Supplies, drugs & other prices at Park Nicollet Methodist Hospital

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

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

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ProcedureCash priceGross charge× Medicare
2019-ncov diagnostic p (U0001) $34.32 $132 1.0×
Adm tocilizu covid-19 1st (M0249) $128.70 $495 0.3×
Admin influenza virus vac (G0008) $20.80 $80 0.4×
Admin pneumococcal vaccine (G0009) $20.80 $80 0.4×
Ca screen;flexi sigmoidscope (G0104) $508.04 $1,954 0.5×
Catheterize for urine spec (P9612) $4.68 $18 0.5×
Colon ca scrn not hi rsk ind (G0121) $1,212.38 $4,663 1.2×
Colorectal scrn; hi risk ind (G0105) $975.78 $3,753 1.0×
Covid-19 lab test non-cdc (U0002) $34.32 $132 0.7×
Direct refer hospital observ (G0379) $549.90 $2,115 0.9×
Drug test def 1-7 classes (G0480) $87.62 $337 0.8×
Drug test def 15-21 classes (G0482) $152.62 $587 0.8×
Drug test def simple all cl (G0659) $90.87 $349.50 1.5×
Elec stim other than wound (G0283) $14.56 $56 1.1×
Elec stim unattend for press (G0281) $21.84 $84 1.9×
Extrnl counterpulse, per tx (G0166) $107.12 $412 0.8×
Fecal blood scrn immunoassay (G0328) $28.86 $111 1.6×
Fern test (Q0114) $11.70 $45 1.2×
Hep c screen high risk/other (G0472) $55.64 $214 1.2×
Hiv combination assay (G0475) $28.86 $111 1.2×
Home sleep test/type 3 porta (G0399) $157.56 $606 0.7×
Hospital outpt clinic visit (G0463) $93.99 $361.50 0.7×
Hpv combo assay ca screen (G0476) $40.30 $155 1.1×
Neuro csf prion prtn qual (0035U) $341.38 $1,313 0.6×
Oth resp proc, group (G0239) $31.20 $120 0.8×
Oth resp proc, indiv (G0238) $57.46 $221 1.9×
Pathogen test for platelets (P9100) $58.24 $224 0.9×
Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T)
unusually low: confirm this is the full procedure
$5,436.08 $20,908 0.4×
Prostate biopsy, any mthd (G0416) $336.18 $1,293 0.9×
Psa screening (G0103) $36.14 $139 1.9×
Screen cerv/vag thin layer (G0123) $38.74 $149 1.9×
Screen pap by tech w md supv (P3000) $25.74 $99 1.4×
Therapeutic procd strg endur (G0237) $93.60 $360 3.1×
Trauma respons w/hosp criti (G0390) $555.10 $2,135 0.4×
Unsched dialysis esrd pt hos (G0257) $563.68 $2,168 0.8×