Defining the Cost of Care at Hennepin Healthcare

This information is intended to make our prices as transparent as possible. These prices include only our Hospital-Based clinics. They do not include the North Loop, Saint Anthony, Richfield, BeWell, and Golden Valley clinics. The prices shown on this site are the gross charges and do not indicate final out-of-pocket costs. Please contact your insurance company to find more information on what your cost will be after insurance.

Insured/Uninsured Patients

Insured Patients

Consult with your insurance company to obtain precise information about what is covered and how much you would have to pay (your financial responsibility and out of pocket cost) for a particular health care service provided at Hennepin Healthcare. For patients with deductibles, the amount charged will be at a negotiated rate and will not necessarily be the list prices seen below.

Uninsured Patients

If you do not have insurance, please contact our Financial Counseling department to help determine eligible coverage for more accurate pricing. Our financial counselors are prepared to help determine what plan you may qualify for and assist you with the application process. You may ask for help at any time, but it is best to seek assistance before or at the time of service. Financial counselors can be reached at 612-873-9500.

Definitions

Definitions

Bundled Charges/Services: Charges that are grouped together, including multiple services. For example, a knee replacement will include the facility fee (hospital stay), anesthesiology charges, physician fee, pre-operative clearance, and supplies.

Claim (insurance): A formal request for reimbursement to an insurance company for medical services. A claim can make up several charges, this is the bill we send to the insurance company at negotiated rates.

Copay: A fixed out of pocket amount set by the insurance plan which is paid by the insured party, usually prior to a visit.

Coinsurance: An out of pocket percentage set by the insurance plan where the percentage of the claim is paid by the insured party.

CPT: Current Procedural Terminology (CPT) is a medical coding set used to identify/categorize medical, surgical and diagnostic procedures.

Deductible: An amount of money set by an insurance plan that must be paid by the insured party before insurance benefits will start paying on claims.

Estimate: An approximation of the cost of healthcare services.

Facility Fee: The price the hospital sets for its portion of services. This could include certain supplies, room use, utilities, equipment, ancillary staff, and does not include professional provider charges.

Gross Charges: The list price. Contractual insurance rates or discounts are not included in this amount.

Guarantor: The person or party responsible for payment of services.

Hospital-Based Fee: the nationally-recognized billing process for services rendered in a hospital outpatient clinic or location. The location does not need to be at a hospital location.

Hospital-Based Location: Hospital-based care is care provided at a location that is clinically integrated with a hospital. This includes any of the clinics located on the downtown Hennepin Healthcare campus. Insurance may pay differently for services in these locations than a Freestanding Location.

Facility Fee: The price the hospital sets for its services.

Fee Schedule: A list of set fees for gross charges.

Freestanding Location: Locations not licensed as Hospital Based. This includes Hennepin Healthcare’s BeWell, North Loop, Richfield, Golden Valley, and Saint Anthony clinics.

Net Charges: The amount charged for service including contractual insurance rates or discounts. This is the amount seen on a claim or statement.

Non-Covered Services: Services not covered or paid for by insurance.

Out of Pocket Cost: The guarantor or insured parties expenses that are not covered by insurance. This includes the deductible, copays, coinsurance and any costs for non-covered services.

Physician Fee: The charge for a provider’s professional services.

Prior Authorization: An insurance company’s pre-service approval that they will help pay for authorized services.

Provider: The physician or other advanced practitioners who provide professional services to the patient.  

Statement: Otherwise known as a bill. This is what is sent to a guarantor for any outstanding balance.

Discounts

Discounts

Discounts are available to patients without insurance. The following are our standard self-pay discounts set by the Attorney General:

  • Provider-Based (excludes freestanding locations - BeWell Clinic, North Loop Clinic, Richfield Clinic, Golden Valley Clinic, Saint Anthony Village Clinic) - 54%
  • International Patients - 10%

Hennepin Charity Care: Refer to the Financial Assistance page for more information.
Note: Not all services, such as cosmetic services, include a discount for self-pay patients.

Contact Us Today

If you don’t see the information you want or need help in understanding the cost of your care, we can assist. Our price estimate team is prepared to provide a price estimate. Ask for help at any time, but it is best to seek assistance before the time of service. The Price Estimate department can be reached at:

Phone: 612-873-9500
Email: [email protected]
Online Requests: Price Estimate Form

Price Estimates for Common Services

Hennepin Healthcare provides the following historical pricing information to help patients estimate the cost of common services.

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.

These are averages are 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.

State Mandated Clinic Price Transparency

Effective 7/1/19, Hennepin Healthcare will post our most common 25 services in our primary care (pediatrics, internal medicine, family medicine, OB/GYN) clinics that are over $25. This information can also be accessed via the State Mandated Clinic Price Transparency poster (PDF). These posters include the price charged by Hennepin Healthcare in provider-based and freestanding locations. It also includes the reimbursement rates for Medicaid, Medicare, and commercial insurance. The amounts posted do not reflect the amount individual patients or their health insurance plan will owe for the services listed. For specific information about the amount owed, patients will need to contact their insurance company.

OB/GYN
 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  Provider Charge  Facility Charge  Total
 Hospital-Based New Patient      
 Level I  $97.85  $127.93  $225.78
 Level II $166.12  $162.23  $328.35
 Level III $240.45  $215.06  $455.51
 Level IV $367.13  $ 277.17  $644.30
 Level V $454.37  $361.53  $815.90
 Hospital-Based Established Patient      
 Level I $45.51  $124.22  $169.73
 Level II $97.85  $152.96  $250.81
 Level III $161.56  $202.09  $363.65
 Level IV $237.42  $269.76  $507.18
 Level V $318.58  $351.33  $669.91
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 $ 649.12 
Operating Room (OR)

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 (GI)

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 

Fee Schedules

The following fee schedules show the complete list of Hennepin Healthcare fees and their descriptions. These reflect the gross charges (list price), not the amount the patient or insurance would be liable for. These fee schedules are listed in a machine-readable format as required by the government. The Price Estimate section below shows our prices in a more patient-friendly format.

These charges show the fee for the particular care, test and treatment listed. They do not reflect the diagnosis, its severity or the cost of any resulting or corresponding treatment recommended by physicians to treat a condition or diagnosis. Professional charges (physician) are not included in these fee schedules.

When a patient is seen for multiple services, multiple fees can be associated with that visit. It is important to contact your insurance company to determine out of pocket cost and verify if there is a need for prior authorization.

The following documents are in Excel format.

Contact Us

Price Estimate Department

Our price estimate team is prepared to help determine a price estimate. Ask for help at any time, however, it is best to seek assistance before the time of service.

612-873-9500

[email protected]

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