Supplies, drugs & other prices at Hennepin County Medical Center

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

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

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ProcedurePosted cashPosted gross× Medicare
2d tte w or w/o fol w/con,co (C8923) $723.60 $1,608 0.9×
2d tte w or w/o fol w/con,fu (C8924) $816.75 $1,815 2.2×
Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) $6,198.30 $13,774 3.0×
Abltj Perc Cryoabltj Img Gdn Nrv Plex/Trncl Nrv (0442T) $9,881.55 $21,959 1.1×
Abltj perc cryoabltj img gdn uxtr/perph nerve (0440T) $6,198.30 $13,774 3.0×
Adm tocilizu covid-19 1st (M0249) $531.90 $1,182 1.2×
Adm tocilizu covid-19 2nd (M0250) $531.90 $1,182 1.2×
Admin hepatitis b vaccine (G0010) $45.90 $102 0.9×
Admin influenza virus vac (G0008) $45.90 $102 0.9×
Admin pneumococcal vaccine (G0009) $45.90 $102 0.9×
Alcohol/sub misuse assess (G2011) $24.75 $55 0.8×
Annual alcohol screen 15 min (G0442)
range across 2 matching MRF lines
$17.55–$31.50 $39–$70 varies
Behavior counsel obesity 15m (G0447)
range across 2 matching MRF lines
$42.30–$43.20 $94–$96 varies
Blind interatrial shunt ide (C9758) $18,905.85 $42,013 1.1×
Bone Strength & Fracture Risk Assessment (0556T) $396 $880 1.6×
Bone strength and fracture risk using finite element analysis of functional data and bone-mineral density utilizing… (0555T) $42.30 $94 1.4×
Brief alcohol misuse counsel (G0443)
range across 2 matching MRF lines
$42.30–$44.10 $94–$98 varies
Ca screen;pelvic/breast exam (G0101)
range across 2 matching MRF lines
$45.45–$62.10 $101–$138 varies
Care manage beh svs 20mins (G0323) $36.90 $82 0.9×
Catheterize for urine spec (P9612) $8.10 $18 0.9×
Chemo extend iv infus w/pump (G0498) $296.10 $658 0.9×
Computed tomography scan taken for the purpose of biomechanical computed tomography analysis Non-Facility Physician (0558T) $86.85 $193 1.0×
Covid-19 lab test non-cdc (U0002)
range across 8 matching MRF lines
$46.35–$82.80 $103–$184 varies
Crown 3/4 resin-based compos (D2712) $370.80 $824 0.5×
Crown resin w/ high noble me (D2720) $636.30 $1,414 0.9×
Crown resin w/ noble metal (D2722) $900 $2,000 1.3×
Cyp1a2 gene analysis common variants (0031U)
range across 2 matching MRF lines
$358.20–$419.40 $796–$932 varies
Dental inlay resin 3/mre sur (D2652) $517.05 $1,149 0.8×
Dental onlay resin 2 surface (D2662) $473.40 $1,052 0.7×
Dental onlay resin 3 surface (D2663) $562.05 $1,249 0.8×
Dental onlay resin 4/mre sur (D2664) $609.75 $1,355 0.9×
Depression screen annual (G0444)
range across 2 matching MRF lines
$17.55–$31.50 $39–$70 varies
Diab manage trn per indiv (G0108)
range across 2 matching MRF lines
$72–$97.65 $160–$217 varies
Diab manage trn ind/group (G0109)
range across 2 matching MRF lines
$27.45–$33.75 $61–$75 varies
Direct refer hospital observ (G0379)
range across 2 matching MRF lines
$97.26–$689.15 $216.14–$1,531.45 varies
Drug test def 1-7 classes (G0480)
range across 13 matching MRF lines
$40.95–$164.70 $91–$366 varies
Elec alys cplx prgrmg iins ptn 4+ parameters (0590T) $203.40 $452 2.0×
Elec alys smpl prgrmg iins ptn 1-3 parameters (0589T) $203.40 $452 2.0×
Elec stim other than wound (G0283)
range across 2 matching MRF lines
$21.60–$53.10 $48–$118 varies
Ev Catheter Dir Chem Abltj Incmptnt Xtr Vein (0524T) $2,683.80 $5,964 0.8×
Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T) $9,824.85 $21,833 0.8×
Evacuation meibomian glands using heat bilateral (0563T) $56.25 $125 0.9×
Extrnl counterpulse, per tx (G0166) $184.50 $410 1.3×
Eye mvmt analysis w/o spatial calibration i&r (0615T) $108.45 $241 0.8×
Facility svs dental rehab (G0330) $2,814.75 $6,255 0.8×
Fern test (Q0114)
range across 4 matching MRF lines
$4.95–$13.50 $11–$30 varies
Flt3 gene int tandem dupl variants quantitative (0046U) $1,350 $3,000 3.3×
Fractional abl lsr fenestration first 100 sqcm (0479T) $830.70 $1,846 1.1×
Group mnt 2 or more 30 mins (G0271) $24.75 $55 1.5×
Hbot, full body chamber, 30m (G0277)
range across 3 matching MRF lines
$526.95–$767.25 $1,171–$1,705 varies
Hepb screen high risk indiv (G0499)
range across 2 matching MRF lines
$16.20–$60.75 $36–$135 varies
High inten beh couns std 30m (G0445)
range across 2 matching MRF lines
$42.30–$46.35 $94–$103 varies
Hopd mntl hlt, 15-29 min (C7900) $49.95 $111 1.3×
Hopd mntl hlt, 30-60 min (C7901) $77.85 $173 0.7×
Hospital outpt clinic visit (G0463) $231.30 $514 1.7×
Init/sub psych care m 1st 30 (G2214) $98.10 $218 0.9×
Initial preventive exam (G0402)
range across 3 matching MRF lines
$115.65–$262.35 $257–$583 varies
Injection(s), autologous white blood cell concentrate (autologous protein solution), any site, including image… (0481T) $397.35 $883 0.8×
Inlay composite/resin one su (D2650) $393.75 $875 0.6×
Inlay composite/resin two su (D2651) $467.55 $1,039 0.7×
Inlay porcelain/ceramic 1 su (D2610) $508.95 $1,131 0.8×
Inlay porcelain/ceramic 2 su (D2620) $539.55 $1,199 0.8×
Insert drug del implant, >=4 (G0516) $405.45 $901 0.9×
Insertion wrls car stimulator lv pacg compl sys (0515T) $27,272.25 $60,605 1.2×
Insertion/Replacement Complete Iims (0525T)
unusually low: confirm this is the full procedure
$10,038.15 $22,307 0.5×
Insertion/Replacement Iims Electrode Only (0526T) $7,524 $16,720 0.9×
Insertion/Replacement Iims Implantable Mntr Only (0527T) $7,524 $16,720 0.9×
Insj Wcs Lv Eltrd Only (0516T) $9,180.45 $20,401 0.8×
Insj Wcs Lv Pg Compnt (0517T) $9,180.45 $20,401 0.8×
Intens behave ther cardio dx (G0446)
range across 2 matching MRF lines
$42.30–$44.10 $94–$98 varies
Interrog dev eval iims ip (0529T) $40.50 $90 1.0×
Interrog Dev Eval Wrls Car Stimulator in Person (0521T) $18.90 $42 0.6×
Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U)
range across 2 matching MRF lines
$353.70–$354.60 $786–$788 varies
Lev 3 hosp type b ed visit (G0382) $495 $1,100 2.7×
Mnt subs tx for change dx (G0270)
range across 3 matching MRF lines
$24.30–$54 $54–$120 varies
Mra, w/dye, spinal canal (C8931) $336.15 $747 0.9×
Mri w/cont, breast, bi (C8906) $458.55 $1,019 1.3×
Mri w/cont, breast, uni (C8903) $428.40 $952 2.3×
Mri w/o fol w/cont, breast, (C8908) $336.15 $747 0.9×
Mri w/o fol w/cont, brst, un (C8905) $504.90 $1,122 1.4×
Neuro csf prion prtn qual (0035U)
range across 2 matching MRF lines
$324.45–$470.25 $721–$1,045 varies
Njx dx/ther paraver fct jt w/us cer/thor 1 lvl (0213T) $742.95 $1,651 0.8×
Njx platelet plasma (0232T) $600.30 $1,334 1.3×
Non-ophthalmic fva (C9733)
range across 5 matching MRF lines
$311.40–$466.65 $692–$1,037 varies
Obtaining screen pap smear (Q0091)
range across 2 matching MRF lines
$38.70–$65.25 $86–$145 varies
Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) $6,447.15 $14,327 0.5×
Pinworm examinations (Q0113)
range across 2 matching MRF lines
$24.30–$26.55 $54–$59 varies
Pne flu hepb cov home admin (M0201)
range across 2 matching MRF lines
$36–$43.20 $80–$96 varies
Potassium hydroxide preps (Q0112)
range across 2 matching MRF lines
$5.40–$10.80 $12–$24 varies
Ppps, initial visit (G0438) $301.50 $670 1.7×
Ppps, subseq visit (G0439) $204.30 $454 1.5×
Prgrmg dev eval iims ip (0528T) $40.50 $90 1.0×
Prgrmg device eval wrls car stimulator in person (0522T) $53.55 $119 1.4×
Psa screening (G0103)
range across 2 matching MRF lines
$17.55–$30.15 $39–$67 varies
Removal complete iims (0530T) $3,180.60 $7,068 0.8×
Removal iims electrode only (0531T) $3,180.60 $7,068 0.8×
Removal iims implt mntr only (0532T) $3,180.60 $7,068 0.8×
Remove drug implant (G0517) $405.45 $901 0.9×
Remove w insert drug implant (G0518) $405.45 $901 0.9×
Revasc intra lithotrip-ather (C9766) $15,330.60 $34,068 0.8×
Revasc intra lithotrip-stent (C9765) $30,661.20 $68,136 1.6×
Revasc intravasc lithotripsy (C9764) $9,618.30 $21,374 0.8×
Revasc lith-sten-ath tib/per (C9775) $21,187.35 $47,083 1.1×
Revasc lithotr-ather tib/per (C9774) $21,187.35 $47,083 1.1×
Revasc lithotr-stent tib/per (C9773) $21,187.35 $47,083 1.1×
Revasc lithotrip tibi/perone (C9772) $9,618.30 $21,374 0.8×
Revasc lithotrip-stent-ather (C9767)
unusually low: confirm this is the full procedure
$7,182.90 $15,962 0.4×
Rmvl & Rplcmt Pg Compnt Wcs (0519T)
unusually low: confirm this is the full procedure
$3,880.80 $8,624 0.4×
Rmvl Pg Compnt Wcs (0518T) $3,880.80 $8,624 1.0×
Rmvl&Rplcmt Pg Wcs New Eltrd (0520T) $27,272.25 $60,605 2.5×
Routine footcare pt w lops (G0247) $174.60 $388 0.8×
Rx Metab Advrs Trgt Seq Alys (0029U)
range across 2 matching MRF lines
$575.10–$598.05 $1,278–$1,329 varies
Scr c/v cyto,thinlayer,rescr (G0145)
range across 2 matching MRF lines
$37.80–$128.70 $84–$286 varies
Screen cerv/vag thin layer (G0123)
range across 5 matching MRF lines
$27.90–$133.20 $62–$296 varies
Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) $6,330.60 $14,068 1.1×
Tomosynthesis, mammo (G0279) $27 $60 2.1×
Trauma respons w/hosp criti (G0390)
range across 2 matching MRF lines
$3,393.45–$4,523.85 $7,541–$10,053 varies
Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) $3,150 $7,000 0.9×
Trim nail(s) (G0127) $53.55 $119 0.9×
Trluml Perip Athrc Iliac Art (0238T) $15,330.60 $34,068 0.8×
Tte w or w/o contr, cont ecg (C8930) $1,502.55 $3,339 1.8×
Tte w or w/o fol w/cont, com (C8921) $700.20 $1,556 0.9×
Tte w or w/o fol w/cont, f/u (C8922) $700.20 $1,556 0.9×
Tte w or wo fol wcon,doppler (C8929) $700.20 $1,556 0.9×
Unsched dialysis esrd pt hos (G0257) $611.10 $1,358 0.9×
Wet mounts/ w preparations (Q0111)
range across 2 matching MRF lines
$15.30–$16.20 $34–$36 varies

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.