Supplies, drugs & other prices at Children's Minnesota - Minneapolis Hospital
Minneapolis, MN · every code in this section with a posted price and a Medicare benchmark.
112 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Alveoloplasty w/extract 1-3 (D7311) | $516 | $516 | 0.3× |
| Alveoplasty w/o extraction (D7320) | $5,630 | $5,630 | 3.5× |
| Amalgam 4 or > surfaces perm (D2161) | $918.50 | $918.50 | 1.4× |
| Amalgam one surface permanen (D2140) | $385 | $385 | 0.6× |
| Amalgam three surfaces perma (D2160) | $546.50 | $546.50 | 0.8× |
| Amalgam two surfaces permane (D2150) | $401 | $401 | 0.6× |
| Ant resin-based cmpst crown (D2390) | $630.50 | $630.50 | 0.9× |
| Antibody treponema pallidum total & rpr ia qual (0064U) | $198 | $198 | 6.3× |
| Apexification/recalc initial (D3351) | $365.50 | $365.50 | 0.5× |
| Apexification/recalc interim (D3352) | $135 | $135 | 0.2× |
| Canal prep/fitting of dowel (D3950) | $306 | $306 | 0.5× |
| Closd rductn splint alveolus (D7670) | $6,646 | $6,646 | 1.9× |
| Comt gene analysis c.472g>a variant (0032U) | $1,167 | $1,167 | 6.7× |
| Core build-up incl any pins (D2950) | $1,029 | $1,029 | 1.5× |
| Coronectomy (D7251) | $5,603 | $5,603 | 3.4× |
| Covid-19 lab test non-cdc (U0002) | $41 | $41 | 0.8× |
| Crown porcelain/ceramic (D2740) | $1,866.50 | $1,866.50 | 2.8× |
| Crown resin-based indirect (D2710) | $728 | $728 | 1.1× |
| Cyp2d6 gen com&slct rar vrnt (0070U) | $496.78 | $496.78 | 0.7× |
| Dental prophylaxis adult (D1110) | $369 | $369 | 2.6× |
| Diab manage trn per indiv (G0108) | $97 | $97 | 1.7× |
| Diab manage trn ind/group (G0109) | $58 | $58 | 3.6× |
| Direct refer hospital observ (G0379) | $1,338 | $1,338 | 2.1× |
| Dist space maint, fixed unil (D1575) | $1,277 | $1,277 | 1.9× |
| Drug test def 1-7 classes (G0480) | $1,722 | $1,722 | 15.0× |
| End thxpy, anterior tooth (D3310) | $772.50 | $772.50 | 1.1× |
| End thxpy, molar tooth (D3330) | $1,051 | $1,051 | 1.6× |
| End thxpy, premolar tooth (D3320) | $851.50 | $851.50 | 1.3× |
| Endodontic endosseous implan (D3460) | $1,213.50 | $1,213.50 | 1.8× |
| Exposure of unerupted tooth (D7280) | $630.50 | $630.50 | 0.9× |
| Extraction coronal remnants (D7111) | $1,025.50 | $1,025.50 | 1.5× |
| Extraction erupted tooth/exr (D7140) | $1,151 | $1,151 | 1.7× |
| Fixed bilat space maint, man (D1517) | $42 | $42 | 0.1× |
| Fixed bilat space maint, max (D1516) | $1,494 | $1,494 | 2.2× |
| Gingivectomy/plasty 1 to 3 (D4211) | $5,832.50 | $5,832.50 | 1.7× |
| Gingivectomy/plasty 4 or mor (D4210) | $6,605.50 | $6,605.50 | 1.9× |
| Gingivectomy/plasty rest (D4212) | $296.50 | $296.50 | 0.1× |
| Gross pulpal debridement (D3221) | $267 | $267 | 0.4× |
| Guided tiss regen resorble (D4266) | $2,908 | $2,908 | 1.8× |
| Hbot, full body chamber, 30m (G0277) | $177 | $177 | 1.2× |
| Home sleep test/type 3 porta (G0399) | $870 | $870 | 3.8× |
| Hospital outpt clinic visit (G0463) | $305 | $305 | 2.2× |
| I&d absc intraoral soft tiss (D7510) | $471 | $471 | 0.6× |
| Ig paraprotein qual bld/ur (0077U) | $266 | $266 | 6.1× |
| Iliac Atherectomy (0238T) | $33,187 | $33,187 | 1.7× |
| Impact tooth rem bony w/comp (D7241) | $6,001.50 | $6,001.50 | 8.9× |
| Impact tooth remov comp bony (D7240) | $1,417 | $1,417 | 2.1× |
| Impact tooth remov part bony (D7230) | $1,334.50 | $1,334.50 | 2.0× |
| Impact tooth remov soft tiss (D7220) | $1,225 | $1,225 | 1.8× |
| Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that… (0216T) | $2,516 | $2,516 | 2.7× |
| Interim crown (D2799) | $244 | $244 | 0.4× |
| Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) | $583 | $583 | 4.8× |
| Labial veneer resin direct (D2960) | $4,013.50 | $4,013.50 | 5.9× |
| Limited occlusal adjustment (D9951) | $446 | $446 | 0.7× |
| Mandible graft (D7950) | $6,056 | $6,056 | 1.0× |
| Mra w/cont, abd (C8900) | $3,192 | $3,192 | 8.7× |
| Mra w/cont, chest (C8909) | $3,276.50 | $3,276.50 | 9.0× |
| Mra w/cont, lwr ext (C8912) | $4,276 | $4,276 | 11.7× |
| Mra w/cont, pelvis (C8918) | $3,724 | $3,724 | 10.2× |
| Mra w/o cont, abd (C8901) | $3,045 | $3,045 | 12.2× |
| Mra w/o cont, chest (C8910) | $2,802 | $2,802 | 11.2× |
| Mra w/o cont, lwr ext (C8913) | $2,924 | $2,924 | 11.7× |
| Mra w/o cont, pelvis (C8919) | $2,369 | $2,369 | 9.5× |
| Mra w/o fol w/cont, abd (C8902) | $4,912 | $4,912 | 13.4× |
| Mra w/o fol w/cont, chest (C8911) | $5,435 | $5,435 | 14.9× |
| Mra w/o fol w/cont, lwr ext (C8914) | $5,106 | $5,106 | 14.0× |
| Mra w/o fol w/cont, pelvis (C8920) | $3,666 | $3,666 | 10.0× |
| Njx dx/ther paraver fct jt w/us cer/thor 1 lvl (0213T) | $2,516 | $2,516 | 2.7× |
| Obtaining screen pap smear (Q0091) | $87 | $87 | 2.9× |
| Periodic oral evaluation (D0120) | $64 | $64 | 0.5× |
| Periodontal scaling & root (D4341) | $335.50 | $335.50 | 0.5× |
| Periodontal scaling 1-3teeth (D4342) | $283 | $283 | 0.4× |
| Place direct restoration (D2940) | $1,372 | $1,372 | 2.0× |
| Place intra-socket bio dress (D7922) | $274.50 | $274.50 | 0.4× |
| Post 1 srfc resinbased cmpst (D2391) | $275.50 | $275.50 | 0.4× |
| Post 2 srfc resinbased cmpst (D2392) | $321 | $321 | 0.5× |
| Post 3 srfc resinbased cmpst (D2393) | $401 | $401 | 0.6× |
| Post >=4srfc resinbase cmpst (D2394) | $424 | $424 | 0.6× |
| Prefab porc/ceram crown pri (D2929) | $321 | $321 | 0.5× |
| Prefab stainless steel crown (D2933) | $401 | $401 | 0.6× |
| Prefab steel crown primary (D2934) | $401 | $401 | 0.6× |
| Prefab stnlss steel crown pe (D2931) | $365.50 | $365.50 | 0.5× |
| Prefab stnlss steel crwn pri (D2930) | $321 | $321 | 0.5× |
| Prefabricated resin crown (D2932) | $321 | $321 | 0.5× |
| Primary closure sinus perf (D7261) | $3,083 | $3,083 | 4.6× |
| Pulp cap direct (D3110) | $321 | $321 | 0.5× |
| Pulp cap indirect (D3120) | $548.50 | $548.50 | 0.8× |
| Re-cement or re-bond crown (D2920) | $244 | $244 | 0.4× |
| Rem imp tooth w mucoper flp (D7210) | $1,063 | $1,063 | 0.7× |
| Rem nonodonto cyst to 1.25cm (D7460) | $1,321 | $1,321 | 2.0× |
| Rem odontogen cyst > 1.25 cm (D7451) | $4,224 | $4,224 | 1.2× |
| Rem odontogen cyst to 1.25cm (D7450) | $1,230.50 | $1,230.50 | 0.4× |
| Resin 4/> surf or w incis an (D2335) | $433 | $433 | 0.6× |
| Resin one surface-anterior (D2330) | $275.50 | $275.50 | 0.4× |
| Resin three surfaces-anterio (D2332) | $401 | $401 | 0.6× |
| Resin two surfaces-anterior (D2331) | $321 | $321 | 0.5× |
| Scaling gingiv inflammation (D4346) | $6,109.50 | $6,109.50 | 9.0× |
| Scr c/v cyto,thinlayer,rescr (G0145) | $119 | $119 | 4.5× |
| Space maintainer fxd unilat (D1510) | $1,008 | $1,008 | 1.5× |
| Splint extra-coronal (D4323) | $3,005 | $3,005 | 4.4× |
| Surgical revision procedure (D4268) | $2,351 | $2,351 | 3.5× |
| Surgical splint (D5988) | $351 | $351 | 0.5× |
| Therapeutic pulpotomy (D3220) | $275.50 | $275.50 | 0.4× |
| Tooth reimplantation (D7270) | $431 | $431 | 0.6× |
| Tooth root removal (D7250) | $1,457 | $1,457 | 2.2× |
| Tooth transplantation (D7272) | $2,015 | $2,015 | 3.0× |
| Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation;… (0236T) | $33,187 | $33,187 | 2.7× |
| Transseptal fiberotomy (D7291) | $5,415 | $5,415 | 8.0× |
| Trauma respons w/hosp criti (G0390) | $8,723 | $8,723 | 6.2× |
| Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) | $33,187 | $33,187 | 2.7× |
| Trluml Peripheral Atherectomy Renal Artery Ea (0234T) | $33,187 | $33,187 | 2.7× |
| Vestibuloplasty exten graft (D7350) | $7,331 | $7,331 | 1.2× |