Buffalo Hospital
303 Catlin St, Buffalo, MN · Allinahealth · · NPI 1538123567
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Lamination collar with couplin HCPCS L6629 | $420.11 | $750.20 | $133.33 – $553.57 | 13 |
| Lanreotide 120 mg/0.5 ml subcutaneous syringe HCPCS J1930 | $15,553.89 | $27,774.80 | $32.99 – $149.48 | 13 |
| Large Joint Injection or Fluid Draw (both sides) CPT 20610 | $1,004.25 | $1,793.30 | $292.45 – $1,002.38 | 16 |
| Laryngeal function studies CPT 92520 | $240.35 | $429.20 | $73.29 – $316.71 | 13 |
| Laryngoscopic sensory vid CPT 92614 | $323.79 | $578.20 | $75.07 – $426.65 | 13 |
| Laryngoscopy telescopic CPT 31579 | $263.76 | $471.00 | $318.85 – $1,816.98 | 13 |
| Lateral thoracic extension HCPCS L1210 | $528.98 | $944.60 | $167.86 – $697.02 | 13 |
| Lateral trochanteric pad HCPCS L1290 | $168.00 | $300.00 | $53.31 – $221.37 | 13 |
| Latex suspension sleeve each HCPCS L6632 | $139.89 | $249.80 | $44.41 – $184.33 | 13 |
| Lead acuity x4 spiral l 86cm HCPCS C1900 | $7,059.36 | $12,606.00 | $250.38 – $793.90 | 4 |
| Lead capillary CPT 83655 | $44.69 | $79.80 | $11.28 – $34.42 | 13 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $4,781.67 | $8,538.70 | $21.20 – $67.22 | 4 |
| Lead tachy durata sj4 58cm HCPCS C1777 | $10,945.03 | $19,544.70 | $1,633.08 – $5,178.19 | 4 |
| Leg Artery Ultrasound (complete, both legs) CPT 93925 | $1,431.92 | $2,557.00 | $172.45 – $1,153.96 | 14 |
| Leg CT Scan (with contrast, both legs) CPT 73701 | $1,977.19 | $3,530.70 | $167.11 – $650.50 | 14 |
| Leg CT Scan (without contrast, both legs) CPT 73700 | $1,520.96 | $2,716.00 | $99.61 – $650.50 | 14 |
| Legg perthes orth newington HCPCS L1710 | $4,164.33 | $7,436.30 | $1,359.24 – $5,487.23 | 13 |
| Legg perthes orthosis trilat HCPCS L1720 | $3,100.72 | $5,537.00 | $1,012.09 – $4,085.74 | 13 |
| Legg perthes orth scottish r HCPCS L1730 | $2,617.72 | $4,674.50 | $854.43 – $3,449.30 | 13 |
| Legg perthes patten bottom t HCPCS L1755 | $3,763.59 | $6,720.70 | $1,228.43 – $4,959.19 | 13 |
| Leg perthes orth toronto typ HCPCS L1700 | $3,270.29 | $5,839.80 | $1,067.42 – $4,309.17 | 13 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $1,272.66 | $2,272.60 | $172.45 – $1,153.96 | 14 |
| Lens, intraocular (new tech) HCPCS C1780 | $385.34 | $688.10 | $134.55 – $507.75 | 5 |
| Lens iol 23.0 d 1.5 cyl eyhance toric HCPCS V2787 | $351.18 | $627.10 | $145.94 – $424.53 | 5 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $385.34 | $688.10 | $81.35 – $507.75 | 5 |
| Lens iol ant chamb 10.5 HCPCS V2630 | $385.34 | $688.10 | $81.35 – $507.75 | 5 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $175.92 | $314.14 | $3.57 – $7.59 | 5 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $1,981.73 | $3,538.81 | $159.25 – $350.89 | 13 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | $8,198.48 | $14,640.15 | $981.44 – $3,285.47 | 13 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $146.79 | $262.13 | $0.05 – $35.88 | 5 |
| Levetiracetam therapeutic drug level CPT 80177 | $58.13 | $103.80 | $12.33 – $63.69 | 13 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $98.38 | $175.68 | $1.05 – $65.84 | 5 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | $1,032.94 | $1,844.53 | $7.39 – $94.64 | 5 |
| Liberta rc ipg HCPCS C1820 | $53,347.84 | $95,264.00 | $1,633.08 – $5,178.19 | 4 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | $51.41 | $91.81 | $0.01 – $33.32 | 5 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $61.98 | $110.68 | $0.01 – $63.03 | 5 |
| Lidocaine therapeutic drug level CPT 80176 | $51.07 | $91.20 | $13.68 – $63.69 | 13 |
| Lift assist for elbow HCPCS L6635 | $447.33 | $798.80 | $141.95 – $589.43 | 13 |
| Lift heel adj small gl60404sm HCPCS L3332 | $159.43 | $284.70 | $10.90 – $117.46 | 13 |
| Lift heel adjustable med HCPCS L3334 | $82.43 | $147.20 | $26.15 – $108.62 | 13 |
| Lifts elevation metal extens HCPCS L3330 | $1,189.61 | $2,124.30 | $388.28 – $1,567.52 | 13 |
| Ligate oviduct(s) add-on 58611 CPT 58611 | $1,856.57 | $3,315.30 | $42.70 – $8,382.89 | 12 |
| Ligate/transect fallopian tubes 58600 CPT 58600 | $2,785.05 | $4,973.30 | $910.15 – $5,979.10 | 16 |
| Limited ankle motion ea jnt HCPCS L2200 | $108.64 | $194.00 | $34.47 – $143.15 | 13 |
| Limited motion knee joint HCPCS L2184 | $250.43 | $447.20 | $79.47 – $329.99 | 13 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $86.74 | $154.89 | $3.53 – $49.59 | 5 |
| Lipase CPT 83690 | $24.53 | $43.80 | $6.41 – $30.25 | 13 |
| Lipoprotein blood quant CPT 83704 | $116.87 | $208.70 | $31.83 – $120.52 | 13 |
| Lipoprotein direct measurement hdl CPT 83718 | $25.93 | $46.30 | $7.63 – $51.68 | 13 |
| Lipoprotein direct measurement ldl CPT 83721 | $26.99 | $48.20 | $9.78 – $51.68 | 13 |
| Lithium therapeutic drug level CPT 80178 | $40.99 | $73.20 | $6.16 – $63.69 | 13 |
| Liver Function Test CPT 80076 | $106.90 | $190.90 | $7.61 – $46.84 | 13 |
| Liver imaging CPT 78201 | $794.75 | $1,419.20 | $483.71 – $1,172.37 | 13 |
| Liver imag w/vasclr flow CPT 78202 | $997.42 | $1,781.10 | $512.79 – $1,314.27 | 13 |
| Liver/spleen imag static only CPT 78215 | $935.59 | $1,670.70 | $380.88 – $1,197.99 | 13 |
| Liver/spleen imag w/vasclr flow CPT 78216 | $1,259.55 | $2,249.20 | $324.23 – $1,522.64 | 13 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | $1.68 | $3.00 | $0.20 – $2.97 | 6 |
| Long tongue stirrup HCPCS L2265 | $290.64 | $519.00 | $92.22 – $382.97 | 13 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $62.50 | $111.61 | $1.60 – $81.52 | 5 |
| Lo sag rig pnl stays pre cst HCPCS L0626 | $168.56 | $301.00 | $53.48 – $222.11 | 13 |
| Low-Dose Lung Cancer Screening CT Scan CPT 71271 | $912.46 | $1,629.40 | $99.61 – $1,103.05 | 13 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $1,821.51 | $3,252.70 | $167.11 – $719.96 | 14 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $1,368.81 | $2,444.30 | $226.59 – $709.05 | 14 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $912.46 | $1,629.40 | $99.61 – $650.50 | 14 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $2,310.06 | $4,125.10 | $332.39 – $1,240.68 | 13 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $1,848.11 | $3,300.20 | $332.39 – $1,053.99 | 13 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $1,386.00 | $2,475.00 | $227.33 – $816.44 | 13 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $208.99 | $373.20 | $69.64 – $336.00 | 16 |
| Lower Back (Lumbar Spine) X-ray (4 or more views) CPT 72110 | $139.33 | $248.80 | $69.64 – $336.00 | 16 |
| Lower Back (Lumbar Spine) X-ray (with bending views) CPT 72114 | $139.33 | $248.80 | $69.64 – $336.00 | 16 |
| Lower Leg (Shin) X-ray (both sides) CPT 73590 | $208.99 | $373.20 | $69.64 – $336.00 | 16 |
| Low frequency non-thermal Ultrasound CPT 97610 | $81.48 | $145.50 | $13.82 – $150.33 | 10 |
| Lso corset front HCPCS L0972 | $210.34 | $375.60 | $66.73 – $277.15 | 13 |
| Lso flex no ri stays pre ots HCPCS L0628 | $138.15 | $246.70 | $57.55 – $133.57 | 13 |
| Lso full corset HCPCS L0976 | $323.29 | $577.30 | $102.58 – $425.99 | 13 |
| Lso r post pnl sj-t9 pre cst HCPCS L0630 | $350.17 | $625.30 | $111.12 – $461.41 | 13 |
| Lso sag-coronal panel custom HCPCS L0638 | $2,772.34 | $4,950.60 | $904.89 – $3,653.03 | 13 |
| Lso sagit rigid panel prefab HCPCS L0635 | $2,100.34 | $3,750.60 | $685.55 – $2,767.56 | 13 |
| Lso sagittal rigid panel cus HCPCS L0636 | $2,849.78 | $5,088.90 | $930.19 – $3,755.09 | 13 |
| Lso sc r pos/lat pnl pre cst HCPCS L0633 | $602.73 | $1,076.30 | $196.74 – $794.20 | 13 |
| Lso s/c shell/panel custom HCPCS L0640 | $2,199.46 | $3,927.60 | $717.90 – $2,898.17 | 13 |
| Lso s/c shell/panel prefab HCPCS L0639 | $2,723.11 | $4,862.70 | $888.83 – $3,588.17 | 13 |
| Lumbar bolster pad HCPCS L1030 | $169.29 | $302.30 | $53.72 – $223.07 | 13 |
| Lumbar derotation pad HCPCS L1240 | $196.62 | $351.10 | $62.39 – $259.08 | 13 |
| Lumbar diskogram s&i CPT 72295 | $1,049.22 | $1,873.60 | $164.00 – $2,113.07 | 16 |
| Lumbar or lumbar rib pad HCPCS L1040 | $191.69 | $342.30 | $60.84 – $252.58 | 13 |
| Lumbar sling HCPCS L1090 | $217.56 | $388.50 | $69.04 – $286.67 | 13 |
| Lung Function Test Before and After an Inhaler CPT 94060 | $419.72 | $749.50 | $119.49 – $553.05 | 13 |
| Lung function test (mbc/mvv) CPT 94200 | $175.73 | $313.80 | $56.21 – $346.38 | 13 |
| Lung Function Test (Spirometry) CPT 94010 | $220.08 | $393.00 | $119.49 – $346.38 | 13 |
| Lung perfusion imaging CPT 78580 | $776.38 | $1,386.40 | $380.88 – $1,201.33 | 13 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | $13,030.08 | $23,268.00 | $196.56 – $15,751.74 | 13 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | $19,359.00 | $34,569.64 | $39.89 – $121.53 | 13 |
| Lvad shower bag heartmate HCPCS Q0501 | $958.16 | $1,711.00 | $351.06 – $865.48 | 13 |
| Lwr ext dynamic prosth pylon HCPCS L5985 | $594.72 | $1,062.00 | $194.12 – $783.65 | 13 |
| Lymphatics/lymph node imaging CPT 78195 | $2,588.04 | $4,621.50 | $414.43 – $3,128.62 | 13 |
| Macroscopic exam arthropod CPT 87168 | $111.55 | $199.20 | $3.97 – $38.93 | 13 |
| Macroscopic exam parasite CPT 87169 | $56.11 | $100.20 | $4.01 – $38.93 | 13 |
| Magnesium CPT 83735 | $40.66 | $72.60 | $6.24 – $30.25 | 13 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $69.96 | $124.92 | $0.50 – $33.72 | 5 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.