▸ Hospital · MN · CCN 240076

Buffalo Hospital

303 CATLIN STREET, BUFFALO, MN, 55313

39 bedsAcute Care Hospitals2

Compliance grade

86/100

Rates published

2,432

last crawl 2026-05-24

Procedures tracked

136

of 209 target codes

Payers

with negotiated rates

Procedures tracked

...

Payers

...

▸ Compare with other hospitals All MN hospitals JSON

Source MRF: https://www.allinahealth.org/-/media/allina-health/files/customer-service/billing-and-insurance/price-transparency/363261413_buffalo-hospital_standardcharges.csv · CSV

Procedures & rates

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	Neg max
behavioral
Psychoses	MS-DRG	885	0	—	—	—	—	—
Psychiatric diagnostic evaluation	CPT	90791	0	$601.8	$337.01	—	—	—
Psychiatric eval with medical services	CPT	90792	0	$468.1	$262.14	—	—	—
Psychotherapy 30 minutes	CPT	90832	0	$205.3	$114.97	—	—	—
Psychotherapy 45 minutes	CPT	90834	0	$205.3	$114.97	—	—	—
Psychotherapy 60 minutes	CPT	90837	0	$205.3	$114.97	—	—	—
emergency
ED visit level 1	CPT	99281	0	$259.5	$145.32	—	—	—
ED visit level 2	CPT	99282	0	$442.5	$247.8	—	—	—
ED visit level 3	CPT	99283	0	$801.8	$449.01	—	—	—
ED visit level 4	CPT	99284	0	$1,315.8	$736.85	—	—	—
ED visit level 5	CPT	99285	0	$1,818.5	$1,018.36	—	—	—
Critical care, first hour	CPT	99291	0	$2,853.6	$1,598.02	—	—	—
imaging
CT head without contrast	CPT	70450	0	$1,629.4	$912.46	—	—	—
CT head with contrast	CPT	70460	0	$2,444.3	$1,368.81	—	—	—
CT head with and without contrast	CPT	70470	0	$3,258.9	$1,824.98	—	—	—
CT neck with contrast	CPT	70491	0	$1,629.4	$912.46	—	—	—
MRI brain without contrast	CPT	70551	0	$2,475	$1,386	—	—	—
MRI brain with contrast	CPT	70552	0	$3,300.2	$1,848.11	—	—	—
MRI brain with and without contrast	CPT	70553	0	$4,125.1	$2,310.06	—	—	—
Chest X-ray single view	CPT	71045	0	$373.2	$208.99	—	—	—
Chest X-ray 2 views	CPT	71046	0	$373.2	$208.99	—	—	—
Chest X-ray 3 views	CPT	71047	0	$247.4	$138.54	—	—	—
CT chest without contrast	CPT	71250	0	$1,629.4	$912.46	—	—	—
CT chest with contrast	CPT	71260	0	$1,629.4	$912.46	—	—	—
CT chest with and without contrast	CPT	71270	0	$2,444.3	$1,368.81	—	—	—
MRI chest without contrast	CPT	71550	0	$3,712.5	$2,079	—	—	—
MRI chest with contrast	CPT	71551	0	$4,537.6	$2,541.06	—	—	—
MRI chest with and without contrast	CPT	71552	0	$5,362.9	$3,003.22	—	—	—
Lumbosacral spine X-ray	CPT	72100	0	$373.2	$208.99	—	—	—
CT cervical spine without contrast	CPT	72125	0	$1,629.4	$912.46	—	—	—
CT thoracic spine without contrast	CPT	72128	0	$1,629.4	$912.46	—	—	—
CT lumbar spine without contrast	CPT	72131	0	$1,629.4	$912.46	—	—	—
MRI cervical spine without contrast	CPT	72141	0	$2,475	$1,386	—	—	—
MRI thoracic spine without contrast	CPT	72146	0	$2,475	$1,386	—	—	—
MRI lumbar spine without contrast	CPT	72148	0	$2,475	$1,386	—	—	—
MRI lumbar spine with and without contrast	CPT	72149	0	$3,300.2	$1,848.11	—	—	—
MRI cervical spine with and without contrast	CPT	72156	0	$4,125.1	$2,310.06	—	—	—
MRI lumbar spine with contrast	CPT	72158	0	$4,125.1	$2,310.06	—	—	—
CT pelvis without contrast	CPT	72192	0	$2,444.3	$1,368.81	—	—	—
CT pelvis with contrast	CPT	72193	0	$2,444.3	$1,368.81	—	—	—
Shoulder X-ray	CPT	73030	0	$373.2	$208.99	—	—	—
Humerus X-ray	CPT	73060	0	$373.2	$208.99	—	—	—
Hand X-ray 3 views	CPT	73130	0	$248.8	$139.33	—	—	—
MRI upper extremity joint without contrast	CPT	73221	0	$4,125.1	$2,310.06	—	—	—
MRI upper extremity joint with and without contrast	CPT	73223	0	$5,775.1	$3,234.06	—	—	—
Knee X-ray 1-2 views	CPT	73560	0	$373.2	$208.99	—	—	—
Ankle X-ray 3 views	CPT	73610	0	$373.2	$208.99	—	—	—
MRI lower extremity joint without contrast	CPT	73721	0	$3,712.5	$2,079	—	—	—
MRI lower extremity joint with and without contrast	CPT	73723	0	$5,775.1	$3,234.06	—	—	—
CT abdomen without contrast	CPT	74150	0	$1,629.4	$912.46	—	—	—
CT abdomen with contrast	CPT	74160	0	$2,444.3	$1,368.81	—	—	—
CT abdomen with and without contrast	CPT	74170	0	$3,258.9	$1,824.98	—	—	—
CT abdomen and pelvis without contrast	CPT	74176	0	$2,444.3	$1,368.81	—	—	—
CT abdomen and pelvis with contrast	CPT	74177	0	$3,258.9	$1,824.98	—	—	—
CT abdomen and pelvis with and without contrast	CPT	74178	0	$4,073.7	$2,281.27	—	—	—
MRI abdomen without contrast	CPT	74181	0	$4,950.2	$2,772.11	—	—	—
MRI abdomen with and without contrast	CPT	74183	0	$6,187.7	$3,465.11	—	—	—
Abdominal ultrasound complete	CPT	76700	0	$1,089.9	$610.34	—	—	—
Abdominal ultrasound limited	CPT	76705	0	$908.3	$508.65	—	—	—
Retroperitoneal ultrasound complete	CPT	76770	0	$908.3	$508.65	—	—	—
Obstetric ultrasound first trimester	CPT	76801	0	$912.1	$510.78	—	—	—
Obstetric ultrasound after first trimester	CPT	76805	0	$1,178	$659.68	—	—	—
Obstetric ultrasound with fetal anatomy	CPT	76811	0	$815.5	$456.68	—	—	—
Transvaginal ultrasound	CPT	76830	0	$1,180.7	$661.19	—	—	—
Pelvic ultrasound complete	CPT	76856	0	$908.3	$508.65	—	—	—
Scrotal ultrasound	CPT	76870	0	$1,414.1	$791.9	—	—	—
Diagnostic mammography unilateral	CPT	77065	0	$688.3	$385.45	—	—	—
Diagnostic mammography bilateral	CPT	77066	0	$764.9	$428.34	—	—	—
Screening mammography bilateral	CPT	77067	0	$611.7	$342.55	—	—	—
EKG tracing only	CPT	93005	0	$307.7	$172.31	—	—	—
Transthoracic echocardiogram complete	CPT	93306	0	$2,405.6	$1,347.14	—	—	—
Transthoracic echocardiogram	CPT	93307	0	$1,546.7	$866.15	—	—	—
Stress echocardiogram	CPT	93350	0	$4,897.4	$2,742.54	—	—	—
inpatient
Respiratory infections & inflammations w MCC	MS-DRG	177	0	—	—	—	—	—
COPD w MCC	MS-DRG	190	0	—	—	—	—	—
COPD w CC	MS-DRG	191	0	—	—	—	—	—
COPD w/o CC/MCC	MS-DRG	192	0	—	—	—	—	—
Simple pneumonia & pleurisy w CC	MS-DRG	194	0	—	—	—	—	—
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	0	—	—	—	—	—
AMI discharged alive w MCC	MS-DRG	280	0	—	—	—	—	—
AMI discharged alive w CC	MS-DRG	281	0	—	—	—	—	—
AMI discharged alive w/o CC/MCC	MS-DRG	282	0	—	—	—	—	—
Heart failure & shock w MCC	MS-DRG	291	0	—	—	—	—	—
Heart failure & shock w CC	MS-DRG	292	0	—	—	—	—	—
Heart failure & shock w/o CC/MCC	MS-DRG	293	0	—	—	—	—	—
Cardiac arrhythmia w MCC	MS-DRG	308	0	—	—	—	—	—
Cardiac arrhythmia w CC	MS-DRG	309	0	—	—	—	—	—
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	0	—	—	—	—	—
GI hemorrhage w CC	MS-DRG	378	0	—	—	—	—	—
GI hemorrhage w/o CC/MCC	MS-DRG	379	0	—	—	—	—	—
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	0	—	—	—	—	—
Fractures of femur w/o MCC	MS-DRG	533	0	—	—	—	—	—
Kidney/UTI w MCC	MS-DRG	689	0	—	—	—	—	—
Kidney/UTI w/o MCC	MS-DRG	690	0	—	—	—	—	—
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	0	—	—	—	—	—
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	0	—	—	—	—	—
lab
Basic metabolic panel (BMP)	CPT	80048	0	$199.3	$111.61	—	—	—
General health panel	CPT	80050	0	$155.1	$86.86	—	—	—
Electrolyte panel	CPT	80051	0	$90.2	$50.51	—	—	—
Comprehensive metabolic panel	CPT	80053	0	$362.8	$203.17	—	—	—
Lipid panel	CPT	80061	0	$55.2	$30.91	—	—	—
Renal function panel	CPT	80069	0	$231.2	$129.47	—	—	—
Hepatic function panel	CPT	80076	0	$190.9	$106.9	—	—	—
Urinalysis automated	CPT	81003	0	$69.3	$38.81	—	—	—
Glucose quantitative	CPT	82947	0	$144.4	$80.86	—	—	—
Hemoglobin A1c	CPT	83036	0	$50.9	$28.5	—	—	—
Thyroid stimulating hormone (TSH)	CPT	84443	0	$56.6	$31.7	—	—	—
Complete blood count with automated differential	CPT	85025	0	$226.2	$126.67	—	—	—
Complete blood count without differential	CPT	85027	0	$239.7	$134.23	—	—	—
Urine culture bacterial	CPT	87086	0	$57.9	$32.42	—	—	—
Urine culture identification	CPT	87088	0	$38.5	$21.56	—	—	—
Tissue exam by pathologist level IV	CPT	88305	0	$776.2	$434.67	—	—	—
maternity
Fetal non-stress test	CPT	59025	0	$688.6	$385.62	—	—	—
office
Office visit, established patient, 5 min	CPT	99211	0	$139	$77.84	—	—	—
Office visit, established patient, 10-19 min	CPT	99212	0	$160.8	$90.05	—	—	—
Office visit, established patient, 20-29 minutes	CPT	99213	0	$199.4	$111.66	—	—	—
Office visit, established patient, 30-39 minutes	CPT	99214	0	$238.3	$133.45	—	—	—
Office visit, established patient, 40-54 min	CPT	99215	0	$209.8	$117.49	—	—	—
surgery
Major small/large bowel procedures w MCC	MS-DRG	329	0	—	—	—	—	—
Major small/large bowel procedures w CC	MS-DRG	330	0	—	—	—	—	—
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	0	—	—	—	—	—
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	0	—	—	—	—	—
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	0	—	—	—	—	—
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	0	—	—	—	—	—
Spinal fusion (non-cervical) w MCC	MS-DRG	459	0	—	—	—	—	—
Spinal fusion (non-cervical) w/o MCC	MS-DRG	460	0	—	—	—	—	—
Major joint replacement w MCC	MS-DRG	469	0	—	—	—	—	—
Major joint replacement w/o MCC	MS-DRG	470	0	—	—	—	—	—
Hip & femur procedures except major joint w MCC	MS-DRG	480	0	—	—	—	—	—
Hip & femur procedures except major joint w CC	MS-DRG	481	0	—	—	—	—	—
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	0	—	—	—	—	—
OR procedure for obesity w MCC	MS-DRG	619	0	—	—	—	—	—
OR procedure for obesity w CC	MS-DRG	620	0	—	—	—	—	—
OR procedure for obesity w/o CC/MCC	MS-DRG	621	0	—	—	—	—	—
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	0	—	—	—	—	—
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	0	—	—	—	—	—

Rate history available after the next quarterly refresh. We re-crawl all hospital MRFs each quarter to track rate changes over time.

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