Hospital Alexandria, MN

Alomere Health

Alomere Health in Alexandria, MN publishes cash prices for 215 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Minnesota median for 124 of 214 procedures and above it for 87. By typical cash price it ranks #38 of 85 Minnesota hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.

111 17Th Avenue East, Alexandria, MN 56308 Collected Sep 29, 2026 Source price file (320) 762-1511

Acute care hospital Emergency department CMS star rating 4 of 5 CCN 240030 · CMS hospital register NPI 1558236091

Scans and imaging

ProcedureCash price List priceInsurers payvs MinnesotaOff list
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 NON-INVASIVE STUDIES UPPER OR LOWER EXTREMITY ARTERIES SINGLE LEVEL BILATERAL $301.60 $520.00 — — 42%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US DOP ANKLE BRACHIAL INDEX $301.60 $520.00 — 21% below 42%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 NON-INVASIVE STUDIES UPPER OR LOWER EXTREMITY ARTERIES SINGLE LEVEL BILATERAL $301.60 $520.00 — — 42%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US DOP ANKLE BRACHIAL INDEX $301.60 $520.00 — — 42%
Barium swallow (esophagus X-ray with contrast) CPT 74220 XR ESOPHAGRAM BARIUM $437.90 $755.00 — 49% above 42%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 XR ESOPHAGRAM BARIUM $437.90 $755.00 — — 42%
Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE SCAN WHOLE BODY $694.84 $1,198.00 — 43% below 42%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM BONE SCAN WHOLE BODY $694.84 $1,198.00 — — 42%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST UNILATERAL COMPLETE $302.18 $521.00 — 25% below 42%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST UNILATERAL COMPLETE $302.18 $521.00 — — 42%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST UNILATERAL LIMITED $261.58 $451.00 — 18% below 42%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST UNILATERAL LIMITED $261.58 $451.00 — — 42%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST $1,032.98 $1,781.00 — 43% below 42%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST $1,032.98 $1,781.00 — — 42%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CTA CORONARY W CALCIUM SCORING $624.08 $1,076.00 — 42% below 42%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CTA CORONARY W CALCIUM SCORING $624.08 $1,076.00 — — 42%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT CARDIAC CALCIUM SCORING $149.06 $257.00 — 26% above 42%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT CARDIAC CALCIUM SCORING $149.06 $257.00 — — 42%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD AND PELVIS WITHOUT IV CONTRAST $938.44 $1,618.00 — 55% below 42%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD AND PELVIS WITHOUT IV CONTRAST $938.44 $1,618.00 — — 42%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD AND PELVIS WITH IV CONTRAST $1,215.68 $2,096.00 — 52% below 42%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD AND PELVIS WITH IV CONTRAST $1,215.68 $2,096.00 — — 42%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD AND PELVIS WO W IV CONTRAST $1,285.28 $2,216.00 — 55% below 42%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD AND PELVIS WO W IV CONTRAST $1,285.28 $2,216.00 — — 42%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W IV CONTRAST $1,032.98 $1,781.00 — 32% below 42%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W IV CONTRAST $1,032.98 $1,781.00 — — 42%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN ROUTINE WO IV CONTRAST $790.54 $1,363.00 — 33% below 42%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN ROUTINE WO IV CONTRAST $790.54 $1,363.00 — — 42%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT FACIAL BONES WO IV CONTRAST $1,102.58 $1,901.00 — 16% below 42%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT FACIAL BONES WO IV CONTRAST $1,102.58 $1,901.00 — — 42%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD ROUTINE WO IV CONTRAST $953.52 $1,644.00 — 24% below 42%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD ROUTINE WO IV CONTRAST $953.52 $1,644.00 — — 42%
CT scan of the head with contrast CPT 70460 CT HEAD W IV CONTRAST $1,121.72 $1,934.00 — 14% below 42%
CT scan of the head with contrast inpatient CPT 70460 CT HEAD W IV CONTRAST $1,121.72 $1,934.00 — — 42%
CT scan of the head without and with contrast CPT 70470 CT HEAD WO W IV CONTRAST $1,290.50 $2,225.00 — 19% below 42%
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD WO W IV CONTRAST $1,290.50 $2,225.00 — — 42%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE ROUTINE WITHOUT CONTRAST $851.44 $1,468.00 — 41% below 42%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT LUMBAR SPINE ROUTINE WITHOUT CONTRAST $851.44 $1,468.00 — — 42%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERVICAL SPINE ROUTINE WITHOUT CONTRAST $1,031.82 $1,779.00 — 28% below 42%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT CERVICAL SPINE ROUTINE WITHOUT CONTRAST $1,031.82 $1,779.00 — — 42%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W IV CONTRAST $954.10 $1,645.00 — 35% below 42%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W IV CONTRAST $954.10 $1,645.00 — — 42%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US CAROTID BILATERAL ROUTINE $459.36 $792.00 — — 42%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 US CAROTID BILATERAL ROUTINE $459.36 $792.00 — — 42%
Chest X-ray, 2 views CPT 71046 XR CHEST PA AND LAT $214.02 $369.00 — 7% below 42%
Chest X-ray, 2 views inpatient CPT 71046 XR CHEST PA AND LAT $214.02 $369.00 — — 42%
Chest X-ray, single view CPT 71045 XR CHEST LAT ONLY $182.70 $315.00 — 6% below 42%
Chest X-ray, single view CPT 71045 XR CHEST APICAL LORDOTIC $182.70 $315.00 — 6% below 42%
Chest X-ray, single view CPT 71045 XR CHEST DECUBITUS $182.70 $315.00 — 6% below 42%
Chest X-ray, single view CPT 71045 XR CHEST EXPIRATION $182.70 $315.00 — 6% below 42%
Chest X-ray, single view CPT 71045 XR CHEST ONE VIEW $185.02 $319.00 — 5% below 42%
Chest X-ray, single view inpatient CPT 71045 XR CHEST LAT ONLY $182.70 $315.00 — — 42%
Chest X-ray, single view inpatient CPT 71045 XR CHEST DECUBITUS $182.70 $315.00 — — 42%
Chest X-ray, single view inpatient CPT 71045 XR CHEST EXPIRATION $182.70 $315.00 — — 42%
Chest X-ray, single view inpatient CPT 71045 XR CHEST APICAL LORDOTIC $182.70 $315.00 — — 42%
Chest X-ray, single view inpatient CPT 71045 XR CHEST ONE VIEW $185.02 $319.00 — — 42%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RENAL BIL $381.64 $658.00 — 27% below 42%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RENAL BIL $381.64 $658.00 — — 42%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST WO IV CONTRAST $939.60 $1,620.00 — 30% below 42%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST WO IV CONTRAST $939.60 $1,620.00 — — 42%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W IV CONTRAST $1,057.92 $1,824.00 — 32% below 42%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST W IV CONTRAST $1,057.92 $1,824.00 — — 42%
Diagnostic mammogram, both breasts CPT 77066 MAMMO DIAG BIL $439.64 $758.00 — 37% above 42%
Diagnostic mammogram, both breasts inpatient CPT 77066 MAMMO DIAG BIL $439.64 $758.00 — — 42%
Diagnostic mammogram, one breast CPT 77065 MAMMO DIAG W IMPLANTS UNI $348.58 $601.00 — 11% above 42%
Diagnostic mammogram, one breast CPT 77065 MAMMO DIAG UNI $348.58 $601.00 — 11% above 42%
Diagnostic mammogram, one breast CPT 77065 MAMMO DIAG POST CLIP OR WIRE PLACEMENT $348.58 $601.00 — 11% above 42%
Diagnostic mammogram, one breast inpatient CPT 77065 MAMMO DIAG POST CLIP OR WIRE PLACEMENT $348.58 $601.00 — — 42%
Diagnostic mammogram, one breast inpatient CPT 77065 MAMMO DIAG UNI $348.58 $601.00 — — 42%
Diagnostic mammogram, one breast inpatient CPT 77065 MAMMO DIAG W IMPLANTS UNI $348.58 $601.00 — — 42%
Duplex ultrasound of the leg arteries, both legs CPT 93925 US DOP ARTERY LEG BIL $470.38 $811.00 — 37% below 42%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 US DOP ARTERY LEG BIL $470.38 $811.00 — — 42%
Duplex ultrasound of the leg veins, both legs CPT 93970 US DOP VEIN COMPETENCE STUDY BIL $564.34 $973.00 — 36% below 42%
Duplex ultrasound of the leg veins, both legs CPT 93970 US DOP VEIN LEG BIL $564.34 $973.00 — 36% below 42%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US DOP VEIN COMPETENCE STUDY BIL $564.34 $973.00 — — 42%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 US DOP VEIN LEG BIL $564.34 $973.00 — — 42%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 COMPLETE ECHO (2D/C/D) $1,230.18 $2,121.00 — 12% below 42%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 COMPLETE ECHO (2D/C/D) $1,230.18 $2,121.00 — — 42%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM HEPATOBILIARY SCAN $758.06 $1,307.00 — 44% below 42%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM HEPATOBILIARY SCAN $758.06 $1,307.00 — — 42%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY, UNATTENDED $443.12 $764.00 — 25% below 42%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 SLEEP STUDY, UNATTENDED $443.12 $764.00 — — 42%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 CPAP TITRATION $2,325.22 $4,009.00 — 33% below 42%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 CPAP TITRATION $2,325.22 $4,009.00 — — 42%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMINAL REAL TIME W/IMAGE DOC LIMITED $234.32 $404.00 — 45% below 42%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABD LTD $234.32 $404.00 — 45% below 42%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMINAL REAL TIME W/IMAGE DOC LIMITED $234.32 $404.00 — — 42%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABD LTD $234.32 $404.00 — — 42%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LUNG CANCER SCREENING $303.34 $523.00 — 52% below 42%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT LUNG CANCER SCREENING $303.34 $523.00 — — 42%
MRI of both breasts, without and then with contrast dye CPT 77049 MRI BREAST BIL WO W CONTRAST INCL CAD $1,552.08 $2,676.00 — 8% above 42%
MRI of both breasts, without and then with contrast dye inpatient CPT 77049 MRI BREAST BIL WO W CONTRAST INCL CAD $1,552.08 $2,676.00 — — 42%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN ROUTINE WO CONTRAST $1,647.78 $2,841.00 — 24% below 42%
MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN ROUTINE WO CONTRAST $1,647.78 $2,841.00 — — 42%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN WO W CONTRAST $1,750.44 $3,018.00 — 41% below 42%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN WO W CONTRAST $1,750.44 $3,018.00 — — 42%
MRI of the brain, no contrast dye CPT 70551 MRI HEAD ROUTINE WO CONTRAST $1,647.78 $2,841.00 — 22% below 42%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI HEAD ROUTINE WO CONTRAST $1,647.78 $2,841.00 — — 42%
MRI of the brain, with and without contrast dye CPT 70553 MRI HEAD WO W CONTRAST $1,907.04 $3,288.00 — 34% below 42%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI HEAD WO W CONTRAST $1,907.04 $3,288.00 — — 42%
MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE ROUTINE WO CONTRAST $1,615.88 $2,786.00 — 23% below 42%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI LUMBAR SPINE ROUTINE WO CONTRAST $1,615.88 $2,786.00 — — 42%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR SPINE WO W CONTRAST $1,911.68 $3,296.00 — 34% below 42%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI LUMBAR SPINE WO W CONTRAST $1,911.68 $3,296.00 — — 42%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI THORACIC SPINE ROUTINE WO CONTRAST $1,615.88 $2,786.00 — 24% below 42%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI THORACIC SPINE ROUTINE WO CONTRAST $1,615.88 $2,786.00 — — 42%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI CERVICAL SPINE WO W CONTRAST $1,750.44 $3,018.00 — 33% below 42%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI CERVICAL SPINE WO W CONTRAST $1,750.44 $3,018.00 — — 42%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI CERVICAL SPINE ROUTINE WO CONTRAST $1,615.88 $2,786.00 — 24% below 42%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI CERVICAL SPINE ROUTINE WO CONTRAST $1,615.88 $2,786.00 — — 42%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS WO W CONTRAST $1,911.68 $3,296.00 — 31% below 42%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS WO W CONTRAST $1,911.68 $3,296.00 — — 42%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS ROUTINE WO CONTRAST $1,615.88 $2,786.00 — 24% below 42%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS ROUTINE WO CONTRAST $1,615.88 $2,786.00 — — 42%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 MYOCARDIAL PERFUSION SCAN SPECT MULTIPLE $2,103.66 $3,627.00 — 26% below 42%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 MYOCARDIAL PERFUSION SCAN SPECT MULTIPLE $2,103.66 $3,627.00 — — 42%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 NM PET CT WHOLE BODY SCAN $4,179.48 $7,206.00 — 55% above 42%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 NM PET CT WHOLE BODY SCAN $4,179.48 $7,206.00 — — 42%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC LTD NON OB $365.98 $631.00 — 8% above 42%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC (NON-OB) REAL TIME W/IMAGE DOC LIMITED OR FOLLOW UP $365.98 $631.00 — 8% above 42%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIC (NON-OB) REAL TIME W/IMAGE DOC LIMITED OR FOLLOW UP $365.98 $631.00 — — 42%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIC LTD NON OB $365.98 $631.00 — — 42%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC NON OB $400.20 $690.00 — 18% below 42%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIC NON OB $400.20 $690.00 — — 42%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB OVER 14 WKS COMP $284.78 $491.00 — 43% below 42%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB OVER 14 WKS COMP $284.78 $491.00 — — 42%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB UNDER 14 WKS COMP $267.38 $461.00 — 37% below 42%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB UNDER 14 WKS COMP $267.38 $461.00 — — 42%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB LTD $205.90 $355.00 — 38% below 42%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREGNANT UTERUS REAL TIME W/IMAGE DOC LIMITED $205.90 $355.00 — 38% below 42%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB LTD $205.90 $355.00 — — 42%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US PREGNANT UTERUS REAL TIME W/IMAGE DOC LIMITED $205.90 $355.00 — — 42%
Screening mammogram, both breasts CPT 77067 MAMMO SCREEN BIL $357.28 $616.00 — 6% above 42%
Screening mammogram, both breasts inpatient CPT 77067 MAMMO SCREEN BIL $357.28 $616.00 — — 42%
Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAPHY $2,103.08 $3,626.00 — 31% below 42%
Sleep study in a lab (polysomnography) inpatient CPT 95810 POLYSOMNOGRAPHY $2,103.08 $3,626.00 — — 42%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 STRESS ECHO COMPLETE $875.22 $1,509.00 — 51% below 42%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 STRESS ECHO COMPLETE $875.22 $1,509.00 — — 42%
Swallow study (modified barium swallow, video X-ray) CPT 74230 XR VIDEO SWALLOW EVAL $349.74 $603.00 — 12% above 42%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 XR VIDEO SWALLOW EVAL $349.74 $603.00 — — 42%
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL NON OB $315.52 $544.00 — 20% below 42%
Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL NON OB $315.52 $544.00 — — 42%
Transvaginal ultrasound during pregnancy CPT 76817 US OB TRANSVAGINAL $284.78 $491.00 — 18% below 42%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US OB TRANSVAGINAL $284.78 $491.00 — — 42%
Ultrasound of the abdomen, complete CPT 76700 US ABD W/ IMAGE COMPLETE $234.32 $404.00 — 61% below 42%
Ultrasound of the abdomen, complete CPT 76700 US ABD COMPLETE $234.32 $404.00 — 61% below 42%
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABD W/ IMAGE COMPLETE $234.32 $404.00 — — 42%
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABD COMPLETE $234.32 $404.00 — — 42%
Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM AND CONTENTS $346.84 $598.00 — 28% below 42%
Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM $346.84 $598.00 — 28% below 42%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM AND CONTENTS $346.84 $598.00 — — 42%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM $346.84 $598.00 — — 42%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US THYROID $284.78 $491.00 — 37% below 42%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US HEAD NECK SOFT TISSUE $284.78 $491.00 — 37% below 42%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US HEAD NECK SOFT TISSUE $284.78 $491.00 — — 42%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US THYROID $284.78 $491.00 — — 42%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UPPER GI AND ESOPHAGRAM $540.56 $932.00 — 59% above 42%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UPPER GI $540.56 $932.00 — 59% above 42%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR UPPER GI $540.56 $932.00 — — 42%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR UPPER GI AND ESOPHAGRAM $540.56 $932.00 — — 42%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DUPLEX SCAN OF EXTREMITY VEINS; LIMITED OR UNILATERAL $364.24 $628.00 — 34% below 42%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 DUPLEX SCAN OF EXTREMITY VEINS; LIMITED OR UNILATERAL $364.24 $628.00 — — 42%
X-ray of the abdomen, 1 view CPT 74018 XR KIDNEYS URETERS AND BLADDER $169.94 $293.00 — 19% below 42%
X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN ONE VIEW $169.94 $293.00 — 19% below 42%
X-ray of the abdomen, 1 view CPT 74018 XR OR KIDNEYS URETERS AND BLADDER $169.94 $293.00 — 19% below 42%
X-ray of the abdomen, 1 view CPT 74018 XR TRANSIT TIME COLON $169.94 $293.00 — 19% below 42%
X-ray of the abdomen, 1 view inpatient CPT 74018 XR ABDOMEN ONE VIEW $169.94 $293.00 — — 42%
X-ray of the abdomen, 1 view inpatient CPT 74018 XR OR KIDNEYS URETERS AND BLADDER $169.94 $293.00 — — 42%
X-ray of the abdomen, 1 view inpatient CPT 74018 XR TRANSIT TIME COLON $169.94 $293.00 — — 42%
X-ray of the abdomen, 1 view inpatient CPT 74018 XR KIDNEYS URETERS AND BLADDER $169.94 $293.00 — — 42%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR LUMBAR SPINE 2 OR 3 VIEWS $161.24 $278.00 — 38% below 42%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR LUMBAR SPINE 2 OR 3 VIEWS $161.24 $278.00 — — 42%
X-ray of the lower back, 4 or more views CPT 72110 XR LUMBAR SPINE 4 VIEWS $227.94 $393.00 — 34% below 42%
X-ray of the lower back, 4 or more views inpatient CPT 72110 XR LUMBAR SPINE 4 VIEWS $227.94 $393.00 — — 42%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR THORACIC SPINE AP AND LAT $210.54 $363.00 — 18% below 42%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR THORACIC SPINE AP AND LAT $210.54 $363.00 — — 42%
X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES $236.64 $408.00 — 8% above 42%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR NASAL BONES $236.64 $408.00 — — 42%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR CERVICAL SPINE 2 OR 3 VIEWS $245.92 $424.00 — 1% below 42%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR CERVICAL SPINE 2 OR 3 VIEWS $245.92 $424.00 — — 42%
X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS ROUTINE 1 OR 2 VIEWS $194.30 $335.00 — 12% below 42%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR PELVIS ROUTINE 1 OR 2 VIEWS $194.30 $335.00 — — 42%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM AND OR COCCYX $201.84 $348.00 — 11% below 42%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR SACRUM AND OR COCCYX $201.84 $348.00 — — 42%

Lab tests

ProcedureCash price List priceInsurers payvs MinnesotaOff list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALANINE AMINOTRANSFERASE (ALT) $28.42 $49.00 — 40% below 42%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALANINE AMINOTRANSFERASE (ALT) $28.42 $49.00 — — 42%
AST (aspartate aminotransferase) enzyme test CPT 84450 ASPARTIMINE AMINOTRANSFERASE (AST) $28.42 $49.00 — 39% below 42%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 ASPARTIMINE AMINOTRANSFERASE (AST) $28.42 $49.00 — — 42%
Allergy blood test, specific IgE, per allergen CPT 86003 ALMOND, IGE $39.44 $68.00 — 101% above 42%
Allergy blood test, specific IgE, per allergen CPT 86003 ALTERNAR TENUIS, IGE $39.44 $68.00 — 101% above 42%
Allergy blood test, specific IgE, per allergen CPT 86003 ASPERGILLUS FUM, IGE $39.44 $68.00 — 101% above 42%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALMOND, IGE $39.44 $68.00 — — 42%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ASPERGILLUS FUM, IGE $39.44 $68.00 — — 42%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALTERNAR TENUIS, IGE $39.44 $68.00 — — 42%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR AB SCREEN $84.68 $146.00 — 74% above 42%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR AB SCREEN $84.68 $146.00 — — 42%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE B $139.78 $241.00 — at median 42%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NT PRO B-TYPE NATRIURETIC PEPTIDE $150.80 $260.00 — 8% above 42%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NATRIURETIC PEPTIDE B $139.78 $241.00 — — 42%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NT PRO B-TYPE NATRIURETIC PEPTIDE $150.80 $260.00 — — 42%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL $76.56 $132.00 — 24% below 42%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL $76.56 $132.00 — — 42%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 LEVEL IV - SURGICAL PATHOLOGY, GROSS AND MICROSCOPIC EXAMINATION (PATH) $189.66 $327.00 — 80% above 42%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 LEVEL IV - SURGICAL PATHOLOGY, GROSS AND MICROSCOPIC EXAMINATION (PATH) $189.66 $327.00 — — 42%
Blood culture for bacteria CPT 87040 BLOOD CULTURE $113.68 $196.00 — at median 42%
Blood culture for bacteria inpatient CPT 87040 BLOOD CULTURE $113.68 $196.00 — — 42%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE $18.56 $32.00 — 12% below 42%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE $18.56 $32.00 — — 42%
Blood glucose (sugar) test CPT 82947 GLUCOSE $28.42 $49.00 — 36% below 42%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE $28.42 $49.00 — — 42%
Blood lead test CPT 83655 LEAD $46.40 $80.00 — at median 42%
Blood lead test inpatient CPT 83655 LEAD $46.40 $80.00 — — 42%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 GONADOTROPIN, CHORIONIC (HCG), QUALITATIVE, URINE $44.08 $76.00 — 37% below 42%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 GONADOTROPIN, CHORIONIC (HCG), QUALITATIVE, URINE $44.08 $76.00 — — 42%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING, SEROLOGIC; ABO (BB) $53.94 $93.00 — 2% above 42%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPING, SEROLOGIC; ABO (BB) $53.94 $93.00 — — 42%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C REACTIVE PROTEIN, INFLAMMATORY $57.42 $99.00 — 6% below 42%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C REACTIVE PROTEIN, INFLAMMATORY $57.42 $99.00 — — 42%
C. difficile toxin gene test (stool PCR) CPT 87493 CLOSTRIDIUM DIFFICILE, PCR $180.96 $312.00 — 33% above 42%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 CLOSTRIDIUM DIFFICILE, PCR $180.96 $312.00 — — 42%
CA-125 blood test (ovarian cancer marker) CPT 86304 CANCER AG 125 $93.96 $162.00 — 8% below 42%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CANCER AG 125 $93.96 $162.00 — — 42%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19/SARS-COV2, NAAT $99.18 $171.00 — 17% below 42%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19/SARS-COV2, NAAT $99.18 $171.00 — — 42%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS AND NEISSERIA GONORRHOEAE, GENITAL AND URINE SOURCES, NAAT $93.38 $161.00 — 2% above 42%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS, GENITAL AND URINE SOURCES, NAAT $100.34 $173.00 — 10% above 42%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS, MISC SOURCES $100.34 $173.00 — 10% above 42%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS AND NEISSERIA GONORRHOEAE, GENITAL AND URINE SOURCES, NAAT $93.38 $161.00 — — 42%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS, MISC SOURCES $100.34 $173.00 — — 42%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS, GENITAL AND URINE SOURCES, NAAT $100.34 $173.00 — — 42%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL $74.24 $128.00 — 20% below 42%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL $74.24 $128.00 — — 42%
Complete blood count (CBC) with differential CPT 85025 CBC WITH DIFFERENTIAL AND PLATELET COUNT $81.20 $140.00 — 2% below 42%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC WITH DIFFERENTIAL AND PLATELET COUNT $81.20 $140.00 — — 42%
Complete blood count (CBC), no differential CPT 85027 HEMOGRAM WITH PLATELET COUNT $60.90 $105.00 — 13% below 42%
Complete blood count (CBC), no differential inpatient CPT 85027 HEMOGRAM WITH PLATELET COUNT $60.90 $105.00 — — 42%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL $122.96 $212.00 — 17% above 42%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL $122.96 $212.00 — — 42%
D-dimer blood test (blood clot marker) CPT 85379 D DIMER $94.54 $163.00 — 6% below 42%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D DIMER $94.54 $163.00 — — 42%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-S $92.22 $159.00 — 60% above 42%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-S $92.22 $159.00 — — 42%
Estradiol blood test CPT 82670 ESTRADIOL; TOTAL $63.80 $110.00 — 3% below 42%
Estradiol blood test inpatient CPT 82670 ESTRADIOL; TOTAL $63.80 $110.00 — — 42%
FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIMULATING $74.24 $128.00 — 9% below 42%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FOLLICLE STIMULATING $74.24 $128.00 — — 42%
Ferritin blood test (iron stores) CPT 82728 FERRITIN $78.30 $135.00 — 13% below 42%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN $78.30 $135.00 — — 42%
Folate (folic acid) blood test CPT 82746 FOLATE $53.94 $93.00 — 32% below 42%
Folate (folic acid) blood test inpatient CPT 82746 FOLATE $53.94 $93.00 — — 42%
Free T3 thyroid hormone test CPT 84481 TRIIODOTHYRONINE (T3) FREE $106.14 $183.00 — 4% above 42%
Free T3 thyroid hormone test inpatient CPT 84481 TRIIODOTHYRONINE (T3) FREE $106.14 $183.00 — — 42%
Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE (T4) FREE $55.68 $96.00 — 18% below 42%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXINE (T4) FREE $55.68 $96.00 — — 42%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL $130.50 $225.00 — 50% below 42%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL $130.50 $225.00 — — 42%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE; POST GLUCOSE DOSE (INCLUDES GLUCOSE) $28.42 $49.00 — 34% below 42%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE; POST GLUCOSE DOSE (INCLUDES GLUCOSE) $28.42 $49.00 — — 42%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE; TOLERANCE TEST (GTT), 3 SPECIMENS (INCLUDES GLUCOSE) $52.78 $91.00 — 48% below 42%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE; TOLERANCE TEST (GTT), 3 SPECIMENS (INCLUDES GLUCOSE) $52.78 $91.00 — — 42%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEAE, NAAT $96.28 $166.00 — 14% above 42%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GONORRHOEAE, NAAT $96.28 $166.00 — — 42%
H. pylori stool antigen test CPT 87338 HELICOBACTER PYLORI AG, STOOL $93.96 $162.00 — 12% below 42%
H. pylori stool antigen test inpatient CPT 87338 HELICOBACTER PYLORI AG, STOOL $93.96 $162.00 — — 42%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1/2 AB/HIV 1/2 AG $53.94 $93.00 — 15% below 42%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 1/2 AB/HIV 1/2 AG $53.94 $93.00 — — 42%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HIGH RISK, POOLED RESULT $104.98 $181.00 — 17% below 42%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV HIGH RISK, POOLED RESULT $104.98 $181.00 — — 42%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C $87.00 $150.00 — 39% above 42%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C $87.00 $150.00 — — 42%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B VIRUS SURFACE AB $74.24 $128.00 — 7% above 42%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B VIRUS SURFACE AB $74.24 $128.00 — — 42%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B VIRUS SURFACE AG $57.42 $99.00 — 3% above 42%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B VIRUS SURFACE AG $57.42 $99.00 — — 42%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C VIRUS AB $98.02 $169.00 — 23% above 42%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C VIRUS AB $98.02 $169.00 — — 42%
High-sensitivity CRP (hs-CRP) test CPT 86141 C REACTIVE PROTEIN, CARDIAC HIGH SENSITIVITY $74.24 $128.00 — 2% above 42%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C REACTIVE PROTEIN, CARDIAC HIGH SENSITIVITY $74.24 $128.00 — — 42%
Insulin blood test CPT 83525 INSULIN $60.90 $105.00 — 11% above 42%
Insulin blood test inpatient CPT 83525 INSULIN $60.90 $105.00 — — 42%
Iron blood test (serum iron) CPT 83540 IRON $51.62 $89.00 — at median 42%
Iron blood test (serum iron) inpatient CPT 83540 IRON $51.62 $89.00 — — 42%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY $52.20 $90.00 — 19% below 42%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITY $52.20 $90.00 — — 42%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL $83.52 $144.00 — 23% below 42%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL $83.52 $144.00 — — 42%
LH (luteinizing hormone) test CPT 83002 LUTROPIN (LH) $93.38 $161.00 — 14% above 42%
LH (luteinizing hormone) test inpatient CPT 83002 LUTROPIN (LH) $93.38 $161.00 — — 42%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE $42.92 $74.00 — 34% below 42%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE $42.92 $74.00 — — 42%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL $58.00 $100.00 — 43% below 42%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL $58.00 $100.00 — — 42%
Lyme disease antibody test CPT 86618 BORRELIA BURGDORFERI SEROLOGY, EVALUATION WITH REFLEX $87.00 $150.00 — 43% above 42%
Lyme disease antibody test inpatient CPT 86618 BORRELIA BURGDORFERI SEROLOGY, EVALUATION WITH REFLEX $87.00 $150.00 — — 42%
Magnesium blood test CPT 83735 MAGNESIUM $53.94 $93.00 — 40% above 42%
Magnesium blood test CPT 83735 MAGNESIUM, URINE, RANDOM $55.68 $96.00 — 45% above 42%
Magnesium blood test CPT 83735 MAGNESIUM, URINE, 24 HR $55.68 $96.00 — 45% above 42%
Magnesium blood test inpatient CPT 83735 MAGNESIUM $53.94 $93.00 — — 42%
Magnesium blood test inpatient CPT 83735 MAGNESIUM, URINE, 24 HR $55.68 $96.00 — — 42%
Magnesium blood test inpatient CPT 83735 MAGNESIUM, URINE, RANDOM $55.68 $96.00 — — 42%
Measles (rubeola) antibody test CPT 86765 MEASLES VIRUS IGG AB $58.58 $101.00 — 60% above 42%
Measles (rubeola) antibody test inpatient CPT 86765 MEASLES VIRUS IGG AB $58.58 $101.00 — — 42%
Mono test (heterophile antibody, Monospot) CPT 86308 INFECTIOUS MONONUCLEOSIS SCREEN $45.24 $78.00 — 12% below 42%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 INFECTIOUS MONONUCLEOSIS SCREEN $45.24 $78.00 — — 42%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE $75.98 $131.00 — 87% above 42%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE $75.98 $131.00 — — 42%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA, DIAGNOSTIC $86.42 $149.00 — 1% above 42%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA, SCREENING $86.42 $149.00 — 1% above 42%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA, SCREENING $86.42 $149.00 — — 42%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA, DIAGNOSTIC $86.42 $149.00 — — 42%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHYRIN INTACT $70.18 $121.00 — 40% below 42%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYRIN INTACT $70.18 $121.00 — — 42%
Partial thromboplastin time (PTT) clotting test CPT 85730 ACTIVATED PARTIAL THROMBOPLASTIN TIME (APTT) $55.68 $96.00 — 5% below 42%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 ACTIVATED PARTIAL THROMBOPLASTIN TIME (APTT) $55.68 $96.00 — — 42%
Progesterone blood test CPT 84144 PROGESTERONE $63.80 $110.00 — 24% below 42%
Progesterone blood test inpatient CPT 84144 PROGESTERONE $63.80 $110.00 — — 42%
Prolactin blood test CPT 84146 PROLACTIN $84.10 $145.00 — 12% above 42%
Prolactin blood test inpatient CPT 84146 PROLACTIN $84.10 $145.00 — — 42%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME $41.18 $71.00 — 33% above 42%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME $41.18 $71.00 — — 42%
Rheumatoid factor (RF) test CPT 86431 RA(RHEUMATOID FACTOR) $62.64 $108.00 — 29% above 42%
Rheumatoid factor (RF) test inpatient CPT 86431 RA(RHEUMATOID FACTOR) $62.64 $108.00 — — 42%
Rubella antibody test (immunity check) CPT 86762 RUBELLA AB, IGG $68.44 $118.00 — 45% above 42%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA AB, IGG $68.44 $118.00 — — 42%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 ERYTHROCYTE SEDIMENTATION RATE, AUTOMATED $35.38 $61.00 — 8% below 42%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 ERYTHROCYTE SEDIMENTATION RATE, AUTOMATED $35.38 $61.00 — — 42%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANALYSIS WITH MORPHOLOGY $82.36 $142.00 — 31% below 42%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 SEMEN ANALYSIS WITH MORPHOLOGY $82.36 $142.00 — — 42%
Stool ova and parasites exam CPT 87177 OVA AND PARASITES $51.62 $89.00 — 22% above 42%
Stool ova and parasites exam inpatient CPT 87177 OVA AND PARASITES $51.62 $89.00 — — 42%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 OCCULT BLOOD, FIT $38.28 $66.00 — 34% below 42%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 OCCULT BLOOD, FIT $38.28 $66.00 — — 42%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB TEST, CELL MEDIATED IMMUNITY ANTIGEN RESP MEAS; QUANTIFERON $150.22 $259.00 — 24% above 42%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TB TEST, CELL MEDIATED IMMUNITY ANTIGEN RESP MEAS; QUANTIFERON $150.22 $259.00 — — 42%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE $91.06 $157.00 — 46% above 42%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE $91.06 $157.00 — — 42%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE $92.80 $160.00 — 1% below 42%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIMULATING HORMONE $92.80 $160.00 — — 42%
Uric acid blood test CPT 84550 URIC ACID $38.86 $67.00 — 15% below 42%
Uric acid blood test inpatient CPT 84550 URIC ACID $38.86 $67.00 — — 42%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS, MACROSCOPIC WITH MICROSCOPIC (AUTOMATED) $40.02 $69.00 — 20% below 42%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS, AUTOMATED, WITH MICROSCOPY $40.02 $69.00 — 20% below 42%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS, AUTOMATED, WITH MICROSCOPY $40.02 $69.00 — — 42%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS, MACROSCOPIC WITH MICROSCOPIC (AUTOMATED) $40.02 $69.00 — — 42%
Urinalysis without microscope exam, automated CPT 81003 URINE BLOOD, DIPSTICK $18.56 $32.00 — 29% below 42%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS, MACROSCOPIC, AUTOMATED $18.56 $32.00 — 29% below 42%
Urinalysis without microscope exam, automated CPT 81003 KETONE, URINE (AUTOMATED) $18.56 $32.00 — 29% below 42%
Urinalysis without microscope exam, automated CPT 81003 PROTEIN, URINE, DIPSTICK $18.56 $32.00 — 29% below 42%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS WITH MACROSCOPIC, REFLEX TO MICROSCOPIC (MANUAL MICROSCOPIC) $19.14 $33.00 — 26% below 42%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS, MACROSCOPIC, AUTOMATED $18.56 $32.00 — — 42%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINE BLOOD, DIPSTICK $18.56 $32.00 — — 42%
Urinalysis without microscope exam, automated inpatient CPT 81003 KETONE, URINE (AUTOMATED) $18.56 $32.00 — — 42%
Urinalysis without microscope exam, automated inpatient CPT 81003 PROTEIN, URINE, DIPSTICK $18.56 $32.00 — — 42%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS WITH MACROSCOPIC, REFLEX TO MICROSCOPIC (MANUAL MICROSCOPIC) $19.14 $33.00 — — 42%
Urinalysis without microscope exam, manual CPT 81002 URINALYSIS, MACROSCOPIC, MANUAL $17.40 $30.00 — 22% below 42%
Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS, MACROSCOPIC, MANUAL $17.40 $30.00 — — 42%
Urine culture for bacteria, with colony count CPT 87086 CULTURE, URINE $65.54 $113.00 — 17% above 42%
Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE, URINE $65.54 $113.00 — — 42%
Urine pregnancy test, read by color change CPT 81025 HCG, QUALITATIVE, URINE $39.44 $68.00 — 2% below 42%
Urine pregnancy test, read by color change inpatient CPT 81025 HCG, QUALITATIVE, URINE $39.44 $68.00 — — 42%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 $53.94 $93.00 — 34% below 42%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12 $53.94 $93.00 — — 42%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25-HYDROXY, TOTAL $122.38 $211.00 — 26% above 42%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25-HYDROXY, TOTAL $122.38 $211.00 — — 42%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA-HCG, QUANTITATIVE $44.66 $77.00 — 47% below 42%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BETA-HCG, QUANTITATIVE $44.66 $77.00 — — 42%

Surgery and procedures

ProcedureCash price List priceInsurers payvs MinnesotaOff list
Botox injections for chronic migraine CPT 64615 CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE $374.68 $646.00 — 38% below 42%
Botox injections for chronic migraine inpatient CPT 64615 CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE $374.68 $646.00 — — 42%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 MAMMO STEREO BREAST BIOPSY $2,640.16 $4,552.00 — 53% above 42%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 MAMMO STEREO BREAST BIOPSY $2,640.16 $4,552.00 — — 42%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION $894.94 $1,543.00 — 13% below 42%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION $894.94 $1,543.00 — — 42%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION WITH REGIONAL BLOCK $1,891.38 $3,261.00 — 676% above 42%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMCISION WITH REGIONAL BLOCK $1,891.38 $3,261.00 — — 42%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 BIOPSY OF ENDOMETRIAL W/O CERVICAL DILATION $282.46 $487.00 — 14% above 42%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 BIOPSY OF ENDOMETRIAL W/O CERVICAL DILATION $282.46 $487.00 — — 42%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 XR EPIDURAL CERVICAL THORACIC INJ $1,422.16 $2,452.00 — 21% above 42%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 XR EPIDURAL CERVICAL THORACIC INJ $1,422.16 $2,452.00 — — 42%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 XR CT FACET INJ LUMB SACR SNGL LVL W GUIDANCE $1,137.38 $1,961.00 — 22% below 42%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 XR CT FACET INJ LUMB SACR SNGL LVL W GUIDANCE $1,137.38 $1,961.00 — — 42%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 SC INJ UTERUS TUBE XRAY $452.98 $781.00 — 50% above 42%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 SC INJ UTERUS TUBE XRAY $452.98 $781.00 — — 42%
IUD insertion (the device itself billed separately) CPT 58300 INSERTION OF INTRAUTERINE DEVICE (IUD) $1,150.72 $1,984.00 — 327% above 42%
IUD insertion (the device itself billed separately) inpatient CPT 58300 INSERTION OF INTRAUTERINE DEVICE (IUD) $1,150.72 $1,984.00 — — 42%
Incision and drainage of a simple or single skin abscess CPT 10060 INCISION AND DRAINAGE OF ABSCESS; SIMPLE OR SINGLE $406.00 $700.00 — 41% above 42%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 INCISION AND DRAINAGE OF ABSCESS; SIMPLE OR SINGLE $406.00 $700.00 — — 42%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 SC INJ TENDON SHEATH OR LIGAMENT $198.36 $342.00 — 46% below 42%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 SC INJ TENDON SHEATH OR LIGAMENT $198.36 $342.00 — — 42%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 SC INJ ASPIRATE LARGE JOINT $338.14 $583.00 — 7% below 42%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS, ASPIRATION AND/OR INJECTION, MAJOR JOINT OR BURSA W/O US GUIDANCE $348.00 $600.00 — 4% below 42%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 SC INJ ASPIRATE LARGE JOINT $338.14 $583.00 — — 42%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCENTESIS, ASPIRATION AND/OR INJECTION, MAJOR JOINT OR BURSA W/O US GUIDANCE $348.00 $600.00 — — 42%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERTION,DRUG DELIVERY IMPLANT $170.52 $294.00 — 37% below 42%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 INSERTION,DRUG DELIVERY IMPLANT $170.52 $294.00 — — 42%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 SC INJ ASPIRATE MEDIUM JOINT $277.82 $479.00 — 9% below 42%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 SC INJ ASPIRATE MEDIUM JOINT $277.82 $479.00 — — 42%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENTESIS, ASPIRATION AND/OR INJECTION, SMALL JOINT OR BURSA; W/O ULTRASOUND GUIDANCE $277.82 $479.00 — 14% below 42%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 SC INJ ASPIRATE SMALL JOINT $277.82 $479.00 — 14% below 42%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 SC INJ ASPIRATE SMALL JOINT $277.82 $479.00 — — 42%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHROCENTESIS, ASPIRATION AND/OR INJECTION, SMALL JOINT OR BURSA; W/O ULTRASOUND GUIDANCE $277.82 $479.00 — — 42%
Lower-back epidural injection, with imaging guidance CPT 62323 XR EPIDURAL LUMBAR OR SACRAL INJ $1,342.12 $2,314.00 — 16% above 42%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 XR EPIDURAL LUMBAR OR SACRAL INJ $1,342.12 $2,314.00 — — 42%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 XR CT FORAMIN INJ LUMB SACR SNGL LVL W GUID $1,328.20 $2,290.00 — 3% above 42%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 XR CT FORAMIN INJ LUMB SACR SNGL LVL W GUID $1,328.20 $2,290.00 — — 42%
Occipital nerve block (injection for headaches) CPT 64405 INJ ANES AGENT/STEROID, GREATER OCCIPITAL NERVE $432.68 $746.00 — 28% below 42%
Occipital nerve block (injection for headaches) inpatient CPT 64405 INJ ANES AGENT/STEROID, GREATER OCCIPITAL NERVE $432.68 $746.00 — — 42%
Paracentesis with imaging guidance CPT 49083 ABDOMINAL PARACENTESIS, WITH IMAGING GUIDANCE $1,287.02 $2,219.00 — 38% above 42%
Paracentesis with imaging guidance CPT 49083 US GUIDE PARACENTESIS ABDOMEN $1,287.02 $2,219.00 — 38% above 42%
Paracentesis with imaging guidance inpatient CPT 49083 US GUIDE PARACENTESIS ABDOMEN $1,287.02 $2,219.00 — — 42%
Paracentesis with imaging guidance inpatient CPT 49083 ABDOMINAL PARACENTESIS, WITH IMAGING GUIDANCE $1,287.02 $2,219.00 — — 42%
Prostate biopsy CPT 55700 SC NDL BX PROSTATE $2,407.58 $4,151.00 — 43% above 42%
Prostate biopsy inpatient CPT 55700 SC NDL BX PROSTATE $2,407.58 $4,151.00 — — 42%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 XR CT FACET DESTRUCT BY NEUROLYTIC LUMB SACR SNGL LVL W GUIDANCE $2,339.72 $4,034.00 — 11% above 42%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 XR CT FACET DESTRUCT BY NEUROLYTIC LUMB SACR SNGL LVL W GUIDANCE $2,339.72 $4,034.00 — — 42%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BIOPSY OF SKIN; SINGLE LESION $268.54 $463.00 — 7% below 42%
Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BIOPSY OF SKIN; SINGLE LESION $268.54 $463.00 — — 42%
Skin tag removal, up to 15 tags CPT 11200 REMOVAL SKIN TAGS, MULTIPLE FIBROCUTANEOUS TAGS; UP TO AND INCLUDING 15 LESIONS $168.20 $290.00 — 14% below 42%
Skin tag removal, up to 15 tags inpatient CPT 11200 REMOVAL SKIN TAGS, MULTIPLE FIBROCUTANEOUS TAGS; UP TO AND INCLUDING 15 LESIONS $168.20 $290.00 — — 42%
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE $837.52 $1,444.00 — 16% above 42%
Spinal tap (lumbar puncture), diagnostic CPT 62270 SC LUMBAR PUNCTURE $861.30 $1,485.00 — 20% above 42%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE $837.52 $1,444.00 — — 42%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SC LUMBAR PUNCTURE $861.30 $1,485.00 — — 42%
Thoracentesis with imaging guidance CPT 32555 US THORACENTESIS W IMAGING GUIDANCE $986.58 $1,701.00 — 6% above 42%
Thoracentesis with imaging guidance inpatient CPT 32555 US THORACENTESIS W IMAGING GUIDANCE $986.58 $1,701.00 — — 42%
Trigger point injections, 1 or 2 muscles CPT 20552 XR TRIGGER POINT 1 OR 2 $191.98 $331.00 — 40% below 42%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 XR TRIGGER POINT 1 OR 2 $191.98 $331.00 — — 42%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 US GUIDE BREAST BX $2,286.36 $3,942.00 — 30% above 42%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 US GUIDE BREAST BX $2,286.36 $3,942.00 — — 42%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT, SUBQ TISSUE; FIRST 20 SQ CM OR LESS $454.14 $783.00 — 2% above 42%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDEMENT, SUBQ TISSUE; FIRST 20 SQ CM OR LESS $454.14 $783.00 — — 42%

Doctor visits and therapy

ProcedureCash price List priceInsurers payvs MinnesotaOff list
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD/BLOOD PRODUCT ADMINISTRATION $700.06 $1,207.00 — 2% below 42%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD/BLOOD PRODUCT ADMINISTRATION $700.06 $1,207.00 — — 42%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER TREATMENT INITIAL $194.30 $335.00 — 66% above 42%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NEBULIZER TREATMENT INITIAL $194.30 $335.00 — — 42%
Chemotherapy IV infusion, first hour CPT 96413 CHEMOTHERAPY ADMIN IV INFUSION PRIMARY UP TO 1 HOUR $410.06 $707.00 — 20% below 42%
Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMOTHERAPY ADMIN IV INFUSION PRIMARY UP TO 1 HOUR $410.06 $707.00 — — 42%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE 30 - 74 MINUTES $1,240.04 $2,138.00 — 22% below 42%
Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE 30 - 74 MINUTES $1,240.04 $2,138.00 — — 42%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG ROUTINE (AWAKE & DROWSY) $503.44 $868.00 — 5% below 42%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG ROUTINE (AWAKE & DROWSY) $503.44 $868.00 — — 42%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG TRACING $172.84 $298.00 — at median 42%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG TRACING $172.84 $298.00 — — 42%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMERGENT LEVEL 1 $155.44 $268.00 — 22% below 42%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 EMERGENT LEVEL 1 $155.44 $268.00 — — 42%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENT LEVEL 2 $262.74 $453.00 — 1% above 42%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 EMERGENT LEVEL 2 $262.74 $453.00 — — 42%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENT LEVEL 3 $531.86 $917.00 — 16% above 42%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 EMERGENT LEVEL 3 $531.86 $917.00 — — 42%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENT LEVEL 4 $854.34 $1,473.00 — 16% above 42%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 EMERGENT LEVEL 4 $854.34 $1,473.00 — — 42%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENT LEVEL 5 $1,178.56 $2,032.00 — 7% above 42%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 EMERGENT LEVEL 5 $1,178.56 $2,032.00 — — 42%
Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST PHARMACOLOGIC $467.48 $806.00 — 36% below 42%
Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST $467.48 $806.00 — 36% below 42%
Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST ETT $467.48 $806.00 — 36% below 42%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 STRESS TEST PHARMACOLOGIC $467.48 $806.00 — — 42%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 STRESS TEST ETT $467.48 $806.00 — — 42%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 STRESS TEST $467.48 $806.00 — — 42%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUSION HYDRATION PRIMARY UP TO 1 HOUR $369.46 $637.00 — 35% above 42%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INFUSION HYDRATION PRIMARY UP TO 1 HOUR $369.46 $637.00 — — 42%
IV infusion of a medicine, first hour CPT 96365 IV INFUSION THERAPY PRIMARY UP TO 1 HOUR $365.98 $631.00 — 12% above 42%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION THERAPY PRIMARY UP TO 1 HOUR $365.98 $631.00 — — 42%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM/SQ MED INJECTION $103.24 $178.00 — 34% above 42%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM/SQ MED INJECTION $103.24 $178.00 — — 42%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MEDICAL NUTRITION THERAPY (MNT) INITIAL $89.90 $155.00 — 44% above 42%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MEDICAL NUTRITION THERAPY (MNT) INITIAL $89.90 $155.00 — — 42%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 CLINICAL NURSING LEVEL 5 (EP) $811.42 $1,399.00 — 319% above 42%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 CLINICAL NURSING LEVEL 5 (EP) $811.42 $1,399.00 — — 42%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 CLINICAL NURSING LEVEL 3 (EP) $568.98 $981.00 — 377% above 42%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 CLINICAL NURSING LEVEL 3 (EP) $568.98 $981.00 — — 42%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 CLINICAL NURSING LEVEL 4 (EP) $718.62 $1,239.00 — 408% above 42%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 CLINICAL NURSING LEVEL 4 (EP) $718.62 $1,239.00 — — 42%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 CLINICAL NURSING LEVEL 2 (EP) $352.64 $608.00 — 283% above 42%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 CLINICAL NURSING LEVEL 2 (EP) $352.64 $608.00 — — 42%
Spirometry (breathing test) CPT 94010 SPIROMETRY PFT $201.84 $348.00 — 18% above 42%
Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY PFT $201.84 $348.00 — — 42%
Spirometry before and after a bronchodilator CPT 94060 BRONCHOSPASM EVAL W SUPINE SPIROMETRY $411.80 $710.00 — 30% above 42%
Spirometry before and after a bronchodilator inpatient CPT 94060 BRONCHOSPASM EVAL W SUPINE SPIROMETRY $411.80 $710.00 — — 42%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEBOTOMY $169.36 $292.00 — 18% below 42%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 THERAPEUTIC PHLEBOTOMY $169.36 $292.00 — — 42%

Vaccines

ProcedureCash price List priceInsurers payvs MinnesotaOff list
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 COVID VAC 25-26(12UP)(MOD)(PF) 50 MCG/0.5 ML IM SYRG $248.74 $428.86 — 36% above 42%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 COVID VAC 25-26(12UP)(MOD)(PF) 50 MCG/0.5 ML IM SYRG $248.74 $428.86 — — 42%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VAC TS 2025-26(6MOS UP)-PF 45 MCG (15 MCG X 3)/0.5 ML IM SYRG $62.11 $107.08 — 180% above 42%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VAC TS 2025-26(6MOS UP)-PF 45 MCG (15 MCG X 3)/0.5 ML IM SYRG $62.11 $107.08 — — 42%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLU VACC TS2025-26(65YR UP)-PF 180 MCG/0.5 ML IM SYRG $152.49 $262.91 — 96% above 42%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLU VACC TS2025-26(65YR UP)-PF 180 MCG/0.5 ML IM SYRG $152.49 $262.91 — — 42%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES,MUMPS,RUBELLA VACC(PF) 1,000-12,500 TCID50/0.5 ML SUBQ SOLR $159.68 $275.31 — 12% above 42%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES,MUMPS,RUBELLA VACC(PF) 1,000-12,500 TCID50/0.5 ML SUBQ SOLR $159.68 $275.31 — — 42%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENING VAC A,C,Y,W135 DIP (PF) 10-5 MCG/0.5 ML IM SOLN $488.06 $841.48 — 150% above 42%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENING VAC A,C,Y,W135 DIP (PF) 10-5 MCG/0.5 ML IM SOLN $488.06 $841.48 — — 42%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL B VACCINE,4-COMP 50-50-50-25 MCG/0.5 ML IM SYRG $378.38 $652.38 — 26% above 42%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL B VACCINE,4-COMP 50-50-50-25 MCG/0.5 ML IM SYRG $378.38 $652.38 — — 42%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOC 20-VAL CONJ-DIP CR(PF) 0.5 ML IM SYRG $558.74 $963.34 — 39% above 42%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOC 20-VAL CONJ-DIP CR(PF) 0.5 ML IM SYRG $558.74 $963.34 — — 42%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PCEC (PF) 2.5 UNIT IM SUSR $711.52 $1,226.75 — 25% above 42%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE, PCEC (PF) 2.5 UNIT IM SUSR $711.52 $1,226.75 — — 42%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHER. TOX (PF) 5-2 LF UNIT/0.5 ML IM SYRG $74.47 $128.39 — 19% above 42%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS AND DIPHTHER. TOX (PF) 5-2 LF UNIT/0.5 ML IM SYRG $74.47 $128.39 — — 42%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 BOOSTRIX TDAP 2.5-8-5 LF-MCG-LF/0.5ML IM SYRG $117.51 $202.60 — 47% above 42%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 BOOSTRIX TDAP 2.5-8-5 LF-MCG-LF/0.5ML IM SYRG $117.51 $202.60 — — 42%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMINISTRATION INFLUENZA VACCINE $58.58 $101.00 — 43% above 42%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMINISTRATION VACCINE $58.58 $101.00 — 43% above 42%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMINISTRATION PNEUMOCOCCAL VACCINE $58.58 $101.00 — 43% above 42%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMINISTRATION VACCINE $58.58 $101.00 — — 42%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMINISTRATION INFLUENZA VACCINE $58.58 $101.00 — — 42%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMINISTRATION PNEUMOCOCCAL VACCINE $58.58 $101.00 — — 42%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMINISTRATION VACCINE - EA ADDITIONAL VACCINE $35.96 $62.00 — 30% above 42%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ADMINISTRATION VACCINE - EA ADDITIONAL VACCINE $35.96 $62.00 — — 42%

Source file: https://alomerehealth.com/wp-content/uploads/2026/03/411410148_1558236091_alomere-health_standardcharges.csv