HH Cost of Care

Price Estimates for Common Services

To help patients estimate the cost of common services, Hennepin Healthcare is also providing the following historical pricing information.

The prices listed below are gross charges based on a 2018 historical average of similar services for our patients. Unlike the fee schedules, some of these services are bundled and include the typical associated charges.

Because these are averages based on historical data, they do not reflect the exact amount that you may be charged or have to pay. Deductible, coinsurance and co-pays can vary so it is important to consult with your insurance company. Both physician and facility fees are listed below.

Note: These prices are good as of 12/1/18 but are subject to change at any time. Prices are updated on an annual basis.

OB

 Description  Average Facility Price  Average Provider Price
 Circumcision (Up to 14 days after birth) $  100.00  $ 100.00 
 Cesarean Delivery $  30,145.00  $ 6,261.00 
 Vaginal Delivery $ 10,583.00  $ 5,470.00 
 Urine Pregnancy Test $ 84.70   
 Intra Uterine Device (Placement) $ 2800.00  $ 570.00 
 Intra Uterine Device (Removal) $ 686.00  $ 452.00 

Office Visit

Office Visit

These are historical average gross charges for OB/GYN Services. Refer to Hennepin Healthcare’s Fee Schedules for current fees. 

For Office visits, your Facility Fee could be different than your Physician Fee. Physician and facility charges are set according to levels, but those levels are based on different criteria and may not coincide.  Facility levels are calculated based on intensity of services provided by ancillary staff (i.e. RN, MA, tech.)  and will most likely be different than the physician level of service, which is defined by the AMA (American Medical Association) and based on three general criteria (History, Exam and Medical Decision Making).

 Description  Facility Charge  Provider Charge
 Hospital-Based Established Patient 
 Level I $ 120.60  $ 43.34 
 Level II $ 148.50  $ 93.19 
 Level III $ 196.20  $ 153.87 
 Level IV $ 261.90  $ 226.11 
 Level V $ 341.10  $ 303.41 
 Hospital-Based New Patient
 Level I $124.20  $ 93.19 
 Level II $ 157.50  $ 158.21 
 Level III $ 208.80  $ 229.00 
 Level IV $ 269.10  $ 349.65 
 Level V $ 351.00  $ 423.73 

Lab

 Description  Provider-Based Price
 Blood test, basic group of blood chemicals $ 139.70 
 Complete blood cell count (red cells, white blood cell, platelets),  automated test $ 101.20 
 Complete blood cell count (red cells, white blood cell, platelets), automated test $ 90.20 
 Magnesium level $ 47.30 
 Liver function blood test panel $ 94.60 
 Troponin (protein) analysis $ 90.20 
 Detection test for Neisseria gonorrhoeae (gonorrhoeae bacteria) $ 124.30 
 Detection test for chlamydia $ 124.30 
 Blood creatinine level $ 34.10 
 Calcium level $ 72.60 
 Blood glucose (sugar) level $ 31.90 
 Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide) $ 66.00 
 Blood test, clotting time $ 70.40 
 Phosphate level $ 28.60 
 Blood test, thyroid stimulating hormone (TSH) $ 111.10 
 Blood test, lipids (cholesterol and triglycerides) $ 94.60 
 Manual urinalysis test with examination using microscope $ 84.70 
 Manual urinalysis test with examination using microscope $ 84.70 
 Bacterial colony count, urine $ 111.10 
 Blood gases measurement $ 158.40 
 Blood potassium level $ 30.80 
 Hemoglobin measurement $ 24.20 
 Lactic acid level $ 100.10 
 Mass spectrometry (laboratory testing method) $ 128.70 
 Hemoglobin A1C level $ 93.50 
 Bacterial blood culture $ 211.20 
 Screening test for pathogenic organisms $ 60.50 
 Detection test for Hepatitis B surface antigen $ 70.40 
 Creatinine level to test for kidney function or muscle injury $ 53.90 
 Lipase (fat enzyme) level $ 72.60 
 Urine pregnancy test $ 84.70 
 Blood sodium level $ 29.70 
 Hepatitis B surface antibody measurement $ 67.10 
 Blood test, comprehensive group of blood chemicals $ 226.60 
 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision $ 101.20 
 Coagulation assessment blood test $ 82.50 
 Detection test for Strep (Streptococcus, group A) $ 83.60 
 Smear for infectious agents $ 70.40 
 Measurement C-reactive protein for detection of infection or inflammation $ 86.90 
 Urine micro albumin (protein) level $ 64.90 
 Thyroxine (thyroid chemical) measurement $ 92.40 
 Ferritin (blood protein) level $ 135.30 
 Tuberculosis test $ 180.00 
 Bacterial blood culture $ 211.20 
 LDL cholesterol level $ 51.70 
 Liver enzyme (SGPT), level $ 34.10 
 Creatine kinase (cardiac enzyme) level $ 51.70 
 Detection test for human papillomavirus (HPV) $ 145.20 
 

Radiology/Imaging

Hospital-based prices include physician and hospital fees combined.

 Description  Provider-Based Price
 CT scan head or brain $ 1,185.38 
 CT scan of face $ 1,240.50 
 CT scan of neck with contrast $ 1,548.59 
 Brain or head MR Angiogram (MRA) $ 2,294.25 
 MR Angiogram (MR) of neck blood vessels before and after contrast $ 4,657.52 
 MRI scan brain without contrast $ 2,248.56 
 MRI scan of brain before and after contrast $ 3,748.97 
 CT scan chest $ 1,447.66 
 CT scan chest with contrast $ 1,704.27 
 X-ray of lumbar and sacral spine $ 405.25 
 CT scan of cervical spine $ 1,349.91 
 CT scan of thoracic spine $ 1,408.13 
 CT scan of lumbo/sacral spine $ 1,340.73 
 MRI scan of cervical spinal canal $ 2,215.30 
 MRI scan of thoracic spinal canal $ 2,178.19 
 MRI scan of lumbar spinal canal $ 2,706.40 
 MRI scan of cervical spinal canal before and after contrast $ 3,754.91 
 MRI scan of thoracic spinal canal before and after contrast $ 3,733.21 
 MRI scan of lumbar spinal canal before and after contrast $ 3,751.52 
 MRI scan of pelvis before and after contrast $ 4,064.14 
 X-ray of hand $ 294.19 
 MRI scan of arm joint i.e. shoulder, elbow, wrist joint $ 2,194.53 
 X-ray of lower leg, 2 views $ 335.41 
 CT scan leg or lower extremity $ 1,338.03 
 MRI scan of leg joint i.e. knee, ankle, hip joint $ 2,208.98 
 CT scan of abdomen and pelvis $ 1,637.32 
 CT scan of abdomen and pelvis with contrast $ 2,403.28 
 MRI scan of abdomen $ 2,335.72 
 MRI scan of abdomen before and after contrast $ 4,021.68 
 MRI of heart before and after contrast $ 2,757.42 
 Ultrasound of abdomen $ 815.85 
 Abdominal ultrasound of pregnant uterus (less than 14 weeks 0 days) single or first fetus $ 691.47 
 Ultrasound of pelvis $ 739.54 
 Bone scan $ 1,810.17 
 VQ Scan $ 1,672.23 
 PET CT skull base to mid-thigh $ 6,703.57 
 Mammogram, screening bilateral including CAD $ 497.15 
 Mammogram, diagnostic bilateral including CAD $ 556.89 
 Mammogram, diagnostic unilateral including CAD $ 446.49 
 X-Ray, chest; single view $ 114.78 
 X-Ray, chest; 2 views $ 117.52 
 X-Ray, chest; 3 views $ 122.44 
 X-Ray, chest; 4 or more views $ 214.10 
 X-Ray, abdomen; 1 view $ 114.78 
 X-Ray, abdomen; 2 views $ 210.30 
 X-Ray, abdomen; 3 or more views $ 213.59 
 Diagnostic Mammography w/CAD and Tomography; Unilateral $ 624.49 
 Diagnostic Mammography w/CAD and Tomography; Bilateral $ 734.89 
 Screening Mammography w/Tomography $ 649.1

Operating Room

Procedure Bundles: The procedural charges listed below are a bundle which includes the facility fee, physician fee, anesthesiology fee, and other associated charges.

The final charge will depend on the following factors:

  • Number of days spent in the hospital
  • Type of implant and surgical approach
  • Preexisting conditions
  • Length of time spent in the operating room
  • Unanticipated care or equipment required
 Description  Average Facility Price  Average Provider Price
 Cystoscopy (Bladder Scope)

$ 16,289.00 

$ 3,319.00 

 Laparoscopic Cholecystectomy (Gallbladder   Removal)

$ 24,687.00 

$ 5,192.00 

 Trigger Finger

$ 2,913.00 

$ 1,176.00 

 Arthroscopy (Knee)

$ 19,832.00 

$ 4,289.00 

 Arthroscopy (Shoulder)

$ 25,993.00 

$ 7,649.00 

 Total Knee Replacement / Knee Arthroplasty

$ 48,526.00 

$ 8,164.00 

 Total Hip Replacement /  Hip Arthroplasty

$ 52,771.00 

$ 10,661.00 

 Hernia Repair

$ 18,833.00 

$ 4,005.00 

 Carpal Tunnel

$ 7,736.00 

$ 2,467.00 

 Cesarean Delivery

$  30,145.00 

$ 6,261.00 

 Cataract Extraction

$ 13,533.00 

$ 4,007.00 

 Reversal of Tubal Sterilization

$ 7,213.00 

$2,287.00 

Gastrointestinal

Procedure Bundles: The procedure costs listed below include the facility fee, physician fee, and anesthesiology fee.

 Description  Average Facility Price  Average Provider Price
 GI Diagnostic Colonoscopy

$ 4,869.00 

$ 946.00 

 GI Diagnostic Colonoscopy with procedure (Range)

$ 6,790.00 

$ 1,422.00 

 Esophagogastroduodenoscopy (EGD)

$ 4,312.00 

$ 1,129.00 

 Endoscopic Retrograde Cholangiopancreatography   (ERCP) (Removal)

$ 15,712.00 

$ 1,912.00 

Vaccines

Note: Other visit fees may apply.

 Description  Hospital-Based Price
 Chickenpox/Shingles (Herpes Zoster/Varicella) $  339.60 – $498.00 
 Yellow Fever $  360.00 
 Japanese Encephalitis $  730.80 
 DtaP (Diphtheria, Tetanus, and Pertussis) $  67.20 – $ 217.20 
 Tdap (Tetanus, Diphtheria, and Pertussis) $  150.00 
 Bacille Calmette-Guerin (BCG/Tuberculosis) $  435.60 
 Hepatitis A/B (Adult) $  144.00 – 285.60 
 Hepatitis B (Child) $  80.40 
 Influenza (Nasal/Flu Mist) $  50.65 
 Influenza Shot $  98.40 
 Human Papillomavirus (HPV) $  360.00 
 MMR (Measles, Mumps, Rubella) $  201.60 
 MMR + Varicella $  433.20 
 Pneumococcal (Pneumonia) $  186.00 – $ 384.00 
 Typhoid $  276.00 
 Rabies $  544.80 – $876.00 

Integrative Health

Note: Portions of these costs may be covered by insurance, but insurance benefits vary. Please contact your insurance company for more information on what your out of pocket cost will be.

 Description  Hospital-Based Price
 Acupuncture
 Acupuncture, 1 or more needles; without electrical stimulation,   initial 15 minutes of personal one-on-one contact with the patient  $ 32.49 
 Acupuncture, 1 or more needles; without electrical stimulation, each   additional 15 minutes of personal one-on-one contact with the   patient, with re-insertion of needle(s) (List separately in addition to   code for primary procedure)  $ 27.00 
 Acupuncture, 1 or more needles; with electrical stimulation, initial   15 minutes of personal one-on-one contact with the patient  $ 35.24 
 Acupuncture, 1 or more needles; with electrical stimulation, each   additional 15 minutes of personal one-on-one contact with the   patient, with re-insertion of needle(s) (List separately in addition to   code for primary procedure)  $ 29.74 
 Chiropractic
 Chiropractic manipulative treatment (CMT); spinal, 1-2 regions  $ 56.78 
 Chiropractic manipulative treatment (CMT); spinal, 3-4 regions  $ 66.84 
 Chiropractic manipulative treatment (CMT); spinal, 5 regions  $ 26.53 
 Chiropractic manipulative treatment (CMT); extraspinal, 1 or more   regions  $ 54.10

Cosmetic/Retail

Note: These services are considered to be non-covered or retail services and are not eligible for Hennepin Care or Self-pay discounting.

 Description  Price
 Fraxel Laser
 Eyes $750.00 
 Face $1,150.00 
 Face/Neck $1,250.00 
 Neck $325.00 
 Face/Neck/Chest $1,875.00 
 Chest $800.00 
 Back $800.00 
 Arms $2,000.00 
 Hands $550.00 
 Abdomen $1,500.00 
 Legs $2,000.00 
 Fillers
 Vobella $450.00 per syringe 
 Vollure $700.00 per syringe 
 Voluma $850.00 per syringe 
 Juvederm Ultra $600.00 per syringe 
 Juvederm Ultra Plus $600.00 per syringe 
 Kybella Level 1 Package $1,000.00 
 Kybella Level 2 Package $1,500.00 
 V Beam Laser
 Face Complete $350.00 
 Face Limited $200.00 
 Nose/Scar/Misc $125.00 
 Angiomas $325.00 
 Chemical Peels  

 $125/Peel
 Buy 8, Save $100

$125.00 
 Microneedling  

 $350/session.
 Buy 5 or more – $50 off each session

$350.00 
 Skin Tags  
 $20/Tag, Minimum of 5 $100.00 
 Botox  
 $13 per Unit, Minimum of 20 Units $260.00 
 Keratosis  
 $20/Lesion, Minimum of 5 $100.00 
 Miscellaneous
 Dive Physical $ 250.00 
 PRP Injection 60CC $ 1,100.00 
 PRP Injection 30CC $ 800.00 
 Amniofix Injection $ 500.00 
 CT Calcium Scoring/CAC Score $ 142.00