Supplies, drugs & other prices at M Health Fairview Ridges Hospital
Burnsville, MN · every code in this section with a posted price and a Medicare benchmark.
70 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) | $814.63 | $1,916.77 | 1.0× |
| 2d tte w or w/o fol w/con,fu (C8924) | $566.53 | $1,333 | 1.6× |
| Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) range across 2 matching MRF lines |
$2,566.26–$2,597.18 | $6,038.25–$6,111 | varies |
| Abltj Perc Cryoabltj Img Gdn Nrv Plex/Trncl Nrv (0442T) | $7,574.35 | $17,822 | 0.8× |
| Abltj perc cryoabltj img gdn uxtr/perph nerve (0440T) | $2,597.18 | $6,111 | 1.3× |
| Admin hepatitis b vaccine (G0010) | $17 | $40 | 0.4× |
| Admin influenza virus vac (G0008) | $17 | $40 | 0.4× |
| Admin pneumococcal vaccine (G0009) | $17 | $40 | 0.4× |
| Alcohol/subs interv 15-30mn (G0396) | $408.43 | $961 | 10.6× |
| Alcohol/subs interv >30 min (G0397) range across 3 matching MRF lines |
$179.78–$408.43 | $423–$961 | varies |
| Autolog prp not diab ulcer (G0460) | $2,104.60 | $4,952 | 1.0× |
| Ca screen;flexi sigmoidscope (G0104) | $893.09 | $2,101.38 | 0.9× |
| Chemo extend iv infus w/pump (G0498) range across 3 matching MRF lines |
$402.05–$422.45 | $946–$994 | varies |
| Collagen Cross-Linking Cornea&Pachymetry (0402T) range across 2 matching MRF lines |
$3,165.40–$3,242.75 | $7,448–$7,630 | varies |
| Colon ca scrn not hi rsk ind (G0121) range across 3 matching MRF lines |
$875.17–$1,094.38 | $2,059.22–$2,575 | varies |
| Colorectal scrn; hi risk ind (G0105) range across 3 matching MRF lines |
$919.49–$927.35 | $2,163.50–$2,182 | varies |
| Cyp2d6 gen com&slct rar vrnt (0070U) | $597.13 | $1,405 | 0.9× |
| Diab manage trn per indiv (G0108) range across 2 matching MRF lines |
$130.83–$130.90 | $307.81–$308 | varies |
| Diab manage trn ind/group (G0109) range across 2 matching MRF lines |
$87.84–$88.40 | $206.67–$208 | varies |
| Direct refer hospital observ (G0379) range across 2 matching MRF lines |
$325.17–$326.19 | $765.09–$767.48 | varies |
| Drug test def 1-7 classes (G0480) range across 50 matching MRF lines |
$5.90–$730.15 | $5.88–$1,718 | varies |
| Drug test def 15-21 classes (G0482) range across 19 matching MRF lines |
$2.55–$24.65 | $6–$58 | varies |
| Fecal microbiota prep instil (G0455) range across 2 matching MRF lines |
$189.55–$323.43 | $446–$761 | varies |
| Fern test (Q0114) range across 2 matching MRF lines |
$39.10–$41.23 | $92–$97 | varies |
| Home sleep test/type 3 porta (G0399) | $329.80 | $776 | 1.5× |
| Hospital outpt clinic visit (G0463) range across 10 matching MRF lines |
$42.50–$297.50 | $100–$700 | varies |
| Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U) | $280.50 | $660 | 6.5× |
| Inj for sacroiliac jt anesth (G0260) range across 5 matching MRF lines |
$797.30–$1,299.87 | $1,876–$3,058.50 | varies |
| Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) | $42,095.83 | $99,049 | 1.3× |
| Insj/Rplcmt Icds W/Substernal Electrode (0571T) | $37,965.25 | $89,330 | 1.2× |
| Interrogation Dev Eval Icds W/Ss Eltrd In Person (0576T) | $56.10 | $132 | 1.5× |
| Ire Abltj 1+Tum Organ Perq (0600T) | $11,879.18 | $27,951 | 1.1× |
| Mri w/o fol w/cont, breast, (C8908) range across 2 matching MRF lines |
$997.43–$1,019.58 | $2,346.89–$2,399 | varies |
| Neuro csf prion prtn qual (0035U) | $575.03 | $1,353 | 1.1× |
| Obtaining screen pap smear (Q0091) range across 3 matching MRF lines |
$41.23–$41.30 | $96.99–$97.17 | varies |
| Onc merkel cell carc detcj antb serum reprtd +/- (0059U) | $379.95 | $894 | 1.2× |
| Onc Merkel Cll Carc Srm Quan (0058U) | $379.95 | $894 | 1.2× |
| Oth resp proc, group (G0239) range across 2 matching MRF lines |
$99.02–$99.03 | $232.98–$233 | varies |
| Oth resp proc, indiv (G0238) range across 2 matching MRF lines |
$65.03 | $153–$153.01 | 2.2× |
| Pattern erg w/i&r (0509T) | $296.23 | $697 | 1.3× |
| Pemivibart infusion (M0224) | $375.28 | $883 | 0.8× |
| Perc d-e cor revasc chro sin (C9607) range across 4 matching MRF lines |
$20,701.75–$21,341.80 | $48,710–$50,216 | varies |
| Perc d-e cor revasc t cabg s (C9604) range across 2 matching MRF lines |
$12,942.53–$13,342.45 | $30,453–$31,394 | varies |
| Perc d-e cor stent ather s (C9602) range across 4 matching MRF lines |
$20,701.75–$20,793.19 | $48,710–$48,925.14 | varies |
| Perc drug-el cor stent sing (C9600) range across 5 matching MRF lines |
$12,849.52–$12,949.55 | $30,234.16–$30,469.51 | varies |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) | $12,942.53 | $30,453 | 1.1× |
| Prgrmg Device Evaluation Cardiac Modulj System (0417T) | $91.38 | $215 | 2.4× |
| Psa screening (G0103) range across 2 matching MRF lines |
$55.25 | $129.99–$130 | 2.9× |
| Rbc DNA gnotyp 10 bld groups (0084U) | $320.88 | $755 | 0.4× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) range across 2 matching MRF lines |
$415.81–$416.08 | $978.36–$979 | varies |
| Revasc intra lithotrip-ather (C9766) | $16,594.98 | $39,047 | 0.9× |
| Revasc intra lithotrip-stent (C9765) | $16,594.98 | $39,047 | 0.9× |
| Revasc intravasc lithotripsy (C9764) range across 2 matching MRF lines |
$9,036.25–$9,145.15 | $21,261.75–$21,518 | varies |
| Revasc lithotrip tibi/perone (C9772) | $18,894.65 | $44,458 | 1.6× |
| Rmvl&Rplcmt Substernal Impltbl Defibrillator Pg (0614T) | $27,201.28 | $64,003 | 1.2× |
| Scr c/v cyto,thinlayer,rescr (G0145) range across 2 matching MRF lines |
$70.53–$70.55 | $165.93–$166 | varies |
| Screen cerv/vag thin layer (G0123) | $51.69 | $121.62 | 2.6× |
| Sim ang w/prs cath rad emb (C8004) | $7,097.50 | $16,700 | 0.6× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) | $21,774.45 | $51,234 | 1.1× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) | $13,380.28 | $31,483 | 0.7× |
| Tcat rmvl&rplcmt prm 2chmbr ldls pm r vntr cmpnt (0803T) | $12,466.53 | $29,333 | 0.6× |
| Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) | $3,280.15 | $7,718 | 0.6× |
| Therapeutic procd strg endur (G0237) range across 2 matching MRF lines |
$73.92–$73.95 | $173.92–$174 | varies |
| Tomosynthesis, mammo (G0279) | $45.48 | $107 | 3.6× |
| Trauma respons w/hosp criti (G0390) range across 5 matching MRF lines |
$1,705.08–$2,347.28 | $4,011.94–$5,523 | varies |
| Trim nail(s) (G0127) | $127.08 | $299 | 2.1× |
| Tte w or w/o fol w/con,stres (C8928) range across 3 matching MRF lines |
$823.87–$920.13 | $1,938.50–$2,165 | varies |
| Tte w or wo fol wcon,doppler (C8929) range across 3 matching MRF lines |
$803.15–$813.45 | $1,889.76–$1,914 | varies |
| Unsched dialysis esrd pt hos (G0257) range across 3 matching MRF lines |
$279.23–$795.18 | $657–$1,871 | varies |
| Vasc emb/occ w/prs cath (C9797) | $13,014.78 | $30,623 | 0.7× |
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.