Hospital Detroit Lakes, MN

Essentia Health St. Mary's - Detroit Lakes

Essentia Health St. Mary's - Detroit Lakes in Detroit Lakes, MN publishes cash prices for 333 common procedures listed here, from its own machine-readable price file updated Jan 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Minnesota median for 182 of 319 procedures and above it for 131. By typical cash price it ranks #38 of 85 Minnesota hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.

Essentia Health St. Mary's Hospital -Detroit Lakes, 1027 Washington Ave. Detroit Lakes, MN 56501 Collected Sep 23, 2026 Source price file Check a bill from this hospital (218) 847-0888

Acute care hospital Nonprofit hospital No emergency department CMS star rating 4 of 5 CCN 240101 · CMS hospital register NPI 1679561088

Financial assistance

Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply

Essentia Health St. Mary's - Detroit Lakes is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.

You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.

Source: IRS, section 501(r) requirements for nonprofit hospitals.

State law

This state limits hospital bills for lower-income patients

Minnesota law (Minn. Stat. §144.589): a hospital may not charge an uninsured patient whose household income is under $125,000 more than the lowest amount it would be paid for the same service by a private insurer, counting the insured patient's share. If the cash price below is higher, ask the billing office to apply this limit. Each hospital's page here shows the range of insurer rates in its own file (the "Insurers pay" column), a starting point when you ask. Other states' laws.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Minnesota	Off list
Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN W/O & W/DYE	$1,598.58	$2,490.00	$968.61–$2,141.40	8% below	36%
Abdominal X-ray, 2 views CPT 74019 X-RAY EXAM ABDOMEN 2 VIEWS	$109.14	$170.00	$66.13–$146.20	60% below	36%
Abdominal X-ray, 2 views inpatient CPT 74019 X-RAY EXAM ABDOMEN 2 VIEWS	$109.14	$170.00	$72.91–$146.20	—	36%
Ankle X-ray, complete, 3 or more views CPT 73610 XRAY ANKLE MINIMUM 3 VWS	$125.83	$196.00	$76.24–$168.56	46% below	36%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 XRAY ANKLE MINIMUM 3 VWS	$125.83	$196.00	$84.06–$168.56	—	36%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 EXTREMITY STUDY	$392.90	$612.00	$238.07–$526.32	13% above	36%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 EXTREMITY STUDY	$392.90	$612.00	$262.49–$526.32	—	36%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT UPPER EXTREMITY W/O DYE	$1,121.57	$1,747.00	$679.58–$1,502.42	11% below	36%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT UPPER EXTREMITY W/O DYE	$1,121.57	$1,747.00	$749.29–$1,502.42	—	36%
Barium swallow (esophagus X-ray with contrast) CPT 74220 CONTRAST XRAY ESOPHAGUS; INCL SCOUT & DELAY (TC)	$399.97	$623.00	$242.35–$535.78	29% above	36%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 CONTRAST XRAY ESOPHAGUS; INCL SCOUT & DELAY (TC)	$399.97	$623.00	$267.20–$535.78	—	36%
Bone scan, whole body (nuclear medicine) CPT 78306 BONE SCAN, WHOLE BODY	$1,079.84	$1,682.00	$654.30–$1,446.52	12% below	36%
Breast ultrasound, complete, one breast CPT 76641 ULTRASOUND BREAST COMPLETE	$277.99	$433.00	$168.44–$372.38	30% below	36%
Breast ultrasound, limited (one breast or one area) CPT 76642 ULTRASOUND BREAST LIMITED	$240.75	$375.00	$145.88–$322.50	24% below	36%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT ANGIO ABD&PELV W/O&W/DYE	$2,831.22	$4,410.00	$1,715.49–$3,792.60	11% above	36%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CT ANGIO ABD&PELV W/O&W/DYE	$2,831.22	$4,410.00	$1,891.45–$3,792.60	—	36%
CT angiography (CTA) of the head CPT 70496 CT ANGIOGRAPHY, HEAD	$1,678.19	$2,614.00	$1,016.85–$2,248.04	7% below	36%
CT angiography (CTA) of the head inpatient CPT 70496 CT ANGIOGRAPHY, HEAD	$1,678.19	$2,614.00	$1,121.14–$2,248.04	—	36%
CT angiography (CTA) of the neck CPT 70498 CT ANGIOGRAPHY, NECK	$1,709.65	$2,663.00	$1,035.91–$2,290.18	3% below	36%
CT angiography (CTA) of the neck inpatient CPT 70498 CT ANGIOGRAPHY, NECK	$1,709.65	$2,663.00	$1,142.16–$2,290.18	—	36%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIOGRAPHY, CHEST	$1,756.51	$2,736.00	$1,064.30–$2,352.96	4% below	36%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT ANGIOGRAPHY, CHEST	$1,756.51	$2,736.00	$1,173.47–$2,352.96	—	36%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD & PELVIS W/O CONTRAST	$1,960.03	$3,053.00	$1,187.62–$2,625.58	5% below	36%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD & PELVIS W/O CONTRAST	$1,960.03	$3,053.00	$1,309.43–$2,625.58	—	36%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN&PELVIS W/CONTRAST	$2,508.29	$3,907.00	$1,519.82–$3,360.02	at median	36%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN&PELVIS W/CONTRAST	$2,508.29	$3,907.00	$1,675.71–$3,360.02	—	36%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD&PELV 1+ SECTION/REGNS	$2,591.75	$4,037.00	$1,570.39–$3,471.82	4% below	36%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD&PELV 1+ SECTION/REGNS	$2,591.75	$4,037.00	$1,731.47–$3,471.82	—	36%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/DYE	$1,313.53	$2,046.00	$795.89–$1,759.56	5% below	36%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W/DYE	$1,313.53	$2,046.00	$877.53–$1,759.56	—	36%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O DYE	$1,063.79	$1,657.00	$644.57–$1,425.02	9% below	36%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIALW/O DYE	$1,223.65	$1,906.00	$741.43–$1,639.16	3% below	36%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLOFACIALW/O DYE	$1,223.65	$1,906.00	$817.48–$1,639.16	—	36%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN W/O DYE	$1,162.66	$1,811.00	$704.48–$1,557.46	8% below	36%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD/BRAIN W/O DYE	$1,162.66	$1,811.00	$776.74–$1,557.46	—	36%
CT scan of the head with contrast inpatient CPT 70460 CT HEAD/BRAIN W/DYE	$1,180.00	$1,838.00	$788.32–$1,580.68	—	36%
CT scan of the head without and with contrast CPT 70470 CT HEAD/BRAIN W/O & W/DYE	$1,420.10	$2,212.00	$860.47–$1,902.32	11% below	36%
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD/BRAIN W/O & W/DYE	$1,420.10	$2,212.00	$948.73–$1,902.32	—	36%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE W/O DYE	$1,296.84	$2,020.00	$785.78–$1,737.20	5% below	36%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT LUMBAR SPINE W/O DYE	$1,296.84	$2,020.00	$866.38–$1,737.20	—	36%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT NECK SPINE W/O DYE	$1,407.91	$2,193.00	$853.08–$1,885.98	2% below	36%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT NECK SPINE W/O DYE	$1,407.91	$2,193.00	$940.58–$1,885.98	—	36%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/DYE	$1,262.17	$1,966.00	$764.77–$1,690.76	11% below	36%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W/DYE	$1,262.17	$1,966.00	$843.22–$1,690.76	—	36%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 CV CAROTID IMAGING-BILAT	$595.13	$927.00	$360.60–$797.22	—	36%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 CV CAROTID IMAGING-BILAT	$595.13	$927.00	$397.59–$797.22	—	36%
Chest CT scan without and with contrast CPT 71270 DIAGNOSTIC CT THORAX W&WO CONTRAST (TC)	$1,453.49	$2,264.00	$880.70–$1,947.04	9% below	36%
Chest X-ray, 2 views CPT 71046 X-RAY EXAM CHEST 2 VIEWS	$247.17	$385.00	$149.77–$331.10	9% above	36%
Chest X-ray, 2 views inpatient CPT 71046 X-RAY EXAM CHEST 2 VIEWS	$247.17	$385.00	$165.13–$331.10	—	36%
Chest X-ray, single view CPT 71045 X-RAY EXAM CHEST 1 VIEW	$237.54	$370.00	$143.93–$318.20	18% above	36%
Chest X-ray, single view inpatient CPT 71045 X-RAY EXAM CHEST 1 VIEW	$237.54	$370.00	$158.69–$318.20	—	36%
Collarbone (clavicle) X-ray, complete CPT 73000 XRAY CLAVICLE COMPLETE	$199.66	$311.00	$120.98–$267.46	at median	36%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 XRAY CLAVICLE COMPLETE	$199.66	$311.00	$133.39–$267.46	—	36%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL TC	$373.00	$581.00	$226.01–$499.66	28% below	36%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RETROPERITONEAL TC	$373.00	$581.00	$249.19–$499.66	—	36%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 DIAGNOSTIC CT THORAX W/O CONTRAST (TC)	$1,210.81	$1,886.00	$733.65–$1,621.96	5% below	36%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 DIAGNOSTIC CT THORAX W/O CONTRAST (TC)	$1,210.81	$1,886.00	$808.91–$1,621.96	—	36%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 DIAGNOSTIC CT THORAX W/ CONTRAST (TC)	$1,371.95	$2,137.00	$831.29–$1,837.82	6% below	36%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 DIAGNOSTIC CT THORAX W/ CONTRAST (TC)	$1,371.95	$2,137.00	$916.56–$1,837.82	—	36%
Diagnostic mammogram, both breasts both sides CPT 77066 DIGITAL MAMM, DIAG, BILAT, TC W/CAD PERF	$297.89	$464.00	$180.50–$399.04	—	36%
Diagnostic mammogram, one breast one side CPT 77065 DIGITAL MAMM, DIAG, UNILAT, TC W/CAD PERF	$284.41	$443.00	$172.33–$380.98	9% below	36%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 VEN DUPLEX BILATERAL	$839.74	$1,308.00	$508.81–$1,124.88	—	36%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 VEN DUPLEX BILATERAL	$839.74	$1,308.00	$561.00–$1,124.88	—	36%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W/DOPPLER, COMPLETE	$1,452.20	$2,262.00	$879.92–$1,945.32	1% above	36%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 TTE W/DOPPLER, COMPLETE	$1,452.20	$2,262.00	$970.17–$1,945.32	—	36%
Elbow X-ray, 2 views CPT 73070 XRAY ELBOW 2 VWS	$196.45	$306.00	$119.03–$263.16	4% below	36%
Elbow X-ray, complete, 3 or more views CPT 73080 XRAY ELBOW 3+VWS TC	$231.76	$361.00	$140.43–$310.46	at median	36%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 XRAY ELBOW 3+VWS TC	$231.76	$361.00	$154.83–$310.46	—	36%
Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBIT/EAR/FOSA W/O DYE	$1,126.71	$1,755.00	$682.70–$1,509.30	6% below	36%
Facial bones X-ray, complete, 3 or more views CPT 70150 XRAY FACIAL BONES MINIMUM 3 VWS	$95.66	$149.00	$57.96–$128.14	62% below	36%
Forearm X-ray (radius and ulna), 2 views CPT 73090 XRAY FOREARM 2 VWS	$205.44	$320.00	$124.48–$275.20	1% above	36%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 XRAY FOREARM 2 VWS	$205.44	$320.00	$137.25–$275.20	—	36%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPATOBILIARY SYSTEM IMAGING	$1,187.70	$1,850.00	$719.65–$1,591.00	3% below	36%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HEPATOBILIARY SYSTEM IMAGING	$1,187.70	$1,850.00	$793.46–$1,591.00	—	36%
Hand X-ray, 2 views CPT 73120 XRAY HAND 2VWS TC	$189.39	$295.00	$114.76–$253.70	1% below	36%
Hand X-ray, 2 views inpatient CPT 73120 XRAY HAND 2VWS TC	$189.39	$295.00	$126.53–$253.70	—	36%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 XRAY CALCANEUS MINIMUM 2 VWS	$116.20	$181.00	$70.41–$155.66	35% below	36%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOMNOGRAPHY W/CPAP	$2,754.18	$4,290.00	$1,668.81–$3,689.40	21% below	36%
Knee X-ray, 3 views CPT 73562 XRAY KNEE 3 VWS	$139.96	$218.00	$84.80–$187.48	41% below	36%
Knee X-ray, 3 views inpatient CPT 73562 XRAY KNEE 3 VWS	$139.96	$218.00	$93.50–$187.48	—	36%
Knee X-ray, complete, 4 or more views CPT 73564 XRAY KNEE 4 OR MORE VWS	$160.50	$250.00	$97.25–$215.00	43% below	36%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 XRAY KNEE 4 OR MORE VWS	$160.50	$250.00	$107.22–$215.00	—	36%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT LOWER EXTREMITY W/O DYE	$1,286.57	$2,004.00	$779.56–$1,723.44	2% below	36%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT LOWER EXTREMITY W/O DYE	$1,286.57	$2,004.00	$859.52–$1,723.44	—	36%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LIMITED TC	$466.73	$727.00	$282.80–$625.22	5% above	36%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMEN LIMITED TC	$466.73	$727.00	$311.81–$625.22	—	36%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US EXT NON-VASC LIMITED, REALTIME W/ IMG TC	$343.47	$535.00	$208.12–$460.10	1% below	36%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US EXT NON-VASC LIMITED, REALTIME W/ IMG TC	$343.47	$535.00	$229.46–$460.10	—	36%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 LOW DOSE CT LUNG CA SCREEN WO CONTRAST	$1,024.63	$1,596.00	$620.84–$1,372.56	29% above	36%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 XRAY TIBIA & FIBULA 2 VWS	$121.98	$190.00	$73.91–$163.40	43% below	36%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 XRAY TIBIA & FIBULA 2 VWS	$121.98	$190.00	$81.49–$163.40	—	36%
MR angiography (MRA) of the head without contrast CPT 70544 MRA, HEAD W/OUT CONTRAST	$1,884.27	$2,935.00	$1,141.72–$2,524.10	12% below	36%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA, HEAD W/OUT CONTRAST	$1,884.27	$2,935.00	$1,258.82–$2,524.10	—	36%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI, BREAST, W/WO CONTRAST MATERIAL; INCL CAD BILATERAL	$2,232.23	$3,477.00	$1,352.55–$2,990.22	—	36%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI LOW EXT JNT WO/CONT TC	$1,931.78	$3,009.00	$1,170.50–$2,587.74	2% below	36%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI LOW EXT JNT WO/CONT TC	$1,931.78	$3,009.00	$1,290.56–$2,587.74	—	36%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI,LWREXT,JNT W/O+W/CONT	$2,296.43	$3,577.00	$1,391.45–$3,076.22	11% below	36%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI,LWREXT,JNT W/O+W/CONT	$2,296.43	$3,577.00	$1,534.18–$3,076.22	—	36%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O TC	$1,920.86	$2,992.00	$1,163.89–$2,573.12	10% below	36%
MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN W/O TC	$1,920.86	$2,992.00	$1,283.27–$2,573.12	—	36%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN WO CONTRAST TC	$1,902.89	$2,964.00	$1,153.00–$2,549.04	9% below	36%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN WO CONTRAST TC	$1,902.89	$2,964.00	$1,271.26–$2,549.04	—	36%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W & WO CONTRAST	$2,664.30	$4,150.00	$1,614.35–$3,569.00	8% below	36%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN W & WO CONTRAST	$2,664.30	$4,150.00	$1,779.94–$3,569.00	—	36%
MRI of the lower back, no contrast dye CPT 72148 MRI L SPINE WO CONTRAST	$1,852.81	$2,886.00	$1,122.65–$2,481.96	9% below	36%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI L SPINE WO CONTRAST	$1,852.81	$2,886.00	$1,237.81–$2,481.96	—	36%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI L SPINE W&WO CONTRAST	$2,493.53	$3,884.00	$1,510.88–$3,340.24	6% below	36%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI L SPINE W&WO CONTRAST	$2,493.53	$3,884.00	$1,665.85–$3,340.24	—	36%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI T SPINE WO CONTRAST	$1,890.05	$2,944.00	$1,145.22–$2,531.84	8% below	36%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI C SPINE W&WO CONTRAST	$2,443.45	$3,806.00	$1,480.53–$3,273.16	3% below	36%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI C SPINE W&WO CONTRAST	$2,443.45	$3,806.00	$1,632.39–$3,273.16	—	36%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI C-SPINE WO CONTRAST	$1,887.48	$2,940.00	$1,143.66–$2,528.40	6% below	36%
MRI of the pelvis without and with contrast CPT 72197 MRI, PELVIS, W/O THEN W/	$2,480.69	$3,864.00	$1,503.10–$3,323.04	7% below	36%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI, PELVIS, W/O THEN W/	$2,480.69	$3,864.00	$1,657.27–$3,323.04	—	36%
MRI of the pelvis, no contrast dye CPT 72195 MRI,PELVIS W/OUT CONTRAST	$1,861.16	$2,899.00	$1,127.71–$2,493.14	12% below	36%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI UP EXTREMITY JOINT W/O TC	$1,866.29	$2,907.00	$1,130.82–$2,500.02	12% below	36%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XRAY CERVICAL SPINE 4 OR 5 VWS	$197.09	$307.00	$119.42–$264.02	37% below	36%
Neck soft tissue CT scan with contrast CPT 70491 CT SOFT TISSUE NECK W/DYE	$1,278.86	$1,992.00	$774.89–$1,713.12	6% below	36%
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT SOFT TISSUE NECK W/DYE	$1,278.86	$1,992.00	$854.37–$1,713.12	—	36%
Neck soft tissue CT scan without contrast CPT 70490 CT SOFT TISSUE NECK W/O DYE	$1,050.31	$1,636.00	$636.40–$1,406.96	8% below	36%
Neck soft tissue X-ray CPT 70360 XRAY NECK, SOFT TISSUE	$141.24	$220.00	$85.58–$189.20	20% below	36%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HT MUSCLE IMAGE SPECT, MULT	$2,492.24	$3,882.00	$1,510.10–$3,338.52	9% below	36%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HT MUSCLE IMAGE SPECT, MULT	$2,492.24	$3,882.00	$1,664.99–$3,338.52	—	36%
Pelvic CT scan without contrast CPT 72192 CT PELVIS W/O DYE	$1,211.45	$1,887.00	$734.04–$1,622.82	8% below	36%
Pelvic CT scan without contrast inpatient CPT 72192 CT PELVIS W/O DYE	$1,211.45	$1,887.00	$809.33–$1,622.82	—	36%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US FOLLICLES-LIMITED TC	$328.70	$512.00	$199.17–$440.32	3% below	36%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC TC COMPLETE	$489.20	$762.00	$296.42–$655.32	at median	36%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIC TC COMPLETE	$489.20	$762.00	$326.82–$655.32	—	36%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US,PREG. UTERUS,FETAL/MAT.EVAL.,>1ST TRIM.(>/= 14 WKS 0 DYS),TRANSABD;SINGLE/FIRST GEST., TECH	$491.77	$766.00	$297.97–$658.76	2% below	36%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 OB US < 14 WKS, SINGLE FETUS - RADIOLOGY, TECH	$344.11	$536.00	$208.50–$460.96	20% below	36%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 OB US < 14 WKS, SINGLE FETUS - RADIOLOGY, TECH	$344.11	$536.00	$229.89–$460.96	—	36%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB US, LIMITED, FETUS(S)	$277.34	$432.00	$168.05–$371.52	18% below	36%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREGNANCY TC LIMITED	$349.25	$544.00	$211.62–$467.84	4% above	36%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 OB US, LIMITED, FETUS(S)	$277.34	$432.00	$185.28–$371.52	—	36%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US PREGNANCY TC LIMITED	$349.25	$544.00	$233.32–$467.84	—	36%
Rib X-ray, one side, 2 views one side CPT 71100 XRAY RIBS UNILAT 2 VWS	$99.51	$155.00	$60.30–$133.30	51% below	36%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XRAY RIBS UNILAT 2 VWS WITH PA CHEST	$136.75	$213.00	$82.86–$183.18	53% below	36%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XRAY RIBS UNILAT 2 VWS WITH PA CHEST	$136.75	$213.00	$91.36–$183.18	—	36%
Screening mammogram, both breasts CPT 77067 DIGITAL MAMMOGRAM, SCREEN BIL, TC W/CAD PERF	$288.90	$450.00	$175.05–$387.00	12% below	36%
Shoulder X-ray, complete, 2 or more views CPT 73030 XRAY SHOULDER MINIMUM 2 VWS	$226.63	$353.00	$137.32–$303.58	4% below	36%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 XRAY SHOULDER MINIMUM 2 VWS	$226.63	$353.00	$151.40–$303.58	—	36%
Skull X-ray, fewer than 4 views CPT 70250 XRAY SKULL LESS THAN 4 VWS	$166.28	$259.00	$100.75–$222.74	26% below	36%
Skull X-ray, fewer than 4 views inpatient CPT 70250 XRAY SKULL LESS THAN 4 VWS	$166.28	$259.00	$111.09–$222.74	—	36%
Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAPHY, 4 OR MORE	$2,517.92	$3,922.00	$1,525.66–$3,372.92	18% below	36%
Swallow study (modified barium swallow, video X-ray) CPT 74230 CONTRAST XRAY SWALLOWING FUNCT INT, CINE/VID; INCLSCOUT & DELAY (TC)	$330.63	$515.00	$200.34–$442.90	10% below	36%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 CONTRAST XRAY SWALLOWING FUNCT INT, CINE/VID; INCLSCOUT & DELAY (TC)	$330.63	$515.00	$220.88–$442.90	—	36%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 X-RAY EXAM FEMUR MIN 2 VWS	$123.26	$192.00	$74.69–$165.12	46% below	36%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 X-RAY EXAM FEMUR MIN 2 VWS	$123.26	$192.00	$82.35–$165.12	—	36%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT CHEST SPINE W/O DYE	$1,221.73	$1,903.00	$740.27–$1,636.58	9% below	36%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT CHEST SPINE W/O DYE	$1,221.73	$1,903.00	$816.20–$1,636.58	—	36%
Toe X-ray, 2 or more views CPT 73660 XRAY TOE(S) TC	$110.42	$172.00	$66.91–$147.92	40% below	36%
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL TC	$389.05	$606.00	$235.73–$521.16	3% below	36%
Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL TC	$389.05	$606.00	$259.91–$521.16	—	36%
Transvaginal ultrasound during pregnancy CPT 76817 TRANSVAGINAL US, OBSTETRIC	$260.65	$406.00	$157.93–$349.16	27% below	36%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 TRANSVAGINAL US, OBSTETRIC	$260.65	$406.00	$174.13–$349.16	—	36%
Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN TC	$626.59	$976.00	$379.66–$839.36	4% above	36%
Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM & CONTENTS TC	$428.86	$668.00	$259.85–$574.48	5% below	36%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM & CONTENTS TC	$428.86	$668.00	$286.51–$574.48	—	36%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US HEAD/NECK TC	$348.61	$543.00	$211.23–$466.98	20% below	36%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 X-RAY EXAM, UPPER GI TRACT, INCL SCOUT & DELAY; SINGLE CONTRAST (TC)	$426.29	$664.00	$258.30–$571.04	9% above	36%
Upper arm X-ray (humerus), 2 views CPT 73060 XRAY HUMERUS MINIMUM 2 VWS	$218.28	$340.00	$132.26–$292.40	2% above	36%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 XRAY HUMERUS MINIMUM 2 VWS	$218.28	$340.00	$145.83–$292.40	—	36%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 VEN DUPLEX LIMITED	$390.98	$609.00	$236.90–$523.74	28% below	36%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 VENOUS DUPLEX SCAN UNI	$538.00	$838.00	$325.98–$720.68	1% below	36%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 VEN DUPLEX LIMITED	$390.98	$609.00	$261.20–$523.74	—	36%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 VENOUS DUPLEX SCAN UNI	$538.00	$838.00	$359.42–$720.68	—	36%
Wrist X-ray, 2 views CPT 73100 XRAY WRIST 2 VWS	$200.95	$313.00	$121.76–$269.18	2% above	36%
Wrist X-ray, 2 views inpatient CPT 73100 XRAY WRIST 2 VWS	$200.95	$313.00	$134.25–$269.18	—	36%
Wrist X-ray, complete, 3 or more views CPT 73110 XRAY WRIST MINIMUM 3 VWS	$222.13	$346.00	$134.59–$297.56	4% below	36%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 XRAY WRIST MINIMUM 3 VWS	$222.13	$346.00	$148.40–$297.56	—	36%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 X-RAY EXAM HIP,UNILAT W/PELVIS 2-3 VWS	$240.11	$374.00	$145.49–$321.64	13% below	36%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 X-RAY EXAM HIP,UNILAT W/PELVIS 2-3 VWS	$240.11	$374.00	$160.41–$321.64	—	36%
X-ray of the abdomen, 1 view CPT 74018 X-RAY EXAM ABDOMEN 1 VIEW	$116.20	$181.00	$70.41–$155.66	45% below	36%
X-ray of the abdomen, 1 view inpatient CPT 74018 X-RAY EXAM ABDOMEN 1 VIEW	$116.20	$181.00	$77.63–$155.66	—	36%
X-ray of the ankle, 2 views CPT 73600 XRAY ANKLE 2 VWS	$91.16	$142.00	$55.24–$122.12	56% below	36%
X-ray of the ankle, 2 views inpatient CPT 73600 XRAY ANKLE 2 VWS	$91.16	$142.00	$60.90–$122.12	—	36%
X-ray of the finger(s), 2 or more views CPT 73140 XRAY FINGER(S) TC	$148.30	$231.00	$89.86–$198.66	24% below	36%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 XRAY FINGER(S) TC	$148.30	$231.00	$99.08–$198.66	—	36%
X-ray of the foot, 2 views CPT 73620 XRAY FOOT 2 VWS	$120.05	$187.00	$72.74–$160.82	37% below	36%
X-ray of the foot, 2 views inpatient CPT 73620 XRAY FOOT 2 VWS	$120.05	$187.00	$80.20–$160.82	—	36%
X-ray of the foot, complete, 3 or more views CPT 73630 XRAY FOOT MINIMUM 3 VWS	$127.76	$199.00	$77.41–$171.14	42% below	36%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 XRAY FOOT MINIMUM 3 VWS	$127.76	$199.00	$85.35–$171.14	—	36%
X-ray of the hand, 3 or more views CPT 73130 XRAY HAND 3VWS TC	$215.07	$335.00	$130.32–$288.10	2% below	36%
X-ray of the hand, 3 or more views inpatient CPT 73130 XRAY HAND 3VWS TC	$215.07	$335.00	$143.68–$288.10	—	36%
X-ray of the knee, 1 or 2 views CPT 73560 XRAY KNEE 1 OR 2 VWS	$121.98	$190.00	$73.91–$163.40	44% below	36%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 XRAY KNEE 1 OR 2 VWS	$121.98	$190.00	$81.49–$163.40	—	36%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XRAY LUMBOSACRAL 2 OR 3 VWS	$187.46	$292.00	$113.59–$251.12	27% below	36%
X-ray of the lower back, 4 or more views CPT 72110 XRAY LUMBOSACRAL MINIMUM 4 VWS	$188.75	$294.00	$114.37–$252.84	43% below	36%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XRAY THORACIC SPINE 2 VWS	$129.68	$202.00	$78.58–$173.72	45% below	36%
X-ray of the nasal bones, 3 or more views CPT 70160 XRAY NASAL BONES MINIMUM 3 VWS	$87.95	$137.00	$53.29–$117.82	60% below	36%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XRAY CERVICAL SPINE 2 OR 3 VWS	$154.72	$241.00	$93.75–$207.26	37% below	36%
X-ray of the pelvis, 1 or 2 views CPT 72170 XRAY PELVIS 1 OR 2 VWS	$171.41	$267.00	$103.86–$229.62	23% below	36%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XRAY PELVIS 1 OR 2 VWS	$171.41	$267.00	$114.52–$229.62	—	36%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XRAY SACRUM/ COCCYX MINIMUM 2 VWS	$95.66	$149.00	$57.96–$128.14	57% below	36%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Minnesota	Off list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 TRANSFERASE; ALANINE AMINO (ALT) (SGPT)	$50.08	$78.00	$30.34–$67.08	2% above	36%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 TRANSFERASE; ALANINE AMINO (ALT) (SGPT)	$50.08	$78.00	$33.45–$67.08	—	36%
AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE; ASPARTATE AMINO (AST) (SGOT)	$50.72	$79.00	$30.73–$67.94	2% above	36%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 TRANSFERASE; ASPARTATE AMINO (AST) (SGOT)	$50.72	$79.00	$33.88–$67.94	—	36%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL	$225.98	$352.00	$136.93–$302.72	3% below	36%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HEPATITIS PANEL	$225.98	$352.00	$150.97–$302.72	—	36%
Alkaline phosphatase (ALP) blood test CPT 84075 ASSAY ALKALINE PHOSPHATASE	$59.06	$92.00	$35.79–$79.12	53% above	36%
Ammonia blood test CPT 82140 AMMONIA	$107.86	$168.00	$65.35–$144.48	19% above	36%
Ammonia blood test inpatient CPT 82140 AMMONIA	$107.86	$168.00	$72.06–$144.48	—	36%
Amylase blood test CPT 82150 ASSAY OF AMYLASE	$76.40	$119.00	$46.29–$102.34	16% above	36%
Amylase blood test inpatient CPT 82150 ASSAY OF AMYLASE	$76.40	$119.00	$51.04–$102.34	—	36%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 ASSAY OF NATRIURETIC PEPTIDE	$177.83	$277.00	$107.75–$238.22	11% above	36%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 ASSAY OF NATRIURETIC PEPTIDE	$177.83	$277.00	$118.81–$238.22	—	36%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 LAB CULTURE BACTERIA	$68.69	$107.00	$41.62–$92.02	2% below	36%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 LAB CULTURE BACTERIA	$68.69	$107.00	$45.89–$92.02	—	36%
Basic metabolic panel (blood test) CPT 80048 LAB BASIC METABOLIC PANEL	$89.24	$139.00	$54.07–$119.54	11% below	36%
Basic metabolic panel (blood test) inpatient CPT 80048 LAB BASIC METABOLIC PANEL	$89.24	$139.00	$59.62–$119.54	—	36%
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL	$52.64	$82.00	$31.90–$70.52	8% above	36%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL	$52.64	$82.00	$35.17–$70.52	—	36%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 LEVEL IV - SURGICAL PATHOLOGY, GROSS AND MICROSCOPIC EXAMINATION , TECH	$176.55	$275.00	$106.98–$236.50	28% above	36%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 LEVEL IV - SURGICAL PATHOLOGY, GROSS AND MICROSCOPIC EXAMINATION , TECH	$176.55	$275.00	$117.95–$236.50	—	36%
Blood culture for bacteria CPT 87040 BLOOD CULTURE FOR BACTERIA	$144.45	$225.00	$87.52–$193.50	21% above	36%
Blood culture for bacteria inpatient CPT 87040 BLOOD CULTURE FOR BACTERIA	$144.45	$225.00	$96.50–$193.50	—	36%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE, LAB	$20.54	$32.00	$12.45–$27.52	5% below	36%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE	$20.54	$32.00	$12.45–$27.52	5% below	36%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 COMMUNITY PARAMEDIC VENIPUNCTURE	$20.54	$32.00	$12.45–$27.52	5% below	36%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 COMMUNITY PARAMEDIC VENIPUNCTURE	$20.54	$32.00	$13.72–$27.52	—	36%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE, LAB	$20.54	$32.00	$13.72–$27.52	—	36%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE	$20.54	$32.00	$13.72–$27.52	—	36%
Blood glucose (sugar) test CPT 82947 ASSAY, GLUCOSE, BLOOD QUANT	$47.51	$74.00	$28.79–$63.64	3% above	36%
Blood glucose (sugar) test inpatient CPT 82947 ASSAY, GLUCOSE, BLOOD QUANT	$47.51	$74.00	$31.74–$63.64	—	36%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 GONADOTROPIN, CHORIONIC (HCG), QUALITATIVE	$73.19	$114.00	$44.35–$98.04	3% above	36%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 GONADOTROPIN, CHORIONIC (HCG), QUALITATIVE	$73.19	$114.00	$48.89–$98.04	—	36%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING ABO	$77.68	$121.00	$47.07–$104.06	46% above	36%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPING ABO	$77.68	$121.00	$51.90–$104.06	—	36%
Blood urea nitrogen (BUN) test CPT 84520 ASSAY OF UREA NITROGEN	$39.80	$62.00	$24.12–$53.32	13% below	36%
Blood urea nitrogen (BUN) test inpatient CPT 84520 ASSAY OF UREA NITROGEN	$39.80	$62.00	$26.59–$53.32	—	36%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN	$75.76	$118.00	$45.90–$101.48	22% above	36%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN	$75.76	$118.00	$50.61–$101.48	—	36%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLIFIED PROBE	$142.52	$222.00	$86.36–$190.92	5% above	36%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF AMPLIFIED PROBE	$142.52	$222.00	$95.22–$190.92	—	36%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9	$116.20	$181.00	$70.41–$155.66	14% above	36%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9	$116.20	$181.00	$77.63–$155.66	—	36%
CA-125 blood test (ovarian cancer marker) CPT 86304 TUMOR ANTIGEN, CA-125	$122.62	$191.00	$74.30–$164.26	21% above	36%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 TUMOR ANTIGEN, CA-125	$122.62	$191.00	$81.92–$164.26	—	36%
Calcium blood test, total CPT 82310 CALCIUM TOTAL	$58.42	$91.00	$35.40–$78.26	22% above	36%
Calcium blood test, total inpatient CPT 82310 CALCIUM TOTAL	$58.42	$91.00	$39.03–$78.26	—	36%
Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC ANTIGEN	$112.35	$175.00	$68.08–$150.50	12% above	36%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CARCINOEMBRYONIC ANTIGEN	$112.35	$175.00	$75.06–$150.50	—	36%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA-ZOSTER ANTIBODY	$69.98	$109.00	$42.40–$93.74	29% above	36%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA-ZOSTER ANTIBODY	$69.98	$109.00	$46.75–$93.74	—	36%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS DNA, AMP PROBE	$131.61	$205.00	$79.74–$176.30	38% above	36%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS DNA, AMP PROBE	$131.61	$205.00	$87.92–$176.30	—	36%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE	$94.37	$147.00	$57.18–$126.42	at median	36%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE	$94.37	$147.00	$63.05–$126.42	—	36%
Complete blood count (CBC) with differential CPT 85025 COMPLETE CBC W/AUTO DIFF WBC	$109.14	$170.00	$66.13–$146.20	28% above	36%
Complete blood count (CBC) with differential inpatient CPT 85025 COMPLETE CBC W/AUTO DIFF WBC	$109.14	$170.00	$72.91–$146.20	—	36%
Complete blood count (CBC), no differential CPT 85027 COMPLETE CBC AUTOMATED	$64.84	$101.00	$39.29–$86.86	10% below	36%
Complete blood count (CBC), no differential inpatient CPT 85027 COMPLETE CBC AUTOMATED	$64.84	$101.00	$43.32–$86.86	—	36%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL	$163.71	$255.00	$99.20–$219.30	52% above	36%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL	$163.71	$255.00	$109.37–$219.30	—	36%
Cortisol blood test, total CPT 82533 TOTAL CORTISOL	$99.51	$155.00	$60.30–$133.30	56% above	36%
Cortisol blood test, total inpatient CPT 82533 TOTAL CORTISOL	$99.51	$155.00	$66.48–$133.30	—	36%
Creatine kinase (CK) blood test, total CPT 82550 ASSAY OF CK (CPK)	$61.63	$96.00	$37.34–$82.56	4% above	36%
Creatine kinase (CK) blood test, total inpatient CPT 82550 ASSAY OF CK (CPK)	$61.63	$96.00	$41.17–$82.56	—	36%
Creatinine blood test CPT 82565 CREATININE; BLOOD	$60.35	$94.00	$36.57–$80.84	18% above	36%
Creatinine blood test inpatient CPT 82565 CREATININE; BLOOD	$60.35	$94.00	$40.32–$80.84	—	36%
D-dimer blood test (blood clot marker) CPT 85379 FIBRIN DEGRADATION QUANT	$107.21	$167.00	$64.96–$143.62	3% above	36%
D-dimer blood test (blood clot marker) inpatient CPT 85379 FIBRIN DEGRADATION QUANT	$107.21	$167.00	$71.63–$143.62	—	36%
Drug screen by lab instrument (any number of drug classes) CPT 80307 SALICYLATE	$41.73	$65.00	$25.28–$55.90	42% below	36%
Drug screen by lab instrument (any number of drug classes) CPT 80307 ALCOHOL	$89.24	$139.00	$54.07–$119.54	25% above	36%
Drug screen by lab instrument (any number of drug classes) CPT 80307 ACETAMINOPHEN	$96.94	$151.00	$58.74–$129.86	35% above	36%
Drug screen by lab instrument (any number of drug classes) CPT 80307 URINE DRUG SCREEN	$261.94	$408.00	$158.71–$350.88	265% above	36%
Drug screen by lab instrument (any number of drug classes) CPT 80307 OB URINE DRUG SCREEN	$369.79	$576.00	$224.06–$495.36	416% above	36%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 SALICYLATE	$41.73	$65.00	$27.88–$55.90	—	36%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ACETAMINOPHEN	$96.94	$151.00	$64.76–$129.86	—	36%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 URINE DRUG SCREEN	$261.94	$408.00	$174.99–$350.88	—	36%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 OB URINE DRUG SCREEN	$369.79	$576.00	$247.05–$495.36	—	36%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTE PANEL	$87.95	$137.00	$58.76–$117.82	—	36%
FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIMULATING HORMONE	$91.16	$142.00	$55.24–$122.12	10% above	36%
Ferritin blood test (iron stores) CPT 82728 ASSAY OF FERRITIN	$141.24	$220.00	$85.58–$189.20	48% above	36%
Ferritin blood test (iron stores) inpatient CPT 82728 ASSAY OF FERRITIN	$141.24	$220.00	$94.36–$189.20	—	36%
Fibrinogen blood test CPT 85384 FIBRINOGEN	$79.61	$124.00	$48.24–$106.64	66% above	36%
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN	$79.61	$124.00	$53.18–$106.64	—	36%
Folate (folic acid) blood test CPT 82746 FOLIC ACID (FOLATE), SERUM	$124.55	$194.00	$75.47–$166.84	46% above	36%
Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID (FOLATE), SERUM	$124.55	$194.00	$83.21–$166.84	—	36%
Free T3 thyroid hormone test CPT 84481 TRIIODOTHYRONINE T3, FREE (FREE T3)	$136.10	$212.00	$82.47–$182.32	28% above	36%
Free T3 thyroid hormone test inpatient CPT 84481 TRIIODOTHYRONINE T3, FREE (FREE T3)	$136.10	$212.00	$90.93–$182.32	—	36%
Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXIN, FREE (FREE T4)	$69.98	$109.00	$42.40–$93.74	2% above	36%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXIN, FREE (FREE T4)	$69.98	$109.00	$46.75–$93.74	—	36%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 ASSAY OF GGT	$64.84	$101.00	$39.29–$86.86	40% above	36%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 ASSAY OF GGT	$64.84	$101.00	$43.32–$86.86	—	36%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE TEST	$48.15	$75.00	$29.18–$64.50	12% above	36%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE TEST (GTT)	$111.71	$174.00	$67.69–$149.64	10% above	36%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE TEST (GTT)	$111.71	$174.00	$74.63–$149.64	—	36%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEAE DNA, AMP PROBE	$136.75	$213.00	$82.86–$183.18	58% above	36%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GONORRHOEAE DNA, AMP PROBE	$136.75	$213.00	$91.36–$183.18	—	36%
H. pylori stool antigen test CPT 87338 LAB H PYLORI STOOL AG	$160.50	$250.00	$97.25–$215.00	47% above	36%
H. pylori stool antigen test inpatient CPT 87338 LAB H PYLORI STOOL AG	$160.50	$250.00	$107.22–$215.00	—	36%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1 ANTIGENS W/HIV 1/2 ANTIB	$77.68	$121.00	$47.07–$104.06	1% above	36%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV-1 ANTIGENS W/HIV 1/2 ANTIB	$77.68	$121.00	$51.90–$104.06	—	36%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HIGH-RISK TYPES	$126.47	$197.00	$76.63–$169.42	at median	36%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV HIGH-RISK TYPES	$126.47	$197.00	$84.49–$169.42	—	36%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOSYLATED HEMOGLOBIN TEST	$64.20	$100.00	$38.90–$86.00	1% above	36%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCOSYLATED HEMOGLOBIN TEST	$64.20	$100.00	$42.89–$86.00	—	36%
Hemoglobin blood test CPT 85018 HEMOGLOBIN	$29.53	$46.00	$17.89–$39.56	14% below	36%
Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN	$29.53	$46.00	$19.73–$39.56	—	36%
Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE ANTIBODY, TOTAL	$94.37	$147.00	$57.18–$126.42	34% above	36%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE ANTIBODY, TOTAL	$94.37	$147.00	$63.05–$126.42	—	36%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY	$82.18	$128.00	$49.79–$110.08	14% above	36%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE ANTIBODY	$82.18	$128.00	$54.90–$110.08	—	36%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE ANTIGEN	$98.87	$154.00	$59.91–$132.44	66% above	36%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE ANTIGEN	$98.87	$154.00	$66.05–$132.44	—	36%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY	$98.23	$153.00	$59.52–$131.58	2% above	36%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY	$98.23	$153.00	$65.62–$131.58	—	36%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C RNA QUANT	$36.59	$57.00	$22.17–$49.02	72% below	36%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C RNA QUANT	$36.59	$57.00	$24.45–$49.02	—	36%
Homocysteine blood test CPT 83090 HOMOCYSTEINE	$167.56	$261.00	$101.53–$224.46	78% above	36%
Insulin blood test CPT 83525 ASSAY OF INSULIN TOTAL	$53.29	$83.00	$32.29–$71.38	5% below	36%
Iron blood test (serum iron) CPT 83540 ASSAY OF IRON	$58.42	$91.00	$35.40–$78.26	13% above	36%
Iron blood test (serum iron) inpatient CPT 83540 ASSAY OF IRON	$58.42	$91.00	$39.03–$78.26	—	36%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$89.88	$140.00	$54.46–$120.40	15% below	36%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL	$89.88	$140.00	$60.05–$120.40	—	36%
LH (luteinizing hormone) test CPT 83002 GONADOTROPIN (LH)	$126.47	$197.00	$76.63–$169.42	52% above	36%
Lactate (lactic acid) blood test CPT 83605 ASSAY OF LACTIC ACID	$86.67	$135.00	$52.52–$116.10	5% above	36%
Lactate (lactic acid) blood test inpatient CPT 83605 ASSAY OF LACTIC ACID	$86.67	$135.00	$57.90–$116.10	—	36%
Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE (LD) (LDH) ENZYME	$57.14	$89.00	$34.62–$76.54	18% above	36%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LACTATE (LD) (LDH) ENZYME	$57.14	$89.00	$38.17–$76.54	—	36%
Lipase blood test (pancreas enzyme) CPT 83690 ASSAY OF LIPASE	$52.64	$82.00	$31.90–$70.52	21% below	36%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 ASSAY OF LIPASE	$52.64	$82.00	$35.17–$70.52	—	36%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL	$109.14	$170.00	$66.13–$146.20	7% above	36%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL	$109.14	$170.00	$72.91–$146.20	—	36%
Lyme disease antibody test CPT 86618 LYME DISEASE ANTIBODY	$93.73	$146.00	$56.79–$125.56	35% above	36%
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE ANTIBODY	$93.73	$146.00	$62.62–$125.56	—	36%
Magnesium blood test CPT 83735 MAGNESIUM	$77.04	$120.00	$46.68–$103.20	83% above	36%
Magnesium blood test inpatient CPT 83735 MAGNESIUM	$77.04	$120.00	$51.47–$103.20	—	36%
Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE ANTIBODIES	$43.01	$67.00	$26.06–$57.62	21% below	36%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HETEROPHILE ANTIBODIES	$43.01	$67.00	$28.74–$57.62	—	36%
PSA (prostate-specific antigen) blood test, total CPT 84153 LAB PSA SCREENING	$73.83	$115.00	$44.74–$98.90	18% below	36%
PSA (prostate-specific antigen) blood test, total CPT 84153 ASSAY OF PSA TOTAL	$104.00	$162.00	$63.02–$139.32	16% above	36%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 LAB PSA SCREENING	$73.83	$115.00	$49.32–$98.90	—	36%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 ASSAY OF PSA TOTAL	$104.00	$162.00	$69.48–$139.32	—	36%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 PAP SCREEN THIN LAYER PREP	$77.68	$121.00	$47.07–$104.06	at median	36%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 PAP DIAGNOSTIC THIN LAYER PREP	$77.68	$121.00	$47.07–$104.06	at median	36%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 PAP DIAGNOSTIC THIN LAYER PREP	$77.68	$121.00	$51.90–$104.06	—	36%
Parathyroid hormone (PTH) blood test CPT 83970 LAB PTH IMMUNOCH PART 1	$240.75	$375.00	$145.88–$322.50	100% above	36%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 LAB PTH IMMUNOCH PART 1	$240.75	$375.00	$160.84–$322.50	—	36%
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTIAL	$66.13	$103.00	$40.07–$88.58	2% above	36%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME PARTIAL	$66.13	$103.00	$44.18–$88.58	—	36%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS	$44.94	$70.00	$27.23–$60.20	16% above	36%
Phosphorus (phosphate) blood test CPT 84100 ASSAY OF PHOSPHORUS	$56.50	$88.00	$34.23–$75.68	46% above	36%
Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS	$44.94	$70.00	$30.02–$60.20	—	36%
Phosphorus (phosphate) blood test inpatient CPT 84100 ASSAY OF PHOSPHORUS	$56.50	$88.00	$37.74–$75.68	—	36%
Potassium blood test CPT 84132 POTASSIUM; SERUM, PLASMA OR WHOLE BLOOD	$53.29	$83.00	$32.29–$71.38	21% above	36%
Potassium blood test inpatient CPT 84132 POTASSIUM; SERUM, PLASMA OR WHOLE BLOOD	$53.29	$83.00	$35.60–$71.38	—	36%
Progesterone blood test CPT 84144 PROGESTERONE	$118.77	$185.00	$71.96–$159.10	40% above	36%
Prolactin blood test CPT 84146 PROLACTIN	$98.23	$153.00	$59.52–$131.58	7% above	36%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME (PT/INR)	$41.73	$65.00	$25.28–$55.90	26% above	36%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME (PT/INR)	$41.73	$65.00	$27.88–$55.90	—	36%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA ASSAY W/OPTIC	$55.85	$87.00	$33.84–$74.82	8% below	36%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA ASSAY W/OPTIC	$55.85	$87.00	$37.31–$74.82	—	36%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A ASSAY W/OPTIC	$49.43	$77.00	$29.95–$66.22	9% below	36%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP A ASSAY W/OPTIC	$49.43	$77.00	$33.03–$66.22	—	36%
Rh blood typing CPT 86901 BLOOD TYPING RH (D)	$46.22	$72.00	$28.01–$61.92	7% above	36%
Rh blood typing inpatient CPT 86901 BLOOD TYPING RH (D)	$46.22	$72.00	$30.88–$61.92	—	36%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT	$52.00	$81.00	$31.51–$69.66	6% above	36%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR QUANT	$52.00	$81.00	$34.74–$69.66	—	36%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY	$59.06	$92.00	$35.79–$79.12	23% above	36%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODY	$59.06	$92.00	$39.46–$79.12	—	36%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 RBC SED RATE, AUTO	$37.88	$59.00	$22.95–$50.74	1% below	36%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 RBC SED RATE, AUTO	$37.88	$59.00	$25.31–$50.74	—	36%
Sodium blood test CPT 84295 SODIUM; SERUM, PLASMA OR WHOLE BLOOD	$57.14	$89.00	$34.62–$76.54	25% above	36%
Sodium blood test inpatient CPT 84295 SODIUM; SERUM, PLASMA OR WHOLE BLOOD	$57.14	$89.00	$38.17–$76.54	—	36%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD FECES	$12.20	$19.00	$7.39–$16.34	65% below	36%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD FECES	$12.20	$19.00	$8.15–$16.34	—	36%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 DX OCCULT BLOOD IMMUNOASSAY	$72.55	$113.00	$43.96–$97.18	26% above	36%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 DX OCCULT BLOOD IMMUNOASSAY	$72.55	$113.00	$48.47–$97.18	—	36%
Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM	$62.27	$97.00	$37.73–$83.42	14% above	36%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREPONEMA PALLIDUM	$62.27	$97.00	$41.60–$83.42	—	36%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST NON-TREP QUAL	$73.19	$114.00	$44.35–$98.04	122% above	36%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHILIS TEST NON-TREP QUAL	$73.19	$114.00	$48.89–$98.04	—	36%
Testosterone blood test, total (not free testosterone) CPT 84403 ASSAY OF TOTAL TESTOSTERONE	$106.57	$166.00	$64.57–$142.76	67% above	36%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 ASSAY OF TOTAL TESTOSTERONE	$106.57	$166.00	$71.20–$142.76	—	36%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODY	$96.94	$151.00	$58.74–$129.86	78% above	36%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL ANTIBODY	$81.53	$127.00	$54.47–$109.22	—	36%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 ASSAY THYROID STIM HORMONE	$137.39	$214.00	$83.25–$184.04	46% above	36%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 ASSAY THYROID STIM HORMONE	$137.39	$214.00	$91.78–$184.04	—	36%
Total cholesterol blood test CPT 82465 ASSAY BLD/SERUM CHOLESTEROL	$39.80	$62.00	$24.12–$53.32	14% above	36%
Total cholesterol blood test inpatient CPT 82465 ASSAY BLD/SERUM CHOLESTEROL	$39.80	$62.00	$26.59–$53.32	—	36%
Transferrin blood test CPT 84466 ASSAY OF TRANSFERRIN	$71.26	$111.00	$43.18–$95.46	4% below	36%
Transferrin blood test inpatient CPT 84466 ASSAY OF TRANSFERRIN	$71.26	$111.00	$47.61–$95.46	—	36%
Triglycerides blood test CPT 84478 ASSAY OF TRIGLYCERIDES	$52.00	$81.00	$31.51–$69.66	21% above	36%
Triglycerides blood test inpatient CPT 84478 ASSAY OF TRIGLYCERIDES	$52.00	$81.00	$34.74–$69.66	—	36%
Troponin test, quantitative CPT 84484 TROPONIN, QUANTITATIVE	$123.91	$193.00	$75.08–$165.98	21% above	36%
Troponin test, quantitative inpatient CPT 84484 TROPONIN, QUANTITATIVE	$123.91	$193.00	$82.78–$165.98	—	36%
Uric acid blood test CPT 84550 URIC ACID; BLOOD	$47.51	$74.00	$28.79–$63.64	4% above	36%
Uric acid blood test inpatient CPT 84550 URIC ACID; BLOOD	$47.51	$74.00	$31.74–$63.64	—	36%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS, AUTO, W/SCOPE	$34.03	$53.00	$20.62–$45.58	34% below	36%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS, AUTO, W/SCOPE	$34.03	$53.00	$22.73–$45.58	—	36%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS, AUTO W/O SCOPE	$34.03	$53.00	$20.62–$45.58	31% above	36%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS, AUTO W/O SCOPE	$34.03	$53.00	$22.73–$45.58	—	36%
Urinalysis without microscope exam, manual CPT 81002 URINALYSIS NONAUTO W/O SCOPE	$17.98	$28.00	$10.89–$24.08	19% below	36%
Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS NONAUTO W/O SCOPE	$17.98	$28.00	$12.01–$24.08	—	36%
Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE/COLONY COUNT	$55.85	$87.00	$33.84–$74.82	6% below	36%
Urine culture for bacteria, with colony count inpatient CPT 87086 URINE CULTURE/COLONY COUNT	$55.85	$87.00	$37.31–$74.82	—	36%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN QUANTITATIVE	$68.05	$106.00	$41.23–$91.16	16% above	36%
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN QUANTITATIVE	$68.05	$106.00	$45.46–$91.16	—	36%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12	$92.45	$144.00	$56.02–$123.84	4% above	36%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B-12	$92.45	$144.00	$61.76–$123.84	—	36%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D, 25 HYDROXY	$166.92	$260.00	$101.14–$223.60	57% above	36%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D, 25 HYDROXY	$166.92	$260.00	$111.51–$223.60	—	36%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROPINC, CHORIONIC (HCG), QUANT	$92.45	$144.00	$56.02–$123.84	at median	36%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 GONADOTROPINC, CHORIONIC (HCG), QUANT	$92.45	$144.00	$61.76–$123.84	—	36%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Minnesota	Off list
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BX BREAST 1ST LESION STRTCTC	$2,049.91	$3,193.00	$1,242.08–$2,745.98	19% above	36%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 CLOSED RX METATARSAL FX	$272.21	$424.00	$164.94–$364.64	27% below	36%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 CLOSED RX METATARSAL FX	$272.21	$424.00	$181.85–$364.64	—	36%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION, ELECTIVE;EXTERN	$1,166.51	$1,817.00	$706.81–$1,562.62	12% above	36%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION, ELECTIVE;EXTERN	$1,166.51	$1,817.00	$779.31–$1,562.62	—	36%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMCISION,CLAMP,NEWBORN	$218.28	$340.00	$145.83–$292.40	—	36%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLOSED RX DIST RAD/ULNA FX	$290.18	$452.00	$175.83–$388.72	41% below	36%
Colonoscopy with polyp removal CPT 45385 COLONOSCOPY,REMV LESN,SNARE	$2,145.56	$3,342.00	$1,300.04–$2,874.12	31% above	36%
Colonoscopy with polyp removal inpatient CPT 45385 COLONOSCOPY,REMV LESN,SNARE	$2,145.56	$3,342.00	$1,433.38–$2,874.12	—	36%
Colonoscopy with tissue sample CPT 45380 COLONOSCOPY,BIOPSY	$1,967.09	$3,064.00	$1,191.90–$2,635.04	23% above	36%
Colonoscopy with tissue sample inpatient CPT 45380 COLONOSCOPY,BIOPSY	$1,967.09	$3,064.00	$1,314.15–$2,635.04	—	36%
Colonoscopy, diagnostic CPT 45378 COLONOSCOPY,FLEX,DIAGNOSTIC	$1,814.93	$2,827.00	$1,099.70–$2,431.22	35% above	36%
Colonoscopy, diagnostic inpatient CPT 45378 COLONOSCOPY,FLEX,DIAGNOSTIC	$1,814.93	$2,827.00	$1,212.50–$2,431.22	—	36%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY	$1,260.89	$1,964.00	$764.00–$1,689.04	52% above	36%
Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WAX	$158.57	$247.00	$96.08–$212.42	28% above	36%
Earwax removal with instruments, one ear inpatient CPT 69210 REMOVE IMPACTED EAR WAX	$158.57	$247.00	$105.94–$212.42	—	36%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 INJ CERV/THORAC WITH IMAGE GUIDANCE	$1,321.24	$2,058.00	$800.56–$1,769.88	9% above	36%
Eye injection into the vitreous (intravitreal injection) CPT 67028 INJECT INTRAVITREAL PHARMCOLOGIC	$313.94	$489.00	$190.22–$420.54	36% below	36%
Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 INJECT INTRAVITREAL PHARMCOLOGIC	$313.94	$489.00	$209.73–$420.54	—	36%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ PARAVERT F JNT L/S1 LEV(T)	$1,196.05	$1,863.00	$724.71–$1,602.18	14% below	36%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 SIGMOIDOSCOPY,SCREEN PREV	$944.38	$1,471.00	$572.22–$1,265.06	at median	36%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 SIGMOIDOSCOPY,DIAGNOSTIC	$1,231.36	$1,918.00	$746.10–$1,649.48	30% above	36%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 SIGMOIDOSCOPY,SCREEN PREV	$944.38	$1,471.00	$630.91–$1,265.06	—	36%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 SIGMOIDOSCOPY,DIAGNOSTIC	$1,231.36	$1,918.00	$822.63–$1,649.48	—	36%
Hemorrhoid banding (rubber band ligation) CPT 46221 LIGATION OF HEMORRHOID(S)	$756.92	$1,179.00	$458.63–$1,013.94	7% below	36%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 LIGATION OF HEMORRHOID(S)	$756.92	$1,179.00	$505.67–$1,013.94	—	36%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 CATH/INJ HYSTEROSALPINGOGRM(T)	$416.66	$649.00	$252.46–$558.14	33% above	36%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HYSTEROSCOPY,W/ENDO BX	$2,085.22	$3,248.00	$1,263.47–$2,793.28	13% below	36%
Incision and drainage of a simple or single skin abscess CPT 10060 DRAIN SKIN ABSCESS SIMPLE(T)	$250.38	$390.00	$151.71–$335.40	12% below	36%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 DRAIN SKIN ABSCESS SIMPLE(T)	$250.38	$390.00	$167.27–$335.40	—	36%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON/LIGAMENT/CYST	$345.40	$538.00	$209.28–$462.68	6% below	36%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ LARGE JOINT/BURSA(T)	$277.99	$433.00	$168.44–$372.38	23% below	36%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 DRAIN/INJ LARGE JOINT/BURSA(T)	$277.99	$433.00	$185.71–$372.38	—	36%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DRAIN/IN MEDIUM JOINT/BURSA(T)	$265.15	$413.00	$177.14–$355.18	—	36%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJ SMALL JOINT/BURSA(T)	$300.46	$468.00	$182.05–$402.48	7% below	36%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAYR CLOS WND TRUNK,ARM,LEG <2.5CM	$574.59	$895.00	$348.16–$769.70	27% above	36%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 LAYR CLOS WND TRUNK,ARM,LEG <2.5CM	$574.59	$895.00	$383.87–$769.70	—	36%
Lower-back epidural injection, with imaging guidance CPT 62323 INJ LUMBAR/SACRAL WITH IMAGE GUIDANCE	$1,214.02	$1,891.00	$735.60–$1,626.26	2% above	36%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 INJ LUMBAR/SACRAL W/O IMAGE GUIDANCE	$1,111.30	$1,731.00	$742.43–$1,488.66	—	36%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJ,FORAMEN,L/S,1 LEVEL(T)	$1,239.70	$1,931.00	$751.16–$1,660.66	4% below	36%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC SKIN BENIG <5MM FACE,FACIAL	$427.57	$666.00	$259.07–$572.76	28% below	36%
Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE	$251.66	$392.00	$152.49–$337.12	6% below	36%
Occipital nerve block (injection for headaches) CPT 64405 INJ NERV BLCK,GREAT OCCIPTL(T)	$569.45	$887.00	$345.04–$762.82	7% below	36%
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING(T)	$1,019.50	$1,588.00	$617.73–$1,365.68	15% above	36%
Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENTESIS W/IMAGING(T)	$1,019.50	$1,588.00	$681.09–$1,365.68	—	36%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED	$602.84	$939.00	$365.27–$807.54	18% above	36%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 REMOVAL OF NAIL BED	$602.84	$939.00	$402.74–$807.54	—	36%
Prostate biopsy CPT 55700 BX OF PROSTATE,NEEDLE/PUNCH(T)	$1,685.25	$2,625.00	$1,021.12–$2,257.50	3% below	36%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DESTROY LUMB/SAC FACET JNT	$2,223.89	$3,464.00	$1,347.50–$2,979.04	4% above	36%
Removal of a breast lump, open surgery CPT 19120 EXCISE BREAST CYST	$2,978.24	$4,639.00	$1,804.57–$3,989.54	48% above	36%
Removal of a breast lump, open surgery inpatient CPT 19120 EXCISE BREAST CYST	$2,978.24	$4,639.00	$1,989.67–$3,989.54	—	36%
Removal of a foreign object under the skin, simple CPT 10120 REMOVE FOREIGN BODY SIMPLE	$532.86	$830.00	$322.87–$713.80	32% above	36%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLONOSCOPY,SCREEN PREV	$1,440.01	$2,243.00	$872.53–$1,928.98	8% below	36%
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 COLONOSCOPY,SCREEN PREV	$1,440.01	$2,243.00	$962.02–$1,928.98	—	36%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLONOSCOPY,FLEX,SCREEN	$1,841.26	$2,868.00	$1,115.65–$2,466.48	21% above	36%
Short arm cast (elbow to hand) CPT 29075 APPLY FOREARM CAST	$228.55	$356.00	$138.48–$306.16	13% below	36%
Short arm cast (elbow to hand) inpatient CPT 29075 APPLY FOREARM CAST	$228.55	$356.00	$152.69–$306.16	—	36%
Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT,STATIC	$197.09	$307.00	$119.42–$264.02	1% below	36%
Short leg cast (below the knee) CPT 29405 APPLY SHORT LEG CAST	$292.75	$456.00	$177.38–$392.16	2% below	36%
Short leg splint (calf to foot) CPT 29515 APPLY LOWER LEG SPLINT	$211.86	$330.00	$128.37–$283.80	5% below	36%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 REPR SUPERF WND BODY <2.5CM	$270.28	$421.00	$163.77–$362.06	3% below	36%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BIOPSY OF SKIN (INCLUDING SIMPLE CLOSURE, WHEN PERFORMED); SINGLE LESION	$297.89	$464.00	$180.50–$399.04	at median	36%
Skin tag removal, up to 15 tags CPT 11200 REMOVAL OF SKIN TAGS	$175.27	$273.00	$106.20–$234.78	18% below	36%
Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE,LUMBAR,DX(T)	$742.15	$1,156.00	$449.68–$994.16	1% above	36%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNCTURE,LUMBAR,DX(T)	$742.15	$1,156.00	$495.81–$994.16	—	36%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 REPR SUP NPTERF WND BODY 2.6-7.5	$313.94	$489.00	$190.22–$420.54	3% below	36%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 REPR SUPERF WND FACE <2.5CM	$292.11	$455.00	$177.00–$391.30	1% above	36%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 REPR SUPERF WND FACE <2.5CM	$292.11	$455.00	$195.15–$391.30	—	36%
Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W/ IMAGING	$1,122.86	$1,749.00	$680.36–$1,504.14	22% above	36%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT, 1 OR 2(T)	$310.09	$483.00	$187.89–$415.38	3% below	36%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BREAST 1ST LESION US IMAG	$1,469.54	$2,289.00	$890.42–$1,968.54	16% below	36%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 UP GI ENDOSCOPY,BALL DIL,30MM	$2,379.25	$3,706.00	$1,441.63–$3,187.16	27% above	36%
Upper endoscopy (EGD) with biopsy CPT 43239 UPPER GI ENDOSCOPY,BIOPSY	$1,987.63	$3,096.00	$1,204.34–$2,662.56	42% above	36%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 UPPER GI ENDOSCOPY,BIOPSY	$1,987.63	$3,096.00	$1,327.87–$2,662.56	—	36%
Upper endoscopy (EGD) with injection into the lining CPT 43236 UPPR GI SCOPE W/SUBMUC INJ	$1,554.28	$2,421.00	$941.77–$2,082.06	1% above	36%
Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 UPPR GI SCOPE W/SUBMUC INJ	$1,554.28	$2,421.00	$1,038.37–$2,082.06	—	36%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 UP GI ENDOSCOPY,REMV TUMOR,SNARE	$2,270.75	$3,537.00	$1,375.89–$3,041.82	27% above	36%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 UP GI ENDOSCOPY,DILATN W GUIDE	$1,721.20	$2,681.00	$1,042.91–$2,305.66	7% above	36%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 UP GI ENDOSCOPY,DILATN W GUIDE	$1,721.20	$2,681.00	$1,149.88–$2,305.66	—	36%
Upper endoscopy (EGD), diagnostic CPT 43235 UPPER GI ENDOSCOPY,DIAGNOSIS	$1,508.06	$2,349.00	$913.76–$2,020.14	25% above	36%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 UPPER GI ENDOSCOPY,DIAGNOSIS	$1,508.06	$2,349.00	$1,007.49–$2,020.14	—	36%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SKIN/TISSUE	$408.95	$637.00	$247.79–$547.82	9% below	36%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDE SKIN/TISSUE	$408.95	$637.00	$273.21–$547.82	—	36%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Minnesota	Off list
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION SERVICE	$563.68	$878.00	$341.54–$755.08	20% below	36%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION SERVICE	$563.68	$878.00	$376.57–$755.08	—	36%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TREATMENT	$134.18	$209.00	$81.30–$179.74	15% above	36%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 METERED DOSE INHALER TX	$137.39	$214.00	$83.25–$184.04	18% above	36%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AIRWAY INHALATION TREATMENT	$134.18	$209.00	$89.64–$179.74	—	36%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 METERED DOSE INHALER TX	$137.39	$214.00	$91.78–$184.04	—	36%
Critical care, first 30 to 74 minutes CPT 99291 FACILITY CRITICAL CARE, E/M 30-74 MINUTES	$1,657.64	$2,582.00	$1,004.40–$2,220.52	4% above	36%
Critical care, first 30 to 74 minutes inpatient CPT 99291 FACILITY CRITICAL CARE, E/M 30-74 MINUTES	$1,657.64	$2,582.00	$1,107.42–$2,220.52	—	36%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ECG 12 LEAD, TRACING ONLY	$170.13	$265.00	$103.08–$227.90	1% below	36%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ECG 12 LEAD, TRACING	$170.13	$265.00	$103.08–$227.90	1% below	36%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ECG 12 LEAD, TRACING	$170.13	$265.00	$113.66–$227.90	—	36%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ECG 12 LEAD, TRACING ONLY	$170.13	$265.00	$113.66–$227.90	—	36%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 FACILITY EMERGENCY LEVEL 1 VISIT	$209.29	$326.00	$126.81–$280.36	3% above	36%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 FACILITY EMERGENCY LEVEL II VISIT	$291.47	$454.00	$176.61–$390.44	3% below	36%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 FACILITY EMERGENCY LEVEL III VISIT	$513.60	$800.00	$311.20–$688.00	6% above	36%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 FACILITY EMERGENCY LEVEL III VISIT	$513.60	$800.00	$343.12–$688.00	—	36%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 FACILITY EMERGENCY LEVEL IV VISIT	$859.00	$1,338.00	$520.48–$1,150.68	10% above	36%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 FACILITY EMERGENCY LEVEL IV VISIT	$859.00	$1,338.00	$573.87–$1,150.68	—	36%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 FACILITY EMERGENCY LEVEL V VISIT	$1,196.05	$1,863.00	$724.71–$1,602.18	3% above	36%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 FACILITY EMERGENCY LEVEL V VISIT	$1,196.05	$1,863.00	$799.04–$1,602.18	—	36%
Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIAC STRESS TST,TRACING ONLY	$447.47	$697.00	$271.13–$599.42	38% below	36%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CARDIAC STRESS TST,TRACING ONLY	$447.47	$697.00	$298.94–$599.42	—	36%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 FIRST HOUR IV HYDRATION <1 HOUR	$300.46	$468.00	$182.05–$402.48	10% above	36%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 FIRST HOUR IV HYDRATION <1 HOUR	$300.46	$468.00	$200.73–$402.48	—	36%
IV infusion of a medicine, first hour CPT 96365 IV INFUSION THERAPY, 1 HOUR	$326.78	$509.00	$198.00–$437.74	at median	36%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION THERAPY, 1 HOUR	$326.78	$509.00	$218.31–$437.74	—	36%
IV push of a medicine, first drug CPT 96374 IV PUSH, SINGLE/1ST DRUG	$179.12	$279.00	$108.53–$239.94	3% below	36%
IV push of a medicine, first drug inpatient CPT 96374 IV PUSH, SINGLE/1ST DRUG	$179.12	$279.00	$119.66–$239.94	—	36%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION, SUBQ/IM	$75.11	$117.00	$45.51–$100.62	3% below	36%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION, SUBQ/IM	$75.11	$117.00	$50.18–$100.62	—	36%
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR RE-EDUCATION	$62.92	$98.00	$38.12–$84.28	22% below	36%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCULAR RE-EDUCATION	$62.92	$98.00	$42.03–$84.28	—	36%
New patient office visit, about 30 minutes CPT 99203 OFFICE/OUTPT VISIT,NEW,LEVL III	$89.88	$140.00	$54.46–$120.40	23% below	36%
New patient office visit, about 30 minutes inpatient CPT 99203 OFFICE/OUTPT VISIT,NEW,LEVL III	$89.88	$140.00	$60.05–$120.40	—	36%
New patient office visit, about 45 minutes CPT 99204 OFFICE/OUTPT VISIT,NEW,LEVL IV	$122.62	$191.00	$74.30–$164.26	29% below	36%
New patient office visit, about 45 minutes inpatient CPT 99204 OFFICE/OUTPT VISIT,NEW,LEVL IV	$122.62	$191.00	$81.92–$164.26	—	36%
New patient office visit, about 60 minutes CPT 99205 OFFICE/OUTPT VISIT,NEW,LEVL V	$173.34	$270.00	$105.03–$232.20	27% below	36%
New patient office visit, about 60 minutes inpatient CPT 99205 OFFICE/OUTPT VISIT,NEW,LEVL V	$173.34	$270.00	$115.80–$232.20	—	36%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE/OUTPT VISIT,NEW,LEVL II	$59.71	$93.00	$36.18–$79.98	22% below	36%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 NUTRITION EDUCATION	$16.05	$25.00	$9.72–$21.50	74% below	36%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 NUTRITION EDUCATION	$16.05	$25.00	$10.72–$21.50	—	36%
Occupational therapy evaluation, low complexity CPT 97165 OCCUPATIONAL THERAPY EVAL LOW COMPLEX	$147.02	$229.00	$89.08–$196.94	13% below	36%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OCCUPATIONAL THERAPY EVAL LOW COMPLEX	$147.02	$229.00	$98.22–$196.94	—	36%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PHYSICAL THERAPY EVALUATION HIGH COMPLEX	$173.98	$271.00	$105.42–$233.06	13% below	36%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PHYSICAL THERAPY EVALUATION HIGH COMPLEX	$173.98	$271.00	$116.23–$233.06	—	36%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PHYSICAL THERAPY EVALUATION LOW COMPLEX	$146.38	$228.00	$88.69–$196.08	13% below	36%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PHYSICAL THERAPY EVALUATION LOW COMPLEX	$146.38	$228.00	$97.79–$196.08	—	36%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PHYSICAL THERAPY EVALUATION MOD COMPLEX	$159.86	$249.00	$96.86–$214.14	17% below	36%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PHYSICAL THERAPY EVALUATION MOD COMPLEX	$159.86	$249.00	$106.80–$214.14	—	36%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THER TECH,1+REGIONS,EA 15 MIN	$67.41	$105.00	$40.84–$90.30	21% below	36%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES	$87.95	$137.00	$53.29–$117.82	3% below	36%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISES	$87.95	$137.00	$58.76–$117.82	—	36%
Psychotherapy for crisis, first 60 minutes CPT 90839 PSYCHOTHERAPY FOR CRISIS; FIRST 60 MINUTES	$128.40	$200.00	$77.80–$172.00	46% below	36%
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 PSYCHOTHERAPY FOR CRISIS; FIRST 60 MINUTES	$128.40	$200.00	$85.78–$172.00	—	36%
Psychotherapy session, 60 minutes CPT 90837 PSYCHOTHERAPY, 60 MINUTES	$160.50	$250.00	$97.25–$215.00	14% below	36%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMKING CESS 4-10 MIN	$26.96	$42.00	$16.34–$36.12	21% below	36%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 SMKING CESS 4-10 MIN	$26.96	$42.00	$18.01–$36.12	—	36%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE/OUTPT VISIT,EST,LEVL V	$136.75	$213.00	$82.86–$183.18	22% below	36%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OFFICE/OUTPT VISIT,EST,LEVL V	$136.75	$213.00	$91.36–$183.18	—	36%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE/OUTPT VISIT,EST,LEVL III	$66.77	$104.00	$40.46–$89.44	50% below	36%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE CONSULTATION,LEVEL III	$118.13	$184.00	$71.58–$158.24	12% below	36%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OFFICE/OUTPT VISIT,EST,LEVL III	$66.77	$104.00	$44.61–$89.44	—	36%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE/OUTPT VISIT,EST,LEVL IV	$94.37	$147.00	$57.18–$126.42	15% below	36%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OFFICE/OUTPT VISIT,EST,LEVL IV	$94.37	$147.00	$63.05–$126.42	—	36%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE/OUTPT VISIT,EST,LEVL II	$40.45	$63.00	$24.51–$54.18	56% below	36%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE CONSULTATION,LEVEL II	$93.73	$146.00	$56.79–$125.56	2% above	36%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OFFICE/OUTPT VISIT,EST,LEVL II	$40.45	$63.00	$27.02–$54.18	—	36%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OFFICE CONSULTATION,LEVEL II	$93.73	$146.00	$62.62–$125.56	—	36%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 OFFICE/OUTP CONSULT,LEVEL IV, MODERATE MDM >= 40 MINUTES	$127.12	$198.00	$77.02–$170.28	36% below	36%
Speech and language evaluation CPT 92523 SPEECH SOUND LANG COMPREHEN	$328.70	$512.00	$199.17–$440.32	2% above	36%
Speech and language evaluation inpatient CPT 92523 SPEECH SOUND LANG COMPREHEN	$328.70	$512.00	$219.60–$440.32	—	36%
Speech therapy session, individual CPT 92507 SPEECH/HEARING THERAPY	$182.33	$284.00	$110.48–$244.24	14% below	36%
Speech therapy session, individual inpatient CPT 92507 SPEECH/HEARING THERAPY	$182.33	$284.00	$121.81–$244.24	—	36%
Spirometry (breathing test) CPT 94010 SPIROMETRY	$155.36	$242.00	$94.14–$208.12	5% below	36%
Spirometry (breathing test) CPT 94010 SPIROMETRY INCL GRAPH REC TC	$161.78	$252.00	$98.03–$216.72	1% below	36%
Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY	$155.36	$242.00	$103.79–$208.12	—	36%
Spirometry before and after a bronchodilator CPT 94060 BRONCHO RESPONSE PRE & POST TC	$107.21	$167.00	$64.96–$143.62	66% below	36%
Spirometry before and after a bronchodilator CPT 94060 BRONCH EVAL B/A BRONCH	$250.38	$390.00	$151.71–$335.40	21% below	36%
Spirometry before and after a bronchodilator inpatient CPT 94060 BRONCH EVAL B/A BRONCH	$250.38	$390.00	$167.27–$335.40	—	36%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES	$64.20	$100.00	$38.90–$86.00	17% below	36%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITIES	$64.20	$100.00	$42.89–$86.00	—	36%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Minnesota	Off list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 INFLUENZA IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE	$131.34	$204.58	$79.58–$175.94	93% above	36%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 INFLUENZA VACCINE ADJ (65+ YRS) 0.5 ML SUSPENSION PREFILLED SYRINGE	$132.89	$207.00	$80.52–$178.02	96% above	36%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 INFLUENZA IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE	$131.34	$204.58	$87.74–$175.94	—	36%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 INFLUENZA VACCINE ADJ (65+ YRS) 0.5 ML SUSPENSION PREFILLED SYRINGE	$132.89	$207.00	$88.78–$178.02	—	36%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 COVID-19 VACCINE (PFIZER 12YR+) 30 MCG/0.3ML SUSPENSION PREFILLED SYRINGE	$168.46	$262.40	$102.07–$225.66	3% below	36%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 SARSCOV2 VACC 30MCG/0.3ML TRIS-SUCROSE IM USE	$168.46	$262.40	$102.07–$225.66	3% below	36%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 COVID-19 VACCINE (PFIZER 12YR+) 30 MCG/0.3ML SUSPENSION PREFILLED SYRINGE	$168.46	$262.40	$112.54–$225.66	—	36%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 SARSCOV2 VACC 30MCG/0.3ML TRIS-SUCROSE IM USE	$168.46	$262.40	$112.54–$225.66	—	36%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPHTHERIA-ACELLULAR PERTUSSIS-TETANUS 25-58-10 LF-MCG/0.5 SUSPENSION	$45.90	$71.50	$27.81–$61.49	13% below	36%
DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 DTAP-HEPATITIS B RECOMB-IPV SUSPENSION PREFILLED SYRINGE	$149.91	$233.50	$100.15–$200.81	—	36%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HPV 9-VALENT RECOMB VACCINE SUSPENSION PREFILLED SYRINGE	$474.12	$738.50	$287.28–$635.11	25% above	36%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HEPA/HEPB VACCINE ADULT IM	$126.47	$197.00	$76.63–$169.42	13% below	36%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VACCINE,ADULT,IM	$109.10	$169.94	$66.11–$146.15	3% below	36%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B RECOMB VACCINE 10 MCG/0.5ML SUSPENSION PREFILLED SYRINGE	$45.26	$70.50	$27.42–$60.63	13% below	36%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B RECOMB VACCINE 10 MCG/0.5ML SUSPENSION PREFILLED SYRINGE	$45.26	$70.50	$30.24–$60.63	—	36%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPHILUS B POLYSAC CONJ VAC 7.5 MCG/0.5 ML SUSPENSION	$48.12	$74.96	$32.15–$64.47	—	36%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES, MUMPS & RUBELLA VACCINE RECON SOLN	$148.28	$230.96	$99.06–$198.63	—	36%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL A C Y&W-135 OLIG (POWDER) RECON SOLN	$194.53	$303.00	$117.87–$260.58	at median	36%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCCAL A C Y&W-135 OLIG (POWDER) RECON SOLN	$194.53	$303.00	$129.96–$260.58	—	36%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL RECOM, VACCINE, SEROGROUP B, 2 DOSE, VFC	$310.48	$483.61	$188.12–$415.90	3% above	36%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL RECOM, VACCINE, SEROGROUP B, 2 DOSE	$310.48	$483.61	$188.12–$415.90	3% above	36%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL RECOM, VACCINE, SEROGROUP B, 2 DOSE	$310.48	$483.61	$207.42–$415.90	—	36%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL RECOM, VACCINE, SEROGROUP B, 2 DOSE, VFC	$310.48	$483.61	$207.42–$415.90	—	36%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML SUSPENSION PREFILLED SYRINGE	$391.30	$609.50	$237.10–$524.17	3% below	36%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL CONJUGATE VACCINE, 20 VALENT (PCV20), FOR INTRAMUSCULAR USE	$391.30	$609.50	$237.10–$524.17	3% below	36%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL CONJUGATE VACCINE, 20 VALENT (PCV20), FOR INTRAMUSCULAR USE	$391.30	$609.50	$261.41–$524.17	—	36%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML SUSPENSION PREFILLED SYRINGE	$391.30	$609.50	$261.41–$524.17	—	36%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5ML SOLUTION PREFILLED SYRINGE	$857.07	$1,335.00	$572.58–$1,148.10	—	36%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 RSV PRE-FUSION F A&B VAC RCMB 120 MCG/0.5ML RECON SOLN	$443.30	$690.50	$296.16–$593.83	—	36%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE, RABAVERT, IM	$642.49	$1,000.76	$389.30–$860.65	25% above	36%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PCEC RECON SUSP	$644.25	$1,003.50	$390.36–$863.01	26% above	36%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE, PCEC RECON SUSP	$642.49	$1,000.76	$429.23–$860.65	—	36%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE, RABAVERT, IM	$642.49	$1,000.76	$429.23–$860.65	—	36%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPHTHERIA TOXOIDS 5-2 LFU INJECTABLE	$62.76	$97.75	$38.02–$84.06	1% above	36%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS-DIPHTHERIA TOXOIDS 5-2 LFU INJECTABLE	$62.27	$97.00	$41.60–$83.42	—	36%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 SUSPENSION	$70.62	$110.00	$42.79–$94.60	10% below	36%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP, TETANUS, DIPHTHERIA, PERTUSSIS 7+ YRS, BOOSTRIX	$75.11	$116.99	$45.51–$100.61	4% below	36%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 SUSPENSION PREFILLED SYRINGE	$75.11	$116.99	$45.51–$100.61	4% below	36%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 SUSPENSION PREFILLED SYRINGE	$75.11	$116.99	$50.18–$100.61	—	36%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP, TETANUS, DIPHTHERIA, PERTUSSIS 7+ YRS, BOOSTRIX	$75.11	$116.99	$50.18–$100.61	—	36%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN - INFLUENZA	$44.94	$70.00	$27.23–$60.20	9% above	36%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMINISTRATION; ONE VACCINE (SINGLE OR COMBINATION VACCINE/TO*	$44.94	$70.00	$27.23–$60.20	9% above	36%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMINISTRATION; ONE VACCINE (SINGLE OR COMBINATION VACCINE/TO*	$44.94	$70.00	$30.02–$60.20	—	36%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN - INFLUENZA	$44.94	$70.00	$30.02–$60.20	—	36%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMINISTRATION; ONE VACCINE (SINGLE OR COMBINATION VACCINE/TOXOID)	$50.08	$78.00	$33.45–$67.08	—	36%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN HEP B,ADULT 19+	$50.08	$78.00	$33.45–$67.08	—	36%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMINISTRATION; EACH ADD'L VACCINE (SINGLE OR COMBO VACCINE/T*	$25.04	$39.00	$15.17–$33.54	1% below	36%

Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More

Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More

List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More

Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More

Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.

Off list How much lower the cash price is than the list price.

No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More

Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.

Source file: https://www.essentiahealth.org/standard-charges/2026/411620386_Essentia-St-Marys-Detroit-Lakes_standardcharges.csv