Supplies, drugs & other prices at M Health Fairview University of Minnesota Medical Center

Minneapolis, MN · every code in this section with a posted price and a Medicare benchmark.

72 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
2d tee w or w/o fol w/con,in (C8925) $768.63 $1,916.77 0.9×
2d tte w or w/o fol w/con,fu (C8924) $534.54 $1,333 1.5×
Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) $2,435.93 $6,074.62 1.2×
Abltj perc cryoabltj img gdn nrv plex/trncl nrv (0442T) $7,146.63 $17,822 0.8×
Abltj perc cryoabltj img gdn uxtr/perph nerve (0440T) $2,450.52 $6,111 1.2×
Admin hepatitis b vaccine (G0010) $16.04 $40 0.3×
Admin influenza virus vac (G0008) $16.04 $40 0.3×
Admin pneumococcal vaccine (G0009) $16.04 $40 0.3×
Alcohol/subs interv 15-30mn (G0396) $385.37 $961 9.8×
Alcohol/subs interv >30 min (G0397) $366.92 $915 2.0×
Autolog prp not diab ulcer (G0460) $1,985.76 $4,952 0.9×
Ca screen;flexi sigmoidscope (G0104) $943.24 $2,352.19 1.0×
Chemo extend iv infus w/pump (G0498) $398.51 $993.78 1.2×
Collagen crosslinking cornea (0402T) $3,023.14 $7,539 1.2×
Colon ca scrn not hi rsk ind (G0121) $1,032.58 $2,575 1.1×
Colorectal scrn; hi risk ind (G0105) $874.76 $2,181.44 0.9×
Colpopexy, min/inv, ex-perit (C9778) $5,680.17 $14,165 1.1×
Cyp2d6 gen com&slct rar vrnt (0070U) $563.41 $1,405 0.8×
Diab manage trn per indiv (G0108) $123.48 $307.90 2.2×
Diab manage trn ind/group (G0109) $83.14 $207.34 5.2×
Direct refer hospital observ (G0379) $307.28 $766.28 0.5×
Drug test def 1-7 classes (G0480) $66.37 $106.50 0.6×
Drug test def 15-21 classes (G0482) $10.03 $12 0.1×
Fecal microbiota prep instil (G0455) $242.01 $603.50 0.2×
Fern test (Q0114) $37.90 $94.50 3.9×
Home sleep test/type 3 porta (G0399) $311.18 $776 1.4×
Hospital outpt clinic visit (G0463) $149.18 $372 1.1×
Ig paraprotein qual bld/ur (0077U) $264.66 $660 6.1×
Inj for sacroiliac jt anesth (G0260) $811.03 $2,022.50 1.1×
Insj ant sgm drg dev trab mw w/o res&ctrc rmvl1+ (0671T) $5,968.49 $14,884 1.1×
Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) $39,718.65 $99,049 1.2×
Insj/Rplcmt Icds W/Substernal Electrode (0571T) $35,821.33 $89,330 1.1×
Interrogation device evaluation (in person) of implantable cardioverter-defibrillator system with substernal electrode,… (0576T) $52.94 $132 1.4×
Ire Ablation 1+Tumors per Organ W/Img Gdn Perq (0600T) $11,208.36 $27,951 1.0×
Mri w/o fol w/cont, breast, (C8908) $951.56 $2,372.94 2.6×
Neuro csf prion prtn qual (0035U) $542.56 $1,353 1.0×
Obtaining screen pap smear (Q0091) $38.90 $97 1.3×
Onc merkel cell carc detcj antb serum reprtd +/- (0059U) $358.50 $894 1.1×
Onc Merkel Cll Carc Srm Quan (0058U) $358.50 $894 1.1×
Oth resp proc, group (G0239) $93.44 $232.99 2.4×
Oth resp proc, indiv (G0238) $61.36 $153 2.0×
Pattern erg w/i&r (0509T) $279.50 $697 1.2×
Pemivibart infusion (M0224) $354.09 $883 0.8×
Perc d-e cor revasc chro sin (C9607) $19,617.68 $48,921.88 1.0×
Perc d-e cor revasc t cabg s (C9604) $12,400.33 $30,923.50 1.0×
Perc d-e cor stent ather s (C9602) $19,553.91 $48,762.86 1.0×
Perc drug-el cor stent sing (C9600) $12,212.70 $30,455.59 1.0×
Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) $12,211.66 $30,453 1.0×
Prgrmg Device Evaluation Cardiac Modulj System (0417T) $86.22 $215 2.2×
Psa screening (G0103) $52.13 $130 2.7×
Rbc DNA gnotyp 10 bld groups (0084U) $302.76 $755 0.4×
Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) $392.46 $978.68 0.5×
Revasc intra lithotrip-ather (C9766) $15,657.85 $39,047 0.8×
Revasc intra lithotrip-stent (C9765) $15,657.85 $39,047 0.8×
Revasc intravasc lithotripsy (C9764) $8,577.34 $21,389.88 0.7×
Revasc lithotrip tibi/perone (C9772) $17,827.66 $44,458 1.5×
Rmvl&rplcmt substernal impltbl defibrillator pg (0614T) $25,665.21 $64,003 1.1×
Scr c/v cyto,thinlayer,rescr (G0145) $66.56 $165.96 2.5×
Screen cerv/vag thin layer (G0123) $48.77 $121.62 2.4×
Sim ang w/prs cath rad emb (C8004) $6,696.70 $16,700 0.6×
Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) $20,544.84 $51,234 1.0×
Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) $12,624.69 $31,483 0.6×
Tcat rmvl&rplcmt prm 2chmbr ldls pm r vntr cmpnt (0803T) $11,762.54 $29,333 0.6×
Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) $3,094.92 $7,718 0.5×
Therapeutic procd strg endur (G0237) $69.76 $173.96 2.3×
Tomosynthesis, mammo (G0279) $42.91 $107 3.4×
Trauma respons w/hosp criti (G0390) $1,744.76 $4,351 1.2×
Trim nail(s) (G0127) $119.90 $299 1.9×
Tte w or w/o fol w/con,stres (C8928) $864.61 $2,156.11 1.1×
Tte w or wo fol wcon,doppler (C8929) $767.47 $1,913.87 0.9×
Unsched dialysis esrd pt hos (G0257) $749.41 $1,868.84 1.0×
Vasc emb/occ w/prs cath (C9797) $12,279.83 $30,623 0.6×