Allina Health Faribault Medical Center
200 State Avenue, Faribualt, MN · Allinahealth · · NPI 1154741577
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 |
|---|---|---|---|---|
| Guide worley csg 9fx50cm std HCPCS C1892 | $4,048.58 | $7,229.60 | $2.21 – $7.01 | 4 |
| Guid loc target vol rad tx CPT 77387 | $989.91 | $1,767.70 | $249.60 – $1,304.38 | 5 |
| Gw stiffened micro access kit HCPCS C1894 | $5,254.37 | $9,382.80 | $2.12 – $6.71 | 4 |
| Hallus-valgus nt dyn pre ots HCPCS L3100 | $93.52 | $167.00 | $6.16 – $68.90 | 14 |
| Halo cervical into body jack HCPCS L0820 | $4,419.58 | $7,892.10 | $1,442.57 – $5,823.56 | 14 |
| Halo cervical into jckt vest HCPCS L0810 | $5,297.26 | $9,459.40 | $1,833.84 – $6,980.07 | 14 |
| Halo cerv into milwaukee typ HCPCS L0830 | $6,376.22 | $11,386.10 | $2,207.32 – $8,401.77 | 14 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $46.05 | $82.24 | $4.69 – $37.54 | 5 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $104.84 | $187.21 | $0.79 – $35.99 | 5 |
| Halo repl liner/interface HCPCS L0861 | $465.98 | $832.10 | $147.88 – $614.00 | 14 |
| Hand orthosis metacarpal fracture orthosis prefa l3918 HCPCS L3918 | $71.40 | $127.50 | $65.94 – $153.06 | 14 |
| Handpiece aquabeam hp2000 HCPCS C2596 | $5,811.96 | $10,378.50 | $2,415.23 – $7,658.27 | 4 |
| Hands-On Manual Therapy (each 15 minutes) CPT 97140 | $81.48 | $145.50 | $19.62 – $107.36 | 14 |
| Hand X-ray CPT 73130 | $139.33 | $248.80 | $69.64 – $336.00 | 18 |
| Hand X-ray (2 views, both hands) CPT 73120 | $208.99 | $373.20 | $69.64 – $336.00 | 18 |
| Haptoglobin quantitative CPT 83010 | $37.63 | $67.20 | $11.71 – $51.68 | 14 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | $460.60 | $822.50 | $170.94 – $396.79 | 14 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | $605.86 | $1,081.90 | $164.00 – $1,197.35 | 18 |
| Hcg qualitative CPT 84703 | $30.18 | $53.90 | $7.00 – $51.68 | 14 |
| Hcg quantitative CPT 84702 | $81.14 | $144.90 | $14.01 – $51.01 | 14 |
| Hc i-131 sodium iodide cap dx per mci HCPCS A9528 | $24.75 | $44.20 | $29.92 – $703.89 | 5 |
| Hc nm cardiac blood pool planar 1 stdy wal motn eject fract CPT 78481 | $858.20 | $1,532.50 | $445.82 – $1,130.83 | 14 |
| Hc nm fusion spect CT unlisted CPT 78999 | $735.39 | $1,313.20 | $305.60 – $969.01 | 13 |
| Hc nm kidney imaging with flow CPT 78701 | $1,071.67 | $1,913.70 | $380.88 – $1,412.11 | 14 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | $1,552.94 | $2,773.10 | $517.32 – $2,046.26 | 14 |
| Hdr rdncl ntrstl/icav brchtx CPT 77770 | $581.84 | $1,039.00 | $416.32 – $1,206.83 | 14 |
| Hdr rdncl ntrstl/icav brchtx CPT 77771 | $581.84 | $1,039.00 | $416.32 – $1,206.83 | 14 |
| Hdr rdncl ntrstl/icav brchtx CPT 77772 | $581.84 | $1,039.00 | $416.32 – $1,206.83 | 14 |
| Head CT scan (with and without contrast) CPT 70470 | $1,824.98 | $3,258.90 | $167.11 – $709.05 | 14 |
| Head CT scan (with contrast) CPT 70460 | $1,368.81 | $2,444.30 | $162.96 – $709.05 | 14 |
| Head CT scan (without contrast) CPT 70450 | $912.46 | $1,629.40 | $99.61 – $709.05 | 14 |
| Heart first pass add-on CPT 78496 | $968.69 | $1,729.80 | $110.14 – $1,276.41 | 5 |
| Heart first pass multiple CPT 78483 | $949.03 | $1,694.70 | $517.32 – $1,458.52 | 14 |
| Heart image spect CPT 78494 | $1,298.25 | $2,318.30 | $380.88 – $2,447.82 | 14 |
| Heart infarct image CPT 78466 | $1,098.61 | $1,961.80 | $380.88 – $1,447.61 | 14 |
| Heart infarct image (ef) CPT 78468 | $1,098.61 | $1,961.80 | $517.32 – $1,447.61 | 14 |
| Heavy duty control cable HCPCS L6660 | $222.04 | $396.50 | $70.47 – $292.58 | 14 |
| Heel (Calcaneus) X-ray (both feet) CPT 73650 | $139.33 | $248.80 | $69.64 – $336.00 | 18 |
| Heel leather reinforced HCPCS L3440 | $164.98 | $294.60 | $52.35 – $217.38 | 14 |
| Heinz bodies direct CPT 85441 | $69.72 | $124.50 | $3.91 – $91.87 | 14 |
| Hematocrit CPT 85014 | $43.01 | $76.80 | $2.20 – $11.07 | 14 |
| Hemipelvect canad sing axis HCPCS L5280 | $12,024.54 | $21,472.40 | $4,162.68 – $15,844.43 | 14 |
| Hemipelvectomy canadian sach HCPCS L5341 | $11,044.77 | $19,722.80 | $3,823.51 – $14,553.40 | 14 |
| Hemoglobin CPT 85018 | $43.01 | $76.80 | $2.20 – $11.07 | 14 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $47.77 | $85.30 | $7.64 – $51.68 | 14 |
| Hemoglobin plasma CPT 83051 | $77.28 | $138.00 | $6.80 – $101.83 | 14 |
| Hepagam b im injection HCPCS J1571 | $1,125.95 | $2,010.63 | $64.89 – $1,483.64 | 14 |
| Heparin assay CPT 85520 | $89.71 | $160.20 | $12.19 – $89.80 | 14 |
| Heparin bolus from bag HCPCS J1644 | $75.96 | $135.65 | $0.22 – $34.45 | 5 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | $27.78 | $49.61 | $0.02 – $8.97 | 5 |
| Hepatitis a antibody igm CPT 86709 | $36.79 | $65.70 | $10.48 – $53.02 | 14 |
| Hepatitis b core antibody igm CPT 86705 | $36.79 | $65.70 | $10.95 – $53.02 | 14 |
| Hepatitis b core antibody total CPT 86704 | $50.96 | $91.00 | $11.22 – $53.02 | 14 |
| Hepatitis b immune globulin greater than 1,560 units/5 ml im solution CPT 90371 | $1,609.62 | $2,874.32 | $128.52 – $2,120.95 | 15 |
| Hepatitis b surface ag quan CPT 87467 | $41.44 | $74.00 | $17.22 – $54.60 | 13 |
| Hepatitis b surface antibody CPT 86706 | $31.19 | $55.70 | $10.00 – $53.02 | 14 |
| Hepatitis c antibody CPT 86803 | $63.73 | $113.80 | $13.28 – $72.68 | 14 |
| Herpes simplex type 1 antibody igg CPT 86695 | $42.84 | $76.50 | $12.28 – $72.68 | 14 |
| Herpes simplex type 2 antibody igg CPT 86696 | $571.37 | $1,020.30 | $17.67 – $53.02 | 14 |
| Heterophile antibodies screening CPT 86308 | $45.53 | $81.30 | $4.83 – $53.02 | 14 |
| Hfo nontorsion jnts pre cst HCPCS L3929 | $179.70 | $320.90 | $37.03 – $132.39 | 14 |
| High activity knee frame HCPCS L5930 | $6,683.77 | $11,935.30 | $2,313.80 – $8,807.03 | 14 |
| Hinge extension/flex wrist/f HCPCS L3900 | $3,098.87 | $5,533.70 | $1,011.49 – $4,083.30 | 14 |
| Hinge ext/flex wrist finger HCPCS L3901 | $4,061.23 | $7,252.20 | $1,325.60 – $5,351.38 | 14 |
| Hip adj flex ext abduct cont HCPCS L2624 | $820.18 | $1,464.60 | $267.69 – $1,080.72 | 14 |
| Hip and Pelvis X-ray (2 views, both hips) CPT 73521 | $431.03 | $769.70 | $69.64 – $378.69 | 18 |
| Hip and Pelvis X-ray (3 to 4 views, both hips) CPT 73522 | $374.58 | $668.90 | $69.64 – $493.58 | 18 |
| Hip and Pelvis X-ray (single view, left side) CPT 73501 | $418.04 | $746.50 | $69.64 – $367.18 | 18 |
| Hip canad sing axi cons fric HCPCS L5250 | $11,102.56 | $19,826.00 | $3,843.53 – $14,629.55 | 14 |
| Hip clevis/thrust bearing fr HCPCS L2600 | $461.16 | $823.50 | $146.33 – $607.66 | 14 |
| Hip clevis/thrust bearing lo HCPCS L2610 | $509.54 | $909.90 | $161.69 – $671.41 | 14 |
| Hip clevis type 2 posit jnt HCPCS L2570 | $936.15 | $1,671.70 | $305.56 – $1,233.54 | 14 |
| Hip disart canadian sach ft HCPCS L5331 | $10,390.30 | $18,554.10 | $3,596.96 – $13,691.02 | 14 |
| Hip disartic sach thermopls HCPCS L5595 | $9,098.15 | $16,246.70 | $3,149.61 – $11,988.40 | 14 |
| Hip disart sach laminat mold HCPCS L5600 | $10,355.02 | $18,491.10 | $3,584.73 – $13,644.53 | 14 |
| Hip flexible cover system HCPCS L5966 | $3,041.19 | $5,430.70 | $992.66 – $4,007.30 | 14 |
| Hip flex inner socket ext fr HCPCS L5643 | $4,218.98 | $7,533.90 | $1,377.08 – $5,559.24 | 14 |
| Hip joint adjustable flexion HCPCS L2622 | $668.81 | $1,194.30 | $218.32 – $881.27 | 14 |
| Hip X-ray CPT 73502 | $418.04 | $746.50 | $69.64 – $336.00 | 18 |
| Histochemical stains add-on CPT 88314 | $47.38 | $84.60 | $43.91 – $127.26 | 8 |
| HIV prep, ftc/tdf 200/300mg HCPCS J0750 | $118.83 | $212.20 | $1.27 – $3.89 | 11 |
| Hkafo torsion ball bearing j HCPCS L2060 | $1,281.22 | $2,287.90 | $418.18 – $1,688.24 | 14 |
| Hkafo torsion bil rot straps HCPCS L2040 | $437.42 | $781.10 | $138.78 – $576.37 | 14 |
| Hkafo torsion cable hip pelv HCPCS L2050 | $1,024.30 | $1,829.10 | $334.33 – $1,349.69 | 14 |
| Hkafo torsion unilat rot str HCPCS L2070 | $335.55 | $599.20 | $106.48 – $442.15 | 14 |
| Hkafo unilat torsion ball br HCPCS L2090 | $1,045.13 | $1,866.30 | $341.13 – $1,377.14 | 14 |
| Hkafo unilat torsion cable HCPCS L2080 | $784.39 | $1,400.70 | $256.04 – $1,033.57 | 14 |
| Hla class i high defin qual CPT 86832 | $554.23 | $989.70 | $61.45 – $730.30 | 14 |
| Hla class ii high defin qual CPT 86833 | $592.59 | $1,058.20 | $61.45 – $780.84 | 14 |
| Hla class i&ii antibody qual CPT 86828 | $679.62 | $1,213.60 | $59.76 – $281.14 | 14 |
| Hla i & ii typing hr CPT 81378 | $372.90 | $665.90 | $321.73 – $752.72 | 14 |
| Hla i & ii typing lr CPT 81370 | $420.00 | $750.00 | $374.38 – $875.92 | 14 |
| Hla ii typing 1 loc hr CPT 81382 | $73.08 | $130.50 | $34.73 – $269.39 | 14 |
| Hla ii typing ag equiv lr CPT 81375 | $553.17 | $987.80 | $205.51 – $480.83 | 14 |
| Hla i low res one antigen equiv ea CPT 81374 | $74.31 | $132.70 | $38.52 – $259.78 | 14 |
| Hla i typing complete hr CPT 81379 | $638.23 | $1,139.70 | $312.24 – $840.98 | 14 |
| Hla i typing complete lr CPT 81372 | $257.21 | $459.30 | $310.93 – $791.20 | 14 |
| Hla i typing high res 1 allele grp ea CPT 81381 | $438.37 | $782.80 | $55.24 – $259.78 | 14 |
| Hla typing a b or c CPT 86813 | $1,254.23 | $2,239.70 | $54.00 – $521.32 | 14 |
| Hla x-math non-cytotoxic CPT 86825 | $567.56 | $1,013.50 | $61.45 – $747.86 | 14 |
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.