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 |
|---|---|---|---|---|
| Ho abduction hip adjustable HCPCS L1650 | $533.18 | $952.10 | $169.19 – $702.55 | 14 |
| Ho abduction static plastic HCPCS L1660 | $390.66 | $697.60 | $123.99 – $514.76 | 14 |
| Ho bi thighcuffs w sprdr bar HCPCS L1652 | $749.28 | $1,338.00 | $244.56 – $987.31 | 14 |
| Hocm 200-249mg/ml iodine,1ml HCPCS Q9960 | $0.50 | $0.90 | $0.12 – $0.66 | 5 |
| Hocm 250-299mg/ml iodine,1ml HCPCS Q9961 | $0.50 | $0.90 | $0.30 – $0.66 | 6 |
| Hocm 350-399mg/ml iodine,1ml HCPCS Q9963 | $1.12 | $2.00 | $0.22 – $0.44 | 6 |
| Ho flex frejka w/cov pre cst HCPCS L1600 | $278.54 | $497.40 | $88.41 – $367.03 | 14 |
| Ho flex pavlik harns pre cst HCPCS L1620 | $339.70 | $606.60 | $37.03 – $250.24 | 14 |
| Ho frejka cov only pre cst HCPCS L1610 | $118.33 | $211.30 | $37.55 – $155.92 | 14 |
| Home sleep test/type 2 porta HCPCS G0398 | $1,289.96 | $2,303.50 | $152.24 – $1,699.75 | 14 |
| Home sleep test/type 3 porta HCPCS G0399 | $914.14 | $1,632.40 | $152.24 – $860.54 | 14 |
| Homocysteine CPT 83090 | $64.51 | $115.20 | $16.68 – $78.68 | 14 |
| Homogenization tissue CPT 87176 | $31.42 | $56.10 | $5.47 – $38.93 | 14 |
| Hook to hand cable adapter HCPCS L6670 | $103.32 | $184.50 | $32.78 – $136.14 | 14 |
| Ho post-op hip abduction HCPCS L1686 | $1,969.58 | $3,517.10 | $642.87 – $2,595.26 | 14 |
| Hpa-15 genotyping CPT 81112 | $74.37 | $132.80 | $89.90 – $266.23 | 14 |
| Hpa-1 genotyping CPT 81105 | $74.37 | $132.80 | $89.90 – $266.23 | 14 |
| Hpa-2 genotyping CPT 81106 | $74.37 | $132.80 | $89.90 – $266.23 | 14 |
| Hpa-3 genotyping CPT 81107 | $74.37 | $132.80 | $89.90 – $266.23 | 14 |
| Hpa-4 genotyping CPT 81108 | $74.37 | $132.80 | $89.90 – $266.23 | 14 |
| Hpa-5 genotyping CPT 81109 | $74.37 | $132.80 | $89.90 – $266.23 | 14 |
| Hpa-6 genotyping CPT 81110 | $74.37 | $132.80 | $89.90 – $266.23 | 14 |
| Hpa-9 genotyping CPT 81111 | $74.37 | $132.80 | $89.61 – $259.78 | 14 |
| Hpv types 16 & 18 only CPT 87625 | $160.78 | $287.10 | $20.71 – $211.85 | 14 |
| H pylori (c-13) breath CPT 83013 | $48.55 | $86.70 | $41.58 – $120.52 | 14 |
| H pylori drug admin CPT 83014 | $48.55 | $86.70 | $7.31 – $63.98 | 14 |
| Hyaluronidase 150 unit/ml injection solution HCPCS J3470 | $218.46 | $390.10 | $32.75 – $121.96 | 5 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | $105.80 | $188.92 | $0.37 – $139.40 | 5 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $45.46 | $81.18 | $4.48 – $35.15 | 5 |
| Hydrocolld drg >16<=48 w/bdr HCPCS A6238 | $72.07 | $128.70 | $18.14 – $67.81 | 5 |
| Hydrocolld drg <=16 without bdr HCPCS A6234 | $5.10 | $9.10 | $5.21 – $12.09 | 5 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $109.68 | $195.85 | $20.95 – $80.71 | 5 |
| Hydrogel dsg<=16 sq in HCPCS A6231 | $5.04 | $9.00 | $3.73 – $8.66 | 5 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $92.04 | $164.35 | $0.14 – $82.85 | 5 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $67.88 | $121.21 | $18.08 – $36.61 | 5 |
| Hydroxyzine pamoate 25 mg capsule HCPCS Q0177 | $2.64 | $4.71 | $0.32 – $2.36 | 5 |
| #hypersens-actinomyces ab CPT 86602 | $21.11 | $37.70 | $9.48 – $72.68 | 14 |
| Hysterosalpingography s&i CPT 74740 | $208.99 | $373.20 | $164.00 – $884.37 | 18 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | $405.38 | $723.89 | $183.24 – $384.01 | 8 |
| I-123 iobenguane diag HCPCS A9582 | $5,170.70 | $9,233.40 | $2,201.62 – $23,040.49 | 12 |
| I-123 ioflupane diag HCPCS A9584 | $5,030.26 | $8,982.60 | $1,318.35 – $6,628.24 | 11 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $50.40 | $90.00 | $60.93 – $772.40 | 5 |
| I-131 iobenguane sulf diag mibg HCPCS A9508 | $1,752.80 | $3,130.00 | $436.71 – $2,309.62 | 11 |
| I131 iodide cap, rx HCPCS A9517 | $25.03 | $44.70 | $22.87 – $152.48 | 14 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $78.46 | $140.10 | $20.71 – $103.38 | 14 |
| Ibandronate 3 mg/3 ml intravenous syringe HCPCS J1740 | $1,038.74 | $1,854.89 | $22.62 – $649.06 | 5 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | $273.20 | $487.85 | $188.58 – $765.67 | 14 |
| Icatibant injection HCPCS J1744 | $4,928.38 | $8,800.68 | $71.19 – $3,267.06 | 8 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $38,226.50 | $68,261.60 | $2,183.52 – $6,923.54 | 4 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $50,532.94 | $90,237.40 | $760.37 – $2,411.01 | 4 |
| Icd crtp serena MRI HCPCS C2621 | $22,185.63 | $39,617.20 | $3,906.14 – $12,385.68 | 4 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $15,308.55 | $27,336.70 | $12.73 – $40.36 | 4 |
| Idarubicin hcl injection HCPCS J9211 | $912.61 | $1,629.66 | $46.50 – $86.67 | 5 |
| Idh1 common variants CPT 81120 | $553.34 | $988.10 | $89.61 – $729.12 | 14 |
| Idh2 common variants CPT 81121 | $553.34 | $988.10 | $249.81 – $729.12 | 14 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | $324.53 | $579.52 | $26.32 – $49.72 | 5 |
| Igh gene rearrange amp meth CPT 81261 | $238.84 | $426.50 | $184.33 – $431.28 | 14 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $267.01 | $476.80 | $43.91 – $130.98 | 8 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $106.46 | $190.10 | $43.91 – $403.53 | 14 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $267.01 | $476.80 | $43.91 – $191.80 | 14 |
| Ikbkap gene CPT 81260 | $173.49 | $309.80 | $36.59 – $259.78 | 11 |
| Imetelstat 188 mg intravenous solution HCPCS J0870 | $16,170.90 | $28,876.61 | $54.37 – $6,356.54 | 14 |
| Img rta detc/mntr ds phy/qhp CPT 92228 | $180.94 | $323.10 | $35.59 – $490.26 | 17 |
| Immob elbow child sm HCPCS L3762 | $211.51 | $377.70 | $18.28 – $155.84 | 14 |
| Immobilizer lwr extrem nylon 20in reinforc 21-35in HCPCS L2999 | $148.12 | $264.50 | $2.12 – $6.71 | 4 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $1,270.92 | $2,269.50 | $11.31 – $164.77 | 14 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $191.52 | $342.00 | $6.16 – $132.49 | 14 |
| Immobilizer shldr sling med HCPCS L3660 | $208.32 | $372.00 | $37.03 – $149.77 | 14 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | $4,020.90 | $7,180.18 | $44.09 – $250.50 | 15 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | $2,900.11 | $5,178.77 | $73.57 – $2,106.86 | 15 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | $5,289.54 | $9,445.60 | $44.18 – $6,969.88 | 15 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $33.60 | $60.00 | $19.37 – $60.01 | 14 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $62.83 | $112.20 | $19.37 – $60.01 | 14 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $24.86 | $44.40 | $11.15 – $72.68 | 14 |
| Immunofixation electrophoresis serum CPT 86334 | $128.80 | $230.00 | $20.80 – $167.21 | 14 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $67.14 | $119.90 | $43.91 – $127.26 | 8 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $160.27 | $286.20 | $43.91 – $191.80 | 14 |
| Implant 11 volt lithium-ion backup battery for controller pocket HCPCS Q0506 | $5,254.37 | $9,382.80 | $587.12 – $1,362.86 | 14 |
| Implant cartilage 10mm synthetic HCPCS L8699 | $3,805.42 | $6,795.40 | $1,581.39 – $5,014.31 | 4 |
| Implant cochlear osia osi300 HCPCS L8690 | $20,318.42 | $36,282.90 | $323.73 – $7,590.82 | 5 |
| Implant power module patient cable cable 14 volt HCPCS Q0477 | $2,469.60 | $4,410.00 | $533.34 – $3,254.13 | 14 |
| Implant pulse generator remede el HCPCS C1823 | $46,034.74 | $82,204.90 | $55,650.25 – $60,658.77 | 2 |
| Implnt spinl canal catheter 62350 CPT 62350 | $439.60 | $785.00 | $531.42 – $9,878.01 | 14 |
| In-111 autol wbc diag per dose HCPCS A9570 | $1,420.05 | $2,535.80 | $1,048.03 – $4,788.63 | 11 |
| In-111 capromab pendet HCPCS A9507 | $4,923.02 | $8,791.10 | $1,643.78 – $6,486.93 | 11 |
| In-111 ibritumomab tiux dx HCPCS A9542 | $4,748.02 | $8,478.60 | $5,739.76 – $14,948.21 | 5 |
| In-111 oxyquinolin per 0.5 mci HCPCS A9547 | $2,581.82 | $4,610.40 | $789.89 – $3,442.70 | 11 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | $938.50 | $1,675.90 | $574.78 – $1,393.09 | 11 |
| In-111 pentetreotide HCPCS A9572 | $4,961.43 | $8,859.70 | $1,900.89 – $6,435.65 | 11 |
| In-111 satumomab pend HCPCS A4642 | $1,767.08 | $3,155.50 | $1,464.79 – $3,550.20 | 5 |
| Incise inner eye adhesions CPT 65860 | $812.73 | $1,451.30 | $524.01 – $3,572.45 | 17 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $939.90 | $1,678.40 | $880.53 – $4,275.53 | 17 |
| Incision of tongue fold CPT 41010 | $205.86 | $367.60 | $248.85 – $1,746.80 | 14 |
| Incisn of toe tndn CPT 28010 | $422.18 | $753.90 | $510.37 – $5,496.41 | 14 |
| Indigotindisulfonate 8 mg/ml soln 5 ml ampule HCPCS J9220 | $324.92 | $580.22 | $8.84 – $41.07 | 13 |
| Induced ab 1+vag supp d&c CPT 59856 | $2,178.68 | $3,890.50 | $289.23 – $4,275.53 | 11 |
| Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s) CPT 87626 | $236.38 | $422.10 | $42.66 – $135.26 | 10 |
| Infect ag drug suscept pheno predict CPT 87900 | $402.81 | $719.30 | $20.71 – $352.42 | 14 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $361.65 | $645.80 | $25.07 – $347.70 | 14 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $491.06 | $876.90 | $20.71 – $476.53 | 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.