▸ Hospital · MN · CCN 240053
Park Nicollet Methodist Hospital
6500 EXCELSIOR BLVD, ST. LOUIS PARK, MN, 55426-4702
357 bedsAcute Care Hospitals2
Compliance grade
A
97/100
Procedures tracked
150
of 209 target codes
Payers
8
with negotiated rates
Rates published
13,499
last crawl 2026-05-24
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 6 | $23,942 | $7,421.86 | $8,070.71 | $11,646 | $24,573 |
| Psychiatric diagnostic evaluation | CPT | 90791 | 6 | $539 | $140.14 | $90.09 | $204.77 | $404.25 |
| Psychotherapy 30 minutes | CPT | 90832 | 5 | $471 | $122.46 | $90.09 | $210.94 | $353.25 |
| Psychotherapy 45 minutes | CPT | 90834 | 5 | $656 | $170.56 | $90.09 | $210.94 | $492 |
| Psychotherapy 60 minutes | CPT | 90837 | 5 | $668 | $173.68 | $90.09 | $210.94 | $626.86 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 8 | $315 | $81.9 | $50.17 | $91.3 | $582 |
| ED visit level 2 | CPT | 99282 | 8 | $570 | $148.2 | $92.42 | $164.2 | $704 |
| ED visit level 3 | CPT | 99283 | 8 | $1,004 | $261.04 | $161.24 | $287.1 | $965 |
| ED visit level 4 | CPT | 99284 | 8 | $1,628 | $423.28 | $250.29 | $441.52 | $1,693 |
| ED visit level 5 | CPT | 99285 | 8 | $3,612 | $939.12 | $362.97 | $663.61 | $2,709 |
| Critical care, first hour | CPT | 99291 | 8 | $4,526 | $1,176.76 | $501.45 | $957.52 | $4,678 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 8 | $438 | $113.88 | $62.13 | $110.26 | $1,103 |
| CT head with contrast | CPT | 70460 | 8 | $641 | $166.66 | $103.83 | $184.58 | $1,103 |
| CT head with and without contrast | CPT | 70470 | 8 | $768 | $199.68 | $103.83 | $185.86 | $1,103 |
| CT neck with contrast | CPT | 70491 | 8 | $801 | $208.26 | $103.83 | $192.69 | $1,103 |
| MRI brain without contrast | CPT | 70551 | 8 | $891 | $231.66 | $138.47 | $250.63 | $2,335 |
| MRI brain with contrast | CPT | 70552 | 8 | $1,305 | $339.3 | $217.32 | $378.43 | $2,335 |
| MRI brain with and without contrast | CPT | 70553 | 8 | $1,502 | $390.52 | $217.32 | $370.3 | $2,335 |
| Chest X-ray single view | CPT | 71045 | 8 | $98 | $25.48 | $23.72 | $89.07 | $367 |
| Chest X-ray 2 views | CPT | 71046 | 8 | $131 | $34.06 | $31.7 | $89.07 | $367 |
| Chest X-ray 3 views | CPT | 71047 | 7 | $164 | $42.64 | $51.35 | $89.07 | $367 |
| CT chest without contrast | CPT | 71250 | 8 | $602 | $156.52 | $62.13 | $115.1 | $1,103 |
| CT chest with contrast | CPT | 71260 | 8 | $803 | $208.78 | $103.83 | $192.69 | $1,103 |
| CT chest with and without contrast | CPT | 71270 | 8 | $981 | $255.06 | $103.83 | $192.69 | $1,103 |
| MRI chest without contrast | CPT | 71550 | 8 | $1,944 | $505.44 | $138.47 | $261.64 | $2,335 |
| MRI chest with contrast | CPT | 71551 | 8 | $2,851 | $741.26 | $656.19 | $799.21 | $2,138.25 |
| MRI chest with and without contrast | CPT | 71552 | 8 | $2,653 | $689.78 | $217.32 | $386.55 | $2,335 |
| Lumbosacral spine X-ray | CPT | 72100 | 8 | $162 | $42.12 | $39.2 | $107.57 | $367 |
| CT cervical spine without contrast | CPT | 72125 | 8 | $632 | $164.32 | $62.13 | $115.1 | $1,103 |
| CT thoracic spine without contrast | CPT | 72128 | 8 | $632 | $164.32 | $62.13 | $115.1 | $1,103 |
| CT lumbar spine without contrast | CPT | 72131 | 8 | $629 | $163.54 | $62.13 | $115.1 | $1,103 |
| MRI cervical spine without contrast | CPT | 72141 | 8 | $856 | $222.56 | $138.47 | $250.63 | $2,335 |
| MRI thoracic spine without contrast | CPT | 72146 | 8 | $856 | $222.56 | $138.47 | $250.63 | $2,335 |
| MRI lumbar spine without contrast | CPT | 72148 | 8 | $859 | $223.34 | $138.47 | $250.63 | $2,335 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 8 | $1,330 | $345.8 | $217.32 | $378.43 | $2,335 |
| MRI cervical spine with and without contrast | CPT | 72156 | 8 | $1,518 | $394.68 | $217.32 | $370.3 | $2,335 |
| MRI lumbar spine with contrast | CPT | 72158 | 8 | $1,515 | $393.9 | $217.32 | $370.3 | $2,335 |
| CT pelvis without contrast | CPT | 72192 | 8 | $545 | $141.7 | $62.13 | $115.1 | $1,103 |
| CT pelvis with contrast | CPT | 72193 | 8 | $1,106 | $287.56 | $103.83 | $192.69 | $1,103 |
| Shoulder X-ray | CPT | 73030 | 8 | $143 | $37.18 | $34.61 | $89.07 | $367 |
| Humerus X-ray | CPT | 73060 | 8 | $137 | $35.62 | $32.43 | $89.07 | $367 |
| Hand X-ray 3 views | CPT | 73130 | 8 | $155 | $40.3 | $37.51 | $89.07 | $367 |
| MRI upper extremity joint without contrast | CPT | 73221 | 8 | $968 | $251.68 | $138.47 | $250.63 | $2,335 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 8 | $2,072 | $538.72 | $217.32 | $386.55 | $2,335 |
| Knee X-ray 1-2 views | CPT | 73560 | 8 | $150 | $39 | $36.3 | $89.07 | $367 |
| Ankle X-ray 3 views | CPT | 73610 | 8 | $155 | $40.3 | $37.51 | $89.07 | $367 |
| MRI lower extremity joint without contrast | CPT | 73721 | 8 | $968 | $251.68 | $138.47 | $250.63 | $2,335 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 8 | $2,067 | $537.42 | $217.32 | $386.55 | $2,335 |
| CT abdomen without contrast | CPT | 74150 | 8 | $538 | $139.88 | $62.13 | $115.1 | $1,103 |
| CT abdomen with contrast | CPT | 74160 | 8 | $1,101 | $286.26 | $103.83 | $192.69 | $1,103 |
| CT abdomen with and without contrast | CPT | 74170 | 8 | $1,255 | $326.3 | $103.83 | $192.69 | $1,103 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 8 | $676 | $175.76 | $138.47 | $250.63 | $1,103 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 8 | $1,416 | $368.16 | $217.32 | $361.27 | $1,103 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 8 | $1,609 | $418.34 | $217.32 | $370.3 | $1,206.75 |
| MRI abdomen without contrast | CPT | 74181 | 8 | $911 | $236.86 | $138.47 | $250.63 | $2,335 |
| MRI abdomen with and without contrast | CPT | 74183 | 8 | $1,693 | $440.18 | $217.32 | $386.55 | $2,335 |
| Abdominal ultrasound complete | CPT | 76700 | 8 | $495 | $128.7 | $62.13 | $115.1 | $381 |
| Abdominal ultrasound limited | CPT | 76705 | 8 | $374 | $97.24 | $62.13 | $110.26 | $381 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 8 | $461 | $119.86 | $62.13 | $111.56 | $381 |
| Obstetric ultrasound first trimester | CPT | 76801 | 8 | $438 | $113.88 | $62.13 | $110.26 | $381 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 8 | $544 | $141.44 | $62.13 | $115.1 | $408 |
| Transvaginal ultrasound | CPT | 76830 | 8 | $533 | $138.58 | $62.13 | $115.1 | $399.75 |
| Pelvic ultrasound complete | CPT | 76856 | 8 | $454 | $118.04 | $62.13 | $110.26 | $381 |
| Scrotal ultrasound | CPT | 76870 | 8 | $443 | $115.18 | $62.13 | $110.26 | $381 |
| Screening mammography bilateral | CPT | 77067 | 7 | $588 | $152.88 | $91.61 | $139.31 | $536.75 |
| EKG tracing only | CPT | 93005 | 8 | $243 | $63.18 | $21 | $60.09 | $182.25 |
| Transthoracic echocardiogram complete | CPT | 93306 | 8 | $2,302 | $598.52 | $303 | $557.08 | $1,726.5 |
| Stress echocardiogram | CPT | 93350 | 8 | $1,274 | $331.24 | $303 | $561.59 | $1,006.9 |
| inpatient | ||||||||
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 6 | $42,938 | $13,311 | $9,029.28 | $12,981 | $27,491 |
| COPD w MCC | MS-DRG | 190 | 6 | $32,896 | $10,198 | $6,400.29 | $9,319.43 | $19,487 |
| COPD w CC | MS-DRG | 191 | 6 | $32,012 | $9,923.83 | $4,870.85 | $7,189.34 | $14,830 |
| COPD w/o CC/MCC | MS-DRG | 192 | 6 | $15,632 | $4,845.86 | $3,739.52 | $5,302.8 | $11,386 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 6 | $21,157 | $6,558.55 | $4,656.49 | $6,890.8 | $14,177 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 6 | $20,928 | $6,487.63 | $3,631.47 | $5,463.22 | $11,057 |
| AMI discharged alive w MCC | MS-DRG | 280 | 6 | $40,459 | $12,542 | $9,268.49 | $13,314 | $28,219 |
| AMI discharged alive w CC | MS-DRG | 281 | 6 | $31,797 | $9,857.07 | $5,310.56 | $7,801.73 | $16,169 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 6 | $30,470 | $9,445.75 | $4,178.07 | $6,224.48 | $12,721 |
| Heart failure & shock w MCC | MS-DRG | 291 | 6 | $33,459 | $10,372 | $7,417.8 | $10,737 | $22,585 |
| Heart failure & shock w CC | MS-DRG | 292 | 6 | $26,833 | $8,318.23 | $4,905.52 | $7,237.63 | $14,936 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 6 | $25,988 | $8,056.25 | $3,270.35 | $4,960.26 | $9,957.07 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 6 | $35,863 | $11,117 | $6,956.71 | $10,094 | $21,181 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 6 | $17,844 | $5,531.59 | $4,250.87 | $6,325.88 | $12,942 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 6 | $17,299 | $5,362.67 | $3,270.93 | $4,961.07 | $9,958.83 |
| GI hemorrhage w CC | MS-DRG | 378 | 6 | $27,934 | $8,659.45 | $5,666.48 | $8,297.45 | $17,252 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 6 | $23,853 | $7,394.29 | $3,642.45 | $5,478.5 | $11,090 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 6 | $20,248 | $6,276.88 | $4,504.53 | $6,679.15 | $13,715 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 6 | $76,519 | $23,721 | $9,058.17 | $13,021 | $27,579 |
| Kidney/UTI w MCC | MS-DRG | 689 | 6 | $31,854 | $9,874.68 | $6,704.21 | $9,742.72 | $20,412 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 6 | $22,168 | $6,871.99 | $4,677.29 | $6,919.76 | $14,241 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 6 | $44,635 | $13,837 | $11,224 | $16,037 | $34,172 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 6 | $26,159 | $8,109.38 | $5,912.63 | $8,640.25 | $18,002 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 8 | $64 | $16.64 | $7.67 | $8.97 | $48 |
| General health panel | CPT | 80050 | 6 | $251 | $65.26 | $44.18 | $61.28 | $188.25 |
| Electrolyte panel | CPT | 80051 | 8 | $54 | $14.04 | $6.35 | $7.43 | $40.5 |
| Comprehensive metabolic panel | CPT | 80053 | 8 | $80 | $20.8 | $9.57 | $11.19 | $60 |
| Lipid panel | CPT | 80061 | 8 | $101 | $26.26 | $12.12 | $14.19 | $75.75 |
| Renal function panel | CPT | 80069 | 8 | $66 | $17.16 | $7.86 | $9.2 | $49.5 |
| Hepatic function panel | CPT | 80076 | 8 | $62 | $16.12 | $7.39 | $8.66 | $46.5 |
| Urinalysis non-automated | CPT | 81002 | 8 | $26 | $6.76 | $3.15 | $3.69 | $19.5 |
| Urinalysis automated | CPT | 81003 | 8 | $18 | $4.68 | $2.04 | $2.39 | $13.5 |
| Glucose quantitative | CPT | 82947 | 8 | $47 | $12.22 | $3.56 | $4.17 | $35.25 |
| Hemoglobin A1c | CPT | 83036 | 8 | $74 | $19.24 | $8.8 | $10.29 | $55.5 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 8 | $127 | $33.02 | $15.21 | $17.81 | $95.25 |
| Complete blood count with automated differential | CPT | 85025 | 8 | $59 | $15.34 | $7.03 | $8.24 | $44.25 |
| Complete blood count without differential | CPT | 85027 | 8 | $49 | $12.74 | $5.85 | $6.63 | $36.75 |
| Urine culture bacterial | CPT | 87086 | 8 | $61 | $15.86 | $7.3 | $8.55 | $45.75 |
| Urine culture identification | CPT | 87088 | 8 | $61 | $15.86 | $7.32 | $8.58 | $45.75 |
| Tissue exam by pathologist level IV | CPT | 88305 | 8 | $559 | $145.34 | $30.62 | $93.65 | $419.25 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 8 | $595 | $154.7 | $112.6 | $203.5 | $446.25 |
| office | ||||||||
| Office visit, established patient, 40-54 min | CPT | 99215 | 5 | $651 | $169.26 | $135.05 | $261.16 | $627.02 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 8 | $3,417 | $888.42 | $512.25 | $948.42 | $3,497 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 8 | $3,292 | $855.92 | $512.25 | $948.42 | $3,497 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 8 | $2,539 | $660.14 | $482 | $922.27 | $2,151 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 8 | $2,983 | $775.58 | $482 | $922.27 | $2,237.25 |
| Colonoscopy diagnostic | CPT | 45378 | 8 | $4,753 | $1,235.78 | $516.47 | $945.32 | $3,564.75 |
| Colonoscopy with biopsy | CPT | 45380 | 8 | $5,268 | $1,369.68 | $621 | $1,192.73 | $3,951 |
| Colonoscopy with polyp removal | CPT | 45385 | 8 | $5,455 | $1,418.3 | $621 | $1,192.73 | $4,091.25 |
| surgery | ||||||||
| Total hip replacement | CPT | 27130 | 8 | $38,122 | $9,911.72 | $5,060 | $12,139 | $28,592 |
| Total knee replacement | CPT | 27447 | 8 | $38,122 | $9,911.72 | $5,060 | $12,139 | $28,592 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 5 | $7,579 | $1,970.54 | $322 | $1,213.91 | $5,684.25 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 8 | $20,723 | $5,387.98 | $2,647.63 | $6,739.39 | $15,542 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 8 | $9,375 | $2,437.5 | $1,406.94 | $3,190 | $7,031.25 |
| ACL reconstruction | CPT | 29888 | 8 | $20,723 | $5,387.98 | $3,323.04 | $6,758.34 | $15,542 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 6 | $98,755 | $30,614 | $27,239 | $37,395 | $80,862 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 6 | $73,442 | $22,767 | $14,206 | $19,696 | $42,172 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 6 | $58,425 | $18,112 | $9,972.87 | $13,948 | $29,606 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 6 | $57,182 | $17,726 | $10,024 | $14,018 | $29,759 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 6 | $44,791 | $13,885 | $8,093.73 | $11,396 | $24,027 |
| Laparoscopic appendectomy | CPT | 44970 | 7 | $16,713 | $4,345.38 | $3,083 | $5,901.92 | $12,535 |
| Major joint replacement w MCC | MS-DRG | 469 | 6 | $71,436 | $22,145 | $17,975 | $24,814 | $53,360 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 6 | $57,861 | $17,937 | $11,431 | $15,928 | $33,933 |
| Laparoscopic cholecystectomy | CPT | 47562 | 8 | $19,017 | $4,944.42 | $2,369.12 | $5,703.03 | $14,263 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 8 | $19,481 | $5,065.06 | $2,369.12 | $5,901.92 | $14,611 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 6 | $76,748 | $23,792 | $6,636.22 | $23,368 | $51,233 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 6 | $62,996 | $19,529 | $6,770.59 | $16,918 | $36,846 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 6 | $49,197 | $15,251 | $9,665.31 | $13,531 | $28,693 |
| Lap inguinal hernia repair | CPT | 49650 | 8 | $16,713 | $4,345.38 | $2,369.12 | $5,703.03 | $12,535 |
| Lap salpingo-oophorectomy | CPT | 58661 | 8 | $16,713 | $4,345.38 | $2,056.79 | $5,901.92 | $12,535 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 6 | $59,236 | $18,363 | $17,111 | $23,641 | $50,795 |
| OR procedure for obesity w CC | MS-DRG | 620 | 6 | $39,872 | $12,360 | $9,483.38 | $13,284 | $28,152 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 6 | $39,715 | $12,312 | $8,938.78 | $12,544 | $26,536 |
| Complex cataract surgery | CPT | 66982 | 8 | $6,750 | $1,755 | $1,087.36 | $2,307.14 | $5,062.5 |
| Cataract surgery with lens implant | CPT | 66984 | 8 | $6,750 | $1,755 | $1,087.36 | $2,307.14 | $5,062.5 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 6 | $41,615 | $12,901 | $7,352.39 | $10,390 | $21,826 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 6 | $51,063 | $15,829 | $12,143 | $16,895 | $36,048 |
| PCI single major coronary artery | CPT | 92920 | 8 | $23,985 | $6,236.1 | $3,083 | $5,804.37 | $17,989 |
| PCI with drug-eluting stent | CPT | 92928 | 8 | $39,193 | $10,190 | $3,083 | $11,361 | $29,395 |
| Left heart catheterization | CPT | 93452 | 8 | $12,152 | $3,159.52 | $1,841.39 | $3,253.66 | $10,356 |
| Coronary angiography with cath | CPT | 93455 | 8 | $13,800 | $3,588 | $1,841.39 | $3,335 | $10,356 |
| Coronary angiography with bypass cath | CPT | 93458 | 8 | $11,764 | $3,058.64 | $1,841.39 | $3,253.66 | $10,356 |
Payer mix (top 8)
| Payer | Codes covered | Median rate |
|---|---|---|
| Blue Cross Blue Shield | 150 | $243.08 |
| medica [900156] | 149 | $1,355 |
| Medicaid | 149 | $273 |
| UnitedHealthcare | 147 | $662.1 |
| healthpartners [900713] | 147 | $656.19 |
| Medicare | 144 | $386.55 |
| First Health | 111 | $474 |
| ma wisconsin replacement [950271] | 103 | $189.78 |