Does Olivia Hospital & Clinic publish its standard charges and chargemaster?

Yes. Olivia Hospital & Clinic publishes a machine-readable file with 11,446 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 Olivia Hospital & Clinic charge for procedures?

Olivia Hospital & Clinic (Olivia, 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 241306

Olivia Hospital & Clinic

Olivia, MN, 56277-1397

16 bedsCritical Access Hospitals9

Compliance grade

97/100

Rates published

11,446

last crawl 2026-05-24

Procedures tracked

133

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://www.healthpartners.com/content/dam/brand-identity/pdfs/care/416005580_oliviahospital_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
behavioral
Psychiatric diagnostic evaluation	CPT	90791	7	$784	$478.24	$152.23	$257.69	1.5×	$776.63
Psychiatric eval with medical services	CPT	90792	7	$875	$533.75	$170.03	$295.5	1.7×	$866.78
Psychotherapy 30 minutes	CPT	90832	7	$337	$205.57	$68.85	$90.73	0.61×	$333.83
Psychotherapy 45 minutes	CPT	90834	7	$447	$272.67	$91.1	$119.86	0.75×	$442.8
Psychotherapy 60 minutes	CPT	90837	7	$662	$403.82	$134.42	$167.56	0.88×	$655.78
emergency
ED visit level 1	CPT	99281	7	$255	$155.55	$7.89	$89.2	0.64×	$252.6
ED visit level 2	CPT	99282	7	$429	$261.69	$32.05	$150.06	0.63×	$424.97
ED visit level 3	CPT	99283	7	$648	$395.28	$49.09	$226.67	0.56×	$641.91
ED visit level 4	CPT	99284	7	$897	$547.17	$72.82	$313.77	0.47×	$888.57
ED visit level 5	CPT	99285	7	$2,943	$1,795.23	$95.81	$526.35	0.50×	$2,915.34
Critical care, first hour	CPT	99291	7	$2,064	$1,259.04	$127.17	$698.61	0.65×	$2,044.6
imaging
CT head without contrast	CPT	70450	7	$2,134	$1,301.74	$470.25	$864.27	4.2×	$2,113.94
CT head with contrast	CPT	70460	7	$2,134	$1,301.74	$446.6	$864.27	3.7×	$2,113.94
CT head with and without contrast	CPT	70470	7	$2,856	$1,742.16	$446.6	$1,156.68	4.3×	$2,829.15
CT neck with contrast	CPT	70491	7	$2,073	$1,264.53	$446.6	$839.57	3.1×	$2,053.51
MRI brain without contrast	CPT	70551	7	$2,984	$1,820.24	$578.05	$1,208.52	3.0×	$2,955.95
MRI brain with contrast	CPT	70552	7	$3,478	$2,121.58	$607.75	$1,408.59	2.9×	$3,445.31
MRI brain with and without contrast	CPT	70553	7	$3,986	$2,431.46	$607.75	$1,614.33	2.7×	$3,948.53
Chest X-ray single view	CPT	71045	7	$362	$220.82	$63.06	$146.61	1.6×	$358.6
Chest X-ray 2 views	CPT	71046	7	$413	$251.93	$118.25	$167.27	1.7×	$409.12
Chest X-ray 3 views	CPT	71047	7	$362	$220.82	$83.49	$127.97	1.3×	$358.6
CT chest without contrast	CPT	71250	7	$2,283	$1,392.63	$352.55	$924.62	4.3×	$2,261.54
CT chest with contrast	CPT	71260	7	$2,283	$1,392.63	$446.6	$924.62	3.3×	$2,261.54
CT chest with and without contrast	CPT	71270	7	$3,123	$1,905.03	$446.6	$1,264.82	4.3×	$3,093.64
MRI chest without contrast	CPT	71550	7	$3,573	$2,179.53	$578.05	$1,447.07	3.4×	$3,539.41
MRI chest with and without contrast	CPT	71552	7	$3,847	$2,346.67	$607.75	$1,558.04	2.6×	$3,810.84
Lumbosacral spine X-ray	CPT	72100	7	$505	$308.05	$87.97	$204.53	2.0×	$500.25
CT cervical spine without contrast	CPT	72125	7	$2,365	$1,442.65	$352.55	$957.83	4.8×	$2,342.77
CT thoracic spine without contrast	CPT	72128	7	$2,510	$1,531.1	$352.55	$1,016.55	5.1×	$2,486.41
CT lumbar spine without contrast	CPT	72131	7	$2,692	$1,642.12	$352.55	$1,057.65	5.2×	$2,666.7
MRI cervical spine without contrast	CPT	72141	7	$3,573	$2,179.53	$578.05	$1,447.07	3.6×	$3,539.41
MRI thoracic spine without contrast	CPT	72146	7	$3,573	$2,179.53	$578.05	$1,447.07	3.9×	$3,539.41
MRI lumbar spine without contrast	CPT	72148	7	$3,573	$2,179.53	$578.05	$1,447.07	3.8×	$3,539.41
MRI lumbar spine with and without contrast	CPT	72149	7	$3,641	$2,221.01	$607.75	$1,474.61	3.2×	$3,606.77
MRI cervical spine with and without contrast	CPT	72156	7	$3,978	$2,426.58	$607.75	$1,611.09	3.0×	$3,940.61
MRI lumbar spine with contrast	CPT	72158	7	$4,179	$2,549.19	$607.75	$1,692.5	3.1×	$4,139.72
CT pelvis without contrast	CPT	72192	7	$2,190	$1,335.9	$352.55	$886.95	4.4×	$2,169.41
CT pelvis with contrast	CPT	72193	7	$2,140	$1,305.4	$446.6	$866.7	3.1×	$2,119.88
Shoulder X-ray	CPT	73030	7	$373	$227.53	$16.9	$94.16	1.0×	$369.49
Humerus X-ray	CPT	73060	7	$363	$221.43	$63.23	$147.02	1.6×	$359.59
Hand X-ray 3 views	CPT	73130	7	$399	$243.39	$69.51	$161.6	1.7×	$395.25
MRI upper extremity joint without contrast	CPT	73221	7	$3,478	$2,121.58	$578.05	$1,408.59	3.4×	$3,445.31
MRI upper extremity joint with and without contrast	CPT	73223	7	$3,953	$2,411.33	$785.59	$1,397.39	2.3×	$3,915.84
Knee X-ray 1-2 views	CPT	73560	7	$342	$208.62	$59.58	$138.51	1.5×	$338.79
Ankle X-ray 3 views	CPT	73610	7	$411	$250.71	$32.56	$159.57	1.7×	$407.14
MRI lower extremity joint without contrast	CPT	73721	7	$3,478	$2,121.58	$578.05	$1,408.59	3.0×	$3,445.31
MRI lower extremity joint with and without contrast	CPT	73723	7	$3,953	$2,411.33	$607.75	$1,600.97	2.5×	$3,915.84
CT abdomen without contrast	CPT	74150	7	$2,396	$1,461.56	$352.55	$970.38	5.2×	$2,373.48
CT abdomen with contrast	CPT	74160	7	$2,396	$1,461.56	$446.6	$970.38	3.4×	$2,373.48
CT abdomen with and without contrast	CPT	74170	7	$2,745	$1,674.45	$446.6	$1,111.73	3.3×	$2,719.2
CT abdomen and pelvis without contrast	CPT	74176	7	$3,243	$1,978.23	$578.05	$1,313.42	3.6×	$3,212.52
CT abdomen and pelvis with contrast	CPT	74177	7	$3,542	$2,160.62	$607.75	$1,434.51	2.6×	$3,508.71
CT abdomen and pelvis with and without contrast	CPT	74178	7	$3,897	$2,377.17	$607.75	$1,578.29	2.7×	$3,860.37
MRI abdomen without contrast	CPT	74181	7	$3,573	$2,179.53	$578.05	$1,447.07	3.7×	$3,539.41
MRI abdomen with and without contrast	CPT	74183	7	$3,953	$2,411.33	$607.75	$1,600.97	2.8×	$3,915.84
Abdominal ultrasound complete	CPT	76700	7	$1,132	$690.52	$197.19	$458.46	3.1×	$1,121.36
Abdominal ultrasound limited	CPT	76705	7	$884	$539.24	$39.54	$208.95	1.4×	$875.69
Retroperitoneal ultrasound complete	CPT	76770	7	$1,142	$696.62	$198.94	$462.51	3.2×	$1,131.27
Obstetric ultrasound first trimester	CPT	76801	7	$1,290	$786.9	$224.72	$522.45	3.7×	$1,277.87
Obstetric ultrasound after first trimester	CPT	76805	7	$1,290	$786.9	$224.72	$522.45	3.4×	$1,277.87
Transvaginal ultrasound	CPT	76830	7	$1,027	$626.47	$178.9	$415.94	2.8×	$1,017.35
Pelvic ultrasound complete	CPT	76856	7	$984	$600.24	$171.41	$398.52	2.8×	$974.75
Scrotal ultrasound	CPT	76870	7	$982	$599.02	$171.06	$397.71	3.0×	$972.77
Diagnostic mammography unilateral	CPT	77065	7	$389	$237.29	$67.76	$157.55	1.1×	$385.34
Diagnostic mammography bilateral	CPT	77066	7	$470	$286.7	$81.87	$190.35	1.00×	$465.58
Screening mammography bilateral	CPT	77067	8	$478	$291.58	$90.6	$168.97	1.1×	$495
EKG tracing only	CPT	93005	7	$261	$159.21	$4.81	$92.26	0.78×	$258.55
EKG interpretation only	CPT	93010	7	$42	$25.62	$7.32	$13.18	0.73×	$40.77
Transthoracic echocardiogram complete	CPT	93306	7	$2,140	$1,305.4	$704.57	$858.23	1.4×	$2,549.25
Stress echocardiogram	CPT	93350	7	$1,114	$679.54	$194.06	$451.17	0.89×	$1,103.53
inpatient
Respiratory infections & inflammations w MCC	MS-DRG	177	5	$17,100	$10,893	$2,838.68	$3,897.27	0.25×	$40,513
COPD w MCC	MS-DRG	190	5	$12,869	$8,197.65	$2,838.68	$3,897.27	0.35×	$28,152
COPD w CC	MS-DRG	191	5	$8,780.3	$5,593.05	$2,838.68	$3,897.27	0.44×	$21,531
Simple pneumonia & pleurisy w CC	MS-DRG	194	5	$13,425	$8,551.41	$2,838.68	$3,897.27	0.46×	$20,551
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	5	$10,440	$6,650.44	$2,838.68	$3,897.27	0.58×	$15,609
Heart failure & shock w MCC	MS-DRG	291	5	$14,204	$9,047.63	$2,838.68	$3,897.27	0.30×	$32,704
Heart failure & shock w CC	MS-DRG	292	5	$18,994	$12,099	$2,838.68	$3,897.27	0.44×	$21,586
Cardiac arrhythmia w CC	MS-DRG	309	5	$8,661.3	$5,517.25	$2,838.68	$3,897.27	0.50×	$18,528
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	5	$12,704	$8,092.23	$2,838.68	$3,897.27	0.48×	$19,556
Kidney/UTI w MCC	MS-DRG	689	5	$30,707	$19,560	$2,838.68	$3,897.27	0.34×	$29,333
Kidney/UTI w/o MCC	MS-DRG	690	5	$13,899	$8,853.66	$2,838.68	$3,897.27	0.47×	$20,115
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	5	$19,281	$12,282	$2,838.68	$3,897.27	0.21×	$49,179
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	5	$14,160	$9,019.6	$2,838.68	$3,897.27	0.38×	$25,839
Initial hospital care, low complexity	CPT	99221	7	$269	$164.09	$46.86	$101.45	1.1×	$261.12
Initial hospital care, moderate complexity	CPT	99222	7	$364	$222.04	$63.41	$149.45	0.88×	$353.33
Initial hospital care, high complexity	CPT	99223	7	$443	$270.23	$77.17	$199.48	0.89×	$430.02
Hospital discharge, <30 min	CPT	99238	7	$165	$100.65	$28.74	$93.34	1.1×	$160.17
Hospital discharge, >30 min	CPT	99239	7	$299	$182.39	$52.09	$132.85	1.1×	$290.24
lab
Basic metabolic panel (BMP)	CPT	80048	8	$210	$128.1	$7.89	$74.24	2.3×	$208.03
Electrolyte panel	CPT	80051	8	$210	$128.1	$6.54	$74.24	3.1×	$208.03
Comprehensive metabolic panel	CPT	80053	8	$293	$178.73	$9.85	$103.58	2.3×	$290.25
Lipid panel	CPT	80061	8	$188	$114.68	$12.49	$66.46	1.7×	$186.23
Renal function panel	CPT	80069	8	$411	$250.71	$8.09	$145.29	5.3×	$407.14
Hepatic function panel	CPT	80076	8	$318	$193.98	$7.62	$112.41	4.2×	$315.01
Urinalysis non-automated	CPT	81002	7	$19	$11.59	$3.31	$7.7	1.1×	$18.82
Urinalysis automated	CPT	81003	8	$58	$58	$2.1	$20.5	1.5×	$57.45
Glucose quantitative	CPT	82947	8	$125	$76.25	$3.67	$44.19	2.5×	$123.83
Hemoglobin A1c	CPT	83036	8	$140	$85.4	$9.06	$49.49	1.8×	$138.68
Thyroid stimulating hormone (TSH)	CPT	84443	8	$185	$112.85	$15.67	$61.25	1.3×	$183.26
Complete blood count with automated differential	CPT	85025	8	$198	$120.78	$7.25	$69.99	2.6×	$196.14
Complete blood count without differential	CPT	85027	8	$175	$106.75	$6.03	$47.55	2.2×	$173.36
Urine culture bacterial	CPT	87086	8	$171	$104.31	$7.53	$60.45	2.6×	$169.39
Urine culture identification	CPT	87088	8	$6	$3.66	$1.05	$2.72	0.12×	$7.54
Tissue exam by pathologist level IV	CPT	88305	8	$173	$105.53	$58.52	$70.07	0.68×	$239.25
maternity
Fetal non-stress test	CPT	59025	7	$821	$500.81	$21.95	$122.31	0.65×	$813.28
Routine obstetric care including vaginal delivery	CPT	59400	7	$5,091	$3,105.51	$886.85	$2,631.4	1.1×	$4,941.83
Vaginal delivery with postpartum	CPT	59410	7	$2,608	$1,590.88	$454.31	$1,159.75	1.1×	$2,531.59
Routine obstetric care with C-section	CPT	59510	7	$5,971	$3,642.31	$1,040.15	$2,890.75	1.2×	$5,796.05
C-section delivery only	CPT	59514	7	$2,466	$1,504.26	$429.58	$978.4	1.0×	$2,393.75
C-section with postpartum	CPT	59515	7	$3,488	$2,127.68	$607.61	$1,424.89	1.1×	$3,385.8
office
Office visit, new patient, 15-29 min	CPT	99202	7	$195	$118.95	$33.97	$66.61	0.77×	$189.29
Office visit, new patient, 30-44 minutes	CPT	99203	7	$234	$142.74	$40.76	$94.31	0.77×	$227.14
Office visit, new patient, 45-59 min	CPT	99204	7	$563	$343.43	$98.07	$190.74	1.1×	$546.5
Office visit, new patient, 60-74 min	CPT	99205	7	$825	$503.25	$143.72	$271.3	1.2×	$800.83
Office visit, established patient, 5 min	CPT	99211	7	$91	$55.51	$9.71	$36.45	0.57×	$90.14
Office visit, established patient, 10-19 min	CPT	99212	7	$137	$83.57	$23.87	$48.12	0.60×	$132.99
Office visit, established patient, 20-29 minutes	CPT	99213	7	$167	$101.87	$29.09	$75.92	0.66×	$162.11
Office visit, established patient, 30-39 minutes	CPT	99214	7	$232	$141.52	$40.41	$111.55	0.73×	$225.2
Office visit, established patient, 40-54 min	CPT	99215	7	$295	$179.95	$51.39	$165.41	0.88×	$286.36
preventive
Upper GI endoscopy diagnostic	CPT	43235	7	$1,906	$1,162.66	$133.19	$673.77	0.74×	$3,405.6
Upper GI endoscopy with biopsy	CPT	43239	7	$2,513	$1,532.93	$149.94	$887.34	0.92×	$3,405.6
Sigmoidoscopy diagnostic	CPT	45330	7	$1,451	$885.11	$62.44	$370.54	0.44×	$1,437.36
Sigmoidoscopy with biopsy	CPT	45331	7	$1,940	$1,183.4	$79.29	$603.34	0.68×	$1,921.76
Colonoscopy diagnostic	CPT	45378	7	$2,379	$1,451.19	$199.17	$840.02	0.96×	$4,113.45
Colonoscopy with biopsy	CPT	45380	7	$2,844	$1,734.84	$216.54	$1,004.22	0.83×	$3,573.9
Colonoscopy with polyp removal	CPT	45385	7	$2,949	$1,798.89	$273.67	$1,041.29	0.86×	$3,573.9
surgery
Total hip replacement	CPT	27130	7	$6,068	$3,701.48	$1,057.05	$1,956.4	0.45×	$5,890.21
Total knee replacement	CPT	27447	7	$6,148	$3,750.28	$1,070.98	$1,971.73	0.47×	$5,967.86
Laparoscopic appendectomy	CPT	44970	7	$8,658	$5,281.38	$371.57	$2,070.5	1.3×	$8,576.61
Major joint replacement w/o MCC	MS-DRG	470	5	$50,016	$31,860	$2,838.68	$3,897.27	0.21×	$47,255
Laparoscopic cholecystectomy	CPT	47562	7	$8,658	$5,281.38	$510.06	$2,842.21	1.6×	$8,576.61
Lap cholecystectomy with cholangiography	CPT	47563	7	$3,207	$1,956.27	$558.66	$1,047.36	0.56×	$3,113.03
Lap inguinal hernia repair	CPT	49650	7	$8,658	$5,281.38	$466.64	$1,474.4	1.3×	$8,576.61

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 8)

Payer	Codes covered	Median rate
Blue Cross Blue Shield	133	$369.28
Medicaid	133	$415.94
Medicare	133	$363.3
UnitedHealthcare	133	$473.51
healthpartners [900713]	133	$1,043.86
First Health	119	$953.51
medica [900156]	119	$940.73
ma wisconsin replacement [950271]	16	$7.76

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