City of Sleepy Eye
City of Sleepy Eye in Sleepy Eye, MN publishes cash prices for 177 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are above the Minnesota median for 119 of 177 procedures and below it for 55. By typical cash price it ranks #68 of 85 Minnesota hospitals, cheapest first. Click a procedure to compare it with other hospitals nearby.
400 4th Ave NW, Sleepy Eye, MN, 56085-1109 Collected Sep 29, 2026 Source price file (507) 794-3571
Critical access hospital (rural, 25 beds or fewer) Emergency department CCN 241327 · CMS hospital register NPI 1952370348
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Minnesota | Off list |
|---|---|---|---|---|---|
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 SLEEP STUDY W/PAP TITRATE | $4,073.32 | $6,438.00 | $704.59–$6,244.86 | 18% above | 37% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 SLEEP STUDY W/PAP TITRATE | $4,073.32 | $6,438.00 | $704.59–$6,244.86 | — | 37% |
| Sleep study in a lab (polysomnography) CPT 95810 BASELINE SLEEP STUDY | $3,773.42 | $5,964.00 | $670.81–$5,785.08 | 24% above | 37% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 BASELINE SLEEP STUDY | $3,773.42 | $5,964.00 | $670.81–$5,785.08 | — | 37% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Minnesota | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT (ALT) | $99.97 | $158.00 | $5.19–$153.26 | 111% above | 37% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 SGPT (ALT) | $99.97 | $158.00 | $5.19–$153.26 | — | 37% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT (AST) | $99.97 | $158.00 | $5.08–$153.26 | 115% above | 37% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 SGOT (AST) | $99.97 | $158.00 | $5.08–$153.26 | — | 37% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PNL; ACUTE | $607.39 | $960.00 | $46.68–$931.20 | 169% above | 37% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS PNL; ACUTE | $607.39 | $960.00 | $46.68–$931.20 | — | 37% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IgE;Q OR SQ | $24.04 | $38.00 | $5.12–$36.86 | 23% above | 37% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC IgE;Q OR SQ | $24.04 | $38.00 | $5.12–$36.86 | — | 37% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATED PEP | $275.22 | $435.00 | $12.69–$421.95 | 446% above | 37% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULLINATED PEP | $275.22 | $435.00 | $12.69–$421.95 | — | 37% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTI-NUCLEAR ANTIBODY ANA | $131.60 | $208.00 | $11.85–$201.76 | 171% above | 37% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTI-NUCLEAR ANTIBODY ANA | $131.60 | $208.00 | $11.85–$201.76 | — | 37% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP; (B TYPE NATRIURETIC | $374.56 | $592.00 | $38.47–$574.24 | 152% above | 37% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP; (B TYPE NATRIURETIC | $374.56 | $592.00 | $38.47–$574.24 | — | 37% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC | $86.53 | $209.00 | $8.29–$202.73 | 14% below | 59% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC | $86.53 | $209.00 | $8.29–$202.73 | — | 59% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 LEVEL 4 SUR PATH/GLOBAL | $210.73 | $635.00 | $69.56–$615.95 | 100% above | 67% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 LEVEL 4 SUR PATH/GLOBAL | $210.73 | $635.00 | $69.56–$615.95 | — | 67% |
| Blood culture for bacteria CPT 87040 CULTURE, BLOOD | $129.70 | $205.00 | $10.11–$198.85 | 14% above | 37% |
| Blood culture for bacteria inpatient CPT 87040 CULTURE, BLOOD | $129.70 | $205.00 | $10.11–$198.85 | — | 37% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 SPEC COLLECTION/VENIPU | $35.73 | $44.50 | $9.15–$43.16 | 70% above | 20% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 LEGAL BLOOD ALCOHOL COLL | $40.72 | $59.00 | $9.15–$57.23 | 94% above | 31% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 SPEC COLLECTION/VENIPU | $35.73 | $44.50 | $9.15–$43.16 | — | 20% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 LEGAL BLOOD ALCOHOL COLL | $40.72 | $59.00 | $9.15–$57.23 | — | 31% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE | $77.19 | $122.00 | $3.85–$118.34 | 74% above | 37% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE | $77.19 | $122.00 | $3.85–$118.34 | — | 37% |
| Blood lead test CPT 83655 LEAD; SERUM | $194.24 | $307.00 | $11.87–$297.79 | 320% above | 37% |
| Blood lead test inpatient CPT 83655 LEAD; SERUM | $194.24 | $307.00 | $11.87–$297.79 | — | 37% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 SERUM PREG;QUALITA | $90.48 | $143.00 | $7.37–$138.71 | 29% above | 37% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 SERUM PREG;QUALITA | $90.48 | $143.00 | $7.37–$138.71 | — | 37% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO | $86.05 | $136.00 | $2.93–$131.92 | 63% above | 37% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO | $86.05 | $136.00 | $2.93–$131.92 | — | 37% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP, QUANTITATIVE | $70.23 | $111.00 | $5.08–$107.67 | 15% above | 37% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CRP, QUANTITATIVE | $70.23 | $111.00 | $5.08–$107.67 | — | 37% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFFICILE;PCR | $108.82 | $172.00 | $29.72–$166.84 | 20% below | 37% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFFICILE;PCR | $108.82 | $172.00 | $29.72–$166.84 | — | 37% |
| CA 19-9 blood test (tumor marker) CPT 86301 CA-19-9 PANCREAS | $46.82 | $74.00 | $12.79–$71.78 | 54% below | 37% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA-19-9 PANCREAS | $46.82 | $74.00 | $12.79–$71.78 | — | 37% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125,OVARIAN | $432.77 | $684.00 | $20.39–$663.48 | 326% above | 37% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125,OVARIAN | $432.77 | $684.00 | $20.39–$663.48 | — | 37% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV2, RNA | $52.23 | $87.00 | $34.96–$208.69 | 56% below | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID 19 PCR-RAPID | $52.23 | $199.00 | $50.28–$208.69 | 56% below | 74% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV2, RNA | $52.23 | $87.00 | $34.96–$208.69 | — | 40% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID 19 PCR-RAPID | $52.23 | $199.00 | $50.28–$208.69 | — | 74% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS (CT) | $55.04 | $87.00 | $15.03–$84.39 | 40% below | 37% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS (CT) | $55.04 | $87.00 | $15.03–$84.39 | — | 37% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE | $108.93 | $352.00 | $13.12–$341.44 | 18% above | 69% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE | $108.93 | $352.00 | $13.12–$341.44 | — | 69% |
| Complete blood count (CBC) with differential CPT 85025 CBC | $79.40 | $182.00 | $7.61–$176.54 | 5% below | 56% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC | $79.40 | $182.00 | $7.61–$176.54 | — | 56% |
| Complete blood count (CBC), no differential CPT 85027 HEMOGRAM | $87.31 | $138.00 | $6.34–$133.86 | 24% above | 37% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HEMOGRAM | $87.31 | $138.00 | $6.34–$133.86 | — | 37% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENS PANEL | $107.91 | $236.00 | $10.35–$228.92 | 3% above | 54% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENS PANEL | $107.91 | $236.00 | $10.35–$228.92 | — | 54% |
| D-dimer blood test (blood clot marker) CPT 85379 D-DIMER, QUANTITATIVE | $203.73 | $322.00 | $9.98–$312.34 | 102% above | 37% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER, QUANTITATIVE | $203.73 | $322.00 | $9.98–$312.34 | — | 37% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-SULFATE | $456.81 | $722.00 | $21.79–$700.34 | 691% above | 37% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-SULFATE | $456.81 | $722.00 | $21.79–$700.34 | — | 37% |
| Estradiol blood test CPT 82670 ESTRADIOL;TOTAL | $47.45 | $75.00 | $12.96–$72.75 | 28% below | 37% |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL;TOTAL | $47.45 | $75.00 | $12.96–$72.75 | — | 37% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH LEVEL | $171.46 | $271.00 | $18.21–$262.87 | 111% above | 37% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH LEVEL | $171.46 | $271.00 | $18.21–$262.87 | — | 37% |
| Fecal calprotectin (stool inflammation test) CPT 83993 FECAL CALPROTECTIN | $300.53 | $475.00 | $19.24–$460.75 | 217% above | 37% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 FECAL CALPROTECTIN | $300.53 | $475.00 | $19.24–$460.75 | — | 37% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $160.71 | $254.00 | $13.36–$246.38 | 79% above | 37% |
| Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN | $160.71 | $254.00 | $13.36–$246.38 | — | 37% |
| Folate (folic acid) blood test CPT 82746 FOLIC ACID | $195.50 | $309.00 | $14.41–$299.73 | 145% above | 37% |
| Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID | $195.50 | $309.00 | $14.41–$299.73 | — | 37% |
| Free T3 thyroid hormone test CPT 84481 FREE T3 | $241.69 | $382.00 | $16.60–$370.54 | 136% above | 37% |
| Free T3 thyroid hormone test inpatient CPT 84481 FREE T3 | $241.69 | $382.00 | $16.60–$370.54 | — | 37% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4 | $87.95 | $139.00 | $8.84–$134.83 | 29% above | 37% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE T4 | $87.95 | $139.00 | $8.84–$134.83 | — | 37% |
| Free testosterone test CPT 84402 FREE TESTOSTERONE | $214.49 | $339.00 | $24.96–$328.83 | 239% above | 37% |
| Free testosterone test inpatient CPT 84402 FREE TESTOSTERONE | $214.49 | $339.00 | $24.96–$328.83 | — | 37% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL | $501.73 | $793.00 | $137.03–$769.21 | 90% above | 37% |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL | $501.73 | $793.00 | $137.03–$769.21 | — | 37% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GTT-POST GLUCOSE DOSE | $93.01 | $147.00 | $4.66–$142.59 | 116% above | 37% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GTT-POST GLUCOSE DOSE | $93.01 | $147.00 | $4.66–$142.59 | — | 37% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOL TST;3 SPECIME | $236.63 | $374.00 | $12.61–$362.78 | 133% above | 37% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOL TST;3 SPECIME | $236.63 | $374.00 | $12.61–$362.78 | — | 37% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHEA,PCR | $55.04 | $87.00 | $15.03–$84.39 | 35% below | 37% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GONORRHEA,PCR | $55.04 | $87.00 | $15.03–$84.39 | — | 37% |
| H. pylori antibody blood test CPT 86677 H-PYLORI; IgG OR IgM | $515.02 | $814.00 | $16.51–$789.58 | 318% above | 37% |
| H. pylori antibody blood test inpatient CPT 86677 H-PYLORI; IgG OR IgM | $515.02 | $814.00 | $16.51–$789.58 | — | 37% |
| H. pylori stool antigen test CPT 87338 H. PYLORI ANTIGEN | $351.15 | $555.00 | $14.09–$538.35 | 227% above | 37% |
| H. pylori stool antigen test inpatient CPT 87338 H. PYLORI ANTIGEN | $351.15 | $555.00 | $14.09–$538.35 | — | 37% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 RNA, QUANT, NAT | $165.13 | $261.00 | $45.10–$253.17 | 44% above | 37% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 QUANT/REVERSE TRANSC | $477.69 | $755.00 | $83.40–$732.35 | 316% above | 37% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 RNA, QUANT, NAT | $165.13 | $261.00 | $45.10–$253.17 | — | 37% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 QUANT/REVERSE TRANSC | $477.69 | $755.00 | $83.40–$732.35 | — | 37% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1 AG W/HIV1, 2 AB;IA | $18.98 | $30.00 | $5.18–$29.10 | 70% below | 37% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV-1 AG W/HIV1, 2 AB;IA | $18.98 | $30.00 | $5.18–$29.10 | — | 37% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HIGH RISK TYPES | $54.41 | $86.00 | $14.86–$83.42 | 57% below | 37% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV HIGH RISK TYPES | $54.41 | $86.00 | $14.86–$83.42 | — | 37% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C | $79.40 | $217.00 | $9.52–$210.49 | 27% above | 63% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C | $79.40 | $217.00 | $9.52–$210.49 | — | 63% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE AB | $129.70 | $205.00 | $10.53–$198.85 | 86% above | 37% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURFACE AB | $129.70 | $205.00 | $10.53–$198.85 | — | 37% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY | $42.39 | $67.00 | $11.58–$64.99 | 47% below | 37% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY | $42.39 | $67.00 | $11.58–$64.99 | — | 37% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCV, QUANT, DNA PROBE | $156.28 | $247.00 | $41.98–$239.59 | 25% above | 37% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV, QUANT, DNA PROBE | $156.28 | $247.00 | $41.98–$239.59 | — | 37% |
| Herpes blood test, HSV-1 antibody CPT 86695 HsV; IgG TYPE 1 | $37.96 | $60.00 | $10.37–$58.20 | 18% below | 37% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HsV; IgG TYPE 1 | $37.96 | $60.00 | $10.37–$58.20 | — | 37% |
| Herpes blood test, HSV-2 antibody CPT 86696 HsV; IgG TYPE 2 | $32.90 | $52.00 | $8.99–$50.44 | 42% below | 37% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HsV; IgG TYPE 2 | $32.90 | $52.00 | $8.99–$50.44 | — | 37% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 CRP HIGH SENSITIVE,CARDIA | $218.28 | $345.00 | $12.69–$334.65 | 200% above | 37% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP HIGH SENSITIVE,CARDIA | $218.28 | $345.00 | $12.69–$334.65 | — | 37% |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE LEVEL | $330.90 | $523.00 | $17.56–$507.31 | 263% above | 37% |
| Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE LEVEL | $330.90 | $523.00 | $17.56–$507.31 | — | 37% |
| Insulin blood test CPT 83525 INSULIN LEVEL | $33.53 | $53.00 | $9.16–$51.41 | 39% below | 37% |
| Insulin blood test inpatient CPT 83525 INSULIN LEVEL | $33.53 | $53.00 | $9.16–$51.41 | — | 37% |
| Iron blood test (serum iron) CPT 83540 IRON,SERUM | $51.88 | $82.00 | $6.34–$79.54 | 1% above | 37% |
| Iron blood test (serum iron) inpatient CPT 83540 IRON,SERUM | $51.88 | $82.00 | $6.34–$79.54 | — | 37% |
| Iron-binding capacity (TIBC) test CPT 83550 TIBC | $51.88 | $82.00 | $8.57–$79.54 | 20% below | 37% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 TIBC | $51.88 | $82.00 | $8.57–$79.54 | — | 37% |
| Kidney function blood test panel CPT 80069 RENAL PANEL;AMA | $131.60 | $208.00 | $8.51–$201.76 | 22% above | 37% |
| Kidney function blood test panel inpatient CPT 80069 RENAL PANEL;AMA | $131.60 | $208.00 | $8.51–$201.76 | — | 37% |
| LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE | $167.67 | $265.00 | $18.15–$257.05 | 105% above | 37% |
| LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE | $167.67 | $265.00 | $18.15–$257.05 | — | 37% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $160.71 | $254.00 | $6.75–$246.38 | 149% above | 37% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE | $160.71 | $254.00 | $6.75–$246.38 | — | 37% |
| Liver function blood test panel CPT 80076 LIVER PANEL | $132.23 | $209.00 | $8.01–$202.73 | 30% above | 37% |
| Liver function blood test panel inpatient CPT 80076 LIVER PANEL | $132.23 | $209.00 | $8.01–$202.73 | — | 37% |
| Lyme disease antibody test CPT 86618 LYMES DISEASE, ANTIBODY | $60.74 | $96.00 | $16.59–$93.12 | at median | 37% |
| Lyme disease antibody test inpatient CPT 86618 LYMES DISEASE, ANTIBODY | $60.74 | $96.00 | $16.59–$93.12 | — | 37% |
| Magnesium blood test CPT 83735 MAGNESIUM;BLOOD;URINE | $59.47 | $94.00 | $6.57–$91.18 | 55% above | 37% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM;BLOOD;URINE | $59.47 | $94.00 | $6.57–$91.18 | — | 37% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA IGG ANTI | $48.72 | $77.00 | $12.62–$74.69 | 33% above | 37% |
| Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA IGG ANTI | $48.72 | $77.00 | $12.62–$74.69 | — | 37% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE ANTIBODIES; SCREEN | $67.70 | $107.00 | $5.08–$103.79 | 32% above | 37% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HETEROPHILE ANTIBODIES; SCREEN | $67.70 | $107.00 | $5.08–$103.79 | — | 37% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA-FREE | $304.33 | $481.00 | $18.02–$466.57 | 650% above | 37% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA-FREE | $304.33 | $481.00 | $18.02–$466.57 | — | 37% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA;DIAGNOSTIC | $210.69 | $333.00 | $18.02–$323.01 | 147% above | 37% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA;DIAGNOSTIC | $210.69 | $333.00 | $18.02–$323.01 | — | 37% |
| Pap test (liquid-based, automated screening with review) CPT 88175 CYTO;CERV/VAG;THIN PREP AUTO | $46.19 | $73.00 | $12.61–$70.81 | 46% below | 37% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 CYTO;CERV/VAG;THIN PREP AUTO | $46.19 | $73.00 | $12.61–$70.81 | — | 37% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTO;THIN LAYER;MANUAL SC | $33.53 | $53.00 | $9.16–$51.41 | 57% below | 37% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 CYTO;THIN LAYER;MANUAL SC | $33.53 | $53.00 | $9.16–$51.41 | — | 37% |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORM (PTH) | $99.33 | $157.00 | $27.13–$152.29 | 15% below | 37% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORM (PTH) | $99.33 | $157.00 | $27.13–$152.29 | — | 37% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 APTT | $115.78 | $183.00 | $5.89–$177.51 | 97% above | 37% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 APTT | $115.78 | $183.00 | $5.89–$177.51 | — | 37% |
| Progesterone blood test CPT 84144 PROGESTERONE SERUM | $160.71 | $254.00 | $20.44–$246.38 | 91% above | 37% |
| Progesterone blood test inpatient CPT 84144 PROGESTERONE SERUM | $160.71 | $254.00 | $20.44–$246.38 | — | 37% |
| Prolactin blood test CPT 84146 PROLACTIN | $191.08 | $302.00 | $18.99–$292.94 | 155% above | 37% |
| Prolactin blood test inpatient CPT 84146 PROLACTIN | $191.08 | $302.00 | $18.99–$292.94 | — | 37% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME | $71.50 | $113.00 | $4.20–$109.61 | 132% above | 37% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTIME | $71.50 | $113.00 | $4.20–$109.61 | — | 37% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DOA 5 PANEL + ALC-SEMC | $37.33 | $59.00 | $10.20–$57.23 | 36% below | 37% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 FENTANYL, DIRECT OPTICAL OBS | $53.15 | $84.00 | $12.35–$81.48 | 9% below | 37% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DOA 5 PANEL + ALC-SEMC | $37.33 | $59.00 | $10.20–$57.23 | — | 37% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 FENTANYL, DIRECT OPTICAL OBS | $53.15 | $84.00 | $12.35–$81.48 | — | 37% |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A, FIA | $42.39 | $67.00 | $11.58–$64.99 | 27% below | 37% |
| Rapid flu test (influenza antigen) CPT 87804 INFLUENZA B, FIA | $42.39 | $67.00 | $11.58–$64.99 | 27% below | 37% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA B, FIA | $42.39 | $67.00 | $11.58–$64.99 | — | 37% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA A, FIA | $42.39 | $67.00 | $11.58–$64.99 | — | 37% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREPTOCOCCUS, GROUP A | $63.27 | $100.00 | $16.20–$97.00 | 17% above | 37% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREPTOCOCCUS, GROUP A | $63.27 | $100.00 | $16.20–$97.00 | — | 37% |
| Rheumatoid factor (RF) test CPT 86431 RA FACTOR, QUANTITATIVE | $82.25 | $130.00 | $5.56–$126.10 | 70% above | 37% |
| Rheumatoid factor (RF) test inpatient CPT 86431 RA FACTOR, QUANTITATIVE | $82.25 | $130.00 | $5.56–$126.10 | — | 37% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA AB | $48.72 | $77.00 | $13.31–$74.69 | 3% above | 37% |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA AB | $48.72 | $77.00 | $13.31–$74.69 | — | 37% |
| Stool ova and parasites exam CPT 87177 OVA & PARASITE | $129.70 | $205.00 | $8.72–$198.85 | 206% above | 37% |
| Stool ova and parasites exam inpatient CPT 87177 OVA & PARASITE | $129.70 | $205.00 | $8.72–$198.85 | — | 37% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 BLOOD iFOB,STOOL,SCREENIN | $111.99 | $177.00 | $15.60–$171.69 | 94% above | 37% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 BLOOD iFOB,STOOL,SCREENIN | $111.99 | $177.00 | $15.60–$171.69 | — | 37% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS NON-TREP AB, RPR | $48.09 | $76.00 | $4.18–$73.72 | 50% above | 37% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHILIS NON-TREP AB, RPR | $48.09 | $76.00 | $4.18–$73.72 | — | 37% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON GOLD TB | $104.40 | $165.00 | $28.51–$160.05 | 14% below | 37% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON GOLD TB | $104.40 | $165.00 | $28.51–$160.05 | — | 37% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TOTAL TESTOSTERONE | $257.51 | $407.00 | $25.29–$394.79 | 312% above | 37% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TOTAL TESTOSTERONE | $257.51 | $407.00 | $25.29–$394.79 | — | 37% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOME TYPE 1 AB | $195.50 | $309.00 | $14.26–$299.73 | 270% above | 37% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE AB | $198.04 | $313.00 | $14.26–$303.61 | 275% above | 37% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOME TYPE 1 AB | $195.50 | $309.00 | $14.26–$299.73 | — | 37% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE AB | $198.04 | $313.00 | $14.26–$303.61 | — | 37% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE | $136.41 | $350.00 | $16.46–$339.50 | 46% above | 61% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIMULATING HORMONE | $136.41 | $350.00 | $16.46–$339.50 | — | 61% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS;AMP PROB | $144.26 | $228.00 | $34.39–$221.16 | 188% above | 37% |
| Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS;AMP PROB | $144.26 | $228.00 | $34.39–$221.16 | — | 37% |
| Uric acid blood test CPT 84550 URIC ACID, SERUM | $99.97 | $158.00 | $4.43–$153.26 | 120% above | 37% |
| Uric acid blood test inpatient CPT 84550 URIC ACID, SERUM | $99.97 | $158.00 | $4.43–$153.26 | — | 37% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS | $82.25 | $130.00 | $3.11–$126.10 | 64% above | 37% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS | $82.25 | $130.00 | $3.11–$126.10 | — | 37% |
| Urinalysis with microscope exam, manual CPT 81000 URINE PH | $51.88 | $82.00 | $3.94–$79.54 | 35% above | 37% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 URINE PH | $51.88 | $82.00 | $3.94–$79.54 | — | 37% |
| Urinalysis without microscope exam, automated CPT 81003 URINE DIP STICK | $53.15 | $84.00 | $2.20–$81.48 | 105% above | 37% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINE DIP STICK | $53.15 | $84.00 | $2.20–$81.48 | — | 37% |
| Urinalysis without microscope exam, manual CPT 81002 URINE PROTEIN;ALBUSTIX | $53.15 | $84.00 | $3.41–$81.48 | 140% above | 37% |
| Urinalysis without microscope exam, manual CPT 81002 ALBUSTIX-NURSING | $53.15 | $84.00 | $3.41–$81.48 | 140% above | 37% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 ALBUSTIX-NURSING | $53.15 | $84.00 | $3.41–$81.48 | — | 37% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 URINE PROTEIN;ALBUSTIX | $53.15 | $84.00 | $3.41–$81.48 | — | 37% |
| Urine culture for bacteria, with colony count CPT 87086 CULTURE; BACT COLONY CT | $86.05 | $136.00 | $7.91–$131.92 | 54% above | 37% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE; BACT COLONY CT | $86.05 | $136.00 | $7.91–$131.92 | — | 37% |
| Urine pregnancy test, read by color change CPT 81025 URINE PREG;QUALITA | $90.48 | $143.00 | $8.44–$138.71 | 125% above | 37% |
| Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREG;QUALITA | $90.48 | $143.00 | $8.44–$138.71 | — | 37% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 | $58.21 | $92.00 | $14.78–$89.24 | 29% below | 37% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12 | $58.21 | $92.00 | $14.78–$89.24 | — | 37% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VIT D-25 HYDROXY W/FRAC | $161.34 | $255.00 | $29.01–$247.35 | 66% above | 37% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VIT D-25 HYDROXY W/FRAC | $161.34 | $255.00 | $29.01–$247.35 | — | 37% |
| Zinc blood test CPT 84630 ZINC | $72.76 | $115.00 | $11.16–$111.55 | 142% above | 37% |
| Zinc blood test inpatient CPT 84630 ZINC | $72.76 | $115.00 | $11.16–$111.55 | — | 37% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANTITIVE | $84.15 | $133.00 | $14.75–$129.01 | at median | 37% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG QUANTITIVE | $84.15 | $133.00 | $14.75–$129.01 | — | 37% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Minnesota | Off list |
|---|---|---|---|---|---|
| Botox injections for chronic migraine CPT 64615 INJ BOTOX FACIAL/TRIG/CERVICAL | $534.63 | $845.00 | $141.72–$819.65 | 12% below | 37% |
| Botox injections for chronic migraine inpatient CPT 64615 INJ BOTOX FACIAL/TRIG/CERVICAL | $534.63 | $845.00 | $141.72–$819.65 | — | 37% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 DEFIBRILATOR | $495.40 | $783.00 | $135.30–$759.51 | 47% below | 37% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 DEFIBRILATOR | $495.40 | $783.00 | $135.30–$759.51 | — | 37% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 NEWBORN CIRCUMCISION | $323.94 | $512.00 | $88.47–$496.64 | 33% above | 37% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 NEWBORN CIRCUMCISION | $323.94 | $512.00 | $88.47–$496.64 | — | 37% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 TREAT DISTAL RADIAL FRACTURE | $1,151.51 | $1,820.00 | $314.50–$1,765.40 | 134% above | 37% |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 TREAT DISTAL RADIAL FRACTURE | $1,151.51 | $1,820.00 | $314.50–$1,765.40 | — | 37% |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 COLPOSCOPY W/BIOPSY | $575.76 | $910.00 | $155.64–$882.70 | 5% above | 37% |
| Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 COLPOSCOPY W/BIOPSY | $575.76 | $910.00 | $155.64–$882.70 | — | 37% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTO SURGERY | $2,896.50 | $4,578.00 | $211.38–$4,440.66 | 288% above | 37% |
| Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 CYSTO SURGERY | $2,896.50 | $4,578.00 | $211.38–$4,440.66 | — | 37% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCTION BENIGN LESION | $180.32 | $285.00 | $49.25–$276.45 | at median | 37% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 DESTRUCTION BENIGN LESION | $180.32 | $285.00 | $49.25–$276.45 | — | 37% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 ENDOMETRIAL BIOPSY | $284.72 | $450.00 | $77.76–$436.50 | 15% above | 37% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 ENDOMETRIAL BIOPSY | $284.72 | $450.00 | $77.76–$436.50 | — | 37% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 INJ CERVICAL/THORACIC W/IMAGE | $1,333.10 | $2,107.00 | $272.76–$2,043.79 | 31% above | 37% |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 INJ CERVICAL/THORACIC W/IMAGE | $1,333.10 | $2,107.00 | $272.76–$2,043.79 | — | 37% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ LUMBAR/SACRAL W/IMAGE;SGLE | $1,161.64 | $1,836.00 | $187.23–$1,780.92 | 3% below | 37% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 INJ LUMBAR/SACRAL W/IMAGE;SGLE | $1,161.64 | $1,836.00 | $187.23–$1,780.92 | — | 37% |
| IUD insertion (the device itself billed separately) CPT 58300 INSERTION OF IUD | $299.90 | $474.00 | $81.91–$459.78 | 18% above | 37% |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 INSERTION OF IUD | $299.90 | $474.00 | $81.91–$459.78 | — | 37% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I & D ABSCESS | $232.83 | $368.00 | $63.59–$356.96 | 18% below | 37% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I & D ABSCESS | $232.83 | $368.00 | $63.59–$356.96 | — | 37% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 Inguinal Hernia-Open procedure | $10,055.37 | $12,829.00 | $455.75–$12,444.13 | 478% above | 22% |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 Inguinal Hernia-Open procedure | $10,055.37 | $12,829.00 | $455.75–$12,444.13 | — | 22% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 TRIGGER FINGER INJECTION | $178.42 | $282.00 | $48.73–$273.54 | 49% below | 37% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 TRIGGER FINGER INJECTION | $178.42 | $282.00 | $48.73–$273.54 | — | 37% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS;MAJOR JT/BURSA | $236.63 | $374.00 | $64.63–$362.78 | 35% below | 37% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCENTESIS;MAJOR JT/BURSA | $236.63 | $374.00 | $64.63–$362.78 | — | 37% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERTION, DRUG IMPLANT | $239.16 | $378.00 | $65.32–$366.66 | 12% below | 37% |
| Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 INSERTION, DRUG IMPLANT | $239.16 | $378.00 | $65.32–$366.66 | — | 37% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCENTESIS/INJ JT W/O US | $316.35 | $500.00 | $55.05–$485.00 | 4% above | 37% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ARTHROCENTESIS/INJ JT W/O US | $316.35 | $500.00 | $55.05–$485.00 | — | 37% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENTESIS JT/BURSA WO US | $179.69 | $284.00 | $49.08–$275.48 | 44% below | 37% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ARTHROCENTESIS JT/BURSA WO US | $179.69 | $284.00 | $49.08–$275.48 | — | 37% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAYER CLOSURE SCALP/TRUNK/EXT | $526.41 | $613.00 | $105.93–$594.61 | 16% above | 14% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 LAYER CLOSURE SCALP/TRUNK/EXT | $526.41 | $613.00 | $105.93–$594.61 | — | 14% |
| Lower-back epidural injection, with imaging guidance CPT 62323 INJ LUMBAR/SACRAL W/IMAGE GUID | $1,312.22 | $2,074.00 | $269.77–$2,011.78 | 26% above | 37% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 INJ LUMBAR/SACRAL W/IMAGE GUID | $1,312.22 | $2,074.00 | $269.77–$2,011.78 | — | 37% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 EPI INJ LUMBAR/SACRAL W/IMAGE | $1,242.62 | $1,964.00 | $261.27–$1,905.08 | 3% below | 37% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 EPI INJ LUMBAR/SACRAL W/IMAGE | $1,242.62 | $1,964.00 | $261.27–$1,905.08 | — | 37% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXCISION BENIGN TRUNK EXTREMIT | $264.47 | $418.00 | $72.23–$405.46 | 32% below | 37% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXCISION BENIGN TRUNK EXTREMIT | $264.47 | $418.00 | $72.23–$405.46 | — | 37% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC BENIGN FACE EAR TO .5CM | $315.72 | $499.00 | $86.23–$484.03 | 40% below | 37% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EXC BENIGN FACE EAR TO .5CM | $315.72 | $499.00 | $86.23–$484.03 | — | 37% |
| Nail removal (partial or complete), one nail CPT 11730 AVULSION OF NAIL PLATE | $264.47 | $418.00 | $72.23–$405.46 | at median | 37% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION OF NAIL PLATE | $264.47 | $418.00 | $72.23–$405.46 | — | 37% |
| Occipital nerve block (injection for headaches) CPT 64405 GREATER OCCIPITAL NERVE BLOCK | $559.94 | $885.00 | $73.58–$858.45 | 5% below | 37% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 GREATER OCCIPITAL NERVE BLOCK | $559.94 | $885.00 | $73.58–$858.45 | — | 37% |
| Paracentesis with imaging guidance CPT 49083 ABDOMINAL PARACENTESIS W/IMAGE | $325.84 | $515.00 | $88.99–$499.55 | 63% below | 37% |
| Paracentesis with imaging guidance inpatient CPT 49083 ABDOMINAL PARACENTESIS W/IMAGE | $325.84 | $515.00 | $88.99–$499.55 | — | 37% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION OF NAIL, PART OR COMP | $541.59 | $856.00 | $147.92–$830.32 | 10% above | 37% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXCISION OF NAIL, PART OR COMP | $541.59 | $856.00 | $147.92–$830.32 | — | 37% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DESTRCT VERTEBRAL,LUMB/SAC;SGL | $2,160.04 | $3,414.00 | $458.83–$3,311.58 | 3% above | 37% |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 DESTRCT VERTEBRAL,LUMB/SAC;SGL | $2,160.04 | $3,414.00 | $458.83–$3,311.58 | — | 37% |
| Removal of a breast lump, open surgery CPT 19120 EXCISION TUMOR, LESION, BREAST | $942.09 | $1,489.00 | $257.30–$1,444.33 | 36% below | 37% |
| Removal of a breast lump, open surgery inpatient CPT 19120 EXCISION TUMOR, LESION, BREAST | $942.09 | $1,489.00 | $257.30–$1,444.33 | — | 37% |
| Removal of a foreign object under the skin, simple CPT 10120 REMOVAL FOREIGN BODY | $299.27 | $473.00 | $81.73–$458.81 | 23% below | 37% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 REMOVAL FOREIGN BODY | $299.27 | $473.00 | $81.73–$458.81 | — | 37% |
| Short arm cast (elbow to hand) CPT 29075 APPL SHORT ARM CAST;ELB TO FIN | $230.30 | $364.00 | $62.90–$353.08 | at median | 37% |
| Short arm cast (elbow to hand) inpatient CPT 29075 APPL SHORT ARM CAST;ELB TO FIN | $230.30 | $364.00 | $62.90–$353.08 | — | 37% |
| Short arm splint (forearm and hand) CPT 29125 APPLICATION SHORT ARM SPLINT | $170.20 | $269.00 | $46.48–$260.93 | 14% below | 37% |
| Short arm splint (forearm and hand) inpatient CPT 29125 APPLICATION SHORT ARM SPLINT | $170.20 | $269.00 | $46.48–$260.93 | — | 37% |
| Short leg cast (below the knee) CPT 29405 APPLICATION OF SHORT LEG CAST | $255.61 | $404.00 | $69.81–$391.88 | 6% below | 37% |
| Short leg cast (below the knee) inpatient CPT 29405 APPLICATION OF SHORT LEG CAST | $255.61 | $404.00 | $69.81–$391.88 | — | 37% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 REPAIR WOUND SCALP TRUNK EXTR | $330.90 | $523.00 | $90.37–$507.31 | 21% above | 37% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 REPAIR WOUND SCALP TRUNK EXTR | $330.90 | $523.00 | $90.37–$507.31 | — | 37% |
| Skin biopsy, punch, one lesion CPT 11104 PUNCH BIOPSY OF SKIN;LESION | $206.26 | $326.00 | $56.33–$316.22 | 26% below | 37% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BIOPSY OF SKIN;LESION | $206.26 | $326.00 | $56.33–$316.22 | — | 37% |
| Skin tag removal, up to 15 tags CPT 11200 REMOVE SKIN TAGS UP TO 15 LESI | $230.30 | $364.00 | $62.90–$353.08 | 17% above | 37% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 REMOVE SKIN TAGS UP TO 15 LESI | $230.30 | $364.00 | $62.90–$353.08 | — | 37% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 REPAIR WOUND SCALP TRUNK EXTRE | $366.97 | $580.00 | $100.22–$562.60 | 18% above | 37% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 REPAIR WOUND SCALP TRUNK EXTRE | $366.97 | $580.00 | $100.22–$562.60 | — | 37% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 REPAIR WOUND FACE EAR MUC MEM | $347.35 | $549.00 | $94.87–$532.53 | 27% above | 37% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 REPAIR WOUND FACE EAR MUC MEM | $347.35 | $549.00 | $94.87–$532.53 | — | 37% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGENTIAL BIOPSY SKIN;LESION | $471.36 | $745.00 | $94.29–$722.65 | 86% above | 37% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 TANGENTIAL BIOPSY SKIN;LESION | $471.36 | $745.00 | $94.29–$722.65 | — | 37% |
| Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W/US GUIDANCE | $1,262.24 | $1,995.00 | $306.20–$1,935.15 | 41% above | 37% |
| Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W/US GUIDANCE | $1,262.24 | $1,995.00 | $306.20–$1,935.15 | — | 37% |
| Trigger point injections, 1 or 2 muscles CPT 20552 TRIGGER POINT INJ 1-2 MUSCLES | $241.69 | $382.00 | $49.92–$370.54 | 22% below | 37% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 TRIGGER POINT INJ 1-2 MUSCLES | $241.69 | $382.00 | $49.92–$370.54 | — | 37% |
| Vasectomy, one or both sides, including follow-up semen testing one side CPT 55250 VASECTOMY,UNILATERAL OR BILATE | $1,082.55 | $1,711.00 | $295.66–$1,659.67 | 29% below | 37% |
| Vasectomy, one or both sides, including follow-up semen testing inpatient one side CPT 55250 VASECTOMY,UNILATERAL OR BILATE | $1,082.55 | $1,711.00 | $295.66–$1,659.67 | — | 37% |
| Wart removal, up to 14 warts CPT 17110 DESTRUCTION WARTS UP TO 15 | $204.36 | $323.00 | $55.81–$313.31 | 4% above | 37% |
| Wart removal, up to 14 warts inpatient CPT 17110 DESTRUCTION WARTS UP TO 15 | $204.36 | $323.00 | $55.81–$313.31 | — | 37% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Minnesota | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 SCHED BLD PRODUCT ADMIN | $685.21 | $1,083.00 | $47.11–$1,050.51 | 4% below | 37% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADM-ISOLATION | $938.29 | $1,483.00 | $47.11–$1,438.51 | 32% above | 37% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 SCHED BLD PRODUCT ADMIN | $685.21 | $1,083.00 | $47.11–$1,050.51 | — | 37% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD ADM-ISOLATION | $938.29 | $1,483.00 | $47.11–$1,438.51 | — | 37% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HAND HELD NEB-ER | $72.76 | $115.00 | $8.52–$111.55 | 38% below | 37% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HANDHELD NEBULIZER | $94.27 | $149.00 | $8.52–$144.53 | 20% below | 37% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 EZ PAP TREATMENT INITIA | $158.81 | $251.00 | $8.52–$243.47 | 36% above | 37% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HAND HELD NEB-ER | $72.76 | $115.00 | $8.52–$111.55 | — | 37% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HANDHELD NEBULIZER | $94.27 | $149.00 | $8.52–$144.53 | — | 37% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 EZ PAP TREATMENT INITIA | $158.81 | $251.00 | $8.52–$243.47 | — | 37% |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE 1ST HOUR | $1,996.80 | $3,156.00 | $296.25–$3,061.32 | 29% above | 37% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE 1ST HOUR | $1,996.80 | $3,156.00 | $296.25–$3,061.32 | — | 37% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 12 LEAD EKG | $237.19 | $428.00 | $6.83–$415.16 | 37% above | 45% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 12 LEAD EKG | $237.19 | $428.00 | $6.83–$415.16 | — | 45% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 LEVEL 1 ER | $255.61 | $404.00 | $10.16–$391.88 | 32% above | 37% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 LEVEL 1 ER | $255.61 | $404.00 | $10.16–$391.88 | — | 37% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 LEVEL 2 ER | $358.11 | $566.00 | $37.23–$549.02 | 45% above | 37% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 LEVEL 2 ER | $358.11 | $566.00 | $37.23–$549.02 | — | 37% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 LEVEL 3 ER | $503.63 | $796.00 | $63.74–$772.12 | 21% above | 37% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 LEVEL 3 ER | $503.63 | $796.00 | $63.74–$772.12 | — | 37% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 LEVEL 4 ER | $978.15 | $1,546.00 | $108.24–$1,499.62 | 43% above | 37% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 LEVEL 4 ER | $978.15 | $1,546.00 | $108.24–$1,499.62 | — | 37% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 LEVEL 5 ER | $1,465.33 | $2,316.00 | $157.48–$2,246.52 | 55% above | 37% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 LEVEL 5 ER | $1,465.33 | $2,316.00 | $157.48–$2,246.52 | — | 37% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 TREADMILL STRESS EKG | $1,092.67 | $1,727.00 | $38.93–$1,675.19 | 51% above | 37% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST TRACING | $1,226.42 | $1,644.00 | $38.93–$1,594.68 | 69% above | 25% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 TREADMILL STRESS EKG | $1,092.67 | $1,727.00 | $38.93–$1,675.19 | — | 37% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 STRESS TEST TRACING | $1,226.42 | $1,644.00 | $38.93–$1,594.68 | — | 25% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV FOR HYDRATION 1 HR | $270.80 | $428.00 | $33.28–$415.16 | 1% below | 37% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV FOR HYDRATION 1 HR | $270.80 | $428.00 | $33.28–$415.16 | — | 37% |
| IV infusion of a medicine, first hour CPT 96365 ER IV INFUSION; TO 1 HR | $156.91 | $248.00 | $42.85–$240.56 | 52% below | 37% |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSION UP TO 1 HOUR | $305.59 | $483.00 | $66.54–$468.51 | 7% below | 37% |
| IV infusion of a medicine, first hour CPT 96365 IV INFUSE 1ST HR ISOLATIO | $372.03 | $588.00 | $66.54–$570.36 | 14% above | 37% |
| IV infusion of a medicine, first hour inpatient CPT 96365 ER IV INFUSION; TO 1 HR | $156.91 | $248.00 | $42.85–$240.56 | — | 37% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION UP TO 1 HOUR | $305.59 | $483.00 | $66.54–$468.51 | — | 37% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSE 1ST HR ISOLATIO | $372.03 | $588.00 | $66.54–$570.36 | — | 37% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 OP INJ SQ/IM/DX/THER/PROH | $39.86 | $63.00 | $10.89–$61.11 | 48% below | 37% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 ER INJECTION; SUBQ OR IM | $51.88 | $82.00 | $14.17–$79.54 | 33% below | 37% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 OP INJ SQ/IM/DX/THER/PROH | $39.86 | $63.00 | $10.89–$61.11 | — | 37% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ER INJECTION; SUBQ OR IM | $51.88 | $82.00 | $14.17–$79.54 | — | 37% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 DIET CONSULT-INITIAL 15 MIN | $53.15 | $84.00 | $14.52–$81.48 | 15% below | 37% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 DIET CONSULT-INITIAL 15 MIN | $53.15 | $84.00 | $14.52–$81.48 | — | 37% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE/OP EST PT LEV 5/40 MIN+ | $313.19 | $495.00 | $85.54–$480.15 | 62% above | 37% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OFFICE/OP EST PT LEV 5/40 MIN+ | $313.19 | $495.00 | $85.54–$480.15 | — | 37% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE/OP EST PT LEV 3/20 MIN+ | $228.40 | $361.00 | $62.38–$350.17 | 115% above | 37% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OFFICE/OP EST PT LEV 3/20 MIN+ | $228.40 | $361.00 | $62.38–$350.17 | — | 37% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 PAIN MGMT FOLLOW UP | $76.56 | $121.00 | $20.91–$118.58 | 46% below | 37% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 PAIN MGMT CONSULT | $111.99 | $177.00 | $30.59–$171.69 | 21% below | 37% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE/OP EST PT LEV 4/30 MIN+ | $285.35 | $451.00 | $77.93–$437.47 | 102% above | 37% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 PAIN MGMT FOLLOW UP | $76.56 | $121.00 | $20.91–$118.58 | — | 37% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 PAIN MGMT CONSULT | $111.99 | $177.00 | $30.59–$171.69 | — | 37% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OFFICE/OP EST PT LEV 4/30 MIN+ | $285.35 | $451.00 | $77.93–$437.47 | — | 37% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE/OP EST PT LEV 2/10 MIN+ | $198.04 | $313.00 | $54.09–$303.61 | 137% above | 37% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OFFICE/OP EST PT LEV 2/10 MIN+ | $198.04 | $313.00 | $54.09–$303.61 | — | 37% |
| Spirometry (breathing test) CPT 94010 PULM FUNC SCREEN | $348.62 | $551.00 | $29.33–$534.47 | 119% above | 37% |
| Spirometry (breathing test) inpatient CPT 94010 PULM FUNC SCREEN | $348.62 | $551.00 | $29.33–$534.47 | — | 37% |
| Spirometry before and after a bronchodilator CPT 94060 SPIROMETRY (PRE & POST) | $490.98 | $776.00 | $43.11–$752.72 | 69% above | 37% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 SPIROMETRY (PRE & POST) | $490.98 | $776.00 | $43.11–$752.72 | — | 37% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPUTIC | $146.15 | $231.00 | $39.92–$224.07 | 29% below | 37% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY THERAPUTIC | $146.15 | $231.00 | $39.92–$224.07 | — | 37% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Minnesota | Off list |
|---|---|---|---|---|---|
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 SPIKEVAX COVID 12 YRS+ | $144.87 | $194.20 | $78.03–$329.12 | 21% below | 25% |
| COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 SPIKEVAX COVID 12 YRS+ | $144.87 | $194.20 | $78.03–$329.12 | — | 25% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLUARIX (FLU) VACCINE 6 MOS+ | $34.13 | $59.30 | $17.06–$57.52 | 54% above | 42% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLUARIX (FLU) VACCINE 6 MOS+ | $34.13 | $59.30 | $17.06–$57.52 | — | 42% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 ENGERIX B (HEP B) VACCINE | $114.83 | $143.00 | $53.74–$143.29 | 2% above | 20% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 ENGERIX B (HEP B) VACCINE | $114.83 | $143.00 | $53.74–$143.29 | — | 20% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLUZONE (FLU) VACCINE HD | $83.51 | $104.00 | $41.79–$169.99 | 7% above | 20% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLUZONE (FLU) VACCINE HD | $83.51 | $104.00 | $41.79–$169.99 | — | 20% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES, MUMPS,RUBELLA VACCINE | $153.77 | $191.50 | $73.85–$196.92 | 8% above | 20% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES, MUMPS,RUBELLA VACCINE | $153.77 | $191.50 | $73.85–$196.92 | — | 20% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PREVNAR 20 VACCINE | $529.02 | $658.80 | $227.55–$639.04 | 32% above | 20% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PREVNAR 20 VACCINE | $529.02 | $658.80 | $227.55–$639.04 | — | 20% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL 23-VALENT VACCINE | $183.57 | $234.20 | $94.10–$271.74 | 22% above | 22% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL 23-VALENT VACCINE | $183.57 | $234.20 | $94.10–$271.74 | — | 22% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 BEYFORTUS(NIRSEVIMAB)50MG/.5ML | $893.18 | $1,112.30 | $404.77–$1,079.39 | 66% above | 20% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 BEYFORTUS(NIRSEVIMAB)50MG/.5ML | $893.18 | $1,112.30 | $404.77–$1,079.39 | — | 20% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 ABRYSVO 120MCG/0.5ML VACCINE | $568.52 | $708.00 | $238.93–$686.76 | 99% above | 20% |
| RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 ABRYSVO 120MCG/0.5ML VACCINE | $568.52 | $708.00 | $238.93–$686.76 | — | 20% |
| Rabies vaccine, one dose CPT 90675 RABAVERT RABIES VAC 2.5 UNIT | $667.36 | $1,043.10 | $250.27–$1,011.81 | 18% above | 36% |
| Rabies vaccine, one dose inpatient CPT 90675 RABAVERT RABIES VAC 2.5 UNIT | $667.36 | $1,043.10 | $250.27–$1,011.81 | — | 36% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 SHINGRIX VACCINE 0.5ML | $346.17 | $431.10 | $154.12–$418.17 | 44% above | 20% |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 SHINGRIX VACCINE 0.5ML | $346.17 | $431.10 | $154.12–$418.17 | — | 20% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS&DIPH(Td) PRES FREE VAC | $68.17 | $101.90 | $25.56–$98.84 | 9% above | 33% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS&DIPH(Td) PRES FREE VAC | $68.17 | $101.90 | $25.56–$98.84 | — | 33% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETAN/DIPH/PERT (Tdap)VACCINE | $78.65 | $117.40 | $29.49–$113.88 | 1% below | 33% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETAN/DIPH/PERT (Tdap)VACCINE | $78.65 | $117.40 | $29.49–$113.88 | — | 33% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 FLU - ADMIN IMMUNZIATION-IM | $22.78 | $36.00 | $6.22–$34.92 | 45% below | 37% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN IMMUNIZATION-IM | $44.92 | $71.00 | $12.27–$68.87 | 9% above | 37% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN ER-IM | $59.47 | $94.00 | $16.24–$91.18 | 45% above | 37% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 FLU - ADMIN IMMUNZIATION-IM | $22.78 | $36.00 | $6.22–$34.92 | — | 37% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN IMMUNIZATION-IM | $44.92 | $71.00 | $12.27–$68.87 | — | 37% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN ER-IM | $59.47 | $94.00 | $16.24–$91.18 | — | 37% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADM IMMUNIZATION-EA ADD'L | $33.53 | $53.00 | $9.16–$51.41 | 21% above | 37% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ADM IMMUNIZATION-EA ADD'L | $33.53 | $53.00 | $9.16–$51.41 | — | 37% |
Source file: https://semedicalcenter.org/wp-content/uploads/2026/04/416005545_city-of-sleepy-eye_standardcharges.csv