Does Maple Grove Hospital publish its standard charges and chargemaster?

Yes. Maple Grove Hospital publishes a machine-readable file with 20,092 standard-charge rows — gross charges, cash prices, and payer-negotiated rates, earning a CMS price transparency compliance grade of A. Browse the negotiated rates by procedure and payer on this page.

How much does Maple Grove Hospital charge for procedures?

Maple Grove Hospital (Maple Grove, MN) publishes a separately negotiated rate for each insurance payer, plus a discounted cash price and a gross (list) charge, for every procedure in its price transparency file. This page compares each procedure's negotiated median against the national median so you can see whether a price is above or below market.

▸ Hospital · MN · CCN 240214

Maple Grove Hospital

Maple Grove, MN, 55369-

148 bedsAcute Care Hospitals2

Compliance grade

100/100

Rates published

20,092

last crawl 2026-05-24

Procedures tracked

119

of 209 target codes

Payers

with negotiated rates

Procedures tracked

...

Payers

...

▸ Compare with other hospitals All MN hospitalsJSON

The report bundles all published codes × every payer rate + compliance grade as a downloadable PDF + CSV with a data-version manifest.

Source MRF: https://northmemorial.com/wp-content/uploads/2026/04/208316475_maple-grove-hospital-corporation_standardcharges.csv · CSV

Procedures & rates

vs nat'l shows this hospital's negotiated median against the national median for that code (green = at/below market, amber = 1–1.5×, red = >1.5× the national median).

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	vs nat'l	Neg max
emergency
ED visit level 1	CPT	99281	12	$242	$127.53	$68.37	$131	0.94×	$393
ED visit level 2	CPT	99282	12	$390	$205.53	$125.95	$237	1.00×	$670
ED visit level 3	CPT	99283	12	$642	$338.33	$219.71	$360	0.89×	$874
ED visit level 4	CPT	99284	12	$1,059	$558.09	$341.07	$521	0.78×	$1,076
ED visit level 5	CPT	99285	12	$1,406	$740.96	$494.63	$673.78	0.65×	$1,512.65
Critical care, first hour	CPT	99291	12	$2,719	$1,432.91	$683.33	$926.01	0.86×	$2,175.2
imaging
CT head without contrast	CPT	70450	12	$1,042	$549.13	$73.93	$194.73	0.94×	$1,432
CT head with contrast	CPT	70460	13	$1,258	$662.97	$123.55	$322.54	1.4×	$1,432
CT head with and without contrast	CPT	70470	13	$1,245	$656.11	$123.55	$322.54	1.2×	$1,432
CT neck with contrast	CPT	70491	13	$1,168	$615.54	$123.55	$322.54	1.2×	$1,432
MRI brain without contrast	CPT	70551	13	$1,380	$727.26	$164.77	$430.15	1.1×	$2,340
MRI brain with contrast	CPT	70552	13	$1,826	$962.3	$258.61	$664.88	1.4×	$2,340
MRI brain with and without contrast	CPT	70553	13	$1,975	$1,040.82	$258.61	$664.88	1.1×	$2,340
Chest X-ray single view	CPT	71045	13	$282	$148.61	$61.1	$160.94	1.7×	$892
Chest X-ray 2 views	CPT	71046	13	$271	$142.82	$61.1	$160.94	1.6×	$892
Chest X-ray 3 views	CPT	71047	12	$270	$142.29	$69.98	$158.09	1.7×	$892
CT chest without contrast	CPT	71250	12	$927	$488.53	$73.93	$194.73	0.91×	$1,432
CT chest with contrast	CPT	71260	13	$1,135	$598.14	$123.55	$322.54	1.1×	$1,432
CT chest with and without contrast	CPT	71270	13	$1,380	$727.26	$123.55	$322.54	1.1×	$1,432
MRI chest without contrast	CPT	71550	13	$1,366	$719.88	$164.77	$430.15	1.00×	$2,340
MRI chest with and without contrast	CPT	71552	13	$1,955	$1,030.28	$258.61	$664.88	1.1×	$2,340
Lumbosacral spine X-ray	CPT	72100	13	$362	$190.77	$73.93	$194.73	1.9×	$892
CT cervical spine without contrast	CPT	72125	12	$1,055	$555.98	$73.93	$194.73	0.97×	$1,432
CT thoracic spine without contrast	CPT	72128	12	$1,055	$555.98	$73.93	$194.73	0.98×	$1,432
CT lumbar spine without contrast	CPT	72131	12	$945	$498.01	$73.93	$194.73	0.96×	$1,432
MRI cervical spine without contrast	CPT	72141	13	$1,571	$827.92	$164.77	$430.15	1.1×	$2,340
MRI thoracic spine without contrast	CPT	72146	13	$1,407	$741.49	$164.77	$430.15	1.2×	$2,340
MRI lumbar spine without contrast	CPT	72148	13	$1,407	$741.49	$164.77	$430.15	1.1×	$2,340
MRI lumbar spine with and without contrast	CPT	72149	12	$1,772	$933.84	$296.15	$526.58	1.2×	$2,340
MRI cervical spine with and without contrast	CPT	72156	13	$1,955	$1,030.28	$258.61	$664.88	1.2×	$2,340
MRI lumbar spine with contrast	CPT	72158	13	$1,975	$1,040.82	$258.61	$664.88	1.2×	$2,340
CT pelvis without contrast	CPT	72192	12	$945	$498.01	$73.93	$194.73	0.97×	$1,432
CT pelvis with contrast	CPT	72193	13	$1,292	$680.88	$123.55	$322.54	1.1×	$1,432
Shoulder X-ray	CPT	73030	13	$668	$352.04	$61.1	$167.62	1.8×	$892
Humerus X-ray	CPT	73060	12	$618	$325.69	$69.98	$209.13	2.3×	$892
Hand X-ray 3 views	CPT	73130	13	$578	$304.61	$61.1	$167.62	1.8×	$892
MRI upper extremity joint without contrast	CPT	73221	13	$2,814	$1,482.98	$164.77	$452.02	1.1×	$2,340
MRI upper extremity joint with and without contrast	CPT	73223	13	$1,955	$1,030.28	$258.61	$664.88	1.1×	$2,340
Knee X-ray 1-2 views	CPT	73560	13	$714	$376.28	$61.1	$167.62	1.8×	$892
Ankle X-ray 3 views	CPT	73610	13	$588	$309.88	$61.1	$167.62	1.8×	$892
MRI lower extremity joint without contrast	CPT	73721	13	$3,060	$1,612.62	$164.77	$452.02	0.97×	$2,448
MRI lower extremity joint with and without contrast	CPT	73723	13	$2,128	$1,121.46	$258.61	$664.88	1.0×	$2,340
CT abdomen without contrast	CPT	74150	12	$917	$483.26	$73.93	$194.73	1.0×	$1,432
CT abdomen with contrast	CPT	74160	12	$1,292	$680.88	$141.48	$257.65	0.90×	$1,432
CT abdomen with and without contrast	CPT	74170	13	$1,232	$649.26	$123.55	$322.54	0.96×	$1,432
CT abdomen and pelvis without contrast	CPT	74176	13	$927	$488.53	$164.77	$430.15	1.2×	$1,432
CT abdomen and pelvis with contrast	CPT	74177	13	$1,341	$706.71	$258.61	$639.34	1.2×	$1,432
CT abdomen and pelvis with and without contrast	CPT	74178	13	$1,232	$649.26	$258.61	$639.34	1.1×	$1,432
MRI abdomen without contrast	CPT	74181	13	$1,407	$741.49	$164.77	$430.15	1.1×	$2,340
MRI abdomen with and without contrast	CPT	74183	13	$1,975	$1,040.82	$258.61	$664.88	1.2×	$2,340
Abdominal ultrasound complete	CPT	76700	13	$623	$328.32	$73.93	$193.01	1.3×	$498.4
Abdominal ultrasound limited	CPT	76705	12	$427	$225.03	$73.93	$153.98	1.1×	$341.6
Retroperitoneal ultrasound complete	CPT	76770	12	$430	$226.61	$73.93	$155.06	1.1×	$344
Obstetric ultrasound first trimester	CPT	76801	13	$546	$287.74	$73.93	$191.29	1.4×	$436.8
Obstetric ultrasound after first trimester	CPT	76805	13	$608	$320.42	$73.93	$194.73	1.3×	$486.4
Obstetric ultrasound with fetal anatomy	CPT	76811	13	$682	$359.41	$164.77	$265.65	1.1×	$596.38
Transvaginal ultrasound	CPT	76830	13	$370	$194.99	$73.93	$133.42	0.90×	$296
Pelvic ultrasound complete	CPT	76856	12	$446	$235.04	$73.93	$160.83	1.1×	$356.8
Scrotal ultrasound	CPT	76870	13	$482	$254.01	$73.93	$166.2	1.3×	$385.6
Screening mammography bilateral	CPT	77067	12	$462	$243.47	$38.02	$123.08	0.78×	$468.77
EKG tracing only	CPT	93005	13	$186	$98.02	$41.13	$67.07	0.57×	$148.8
Transthoracic echocardiogram complete	CPT	93306	13	$1,487	$783.65	$370.97	$925.12	1.5×	$1,569
inpatient
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	9	$13,052	$6,878.2	$3,711	$16,163	0.80×	$39,246
Intracranial hemorrhage/CVA w CC	MS-DRG	065	9	$14,758	$7,777.39	$8,248.98	$8,754.02	0.82×	$20,063
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	9	$14,698	$7,746.03	$5,778.28	$6,143.02	0.81×	$13,580
Respiratory infections & inflammations w MCC	MS-DRG	177	9	$12,146	$6,400.79	$12,738	$13,571	0.88×	$31,893
COPD w MCC	MS-DRG	190	9	$8,864.21	$4,671.44	$9,043.39	$9,597.07	0.85×	$22,157
COPD w CC	MS-DRG	191	9	$9,048.13	$4,768.36	$7,067.47	$7,500.17	0.85×	$16,950
Simple pneumonia & pleurisy w CC	MS-DRG	194	9	$11,598	$6,112.35	$2,459	$7,051.23	0.83×	$16,178
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	9	$7,085.18	$3,733.89	$5,227.57	$5,621.78	0.84×	$12,286
AMI discharged alive w MCC	MS-DRG	280	9	$11,236	$5,921.39	$3,361	$13,452	0.86×	$32,384
AMI discharged alive w CC	MS-DRG	281	9	$9,909.93	$5,222.53	$3,224	$7,844.54	0.81×	$18,187
AMI discharged alive w/o CC/MCC	MS-DRG	282	9	$9,048.51	$4,768.56	$3,581	$6,435.42	0.83×	$14,306
Heart failure & shock w MCC	MS-DRG	291	9	$15,034	$7,922.68	$10,405	$11,042	0.86×	$25,743
Heart failure & shock w CC	MS-DRG	292	9	$20,960	$11,046	$7,083.19	$7,516.85	0.84×	$16,991
Heart failure & shock w/o CC/MCC	MS-DRG	293	9	$21,008	$11,071	$4,606.34	$5,033.79	0.81×	$10,826
Cardiac arrhythmia w MCC	MS-DRG	308	9	$11,891	$6,266.3	$9,664.09	$10,256	0.85×	$23,792
Cardiac arrhythmia w CC	MS-DRG	309	9	$13,693	$7,216.08	$6,170.46	$6,548.25	0.84×	$14,586
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	9	$9,045.28	$4,766.86	$4,697	$5,119.61	0.83×	$11,039
GI hemorrhage w CC	MS-DRG	378	9	$15,713	$8,280.58	$2,854	$8,344.08	0.83×	$19,452
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	9	$12,523	$6,599.68	$6,477.46	$6,874.04	0.85×	$15,395
Kidney/UTI w MCC	MS-DRG	689	9	$10,479	$5,522.39	$9,397.54	$9,972.9	0.86×	$23,090
Kidney/UTI w/o MCC	MS-DRG	690	9	$11,583	$6,104.01	$6,644.43	$7,051.23	0.85×	$15,835
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	9	$13,898	$7,324.25	$3,362	$15,952	0.85×	$38,712
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	9	$13,721	$7,231.01	$8,354.56	$8,866.06	0.85×	$20,341
lab
Basic metabolic panel (BMP)	CPT	80048	13	$47	$24.77	$6.23	$9	0.28×	$50.13
Electrolyte panel	CPT	80051	13	$24	$12.65	$5.03	$7.46	0.31×	$21.15
Comprehensive metabolic panel	CPT	80053	13	$59	$31.09	$7.66	$11.23	0.25×	$47.81
Lipid panel	CPT	80061	13	$42	$22.13	$8.68	$17.82	0.47×	$40.28
Renal function panel	CPT	80069	13	$22	$11.59	$6.47	$9.23	0.34×	$47.63
Hepatic function panel	CPT	80076	13	$46	$24.24	$5.99	$8.69	0.33×	$74.86
Urinalysis non-automated	CPT	81002	12	$6	$3.16	$2.25	$3.58	0.51×	$6.26
Urinalysis automated	CPT	81003	13	$14	$7.38	$1.68	$2.33	0.17×	$11.2
Glucose quantitative	CPT	82947	13	$23	$12.12	$2.87	$5.55	0.32×	$18.4
Hemoglobin A1c	CPT	83036	13	$34	$17.92	$7.18	$10.05	0.37×	$29.2
Thyroid stimulating hormone (TSH)	CPT	84443	13	$73	$38.47	$12.21	$23.44	0.50×	$58.4
Complete blood count with automated differential	CPT	85025	13	$43	$22.66	$5.75	$12.11	0.46×	$34.4
Complete blood count without differential	CPT	85027	13	$37	$19.5	$4.31	$6.7	0.31×	$29.6
Urine culture bacterial	CPT	87086	13	$55	$28.98	$5.99	$8.35	0.36×	$44
Tissue exam by pathologist level IV	CPT	88305	13	$579	$305.13	$36.44	$99.95	0.98×	$463.2
maternity
Fetal non-stress test	CPT	59025	13	$627	$330.43	$134	$226.1	1.2×	$501.6
Vaginal delivery only	CPT	59409	6	$5,226	$2,754.1	$1,719.35	$3,574.58	1.6×	$4,180.8
surgery
Major small/large bowel procedures w MCC	MS-DRG	329	9	$43,162	$22,746	$4,016	$36,446	0.85×	$90,597
Major small/large bowel procedures w CC	MS-DRG	330	9	$41,761	$22,008	$4,050	$19,081	0.82×	$46,635
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	9	$31,185	$16,434	$12,997	$13,860	0.84×	$32,574
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	9	$25,749	$13,570	$13,052	$13,922	0.84×	$32,720
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	9	$24,026	$12,661	$10,500	$11,143	0.82×	$25,996
Major joint replacement w MCC	MS-DRG	469	9	$37,994	$20,023	$7,840	$26,134	0.88×	$64,491
Major joint replacement w/o MCC	MS-DRG	470	9	$35,681	$18,804	$9,311	$15,656	0.83×	$37,201
Hip & femur procedures except major joint w MCC	MS-DRG	480	9	$54,589	$28,768	$3,919	$23,580	0.84×	$58,025
Hip & femur procedures except major joint w CC	MS-DRG	481	9	$41,634	$21,941	$3,958.81	$16,831	0.83×	$40,937
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	9	$29,459	$15,525	$12,513	$13,318	0.83×	$31,299
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	9	$25,469	$13,422	$9,610.18	$10,199	0.83×	$23,650
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	9	$60,531	$31,900	$8,226	$16,200	0.85×	$38,552
PCI single major coronary artery	CPT	92920	12	$14,311	$7,541.9	$3,614	$5,998.24	1.1×	$14,067
PCI with drug-eluting stent	CPT	92928	12	$20,165	$10,627	$3,614	$11,816	1.2×	$27,980
PCI bypass graft	CPT	92937	12	$20,165	$10,627	$3,614	$11,816	1.1×	$27,980
Coronary angiography with cath	CPT	93455	12	$7,007	$3,692.69	$2,509.29	$3,534.77	1.1×	$7,935.62
Coronary angiography with bypass cath	CPT	93458	12	$7,870	$4,147.49	$2,509.29	$3,534.77	1.1×	$7,935.62

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

Payer mix (top 13)

Payer	Codes covered	Median rate
Aetna	119	$265.65
Blue Cross Blue Shield	119	$194.73
medica [1086]	119	$1,299
ucare [1148]	118	$251.85
health partners [1061]	118	$258.61
Humana	118	$244.52
UnitedHealthcare	118	$439.21
Medicare	118	$244.52
Cigna	101	$452.02
Multiplan	84	$540
phcs [1172]	84	$506.25
america's ppo [1010]	84	$471.6
Medicaid	73	$168.33

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