2,075.80 HEALTHPARTNERS [900713] — HP SELF INSURED [91021]: $1,866.99 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327]: $969.42 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307]: $723.86 MEDICA [900156] — MEDICA CHOICE [90156]: $2,047.98 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314]: $866.70 MEDICA MEDICARE REPLACEMENT [950299] — MEDICA GOVERNMENT ADVANTAGE [50316]: $755.63
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: MRI lower extremity joint	$3,478	$2,121.58	$578.05 – $3,445.31
MRI of a leg joint (such as the knee), without contrast: 10 of 13 insurance plan rates BCBS [900043] — BCBS MN [90043]: $1,734.15 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296]: $578.05 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299]: $1,193.65 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334]: $3,373.66 HEALTHPARTNERS [900713] — HP SELF INSURED [91021]: $3,034.30 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327]: $1,575.53 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307]: $1,176.43 MEDICA [900156] — MEDICA CHOICE [90156]: $3,328.45 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314]: $1,408.59 MEDICA MEDICARE REPLACEMENT [950299] — MEDICA GOVERNMENT ADVANTAGE [50316]: $1,228.08
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee In the file: CT Abdomen and Pelvis with contrast	$3,542	$2,160.62	$607.75 – $3,508.71
CT scan of the abdomen and pelvis, with contrast: 10 of 13 insurance plan rates BCBS [900043] — BCBS MN [90043]: $1,823.25 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296]: $607.75 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299]: $1,215.61 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334]: $3,435.74 HEALTHPARTNERS [900713] — HP SELF INSURED [91021]: $3,090.13 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327]: $1,604.53 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307]: $1,198.08 MEDICA [900156] — MEDICA CHOICE [90156]: $3,389.69 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314]: $1,434.51 MEDICA MEDICARE REPLACEMENT [950299] — MEDICA GOVERNMENT ADVANTAGE [50316]: $1,250.68
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: Ultrasound abdomen	$1,132	$690.52	$197.19 – $1,121.36
Ultrasound of the abdomen, complete: 10 of 13 insurance plan rates BCBS [900043] — BCBS MN [90043]: $1,098.83 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296]: $197.19 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299]: $388.50 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334]: $1,098.04 HEALTHPARTNERS [900713] — HP SELF INSURED [91021]: $987.59 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327]: $512.80 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307]: $382.90 MEDICA [900156] — MEDICA CHOICE [90156]: $1,083.32 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314]: $458.46 MEDICA MEDICARE REPLACEMENT [950299] — MEDICA GOVERNMENT ADVANTAGE [50316]: $399.71
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: 14 week OB Ultrasound	$1,290	$786.90	$224.72 – $1,277.87
Pregnancy ultrasound (after the first trimester): 10 of 13 insurance plan rates BCBS [900043] — BCBS MN [90043]: $1,252.20 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296]: $224.72 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299]: $442.73 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334]: $1,251.30 HEALTHPARTNERS [900713] — HP SELF INSURED [91021]: $1,125.43 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327]: $584.37 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307]: $436.34 MEDICA [900156] — MEDICA CHOICE [90156]: $1,234.53 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314]: $522.45 MEDICA MEDICARE REPLACEMENT [950299] — MEDICA GOVERNMENT ADVANTAGE [50316]: $455.50
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: Tranvaginal ultrasound	$1,027	$626.47	$178.90 – $1,017.35
Transvaginal ultrasound: 10 of 13 insurance plan rates BCBS [900043] — BCBS MN [90043]: $996.91 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296]: $178.90 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299]: $352.47 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334]: $996.19 HEALTHPARTNERS [900713] — HP SELF INSURED [91021]: $895.98 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327]: $465.23 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307]: $347.38 MEDICA [900156] — MEDICA CHOICE [90156]: $982.84 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314]: $415.94 MEDICA MEDICARE REPLACEMENT [950299] — MEDICA GOVERNMENT ADVANTAGE [50316]: $362.63
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: Diagnostic mammogram	$389	$237.29	$67.76 – $385.34
Diagnostic mammogram, one breast: 10 of 13 insurance plan rates BCBS [900043] — BCBS MN [90043]: $377.60 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296]: $67.76 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299]: $133.50 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334]: $377.33 HEALTHPARTNERS [900713] — HP SELF INSURED [91021]: $339.37 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327]: $176.22 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307]: $131.58 MEDICA [900156] — MEDICA CHOICE [90156]: $372.27 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314]: $157.55 MEDICA MEDICARE REPLACEMENT [950299] — MEDICA GOVERNMENT ADVANTAGE [50316]: $137.36
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: Diagnostic mammogram	$470	$286.70	$81.87 – $465.58
Diagnostic mammogram, both breasts: 10 of 13 insurance plan rates BCBS [900043] — BCBS MN [90043]: $456.23 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296]: $81.87 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299]: $161.30 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334]: $455.90 HEALTHPARTNERS [900713] — HP SELF INSURED [91021]: $410.04 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327]: $212.91 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307]: $158.98 MEDICA [900156] — MEDICA CHOICE [90156]: $449.79 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314]: $190.35 MEDICA MEDICARE REPLACEMENT [950299] — MEDICA GOVERNMENT ADVANTAGE [50316]: $165.96
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: screening mammogram	$478	$291.58	$90.60 – $495
Screening mammogram, both breasts: 10 of 15 insurance plan rates BCBS [900043] — BCBS MN [90043]: $495 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296]: $165 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299]: $164.05 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334]: $463.66 HEALTHPARTNERS [900713] — HP SELF INSURED [91021]: $417.02 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327]: $216.53 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307]: $161.68 MA WISCONSIN REPLACEMENT [950271] — GHC OF EAU CLAIRE MA HMO [50261]: $90.60 MEDICA [900156] — MEDICA CHOICE [90156]: $457.45 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314]: $193.59

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Hospital (facility) fee In the file: Sleep study	$4,376	$2,669.36	$762.30 – $4,334.87
Sleep study (overnight, in a sleep lab): 10 of 13 insurance plan rates BCBS [900043] — BCBS MN [90043]: $4,247.78 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296]: $762.30 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299]: $1,501.84 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334]: $4,244.72 HEALTHPARTNERS [900713] — HP SELF INSURED [91021]: $3,817.74 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327]: $1,982.33 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307]: $1,480.18 MEDICA [900156] — MEDICA CHOICE [90156]: $4,187.83 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314]: $1,772.28 MEDICA MEDICARE REPLACEMENT [950299] — MEDICA GOVERNMENT ADVANTAGE [50316]: $1,545.17

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: Therapeutic Exercises	$154	$93.94	$26.91 – $189.75
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 15 insurance plan rates BCBS [900043] — BCBS MN [90043]: $189.75 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296]: $63.25 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299]: $52.85 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334]: $149.38 HEALTHPARTNERS [900713] — HP SELF INSURED [91021]: $134.35 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327]: $69.76 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307]: $52.09 MA WISCONSIN REPLACEMENT [950271] — GHC OF EAU CLAIRE MA HMO [50261]: $26.91 MEDICA [900156] — MEDICA CHOICE [90156]: $147.38 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314]: $62.37
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee In the file: Physical Therapy Evaulation	$245	$149.45	$82.87 – $346.50
Physical therapy evaluation (low complexity): 10 of 15 insurance plan rates BCBS [900043] — BCBS MN [90043]: $346.50 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296]: $115.50 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299]: $84.08 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334]: $237.65 HEALTHPARTNERS [900713] — HP SELF INSURED [91021]: $213.74 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327]: $110.99 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307]: $82.87 MA WISCONSIN REPLACEMENT [950271] — GHC OF EAU CLAIRE MA HMO [50261]: $91.47 MEDICA [900156] — MEDICA CHOICE [90156]: $234.47 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314]: $99.23
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee In the file: Physical Therapy Evaulation	$255	$155.55	$44.42 – $252.60
Physical therapy evaluation (moderate complexity): 10 of 15 insurance plan rates BCBS [900043] — BCBS MN [90043]: $247.53 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296]: $44.42 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299]: $87.52 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334]: $247.35 HEALTHPARTNERS [900713] — HP SELF INSURED [91021]: $222.47 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327]: $115.52 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307]: $86.25 MA WISCONSIN REPLACEMENT [950271] — GHC OF EAU CLAIRE MA HMO [50261]: $91.47 MEDICA [900156] — MEDICA CHOICE [90156]: $244.04 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314]: $103.28
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee In the file: Physical Therapy Evaulation	$267	$162.87	$46.51 – $264.49
Physical therapy evaluation (high complexity): 10 of 15 insurance plan rates BCBS [900043] — BCBS MN [90043]: $259.18 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296]: $46.51 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299]: $91.63 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334]: $258.99 HEALTHPARTNERS [900713] — HP SELF INSURED [91021]: $232.94 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327]: $120.95 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307]: $90.31 MA WISCONSIN REPLACEMENT [950271] — GHC OF EAU CLAIRE MA HMO [50261]: $91.47 MEDICA [900156] — MEDICA CHOICE [90156]: $255.52 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314]: $108.14
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Hospital (facility) fee In the file: Psychotherapy; 30 minutes	$337	$205.57	$68.85 – $333.83
Psychotherapy, 30 minutes: 10 of 12 insurance plan rates BCBS [900043] — BCBS MN [90043]: $97.46 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299]: $81.54 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334]: $326.89 HEALTHPARTNERS [900713] — HP SELF INSURED [91021]: $294.01 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327]: $152.66 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307]: $80.37 MEDICA [900156] — MEDICA CHOICE [90156]: $286.79 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314]: $68.85 MEDICA MEDICARE REPLACEMENT [950299] — MEDICA GOVERNMENT ADVANTAGE [50316]: $83.90 UCARE MEDICAID REPLACEMENT [950289] — UCARE PMAP [50283]: $83.99
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Hospital (facility) fee In the file: Psytx W Pt 45 Minutes	$447	$272.67	$91.10 – $442.80
Psychotherapy, 45 minutes: 10 of 12 insurance plan rates BCBS [900043] — BCBS MN [90043]: $128.83 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299]: $107.65 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334]: $433.59 HEALTHPARTNERS [900713] — HP SELF INSURED [91021]: $389.97 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327]: $202.49 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307]: $106.10 MEDICA [900156] — MEDICA CHOICE [90156]: $380.40 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314]: $91.10 MEDICA MEDICARE REPLACEMENT [950299] — MEDICA GOVERNMENT ADVANTAGE [50316]: $110.76 UCARE MEDICAID REPLACEMENT [950289] — UCARE PMAP [50283]: $110.88
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Hospital (facility) fee In the file: Psytx W Pt 60 Minutes	$662	$403.82	$134.42 – $655.78
Psychotherapy, 60 minutes: 10 of 12 insurance plan rates BCBS [900043] — BCBS MN [90043]: $171.14 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299]: $159.20 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334]: $642.14 HEALTHPARTNERS [900713] — HP SELF INSURED [91021]: $577.55 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327]: $299.89 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307]: $156.90 MEDICA [900156] — MEDICA CHOICE [90156]: $563.36 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314]: $134.42 MEDICA MEDICARE REPLACEMENT [950299] — MEDICA GOVERNMENT ADVANTAGE [50316]: $163.79 UCARE MEDICAID REPLACEMENT [950289] — UCARE PMAP [50283]: $163.98
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient · Hospital (facility) fee In the file: Family Psytx W/Pt 50 Min	$444	$270.84	$89.91 – $439.83
Family psychotherapy, with the patient: 10 of 13 insurance plan rates BCBS [900043] — BCBS MN [90043]: $177.42 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296]: $177.42 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299]: $121.37 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334]: $430.68 HEALTHPARTNERS [900713] — HP SELF INSURED [91021]: $387.36 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327]: $201.13 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307]: $119.62 MEDICA [900156] — MEDICA CHOICE [90156]: $377.84 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314]: $89.91 MEDICA MEDICARE REPLACEMENT [950299] — MEDICA GOVERNMENT ADVANTAGE [50316]: $124.87

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · Hospital (facility) fee In the file: Removal of breast lesion	$4,095	$2,497.95	$875.82 – $4,056.51
Removal of breast growth (open surgery): 10 of 13 insurance plan rates BCBS [900043] — BCBS MN [90043]: $875.82 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296]: $875.82 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299]: $1,405.40 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334]: $3,972.15 HEALTHPARTNERS [900713] — HP SELF INSURED [91021]: $3,572.58 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327]: $1,855.04 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307]: $1,385.13 MEDICA [900156] — MEDICA CHOICE [90156]: $3,918.92 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314]: $1,372 MEDICA MEDICARE REPLACEMENT [950299] — MEDICA GOVERNMENT ADVANTAGE [50316]: $1,445.94
Total hip replacement CPT 27130 · Inpatient or outpatient · Hospital (facility) fee In the file: Total Hip replacement	$6,068	$3,701.48	$1,057.05 – $5,890.21
Total hip replacement: 10 of 12 insurance plan rates BCBS [900043] — BCBS MN [90043]: $5,890.21 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296]: $1,057.05 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299]: $1,412.85 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334]: $5,885.96 HEALTHPARTNERS [900713] — HP SELF INSURED [91021]: $5,293.88 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327]: $2,748.80 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307]: $1,392.47 MEDICA [900156] — MEDICA CHOICE [90156]: $5,807.08 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314]: $2,457.54 MEDICA MEDICARE REPLACEMENT [950299] — MEDICA GOVERNMENT ADVANTAGE [50316]: $1,453.60
Total knee replacement CPT 27447 · Inpatient or outpatient · Hospital (facility) fee In the file: Total knee replacement	$6,148	$3,750.28	$1,070.98 – $5,967.86
Total knee replacement: 10 of 12 insurance plan rates BCBS [900043] — BCBS MN [90043]: $5,967.86 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296]: $1,070.98 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299]: $1,411.15 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334]: $5,963.56 HEALTHPARTNERS [900713] — HP SELF INSURED [91021]: $5,363.68 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327]: $2,785.04 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307]: $1,390.80 MEDICA [900156] — MEDICA CHOICE [90156]: $5,883.64 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314]: $2,489.94 MEDICA MEDICARE REPLACEMENT [950299] — MEDICA GOVERNMENT ADVANTAGE [50316]: $1,451.85
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Hospital (facility) fee In the file: EGD	$1,906	$1,162.66	$644.70 – $3,405.60
Upper GI endoscopy (diagnostic): 10 of 13 insurance plan rates BCBS [900043] — BCBS MN [90043]: $3,405.60 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296]: $1,135.20 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299]: $654.14 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334]: $1,848.82 HEALTHPARTNERS [900713] — HP SELF INSURED [91021]: $1,662.84 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327]: $863.42 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307]: $644.70 MEDICA [900156] — MEDICA CHOICE [90156]: $1,824.04 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314]: $724 MEDICA MEDICARE REPLACEMENT [950299] — MEDICA GOVERNMENT ADVANTAGE [50316]: $673.01
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Hospital (facility) fee In the file: Esophagogastroduodenoscopy, diagnostic	$1,112	$678.32	$133.19 – $3,405.60
Upper GI endoscopy (diagnostic): 10 of 12 insurance plan rates BCBS [900043] — BCBS MN [90043]: $3,405.60 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296]: $1,135.20 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299]: $135.14 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334]: $1,078.64 HEALTHPARTNERS [900713] — HP SELF INSURED [91021]: $970.14 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327]: $503.74 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307]: $133.19 MEDICA [900156] — MEDICA CHOICE [90156]: $1,064.18 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314]: $450.36 MEDICA MEDICARE REPLACEMENT [950299] — MEDICA GOVERNMENT ADVANTAGE [50316]: $139.03
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Hospital (facility) fee In the file: EGD with biopsy	$2,513	$1,532.93	$724 – $3,405.60
Upper GI endoscopy with biopsy: 10 of 13 insurance plan rates BCBS [900043] — BCBS MN [90043]: $3,405.60 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296]: $1,135.20 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299]: $862.46 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334]: $2,437.61 HEALTHPARTNERS [900713] — HP SELF INSURED [91021]: $2,192.41 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327]: $1,138.39 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307]: $850.02 MEDICA [900156] — MEDICA CHOICE [90156]: $2,404.94 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314]: $724 MEDICA MEDICARE REPLACEMENT [950299] — MEDICA GOVERNMENT ADVANTAGE [50316]: $887.34
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Hospital (facility) fee In the file: Diagnostic colonoscopy	$2,379	$1,451.19	$724 – $4,113.45
Colonoscopy (diagnostic): 10 of 13 insurance plan rates BCBS [900043] — BCBS MN [90043]: $4,113.45 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296]: $1,371.15 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299]: $816.47 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334]: $2,307.63 HEALTHPARTNERS [900713] — HP SELF INSURED [91021]: $2,075.50 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327]: $1,077.69 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307]: $804.70 MEDICA [900156] — MEDICA CHOICE [90156]: $2,276.70 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314]: $724 MEDICA MEDICARE REPLACEMENT [950299] — MEDICA GOVERNMENT ADVANTAGE [50316]: $840.02
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Hospital (facility) fee In the file: Colonoscopy with biopsy	$2,844	$1,734.84	$724 – $3,573.90
Colonoscopy with biopsy: 10 of 13 insurance plan rates BCBS [900043] — BCBS MN [90043]: $3,573.90 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296]: $1,191.30 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299]: $976.06 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334]: $2,758.68 HEALTHPARTNERS [900713] — HP SELF INSURED [91021]: $2,481.18 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327]: $1,288.33 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307]: $961.98 MEDICA [900156] — MEDICA CHOICE [90156]: $2,721.71 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314]: $724 MEDICA MEDICARE REPLACEMENT [950299] — MEDICA GOVERNMENT ADVANTAGE [50316]: $1,004.22
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · Hospital (facility) fee In the file: Colonoscopy with lesion removal	$2,949	$1,798.89	$724 – $3,573.90
Colonoscopy with removal of polyps (snare): 10 of 13 insurance plan rates BCBS [900043] — BCBS MN [90043]: $3,573.90 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296]: $1,191.30 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299]: $1,012.10 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334]: $2,860.53 HEALTHPARTNERS [900713] — HP SELF INSURED [91021]: $2,572.78 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327]: $1,335.90 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307]: $997.50 MEDICA [900156] — MEDICA CHOICE [90156]: $2,822.19 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314]: $724 MEDICA MEDICARE REPLACEMENT [950299] — MEDICA GOVERNMENT ADVANTAGE [50316]: $1,041.29
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · Hospital (facility) fee In the file: Ca Screen Colonoscopy	$2,384	$1,454.24	$449 – $3,428.70
Screening colonoscopy (not high risk): 10 of 13 insurance plan rates BCBS [900043] — BCBS MN [90043]: $3,428.70 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296]: $1,142.90 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299]: $818.19 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334]: $2,312.48 HEALTHPARTNERS [900713] — HP SELF INSURED [91021]: $2,079.86 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327]: $1,079.95 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307]: $806.39 MEDICA [900156] — MEDICA CHOICE [90156]: $2,281.49 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314]: $449 MEDICA MEDICARE REPLACEMENT [950299] — MEDICA GOVERNMENT ADVANTAGE [50316]: $841.79
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · Hospital (facility) fee In the file: Colon Ca Scrn Not Hi Risk Ind	$1,524	$929.64	$199.29 – $3,428.70
Screening colonoscopy (not high risk): 10 of 12 insurance plan rates BCBS [900043] — BCBS MN [90043]: $3,428.70 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296]: $1,142.90 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299]: $202.21 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334]: $1,478.28 HEALTHPARTNERS [900713] — HP SELF INSURED [91021]: $1,329.58 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327]: $690.37 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307]: $199.29 MEDICA [900156] — MEDICA CHOICE [90156]: $1,458.47 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314]: $617.22 MEDICA MEDICARE REPLACEMENT [950299] — MEDICA GOVERNMENT ADVANTAGE [50316]: $208.04
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient · Hospital (facility) fee In the file: Laparoscopy Surgical; Cholect	$8,658	$5,281.38	$1,508.22 – $8,576.61
Gallbladder removal by laparoscope: 10 of 13 insurance plan rates BCBS [900043] — BCBS MN [90043]: $8,404.32 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296]: $1,508.22 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299]: $2,971.43 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334]: $8,398.26 HEALTHPARTNERS [900713] — HP SELF INSURED [91021]: $7,553.46 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327]: $3,922.07 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307]: $2,928.57 MEDICA [900156] — MEDICA CHOICE [90156]: $8,285.71 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314]: $2,844 MEDICA MEDICARE REPLACEMENT [950299] — MEDICA GOVERNMENT ADVANTAGE [50316]: $3,057.14
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient · Hospital (facility) fee In the file: Cholecystectomy	$2,928	$1,786.08	$510.06 – $2,842.21
Gallbladder removal by laparoscope: 10 of 12 insurance plan rates BCBS [900043] — BCBS MN [90043]: $2,842.21 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296]: $510.06 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299]: $711.84 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334]: $2,840.16 HEALTHPARTNERS [900713] — HP SELF INSURED [91021]: $2,554.46 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327]: $1,326.38 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307]: $701.57 MEDICA [900156] — MEDICA CHOICE [90156]: $2,802.10 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314]: $1,185.84 MEDICA MEDICARE REPLACEMENT [950299] — MEDICA GOVERNMENT ADVANTAGE [50316]: $732.37
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient · Hospital (facility) fee In the file: Prp I/Hern Init Reduc >5 Yr	$5,192	$3,167.12	$904.45 – $5,143.20
Groin (inguinal) hernia repair, age 5 or older: 10 of 13 insurance plan rates BCBS [900043] — BCBS MN [90043]: $5,039.87 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296]: $904.45 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299]: $1,781.89 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334]: $5,036.24 HEALTHPARTNERS [900713] — HP SELF INSURED [91021]: $4,529.64 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327]: $2,351.98 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307]: $1,756.19 MEDICA [900156] — MEDICA CHOICE [90156]: $4,968.74 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314]: $1,497 MEDICA MEDICARE REPLACEMENT [950299] — MEDICA GOVERNMENT ADVANTAGE [50316]: $1,833.30
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient · Hospital (facility) fee In the file: Hernia repair	$1,849	$1,127.89	$322.10 – $1,794.82
Groin (inguinal) hernia repair, age 5 or older: 10 of 12 insurance plan rates BCBS [900043] — BCBS MN [90043]: $1,794.82 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296]: $322.10 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299]: $568.57 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334]: $1,793.53 HEALTHPARTNERS [900713] — HP SELF INSURED [91021]: $1,613.12 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327]: $837.60 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307]: $560.37 MEDICA [900156] — MEDICA CHOICE [90156]: $1,769.49 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314]: $748.85 MEDICA MEDICARE REPLACEMENT [950299] — MEDICA GOVERNMENT ADVANTAGE [50316]: $584.97
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Hospital (facility) fee In the file: injection of diagnostic or therapeutic agent	$806	$491.66	$140.41 – $798.42
Spinal injection, lower back (epidural), with imaging guidance: 10 of 13 insurance plan rates BCBS [900043] — BCBS MN [90043]: $782.38 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296]: $140.41 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299]: $276.62 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334]: $781.82 HEALTHPARTNERS [900713] — HP SELF INSURED [91021]: $703.18 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327]: $365.12 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307]: $272.63 MEDICA [900156] — MEDICA CHOICE [90156]: $771.34 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314]: $449 MEDICA MEDICARE REPLACEMENT [950299] — MEDICA GOVERNMENT ADVANTAGE [50316]: $284.60
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Hospital (facility) fee In the file: Njx Interlaminar Lmbr/Sac W/Img	$1,272	$775.92	$109.66 – $1,234.73
Spinal injection, lower back (epidural), with imaging guidance: 10 of 12 insurance plan rates BCBS [900043] — BCBS MN [90043]: $1,234.73 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296]: $221.58 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299]: $111.26 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334]: $1,233.84 HEALTHPARTNERS [900713] — HP SELF INSURED [91021]: $1,109.73 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327]: $576.22 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307]: $109.66 MEDICA [900156] — MEDICA CHOICE [90156]: $1,217.30 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314]: $515.16 MEDICA MEDICARE REPLACEMENT [950299] — MEDICA GOVERNMENT ADVANTAGE [50316]: $114.47
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Hospital (facility) fee In the file: Injection foramen epidural; lumbar or sacral	$1,368	$834.48	$238.31 – $1,355.14
Nerve root injection, lower back, with imaging guidance: 10 of 13 insurance plan rates BCBS [900043] — BCBS MN [90043]: $1,327.92 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296]: $238.31 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299]: $469.50 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334]: $1,326.96 HEALTHPARTNERS [900713] — HP SELF INSURED [91021]: $1,193.48 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327]: $619.70 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307]: $462.73 MEDICA [900156] — MEDICA CHOICE [90156]: $1,309.18 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314]: $449 MEDICA MEDICARE REPLACEMENT [950299] — MEDICA GOVERNMENT ADVANTAGE [50316]: $483.04
Carpal tunnel release CPT 64721 · Inpatient or outpatient · Hospital (facility) fee In the file: Carpal tunnel surgery	$1,727	$1,053.47	$300.84 – $1,676.40
Carpal tunnel release: 10 of 12 insurance plan rates BCBS [900043] — BCBS MN [90043]: $1,676.40 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296]: $300.84 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299]: $502.36 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334]: $1,675.19 HEALTHPARTNERS [900713] — HP SELF INSURED [91021]: $1,506.68 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327]: $782.33 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307]: $495.11 MEDICA [900156] — MEDICA CHOICE [90156]: $1,652.74 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314]: $699.44 MEDICA MEDICARE REPLACEMENT [950299] — MEDICA GOVERNMENT ADVANTAGE [50316]: $516.85

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Inpatient or outpatient · Hospital (facility) fee In the file: Routine OB Care	$5,091	$3,105.51	$886.85 – $4,941.83
Vaginal delivery, with care before and after: 10 of 12 insurance plan rates BCBS [900043] — BCBS MN [90043]: $4,941.83 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296]: $886.85 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299]: $2,569.63 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334]: $4,938.27 HEALTHPARTNERS [900713] — HP SELF INSURED [91021]: $4,441.52 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327]: $2,306.22 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307]: $2,532.57 MEDICA [900156] — MEDICA CHOICE [90156]: $4,872.09 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314]: $2,061.86 MEDICA MEDICARE REPLACEMENT [950299] — MEDICA GOVERNMENT ADVANTAGE [50316]: $2,643.75
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient or outpatient · Hospital (facility) fee In the file: Cesarean delivery	$5,971	$3,642.31	$1,040.15 – $5,796.05
Cesarean delivery (C-section), with care before and after: 10 of 12 insurance plan rates BCBS [900043] — BCBS MN [90043]: $5,796.05 BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296]: $1,040.15 BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299]: $2,822.89 FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334]: $5,791.87 HEALTHPARTNERS [900713] — HP SELF INSURED [91021]: $5,209.26 HP MEDICAID REPLACEMENT [950307] — HP CARE PMAP [50327]: $2,704.86 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307]: $2,782.18 MEDICA [900156] — MEDICA CHOICE [90156]: $5,714.25 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314]: $2,418.26 MEDICA MEDICARE REPLACEMENT [950299] — MEDICA GOVERNMENT ADVANTAGE [50316]: $2,904.32

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance 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	$50,016.20	$31,860.32	$2,838.68 – $47,254.66
Hip or knee replacement (major joint of the leg), without major complications: 10 of 13 insurance plan rates BCBS MEDICARE REPLACEMENT [950296] — BCBS MEDICARE ADVANTAGE [50299]: $3,823.74 HEALTHPARTNERS [900713] — HP SELF INSURED [91021]: $47,254.66 HP MEDICARE REPLACEMENT [950306] — HP MEDICARE ADVANTAGE [95307]: $3,768.59 MEDICA MEDICAID REPLACEMENT [950298] — MEDICA CHOICE CARE PMAP [50314]: $4,412 MEDICA MEDICARE REPLACEMENT [950299] — MEDICA GOVERNMENT ADVANTAGE [50316]: $3,934.04 UCARE MEDICAID REPLACEMENT [950289] — UCARE PMAP [50283]: $2,838.68 UHC MEDICARE REPLACEMENT [950281] — UHC MEDICARE ADVANTAGE PPO [50275]: $3,897.27 BCBS [900043] — BCBS MN [90043]: 97.07% (a percentage in the contract, not a dollar amount) BCBS MEDICAID REPLACEMENT [950295] — BCBS PMAP [95296]: 21.4% (a percentage in the contract, not a dollar amount) FIRST HEALTH NETWORK [950334] — FIRST HEALTH NETWORK [95334]: 97% (a percentage in the contract, not a dollar amount)

Source: Olivia Hospital & Clinic’s standard charges file (healthpartners.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 31, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Critical Access Hospital
Address	100 Healthy Way, Olivia, MN 56277
County	Renville County
State	Minnesota
Phone	(320) 523‑1261
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	2 of 5 stars
CMS Certification Number	241306
Name in Medicare records	OLIVIA HOSPITAL & CLINIC
Profile level	Medicare data + hospital website
Main phone on the hospital’s website	(800) 916‑1836^[15]
Official website	healthpartners.com
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
Medicare Care Compare — official Medicare profile of this hospital
U.S. Census Bureau ZIP code areas (Gazetteer) — approximate position (center of the ZIP code area) used for distances

From the hospital’s website

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

Olivia Hospital & Clinic specialties — healthpartners.com
Olivia Emergency Center — healthpartners.com
Olivia Hospital & Clinic | HealthPartners & Park Nicollet — healthpartners.com
Olivia Clinic, Olivia Hospital & Clinic | HealthPartners & Park Nicollet — healthpartners.com
Olivia Hospital & Clinic | Cardiovascular care — healthpartners.com
Olivia Hospital & Clinic | Orthopedics — healthpartners.com
OB-GYN services | Olivia Hospital & Clinic — healthpartners.com
Olivia Hospital & Clinic | Pain management — healthpartners.com
Olivia Hospital & Clinic | Guest information — healthpartners.com
Olivia Hospital & Clinic | Directions and parking — healthpartners.com
Olivia Hospital & Clinic | Quality health care since 1951 — healthpartners.com

Olivia Hospital & Clinic

Summary

Profile from official sources

At a glance