North Memorial Health - Maple Grove Hospital

Maple Grove, MN

Posts prices for 30 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-01.

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ProcedureCash priceGross charge× Medicare
Epidural injection, lumbar/sacral (with imaging) (62322) $961.25 $1,824 1.0×
Transforaminal epidural injection, lumbar/sacral (64483) $1,252.15 $2,376 1.4×
CT head/brain without contrast (70450) $549.13 $1,042 5.0×
MRI brain without contrast (70551) $727.26 $1,380 2.9×
MRI brain with contrast (70552) $962.30 $1,826 2.6×
MRI brain without and with contrast (70553) $1,040.82 $1,975 2.8×
X-ray lower spine, 4+ views (72110) $221.87 $421 2.0×
MRI lumbar spine without contrast (72148) $741.49 $1,407 3.0×
CT pelvis with contrast (72193) $680.88 $1,292 3.7×
MRI lower-extremity joint without contrast (73721) $1,209.46 $2,295 4.8×
CT abdomen and pelvis with contrast (74177) $706.71 $1,341 1.9×
Ultrasound, abdomen complete (76700) $328.32 $623 3.0×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $320.42 $608 2.9×
Ultrasound, transvaginal (76830) $194.99 $370 1.8×
Mammography, one breast (diagnostic) (77065) $248.74 $472 2.9×
Mammography, both breasts (diagnostic) (77066) $307.77 $584 2.8×
Mammography, screening (bilateral) (77067) $243.47 $462 2.7×
Basic metabolic panel (80048) $24.77 $47 2.9×
Comprehensive metabolic panel (80053) $31.09 $59 2.9×
Lipid panel (80061) $20.28 $38.50 1.5×
Renal function panel (80069) $11.59 $22 1.3×
Hepatic function panel (80076) $24.24 $46 3.0×
Urinalysis, non-automated, without microscopy (81002) $3.16 $6 0.9×
PSA, total (84153) $22.16 $42.05 1.2×
Thyroid stimulating hormone (TSH) (84443) $24.24 $46 1.4×
CBC with automated differential (85025) $22.40 $42.50 2.9×
CBC, automated (85027) $19.50 $37 3.0×
Prothrombin time (PT) (85610) $18.97 $36 4.4×
Partial thromboplastin time (PTT) (85730) $17.92 $34 3.0×
Physical therapy, therapeutic exercise (per 15 min) (97110) $75.10 $142.50 2.6×

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