Does St Gabriels Hospital publish its standard charges and chargemaster?

Yes. St Gabriels Hospital publishes a machine-readable file with 24,859 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 St Gabriels Hospital charge for procedures?

St Gabriels Hospital (Little Falls, 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 241370

St Gabriels Hospital

Little Falls, MN, 56345

25 bedsCritical Access Hospitals2

Compliance grade

100/100

Rates published

24,859

last crawl 2026-05-24

Procedures tracked

194

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.chihealth.com/content/dam/chihealthcom/documents/patients-and-visitors/financial-assistance/price-transparency-2025/umw/410721642_chi-st-gabriels-health_standardcharges.csv?adobe_mc=MCMID=47305907076111227494616949278145012020 · 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
Psychoses	MS-DRG	885	7	—	—	$2,344	$3,838	0.30×	$13,941
Psychiatric eval with medical services	CPT	90792	13	$417	$241.86	$36.42	$132.05	0.76×	$396.15
Psychotherapy 30 minutes	CPT	90832	8	$255	$147.9	$17.4	$84.15	0.57×	$242.25
Psychotherapy 45 minutes	CPT	90834	13	$340	$197.2	$18.39	$99.87	0.62×	$323
Psychotherapy 60 minutes	CPT	90837	13	$499	$289.42	$28.64	$147.77	0.78×	$474.05
Crisis psychotherapy 60 minutes	CPT	90839	13	$331	$191.98	$33	$104.5	0.66×	$314.45
emergency
ED visit level 1	CPT	99281	13	$324	$187.92	$23.8	$151	1.1×	$2,046
ED visit level 2	CPT	99282	13	$578	$335.24	$46.04	$160.55	0.68×	$2,046
ED visit level 3	CPT	99283	13	$947	$549.26	$77.8	$247	0.61×	$2,046
ED visit level 4	CPT	99284	13	$1,524	$883.92	$132.18	$548.64	0.82×	$2,046
ED visit level 5	CPT	99285	13	$2,309	$1,339.22	$191.95	$653.6	0.63×	$2,193.55
Critical care, first hour	CPT	99291	13	$3,446	$1,998.68	$237.73	$950	0.89×	$3,273.7
imaging
CT head without contrast	CPT	70450	13	$2,102	$1,219.16	$84.07	$1,187.63	5.7×	$1,996.9
CT head with contrast	CPT	70460	13	$2,102	$1,219.16	$122.07	$1,187.63	5.1×	$1,996.9
CT head with and without contrast	CPT	70470	13	$3,153	$1,828.74	$147.01	$1,425.5	5.3×	$2,995.35
CT neck with contrast	CPT	70491	13	$2,145	$1,244.1	$154.93	$1,211.93	4.4×	$2,037.75
MRI brain without contrast	CPT	70551	13	$3,680	$2,134.4	$167.73	$1,833	4.5×	$3,496
MRI brain with contrast	CPT	70552	13	$3,680	$2,134.4	$248.49	$1,833	3.8×	$3,496
MRI brain with and without contrast	CPT	70553	13	$5,483	$3,180.14	$282.93	$2,152.09	3.7×	$5,208.85
Chest X-ray single view	CPT	71045	13	$173	$100.34	$19.14	$100.64	1.1×	$168.28
Chest X-ray 2 views	CPT	71046	13	$333	$193.14	$26.26	$198.07	2.0×	$316.35
Chest X-ray 3 views	CPT	71047	13	$492	$285.36	$33.39	$280.44	2.9×	$467.4
CT chest without contrast	CPT	71250	13	$2,244	$1,301.52	$105.04	$1,267.86	5.9×	$2,131.8
CT chest with contrast	CPT	71260	13	$2,244	$1,301.52	$144.24	$1,267.86	4.5×	$2,131.8
CT chest with and without contrast	CPT	71270	13	$3,366	$1,952.28	$178.68	$1,425.5	4.9×	$3,197.7
MRI chest without contrast	CPT	71550	13	$3,748	$2,173.84	$366.87	$1,833	4.3×	$3,560.6
MRI chest with contrast	CPT	71551	13	$3,748	$2,173.84	$397.23	$1,833	2.3×	$3,560.6
MRI chest with and without contrast	CPT	71552	13	$5,622	$3,260.76	$500.55	$2,206.64	3.7×	$5,340.9
Lumbosacral spine X-ray	CPT	72100	13	$231	$133.98	$18.39	$108.44	1.0×	$226.66
CT cervical spine without contrast	CPT	72125	13	$2,493	$1,445.94	$106.23	$1,386.04	6.9×	$2,368.35
CT thoracic spine without contrast	CPT	72128	13	$2,424	$1,405.92	$105.84	$1,366.72	6.9×	$2,302.8
CT lumbar spine without contrast	CPT	72131	13	$2,477	$1,436.66	$105.45	$1,381.56	6.8×	$2,353.15
MRI cervical spine without contrast	CPT	72141	13	$3,369	$1,926.18	$162.05	$1,814.38	4.6×	$3,200.55
MRI thoracic spine without contrast	CPT	72146	13	$3,661	$2,123.38	$162.05	$1,833	4.9×	$3,477.95
MRI lumbar spine without contrast	CPT	72148	13	$3,661	$2,123.38	$162.44	$1,833	4.9×	$3,477.95
MRI lumbar spine with and without contrast	CPT	72149	13	$3,661	$2,123.38	$250.87	$1,833	4.0×	$3,477.95
MRI cervical spine with and without contrast	CPT	72156	13	$5,054	$2,888.98	$286.9	$1,962.14	3.6×	$4,801.3
MRI lumbar spine with contrast	CPT	72158	13	$5,492	$3,185.36	$286.1	$2,155.62	3.9×	$5,217.4
CT pelvis without contrast	CPT	72192	13	$2,272	$1,317.76	$105.04	$1,283.68	6.4×	$2,158.4
CT pelvis with contrast	CPT	72193	13	$2,272	$1,317.76	$223.03	$1,283.68	4.6×	$2,158.4
Shoulder X-ray	CPT	73030	9	$165	$82.5	$18.03	$53.39	0.57×	$168.28
Humerus X-ray	CPT	73060	9	$207	$103.5	$21.57	$59.54	0.67×	$196.65
Hand X-ray 3 views	CPT	73130	9	$158	$79	$17.33	$51.21	0.55×	$168.28
MRI upper extremity joint without contrast	CPT	73221	9	$3,369	$1,684.5	$183.18	$1,246.53	3.0×	$3,200.55
MRI upper extremity joint with and without contrast	CPT	73223	9	$5,054	$2,527	$391.41	$1,786.59	2.9×	$4,801.3
Knee X-ray 1-2 views	CPT	73560	9	$139	$69.5	$15.21	$45	0.48×	$168.28
Ankle X-ray 3 views	CPT	73610	9	$161	$80.5	$17.68	$52.21	0.57×	$168.28
MRI lower extremity joint without contrast	CPT	73721	9	$3,369	$1,684.5	$182.77	$1,246.53	2.7×	$3,200.55
MRI lower extremity joint with and without contrast	CPT	73723	9	$5,054	$2,527	$390.22	$1,786.59	2.8×	$4,801.3
CT abdomen without contrast	CPT	74150	13	$2,335	$1,354.3	$103.86	$1,319.28	7.0×	$2,218.25
CT abdomen with contrast	CPT	74160	13	$2,335	$1,354.3	$222.23	$1,319.28	4.6×	$2,218.25
CT abdomen with and without contrast	CPT	74170	13	$3,484	$2,020.72	$251.66	$1,446.5	4.3×	$3,309.8
CT abdomen and pelvis without contrast	CPT	74176	13	$4,028	$2,336.24	$129.99	$1,581	4.3×	$3,826.6
CT abdomen and pelvis with contrast	CPT	74177	13	$4,028	$2,336.24	$282.54	$1,581	2.9×	$3,826.6
CT abdomen and pelvis with and without contrast	CPT	74178	13	$6,042	$3,504.36	$319.36	$2,371.49	4.1×	$5,739.9
MRI abdomen without contrast	CPT	74181	13	$3,680	$2,134.4	$171.95	$1,769	4.5×	$3,496
MRI abdomen with and without contrast	CPT	74183	13	$5,493	$3,185.94	$319.36	$2,156.01	3.8×	$5,218.35
Abdominal ultrasound complete	CPT	76700	13	$1,041	$603.78	$95.94	$588.17	3.9×	$988.95
Abdominal ultrasound limited	CPT	76705	13	$713	$413.54	$72.18	$402.85	2.8×	$677.35
Retroperitoneal ultrasound complete	CPT	76770	13	$950	$551	$89.21	$541.5	3.8×	$902.5
Obstetric ultrasound first trimester	CPT	76801	13	$509	$295.22	$40.66	$226.66	1.6×	$483.55
Obstetric ultrasound after first trimester	CPT	76805	13	$666	$386.28	$52.68	$271.07	1.8×	$632.7
Transvaginal ultrasound	CPT	76830	13	$476	$276.08	$39.6	$226.66	1.5×	$452.2
Pelvic ultrasound complete	CPT	76856	13	$675	$391.5	$56.21	$274.73	1.9×	$641.25
Scrotal ultrasound	CPT	76870	13	$876	$508.08	$85.65	$499.32	3.8×	$832.2
Diagnostic mammography unilateral	CPT	77065	13	$512	$296.96	$103.47	$291.84	2.0×	$486.4
Diagnostic mammography bilateral	CPT	77066	13	$651	$377.58	$132.36	$371.07	1.9×	$618.45
Screening mammography bilateral	CPT	77067	13	$547	$317.26	$91.61	$325.47	2.1×	$519.65
EKG tracing only	CPT	93005	13	$297	$148.5	$5.4	$14.4	0.12×	$282.15
EKG interpretation only	CPT	93010	12	$31	$15.5	$6.9	$13.11	0.72×	$29.45
Transthoracic echocardiogram complete	CPT	93306	13	$2,152	$1,248.16	$69.29	$672.77	1.1×	$2,044.4
Transthoracic echocardiogram	CPT	93307	8	$1,310	$759.8	$34.5	$393	1.6×	$1,244.5
Stress echocardiogram	CPT	93350	13	$1,767	$1,024.86	$77.42	$501.6	0.99×	$1,678.65
inpatient
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	7	—	—	$2,344	$3,838	0.19×	$21,346
Intracranial hemorrhage/CVA w CC	MS-DRG	065	7	—	—	$2,344	$3,838	0.36×	$11,361
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	7	—	—	$2,344	$3,838	0.50×	$7,932.44
Respiratory infections & inflammations w MCC	MS-DRG	177	7	—	—	$2,344	$3,838	0.25×	$20,590
COPD w MCC	MS-DRG	190	7	—	—	$2,344	$3,838	0.34×	$12,541
COPD w CC	MS-DRG	191	7	—	—	$2,344	$3,838	0.43×	$9,853.89
COPD w/o CC/MCC	MS-DRG	192	7	—	—	$2,344	$3,838	0.55×	$7,753.9
Simple pneumonia & pleurisy w CC	MS-DRG	194	7	—	—	$2,344	$3,838	0.45×	$9,629.61
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	7	—	—	$2,344	$3,838	0.57×	$7,420.27
AMI discharged alive w MCC	MS-DRG	280	7	—	—	$2,344	$3,838	0.24×	$18,146
AMI discharged alive w CC	MS-DRG	281	7	—	—	$2,344	$3,838	0.40×	$10,401
AMI discharged alive w/o CC/MCC	MS-DRG	282	7	—	—	$2,344	$3,838	0.49×	$8,095.35
Heart failure & shock w MCC	MS-DRG	291	7	—	—	$2,344	$3,838	0.30×	$14,962
Heart failure & shock w CC	MS-DRG	292	7	—	—	$2,344	$3,838	0.43×	$9,987.79
Heart failure & shock w/o CC/MCC	MS-DRG	293	7	—	—	$2,344	$3,838	0.62×	$7,281.91
Cardiac arrhythmia w MCC	MS-DRG	308	7	—	—	$2,344	$3,838	0.32×	$13,382
Cardiac arrhythmia w CC	MS-DRG	309	7	—	—	$2,344	$3,838	0.49×	$8,362.03
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	7	—	—	$2,344	$3,838	0.62×	$6,230.79
GI hemorrhage w CC	MS-DRG	378	7	—	—	$2,344	$3,838	0.38×	$11,082
GI hemorrhage w/o CC/MCC	MS-DRG	379	7	—	—	$2,344	$3,838	0.56×	$7,108.95
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	7	—	—	$2,344	$3,838	0.48×	$8,529.4
Fractures of femur w/o MCC	MS-DRG	533	7	—	—	$2,344	$3,838	0.25×	$16,645
Kidney/UTI w MCC	MS-DRG	689	7	—	—	$2,344	$3,838	0.33×	$12,400
Kidney/UTI w/o MCC	MS-DRG	690	7	—	—	$2,344	$3,838	0.46×	$8,839.61
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	7	—	—	$2,344	$3,838	0.21×	$20,846
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	7	—	—	$2,344	$3,838	0.37×	$11,399
Initial hospital care, low complexity	CPT	99221	8	$231	$133.98	$69.3	$131.67	1.4×	$219.45
Initial hospital care, moderate complexity	CPT	99222	8	$366	$212.28	$109.8	$208.62	1.2×	$347.7
Initial hospital care, high complexity	CPT	99223	8	$489	$283.62	$146.7	$278.73	1.2×	$464.55
Hospital discharge, <30 min	CPT	99238	12	$245	$132.82	$68.7	$133.97	1.6×	$232.75
Hospital discharge, >30 min	CPT	99239	8	$324	$187.92	$97.2	$184.68	1.5×	$307.8
lab
Basic metabolic panel (BMP)	CPT	80048	13	$302	$175.16	$8.46	$165.41	5.1×	$286.9
General health panel	CPT	80050	12	$595	$345.1	$82.96	$339.15	3.2×	$565.25
Electrolyte panel	CPT	80051	13	$125	$72.5	$7.01	$70.63	3.0×	$118.75
Comprehensive metabolic panel	CPT	80053	13	$347	$201.26	$10.56	$190.2	4.3×	$329.65
Lipid panel	CPT	80061	13	$83	$48.14	$13.39	$50.04	1.3×	$95.18
Renal function panel	CPT	80069	13	$321	$186.18	$8.68	$181.37	6.6×	$304.95
Hepatic function panel	CPT	80076	13	$321	$186.18	$8.17	$181.37	6.8×	$304.95
Urinalysis non-automated	CPT	81002	13	$30	$15	$3.48	$11.97	1.7×	$28.5
Urinalysis automated	CPT	81003	13	$64	$37.12	$2.25	$36.16	2.6×	$60.8
Glucose quantitative	CPT	82947	13	$45	$26.1	$3.93	$24.7	1.4×	$42.75
Hemoglobin A1c	CPT	83036	13	$71	$41.18	$9.71	$39.48	1.5×	$78.39
Thyroid stimulating hormone (TSH)	CPT	84443	13	$130	$75.4	$16.8	$68.63	1.5×	$123.5
Complete blood count with automated differential	CPT	85025	13	$162	$93.96	$7.77	$87.71	3.3×	$153.9
Complete blood count without differential	CPT	85027	13	$102	$59.16	$6.47	$57.63	2.7×	$96.9
Urine culture bacterial	CPT	87086	13	$81	$46.98	$8.07	$44.79	1.9×	$76.95
Tissue exam by pathologist level IV	CPT	88305	13	$72	$41.76	$18.39	$43.2	0.42×	$162.37
maternity
Fetal non-stress test	CPT	59025	13	$185	$107.3	$17.7	$67.53	0.36×	$780
Routine obstetric care including vaginal delivery	CPT	59400	4	—	—	$2,523.53	$2,523.53	1.1×	$4,058.38
Vaginal delivery only	CPT	59409	13	$2,694	$1,347	$644.1	$1,256	0.57×	$5,456.34
Vaginal delivery with postpartum	CPT	59410	4	—	—	$1,106.26	$1,106.26	1.0×	$1,986.62
Routine obstetric care with C-section	CPT	59510	4	—	—	$2,764.72	$2,764.72	1.1×	$4,470.26
C-section delivery only	CPT	59514	4	—	—	$938.08	$938.08	0.98×	$1,735.56
C-section with postpartum	CPT	59515	4	—	—	$1,352.27	$1,352.27	1.1×	$2,402.87
office
Office visit, new patient, 15-29 min	CPT	99202	13	$308	$178.64	$15.3	$92.4	1.1×	$292.6
Office visit, new patient, 30-44 minutes	CPT	99203	13	$436	$218	$24	$115.2	0.94×	$414.2
Office visit, new patient, 45-59 min	CPT	99204	13	$591	$295.5	$35.7	$163.91	0.94×	$561.45
Office visit, new patient, 60-74 min	CPT	99205	13	$732	$366	$47.1	$208.23	0.94×	$695.4
Office visit, established patient, 5 min	CPT	99211	13	$67	$38.86	$9.95	$30.6	0.48×	$63.65
Office visit, established patient, 10-19 min	CPT	99212	13	$205	$102.5	$12	$53.79	0.67×	$194.75
Office visit, established patient, 20-29 minutes	CPT	99213	13	$262	$151.96	$19.45	$80.18	0.70×	$248.9
Office visit, established patient, 30-39 minutes	CPT	99214	13	$379	$214.02	$27.6	$118.43	0.78×	$360.05
Office visit, established patient, 40-54 min	CPT	99215	13	$527	$299.86	$38.7	$161.01	0.85×	$500.65
preventive
Upper GI endoscopy diagnostic	CPT	43235	13	$996	$498	$133.82	$595.68	0.65×	$2,311.27
Upper GI endoscopy with biopsy	CPT	43239	13	$1,151	$613.64	$151.22	$755.42	0.78×	$2,311.27
Sigmoidoscopy diagnostic	CPT	45330	13	$534	$309.72	$60.87	$304.38	0.36×	$1,650.82
Sigmoidoscopy with biopsy	CPT	45331	13	$809	$469.22	$78.55	$457.09	0.51×	$1,650.82
Colonoscopy diagnostic	CPT	45378	13	$963	$558.54	$201.54	$602.92	0.69×	$2,791.66
Colonoscopy with biopsy	CPT	45380	13	$1,577	$788.5	$218.95	$892.06	0.73×	$2,425.49
Colonoscopy with polyp removal	CPT	45385	13	$1,780	$890	$277.08	$934.4	0.78×	$2,425.49
surgery
Total shoulder arthroplasty	CPT	23472	13	$5,059	$2,529.5	$1,212.3	$2,363.99	0.57×	$12,243
PCI w drug-eluting stent w MCC	MS-DRG	246	2	—	—	$28,009	$31,443	1.1×	$34,878
PCI w drug-eluting stent w/o MCC	MS-DRG	247	2	—	—	$17,816	$20,001	1.1×	$22,185
Hip hemiarthroplasty	CPT	27125	5	—	—	$1,227.49	$1,227.49	0.98×	$7,460
Total hip replacement	CPT	27130	13	$5,435	$2,717.5	$1,077.3	$2,100.74	0.48×	$25,615
Total knee replacement	CPT	27447	13	$5,871	$2,935.5	$1,075.8	$2,151.6	0.52×	$25,615
Knee revision arthroplasty single component	CPT	27486	13	$5,320	$2,660	$1,179.6	$2,300.22	1.4×	$12,243
Knee revision arthroplasty all components	CPT	27487	6	—	—	$1,892.73	$2,676.84	1.3×	$12,243
Shoulder arthroscopy with decompression	CPT	29826	13	$2,667	$1,333.5	$141.6	$313.34	0.96×	$2,533.65
Shoulder arthroscopy with rotator cuff repair	CPT	29827	13	$4,353	$2,176.5	$902.7	$1,760.27	0.53×	$13,031
Knee arthroscopy with meniscectomy	CPT	29881	13	$4,744	$2,372	$595.57	$1,767	0.86×	$5,887.31
ACL reconstruction	CPT	29888	13	$3,217	$1,608.5	$823.2	$1,605.24	0.48×	$13,031
Major small/large bowel procedures w MCC	MS-DRG	329	7	—	—	$2,344	$3,838	0.09×	$54,121
Major small/large bowel procedures w CC	MS-DRG	330	7	—	—	$2,344	$3,838	0.17×	$28,331
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	7	—	—	$2,344	$3,838	0.23×	$19,082
CABG single arterial graft	CPT	33533	4	—	—	$1,949.08	$1,949.08	1.0×	$3,592.65
CABG 2 arterial grafts	CPT	33534	4	—	—	$2,286.97	$2,286.97	1.1×	$4,221.39
CABG 3 arterial grafts	CPT	33535	4	—	—	$2,545.79	$2,545.79	1.1×	$4,706.76
CABG 4+ arterial grafts	CPT	33536	4	—	—	$2,739.68	$2,739.68	1.1×	$5,058.97
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	7	—	—	$2,344	$3,838	0.23×	$18,836
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	7	—	—	$2,344	$3,838	0.28×	$14,675
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	7	—	—	$2,344	$3,838	0.12×	$39,211
Open appendectomy	CPT	44950	13	$2,064	$1,032	$529.2	$1,031.94	0.91×	$6,621.58
Laparoscopic appendectomy	CPT	44970	13	$1,896	$966.86	$500.1	$975.2	0.62×	$10,526
Spinal fusion (non-cervical) w MCC	MS-DRG	459	7	—	—	$2,344	$3,838	0.08×	$75,115
Spinal fusion (non-cervical) w/o MCC	MS-DRG	460	7	—	—	$2,344	$3,838	0.11×	$43,882
Major joint replacement w MCC	MS-DRG	469	7	—	—	$2,344	$3,838	0.13×	$34,417
Major joint replacement w/o MCC	MS-DRG	470	7	—	—	$2,344	$3,838	0.20×	$21,200
Laparoscopic cholecystectomy	CPT	47562	13	$2,362	$1,181	$547.2	$1,067.04	0.60×	$10,526
Lap cholecystectomy with cholangiography	CPT	47563	13	$2,156	$1,148.98	$594.3	$1,158.89	0.62×	$10,526
Hip & femur procedures except major joint w MCC	MS-DRG	480	7	—	—	$2,344	$3,838	0.14×	$33,748
Hip & femur procedures except major joint w CC	MS-DRG	481	7	—	—	$2,344	$3,838	0.19×	$23,382
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	7	—	—	$2,344	$3,838	0.24×	$18,375
Open umbilical hernia repair	CPT	49560	9	$2,364	$1,182	$785.8	$1,516.75	0.79×	$6,621.58
Umbilical hernia repair age 5+	CPT	49585	9	$1,394	$697	$480.96	$894.4	0.68×	$6,621.58
Lap inguinal hernia repair	CPT	49650	13	$1,362	$700.64	$362.4	$706.68	0.63×	$10,526
Lap incisional hernia repair	CPT	49652	9	$2,417	$1,208.5	$792.57	$1,550.75	0.57×	$10,526
Total abdominal hysterectomy	CPT	58150	5	—	—	$1,098.82	$1,098.82	1.1×	$3,804
Vaginal hysterectomy	CPT	58260	13	$2,796	$1,398	$702.6	$1,370.07	0.76×	$9,171.96
Lap-assisted vaginal hysterectomy	CPT	58550	13	$2,607	$1,429.12	$739.2	$1,441.44	0.98×	$10,526
Lap-assisted vaginal hysterectomy >250g	CPT	58552	13	$3,105	$1,588.04	$821.4	$1,601.73	0.72×	$18,528
Lap salpingo-oophorectomy	CPT	58661	13	$2,191	$1,095.5	$545.1	$1,062.95	0.52×	$10,526
OR procedure for obesity w MCC	MS-DRG	619	7	—	—	$2,344	$3,838	0.14×	$34,157
OR procedure for obesity w CC	MS-DRG	620	7	—	—	$2,344	$3,838	0.24×	$19,651
OR procedure for obesity w/o CC/MCC	MS-DRG	621	7	—	—	$2,344	$3,838	0.25×	$17,813
Complex cataract surgery	CPT	66982	6	—	—	$827.65	$1,935.33	0.87×	$4,324.7
Cataract surgery with lens implant	CPT	66984	6	—	—	$604.53	$1,823.77	0.83×	$4,324.7
Intravitreal injection	CPT	67028	6	—	—	$101.74	$225.87	0.66×	$780
Vitrectomy mechanical	CPT	67042	6	—	—	$1,266.53	$2,154.77	0.85×	$8,149
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	7	—	—	$2,344	$3,838	0.31×	$12,635
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	7	—	—	$2,344	$3,838	0.20×	$20,018

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
Humana	192	$222.63
Blue Cross Blue Shield	192	$238.75
commercial \| health partners \| all plans	188	$756.58
commercial \| medica \| all plans	175	$1,621
medica	171	$800.07
health partners	164	$351.5
ucare	164	$469.92
Medicare	140	$153.08
UnitedHealthcare	131	$393.6
Multiplan	131	$474.05
Medicaid	125	$159.47
commercial \| sanford health plan \| all plans	125	$409.45
sanford health plan	119	$504.45

Related data on other Healthparse brands

Explore this hospital across cost reports, quality ratings, and non-profit filings.

HCRIS.io

Medicare cost reports, margins, utilization

Stetho.io

SNF, HHA, hospice, dialysis cost reports + ownership

990Health

IRS Form 990 financials, executive compensation

CareLens

CMS quality ratings, inspections, staffing