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Critical Access Hospital

Ortonville Area Health Services

Ortonville, Minnesota · Big Stone County · Emergency services listed

Summary

Ortonville Area Health Services is a critical access hospital in Ortonville, Minnesota. Medicare data lists emergency services. Its official website lists 44 services, specialties and programs. Medicare lists 69 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is a critical access hospital?

A small rural hospital with 24-hour emergency care, designated by Medicare to keep care available far from big cities. 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
Not ratedNot rated by CMSMedicare rating
YesBirthing-friendly (CMS)
25Beds (hospital website)
44Services listed

Quick answers

Does Ortonville Area Health Services have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Ortonville Area Health Services. In a medical emergency, call 911.
Where is Ortonville Area Health Services?
450 Eastvold Ave, Ortonville, MN 56278, in Big Stone County, Minnesota.
What is the phone number of Ortonville Area Health Services?
(320) 839-2502, as listed by Medicare (CMS).
What is the Medicare star rating of Ortonville Area Health Services?
CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Specialties and care areas[4][9][10][11][14]

Treatments[10]

Procedures[9][10][11][14][15]

Programs and centers[8]

  • Direct Access Lab Testing

Emergency care (hospital website)[12]

Emergency roomYes

Visiting and practical information

VisitingFamily welcome daily until 8:30 p.m.; quiet time 12:30-2:00 p.m.; main doors lock 9 p.m., ER 8 p.m[13][12]
ParkingPatients use the main parking lot; tell staff where your car is when you register[7]

Recognition[15]

  • First place, Cost category, Sanford Improvement Symposium (OAHS MRI Project) 2026

Doctors and clinicians (69)

69 doctors and other clinicians list Ortonville Area Health Services 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 (69)

And 45 more: the button below opens the full list.

Other emergency rooms nearby

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

Other hospitals nearby

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 →

Community care nearby

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

Clinics and urgent care

Pharmacies

Assisted living nearby

Licensed homes from the official state licence 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 Ortonville Area Health Services 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 hospitalNot reported to Medicare
Would recommend the hospitalNot reported to Medicare
Nurses communicated wellNot reported to Medicare
Doctors communicated wellNot reported to Medicare
Staff explained medicinesNot reported to Medicare
Information about recovery at homeNot reported to Medicare
Room and bathroom kept cleanNot reported to Medicare
Quiet at nightNot reported to Medicare
Rated the hospital 9 or 10 out of 1081%National average: 72%
Would definitely recommend the hospital89%National average: 71%
Nurses “always” communicated well86%National average: 80%
Doctors “always” communicated well91%National average: 80%
Staff “always” explained medicines before giving them65%National average: 62%
Were given information about recovery at home88%National average: 86%
Room and bathroom “always” clean83%National average: 74%
Area around the room “always” quiet at night77%National average: 60%
Completed surveys71Response rate: 35%

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 surgeryNot reported to Medicare
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infectionsNot reported to Medicare
Clostridioides difficile (C. diff) intestinal infectionsNot 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 patientsNot reported to Medicare
Deaths within 30 days: heart failure patientsToo few cases to report
Deaths within 30 days: pneumonia patients18.1%
Deaths within 30 days: COPD patientsToo few cases to report
Deaths within 30 days: stroke patientsToo 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 replacementToo few cases to report

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)Not reported to Medicare
Readmitted within 30 days: heart attackToo few cases to report
Readmitted within 30 days: heart failureToo few cases to report
Readmitted within 30 days: pneumonia17.1%
Readmitted within 30 days: COPDToo few cases to report
Readmitted within 30 days: coronary bypass surgeryNot reported to Medicare
Readmitted within 30 days: hip or knee replacementToo 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)120 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)Not reported to Medicare

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.

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 72 common services exactly as Ortonville Area Health Services 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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PF 99203 FAC OFFICE OP VISIT NEW PT LEVEL III $35 $29.75 $14.38 – $33.95
New patient office visit (about 30–44 minutes): 10 of 17 insurance plan rates
  • America's Health System — PPO: $33.95
  • Blue Cross Blue Shield — Commercial: $33.25
  • Blue Cross Blue Shield — Managed Medicaid: $14.38
  • Health Partners — Commercial: $31.22
  • Health Partners — Managed Medicaid: $17.50
  • Health Partners — Medicare Advantage: $21
  • Medica — Medicare Advantage: $17.50
  • Medica Choice/Focus/IFB/MHPS/Care System — Commercial: $32.41
  • Medica ChoiceCare/Accessibility Solution/MinnesotaCare — Commercial: $21.18
  • Medica Minnesota Senior Health Options (MSHO)/Select Solutio — Commercial: $17.50
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PF 99203 FAC OFFICE OP VISIT NEW PT LEVEL III $35 $29.75 $17.50 – $33.95
New patient office visit (about 30–44 minutes): rates for 8 insurance plans
  • America's Health System — PPO: $33.95
  • Blue Cross Blue Shield — Commercial: $33.25
  • Health Partners — Commercial: $31.22
  • Health Partners — Managed Medicaid: $17.50
  • Health Partners — Medicare Advantage: $21
  • MultiPlan — Commercial: $32.90
  • Sanford Health Plan — Commercial: $32.20
  • United Healthcare — Commercial: $30.80
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PF 99204 FAC OFFICE OP VISIT NEW PT LEVEL IV $35 $29.75 $14.38 – $33.95
New patient office visit (about 45–59 minutes): 10 of 17 insurance plan rates
  • America's Health System — PPO: $33.95
  • Blue Cross Blue Shield — Commercial: $33.25
  • Blue Cross Blue Shield — Managed Medicaid: $14.38
  • Health Partners — Commercial: $31.22
  • Health Partners — Managed Medicaid: $17.50
  • Health Partners — Medicare Advantage: $21
  • Medica — Medicare Advantage: $17.50
  • Medica Choice/Focus/IFB/MHPS/Care System — Commercial: $32.41
  • Medica ChoiceCare/Accessibility Solution/MinnesotaCare — Commercial: $21.18
  • Medica Minnesota Senior Health Options (MSHO)/Select Solutio — Commercial: $17.50
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PF 99204 FAC OFFICE OP VISIT NEW PT LEVEL IV $35 $29.75 $17.50 – $33.95
New patient office visit (about 45–59 minutes): rates for 8 insurance plans
  • America's Health System — PPO: $33.95
  • Blue Cross Blue Shield — Commercial: $33.25
  • Health Partners — Commercial: $31.22
  • Health Partners — Managed Medicaid: $17.50
  • Health Partners — Medicare Advantage: $21
  • MultiPlan — Commercial: $32.90
  • Sanford Health Plan — Commercial: $32.20
  • United Healthcare — Commercial: $30.80
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PF 99205 FAC OFFICE OP VISIT NEW PT LEVEL V $35 $29.75 $14.38 – $33.95
New patient office visit (about 60–74 minutes): 10 of 17 insurance plan rates
  • America's Health System — PPO: $33.95
  • Blue Cross Blue Shield — Commercial: $33.25
  • Blue Cross Blue Shield — Managed Medicaid: $14.38
  • Health Partners — Commercial: $31.22
  • Health Partners — Managed Medicaid: $17.50
  • Health Partners — Medicare Advantage: $21
  • Medica — Medicare Advantage: $17.50
  • Medica Choice/Focus/IFB/MHPS/Care System — Commercial: $32.41
  • Medica ChoiceCare/Accessibility Solution/MinnesotaCare — Commercial: $21.18
  • Medica Minnesota Senior Health Options (MSHO)/Select Solutio — Commercial: $17.50
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PF 99205 FAC OFFICE OP VISIT NEW PT LEVEL V $35 $29.75 $17.50 – $33.95
New patient office visit (about 60–74 minutes): rates for 8 insurance plans
  • America's Health System — PPO: $33.95
  • Blue Cross Blue Shield — Commercial: $33.25
  • Health Partners — Commercial: $31.22
  • Health Partners — Managed Medicaid: $17.50
  • Health Partners — Medicare Advantage: $21
  • MultiPlan — Commercial: $32.90
  • Sanford Health Plan — Commercial: $32.20
  • United Healthcare — Commercial: $30.80
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PF 99213 FAC OFFICE OP VISIT EST PT LEVEL III W PROC M25 $35 $29.75 $14.38 – $33.95
Established patient office visit (about 20–29 minutes): 10 of 17 insurance plan rates
  • America's Health System — PPO: $33.95
  • Blue Cross Blue Shield — Commercial: $33.25
  • Blue Cross Blue Shield — Managed Medicaid: $14.38
  • Health Partners — Commercial: $31.22
  • Health Partners — Managed Medicaid: $17.50
  • Health Partners — Medicare Advantage: $21
  • Medica — Medicare Advantage: $17.50
  • Medica Choice/Focus/IFB/MHPS/Care System — Commercial: $32.41
  • Medica ChoiceCare/Accessibility Solution/MinnesotaCare — Commercial: $21.18
  • Medica Minnesota Senior Health Options (MSHO)/Select Solutio — Commercial: $17.50
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PF 99213 FAC OFFICE OP VISIT EST PT LEVEL III $35 $29.75 $14.38 – $33.95
Established patient office visit (about 20–29 minutes): 10 of 17 insurance plan rates
  • America's Health System — PPO: $33.95
  • Blue Cross Blue Shield — Commercial: $33.25
  • Blue Cross Blue Shield — Managed Medicaid: $14.38
  • Health Partners — Commercial: $31.22
  • Health Partners — Managed Medicaid: $17.50
  • Health Partners — Medicare Advantage: $21
  • Medica — Medicare Advantage: $17.50
  • Medica Choice/Focus/IFB/MHPS/Care System — Commercial: $32.41
  • Medica ChoiceCare/Accessibility Solution/MinnesotaCare — Commercial: $21.18
  • Medica Minnesota Senior Health Options (MSHO)/Select Solutio — Commercial: $17.50
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PF 99213 FAC OFFICE OP VISIT EST PT LEVEL III $35 $29.75 $17.50 – $33.95
Established patient office visit (about 20–29 minutes): rates for 8 insurance plans
  • America's Health System — PPO: $33.95
  • Blue Cross Blue Shield — Commercial: $33.25
  • Health Partners — Commercial: $31.22
  • Health Partners — Managed Medicaid: $17.50
  • Health Partners — Medicare Advantage: $21
  • MultiPlan — Commercial: $32.90
  • Sanford Health Plan — Commercial: $32.20
  • United Healthcare — Commercial: $30.80
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PF 99214 FAC OFFICE OP VISIT EST PT LEVEL IV W PROC M25 $35 $29.75 $14.38 – $33.95
Established patient office visit (about 30–39 minutes): 10 of 17 insurance plan rates
  • America's Health System — PPO: $33.95
  • Blue Cross Blue Shield — Commercial: $33.25
  • Blue Cross Blue Shield — Managed Medicaid: $14.38
  • Health Partners — Commercial: $31.22
  • Health Partners — Managed Medicaid: $17.50
  • Health Partners — Medicare Advantage: $21
  • Medica — Medicare Advantage: $17.50
  • Medica Choice/Focus/IFB/MHPS/Care System — Commercial: $32.41
  • Medica ChoiceCare/Accessibility Solution/MinnesotaCare — Commercial: $21.18
  • Medica Minnesota Senior Health Options (MSHO)/Select Solutio — Commercial: $17.50
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PF 99214 FAC OFFICE OP VISIT EST PT LEVEL IV $35 $29.75 $14.38 – $33.95
Established patient office visit (about 30–39 minutes): 10 of 17 insurance plan rates
  • America's Health System — PPO: $33.95
  • Blue Cross Blue Shield — Commercial: $33.25
  • Blue Cross Blue Shield — Managed Medicaid: $14.38
  • Health Partners — Commercial: $31.22
  • Health Partners — Managed Medicaid: $17.50
  • Health Partners — Medicare Advantage: $21
  • Medica — Medicare Advantage: $17.50
  • Medica Choice/Focus/IFB/MHPS/Care System — Commercial: $32.41
  • Medica ChoiceCare/Accessibility Solution/MinnesotaCare — Commercial: $21.18
  • Medica Minnesota Senior Health Options (MSHO)/Select Solutio — Commercial: $17.50
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PF 99214 FAC OFFICE OP VISIT EST PT LEVEL IV W PROC M25 $35 $29.75 $17.50 – $33.95
Established patient office visit (about 30–39 minutes): rates for 8 insurance plans
  • America's Health System — PPO: $33.95
  • Blue Cross Blue Shield — Commercial: $33.25
  • Health Partners — Commercial: $31.22
  • Health Partners — Managed Medicaid: $17.50
  • Health Partners — Medicare Advantage: $21
  • MultiPlan — Commercial: $32.90
  • Sanford Health Plan — Commercial: $32.20
  • United Healthcare — Commercial: $30.80
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED 99283 EMER CASE LEVEL III $618 $525.30 $253.94 – $599.46
Emergency room visit (moderate): 10 of 17 insurance plan rates
  • America's Health System — PPO: $599.46
  • Blue Cross Blue Shield — Commercial: $587.10
  • Blue Cross Blue Shield — Managed Medicaid: $253.94
  • Health Partners — Commercial: $551.26
  • Health Partners — Managed Medicaid: $309
  • Health Partners — Medicare Advantage: $370.80
  • Medica — Medicare Advantage: $309
  • Medica Choice/Focus/IFB/MHPS/Care System — Commercial: $526.54
  • Medica ChoiceCare/Accessibility Solution/MinnesotaCare — Commercial: $416
  • Medica Minnesota Senior Health Options (MSHO)/Select Solutio — Commercial: $309
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ED 99283 EMER CASE LEVEL III $618 $525.30 $309 – $599.46
Emergency room visit (moderate): rates for 8 insurance plans
  • America's Health System — PPO: $599.46
  • Blue Cross Blue Shield — Commercial: $587.10
  • Health Partners — Commercial: $551.26
  • Health Partners — Managed Medicaid: $309
  • Health Partners — Medicare Advantage: $370.80
  • MultiPlan — Commercial: $580.92
  • Sanford Health Plan — Commercial: $568.56
  • United Healthcare — Commercial: $543.84
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED 99284 EMER CASE LEVEL IV $968 $822.80 $270 – $938.96
Emergency room visit (moderately high): 10 of 17 insurance plan rates
  • America's Health System — PPO: $938.96
  • Blue Cross Blue Shield — Commercial: $919.60
  • Blue Cross Blue Shield — Managed Medicaid: $397.75
  • Health Partners — Commercial: $863.46
  • Health Partners — Managed Medicaid: $484
  • Health Partners — Medicare Advantage: $580.80
  • Medica — Medicare Advantage: $484
  • Medica Choice/Focus/IFB/MHPS/Care System — Commercial: $824.74
  • Medica ChoiceCare/Accessibility Solution/MinnesotaCare — Commercial: $270
  • Medica Minnesota Senior Health Options (MSHO)/Select Solutio — Commercial: $484
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ED 99284 EMER CASE LEVEL IV $968 $822.80 $484 – $938.96
Emergency room visit (moderately high): rates for 8 insurance plans
  • America's Health System — PPO: $938.96
  • Blue Cross Blue Shield — Commercial: $919.60
  • Health Partners — Commercial: $863.46
  • Health Partners — Managed Medicaid: $484
  • Health Partners — Medicare Advantage: $580.80
  • MultiPlan — Commercial: $909.92
  • Sanford Health Plan — Commercial: $890.56
  • United Healthcare — Commercial: $851.84
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED 99285 EMER CASE LEVEL V $1,422 $1,208.70 $147 – $1,379.34
Emergency room visit (high): 10 of 17 insurance plan rates
  • America's Health System — PPO: $1,379.34
  • Blue Cross Blue Shield — Commercial: $1,350.90
  • Blue Cross Blue Shield — Managed Medicaid: $584.30
  • Health Partners — Commercial: $1,268.42
  • Health Partners — Managed Medicaid: $711
  • Health Partners — Medicare Advantage: $853.20
  • Medica — Medicare Advantage: $711
  • Medica Choice/Focus/IFB/MHPS/Care System — Commercial: $1,211.54
  • Medica ChoiceCare/Accessibility Solution/MinnesotaCare — Commercial: $147
  • Medica Minnesota Senior Health Options (MSHO)/Select Solutio — Commercial: $711
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ED 99285 EMER CASE LEVEL V $1,422 $1,208.70 $711 – $1,379.34
Emergency room visit (high): rates for 8 insurance plans
  • America's Health System — PPO: $1,379.34
  • Blue Cross Blue Shield — Commercial: $1,350.90
  • Health Partners — Commercial: $1,268.42
  • Health Partners — Managed Medicaid: $711
  • Health Partners — Medicare Advantage: $853.20
  • MultiPlan — Commercial: $1,336.68
  • Sanford Health Plan — Commercial: $1,308.24
  • United Healthcare — Commercial: $1,251.36

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL 80048 $136 $115.60 $16.92 – $131.92
Basic metabolic panel (blood test): 10 of 17 insurance plan rates
  • America's Health System — PPO: $131.92
  • Blue Cross Blue Shield — Commercial: $59.22
  • Blue Cross Blue Shield — Managed Medicaid: $16.92
  • Health Partners — Commercial: $121.31
  • Health Partners — Managed Medicaid: $68
  • Health Partners — Medicare Advantage: $81.60
  • Medica — Medicare Advantage: $68
  • Medica Choice/Focus/IFB/MHPS/Care System — Commercial: $125.94
  • Medica ChoiceCare/Accessibility Solution/MinnesotaCare — Commercial: $82.28
  • Medica Minnesota Senior Health Options (MSHO)/Select Solutio — Commercial: $68
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL 80048 $136 $115.60 $68 – $131.92
Basic metabolic panel (blood test): rates for 8 insurance plans
  • America's Health System — PPO: $131.92
  • Blue Cross Blue Shield — Commercial: $129.20
  • Health Partners — Commercial: $121.31
  • Health Partners — Managed Medicaid: $68
  • Health Partners — Medicare Advantage: $81.60
  • MultiPlan — Commercial: $127.84
  • Sanford Health Plan — Commercial: $125.12
  • United Healthcare — Commercial: $119.68
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PANEL 80053 $187 $158.95 $21.12 – $181.39
Comprehensive metabolic panel (blood test): 10 of 17 insurance plan rates
  • America's Health System — PPO: $181.39
  • Blue Cross Blue Shield — Commercial: $73.92
  • Blue Cross Blue Shield — Managed Medicaid: $21.12
  • Health Partners — Commercial: $166.80
  • Health Partners — Managed Medicaid: $93.50
  • Health Partners — Medicare Advantage: $112.20
  • Medica — Medicare Advantage: $93.50
  • Medica Choice/Focus/IFB/MHPS/Care System — Commercial: $173.16
  • Medica ChoiceCare/Accessibility Solution/MinnesotaCare — Commercial: $113.14
  • Medica Minnesota Senior Health Options (MSHO)/Select Solutio — Commercial: $93.50
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PANEL 80053 $187 $158.95 $93.50 – $181.39
Comprehensive metabolic panel (blood test): rates for 8 insurance plans
  • America's Health System — PPO: $181.39
  • Blue Cross Blue Shield — Commercial: $177.65
  • Health Partners — Commercial: $166.80
  • Health Partners — Managed Medicaid: $93.50
  • Health Partners — Medicare Advantage: $112.20
  • MultiPlan — Commercial: $175.78
  • Sanford Health Plan — Commercial: $172.04
  • United Healthcare — Commercial: $164.56
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL 80061 $152 $129.20 $26.78 – $147.44
Cholesterol panel (lipid panel): 10 of 17 insurance plan rates
  • America's Health System — PPO: $147.44
  • Blue Cross Blue Shield — Commercial: $93.73
  • Blue Cross Blue Shield — Managed Medicaid: $26.78
  • Health Partners — Commercial: $135.58
  • Health Partners — Managed Medicaid: $76
  • Health Partners — Medicare Advantage: $91.20
  • Medica — Medicare Advantage: $76
  • Medica Choice/Focus/IFB/MHPS/Care System — Commercial: $140.75
  • Medica ChoiceCare/Accessibility Solution/MinnesotaCare — Commercial: $91.96
  • Medica Minnesota Senior Health Options (MSHO)/Select Solutio — Commercial: $76
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LIPID PANEL 80061 $152 $129.20 $76 – $147.44
Cholesterol panel (lipid panel): rates for 8 insurance plans
  • America's Health System — PPO: $147.44
  • Blue Cross Blue Shield — Commercial: $144.40
  • Health Partners — Commercial: $135.58
  • Health Partners — Managed Medicaid: $76
  • Health Partners — Medicare Advantage: $91.20
  • MultiPlan — Commercial: $142.88
  • Sanford Health Plan — Commercial: $139.84
  • United Healthcare — Commercial: $133.76
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL 80069 $179 $152.15 $73.55 – $173.63
Kidney function panel: 10 of 17 insurance plan rates
  • America's Health System — PPO: $173.63
  • Blue Cross Blue Shield — Commercial: $170.05
  • Blue Cross Blue Shield — Managed Medicaid: $73.55
  • Health Partners — Commercial: $159.67
  • Health Partners — Managed Medicaid: $89.50
  • Health Partners — Medicare Advantage: $107.40
  • Medica — Medicare Advantage: $89.50
  • Medica Choice/Focus/IFB/MHPS/Care System — Commercial: $165.75
  • Medica ChoiceCare/Accessibility Solution/MinnesotaCare — Commercial: $108.30
  • Medica Minnesota Senior Health Options (MSHO)/Select Solutio — Commercial: $89.50
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL 80069 $179 $152.15 $89.50 – $173.63
Kidney function panel: rates for 8 insurance plans
  • America's Health System — PPO: $173.63
  • Blue Cross Blue Shield — Commercial: $170.05
  • Health Partners — Commercial: $159.67
  • Health Partners — Managed Medicaid: $89.50
  • Health Partners — Medicare Advantage: $107.40
  • MultiPlan — Commercial: $168.26
  • Sanford Health Plan — Commercial: $164.68
  • United Healthcare — Commercial: $157.52
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL 80076 $149 $126.65 $61.22 – $144.53
Liver function panel: 10 of 17 insurance plan rates
  • America's Health System — PPO: $144.53
  • Blue Cross Blue Shield — Commercial: $141.55
  • Blue Cross Blue Shield — Managed Medicaid: $61.22
  • Health Partners — Commercial: $132.91
  • Health Partners — Managed Medicaid: $74.50
  • Health Partners — Medicare Advantage: $89.40
  • Medica — Medicare Advantage: $74.50
  • Medica Choice/Focus/IFB/MHPS/Care System — Commercial: $137.97
  • Medica ChoiceCare/Accessibility Solution/MinnesotaCare — Commercial: $90.15
  • Medica Minnesota Senior Health Options (MSHO)/Select Solutio — Commercial: $74.50
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL 80076 $149 $126.65 $74.50 – $144.53
Liver function panel: rates for 8 insurance plans
  • America's Health System — PPO: $144.53
  • Blue Cross Blue Shield — Commercial: $141.55
  • Health Partners — Commercial: $132.91
  • Health Partners — Managed Medicaid: $74.50
  • Health Partners — Medicare Advantage: $89.40
  • MultiPlan — Commercial: $140.06
  • Sanford Health Plan — Commercial: $137.08
  • United Healthcare — Commercial: $131.12
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/SCOPE 81001 $81 $68.85 $33.28 – $78.57
Urine test (automated, with microscope): 10 of 17 insurance plan rates
  • America's Health System — PPO: $78.57
  • Blue Cross Blue Shield — Commercial: $76.95
  • Blue Cross Blue Shield — Managed Medicaid: $33.28
  • Health Partners — Commercial: $72.25
  • Health Partners — Managed Medicaid: $40.50
  • Health Partners — Medicare Advantage: $48.60
  • Medica — Medicare Advantage: $40.50
  • Medica Choice/Focus/IFB/MHPS/Care System — Commercial: $75.01
  • Medica ChoiceCare/Accessibility Solution/MinnesotaCare — Commercial: $49.01
  • Medica Minnesota Senior Health Options (MSHO)/Select Solutio — Commercial: $40.50
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/SCOPE 81001 $81 $68.85 $40.50 – $78.57
Urine test (automated, with microscope): rates for 8 insurance plans
  • America's Health System — PPO: $78.57
  • Blue Cross Blue Shield — Commercial: $76.95
  • Health Partners — Commercial: $72.25
  • Health Partners — Managed Medicaid: $40.50
  • Health Partners — Medicare Advantage: $48.60
  • MultiPlan — Commercial: $76.14
  • Sanford Health Plan — Commercial: $74.52
  • United Healthcare — Commercial: $71.28
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CLINITEST DIPSTICK TABLET81002 $27 $22.95 $11.09 – $26.19
Urine test (manual, without microscope): 10 of 17 insurance plan rates
  • America's Health System — PPO: $26.19
  • Blue Cross Blue Shield — Commercial: $25.65
  • Blue Cross Blue Shield — Managed Medicaid: $11.09
  • Health Partners — Commercial: $24.08
  • Health Partners — Managed Medicaid: $13.50
  • Health Partners — Medicare Advantage: $16.20
  • Medica — Medicare Advantage: $13.50
  • Medica Choice/Focus/IFB/MHPS/Care System — Commercial: $25
  • Medica ChoiceCare/Accessibility Solution/MinnesotaCare — Commercial: $16.34
  • Medica Minnesota Senior Health Options (MSHO)/Select Solutio — Commercial: $13.50
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OB UA DIPSTK NONAU W/O MICRO 81002 $27 $22.95 $11.09 – $26.19
Urine test (manual, without microscope): 10 of 17 insurance plan rates
  • America's Health System — PPO: $26.19
  • Blue Cross Blue Shield — Commercial: $25.65
  • Blue Cross Blue Shield — Managed Medicaid: $11.09
  • Health Partners — Commercial: $24.08
  • Health Partners — Managed Medicaid: $13.50
  • Health Partners — Medicare Advantage: $16.20
  • Medica — Medicare Advantage: $13.50
  • Medica Choice/Focus/IFB/MHPS/Care System — Commercial: $25
  • Medica ChoiceCare/Accessibility Solution/MinnesotaCare — Commercial: $16.34
  • Medica Minnesota Senior Health Options (MSHO)/Select Solutio — Commercial: $13.50
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CLINITEST DIPSTICK TABLET81002 $27 $22.95 $13.50 – $26.19
Urine test (manual, without microscope): rates for 8 insurance plans
  • America's Health System — PPO: $26.19
  • Blue Cross Blue Shield — Commercial: $25.65
  • Health Partners — Commercial: $24.08
  • Health Partners — Managed Medicaid: $13.50
  • Health Partners — Medicare Advantage: $16.20
  • MultiPlan — Commercial: $25.38
  • Sanford Health Plan — Commercial: $24.84
  • United Healthcare — Commercial: $23.76
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS-DIPSTICK ONLY 81003 $61 $51.85 $25.06 – $59.17
Urine test (automated, without microscope): 10 of 17 insurance plan rates
  • America's Health System — PPO: $59.17
  • Blue Cross Blue Shield — Commercial: $57.95
  • Blue Cross Blue Shield — Managed Medicaid: $25.06
  • Health Partners — Commercial: $54.41
  • Health Partners — Managed Medicaid: $30.50
  • Health Partners — Medicare Advantage: $36.60
  • Medica — Medicare Advantage: $30.50
  • Medica Choice/Focus/IFB/MHPS/Care System — Commercial: $56.49
  • Medica ChoiceCare/Accessibility Solution/MinnesotaCare — Commercial: $36.91
  • Medica Minnesota Senior Health Options (MSHO)/Select Solutio — Commercial: $30.50
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINE AUTO NO MICRO SGL ANALYT $37 $31.45 $15.20 – $35.89
Urine test (automated, without microscope): 10 of 17 insurance plan rates
  • America's Health System — PPO: $35.89
  • Blue Cross Blue Shield — Commercial: $35.15
  • Blue Cross Blue Shield — Managed Medicaid: $15.20
  • Health Partners — Commercial: $33
  • Health Partners — Managed Medicaid: $18.50
  • Health Partners — Medicare Advantage: $22.20
  • Medica — Medicare Advantage: $18.50
  • Medica Choice/Focus/IFB/MHPS/Care System — Commercial: $34.26
  • Medica ChoiceCare/Accessibility Solution/MinnesotaCare — Commercial: $22.39
  • Medica Minnesota Senior Health Options (MSHO)/Select Solutio — Commercial: $18.50
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINALYSIS-DIPSTICK ONLY 81003 $61 $51.85 $30.50 – $59.17
Urine test (automated, without microscope): rates for 8 insurance plans
  • America's Health System — PPO: $59.17
  • Blue Cross Blue Shield — Commercial: $57.95
  • Health Partners — Commercial: $54.41
  • Health Partners — Managed Medicaid: $30.50
  • Health Partners — Medicare Advantage: $36.60
  • MultiPlan — Commercial: $57.34
  • Sanford Health Plan — Commercial: $56.12
  • United Healthcare — Commercial: $53.68
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ASSAY OF PSA TOTAL 84153 $192 $163.20 $78.89 – $186.24
PSA (prostate specific antigen) blood test: 10 of 17 insurance plan rates
  • America's Health System — PPO: $186.24
  • Blue Cross Blue Shield — Commercial: $182.40
  • Blue Cross Blue Shield — Managed Medicaid: $78.89
  • Health Partners — Commercial: $171.26
  • Health Partners — Managed Medicaid: $96
  • Health Partners — Medicare Advantage: $115.20
  • Medica — Medicare Advantage: $96
  • Medica Choice/Focus/IFB/MHPS/Care System — Commercial: $177.79
  • Medica ChoiceCare/Accessibility Solution/MinnesotaCare — Commercial: $116.16
  • Medica Minnesota Senior Health Options (MSHO)/Select Solutio — Commercial: $96
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ASSAY OF PSA TOTAL 84153 $192 $163.20 $96 – $186.24
PSA (prostate specific antigen) blood test: rates for 8 insurance plans
  • America's Health System — PPO: $186.24
  • Blue Cross Blue Shield — Commercial: $182.40
  • Health Partners — Commercial: $171.26
  • Health Partners — Managed Medicaid: $96
  • Health Partners — Medicare Advantage: $115.20
  • MultiPlan — Commercial: $180.48
  • Sanford Health Plan — Commercial: $176.64
  • United Healthcare — Commercial: $168.96
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THYROID STIMULATING HORMONE (TSH) 84443 $146 $124.10 $33.60 – $141.62
Thyroid stimulating hormone (TSH) test: 10 of 17 insurance plan rates
  • America's Health System — PPO: $141.62
  • Blue Cross Blue Shield — Commercial: $117.60
  • Blue Cross Blue Shield — Managed Medicaid: $33.60
  • Health Partners — Commercial: $130.23
  • Health Partners — Managed Medicaid: $73
  • Health Partners — Medicare Advantage: $87.60
  • Medica — Medicare Advantage: $73
  • Medica Choice/Focus/IFB/MHPS/Care System — Commercial: $135.20
  • Medica ChoiceCare/Accessibility Solution/MinnesotaCare — Commercial: $88.33
  • Medica Minnesota Senior Health Options (MSHO)/Select Solutio — Commercial: $73
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: THYROID STIMULATING HORMONE (TSH) 84443 $146 $124.10 $73 – $141.62
Thyroid stimulating hormone (TSH) test: rates for 8 insurance plans
  • America's Health System — PPO: $141.62
  • Blue Cross Blue Shield — Commercial: $138.70
  • Health Partners — Commercial: $130.23
  • Health Partners — Managed Medicaid: $73
  • Health Partners — Medicare Advantage: $87.60
  • MultiPlan — Commercial: $137.24
  • Sanford Health Plan — Commercial: $134.32
  • United Healthcare — Commercial: $128.48
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE CBC W/AUTO DIFF WBC 85025 $126 $107.10 $15.54 – $122.22
Complete blood count (CBC) with differential: 10 of 17 insurance plan rates
  • America's Health System — PPO: $122.22
  • Blue Cross Blue Shield — Commercial: $54.39
  • Blue Cross Blue Shield — Managed Medicaid: $15.54
  • Health Partners — Commercial: $112.39
  • Health Partners — Managed Medicaid: $63
  • Health Partners — Medicare Advantage: $75.60
  • Medica — Medicare Advantage: $63
  • Medica Choice/Focus/IFB/MHPS/Care System — Commercial: $116.68
  • Medica ChoiceCare/Accessibility Solution/MinnesotaCare — Commercial: $76.23
  • Medica Minnesota Senior Health Options (MSHO)/Select Solutio — Commercial: $63
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPLETE CBC W/AUTO DIFF WBC 85025 $126 $107.10 $63 – $122.22
Complete blood count (CBC) with differential: rates for 8 insurance plans
  • America's Health System — PPO: $122.22
  • Blue Cross Blue Shield — Commercial: $119.70
  • Health Partners — Commercial: $112.39
  • Health Partners — Managed Medicaid: $63
  • Health Partners — Medicare Advantage: $75.60
  • MultiPlan — Commercial: $118.44
  • Sanford Health Plan — Commercial: $115.92
  • United Healthcare — Commercial: $110.88
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD COUNT COMPLETE AUTOMATED 85027 $110 $93.50 $45.20 – $106.70
Complete blood count (CBC), automated: 10 of 17 insurance plan rates
  • America's Health System — PPO: $106.70
  • Blue Cross Blue Shield — Commercial: $104.50
  • Blue Cross Blue Shield — Managed Medicaid: $45.20
  • Health Partners — Commercial: $98.12
  • Health Partners — Managed Medicaid: $55
  • Health Partners — Medicare Advantage: $66
  • Medica — Medicare Advantage: $55
  • Medica Choice/Focus/IFB/MHPS/Care System — Commercial: $101.86
  • Medica ChoiceCare/Accessibility Solution/MinnesotaCare — Commercial: $66.55
  • Medica Minnesota Senior Health Options (MSHO)/Select Solutio — Commercial: $55
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BLOOD COUNT COMPLETE AUTOMATED 85027 $110 $93.50 $55 – $106.70
Complete blood count (CBC), automated: rates for 8 insurance plans
  • America's Health System — PPO: $106.70
  • Blue Cross Blue Shield — Commercial: $104.50
  • Health Partners — Commercial: $98.12
  • Health Partners — Managed Medicaid: $55
  • Health Partners — Medicare Advantage: $66
  • MultiPlan — Commercial: $103.40
  • Sanford Health Plan — Commercial: $101.20
  • United Healthcare — Commercial: $96.80
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT INR FINGERSTICK-QW 85610 $12 $10.20 $4.93 – $11.64
Blood clotting time test (prothrombin time, PT): 10 of 17 insurance plan rates
  • America's Health System — PPO: $11.64
  • Blue Cross Blue Shield — Commercial: $11.40
  • Blue Cross Blue Shield — Managed Medicaid: $4.93
  • Health Partners — Commercial: $10.70
  • Health Partners — Managed Medicaid: $6
  • Health Partners — Medicare Advantage: $7.20
  • Medica — Medicare Advantage: $6
  • Medica Choice/Focus/IFB/MHPS/Care System — Commercial: $11.11
  • Medica ChoiceCare/Accessibility Solution/MinnesotaCare — Commercial: $7.26
  • Medica Minnesota Senior Health Options (MSHO)/Select Solutio — Commercial: $6
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTIME 85610 $76 $64.60 $31.23 – $73.72
Blood clotting time test (prothrombin time, PT): 10 of 17 insurance plan rates
  • America's Health System — PPO: $73.72
  • Blue Cross Blue Shield — Commercial: $72.20
  • Blue Cross Blue Shield — Managed Medicaid: $31.23
  • Health Partners — Commercial: $67.79
  • Health Partners — Managed Medicaid: $38
  • Health Partners — Medicare Advantage: $45.60
  • Medica — Medicare Advantage: $38
  • Medica Choice/Focus/IFB/MHPS/Care System — Commercial: $70.38
  • Medica ChoiceCare/Accessibility Solution/MinnesotaCare — Commercial: $45.98
  • Medica Minnesota Senior Health Options (MSHO)/Select Solutio — Commercial: $38
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTIME - PROTIME CLINIC 85610 $11 $9.35 $4.52 – $10.67
Blood clotting time test (prothrombin time, PT): 10 of 17 insurance plan rates
  • America's Health System — PPO: $10.67
  • Blue Cross Blue Shield — Commercial: $10.45
  • Blue Cross Blue Shield — Managed Medicaid: $4.52
  • Health Partners — Commercial: $9.81
  • Health Partners — Managed Medicaid: $5.50
  • Health Partners — Medicare Advantage: $6.60
  • Medica — Medicare Advantage: $5.50
  • Medica Choice/Focus/IFB/MHPS/Care System — Commercial: $10.19
  • Medica ChoiceCare/Accessibility Solution/MinnesotaCare — Commercial: $6.66
  • Medica Minnesota Senior Health Options (MSHO)/Select Solutio — Commercial: $5.50
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THROMBOPLASTIN TIME PARTIAL PLASMA WHOLE BLOOD (PTT) 85730 $92 $78.20 $37.80 – $89.24
Blood clotting test (partial thromboplastin time, PTT): 10 of 17 insurance plan rates
  • America's Health System — PPO: $89.24
  • Blue Cross Blue Shield — Commercial: $87.40
  • Blue Cross Blue Shield — Managed Medicaid: $37.80
  • Health Partners — Commercial: $82.06
  • Health Partners — Managed Medicaid: $46
  • Health Partners — Medicare Advantage: $55.20
  • Medica — Medicare Advantage: $46
  • Medica Choice/Focus/IFB/MHPS/Care System — Commercial: $85.19
  • Medica ChoiceCare/Accessibility Solution/MinnesotaCare — Commercial: $55.66
  • Medica Minnesota Senior Health Options (MSHO)/Select Solutio — Commercial: $46
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: THROMBOPLASTIN TIME PARTIAL PLASMA WHOLE BLOOD (PTT) 85730 $92 $78.20 $46 – $89.24
Blood clotting test (partial thromboplastin time, PTT): rates for 8 insurance plans
  • America's Health System — PPO: $89.24
  • Blue Cross Blue Shield — Commercial: $87.40
  • Health Partners — Commercial: $82.06
  • Health Partners — Managed Medicaid: $46
  • Health Partners — Medicare Advantage: $55.20
  • MultiPlan — Commercial: $86.48
  • Sanford Health Plan — Commercial: $84.64
  • United Healthcare — Commercial: $80.96

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT HEAD WO CONTRAST $1,587 $1,348.95 $213.62 – $1,539.39
CT scan of the head or brain, without contrast: 10 of 17 insurance plan rates
  • America's Health System — PPO: $1,539.39
  • Blue Cross Blue Shield — Commercial: $598.14
  • Blue Cross Blue Shield — Managed Medicaid: $213.62
  • Health Partners — Commercial: $1,415.60
  • Health Partners — Managed Medicaid: $793.50
  • Health Partners — Medicare Advantage: $952.20
  • Medica — Medicare Advantage: $793.50
  • Medica Choice/Focus/IFB/MHPS/Care System — Commercial: $1,469.56
  • Medica ChoiceCare/Accessibility Solution/MinnesotaCare — Commercial: $491
  • Medica Minnesota Senior Health Options (MSHO)/Select Solutio — Commercial: $793.50
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT HEAD WO CONTRAST $1,587 $1,348.95 $793.50 – $1,539.39
CT scan of the head or brain, without contrast: rates for 8 insurance plans
  • America's Health System — PPO: $1,539.39
  • Blue Cross Blue Shield — Commercial: $1,507.65
  • Health Partners — Commercial: $1,415.60
  • Health Partners — Managed Medicaid: $793.50
  • Health Partners — Medicare Advantage: $952.20
  • MultiPlan — Commercial: $1,491.78
  • Sanford Health Plan — Commercial: $1,460.04
  • United Healthcare — Commercial: $1,396.56
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI BRAIN WO THEN W CONT $3,082 $2,619.70 $712.86 – $2,989.54
MRI of the brain, before and after contrast: 10 of 17 insurance plan rates
  • America's Health System — PPO: $2,989.54
  • Blue Cross Blue Shield — Commercial: $1,996.01
  • Blue Cross Blue Shield — Managed Medicaid: $712.86
  • Health Partners — Commercial: $2,749.14
  • Health Partners — Managed Medicaid: $1,541
  • Health Partners — Medicare Advantage: $1,849.20
  • Medica — Medicare Advantage: $1,541
  • Medica Choice/Focus/IFB/MHPS/Care System — Commercial: $2,853.93
  • Medica ChoiceCare/Accessibility Solution/MinnesotaCare — Commercial: $735
  • Medica Minnesota Senior Health Options (MSHO)/Select Solutio — Commercial: $1,541
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI BRAIN WO THEN W CONT $3,082 $2,619.70 $1,541 – $2,989.54
MRI of the brain, before and after contrast: rates for 8 insurance plans
  • America's Health System — PPO: $2,989.54
  • Blue Cross Blue Shield — Commercial: $2,927.90
  • Health Partners — Commercial: $2,749.14
  • Health Partners — Managed Medicaid: $1,541
  • Health Partners — Medicare Advantage: $1,849.20
  • MultiPlan — Commercial: $2,897.08
  • Sanford Health Plan — Commercial: $2,835.44
  • United Healthcare — Commercial: $2,712.16
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RAD EXAM CHEST 2 VWS $360 $306 $177.82 – $497.90
Chest X-ray, 2 views: 10 of 17 insurance plan rates
  • America's Health System — PPO: $349.20
  • Blue Cross Blue Shield — Commercial: $497.90
  • Blue Cross Blue Shield — Managed Medicaid: $177.82
  • Health Partners — Commercial: $321.12
  • Health Partners — Managed Medicaid: $180
  • Health Partners — Medicare Advantage: $216
  • Medica — Medicare Advantage: $180
  • Medica Choice/Focus/IFB/MHPS/Care System — Commercial: $333.36
  • Medica ChoiceCare/Accessibility Solution/MinnesotaCare — Commercial: $217.80
  • Medica Minnesota Senior Health Options (MSHO)/Select Solutio — Commercial: $180
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RAD EXAM CHEST 2 VWS $360 $306 $180 – $349.20
Chest X-ray, 2 views: rates for 8 insurance plans
  • America's Health System — PPO: $349.20
  • Blue Cross Blue Shield — Commercial: $342
  • Health Partners — Commercial: $321.12
  • Health Partners — Managed Medicaid: $180
  • Health Partners — Medicare Advantage: $216
  • MultiPlan — Commercial: $338.40
  • Sanford Health Plan — Commercial: $331.20
  • United Healthcare — Commercial: $316.80
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RAD EXAM SPINE LUMB MIN 4 VWS $428 $363.80 $175.87 – $415.16
X-ray of the lower spine, at least 4 views: 10 of 17 insurance plan rates
  • America's Health System — PPO: $415.16
  • Blue Cross Blue Shield — Commercial: $406.60
  • Blue Cross Blue Shield — Managed Medicaid: $175.87
  • Health Partners — Commercial: $381.78
  • Health Partners — Managed Medicaid: $214
  • Health Partners — Medicare Advantage: $256.80
  • Medica — Medicare Advantage: $214
  • Medica Choice/Focus/IFB/MHPS/Care System — Commercial: $396.33
  • Medica ChoiceCare/Accessibility Solution/MinnesotaCare — Commercial: $258.94
  • Medica Minnesota Senior Health Options (MSHO)/Select Solutio — Commercial: $214
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RAD EXAM SPINE LUMB MIN 4 VWS $428 $363.80 $214 – $415.16
X-ray of the lower spine, at least 4 views: rates for 8 insurance plans
  • America's Health System — PPO: $415.16
  • Blue Cross Blue Shield — Commercial: $406.60
  • Health Partners — Commercial: $381.78
  • Health Partners — Managed Medicaid: $214
  • Health Partners — Medicare Advantage: $256.80
  • MultiPlan — Commercial: $402.32
  • Sanford Health Plan — Commercial: $393.76
  • United Healthcare — Commercial: $376.64
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI L SPINE WO CONTRAST $2,520 $2,142 $487.54 – $2,444.40
MRI of the lower back (lumbar spine), without contrast: 10 of 17 insurance plan rates
  • America's Health System — PPO: $2,444.40
  • Blue Cross Blue Shield — Commercial: $1,365.11
  • Blue Cross Blue Shield — Managed Medicaid: $487.54
  • Health Partners — Commercial: $2,247.84
  • Health Partners — Managed Medicaid: $1,260
  • Health Partners — Medicare Advantage: $1,512
  • Medica — Medicare Advantage: $1,260
  • Medica Choice/Focus/IFB/MHPS/Care System — Commercial: $2,333.52
  • Medica ChoiceCare/Accessibility Solution/MinnesotaCare — Commercial: $735
  • Medica Minnesota Senior Health Options (MSHO)/Select Solutio — Commercial: $1,260
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI L SPINE WO CONTRAST $2,520 $2,142 $1,260 – $2,444.40
MRI of the lower back (lumbar spine), without contrast: rates for 8 insurance plans
  • America's Health System — PPO: $2,444.40
  • Blue Cross Blue Shield — Commercial: $2,394
  • Health Partners — Commercial: $2,247.84
  • Health Partners — Managed Medicaid: $1,260
  • Health Partners — Medicare Advantage: $1,512
  • MultiPlan — Commercial: $2,368.80
  • Sanford Health Plan — Commercial: $2,318.40
  • United Healthcare — Commercial: $2,217.60
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT PELVIS W CONTRAST $1,815 $1,542.75 $358.40 – $1,760.55
CT scan of the pelvis, with contrast: 10 of 17 insurance plan rates
  • America's Health System — PPO: $1,760.55
  • Blue Cross Blue Shield — Commercial: $1,003.52
  • Blue Cross Blue Shield — Managed Medicaid: $358.40
  • Health Partners — Commercial: $1,618.98
  • Health Partners — Managed Medicaid: $907.50
  • Health Partners — Medicare Advantage: $1,089
  • Medica — Medicare Advantage: $907.50
  • Medica Choice/Focus/IFB/MHPS/Care System — Commercial: $1,680.69
  • Medica ChoiceCare/Accessibility Solution/MinnesotaCare — Commercial: $491
  • Medica Minnesota Senior Health Options (MSHO)/Select Solutio — Commercial: $907.50
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT PELVIS W CONTRAST $1,815 $1,542.75 $907.50 – $1,760.55
CT scan of the pelvis, with contrast: rates for 8 insurance plans
  • America's Health System — PPO: $1,760.55
  • Blue Cross Blue Shield — Commercial: $1,724.25
  • Health Partners — Commercial: $1,618.98
  • Health Partners — Managed Medicaid: $907.50
  • Health Partners — Medicare Advantage: $1,089
  • MultiPlan — Commercial: $1,706.10
  • Sanford Health Plan — Commercial: $1,669.80
  • United Healthcare — Commercial: $1,597.20
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI LOWER EXT JT WO CONTRAST $2,520 $2,142 $487.54 – $2,444.40
MRI of a leg joint (such as the knee), without contrast: 10 of 17 insurance plan rates
  • America's Health System — PPO: $2,444.40
  • Blue Cross Blue Shield — Commercial: $1,365.11
  • Blue Cross Blue Shield — Managed Medicaid: $487.54
  • Health Partners — Commercial: $2,247.84
  • Health Partners — Managed Medicaid: $1,260
  • Health Partners — Medicare Advantage: $1,512
  • Medica — Medicare Advantage: $1,260
  • Medica Choice/Focus/IFB/MHPS/Care System — Commercial: $2,333.52
  • Medica ChoiceCare/Accessibility Solution/MinnesotaCare — Commercial: $735
  • Medica Minnesota Senior Health Options (MSHO)/Select Solutio — Commercial: $1,260
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI LOWER EXT JT WO CONTRAST $2,520 $2,142 $1,260 – $2,444.40
MRI of a leg joint (such as the knee), without contrast: rates for 8 insurance plans
  • America's Health System — PPO: $2,444.40
  • Blue Cross Blue Shield — Commercial: $2,394
  • Health Partners — Commercial: $2,247.84
  • Health Partners — Managed Medicaid: $1,260
  • Health Partners — Medicare Advantage: $1,512
  • MultiPlan — Commercial: $2,368.80
  • Sanford Health Plan — Commercial: $2,318.40
  • United Healthcare — Commercial: $2,217.60
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT ABD PELVIS W CONTRAST $3,560 $3,026 $491 – $3,453.20
CT scan of the abdomen and pelvis, with contrast: 10 of 17 insurance plan rates
  • America's Health System — PPO: $3,453.20
  • Blue Cross Blue Shield — Commercial: $1,996.01
  • Blue Cross Blue Shield — Managed Medicaid: $712.86
  • Health Partners — Commercial: $3,175.52
  • Health Partners — Managed Medicaid: $1,780
  • Health Partners — Medicare Advantage: $2,136
  • Medica — Medicare Advantage: $1,780
  • Medica Choice/Focus/IFB/MHPS/Care System — Commercial: $3,296.56
  • Medica ChoiceCare/Accessibility Solution/MinnesotaCare — Commercial: $491
  • Medica Minnesota Senior Health Options (MSHO)/Select Solutio — Commercial: $1,780
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT ABD PELVIS W CONTRAST $3,560 $3,026 $1,780 – $3,453.20
CT scan of the abdomen and pelvis, with contrast: rates for 8 insurance plans
  • America's Health System — PPO: $3,453.20
  • Blue Cross Blue Shield — Commercial: $3,382
  • Health Partners — Commercial: $3,175.52
  • Health Partners — Managed Medicaid: $1,780
  • Health Partners — Medicare Advantage: $2,136
  • MultiPlan — Commercial: $3,346.40
  • Sanford Health Plan — Commercial: $3,275.20
  • United Healthcare — Commercial: $3,132.80
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED 76700 US ABD COMPLETE $1,024 $870.40 $420.76 – $993.28
Ultrasound of the abdomen, complete: 10 of 17 insurance plan rates
  • America's Health System — PPO: $993.28
  • Blue Cross Blue Shield — Commercial: $972.80
  • Blue Cross Blue Shield — Managed Medicaid: $420.76
  • Health Partners — Commercial: $913.41
  • Health Partners — Managed Medicaid: $512
  • Health Partners — Medicare Advantage: $614.40
  • Medica — Medicare Advantage: $512
  • Medica Choice/Focus/IFB/MHPS/Care System — Commercial: $948.22
  • Medica ChoiceCare/Accessibility Solution/MinnesotaCare — Commercial: $619.52
  • Medica Minnesota Senior Health Options (MSHO)/Select Solutio — Commercial: $512
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US ABD COMPLETE $1,024 $870.40 $420.76 – $993.28
Ultrasound of the abdomen, complete: 10 of 17 insurance plan rates
  • America's Health System — PPO: $993.28
  • Blue Cross Blue Shield — Commercial: $972.80
  • Blue Cross Blue Shield — Managed Medicaid: $420.76
  • Health Partners — Commercial: $913.41
  • Health Partners — Managed Medicaid: $512
  • Health Partners — Medicare Advantage: $614.40
  • Medica — Medicare Advantage: $512
  • Medica Choice/Focus/IFB/MHPS/Care System — Commercial: $948.22
  • Medica ChoiceCare/Accessibility Solution/MinnesotaCare — Commercial: $619.52
  • Medica Minnesota Senior Health Options (MSHO)/Select Solutio — Commercial: $512
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ED 76700 US ABD COMPLETE $1,024 $870.40 $512 – $993.28
Ultrasound of the abdomen, complete: rates for 8 insurance plans
  • America's Health System — PPO: $993.28
  • Blue Cross Blue Shield — Commercial: $972.80
  • Health Partners — Commercial: $913.41
  • Health Partners — Managed Medicaid: $512
  • Health Partners — Medicare Advantage: $614.40
  • MultiPlan — Commercial: $962.56
  • Sanford Health Plan — Commercial: $942.08
  • United Healthcare — Commercial: $901.12
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US PG UTR 2-3TRI SGL 1ST $665 $565.25 $273.25 – $645.05
Pregnancy ultrasound (after the first trimester): 10 of 17 insurance plan rates
  • America's Health System — PPO: $645.05
  • Blue Cross Blue Shield — Commercial: $631.75
  • Blue Cross Blue Shield — Managed Medicaid: $273.25
  • Health Partners — Commercial: $593.18
  • Health Partners — Managed Medicaid: $332.50
  • Health Partners — Medicare Advantage: $399
  • Medica — Medicare Advantage: $332.50
  • Medica Choice/Focus/IFB/MHPS/Care System — Commercial: $615.79
  • Medica ChoiceCare/Accessibility Solution/MinnesotaCare — Commercial: $402.33
  • Medica Minnesota Senior Health Options (MSHO)/Select Solutio — Commercial: $332.50
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US PG UTR 2-3TRI SGL 1ST $665 $565.25 $332.50 – $645.05
Pregnancy ultrasound (after the first trimester): rates for 8 insurance plans
  • America's Health System — PPO: $645.05
  • Blue Cross Blue Shield — Commercial: $631.75
  • Health Partners — Commercial: $593.18
  • Health Partners — Managed Medicaid: $332.50
  • Health Partners — Medicare Advantage: $399
  • MultiPlan — Commercial: $625.10
  • Sanford Health Plan — Commercial: $611.80
  • United Healthcare — Commercial: $585.20
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED 76830 US TRANSVAGINAL $456 $387.60 $187.37 – $442.32
Transvaginal ultrasound: 10 of 17 insurance plan rates
  • America's Health System — PPO: $442.32
  • Blue Cross Blue Shield — Commercial: $433.20
  • Blue Cross Blue Shield — Managed Medicaid: $187.37
  • Health Partners — Commercial: $406.75
  • Health Partners — Managed Medicaid: $228
  • Health Partners — Medicare Advantage: $273.60
  • Medica — Medicare Advantage: $228
  • Medica Choice/Focus/IFB/MHPS/Care System — Commercial: $422.26
  • Medica ChoiceCare/Accessibility Solution/MinnesotaCare — Commercial: $275.88
  • Medica Minnesota Senior Health Options (MSHO)/Select Solutio — Commercial: $228
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US TRANSVAGINAL $456 $387.60 $187.37 – $442.32
Transvaginal ultrasound: 10 of 17 insurance plan rates
  • America's Health System — PPO: $442.32
  • Blue Cross Blue Shield — Commercial: $433.20
  • Blue Cross Blue Shield — Managed Medicaid: $187.37
  • Health Partners — Commercial: $406.75
  • Health Partners — Managed Medicaid: $228
  • Health Partners — Medicare Advantage: $273.60
  • Medica — Medicare Advantage: $228
  • Medica Choice/Focus/IFB/MHPS/Care System — Commercial: $422.26
  • Medica ChoiceCare/Accessibility Solution/MinnesotaCare — Commercial: $275.88
  • Medica Minnesota Senior Health Options (MSHO)/Select Solutio — Commercial: $228
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ED 76830 US TRANSVAGINAL $456 $387.60 $228 – $442.32
Transvaginal ultrasound: rates for 8 insurance plans
  • America's Health System — PPO: $442.32
  • Blue Cross Blue Shield — Commercial: $433.20
  • Health Partners — Commercial: $406.75
  • Health Partners — Managed Medicaid: $228
  • Health Partners — Medicare Advantage: $273.60
  • MultiPlan — Commercial: $428.64
  • Sanford Health Plan — Commercial: $419.52
  • United Healthcare — Commercial: $401.28
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMMO DX UNILAT INCL CAD $468 $397.80 $192.30 – $453.96
Diagnostic mammogram, one breast: 10 of 17 insurance plan rates
  • America's Health System — PPO: $453.96
  • Blue Cross Blue Shield — Commercial: $444.60
  • Blue Cross Blue Shield — Managed Medicaid: $192.30
  • Health Partners — Commercial: $417.46
  • Health Partners — Managed Medicaid: $234
  • Health Partners — Medicare Advantage: $280.80
  • Medica — Medicare Advantage: $234
  • Medica Choice/Focus/IFB/MHPS/Care System — Commercial: $433.37
  • Medica ChoiceCare/Accessibility Solution/MinnesotaCare — Commercial: $283.14
  • Medica Minnesota Senior Health Options (MSHO)/Select Solutio — Commercial: $234
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAMMO DX UNILAT INCL CAD $468 $397.80 $234 – $453.96
Diagnostic mammogram, one breast: rates for 8 insurance plans
  • America's Health System — PPO: $453.96
  • Blue Cross Blue Shield — Commercial: $444.60
  • Health Partners — Commercial: $417.46
  • Health Partners — Managed Medicaid: $234
  • Health Partners — Medicare Advantage: $280.80
  • MultiPlan — Commercial: $439.92
  • Sanford Health Plan — Commercial: $430.56
  • United Healthcare — Commercial: $411.84
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMMO DX BILAT INCL CAD $478 $406.30 $196.41 – $463.66
Diagnostic mammogram, both breasts: 10 of 17 insurance plan rates
  • America's Health System — PPO: $463.66
  • Blue Cross Blue Shield — Commercial: $454.10
  • Blue Cross Blue Shield — Managed Medicaid: $196.41
  • Health Partners — Commercial: $426.38
  • Health Partners — Managed Medicaid: $239
  • Health Partners — Medicare Advantage: $286.80
  • Medica — Medicare Advantage: $239
  • Medica Choice/Focus/IFB/MHPS/Care System — Commercial: $442.63
  • Medica ChoiceCare/Accessibility Solution/MinnesotaCare — Commercial: $289.19
  • Medica Minnesota Senior Health Options (MSHO)/Select Solutio — Commercial: $239
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAMMO DX BILAT INCL CAD $478 $406.30 $239 – $463.66
Diagnostic mammogram, both breasts: rates for 8 insurance plans
  • America's Health System — PPO: $463.66
  • Blue Cross Blue Shield — Commercial: $454.10
  • Health Partners — Commercial: $426.38
  • Health Partners — Managed Medicaid: $239
  • Health Partners — Medicare Advantage: $286.80
  • MultiPlan — Commercial: $449.32
  • Sanford Health Plan — Commercial: $439.76
  • United Healthcare — Commercial: $420.64
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMMO SCREEN BILAT INCL CAD $468 $397.80 $127.98 – $1,455.33
Screening mammogram, both breasts: 10 of 17 insurance plan rates
  • America's Health System — PPO: $453.96
  • Blue Cross Blue Shield — Commercial: $1,455.33
  • Blue Cross Blue Shield — Managed Medicaid: $141.72
  • Health Partners — Commercial: $417.46
  • Health Partners — Managed Medicaid: $234
  • Health Partners — Medicare Advantage: $280.80
  • Medica — Medicare Advantage: $234
  • Medica Choice/Focus/IFB/MHPS/Care System — Commercial: $433.37
  • Medica ChoiceCare/Accessibility Solution/MinnesotaCare — Commercial: $283.14
  • Medica Minnesota Senior Health Options (MSHO)/Select Solutio — Commercial: $234
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMMO SCREEN UNILAT INCL CAD M52 $468 $397.80 $127.98 – $1,455.33
Screening mammogram, both breasts: 10 of 17 insurance plan rates
  • America's Health System — PPO: $453.96
  • Blue Cross Blue Shield — Commercial: $1,455.33
  • Blue Cross Blue Shield — Managed Medicaid: $141.72
  • Health Partners — Commercial: $417.46
  • Health Partners — Managed Medicaid: $234
  • Health Partners — Medicare Advantage: $280.80
  • Medica — Medicare Advantage: $234
  • Medica Choice/Focus/IFB/MHPS/Care System — Commercial: $433.37
  • Medica ChoiceCare/Accessibility Solution/MinnesotaCare — Commercial: $283.14
  • Medica Minnesota Senior Health Options (MSHO)/Select Solutio — Commercial: $234
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAMMO SCREEN BILAT INCL CAD $468 $397.80 $234 – $453.96
Screening mammogram, both breasts: rates for 8 insurance plans
  • America's Health System — PPO: $453.96
  • Blue Cross Blue Shield — Commercial: $444.60
  • Health Partners — Commercial: $417.46
  • Health Partners — Managed Medicaid: $234
  • Health Partners — Medicare Advantage: $280.80
  • MultiPlan — Commercial: $439.92
  • Sanford Health Plan — Commercial: $430.56
  • United Healthcare — Commercial: $411.84

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LEFT HRT CATH W/VENTRCLGRPHY Not listed in the file Not listed in the file $2,206
Left heart catheterization (diagnostic): rates for 1 insurance plan
  • Medica ChoiceCare/Accessibility Solution/MinnesotaCare — Commercial: $2,206
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ELECTROPHYSIOLOGY EVALUATION Not listed in the file Not listed in the file $2,794
Heart rhythm study (electrophysiology evaluation): rates for 1 insurance plan
  • Medica ChoiceCare/Accessibility Solution/MinnesotaCare — Commercial: $2,794
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPRE EP EVAL ABLTJ ATR FIB Not listed in the file Not listed in the file $7,671
Heart rhythm study with ablation for atrial fibrillation: rates for 1 insurance plan
  • Medica ChoiceCare/Accessibility Solution/MinnesotaCare — Commercial: $7,671
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSG 4+ PARAMETERS $3,670 $3,119.50 $1,508 – $3,559.90
Sleep study (overnight, in a sleep lab): 10 of 17 insurance plan rates
  • America's Health System — PPO: $3,559.90
  • Blue Cross Blue Shield — Commercial: $3,486.50
  • Blue Cross Blue Shield — Managed Medicaid: $1,508
  • Health Partners — Commercial: $3,273.64
  • Health Partners — Managed Medicaid: $1,835
  • Health Partners — Medicare Advantage: $2,202
  • Medica — Medicare Advantage: $1,835
  • Medica Choice/Focus/IFB/MHPS/Care System — Commercial: $3,398.42
  • Medica ChoiceCare/Accessibility Solution/MinnesotaCare — Commercial: $2,220.35
  • Medica Minnesota Senior Health Options (MSHO)/Select Solutio — Commercial: $1,835
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSG 4+ PARAMETERS $3,670 $3,119.50 $1,835 – $3,559.90
Sleep study (overnight, in a sleep lab): rates for 8 insurance plans
  • America's Health System — PPO: $3,559.90
  • Blue Cross Blue Shield — Commercial: $3,486.50
  • Health Partners — Commercial: $3,273.64
  • Health Partners — Managed Medicaid: $1,835
  • Health Partners — Medicare Advantage: $2,202
  • MultiPlan — Commercial: $3,449.80
  • Sanford Health Plan — Commercial: $3,376.40
  • United Healthcare — Commercial: $3,229.60

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THER EXERCISE EA 15 MIN 97110 $121 $102.85 $60.50 – $227.47
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 17 insurance plan rates
  • America's Health System — PPO: $117.37
  • Blue Cross Blue Shield — Commercial: $227.47
  • Blue Cross Blue Shield — Managed Medicaid: $81.24
  • Health Partners — Commercial: $107.93
  • Health Partners — Managed Medicaid: $60.50
  • Health Partners — Medicare Advantage: $72.60
  • Medica — Medicare Advantage: $60.50
  • Medica Choice/Focus/IFB/MHPS/Care System — Commercial: $112.05
  • Medica ChoiceCare/Accessibility Solution/MinnesotaCare — Commercial: $73.21
  • Medica Minnesota Senior Health Options (MSHO)/Select Solutio — Commercial: $60.50
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: THER EXERCISE EA 15 MIN 97110 $121 $102.85 $60.50 – $117.37
Physical therapy: therapeutic exercise (each 15 minutes): rates for 8 insurance plans
  • America's Health System — PPO: $117.37
  • Blue Cross Blue Shield — Commercial: $114.95
  • Health Partners — Commercial: $107.93
  • Health Partners — Managed Medicaid: $60.50
  • Health Partners — Medicare Advantage: $72.60
  • MultiPlan — Commercial: $113.74
  • Sanford Health Plan — Commercial: $111.32
  • United Healthcare — Commercial: $106.48
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL LOW COMPLEXITY 97161 $226 $192.10 $113 – $766.08
Physical therapy evaluation (low complexity): 10 of 17 insurance plan rates
  • America's Health System — PPO: $219.22
  • Blue Cross Blue Shield — Commercial: $766.08
  • Blue Cross Blue Shield — Managed Medicaid: $273.60
  • Health Partners — Commercial: $201.59
  • Health Partners — Managed Medicaid: $113
  • Health Partners — Medicare Advantage: $135.60
  • Medica — Medicare Advantage: $113
  • Medica Choice/Focus/IFB/MHPS/Care System — Commercial: $209.28
  • Medica ChoiceCare/Accessibility Solution/MinnesotaCare — Commercial: $136.73
  • Medica Minnesota Senior Health Options (MSHO)/Select Solutio — Commercial: $113
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT EVAL LOW COMPLEXITY 97161 $226 $192.10 $113 – $219.22
Physical therapy evaluation (low complexity): rates for 8 insurance plans
  • America's Health System — PPO: $219.22
  • Blue Cross Blue Shield — Commercial: $214.70
  • Health Partners — Commercial: $201.59
  • Health Partners — Managed Medicaid: $113
  • Health Partners — Medicare Advantage: $135.60
  • MultiPlan — Commercial: $212.44
  • Sanford Health Plan — Commercial: $207.92
  • United Healthcare — Commercial: $198.88
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL MODERATE COMPLEXITY 97162 $249 $211.65 $102.31 – $241.53
Physical therapy evaluation (moderate complexity): 10 of 17 insurance plan rates
  • America's Health System — PPO: $241.53
  • Blue Cross Blue Shield — Commercial: $236.55
  • Blue Cross Blue Shield — Managed Medicaid: $102.31
  • Health Partners — Commercial: $222.11
  • Health Partners — Managed Medicaid: $124.50
  • Health Partners — Medicare Advantage: $149.40
  • Medica — Medicare Advantage: $124.50
  • Medica Choice/Focus/IFB/MHPS/Care System — Commercial: $230.57
  • Medica ChoiceCare/Accessibility Solution/MinnesotaCare — Commercial: $150.65
  • Medica Minnesota Senior Health Options (MSHO)/Select Solutio — Commercial: $124.50
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT EVAL MODERATE COMPLEXITY 97162 $249 $211.65 $124.50 – $241.53
Physical therapy evaluation (moderate complexity): rates for 8 insurance plans
  • America's Health System — PPO: $241.53
  • Blue Cross Blue Shield — Commercial: $236.55
  • Health Partners — Commercial: $222.11
  • Health Partners — Managed Medicaid: $124.50
  • Health Partners — Medicare Advantage: $149.40
  • MultiPlan — Commercial: $234.06
  • Sanford Health Plan — Commercial: $229.08
  • United Healthcare — Commercial: $219.12
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL HIGH COMPLEXITY 97163 $273 $232.05 $112.18 – $264.81
Physical therapy evaluation (high complexity): 10 of 17 insurance plan rates
  • America's Health System — PPO: $264.81
  • Blue Cross Blue Shield — Commercial: $259.35
  • Blue Cross Blue Shield — Managed Medicaid: $112.18
  • Health Partners — Commercial: $243.52
  • Health Partners — Managed Medicaid: $136.50
  • Health Partners — Medicare Advantage: $163.80
  • Medica — Medicare Advantage: $136.50
  • Medica Choice/Focus/IFB/MHPS/Care System — Commercial: $252.80
  • Medica ChoiceCare/Accessibility Solution/MinnesotaCare — Commercial: $165.17
  • Medica Minnesota Senior Health Options (MSHO)/Select Solutio — Commercial: $136.50
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT EVAL HIGH COMPLEXITY 97163 $273 $232.05 $136.50 – $264.81
Physical therapy evaluation (high complexity): rates for 8 insurance plans
  • America's Health System — PPO: $264.81
  • Blue Cross Blue Shield — Commercial: $259.35
  • Health Partners — Commercial: $243.52
  • Health Partners — Managed Medicaid: $136.50
  • Health Partners — Medicare Advantage: $163.80
  • MultiPlan — Commercial: $256.62
  • Sanford Health Plan — Commercial: $251.16
  • United Healthcare — Commercial: $240.24

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: REMOVAL OF BREAST LESION Not listed in the file Not listed in the file $1,348
Removal of breast growth (open surgery): rates for 1 insurance plan
  • Medica ChoiceCare/Accessibility Solution/MinnesotaCare — Commercial: $1,348
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL HIP ARTHROPLASTY Not listed in the file Not listed in the file $4,926
Total hip replacement: rates for 1 insurance plan
  • Medica ChoiceCare/Accessibility Solution/MinnesotaCare — Commercial: $4,926
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL KNEE ARTHROPLASTY Not listed in the file Not listed in the file $4,926
Total knee replacement: rates for 1 insurance plan
  • Medica ChoiceCare/Accessibility Solution/MinnesotaCare — Commercial: $4,926
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SHO ARTHRS SRG DECOMPRESSION Not listed in the file Not listed in the file $294
Shoulder arthroscopy: shaving of shoulder bone: rates for 1 insurance plan
  • Medica ChoiceCare/Accessibility Solution/MinnesotaCare — Commercial: $294
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: KNEE ARTHROSCOPY/SURGERY Not listed in the file Not listed in the file $1,471
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 1 insurance plan
  • Medica ChoiceCare/Accessibility Solution/MinnesotaCare — Commercial: $1,471
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVE TONSILS AND ADENOIDS Not listed in the file Not listed in the file $1,348
Removal of tonsils and adenoids (under age 12): rates for 1 insurance plan
  • Medica ChoiceCare/Accessibility Solution/MinnesotaCare — Commercial: $1,348
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD DIAGNOSTIC BRUSH WASH Not listed in the file Not listed in the file $711 – $5,189.13
Upper GI endoscopy (diagnostic): rates for 3 insurance plans
  • Blue Cross Blue Shield — Commercial: $5,189.13
  • Blue Cross Blue Shield — Managed Medicaid: $1,853.26
  • Medica ChoiceCare/Accessibility Solution/MinnesotaCare — Commercial: $711
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD BIOPSY SINGLE/MULTIPLE Not listed in the file Not listed in the file $711 – $5,189.13
Upper GI endoscopy with biopsy: rates for 3 insurance plans
  • Blue Cross Blue Shield — Commercial: $5,189.13
  • Blue Cross Blue Shield — Managed Medicaid: $1,853.26
  • Medica ChoiceCare/Accessibility Solution/MinnesotaCare — Commercial: $711
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC COLONOSCOPY Not listed in the file Not listed in the file $711 – $5,320.56
Colonoscopy (diagnostic): rates for 3 insurance plans
  • Blue Cross Blue Shield — Commercial: $5,320.56
  • Blue Cross Blue Shield — Managed Medicaid: $1,900.20
  • Medica ChoiceCare/Accessibility Solution/MinnesotaCare — Commercial: $711
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY AND BIOPSY Not listed in the file Not listed in the file $711 – $6,846.34
Colonoscopy with biopsy: rates for 3 insurance plans
  • Blue Cross Blue Shield — Commercial: $6,846.34
  • Blue Cross Blue Shield — Managed Medicaid: $2,445.12
  • Medica ChoiceCare/Accessibility Solution/MinnesotaCare — Commercial: $711
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/LESION REMOVAL Not listed in the file Not listed in the file $711 – $6,846.34
Colonoscopy with removal of polyps (snare): rates for 3 insurance plans
  • Blue Cross Blue Shield — Commercial: $6,846.34
  • Blue Cross Blue Shield — Managed Medicaid: $2,445.12
  • Medica ChoiceCare/Accessibility Solution/MinnesotaCare — Commercial: $711
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/ENDOSCOPE US Not listed in the file Not listed in the file $711
Ultrasound of the lower bowel by endoscope: rates for 1 insurance plan
  • Medica ChoiceCare/Accessibility Solution/MinnesotaCare — Commercial: $711
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colon ca scrn not hi rsk ind Not listed in the file Not listed in the file $441 – $1,900.20
Screening colonoscopy (not high risk): rates for 3 insurance plans
  • Blue Cross Blue Shield — Commercial: $1,900.20
  • Blue Cross Blue Shield — Managed Medicaid: $950.10
  • Medica ChoiceCare/Accessibility Solution/MinnesotaCare — Commercial: $441
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPAROSCOPIC CHOLECYSTECTOMY Not listed in the file Not listed in the file $2,794
Gallbladder removal by laparoscope: rates for 1 insurance plan
  • Medica ChoiceCare/Accessibility Solution/MinnesotaCare — Commercial: $2,794
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PRP I/HERN INIT REDUC >5 YR Not listed in the file Not listed in the file $1,471
Groin (inguinal) hernia repair, age 5 or older: rates for 1 insurance plan
  • Medica ChoiceCare/Accessibility Solution/MinnesotaCare — Commercial: $1,471
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF PROSTATE Not listed in the file Not listed in the file $711
Prostate biopsy: rates for 1 insurance plan
  • Medica ChoiceCare/Accessibility Solution/MinnesotaCare — Commercial: $711
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPARO RADICAL PROSTATECTOMY Not listed in the file Not listed in the file $4,926
Prostate removal by laparoscope (radical prostatectomy): rates for 1 insurance plan
  • Medica ChoiceCare/Accessibility Solution/MinnesotaCare — Commercial: $4,926
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY BIOPSY Not listed in the file Not listed in the file $1,348
Hysteroscopy with biopsy of the uterus lining: rates for 1 insurance plan
  • Medica ChoiceCare/Accessibility Solution/MinnesotaCare — Commercial: $1,348
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SURG 62323 INJ IL NDL CATH LUMB SACR W GUID $610 $518.50 $250.65 – $591.70
Spinal injection, lower back (epidural), with imaging guidance: 10 of 17 insurance plan rates
  • America's Health System — PPO: $591.70
  • Blue Cross Blue Shield — Commercial: $579.50
  • Blue Cross Blue Shield — Managed Medicaid: $250.65
  • Health Partners — Commercial: $544.12
  • Health Partners — Managed Medicaid: $305
  • Health Partners — Medicare Advantage: $366
  • Medica — Medicare Advantage: $305
  • Medica Choice/Focus/IFB/MHPS/Care System — Commercial: $564.86
  • Medica ChoiceCare/Accessibility Solution/MinnesotaCare — Commercial: $441
  • Medica Minnesota Senior Health Options (MSHO)/Select Solutio — Commercial: $305
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TX RM 62323 TR RM INJ INTERLAMINAR LUMBR SAC W IMAG GUID $1,935 $1,644.75 $441 – $1,876.95
Spinal injection, lower back (epidural), with imaging guidance: 10 of 17 insurance plan rates
  • America's Health System — PPO: $1,876.95
  • Blue Cross Blue Shield — Commercial: $1,838.25
  • Blue Cross Blue Shield — Managed Medicaid: $795.09
  • Health Partners — Commercial: $1,726.02
  • Health Partners — Managed Medicaid: $967.50
  • Health Partners — Medicare Advantage: $1,161
  • Medica — Medicare Advantage: $967.50
  • Medica Choice/Focus/IFB/MHPS/Care System — Commercial: $1,791.81
  • Medica ChoiceCare/Accessibility Solution/MinnesotaCare — Commercial: $441
  • Medica Minnesota Senior Health Options (MSHO)/Select Solutio — Commercial: $967.50
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Hospital (facility) fee In the file: TX RM 62323 TR RM INJ INTERLAMINAR LUMBR SAC W IMAG GUID $1,935 $1,644.75 $967.50 – $1,876.95
Spinal injection, lower back (epidural), with imaging guidance: rates for 8 insurance plans
  • America's Health System — PPO: $1,876.95
  • Blue Cross Blue Shield — Commercial: $1,838.25
  • Health Partners — Commercial: $1,726.02
  • Health Partners — Managed Medicaid: $967.50
  • Health Partners — Medicare Advantage: $1,161
  • MultiPlan — Commercial: $1,818.90
  • Sanford Health Plan — Commercial: $1,780.20
  • United Healthcare — Commercial: $1,702.80
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TX RM 64483 INJ TRNFRM EPID LUM SNGL 1LVL $2,836 $2,410.60 $441 – $2,750.92
Nerve root injection, lower back, with imaging guidance: 10 of 17 insurance plan rates
  • America's Health System — PPO: $2,750.92
  • Blue Cross Blue Shield — Commercial: $2,694.20
  • Blue Cross Blue Shield — Managed Medicaid: $1,165.31
  • Health Partners — Commercial: $2,529.71
  • Health Partners — Managed Medicaid: $1,418
  • Health Partners — Medicare Advantage: $1,701.60
  • Medica — Medicare Advantage: $1,418
  • Medica Choice/Focus/IFB/MHPS/Care System — Commercial: $2,626.14
  • Medica ChoiceCare/Accessibility Solution/MinnesotaCare — Commercial: $441
  • Medica Minnesota Senior Health Options (MSHO)/Select Solutio — Commercial: $1,418
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) · Hospital (facility) fee In the file: TX RM 64483 INJ TRNFRM EPID LUM SNGL 1LVL $2,836 $2,410.60 $1,418 – $2,750.92
Nerve root injection, lower back, with imaging guidance: rates for 8 insurance plans
  • America's Health System — PPO: $2,750.92
  • Blue Cross Blue Shield — Commercial: $2,694.20
  • Health Partners — Commercial: $2,529.71
  • Health Partners — Managed Medicaid: $1,418
  • Health Partners — Medicare Advantage: $1,701.60
  • MultiPlan — Commercial: $2,665.84
  • Sanford Health Plan — Commercial: $2,609.12
  • United Healthcare — Commercial: $2,495.68
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CARPAL TUNNEL SURGERY Not listed in the file Not listed in the file $1,348
Carpal tunnel release: rates for 1 insurance plan
  • Medica ChoiceCare/Accessibility Solution/MinnesotaCare — Commercial: $1,348
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AFTER CATARACT LASER SURGERY Not listed in the file Not listed in the file $441
Laser treatment of clouding after cataract surgery: rates for 1 insurance plan
  • Medica ChoiceCare/Accessibility Solution/MinnesotaCare — Commercial: $441
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XCAPSL CTRC RMVL W/O ECP Not listed in the file Not listed in the file $1,348
Cataract removal with lens implant: rates for 1 insurance plan
  • Medica ChoiceCare/Accessibility Solution/MinnesotaCare — Commercial: $1,348

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC Not listed in the file Not listed in the file $3,312 – $4,603.35
Heart valve or major heart-chest surgery with heart catheterization, with major complications: rates for 3 insurance plans
  • Medica — Medicare Advantage: $4,603.35
  • Medica ChoiceCare/Accessibility Solution/MinnesotaCare — Commercial: $3,312
  • Medica Minnesota Senior Health Options (MSHO)/Select Solutio — Commercial: $4,603.35
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC Not listed in the file Not listed in the file $3,312 – $4,603.35
Spinal fusion (not neck), without major complications: rates for 3 insurance plans
  • Medica — Medicare Advantage: $4,603.35
  • Medica ChoiceCare/Accessibility Solution/MinnesotaCare — Commercial: $3,312
  • Medica Minnesota Senior Health Options (MSHO)/Select Solutio — Commercial: $4,603.35
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC Not listed in the file Not listed in the file $3,312 – $4,603.35
Hip or knee replacement (major joint of the leg), without major complications: rates for 3 insurance plans
  • Medica — Medicare Advantage: $4,603.35
  • Medica ChoiceCare/Accessibility Solution/MinnesotaCare — Commercial: $3,312
  • Medica Minnesota Senior Health Options (MSHO)/Select Solutio — Commercial: $4,603.35
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC Not listed in the file Not listed in the file $3,312 – $4,603.35
Neck (cervical) spinal fusion, without complications: rates for 3 insurance plans
  • Medica — Medicare Advantage: $4,603.35
  • Medica ChoiceCare/Accessibility Solution/MinnesotaCare — Commercial: $3,312
  • Medica Minnesota Senior Health Options (MSHO)/Select Solutio — Commercial: $4,603.35
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Not listed in the file Not listed in the file $3,312 – $4,603.35
Uterus and ovary surgery (not for cancer), without complications: rates for 3 insurance plans
  • Medica — Medicare Advantage: $4,603.35
  • Medica ChoiceCare/Accessibility Solution/MinnesotaCare — Commercial: $3,312
  • Medica Minnesota Senior Health Options (MSHO)/Select Solutio — Commercial: $4,603.35

Source: Ortonville Area Health Services’s standard charges file (sthpiprd.blob.core.windows.net, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on June 18, 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 typeCritical Access Hospital
Address450 Eastvold Ave, Ortonville, MN 56278
CountyBig Stone County
StateMinnesota
Phone(320) 839‑2502
Emergency servicesYes
OwnershipGovernment - Local
Medicare overall ratingNot rated by CMS
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number241342
Name in Medicare recordsORTONVILLE AREA HEALTH SERVICES
Profile levelMedicare data + hospital website
Name on the hospital’s websiteOrtonville Hospital
Official websiteoahs.us
CorrectionsReport an error or suggest an update →

Sources

  1. Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
  2. Medicare Care Compare — official Medicare profile of this hospital
  3. 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.

  1. About - Ortonville Area Health Services — oahs.us
  2. Parking - Ortonville Area Health Services — oahs.us
  3. Direct Access Lab Testing - Ortonville Area Health Services — oahs.us
  4. Radiology Services - Ortonville Area Health Services — oahs.us
  5. Outreach - Ortonville Area Health Services — oahs.us
  6. OAHS Expands Access to Nuclear Medicine Services - Ortonville Area Health Services — oahs.us
  7. I'm a Visitor - Ortonville Area Health Services — oahs.us
  8. Visiting Hours - Ortonville Area Health Services — oahs.us
  9. Lab Services - Ortonville Area Health Services — oahs.us
  10. OAHS MRI Project Wins First-Place Award - Ortonville Area Health Services — oahs.us