Does Stevens Community Medical Center Inc have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Stevens Community Medical Center Inc. In a medical emergency, call 911.

Where is Stevens Community Medical Center Inc?

400 East First Street, Morris, MN 56267, in Stevens County, Minnesota.

What is the phone number of Stevens Community Medical Center Inc?

(320) 589-1313, as listed by Medicare (CMS).

What is the Medicare star rating of Stevens Community Medical Center Inc?

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.

Stevens Community Medical Center Inc

Quick answers

Does Stevens Community Medical Center Inc have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Stevens Community Medical Center Inc. In a medical emergency, call 911.
Where is Stevens Community Medical Center Inc?: 400 East First Street, Morris, MN 56267, in Stevens County, Minnesota.
What is the phone number of Stevens Community Medical Center Inc?: (320) 589-1313, as listed by Medicare (CMS).
What is the Medicare star rating of Stevens Community Medical Center Inc?: 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][6][7][9][10][11][12][13][16][17]}

Emergency Medicine
Diagnostic Imaging
General Surgery
Orthopedics
Behavioral Medicine
Cardiac Rehabilitation
Physical, Occupational and Speech Therapy
Laboratory Services
Eye Care
Family Medicine
Obstetrics

Conditions treated^{[4][8][9][12][16]}

Stroke
Pneumonia
Diabetes
Heart conditions
Osteoarthritis of the knee
Glaucoma, cataract and macular degeneration evaluation
Lymphedema

Treatments^{[4][6][9][10][12]}

Robotic-assisted knee and hip replacement (VELYS)
iovera cold therapy for pain
Spinal injection for back pain
Physical therapy
Occupational therapy
Speech therapy
Dry needling
Wound care
Individual, family and couples therapy
Medication management
TeleStroke services

Procedures^[6][7][15]

CT
MRI
Ultrasound
2D and 3D mammography
X-ray
Echocardiography
Mobile nuclear medicine
Mobile PET/CT
Colonoscopy
Upper endoscopy
Flexible sigmoidoscopy
Treadmill stress tests
Hernia repair
Appendectomy
Cesarean section
Laparoscopic surgery
Joint replacement (hip, knee, reverse shoulder)
Operative fracture care
Carpal tunnel release

Programs and centers^[10][11][13]

Phase 2 outpatient cardiac rehabilitation
Direct Access Lab
Community Support Programs
Children's Therapeutic Support Services

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

Emergency room	Yes
Open 24/7	Yes
Trauma designation	Level 4
Stroke designation	Acute Stroke Ready Hospital

Visiting and practical information

Parking	NovaCare patients can park at the Columbia Ave. entrance and enter through the Emergency Entrance^[12]

Recognition^[5]

Level IV Trauma Center (MDH)
College of American Pathologists Accreditation
American College of Radiology Mammography Accreditation

Doctors and clinicians (65)

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

Main specialties

And 41 more: the button below opens the full list.

Other emergency rooms nearby

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

CentraCare - Benson24 mi · Benson, MN · Critical Access Hospital
Glacial Ridge Hospital25 mi · Glenwood, MN · Critical Access Hospital
Essentia Health Holy Trinity Hospital26 mi · Graceville, MN · Critical Access Hospital
Appleton Area Health27 mi · Appleton, MN · Critical Access Hospital
Ortonville Area Health Services28 mi · Ortonville, MN · Critical Access Hospital

Other hospitals nearby

Prairie Ridge Hospital and Health Services28 mi · Elbow Lake, MN · Critical Access Hospital

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

West Wind Village1.1 mi · Morris, MN · 4 of 5 stars
Minnewaska Community Health Services18 mi · Starbuck, MN · 3 of 5 stars
Barrett Care Center Inc22 mi · Barrett, MN · 5 of 5 stars

All nursing homes in the state →

Dialysis facilities

Sanford Dialysis Morris1.1 mi · Morris, MN

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

SCMC Morris Clinic1.1 mi · Morris, MN · Rural health clinic
Starbuck Clinic18 mi · Starbuck, MN · Rural health clinic
Starbuck Medical Center18 mi · Starbuck, MN · Rural health clinic

Pharmacies

Seip Drug LLC1.1 mi · Morris, MN · Community/retail pharmacy
Thrifty Drug Stores Inc1.1 mi · Morris, MN · Community/retail pharmacy

Assisted living nearby

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

Skyview Plaza1.1 mi · Morris, MN

About the Medicare star rating

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

Medicare quality data

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

What patients said (patient survey)

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

Summary star rating (all survey topics)	Not reported to Medicare
Overall rating of the hospital	Not reported to Medicare
Would recommend the hospital	Not reported to Medicare
Nurses communicated well	Not reported to Medicare
Doctors communicated well	Not reported to Medicare
Staff explained medicines	Not reported to Medicare
Information about recovery at home	Not reported to Medicare
Room and bathroom kept clean	Not reported to Medicare
Quiet at night	Not reported to Medicare
Rated the hospital 9 or 10 out of 10	76%National average: 72%
Would definitely recommend the hospital	72%National average: 71%
Nurses “always” communicated well	83%National average: 80%
Doctors “always” communicated well	85%National average: 80%
Staff “always” explained medicines before giving them	67%National average: 62%
Were given information about recovery at home	90%National average: 86%
Room and bathroom “always” clean	74%National average: 74%
Area around the room “always” quiet at night	76%National average: 60%
Completed surveys	57Response rate: 29%

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

Infections caught in the hospital

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

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

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

Complications and deaths

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

Deaths within 30 days: heart attack patients	Too few cases to report
Deaths within 30 days: heart failure patients	Too few cases to report
Deaths within 30 days: pneumonia patients	16.6%
Deaths within 30 days: COPD patients	Too few cases to report
Deaths within 30 days: stroke patients	Too few cases to report
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	Not reported to Medicare
Complications after hip or knee replacement	4.1%

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

Return visits to the hospital (readmissions)

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

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	Too few cases to report
Readmitted within 30 days: heart failure	Too few cases to report
Readmitted within 30 days: pneumonia	16.9%
Readmitted within 30 days: COPD	Too few cases to report
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	5.5%

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)	166 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.

ER wait times in Minnesota Best hospitals in Minnesota

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 76 common services exactly as Stevens Community Medical Center Inc lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

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

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

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	$244	$183	$151.35 – $510.53
New patient office visit (about 30–44 minutes): rates for 10 insurance plans BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $151.35 HPI HEALTH PARTNERS - ALL PLANS — HPI HEALTH PARTNERS - ALL PLANS: $133.67 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $510.53 MEDICA BEHAVIORAL PROFEE ONLY — MEDICA BEHAVIORAL PROFEE ONLY: $170.70 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $70.92 MEDICA IFB — MEDICA IFB: $60.03 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $38.34 MEDICA MCR ADV MAYO — MEDICA MCR ADV MAYO: $34.20 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $505.42 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $69.84
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	$355	$266.25	$220.21 – $510.53
New patient office visit (about 45–59 minutes): rates for 10 insurance plans BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $220.21 HPI HEALTH PARTNERS - ALL PLANS — HPI HEALTH PARTNERS - ALL PLANS: $218.06 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $510.53 MEDICA BEHAVIORAL PROFEE ONLY — MEDICA BEHAVIORAL PROFEE ONLY: $255.52 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $98.50 MEDICA IFB — MEDICA IFB: $83.38 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $53.25 MEDICA MCR ADV MAYO — MEDICA MCR ADV MAYO: $47.50 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $505.42 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $97
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	$470	$352.50	$291.54 – $510.53
New patient office visit (about 60–74 minutes): rates for 9 insurance plans BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $291.54 HPI HEALTH PARTNERS - ALL PLANS — HPI HEALTH PARTNERS - ALL PLANS: $296.23 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $510.53 MEDICA BEHAVIORAL PROFEE ONLY — MEDICA BEHAVIORAL PROFEE ONLY: $336.54 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $370.36 MEDICA IFB — MEDICA IFB: $313.49 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $200.22 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $505.42 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $236.79
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more	$187	$140.25	$70.35 – $147.36
Established patient office visit (about 20–29 minutes): rates for 10 insurance plans BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $116 HPI HEALTH PARTNERS - ALL PLANS — HPI HEALTH PARTNERS - ALL PLANS: $108.18 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $71.06 MEDICA BEHAVIORAL PROFEE ONLY — MEDICA BEHAVIORAL PROFEE ONLY: $140.45 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $147.36 MEDICA IFB — MEDICA IFB: $124.73 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $79.66 MEDICA MCR ADV MAYO — MEDICA MCR ADV MAYO: $71.06 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $70.35 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $93.50
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	$264	$198	$99.32 – $208.03
Established patient office visit (about 30–39 minutes): rates for 10 insurance plans BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $163.76 HPI HEALTH PARTNERS - ALL PLANS — HPI HEALTH PARTNERS - ALL PLANS: $159.72 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $100.32 MEDICA BEHAVIORAL PROFEE ONLY — MEDICA BEHAVIORAL PROFEE ONLY: $197.18 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $208.03 MEDICA IFB — MEDICA IFB: $176.09 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $112.46 MEDICA MCR ADV MAYO — MEDICA MCR ADV MAYO: $100.32 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $99.32 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $132
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) In the file: Office or other outpatient consultation with low level of medical decision making, if using time, 30 minutes or more	$257	$192.75	$159.42 – $510.53
Office consultation with a specialist (moderate): rates for 8 insurance plans BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $159.42 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $510.53 MEDICA BEHAVIORAL PROFEE ONLY — MEDICA BEHAVIORAL PROFEE ONLY: $172.46 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $196.21 MEDICA IFB — MEDICA IFB: $166.08 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $106.07 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $505.42 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $49.80
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) In the file: Office or other outpatient consultation with moderate level of medical decision making, if using time, 40 minutes or more	$379	$284.25	$235.09 – $510.53
Office consultation with a specialist (moderate to high): rates for 8 insurance plans BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $235.09 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $510.53 MEDICA BEHAVIORAL PROFEE ONLY — MEDICA BEHAVIORAL PROFEE ONLY: $245.68 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $291.56 MEDICA IFB — MEDICA IFB: $246.79 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $157.62 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $505.42 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $74
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) In the file: Initial new patient preventive medicine evaluation (18-39 years)	$278	$208.50	$172.44 – $510.53
Preventive checkup, new patient, age 18–39: rates for 4 insurance plans BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $172.44 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $510.53 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $505.42 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $215.73
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) In the file: Initial new patient preventive medicine evaluation (40-64 years)	$323	$242.25	$200.36 – $510.53
Preventive checkup, new patient, age 40–64: rates for 4 insurance plans BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $200.36 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $510.53 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $505.42 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $250.65
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: Emergency department visit with low level of medical decision making	$137	$102.75	$58.36 – $125.71
Emergency room visit (moderate): rates for 10 insurance plans BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $125.71 HPI HEALTH PARTNERS - ALL PLANS — HPI HEALTH PARTNERS - ALL PLANS: $113.85 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $65.04 MEDICA BEHAVIORAL PROFEE ONLY — MEDICA BEHAVIORAL PROFEE ONLY: $103.86 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $107.96 MEDICA IFB — MEDICA IFB: $91.38 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $58.36 MEDICA MCR ADV MAYO — MEDICA MCR ADV MAYO: $74.80 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $64.39 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $100.81
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: Emergency department visit with low level of medical decision making	$859	$644.25	$323.16 – $676.89
Emergency room visit (moderate): rates for 8 insurance plans BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $532.84 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $326.42 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $676.89 MEDICA IFB — MEDICA IFB: $572.95 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $365.93 MEDICA MCR ADV MAYO — MEDICA MCR ADV MAYO: $326.42 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $323.16 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $666.58
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: Emergency department visit with moderate level of medical decision making	$149	$111.75	$63.47 – $214.49
Emergency room visit (moderately high): rates for 10 insurance plans BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $214.49 HPI HEALTH PARTNERS - ALL PLANS — HPI HEALTH PARTNERS - ALL PLANS: $193.14 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $110.45 MEDICA BEHAVIORAL PROFEE ONLY — MEDICA BEHAVIORAL PROFEE ONLY: $176.54 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $117.41 MEDICA IFB — MEDICA IFB: $99.38 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $63.47 MEDICA MCR ADV MAYO — MEDICA MCR ADV MAYO: $127.02 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $109.35 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $171.20
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: Emergency department visit with moderate level of medical decision making	$1,693	$1,269.75	$636.91 – $1,334.08
Emergency room visit (moderately high): rates for 8 insurance plans BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $1,050.17 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $643.34 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $1,334.08 MEDICA IFB — MEDICA IFB: $1,129.23 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $721.22 MEDICA MCR ADV MAYO — MEDICA MCR ADV MAYO: $643.34 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $636.91 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $1,313.77
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: Emergency department visit with high level of medical decision making	$216	$162	$92.02 – $311.01
Emergency room visit (high): rates for 10 insurance plans BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $311.01 HPI HEALTH PARTNERS - ALL PLANS — HPI HEALTH PARTNERS - ALL PLANS: $279.80 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $160.69 MEDICA BEHAVIORAL PROFEE ONLY — MEDICA BEHAVIORAL PROFEE ONLY: $255.60 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $170.21 MEDICA IFB — MEDICA IFB: $144.07 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $92.02 MEDICA MCR ADV MAYO — MEDICA MCR ADV MAYO: $184.79 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $159.08 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $249.07
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: Emergency department visit with high level of medical decision making	$2,001	$1,500.75	$752.78 – $1,576.79
Emergency room visit (high): rates for 8 insurance plans BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $1,241.22 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $760.38 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $1,576.79 MEDICA IFB — MEDICA IFB: $1,334.67 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $852.43 MEDICA MCR ADV MAYO — MEDICA MCR ADV MAYO: $760.38 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $752.78 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $1,552.78

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: Blood test, basic group of blood chemicals (Calcium, total)	$243	$182.25	$91.42 – $191.48
Basic metabolic panel (blood test): rates for 8 insurance plans BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $150.73 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $92.34 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $191.48 MEDICA IFB — MEDICA IFB: $162.08 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $103.52 MEDICA MCR ADV MAYO — MEDICA MCR ADV MAYO: $92.34 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $91.42 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $188.57
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: Blood test, comprehensive group of blood chemicals	$307	$230.25	$115.49 – $241.92
Comprehensive metabolic panel (blood test): rates for 8 insurance plans BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $190.43 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $116.66 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $241.92 MEDICA IFB — MEDICA IFB: $204.77 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $130.78 MEDICA MCR ADV MAYO — MEDICA MCR ADV MAYO: $116.66 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $115.49 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $238.23
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) In the file: Obstetric blood test panel	$255	$191.25	$95.93 – $197.88
Obstetric blood test panel: rates for 4 insurance plans BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $158.18 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $96.90 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $95.93 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $197.88
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: Blood test, lipids (cholesterol and triglycerides)	$173	$129.75	$65.08 – $136.32
Cholesterol panel (lipid panel): rates for 8 insurance plans BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $107.31 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $65.74 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $136.32 MEDICA IFB — MEDICA IFB: $115.39 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $73.70 MEDICA MCR ADV MAYO — MEDICA MCR ADV MAYO: $65.74 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $65.08 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $134.25
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: Kidney function blood test panel	$224	$168	$84.27 – $176.51
Kidney function panel: rates for 8 insurance plans BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $138.95 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $85.12 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $176.51 MEDICA IFB — MEDICA IFB: $149.41 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $95.42 MEDICA MCR ADV MAYO — MEDICA MCR ADV MAYO: $85.12 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $84.27 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $173.82
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: Liver function blood test panel	$214	$160.50	$80.51 – $168.63
Liver function panel: rates for 8 insurance plans BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $132.74 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $81.32 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $168.63 MEDICA IFB — MEDICA IFB: $142.74 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $91.16 MEDICA MCR ADV MAYO — MEDICA MCR ADV MAYO: $81.32 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $80.51 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $166.06
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: Manual urinalysis test with examination using microscope, automated	$73	$54.75	$27.46 – $57.52
Urine test (automated, with microscope): rates for 8 insurance plans BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $45.28 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $27.74 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $57.52 MEDICA IFB — MEDICA IFB: $48.69 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $31.10 MEDICA MCR ADV MAYO — MEDICA MCR ADV MAYO: $27.74 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $27.46 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $56.65
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: Urinalysis, manual test	$83	$62.25	$31.22 – $65.40
Urine test (manual, without microscope): rates for 8 insurance plans BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $51.48 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $31.54 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $65.40 MEDICA IFB — MEDICA IFB: $55.36 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $35.36 MEDICA MCR ADV MAYO — MEDICA MCR ADV MAYO: $31.54 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $31.22 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $64.41
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: Automated urinalysis test	$30	$22.50	$11.29 – $23.64
Urine test (automated, without microscope): rates for 8 insurance plans BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $18.61 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $11.40 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $23.64 MEDICA IFB — MEDICA IFB: $20.01 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $12.78 MEDICA MCR ADV MAYO — MEDICA MCR ADV MAYO: $11.40 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $11.29 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $23.28
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: PSA (prostate specific antigen) measurement, total	$214	$160.50	$80.51 – $168.63
PSA (prostate specific antigen) blood test: rates for 8 insurance plans BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $132.74 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $81.32 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $168.63 MEDICA IFB — MEDICA IFB: $142.74 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $91.16 MEDICA MCR ADV MAYO — MEDICA MCR ADV MAYO: $81.32 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $80.51 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $166.06
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: Blood test, thyroid stimulating hormone (TSH)	$214	$160.50	$80.51 – $168.63
Thyroid stimulating hormone (TSH) test: rates for 8 insurance plans BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $132.74 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $81.32 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $168.63 MEDICA IFB — MEDICA IFB: $142.74 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $91.16 MEDICA MCR ADV MAYO — MEDICA MCR ADV MAYO: $81.32 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $80.51 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $166.06
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · modifier 90 In the file: Blood test, thyroid stimulating hormone (TSH)	$214	$160.50	$80.51 – $168.63
Thyroid stimulating hormone (TSH) test: rates for 8 insurance plans BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $132.74 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $81.32 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $168.63 MEDICA IFB — MEDICA IFB: $142.74 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $91.16 MEDICA MCR ADV MAYO — MEDICA MCR ADV MAYO: $81.32 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $80.51 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $166.06
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	$158	$118.50	$59.44 – $124.50
Complete blood count (CBC) with differential: rates for 8 insurance plans BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $98.01 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $60.04 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $124.50 MEDICA IFB — MEDICA IFB: $105.39 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $67.31 MEDICA MCR ADV MAYO — MEDICA MCR ADV MAYO: $60.04 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $59.44 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $122.61
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: Complete blood cell count (red cells, white blood cell, platelets), automated test	$110	$82.50	$41.38 – $86.68
Complete blood count (CBC), automated: rates for 8 insurance plans BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $68.23 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $41.80 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $86.68 MEDICA IFB — MEDICA IFB: $73.37 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $46.86 MEDICA MCR ADV MAYO — MEDICA MCR ADV MAYO: $41.80 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $41.38 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $85.36
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: Blood test, clotting time	$68	$51	$25.58 – $53.58
Blood clotting time test (prothrombin time, PT): rates for 8 insurance plans BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $42.18 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $25.84 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $53.58 MEDICA IFB — MEDICA IFB: $45.36 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $28.97 MEDICA MCR ADV MAYO — MEDICA MCR ADV MAYO: $25.84 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $25.58 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $52.77
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · modifier 90 In the file: Blood test, clotting time	$68	$51	$25.58 – $53.58
Blood clotting time test (prothrombin time, PT): rates for 8 insurance plans BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $42.18 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $25.84 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $53.58 MEDICA IFB — MEDICA IFB: $45.36 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $28.97 MEDICA MCR ADV MAYO — MEDICA MCR ADV MAYO: $25.84 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $25.58 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $52.77
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: Coagulation assessment blood test, plasma or whole blood	$129	$96.75	$48.53 – $101.65
Blood clotting test (partial thromboplastin time, PTT): rates for 8 insurance plans BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $80.02 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $49.02 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $101.65 MEDICA IFB — MEDICA IFB: $86.04 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $54.95 MEDICA MCR ADV MAYO — MEDICA MCR ADV MAYO: $49.02 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $48.53 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $100.10
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · modifier 90 In the file: Coagulation assessment blood test, plasma or whole blood	$129	$96.75	$48.53 – $101.65
Blood clotting test (partial thromboplastin time, PTT): rates for 8 insurance plans BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $80.02 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $49.02 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $101.65 MEDICA IFB — MEDICA IFB: $86.04 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $54.95 MEDICA MCR ADV MAYO — MEDICA MCR ADV MAYO: $49.02 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $48.53 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $100.10

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

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: CT scan head or brain without contrast	$1,783	$1,337.25	$670.76 – $1,405
CT scan of the head or brain, without contrast: rates for 8 insurance plans BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $1,105.99 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $677.54 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $1,405 MEDICA IFB — MEDICA IFB: $1,189.26 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $759.56 MEDICA MCR ADV MAYO — MEDICA MCR ADV MAYO: $677.54 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $670.76 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $1,383.61
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · modifier 26 In the file: CT scan head or brain without contrast	$230	$172.50	$38.14 – $181.24
CT scan of the head or brain, without contrast: rates for 9 insurance plans BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $82.21 HPI HEALTH PARTNERS - ALL PLANS — HPI HEALTH PARTNERS - ALL PLANS: $165.95 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $38.53 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $181.24 MEDICA IFB — MEDICA IFB: $153.41 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $97.98 MEDICA MCR ADV MAYO — MEDICA MCR ADV MAYO: $44.31 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $38.14 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $46.24
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MRI scan of brain before and after contrast	$3,956	$2,967	$1,488.25 – $3,117.33
MRI of the brain, before and after contrast: rates for 7 insurance plans BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $2,453.91 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $1,503.28 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $3,117.33 MEDICA IFB — MEDICA IFB: $2,638.65 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $1,685.26 MEDICA MCR ADV MAYO — MEDICA MCR ADV MAYO: $1,503.28 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $1,488.25
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · modifier 26 In the file: MRI scan of brain before and after contrast	$560	$420	$101.89 – $441.28
MRI of the brain, before and after contrast: rates for 9 insurance plans BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $221.97 HPI HEALTH PARTNERS - ALL PLANS — HPI HEALTH PARTNERS - ALL PLANS: $160.88 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $102.92 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $441.28 MEDICA IFB — MEDICA IFB: $373.52 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $238.56 MEDICA MCR ADV MAYO — MEDICA MCR ADV MAYO: $118.36 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $101.89 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $123.50
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: X-ray of chest, 2 views	$326	$244.50	$122.64 – $256.89
Chest X-ray, 2 views: rates for 8 insurance plans BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $202.22 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $123.88 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $256.89 MEDICA IFB — MEDICA IFB: $217.44 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $138.88 MEDICA MCR ADV MAYO — MEDICA MCR ADV MAYO: $123.88 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $122.64 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $252.98
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · modifier 26 In the file: X-ray of chest, 2 views	$46	$34.50	$9.76 – $51.26
Chest X-ray, 2 views: rates for 9 insurance plans BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $21.24 HPI HEALTH PARTNERS - ALL PLANS — HPI HEALTH PARTNERS - ALL PLANS: $51.26 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $9.86 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $36.25 MEDICA IFB — MEDICA IFB: $30.68 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $19.60 MEDICA MCR ADV MAYO — MEDICA MCR ADV MAYO: $11.34 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $9.76 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $11.83
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · modifier TC In the file: X-ray of chest, 2 views	$334	$250.50	$125.65 – $259.18
Chest X-ray, 2 views: rates for 4 insurance plans BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $207.18 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $126.92 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $125.65 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $259.18
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: X-ray of lower and sacral spine, minimum of 4 views	$530	$397.50	$199.39 – $417.64
X-ray of the lower spine, at least 4 views: rates for 8 insurance plans BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $328.76 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $201.40 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $417.64 MEDICA IFB — MEDICA IFB: $353.51 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $225.78 MEDICA MCR ADV MAYO — MEDICA MCR ADV MAYO: $201.40 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $199.39 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $411.28
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · modifier 26 In the file: X-ray of lower and sacral spine, minimum of 4 views	$83	$62.25	$12.21 – $65.40
X-ray of the lower spine, at least 4 views: rates for 8 insurance plans BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $26.03 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $12.33 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $65.40 MEDICA IFB — MEDICA IFB: $55.36 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $35.36 MEDICA MCR ADV MAYO — MEDICA MCR ADV MAYO: $14.18 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $12.21 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $14.80
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · modifier TC In the file: X-ray of lower and sacral spine, minimum of 4 views	$543	$407.25	$204.28 – $421.37
X-ray of the lower spine, at least 4 views: rates for 4 insurance plans BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $336.82 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $206.34 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $204.28 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $421.37
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MRI scan of lower spinal canal without contrast	$3,075	$2,306.25	$1,156.82 – $2,423.10
MRI of the lower back (lumbar spine), without contrast: rates for 7 insurance plans BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $1,907.42 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $1,168.50 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $2,423.10 MEDICA IFB — MEDICA IFB: $2,051.03 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $1,309.95 MEDICA MCR ADV MAYO — MEDICA MCR ADV MAYO: $1,168.50 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $1,156.82
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · modifier 26 In the file: MRI scan of lower spinal canal without contrast	$393	$294.75	$66.43 – $309.68
MRI of the lower back (lumbar spine), without contrast: rates for 9 insurance plans BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $143.19 HPI HEALTH PARTNERS - ALL PLANS — HPI HEALTH PARTNERS - ALL PLANS: $297.40 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $67.10 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $309.68 MEDICA IFB — MEDICA IFB: $262.13 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $167.42 MEDICA MCR ADV MAYO — MEDICA MCR ADV MAYO: $77.17 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $66.43 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $80.52
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT scan of pelvis with contrast	$2,275	$1,706.25	$855.86 – $1,792.70
CT scan of the pelvis, with contrast: rates for 8 insurance plans BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $1,411.18 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $864.50 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $1,792.70 MEDICA IFB — MEDICA IFB: $1,517.43 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $969.15 MEDICA MCR ADV MAYO — MEDICA MCR ADV MAYO: $864.50 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $855.86 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $1,765.40
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · modifier 26 In the file: CT scan of pelvis with contrast	$308	$231	$51.66 – $242.70
CT scan of the pelvis, with contrast: rates for 8 insurance plans BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $111.67 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $52.18 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $242.70 MEDICA IFB — MEDICA IFB: $205.44 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $131.21 MEDICA MCR ADV MAYO — MEDICA MCR ADV MAYO: $60.01 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $51.66 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $62.62
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · modifier 26 In the file: MRI scan of leg joint without contrast	$347	$260.25	$61 – $317.19
MRI of a leg joint (such as the knee), without contrast: rates for 9 insurance plans BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $130.85 HPI HEALTH PARTNERS - ALL PLANS — HPI HEALTH PARTNERS - ALL PLANS: $317.19 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $61.62 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $273.44 MEDICA IFB — MEDICA IFB: $231.45 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $147.82 MEDICA MCR ADV MAYO — MEDICA MCR ADV MAYO: $70.86 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $61 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $73.94
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · modifier LT In the file: MRI scan of leg joint without contrast	$3,012	$2,259	$1,133.11 – $2,373.46
MRI of a leg joint (such as the knee), without contrast: rates for 7 insurance plans BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $1,868.34 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $1,144.56 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $2,373.46 MEDICA IFB — MEDICA IFB: $2,009 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $1,283.11 MEDICA MCR ADV MAYO — MEDICA MCR ADV MAYO: $1,144.56 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $1,133.11
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · modifier RT In the file: MRI scan of leg joint without contrast	$3,012	$2,259	$1,133.11 – $2,373.46
MRI of a leg joint (such as the knee), without contrast: rates for 7 insurance plans BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $1,868.34 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $1,144.56 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $2,373.46 MEDICA IFB — MEDICA IFB: $2,009 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $1,283.11 MEDICA MCR ADV MAYO — MEDICA MCR ADV MAYO: $1,144.56 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $1,133.11
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT scan of abdomen and pelvis with contrast	$3,667	$2,750.25	$1,379.53 – $2,889.60
CT scan of the abdomen and pelvis, with contrast: rates for 8 insurance plans BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $2,274.64 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $1,393.46 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $2,889.60 MEDICA IFB — MEDICA IFB: $2,445.89 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $1,562.14 MEDICA MCR ADV MAYO — MEDICA MCR ADV MAYO: $1,393.46 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $1,379.53 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $2,845.59
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · modifier 26 In the file: CT scan of abdomen and pelvis with contrast	$227	$170.25	$81.04 – $178.88
CT scan of the abdomen and pelvis, with contrast: rates for 9 insurance plans BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $176.76 HPI HEALTH PARTNERS - ALL PLANS — HPI HEALTH PARTNERS - ALL PLANS: $128.40 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $81.86 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $178.88 MEDICA IFB — MEDICA IFB: $151.41 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $96.70 MEDICA MCR ADV MAYO — MEDICA MCR ADV MAYO: $94.14 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $81.04 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $98.23
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: Complete ultrasound scan of abdomen	$1,152	$864	$433.38 – $907.78
Ultrasound of the abdomen, complete: rates for 8 insurance plans BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $714.59 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $437.76 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $907.78 MEDICA IFB — MEDICA IFB: $768.38 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $490.75 MEDICA MCR ADV MAYO — MEDICA MCR ADV MAYO: $437.76 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $433.38 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $893.95
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · modifier 26 In the file: Complete ultrasound scan of abdomen	$216	$162	$36.38 – $176.61
Ultrasound of the abdomen, complete: rates for 9 insurance plans BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $78.10 HPI HEALTH PARTNERS - ALL PLANS — HPI HEALTH PARTNERS - ALL PLANS: $176.61 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $36.75 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $170.21 MEDICA IFB — MEDICA IFB: $144.07 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $92.02 MEDICA MCR ADV MAYO — MEDICA MCR ADV MAYO: $42.26 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $36.38 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $44.10
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: Ultrasound scan of pregnant uterus (14 weeks or more), single or first fetus	$663	$497.25	$249.42 – $522.44
Pregnancy ultrasound (after the first trimester): rates for 8 insurance plans BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $411.26 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $251.94 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $522.44 MEDICA IFB — MEDICA IFB: $442.22 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $282.44 MEDICA MCR ADV MAYO — MEDICA MCR ADV MAYO: $251.94 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $249.42 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $514.49
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · modifier 26 In the file: Ultrasound scan of pregnant uterus (14 weeks or more), single or first fetus	$246	$184.50	$45.84 – $205.54
Pregnancy ultrasound (after the first trimester): rates for 9 insurance plans BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $96.60 HPI HEALTH PARTNERS - ALL PLANS — HPI HEALTH PARTNERS - ALL PLANS: $205.54 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $46.30 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $193.85 MEDICA IFB — MEDICA IFB: $164.08 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $104.80 MEDICA MCR ADV MAYO — MEDICA MCR ADV MAYO: $53.25 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $45.84 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $55.56
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina	$896	$672	$337.08 – $706.05
Transvaginal ultrasound: rates for 8 insurance plans BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $555.79 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $340.48 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $706.05 MEDICA IFB — MEDICA IFB: $597.63 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $381.70 MEDICA MCR ADV MAYO — MEDICA MCR ADV MAYO: $340.48 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $337.08 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $695.30
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · modifier 26 In the file: Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina	$190	$142.50	$31.39 – $181.18
Transvaginal ultrasound: rates for 9 insurance plans BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $67.14 HPI HEALTH PARTNERS - ALL PLANS — HPI HEALTH PARTNERS - ALL PLANS: $181.18 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $31.71 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $149.72 MEDICA IFB — MEDICA IFB: $126.73 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $80.94 MEDICA MCR ADV MAYO — MEDICA MCR ADV MAYO: $36.47 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $31.39 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $38.05
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: Diagnostic mammography of 1 breast	$419	$314.25	$157.63 – $330.17
Diagnostic mammogram, one breast: rates for 8 insurance plans BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $259.91 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $159.22 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $330.17 MEDICA IFB — MEDICA IFB: $279.47 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $178.49 MEDICA MCR ADV MAYO — MEDICA MCR ADV MAYO: $159.22 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $157.63 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $325.14
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · modifier 26 In the file: Diagnostic mammography of 1 breast	$116	$87	$36.48 – $192.85
Diagnostic mammogram, one breast: rates for 9 insurance plans BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $78.10 HPI HEALTH PARTNERS - ALL PLANS — HPI HEALTH PARTNERS - ALL PLANS: $192.85 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $36.85 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $91.41 MEDICA IFB — MEDICA IFB: $77.37 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $49.42 MEDICA MCR ADV MAYO — MEDICA MCR ADV MAYO: $42.38 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $36.48 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $44.22
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: Diagnostic mammography of both breasts	$537	$402.75	$202.02 – $423.16
Diagnostic mammogram, both breasts: rates for 8 insurance plans BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $333.10 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $204.06 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $423.16 MEDICA IFB — MEDICA IFB: $358.18 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $228.76 MEDICA MCR ADV MAYO — MEDICA MCR ADV MAYO: $204.06 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $202.02 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $416.71
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · modifier 26 In the file: Diagnostic mammography of both breasts	$143	$107.25	$44.91 – $243.60
Diagnostic mammogram, both breasts: rates for 9 insurance plans BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $95.91 HPI HEALTH PARTNERS - ALL PLANS — HPI HEALTH PARTNERS - ALL PLANS: $243.60 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $45.36 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $112.68 MEDICA IFB — MEDICA IFB: $95.38 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $60.92 MEDICA MCR ADV MAYO — MEDICA MCR ADV MAYO: $52.16 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $44.91 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $54.43
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: Screening mammography	$483	$362.25	$181.70 – $380.60
Screening mammogram, both breasts: rates for 8 insurance plans BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $299.60 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $183.54 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $380.60 MEDICA IFB — MEDICA IFB: $322.16 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $205.76 MEDICA MCR ADV MAYO — MEDICA MCR ADV MAYO: $183.54 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $181.70 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $374.81
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · modifier 26 In the file: Screening mammography	$152	$114	$34.05 – $119.78
Screening mammogram, both breasts: rates for 9 insurance plans BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $73.99 HPI HEALTH PARTNERS - ALL PLANS — HPI HEALTH PARTNERS - ALL PLANS: $53.80 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $34.39 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $119.78 MEDICA IFB — MEDICA IFB: $101.38 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $64.75 MEDICA MCR ADV MAYO — MEDICA MCR ADV MAYO: $39.55 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $34.05 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $41.27
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · modifier 52 In the file: Screening mammography	$483	$362.25	$181.70 – $380.60
Screening mammogram, both breasts: rates for 8 insurance plans BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $299.60 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $183.54 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $380.60 MEDICA IFB — MEDICA IFB: $322.16 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $205.76 MEDICA MCR ADV MAYO — MEDICA MCR ADV MAYO: $183.54 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $181.70 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $374.81

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) In the file: Routine electrocardiogram (ECG) using at least 12 leads with interpretation and report	$177	$132.75	$66.59 – $137.35
Electrocardiogram (ECG/EKG) with reading: rates for 4 insurance plans BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $109.79 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $67.26 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $66.59 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $137.35
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: Sleep study in sleep lab (6 years or older)	$4,549	$3,411.75	$1,711.33 – $3,584.61
Sleep study (overnight, in a sleep lab): rates for 8 insurance plans BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $2,821.74 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $1,728.62 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $3,584.61 MEDICA IFB — MEDICA IFB: $3,034.18 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $1,937.87 MEDICA MCR ADV MAYO — MEDICA MCR ADV MAYO: $1,728.62 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $1,711.33 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $2,274.50

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · modifier GO In the file: Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	$134	$100.50	$50.41 – $105.59
Physical therapy: therapeutic exercise (each 15 minutes): rates for 8 insurance plans BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $83.12 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $50.92 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $105.59 MEDICA IFB — MEDICA IFB: $89.38 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $57.08 MEDICA MCR ADV MAYO — MEDICA MCR ADV MAYO: $50.92 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $50.41 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $103.98
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · modifier GP In the file: Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	$134	$100.50	$50.41 – $105.59
Physical therapy: therapeutic exercise (each 15 minutes): rates for 8 insurance plans BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $83.12 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $50.92 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $105.59 MEDICA IFB — MEDICA IFB: $89.38 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $57.08 MEDICA MCR ADV MAYO — MEDICA MCR ADV MAYO: $50.92 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $50.41 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $103.98
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · modifier GP In the file: Evaluation for physical therapy, typically 20 minutes	$273	$204.75	$102.70 – $215.12
Physical therapy evaluation (low complexity): rates for 8 insurance plans BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $169.34 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $103.74 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $215.12 MEDICA IFB — MEDICA IFB: $182.09 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $116.30 MEDICA MCR ADV MAYO — MEDICA MCR ADV MAYO: $103.74 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $102.70 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $211.85
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · modifier GP In the file: Evaluation for physical therapy, typically 30 minutes	$273	$204.75	$102.70 – $215.12
Physical therapy evaluation (moderate complexity): rates for 8 insurance plans BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $169.34 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $103.74 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $215.12 MEDICA IFB — MEDICA IFB: $182.09 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $116.30 MEDICA MCR ADV MAYO — MEDICA MCR ADV MAYO: $103.74 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $102.70 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $211.85
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · modifier GP In the file: Evaluation for physical therapy, typically 45 minutes	$273	$204.75	$102.70 – $215.12
Physical therapy evaluation (high complexity): rates for 8 insurance plans BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $169.34 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $103.74 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $215.12 MEDICA IFB — MEDICA IFB: $182.09 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $116.30 MEDICA MCR ADV MAYO — MEDICA MCR ADV MAYO: $103.74 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $102.70 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $211.85
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: Psychotherapy, 30 minutes	$212	$159	$79.75 – $167.06
Psychotherapy, 30 minutes: rates for 8 insurance plans BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $131.50 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $80.56 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $167.06 MEDICA IFB — MEDICA IFB: $141.40 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $90.31 MEDICA MCR ADV MAYO — MEDICA MCR ADV MAYO: $80.56 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $79.75 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $106
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: Psychotherapy, 45 minutes	$314	$235.50	$118.13 – $247.43
Psychotherapy, 45 minutes: rates for 8 insurance plans BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $194.77 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $119.32 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $247.43 MEDICA IFB — MEDICA IFB: $209.44 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $133.76 MEDICA MCR ADV MAYO — MEDICA MCR ADV MAYO: $119.32 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $118.13 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $157
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: Psychotherapy, 1 hour	$376	$282	$141.45 – $296.29
Psychotherapy, 60 minutes: rates for 8 insurance plans BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $233.23 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $142.88 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $296.29 MEDICA IFB — MEDICA IFB: $250.79 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $160.18 MEDICA MCR ADV MAYO — MEDICA MCR ADV MAYO: $142.88 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $141.45 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $188
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: Family psychotherapy without patient, 50 minutes	$345	$258.75	$129.79 – $271.86
Family psychotherapy, without the patient: rates for 8 insurance plans BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $214 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $131.10 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $271.86 MEDICA IFB — MEDICA IFB: $230.12 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $146.97 MEDICA MCR ADV MAYO — MEDICA MCR ADV MAYO: $131.10 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $129.79 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $172.50
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: Family psychotherapy with patient, 50 minutes	$340	$255	$127.91 – $267.92
Family psychotherapy, with the patient: rates for 8 insurance plans BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $210.90 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $129.20 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $267.92 MEDICA IFB — MEDICA IFB: $226.78 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $144.84 MEDICA MCR ADV MAYO — MEDICA MCR ADV MAYO: $129.20 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $127.91 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $170
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: Group psychotherapy	$29	$21.75	$10.91 – $22.85
Group psychotherapy: rates for 8 insurance plans BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $17.99 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $11.02 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $22.85 MEDICA IFB — MEDICA IFB: $19.34 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $12.35 MEDICA MCR ADV MAYO — MEDICA MCR ADV MAYO: $11.02 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $10.91 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $22.50

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: Removal of growth and tissue of breast, duct, or nipple	$1,212	$909	$327.72 – $940.51
Removal of breast growth (open surgery): 10 of 11 insurance plan rates BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $751.80 BCBS MCR ADV — BCBS MCR ADV: $577.28 BCBS MHCP MCAID — BCBS MHCP MCAID: $327.72 HPI HEALTH PARTNERS - ALL PLANS — HPI HEALTH PARTNERS - ALL PLANS: $672.32 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $460.56 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $905.41 MEDICA IFB — MEDICA IFB: $766.38 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $489.47 MEDICA MCR ADV MAYO — MEDICA MCR ADV MAYO: $435.34 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $455.95
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: Replacement of thigh bone and hip joint with prosthesis	$3,652	$2,739	$987.50 – $2,833.95
Total hip replacement: 10 of 11 insurance plan rates BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $2,265.34 BCBS MCR ADV — BCBS MCR ADV: $1,739.45 BCBS MHCP MCAID — BCBS MHCP MCAID: $987.50 HPI HEALTH PARTNERS - ALL PLANS — HPI HEALTH PARTNERS - ALL PLANS: $2,068.49 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $1,387.76 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $2,877.78 MEDICA IFB — MEDICA IFB: $2,435.88 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $1,555.75 MEDICA MCR ADV MAYO — MEDICA MCR ADV MAYO: $1,239.76 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $1,373.88
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: Replacement of knee joint, both sides of knee	$1,785	$1,338.75	$482.66 – $1,385.16
Total knee replacement: 10 of 11 insurance plan rates BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $1,107.24 BCBS MCR ADV — BCBS MCR ADV: $850.20 BCBS MHCP MCAID — BCBS MHCP MCAID: $482.66 HPI HEALTH PARTNERS - ALL PLANS — HPI HEALTH PARTNERS - ALL PLANS: $2,065.66 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $678.30 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $1,406.58 MEDICA IFB — MEDICA IFB: $1,190.60 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $760.41 MEDICA MCR ADV MAYO — MEDICA MCR ADV MAYO: $1,237.43 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $671.52
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: Shaving of part of shoulder bone and repair of ligament using an endoscope	$400	$300	$150.48 – $248.12
Shoulder arthroscopy: shaving of shoulder bone: rates for 9 insurance plans BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $248.12 HPI HEALTH PARTNERS - ALL PLANS — HPI HEALTH PARTNERS - ALL PLANS: $270.74 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $152 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $315.20 MEDICA IFB — MEDICA IFB: $266.80 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $170.40 MEDICA MCR ADV MAYO — MEDICA MCR ADV MAYO: $155.11 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $150.48 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $209.06
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: Removal of knee cartilage using an endoscope	$1,234	$925.50	$333.67 – $957.58
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 11 insurance plan rates BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $765.45 BCBS MCR ADV — BCBS MCR ADV: $587.75 BCBS MHCP MCAID — BCBS MHCP MCAID: $333.67 HPI HEALTH PARTNERS - ALL PLANS — HPI HEALTH PARTNERS - ALL PLANS: $899.44 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $468.92 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $972.39 MEDICA IFB — MEDICA IFB: $823.08 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $525.68 MEDICA MCR ADV MAYO — MEDICA MCR ADV MAYO: $563.21 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $464.23
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: Removal of tonsils and adenoid glands (younger than 12 years)	$703	$527.25	$190.09 – $545.53
Removal of tonsils and adenoids (under age 12): 10 of 11 insurance plan rates BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $436.07 BCBS MCR ADV — BCBS MCR ADV: $334.84 BCBS MHCP MCAID — BCBS MHCP MCAID: $190.09 HPI HEALTH PARTNERS - ALL PLANS — HPI HEALTH PARTNERS - ALL PLANS: $484.84 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $267.14 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $553.96 MEDICA IFB — MEDICA IFB: $468.90 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $299.48 MEDICA MCR ADV MAYO — MEDICA MCR ADV MAYO: $287.50 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $264.47
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	$631	$473.25	$170.62 – $489.66
Upper GI endoscopy (diagnostic): 10 of 11 insurance plan rates BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $391.41 BCBS MCR ADV — BCBS MCR ADV: $300.55 BCBS MHCP MCAID — BCBS MHCP MCAID: $170.62 HPI HEALTH PARTNERS - ALL PLANS — HPI HEALTH PARTNERS - ALL PLANS: $197.67 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $239.78 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $497.23 MEDICA IFB — MEDICA IFB: $420.88 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $268.81 MEDICA MCR ADV MAYO — MEDICA MCR ADV MAYO: $121.80 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $237.38
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	$495	$371.25	$133.85 – $384.12
Upper GI endoscopy with biopsy: 10 of 11 insurance plan rates BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $307.05 BCBS MCR ADV — BCBS MCR ADV: $235.77 BCBS MHCP MCAID — BCBS MHCP MCAID: $133.85 HPI HEALTH PARTNERS - ALL PLANS — HPI HEALTH PARTNERS - ALL PLANS: $223.16 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $188.10 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $390.06 MEDICA IFB — MEDICA IFB: $330.17 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $210.87 MEDICA MCR ADV MAYO — MEDICA MCR ADV MAYO: $136.05 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $186.22
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Diagnostic exam of large bowel using a flexible endoscope	$745	$558.75	$201.45 – $578.12
Colonoscopy (diagnostic): 10 of 11 insurance plan rates BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $462.12 BCBS MCR ADV — BCBS MCR ADV: $354.84 BCBS MHCP MCAID — BCBS MHCP MCAID: $201.45 HPI HEALTH PARTNERS - ALL PLANS — HPI HEALTH PARTNERS - ALL PLANS: $295.66 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $283.10 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $587.06 MEDICA IFB — MEDICA IFB: $496.92 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $317.37 MEDICA MCR ADV MAYO — MEDICA MCR ADV MAYO: $179.77 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $280.27
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Biopsy of large bowel using a flexible endoscope	$960	$720	$259.58 – $744.96
Colonoscopy with biopsy: 10 of 11 insurance plan rates BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $595.49 BCBS MCR ADV — BCBS MCR ADV: $457.25 BCBS MHCP MCAID — BCBS MHCP MCAID: $259.58 HPI HEALTH PARTNERS - ALL PLANS — HPI HEALTH PARTNERS - ALL PLANS: $321.72 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $364.80 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $756.48 MEDICA IFB — MEDICA IFB: $640.32 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $408.96 MEDICA MCR ADV MAYO — MEDICA MCR ADV MAYO: $194.58 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $361.15
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: Removal of polyps or growths of large bowel using an endoscope with mechanical snare	$1,002	$751.50	$270.94 – $777.55
Colonoscopy with removal of polyps (snare): 10 of 11 insurance plan rates BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $621.54 BCBS MCR ADV — BCBS MCR ADV: $477.25 BCBS MHCP MCAID — BCBS MHCP MCAID: $270.94 HPI HEALTH PARTNERS - ALL PLANS — HPI HEALTH PARTNERS - ALL PLANS: $406.68 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $380.76 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $789.58 MEDICA IFB — MEDICA IFB: $668.33 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $426.85 MEDICA MCR ADV MAYO — MEDICA MCR ADV MAYO: $245.10 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $376.95
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK	$420	$315	$84 – $330.96
Screening colonoscopy (not high risk): 10 of 11 insurance plan rates BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $327.09 BCBS MCR ADV — BCBS MCR ADV: $200.05 BCBS MHCP MCAID — BCBS MHCP MCAID: $113.57 HPI HEALTH PARTNERS - ALL PLANS — HPI HEALTH PARTNERS - ALL PLANS: $195.75 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $156.42 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $330.96 MEDICA IFB — MEDICA IFB: $280.14 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $178.92 MEDICA MCR ADV MAYO — MEDICA MCR ADV MAYO: $179.88 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $154.86
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: Removal of gallbladder using an endoscope	$1,518	$1,138.50	$410.47 – $1,177.97
Gallbladder removal by laparoscope: 10 of 11 insurance plan rates BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $941.62 BCBS MCR ADV — BCBS MCR ADV: $723.02 BCBS MHCP MCAID — BCBS MHCP MCAID: $410.47 HPI HEALTH PARTNERS - ALL PLANS — HPI HEALTH PARTNERS - ALL PLANS: $1,042.18 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $576.84 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $1,196.18 MEDICA IFB — MEDICA IFB: $1,012.51 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $646.67 MEDICA MCR ADV MAYO — MEDICA MCR ADV MAYO: $661.26 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $571.07
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: Repair of groin hernia (5 years or older)	$1,201	$900.75	$324.75 – $931.98
Groin (inguinal) hernia repair, age 5 or older: 10 of 11 insurance plan rates BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $744.98 BCBS MCR ADV — BCBS MCR ADV: $572.04 BCBS MHCP MCAID — BCBS MHCP MCAID: $324.75 HPI HEALTH PARTNERS - ALL PLANS — HPI HEALTH PARTNERS - ALL PLANS: $832.61 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $456.38 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $946.39 MEDICA IFB — MEDICA IFB: $801.07 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $511.63 MEDICA MCR ADV MAYO — MEDICA MCR ADV MAYO: $534.81 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $451.82
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: Biopsy of prostate gland	$630	$472.50	$237.01 – $488.88
Prostate biopsy: rates for 4 insurance plans BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $390.79 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $239.40 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $237.01 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $488.88
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: Biopsy of lining of uterus and/or removal of polyp using an endoscope	$3,104	$2,328	$839.32 – $2,408.70
Hysteroscopy with biopsy of the uterus lining: 10 of 11 insurance plan rates BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $1,925.41 BCBS MCR ADV — BCBS MCR ADV: $1,478.44 BCBS MHCP MCAID — BCBS MHCP MCAID: $839.32 HPI HEALTH PARTNERS - ALL PLANS — HPI HEALTH PARTNERS - ALL PLANS: $367.59 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $1,179.52 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $2,445.95 MEDICA IFB — MEDICA IFB: $2,070.37 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $1,322.30 MEDICA MCR ADV MAYO — MEDICA MCR ADV MAYO: $217.09 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $1,167.72
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: Injection of substance into lower spine canal using imaging guidance	$1,833	$1,374.75	$495.64 – $1,444.40
Spinal injection, lower back (epidural), with imaging guidance: 10 of 11 insurance plan rates BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $1,137.01 BCBS MCR ADV — BCBS MCR ADV: $873.06 BCBS MHCP MCAID — BCBS MHCP MCAID: $495.64 HPI HEALTH PARTNERS - ALL PLANS — HPI HEALTH PARTNERS - ALL PLANS: $163.12 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $696.54 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $1,444.40 MEDICA IFB — MEDICA IFB: $1,222.61 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $780.86 MEDICA MCR ADV MAYO — MEDICA MCR ADV MAYO: $696.54 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $689.57
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: Release and/or relocation of hand nerve	$992	$744	$268.24 – $769.79
Carpal tunnel release: 10 of 11 insurance plan rates BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $615.34 BCBS MCR ADV — BCBS MCR ADV: $472.49 BCBS MHCP MCAID — BCBS MHCP MCAID: $268.24 HPI HEALTH PARTNERS - ALL PLANS — HPI HEALTH PARTNERS - ALL PLANS: $735.75 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $376.96 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $781.70 MEDICA IFB — MEDICA IFB: $661.66 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $422.59 MEDICA MCR ADV MAYO — MEDICA MCR ADV MAYO: $467.51 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $373.19
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) In the file: Removal of recurring cataract in lens capsule using a laser	$1,003	$752.25	$271.21 – $778.33
Laser treatment of clouding after cataract surgery: 10 of 11 insurance plan rates BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $622.16 BCBS MCR ADV — BCBS MCR ADV: $477.73 BCBS MHCP MCAID — BCBS MHCP MCAID: $271.21 HPI HEALTH PARTNERS - ALL PLANS — HPI HEALTH PARTNERS - ALL PLANS: $521.65 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $381.14 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $790.36 MEDICA IFB — MEDICA IFB: $669 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $427.28 MEDICA MCR ADV MAYO — MEDICA MCR ADV MAYO: $314.94 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $377.33
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: Removal of cataract with insertion of prosthetic lens	$1,644	$1,233	$444.54 – $1,275.74
Cataract removal with lens implant: 10 of 11 insurance plan rates BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $1,019.77 BCBS MCR ADV — BCBS MCR ADV: $783.04 BCBS MHCP MCAID — BCBS MHCP MCAID: $444.54 HPI HEALTH PARTNERS - ALL PLANS — HPI HEALTH PARTNERS - ALL PLANS: $903.97 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $624.72 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $1,295.47 MEDICA IFB — MEDICA IFB: $1,096.55 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $700.34 MEDICA MCR ADV MAYO — MEDICA MCR ADV MAYO: $524.23 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $618.47

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) In the file: Vaginal delivery with care before and after delivery	$4,820	$3,615	$1,813.28 – $3,740.32
Vaginal delivery, with care before and after: rates for 9 insurance plans BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $2,989.85 HPI HEALTH PARTNERS - ALL PLANS — HPI HEALTH PARTNERS - ALL PLANS: $3,762.03 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $1,831.60 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $3,798.16 MEDICA IFB — MEDICA IFB: $3,214.94 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $2,053.32 MEDICA MCR ADV MAYO — MEDICA MCR ADV MAYO: $2,282.53 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $1,813.28 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $3,740.32
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) In the file: Cesarean delivery with care before and after delivery	$5,346	$4,009.50	$2,011.17 – $4,148.50
Cesarean delivery (C-section), with care before and after: rates for 9 insurance plans BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $3,316.12 HPI HEALTH PARTNERS - ALL PLANS — HPI HEALTH PARTNERS - ALL PLANS: $4,133.02 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $2,031.48 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $4,212.65 MEDICA IFB — MEDICA IFB: $3,565.78 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $2,277.40 MEDICA MCR ADV MAYO — MEDICA MCR ADV MAYO: $2,515.07 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $2,011.17 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $4,148.50
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) In the file: Vaginal delivery and care before and after delivery after previous cesarean delivery	$5,072	$3,804	$1,908.09 – $3,935.87
Vaginal delivery after a previous C-section, with care before and after: rates for 9 insurance plans BCBS COMM / BLUE PLUS - ALL OTHER PLANS — BCBS COMM / BLUE PLUS - ALL OTHER PLANS: $3,146.16 HPI HEALTH PARTNERS - ALL PLANS — HPI HEALTH PARTNERS - ALL PLANS: $3,891.73 HUMANA MCR ADV - ALL PLANS — HUMANA MCR ADV - ALL PLANS: $1,927.36 MEDICA COMM - ALL OTHER PLANS — MEDICA COMM - ALL OTHER PLANS: $3,996.74 MEDICA IFB — MEDICA IFB: $3,383.02 MEDICA MCAID MN CARE — MEDICA MCAID MN CARE: $2,160.67 MEDICA MCR ADV MAYO — MEDICA MCR ADV MAYO: $2,364.68 TRIWEST - ALL PLANS — TRIWEST - ALL PLANS: $1,908.09 UHC ALL PAYER - ALL PLANS — UHC ALL PAYER - ALL PLANS: $3,935.87

Source: Stevens Community Medical Center Inc’s standard charges file (apps.para-hcfs.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on June 26, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

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

Hospital information

Hospital type	Critical Access Hospital
Address	400 East First Street, Morris, MN 56267
County	Stevens County
State	Minnesota
Phone	(320) 589‑1313
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	Not rated by CMS
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	241363
Name in Medicare records	STEVENS COMMUNITY MEDICAL CENTER INC
Profile level	Medicare data + hospital website
Name on the hospital’s website	Stevens Community Medical Center
Official website	scmcinc.org
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

Numbers match the citations above. Checked 2026-10-31.

Emergency Medicine - Stevens Community Medical Center Services — scmcinc.org
Community Health Needs Assessment - Stevens Community Medical Center — scmcinc.org
Diagnostic Imaging - Stevens Community Medical Center Services — scmcinc.org
Surgical Care - Stevens Community Medical Center Services — scmcinc.org
In-Patient Care - Stevens Community Medical Center Services — scmcinc.org
Orthopedics - Stevens Community Medical Center Services — scmcinc.org
Behavioral Medicine - Stevens Community Medical Center Services — scmcinc.org
Cardiac Rehabilitation - Stevens Community Medical Center Services — scmcinc.org
NovaCare Rehabilitation - Stevens Community Medical Center Services — scmcinc.org
Laboratory Services - Stevens Community Medical Center Services — scmcinc.org
Procedures - Stevens Community Medical Center Services — scmcinc.org
Eye Care - Stevens Community Medical Center Services — scmcinc.org
Family Medicine - Stevens Community Medical Center Services — scmcinc.org