Childrens Health Care
Childrens Health Care in Minneapolis, MN publishes cash prices for 52 common procedures listed here, from its own machine-readable price file updated May 7, 2026. Click a procedure to compare it with other hospitals nearby.
2525 Chicago Avenue South,Minneapolis, MN 55404 Collected Sep 22, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 74177 PF CT Abdomen & Pelvis w/ Contrast | $606.00 | $606.00 | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN & PELVIS W/ CONT | $3,220.00 | $3,220.00 | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD & PELVIS W/ CONT ED | $3,583.00 | $3,583.00 | — |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN & PELVIS W/ CONT | $3,220.00 | $3,220.00 | — |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD & PELVIS W/ CONT ED | $3,583.00 | $3,583.00 | — |
| CT scan of the head or brain, no contrast dye CPT 70450 70450 PF CT Head w/o Cont | $228.00 | $228.00 | — |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WO CONT | $1,627.00 | $1,627.00 | — |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD WO CONT | $1,627.00 | $1,627.00 | — |
| CT scan of the pelvis, with contrast dye CPT 72193 72193 PF CT Pelvis w/ Cont | $317.00 | $317.00 | — |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/CONT | $1,633.00 | $1,633.00 | — |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W/CONT | $1,633.00 | $1,633.00 | — |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 73721 MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL | $367.00 | $367.00 | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 73723 MRI ANY JT LOWER EXTREM W/O & W/CONTRAST MATRL | $583.00 | $583.00 | — |
| MRI of the brain, no contrast dye CPT 70551 70551 PF Rad MRI Brain w/o Contrast | $409.00 | $409.00 | — |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN WO CONT | $3,509.00 | $3,509.00 | — |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN WO CONT- RAD | $3,509.00 | $3,509.00 | — |
| MRI of the brain, no contrast dye CPT 70551 MRI TEMPORAL BONES IAC WO CONT | $3,843.00 | $3,843.00 | — |
| MRI of the brain, no contrast dye CPT 70551 MRI TEMPORAL BONES IAC WO CONT- RAD | $3,843.00 | $3,843.00 | — |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CONTRAST (UH 3T) | $4,462.00 | $4,462.00 | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN WO CONT | $3,509.00 | $3,509.00 | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN WO CONT- RAD | $3,509.00 | $3,509.00 | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI TEMPORAL BONES IAC WO CONT | $3,843.00 | $3,843.00 | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI TEMPORAL BONES IAC WO CONT- RAD | $3,843.00 | $3,843.00 | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN W/O CONTRAST (UH 3T) | $4,462.00 | $4,462.00 | — |
| MRI of the brain, with and without contrast dye CPT 70553 70553 PF MRI Brain Limited w/wo Contrast | $641.00 | $641.00 | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W/WO CONT- RAD | $5,032.00 | $5,032.00 | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W/WO CONT | $5,032.00 | $5,032.00 | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI TEMP BONES IAC W/WO CONT- RAD | $5,552.00 | $5,552.00 | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI TEMP BONES IAC W/WO CONT | $5,552.00 | $5,552.00 | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Brain Pituitary w/wo Contrast-MRI | $6,062.00 | $6,062.00 | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Brain Pituitary w/wo Contrast | $6,062.00 | $6,062.00 | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W/WO CONT (UH 3T) | $6,415.00 | $6,415.00 | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN W/WO CONT | $5,032.00 | $5,032.00 | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN W/WO CONT- RAD | $5,032.00 | $5,032.00 | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI TEMP BONES IAC W/WO CONT | $5,552.00 | $5,552.00 | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI TEMP BONES IAC W/WO CONT- RAD | $5,552.00 | $5,552.00 | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI Brain Pituitary w/wo Contrast-MRI | $6,062.00 | $6,062.00 | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI Brain Pituitary w/wo Contrast | $6,062.00 | $6,062.00 | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN W/WO CONT (UH 3T) | $6,415.00 | $6,415.00 | — |
| MRI of the lower back, no contrast dye CPT 72148 72148 PF MRI Spine Lumbar w/o Cont | $401.00 | $401.00 | — |
| MRI of the lower back, no contrast dye CPT 72148 MRI SPINE LUMBAR WO CONT- RAD | $3,241.00 | $3,241.00 | — |
| MRI of the lower back, no contrast dye CPT 72148 MRI SPINE LUMBAR WO CONT | $3,241.00 | $3,241.00 | — |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI SPINE LUMBAR WO CONT | $3,241.00 | $3,241.00 | — |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI SPINE LUMBAR WO CONT- RAD | $3,241.00 | $3,241.00 | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 76805 US Pregnancy Complete | $261.00 | $261.00 | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREG GT 1ST TRI SINGLE FETUS | $297.00 | $297.00 | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREGNANCY COMPLETE | $1,368.00 | $1,368.00 | — |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US PREG GT 1ST TRI SINGLE FETUS | $297.00 | $297.00 | — |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US PREGNANCY COMPLETE | $1,368.00 | $1,368.00 | — |
| Sleep study in a lab (polysomnography) CPT 95810 95810 Polysom 6 yr or GT Sleep 4/GT Addl Param Attnd | $524.00 | $524.00 | — |
| Sleep study in a lab (polysomnography) CPT 95810 PSG 6 ORGT HRS 4 ORGT CHNLS =GT6Y | $5,729.00 | $5,729.00 | — |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 PSG 6 ORGT HRS 4 ORGT CHNLS =GT6Y | $5,729.00 | $5,729.00 | — |
| Transvaginal pelvic ultrasound CPT 76830 76830 US Transvaginal | $181.00 | $181.00 | — |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL | $933.00 | $933.00 | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL | $933.00 | $933.00 | — |
| Ultrasound of the abdomen, complete CPT 76700 76700 US Abdomen Complete | $219.00 | $219.00 | — |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE | $945.00 | $945.00 | — |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE PORTABLE | $1,276.00 | $1,276.00 | — |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN COMPLETE | $945.00 | $945.00 | — |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN COMPLETE PORTABLE | $1,276.00 | $1,276.00 | — |
| X-ray of the lower back, 4 or more views CPT 72110 72110 PF Rad Spine Lumbar Comp w Obli | $83.00 | $83.00 | — |
| X-ray of the lower back, 4 or more views CPT 72110 SPINE LUMBAR 4 VIEW MIN | $458.00 | $458.00 | — |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 SPINE LUMBAR 4 VIEW MIN | $458.00 | $458.00 | — |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $271.00 | $271.00 | — |
| Basic metabolic panel (blood test) CPT 80048 SS BASIC METABOLIC PANEL | $429.00 | $429.00 | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL | $271.00 | $271.00 | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 SS BASIC METABOLIC PANEL | $429.00 | $429.00 | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $147.00 | $147.00 | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL | $147.00 | $147.00 | — |
| Complete blood count (CBC) with differential CPT 85025 HEMOGRAM AUTO W/AUTO DIFF | $189.00 | $189.00 | — |
| Complete blood count (CBC) with differential CPT 85025 COMPLETE CBC W/AUTO DIFF WBC | $222.00 | $222.00 | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 HEMOGRAM AUTO W/AUTO DIFF | $189.00 | $189.00 | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 COMPLETE CBC W/AUTO DIFF WBC | $222.00 | $222.00 | — |
| Complete blood count (CBC), no differential CPT 85027 HEMOGRAM & PLATELET COUNT AUTO | $176.00 | $176.00 | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 HEMOGRAM & PLATELET COUNT AUTO | $176.00 | $176.00 | — |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL | $420.00 | $420.00 | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL | $420.00 | $420.00 | — |
| Kidney function blood test panel CPT 80069 RENAL PANEL | $293.00 | $293.00 | — |
| Kidney function blood test panel inpatient CPT 80069 RENAL PANEL | $293.00 | $293.00 | — |
| Liver function blood test panel CPT 80076 PROFILE LIVER | $339.00 | $339.00 | — |
| Liver function blood test panel CPT 80076 SS HEPATIC FUNCTION PANEL | $349.00 | $349.00 | — |
| Liver function blood test panel inpatient CPT 80076 PROFILE LIVER | $339.00 | $339.00 | — |
| Liver function blood test panel inpatient CPT 80076 SS HEPATIC FUNCTION PANEL | $349.00 | $349.00 | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT PARTIAL THROMBOPLAST | $146.00 | $146.00 | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT PARTIAL THROMBOPLAST | $146.00 | $146.00 | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME - Lab | $135.00 | $135.00 | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME - Lab | $135.00 | $135.00 | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $195.00 | $195.00 | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH | $195.00 | $195.00 | — |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS WITH MICROSCOPY | $59.00 | $59.00 | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS WITH MICROSCOPY | $59.00 | $59.00 | — |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS NONAUTO W/O SCOPE - POCT, KETONE | $39.00 | $39.00 | — |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS NONAUTO W/O SCOPE - POCT, URINALYSIS | $40.00 | $40.00 | — |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS NONAUTO W/O SCOPE | $430.00 | $430.00 | — |
| Urinalysis without microscope exam, manual CPT 81002 U/A NONAUTO W/O MICROSCOPY | $430.00 | $430.00 | — |
| Urinalysis without microscope exam, manual CPT 81002 URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP | $430.00 | $430.00 | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS NONAUTO W/O SCOPE - POCT, KETONE | $39.00 | $39.00 | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS NONAUTO W/O SCOPE - POCT, URINALYSIS | $40.00 | $40.00 | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP | $430.00 | $430.00 | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 U/A NONAUTO W/O MICROSCOPY | $430.00 | $430.00 | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS NONAUTO W/O SCOPE | $430.00 | $430.00 | — |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Knee arthroscopy with meniscus trim CPT 29881 29881 Arthrs Knee Surg w/Meniscectomy Med/Lat W/Shaving | $2,632.00 | $2,632.00 | — |
| Left heart catheterization, diagnostic CPT 93452 LT HEARTH CATH W INJ VENTRICUL | $2,651.00 | $2,651.00 | — |
| Left heart catheterization, diagnostic one side CPT 93452 93452 LEFT HRT CATH W/VENTRCLGRPHY | $950.00 | $950.00 | — |
| Left heart catheterization, diagnostic inpatient CPT 93452 LT HEARTH CATH W INJ VENTRICUL | $2,651.00 | $2,651.00 | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 62323 Inj Dx/Ther Ndle/Cath Pl Lmb/Sacr W Gd | $324.00 | $324.00 | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 INJECTION SINGLE CAUDAL W IMG | $2,634.00 | $2,634.00 | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 INJECTION SINGLE CAUDAL W IMG - ANES | $2,634.00 | $2,634.00 | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 INJECTION SINGLE CAUDAL W IMG-SSU | $2,634.00 | $2,634.00 | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 INJ SGL EPI LUMBR W IMG-SSU | $2,635.00 | $2,635.00 | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 INJECTION SINGLE CAUDAL W IMG - CV | $2,635.00 | $2,635.00 | — |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 INJECTION SINGLE CAUDAL W IMG | $2,634.00 | $2,634.00 | — |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 INJECTION SINGLE CAUDAL W IMG - ANES | $2,634.00 | $2,634.00 | — |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 INJECTION SINGLE CAUDAL W IMG-SSU | $2,634.00 | $2,634.00 | — |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 INJECTION SINGLE CAUDAL W IMG - CV | $2,635.00 | $2,635.00 | — |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 INJ SGL EPI LUMBR W IMG-SSU | $2,635.00 | $2,635.00 | — |
| Lower-back epidural injection, without imaging guidance CPT 62322 62322 Inj Dx/Ther Ndl/Cath Pl Lmb/Sacr W/O Gd | $315.00 | $315.00 | — |
| Lower-back epidural injection, without imaging guidance CPT 62322 INJECTION SINGLE CAUDAL WO IMG - CV | $2,176.00 | $2,176.00 | — |
| Lower-back epidural injection, without imaging guidance CPT 62322 INJ SGL EPI LMBR WO IMG-SSU | $2,236.00 | $2,236.00 | — |
| Lower-back epidural injection, without imaging guidance CPT 62322 INJECTION SINGLE CAUDAL WO IMG - ANES | $2,306.00 | $2,306.00 | — |
| Lower-back epidural injection, without imaging guidance CPT 62322 INJECTION SINGLE CAUDAL WO IMG-SSU | $2,306.00 | $2,306.00 | — |
| Lower-back epidural injection, without imaging guidance CPT 62322 INJECTION SINGLE CAUDAL WO IMG | $2,306.00 | $2,306.00 | — |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 INJECTION SINGLE CAUDAL WO IMG - CV | $2,176.00 | $2,176.00 | — |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 INJ SGL EPI LMBR WO IMG-SSU | $2,236.00 | $2,236.00 | — |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 INJECTION SINGLE CAUDAL WO IMG - ANES | $2,306.00 | $2,306.00 | — |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 INJECTION SINGLE CAUDAL WO IMG | $2,306.00 | $2,306.00 | — |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 INJECTION SINGLE CAUDAL WO IMG-SSU | $2,306.00 | $2,306.00 | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 SS INJ TRANS EPIDUR LUMB SAC SGL | $1,579.00 | $1,579.00 | — |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 SS INJ TRANS EPIDUR LUMB SAC SGL | $1,579.00 | $1,579.00 | — |
| Removal of a breast lump, open surgery CPT 19120 19120 EXCN CYST/ABERRANT BREAST TISS OPEN 1 OR MORE LESIONS | $1,462.00 | $1,462.00 | — |
| Removal of a breast lump, open surgery CPT 19120 EXCISION CYST ABERRANT BREAST TISS 1+ LESIONS-PRC | $7,181.00 | $7,181.00 | — |
| Removal of a breast lump, open surgery CPT 19120 EXCISION CYST ABERRANT BREAST TISS 1+ LESIONS | $7,181.00 | $7,181.00 | — |
| Removal of a breast lump, open surgery CPT 19120 REMOVAL BREAST CYST/LESIONS-SSU | $7,181.00 | $7,181.00 | — |
| Removal of a breast lump, open surgery inpatient CPT 19120 EXCISION CYST ABERRANT BREAST TISS 1+ LESIONS-PRC | $7,181.00 | $7,181.00 | — |
| Removal of a breast lump, open surgery inpatient CPT 19120 REMOVAL BREAST CYST/LESIONS-SSU | $7,181.00 | $7,181.00 | — |
| Removal of a breast lump, open surgery inpatient CPT 19120 EXCISION CYST ABERRANT BREAST TISS 1+ LESIONS | $7,181.00 | $7,181.00 | — |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 29826 Arthroscopy Shoulder w/Part Acromioplast | $3,158.00 | $3,158.00 | — |
| Tonsil and adenoid removal, child under 12 CPT 42820 42820 Tonsillectomy and Adenoidectomy (< 12yrs) | $1,082.00 | $1,082.00 | — |
| Tonsil and adenoid removal, child under 12 CPT 42820 REMOVE TONSILS/ADENOIDS < 12YR-SURG | $14,455.00 | $14,455.00 | — |
| Tonsil and adenoid removal, child under 12 CPT 42820 Tonsillectomy & Adenoidectomy | $14,455.00 | $14,455.00 | — |
| Tonsil and adenoid removal, child under 12 CPT 42820 REMOVE TONSILS/ADENOIDS < 12YR-CV | $14,455.00 | $14,455.00 | — |
| Tonsil and adenoid removal, child under 12 inpatient CPT 42820 Tonsillectomy & Adenoidectomy | $14,455.00 | $14,455.00 | — |
| Tonsil and adenoid removal, child under 12 inpatient CPT 42820 REMOVE TONSILS/ADENOIDS < 12YR-SURG | $14,455.00 | $14,455.00 | — |
| Tonsil and adenoid removal, child under 12 inpatient CPT 42820 REMOVE TONSILS/ADENOIDS < 12YR-CV | $14,455.00 | $14,455.00 | — |
| Upper endoscopy (EGD) with biopsy CPT 43239 EGD BIOPSY SGL MUL | $2,027.00 | $2,027.00 | — |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 EGD BIOPSY SGL MUL | $2,027.00 | $2,027.00 | — |
| Upper endoscopy (EGD), diagnostic CPT 43235 SS EGD DX COMP W WO BRUSH WASH | $3,829.00 | $3,829.00 | — |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 SS EGD DX COMP W WO BRUSH WASH | $3,829.00 | $3,829.00 | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 93000 12 Lead EKG; Global | $75.00 | $75.00 | — |
| Family therapy with the patient, 50 minutes CPT 90847 90847 Family Therapy with Patient 50 minutes | $349.00 | $349.00 | — |
| Family therapy without the patient, 50 minutes CPT 90846 Family Psychotherapy W/O Pt Present 50 Min | $97.00 | $97.00 | — |
| Family therapy without the patient, 50 minutes CPT 90846 Family Psychotherapy W/O Pt Present 50 Min-278 | $97.00 | $97.00 | — |
| Family therapy without the patient, 50 minutes CPT 90846 90846 Family Therapy w/o Patient 50 minutes | $349.00 | $349.00 | — |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 Family Psychotherapy W/O Pt Present 50 Min | $97.00 | $97.00 | — |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 Family Psychotherapy W/O Pt Present 50 Min-278 | $97.00 | $97.00 | — |
| Group psychotherapy session CPT 90853 Group Therapy Not Multi-family-278 | $97.00 | $97.00 | — |
| Group psychotherapy session CPT 90853 Group Therapy Not Multi-family | $97.00 | $97.00 | — |
| Group psychotherapy session CPT 90853 90853 Group Therapy | $101.00 | $101.00 | — |
| Group psychotherapy session inpatient CPT 90853 Group Therapy Not Multi-family | $97.00 | $97.00 | — |
| Group psychotherapy session inpatient CPT 90853 Group Therapy Not Multi-family-278 | $97.00 | $97.00 | — |
| New patient office visit, about 30 minutes CPT 99203 99203 Gender Health New Pt Office Visit Level 3 | $268.00 | $268.00 | — |
| New patient office visit, about 30 minutes CPT 99203 99203 New Pt Office/Outpt Visit Level 3 - 30 Min | $268.00 | $268.00 | — |
| New patient office visit, about 45 minutes CPT 99204 99204 New Pt Office/Outpt Visit Level 4 - 45 Min | $458.00 | $458.00 | — |
| New patient office visit, about 45 minutes CPT 99204 99204 Gender Health New Pt Office Visit Level 4 | $458.00 | $458.00 | — |
| New patient office visit, about 60 minutes CPT 99205 99205 New Pt Office/Outpt Visit Level 5 - 60 Min | $588.00 | $588.00 | — |
| New patient office visit, about 60 minutes CPT 99205 99205 Gender Health New Pt Op Pt Visit Level 5 - 60 Min | $588.00 | $588.00 | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT BMTHW THERAPY EXERCISE 15 M- REH | $97.00 | $97.00 | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT BMTHW THERAPY EXERCISE 15 M- REH | $97.00 | $97.00 | — |
| Preventive checkup, new patient aged 18–39 CPT 99385 99385 Preventive Visit New 18-39 Yrs | $346.00 | $346.00 | — |
| Preventive checkup, new patient aged 40–64 CPT 99386 99386 Preventative Visit New 40-64 Years | $432.00 | $432.00 | — |
| Psychotherapy session, 30 minutes CPT 90832 Psychotherapy W/ Patient 30 Min-278 | $97.00 | $97.00 | — |
| Psychotherapy session, 30 minutes CPT 90832 Psychotherapy W/ Patient 30 Min | $97.00 | $97.00 | — |
| Psychotherapy session, 30 minutes CPT 90832 90832 Psychotherapy 30 min | $213.00 | $213.00 | — |
| Psychotherapy session, 30 minutes CPT 90832 Inpt Telemedicine Psychotherapy 30 min | $213.00 | $213.00 | — |
| Psychotherapy session, 30 minutes inpatient CPT 90832 Psychotherapy W/ Patient 30 Min | $97.00 | $97.00 | — |
| Psychotherapy session, 30 minutes inpatient CPT 90832 Psychotherapy W/ Patient 30 Min-278 | $97.00 | $97.00 | — |
| Psychotherapy session, 45 minutes CPT 90834 Psychotherapy W/ Patient 45 Min | $97.00 | $97.00 | — |
| Psychotherapy session, 45 minutes CPT 90834 Psychotherapy W/ Patient 45 Min-278 | $97.00 | $97.00 | — |
| Psychotherapy session, 45 minutes CPT 90834 90834 Psychotherapy 45 min | $364.00 | $364.00 | — |
| Psychotherapy session, 45 minutes CPT 90834 90834 Inpt Telemedicine Psychotherapy 45 min | $364.00 | $364.00 | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 Psychotherapy W/ Patient 45 Min-278 | $97.00 | $97.00 | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 Psychotherapy W/ Patient 45 Min | $97.00 | $97.00 | — |
| Psychotherapy session, 60 minutes CPT 90837 Psychotherapy W/ Patient 60 Min-278 | $97.00 | $97.00 | — |
| Psychotherapy session, 60 minutes CPT 90837 Psychotherapy W/ Patient 60 Min | $97.00 | $97.00 | — |
| Psychotherapy session, 60 minutes CPT 90837 Family Psychotherapy W/ Patient Present 50-278 Min | $97.00 | $97.00 | — |
| Psychotherapy session, 60 minutes CPT 90837 Family Psychotherapy W/ Patient Present 50 Min | $97.00 | $97.00 | — |
| Psychotherapy session, 60 minutes CPT 90837 90837 Psychotherapy 60 min | $400.00 | $400.00 | — |
| Psychotherapy session, 60 minutes inpatient CPT 90837 Psychotherapy W/ Patient 60 Min-278 | $97.00 | $97.00 | — |
| Psychotherapy session, 60 minutes inpatient CPT 90837 Psychotherapy W/ Patient 60 Min | $97.00 | $97.00 | — |
| Psychotherapy session, 60 minutes inpatient CPT 90837 Family Psychotherapy W/ Patient Present 50-278 Min | $97.00 | $97.00 | — |
| Psychotherapy session, 60 minutes inpatient CPT 90837 Family Psychotherapy W/ Patient Present 50 Min | $97.00 | $97.00 | — |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 99243 Gender Health Consultation Office Level 3 - 40 Min | $400.00 | $400.00 | — |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 99243 Consultation Office Level 3 - 40 Min | $400.00 | $400.00 | — |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 99244 Gender Health Consultation Office Level 4 - 60 Min | $563.00 | $563.00 | — |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 99244 Consultation Office Level 4 - 60 Min | $563.00 | $563.00 | — |
Dental
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Dental implant, surgical placement CDT D6010 Surgical placement of implant body: endosteal implant | $2,573.00 | $2,573.00 | — |
| Dental implant, surgical placement inpatient CDT D6010 Surgical placement of implant body: endosteal implant | $2,573.00 | $2,573.00 | — |
| Porcelain crown CDT D2740 CROWN PORCELAIN CERAMIC | $2,468.00 | $2,468.00 | — |
| Porcelain crown inpatient CDT D2740 CROWN PORCELAIN CERAMIC | $2,468.00 | $2,468.00 | — |
Source file: https://www.childrensmn.org/applications/pricetransparency/411754276_childrens-health-care_standardcharges.csv