▸ Hospital · · CCN 249804

M Health Fairview University

Compliance grade

100/100

Procedures tracked

201

of 209 target codes

Payers

with negotiated rates

Rates published

585,333

last crawl 2026-05-24

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Source MRF: https://requiredlearning.fairview.org/price_transparency/410991680-1013994359_fairview-health-services_standardcharges.csv · CSV

Procedures & rates

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	Neg max
behavioral
Psychoses	MS-DRG	885	12	—	—	$6,176.43	$15,274	$33,746
Psychiatric diagnostic evaluation	CPT	90791	23	$916	$396.34	$111.69	$469.3	$824.4
Psychiatric eval with medical services	CPT	90792	13	—	—	$127.13	$170.73	$821.99
Psychotherapy 30 minutes	CPT	90832	23	$545	$218.55	$35.24	$210.86	$564.06
Psychotherapy 45 minutes	CPT	90834	23	$561	$226.98	$74.74	$285.26	$564.06
Psychotherapy 60 minutes	CPT	90837	23	$791	$333.57	$95.5	$433.58	$711.9
Crisis psychotherapy 60 minutes	CPT	90839	23	$588	$319.77	$81	$324.45	$567.34
emergency
ED visit level 1	CPT	99281	23	$517	$207.32	$7.41	$299.21	$1,617
ED visit level 2	CPT	99282	23	$605.6	$242.85	$24	$358.23	$1,617
ED visit level 3	CPT	99283	23	$728.5	$292.13	$47.84	$456.23	$1,617
ED visit level 4	CPT	99284	23	$1,249	$500.85	$81.32	$748.26	$1,617
ED visit level 5	CPT	99285	23	$1,772	$710.58	$117.68	$1,093.68	$2,423
Critical care, first hour	CPT	99291	23	$3,515	$1,409.52	$144.95	$939.04	$3,163.5
imaging
CT head without contrast	CPT	70450	23	$1,198.83	$480.74	$27.55	$541.8	$1,078.95
CT head with contrast	CPT	70460	23	$1,198	$480.4	$36.74	$166.66	$1,078.2
CT head with and without contrast	CPT	70470	23	$1,198	$480.4	$41.22	$181.1	$1,078.2
CT neck with contrast	CPT	70491	23	$1,402.1	$562.25	$44.74	$193.49	$1,261.89
MRI brain without contrast	CPT	70551	23	$1,604.01	$643.21	$47.81	$210.52	$1,443.61
MRI brain with contrast	CPT	70552	23	$2,244	$899.85	$57.93	$291.03	$2,019.6
MRI brain with and without contrast	CPT	70553	23	$2,898.26	$1,162.21	$74.42	$364.97	$2,608.44
Chest X-ray single view	CPT	71045	23	$323.07	$129.55	$5.89	$44.21	$290.76
Chest X-ray 2 views	CPT	71046	23	$357	$143.16	$7.06	$32.52	$321.3
Chest X-ray 3 views	CPT	71047	23	$234	$93.84	$8.95	$45.98	$267
CT chest without contrast	CPT	71250	23	$1,174.1	$470.82	$35.08	$154.22	$1,056.69
CT chest with contrast	CPT	71260	23	$1,444.22	$579.14	$37.91	$281	$1,299.8
CT chest with and without contrast	CPT	71270	23	$977	$391.78	$40.5	$191.93	$879.78
MRI chest without contrast	CPT	71550	23	$1,552	$622.36	$47.34	$240.61	$1,456.1
MRI chest with contrast	CPT	71551	23	$1,552	$622.36	$56.05	$480.48	$1,807.19
MRI chest with and without contrast	CPT	71552	23	$1,552.32	$622.48	$73.48	$419.95	$2,032.81
Lumbosacral spine X-ray	CPT	72100	23	$388	$155.59	$7.3	$65.1	$349.2
CT cervical spine without contrast	CPT	72125	23	$1,178	$472.38	$32.26	$137.42	$1,060.2
CT thoracic spine without contrast	CPT	72128	23	$1,161	$465.57	$32.26	$128.11	$1,044.9
CT lumbar spine without contrast	CPT	72131	23	$1,174	$470.78	$32.26	$139.22	$1,056.6
MRI cervical spine without contrast	CPT	72141	23	$1,878	$753.08	$48.05	$210.52	$1,690.2
MRI thoracic spine without contrast	CPT	72146	23	$1,801	$722.21	$48.05	$217.9	$1,620.9
MRI lumbar spine without contrast	CPT	72148	23	$1,895	$759.9	$48.05	$215.9	$1,705.5
MRI lumbar spine with and without contrast	CPT	72149	23	$1,398	$560.6	$57.93	$290.33	$1,398
MRI cervical spine with and without contrast	CPT	72156	23	$2,898	$1,162.1	$74.66	$330.99	$2,608.2
MRI lumbar spine with contrast	CPT	72158	23	$3,198	$1,282.4	$74.66	$326.2	$2,878.2
CT pelvis without contrast	CPT	72192	23	$1,254.35	$503	$35.33	$157.01	$1,128.91
CT pelvis with contrast	CPT	72193	23	$1,621	$650.03	$37.68	$187.83	$1,458.9
Shoulder X-ray	CPT	73030	23	$556.47	$223.15	$6.12	$66.75	$500.82
Humerus X-ray	CPT	73060	23	$459	$184.06	$5.17	$53.42	$413.1
Hand X-ray 3 views	CPT	73130	23	$535.5	$214.74	$5.64	$89.62	$481.95
MRI upper extremity joint without contrast	CPT	73221	23	$3,041.26	$1,219.55	$44.04	$255.05	$2,737.14
MRI upper extremity joint with and without contrast	CPT	73223	23	$3,812.25	$1,528.72	$69.94	$419.95	$3,431.03
Hip X-ray 2 views	CPT	73510	1	—	—	$10.84	$37.39	$67.16
Knee X-ray 1-2 views	CPT	73560	23	$565.59	$226.81	$5.41	$87.64	$509.03
Ankle X-ray 3 views	CPT	73610	23	$544.5	$218.35	$5.64	$94.94	$490.05
MRI lower extremity joint without contrast	CPT	73721	23	$3,015	$1,209.02	$44.04	$704.35	$2,713.5
MRI lower extremity joint with and without contrast	CPT	73723	23	$4,288.5	$1,719.69	$69.94	$938.44	$3,859.65
CT abdomen without contrast	CPT	74150	23	$1,174	$470.78	$38.62	$136.17	$1,056.6
CT abdomen with contrast	CPT	74160	23	$1,556	$623.96	$41.22	$194.95	$1,400.4
CT abdomen with and without contrast	CPT	74170	23	$1,794	$719.4	$45.21	$202.87	$1,614.6
CT abdomen and pelvis without contrast	CPT	74176	23	$1,286.21	$515.78	$56.52	$241.23	$1,359.31
CT abdomen and pelvis with contrast	CPT	74177	23	$1,832.02	$734.65	$59.12	$355.49	$1,648.82
CT abdomen and pelvis with and without contrast	CPT	74178	23	$2,038.2	$817.32	$65.01	$362.09	$1,834.38
MRI abdomen without contrast	CPT	74181	23	$2,077.92	$833.25	$47.11	$240.61	$1,870.13
MRI abdomen with and without contrast	CPT	74183	23	$3,126	$1,253.53	$71.36	$330.17	$2,813.4
Abdominal ultrasound complete	CPT	76700	23	$694.04	$278.31	$26.14	$112.53	$624.63
Abdominal ultrasound limited	CPT	76705	23	$546.85	$219.29	$19.08	$199.93	$492.17
Retroperitoneal ultrasound complete	CPT	76770	23	$859.5	$344.66	$23.79	$127.14	$773.55
Obstetric ultrasound first trimester	CPT	76801	23	$664	$266.27	$32.76	$128.44	$597.6
Obstetric ultrasound after first trimester	CPT	76805	23	$683	$273.89	$33.01	$129.2	$614.7
Obstetric ultrasound with fetal anatomy	CPT	76811	23	$1,123	$450.33	$63.38	$240.61	$1,359.31
Transvaginal ultrasound	CPT	76830	23	$557.04	$223.38	$22.6	$205.47	$501.34
Pelvic ultrasound complete	CPT	76856	23	$590.05	$236.61	$22.37	$143.8	$531.04
Scrotal ultrasound	CPT	76870	23	$619	$248.22	$20.72	$105.85	$557.1
Diagnostic mammography unilateral	CPT	77065	23	$446	$178.85	$26.14	$125.8	$1,094.04
Diagnostic mammography bilateral	CPT	77066	23	$576.03	$231	$32.26	$156.37	$1,381.94
Screening mammography bilateral	CPT	77067	23	$469	$188.07	$24.73	$123.85	$1,117.06
EKG complete	CPT	93000	23	$59	$37	$9.89	$42.1	$128.83
EKG tracing only	CPT	93005	23	$223	$89.43	$4.23	$140.58	$312
EKG interpretation only	CPT	93010	23	$33	$20.7	$5.41	$23.56	$128.83
Transthoracic echocardiogram complete	CPT	93306	23	$1,659.17	$768.08	$46.86	$432.02	$1,924.85
Transthoracic echocardiogram	CPT	93307	13	—	—	$29.67	$143.03	$1,359.31
Stress echocardiogram	CPT	93350	23	$2,166.21	$868.65	$46.86	$395.38	$1,949.59
inpatient
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	12	—	—	$13,464	$21,663	$49,863
Intracranial hemorrhage/CVA w CC	MS-DRG	065	12	—	—	$6,763.96	$11,253	$25,494
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	12	—	—	$4,582.06	$7,863.08	$17,373
Respiratory infections & inflammations w MCC	MS-DRG	177	12	—	—	$10,462	$16,999	$40,523
COPD w MCC	MS-DRG	190	12	—	—	$7,416.05	$12,266	$28,159
COPD w CC	MS-DRG	191	12	—	—	$5,643.89	$9,512.44	$21,536
COPD w/o CC/MCC	MS-DRG	192	12	—	—	$4,298.19	$7,421.06	$16,396
Simple pneumonia & pleurisy w CC	MS-DRG	194	12	—	—	$5,395.5	$9,126.6	$20,556
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	12	—	—	$4,207.81	$7,281.14	$16,087
AMI discharged alive w MCC	MS-DRG	280	12	—	—	$10,739	$17,430	$41,150
AMI discharged alive w CC	MS-DRG	281	12	—	—	$6,153.37	$10,304	$23,108
AMI discharged alive w/o CC/MCC	MS-DRG	282	12	—	—	$4,841.15	$8,264.82	$18,261
Heart failure & shock w MCC	MS-DRG	291	12	—	—	$8,595.04	$14,098	$32,712
Heart failure & shock w CC	MS-DRG	292	12	—	—	$5,684.06	$9,574.98	$21,591
Heart failure & shock w/o CC/MCC	MS-DRG	293	12	—	—	$3,789.37	$6,631.36	$14,652
Cardiac arrhythmia w MCC	MS-DRG	308	12	—	—	$8,060.78	$13,268	$30,232
Cardiac arrhythmia w CC	MS-DRG	309	12	—	—	$4,925.51	$8,396.26	$18,551
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	12	—	—	$3,790.04	$6,632.42	$14,654
GI hemorrhage w CC	MS-DRG	378	12	—	—	$6,565.79	$10,945	$24,715
GI hemorrhage w/o CC/MCC	MS-DRG	379	12	—	—	$4,220.53	$7,301.28	$16,132
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	12	—	—	$5,219.42	$8,853.12	$19,561
Fractures of femur w/o MCC	MS-DRG	533	12	—	—	$10,496	$17,051	$38,224
Kidney/UTI w MCC	MS-DRG	689	12	—	—	$7,768.21	$12,813	$29,340
Kidney/UTI w/o MCC	MS-DRG	690	12	—	—	$5,419.6	$9,163.7	$20,247
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	12	—	—	$13,005	$20,950	$49,191
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	12	—	—	$6,850.99	$11,388	$25,845
Initial hospital care, low complexity	CPT	99221	23	$373	$233.88	$42.5	$271.3	$676.58
Initial hospital care, moderate complexity	CPT	99222	23	$521	$326.67	$89.45	$379.98	$1,079.64
Initial hospital care, high complexity	CPT	99223	23	$746	$467.75	$111.78	$543.11	$1,436.64
Hospital discharge, <30 min	CPT	99238	23	$327	$205.03	$56.21	$237.52	$676.58
Hospital discharge, >30 min	CPT	99239	23	$462	$289.68	$79.41	$335.59	$958.71
lab
Basic metabolic panel (BMP)	CPT	80048	23	$188	$75.39	$8.32	$86.19	$169.2
General health panel	CPT	80050	22	$124	$77.75	$16.61	$58.24	$328.21
Electrolyte panel	CPT	80051	23	$84.01	$33.69	$6.9	$46.81	$75.61
Comprehensive metabolic panel	CPT	80053	23	$230.63	$92.49	$1.01	$27.3	$207.57
Lipid panel	CPT	80061	23	$102.25	$41.01	$13.18	$31.34	$118.04
Renal function panel	CPT	80069	23	$196	$78.6	$3.47	$18.97	$176.4
Hepatic function panel	CPT	80076	23	$120.03	$48.14	$8.04	$17.58	$108.03
Urinalysis non-automated	CPT	81002	13	—	—	$2.33	$4.54	$31.68
Urinalysis automated	CPT	81003	23	$70	$28.07	$1.69	$29.43	$63
Glucose quantitative	CPT	82947	23	$59	$23.66	$3.87	$27.18	$53.1
Hemoglobin A1c	CPT	83036	23	$77	$30.88	$9.55	$36.4	$86.38
Thyroid stimulating hormone (TSH)	CPT	84443	23	$99	$39.7	$16.53	$47.2	$146.83
Complete blood count with automated differential	CPT	85025	23	$134	$53.74	$5.25	$58.04	$120.6
Complete blood count without differential	CPT	85027	23	$219	$87.82	$4.8	$63.66	$197.1
Urine culture bacterial	CPT	87086	23	$85	$34.09	$7.94	$18.96	$76.5
Urine culture identification	CPT	87088	23	$105	$42.11	$7.96	$21.43	$94.5
Tissue exam by pathologist level IV	CPT	88305	23	$317	$165.53	$6.82	$113.06	$285.3
maternity
Fetal non-stress test	CPT	59025	23	$699.48	$280.5	$14.59	$187.8	$1,438
Routine obstetric care including vaginal delivery	CPT	59400	23	$11,411	$7,154.41	$120	$3,906.18	$19,148
Vaginal delivery only	CPT	59409	23	$3,757.5	$2,355.96	$122.92	$2,030.42	$11,162
Vaginal delivery with postpartum	CPT	59410	23	$4,993.75	$3,131.09	$118.16	$2,293.48	$8,386.61
Routine obstetric care with C-section	CPT	59510	23	$12,580	$7,887.66	$82.88	$2,508.32	$21,051
C-section delivery only	CPT	59514	23	$4,212.5	$2,641.24	$118.16	$822.17	$6,921.19
C-section with postpartum	CPT	59515	23	$6,096.25	$3,822.35	$655.35	$3,165.86	$10,313
office
Office visit, new patient, 15-29 min	CPT	99202	23	$298	$186.85	$32.29	$190.2	$616.11
Office visit, new patient, 30-44 minutes	CPT	99203	23	$455	$285.29	$55.97	$308.14	$944.33
Office visit, new patient, 45-59 min	CPT	99204	23	$675	$423.23	$91.85	$481.11	$1,410.73
Office visit, new patient, 60-74 min	CPT	99205	23	$890	$558.03	$124.62	$611.04	$1,859.85
Office visit, established patient, 5 min	CPT	99211	23	$105.27	$58.94	$5.97	$62.11	$201.54
Office visit, established patient, 10-19 min	CPT	99212	23	$346	$146.72	$24.16	$172.93	$483.68
Office visit, established patient, 20-29 minutes	CPT	99213	23	$380.95	$231.37	$45.44	$246.83	$774.46
Office visit, established patient, 30-39 minutes	CPT	99214	23	$551.1	$327.93	$66.97	$357.01	$1,091.15
Office visit, established patient, 40-54 min	CPT	99215	23	$736.67	$456.46	$99.5	$495.22	$1,534.53
preventive
Upper GI endoscopy diagnostic	CPT	43235	23	$3,280	$1,315.28	$81.95	$1,023.4	$3,500
Upper GI endoscopy with biopsy	CPT	43239	23	$3,280	$1,315.28	$88.76	$1,321.7	$3,500
Sigmoidoscopy diagnostic	CPT	45330	23	$2,603	$1,043.81	$38.38	$961.96	$2,872
Sigmoidoscopy with biopsy	CPT	45331	23	$2,824.61	$1,132.67	$48.75	$951.44	$2,872
Colonoscopy diagnostic	CPT	45378	23	$4,100	$1,644.1	$83.34	$1,271.47	$3,690
Colonoscopy with biopsy	CPT	45380	23	$4,201.25	$1,684.71	$88.62	$1,903.03	$3,781.13
Colonoscopy with polyp removal	CPT	45385	23	$4,201.25	$1,684.71	$88.48	$1,963.85	$3,781.13
surgery
Total shoulder arthroplasty	CPT	23472	23	$55,830	$22,388	$86.51	$4,416.83	$64,560
Hip hemiarthroplasty	CPT	27125	23	$5,577.5	$3,497.1	$102.32	$2,687.54	$9,370
Total hip replacement	CPT	27130	23	$6,293.75	$3,946.19	$90.41	$3,272.75	$45,170
Total knee replacement	CPT	27447	23	$6,288.75	$3,943.05	$92.93	$2,817.36	$45,170
Knee revision arthroplasty single component	CPT	27486	23	$6,893.75	$4,322.39	$91.09	$2,288.73	$11,496
Knee revision arthroplasty all components	CPT	27487	23	$8,566.25	$5,371.04	$92.67	$2,227.23	$14,165
Shoulder arthroscopy with decompression	CPT	29826	23	$6,777	$2,717.58	$112.11	$760.75	$6,099.3
Shoulder arthroscopy with rotator cuff repair	CPT	29827	23	$20,373	$8,169.58	$721.42	$7,110.83	$25,079
Knee arthroscopy with meniscectomy	CPT	29881	23	$9,218	$3,696.42	$373.08	$3,948	$11,390
ACL reconstruction	CPT	29888	23	$20,373	$8,169.58	$88.48	$7,304	$25,079
Major small/large bowel procedures w MCC	MS-DRG	329	12	—	—	$30,774	$48,559	$115,106
Major small/large bowel procedures w CC	MS-DRG	330	12	—	—	$16,049	$25,681	$59,254
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	12	—	—	$11,267	$18,250	$41,388
CABG single arterial graft	CPT	33533	13	—	—	$671	$2,138	$14,323
CABG 2 arterial grafts	CPT	33534	13	—	—	$671	$2,138	$16,805
CABG 3 arterial grafts	CPT	33535	13	—	—	$671	$2,272.45	$18,665
CABG 4+ arterial grafts	CPT	33536	13	—	—	$671	$2,445.63	$20,107
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	12	—	—	$11,325	$18,340	$41,576
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	12	—	—	$9,144.03	$14,951	$33,034
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	12	—	—	$22,811	$36,186	$88,471
Open appendectomy	CPT	44950	13	—	—	$417.59	$2,288.27	$21,905
Laparoscopic appendectomy	CPT	44970	23	$2,327	$1,459.03	$88.48	$1,687.45	$20,482
Major joint replacement w MCC	MS-DRG	469	12	—	—	$20,307	$32,296	$81,936
Major joint replacement w/o MCC	MS-DRG	470	12	—	—	$12,914	$20,809	$47,266
Laparoscopic cholecystectomy	CPT	47562	23	$20,539	$8,236.04	$89.5	$3,778	$20,482
Lap cholecystectomy with cholangiography	CPT	47563	23	$2,765	$1,733.66	$87.02	$2,174.28	$20,482
Hip & femur procedures except major joint w MCC	MS-DRG	480	12	—	—	$19,498	$31,039	$73,726
Hip & femur procedures except major joint w CC	MS-DRG	481	12	—	—	$14,023	$22,531	$52,014
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	12	—	—	$10,920	$17,709	$39,768
Open umbilical hernia repair	CPT	49560	2	—	—	$706.91	$2,742.1	$4,244.14
Umbilical hernia repair age 5+	CPT	49585	2	—	—	$433.71	$1,887.52	$6,348.61
Lap inguinal hernia repair	CPT	49650	23	$24,225	$9,714.29	$88.48	$5,807.49	$21,803
Lap incisional hernia repair	CPT	49652	2	—	—	$712.84	$3,102.33	$9,156.66
Total abdominal hysterectomy	CPT	58150	23	$5,002.5	$3,136.57	$92.56	$1,063.04	$8,303.13
Vaginal hysterectomy	CPT	58260	13	—	—	$560.09	$3,096.44	$17,330
Lap-assisted vaginal hysterectomy	CPT	58550	13	—	—	$589.06	$2,970.95	$20,482
Lap-assisted vaginal hysterectomy >250g	CPT	58552	23	$3,876	$2,430.26	$542.64	$2,907	$36,549
Lap salpingo-oophorectomy	CPT	58661	23	$24,647	$9,883.25	$88.48	$3,048.58	$22,182
OR procedure for obesity w MCC	MS-DRG	619	12	—	—	$19,317	$30,779	$68,005
OR procedure for obesity w CC	MS-DRG	620	12	—	—	$10,714	$17,390	$38,423
OR procedure for obesity w/o CC/MCC	MS-DRG	621	12	—	—	$10,099	$16,434	$36,310
Complex cataract surgery	CPT	66982	23	$6,805.35	$2,728.95	$512.75	$3,545.59	$8,006.69
Cataract surgery with lens implant	CPT	66984	23	$8,922.5	$3,577.93	$374.96	$3,963.94	$8,030.25
Intravitreal injection	CPT	67028	23	$1,748	$700.95	$62.88	$693.84	$1,617
Vitrectomy mechanical	CPT	67042	23	$11,579	$4,643.18	$782.66	$4,064.39	$14,123
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	12	—	—	$8,306.49	$13,650	$30,158
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	12	—	—	$13,719	$22,060	$48,981
PCI single major coronary artery	CPT	92920	23	$17,472	$7,006.28	$329.26	$5,675.26	$20,016
PCI with drug-eluting stent	CPT	92928	23	$29,872	$11,979	$366.01	$10,576	$39,812
PCI bypass graft	CPT	92937	23	$29,872	$11,979	$365.78	$11,458	$39,812
Left heart catheterization	CPT	93452	23	$8,848	$3,548.05	$149.09	$1,699.8	$11,291
Coronary angiography with cath	CPT	93455	23	$8,757	$3,511.56	$175.46	$2,538.17	$11,291
Coronary angiography with bypass cath	CPT	93458	23	$9,757	$3,912.56	$185.36	$3,175.99	$11,291

Payer mix (top 23)

Payer	Codes covered	Median rate
health partners	201	$231.92
Blue Cross Blue Shield	200	$291.04
sanford health plan	197	$273.3
security health plan	197	$333.55
south country health alliance	197	$126.59
ucare	197	$208.88
UnitedHealthcare	197	$321.28
optum	197	$191.1
primewest	197	$126.59
itasca medical care	197	$126.59
medica	197	$336.43
WellCare	196	$152.79
hennepin health	154	$106.05
wisconsin physician services	144	$476.52
america's ppo	144	$350.28
Cigna	144	$258.12
emerging therapies	144	$294.97
First Health	144	$433.58
Humana	144	$299.58
interlink	144	$345.31
Multiplan	144	$450.64
private healthcare systems	144	$450.64
Aetna	144	$313.43