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 |
|---|---|---|---|---|
| Inj. herceptin hylecta, 10mg HCPCS J9356 | $7,690.59 | $13,733.20 | $56.94 – $10,133.69 | 14 |
| Inj hydroxocobalamin IV 25mg HCPCS J3424 | $1,838.83 | $3,283.63 | $5.17 – $2,145.20 | 11 |
| Inj/inf neurolyt sbst spinal canal lesion 62282 CPT 62282 | $374.42 | $668.60 | $366.53 – $995.75 | 14 |
| Inj ivig privigen 500 mg HCPCS J1459 | $7,084.34 | $12,650.60 | $46.89 – $2,778.85 | 15 |
| Inj labetalol hcl hikma, 5mg HCPCS J1921 | $25.86 | $46.17 | $1.40 – $34.05 | 8 |
| Inj, lanreotide, (cipla) 1mg HCPCS J1932 | $7,766.50 | $13,868.75 | $25.88 – $10,233.71 | 14 |
| Inj, levothyroxine, freskabi HCPCS J0651 | $778.62 | $1,390.39 | $6.46 – $244.52 | 14 |
| Inj, lidocaine w epinephrine HCPCS J2004 | $49.63 | $88.62 | $0.01 – $36.48 | 5 |
| Inj melpha hydroch nos 50 mg HCPCS J9245 | $512.25 | $914.74 | $81.08 – $284.48 | 14 |
| Inj mepivacaine hcl/10 ml HCPCS J0670 | $196.76 | $351.36 | $3.70 – $43.77 | 5 |
| Inj, moxifloxacin 100 mg HCPCS J2280 | $29.46 | $52.60 | $8.72 – $38.81 | 5 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | $446.32 | $797.00 | $96.71 – $3,572.45 | 17 |
| Inj non-compmd foam sclrsnt mlt trncl veins same leg CPT 36466 | $1,607.09 | $2,869.80 | $1,439.47 – $4,275.53 | 17 |
| Inj non-compmd foam sclrsnt sgl trncl vein CPT 36465 | $1,263.81 | $2,256.80 | $1,215.91 – $4,275.53 | 17 |
| Inj octafluoropropane mic,ml HCPCS Q9956 | $89.10 | $159.10 | $42.63 – $117.40 | 6 |
| Inj, olaratumab, 10 mg HCPCS J9285 | $4,698.06 | $8,389.40 | $46.97 – $98.11 | 8 |
| Inj pegfilgrastim-bmez 0.5mg HCPCS Q5120 | $7,256.50 | $12,958.03 | $25.15 – $9,561.70 | 14 |
| Inj proc ankle arthr CPT 27648 | $552.89 | $987.30 | $77.38 – $1,002.38 | 8 |
| Inj proc elbow arthro CPT 24220 | $252.06 | $450.10 | $171.81 – $1,002.38 | 8 |
| Inj proc lumbr disk ea lvl CPT 62290 | $522.82 | $933.60 | $432.00 – $1,574.46 | 8 |
| Inj proc myelogram lumbar CPT 62284 | $775.77 | $1,385.30 | $432.00 – $1,574.46 | 8 |
| Inj proc sialogram CPT 42550 | $582.12 | $1,039.50 | $93.67 – $1,002.38 | 8 |
| Inj progesterone per 50 mg HCPCS J2675 | $25.80 | $46.07 | $0.67 – $33.46 | 5 |
| Inj scleros sol mult veins CPT 36471 | $796.32 | $1,422.00 | $387.31 – $4,172.72 | 17 |
| Inj scleros sol sgl vein CPT 36470 | $589.62 | $1,052.90 | $387.31 – $4,172.72 | 17 |
| Inj secukinumab intrav 1mg HCPCS J3247 | $4,104.83 | $7,330.06 | $16.85 – $5,408.83 | 14 |
| Inj sulf hexa lipid microsph HCPCS Q9950 | $7.56 | $13.50 | $9.14 – $32.28 | 6 |
| Inj. teprotumumab-trbw 10 mg HCPCS J3241 | $26,629.57 | $47,552.80 | $344.40 – $35,089.08 | 14 |
| Inj testosterone cypionate HCPCS J1071 | $72.95 | $130.27 | $0.03 – $85.38 | 5 |
| Inj, tyenne, 1 mg HCPCS Q5135 | $4,768.85 | $8,515.81 | $3.83 – $6,283.72 | 14 |
| Inj vancomycin (xellia) 10mg HCPCS J3375 | $76.59 | $136.76 | $18.48 – $58.60 | 4 |
| Inj, vegzelma, 10 mg HCPCS Q5129 | $2,739.76 | $4,892.43 | $34.92 – $3,610.11 | 14 |
| Inj w/fluor eval cv device CPT 36598 | $775.77 | $1,385.30 | $202.65 – $1,682.33 | 17 |
| Ins cerv dilator (sep proc) CPT 59200 | $245.78 | $438.90 | $231.63 – $671.42 | 14 |
| Insert cath pleura with image CPT 32557 | $2,829.12 | $5,052.00 | $766.76 – $3,727.86 | 17 |
| Insert hepatic shunt (tips) CPT 37182 | $7,455.00 | $13,312.50 | $2,096.08 – $20,592.34 | 17 |
| Insertion intra aortic balloon assist device percutaneous CPT 33967 | $5,594.74 | $9,990.60 | $143.48 – $16,342.04 | 11 |
| Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance CPT 37191 | $3,479.67 | $6,213.70 | $3,407.48 – $10,694.53 | 17 |
| Insertion nontunneled centrally inserted central venous catheter >= 5 years old CPT 36556 | $764.01 | $1,364.30 | $923.59 – $5,663.51 | 17 |
| Insertion of catheter vein CPT 36481 | $1,245.89 | $2,224.80 | $852.00 – $2,064.99 | 5 |
| Insertion of catheter vein CPT 36500 | $391.61 | $699.30 | $366.85 – $1,131.79 | 8 |
| Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular CPT 33208 | $13,144.54 | $23,472.40 | $5,948.00 – $25,761.26 | 17 |
| Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator CPT 33225 | $14,359.58 | $25,642.10 | $5,948.00 – $19,923.70 | 8 |
| Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years CPT 36569 | $1,601.66 | $2,860.10 | $1,236.96 – $3,572.45 | 17 |
| Insertion picc without port or pump with imaging guidance=>5y CPT 36573 | $3,309.26 | $5,909.40 | $215.87 – $4,275.53 | 17 |
| Insertion/replacement temporary single chamber electrode/pacemaker catheter CPT 33210 | $5,476.41 | $9,779.30 | $3,407.48 – $10,694.53 | 17 |
| Insertion single tranvenous electrode/ppm/implantable defibrillator CPT 33216 | $4,102.22 | $7,325.40 | $3,407.48 – $10,694.53 | 17 |
| Insertion subcutaneous cardiac rhythm monitor CPT 33285 | $8,282.74 | $14,790.60 | $228.19 – $10,913.94 | 17 |
| Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides) CPT 36561 | $3,016.55 | $5,386.70 | $1,953.76 – $7,359.62 | 17 |
| Insert picvad cath CPT 36570 | $1,073.86 | $1,917.60 | $1,298.16 – $5,663.51 | 14 |
| Insert pm/icd lead dual CPT 33217 | $4,102.22 | $7,325.40 | $3,407.48 – $10,694.53 | 17 |
| Insert tunneled cv cath CPT 36560 | $3,094.56 | $5,526.00 | $1,953.76 – $7,359.62 | 17 |
| Ins icd gen exist sgl lead CPT 33240 | $6,866.61 | $12,261.80 | $4,791.62 – $24,978.56 | 17 |
| Insitu hybridization (fish) CPT 88366 | $525.78 | $938.90 | $43.91 – $692.81 | 14 |
| In situ hybridization per specimen each additional single probe stain CPT 88364 | $113.51 | $202.70 | $43.91 – $132.75 | 8 |
| In situ hybridization per specimen initial single probe stain CPT 88365 | $2,279.26 | $4,070.10 | $43.91 – $191.80 | 14 |
| Ins lv lead exist pm/icd CPT 33224 | $16,240.45 | $29,000.80 | $4,791.62 – $21,399.61 | 17 |
| Insole orthotic freedom sz6 6816 HCPCS L3060 | $159.43 | $284.70 | $37.03 – $117.46 | 14 |
| Ins picad w subq port 5yr> CPT 36571 | $2,184.45 | $3,900.80 | $1,953.76 – $7,359.62 | 17 |
| Ins picc wo subq prt/pmp w image guidnc <5yr CPT 36572 | $3,144.62 | $5,615.40 | $233.49 – $3,572.45 | 17 |
| Ins pq tunnld ip cath w/img CPT 49418 | $1,852.98 | $3,308.90 | $709.07 – $7,359.62 | 17 |
| Ins/rpl pm gen exist dual lead CPT 33213 | $12,314.57 | $21,990.30 | $5,275.00 – $25,761.26 | 17 |
| Ins/rpl pm gen exist sgl lead CPT 33212 | $7,979.66 | $14,249.40 | $5,275.00 – $25,761.26 | 17 |
| Ins/rpl pm w/tv ld atrl CPT 33206 | $7,607.49 | $13,584.80 | $5,275.00 – $25,761.26 | 17 |
| Instll rx agnt into rnal tub CPT 50391 | $415.18 | $741.40 | $120.47 – $1,002.38 | 17 |
| Ins tun cv cath wo subq prt/pm CPT 36557 | $920.02 | $1,642.90 | $1,112.19 – $10,694.53 | 17 |
| Ins tun cv cath wo subq prt/pm CPT 36558 | $1,580.60 | $2,822.50 | $1,520.81 – $7,359.62 | 17 |
| Ins tun intraperit dia cath CPT 49421 | $1,123.14 | $2,005.60 | $281.66 – $7,359.62 | 17 |
| Insulin total CPT 83525 | $26.94 | $48.10 | $10.64 – $51.01 | 14 |
| Interferon alfa-2b inj HCPCS J9214 | $2,098.04 | $3,746.50 | $30.37 – $61.58 | 8 |
| Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper) HCPCS Q3027 | $2,323.57 | $4,149.24 | $67.13 – $3,061.71 | 8 |
| Interrogate subq defib CPT 93261 | $102.59 | $183.20 | $35.56 – $1,244.01 | 14 |
| Interrog dev eval icpms ip CPT 93290 | $108.30 | $193.40 | $35.56 – $1,244.01 | 14 |
| Interrog dev eval scrms ip CPT 93291 | $108.30 | $193.40 | $27.56 – $180.78 | 14 |
| Interrog device eval heart CPT 93289 | $108.30 | $193.40 | $35.56 – $180.78 | 14 |
| Interrog evl pm/ldls pm ip CPT 93288 | $108.30 | $193.40 | $35.56 – $180.78 | 14 |
| Interstitial brachy inter CPT 77799 | $1,194.42 | $2,132.90 | $99.89 – $644.41 | 13 |
| Intl custm cong/latyp insert HCPCS L5681 | $2,770.32 | $4,947.00 | $904.24 – $3,650.38 | 14 |
| Intra-atrial pacing CPT 93610 | $7,143.92 | $12,757.00 | $1,742.41 – $9,413.36 | 14 |
| Intra-atrial recording CPT 93602 | $7,143.92 | $12,757.00 | $1,742.41 – $9,413.36 | 14 |
| Intracard echo interv w/s&i CPT 93662 | $2,996.00 | $5,350.00 | $1,195.89 – $3,947.75 | 5 |
| Intracranial complete study CPT 93886 | $719.82 | $1,285.40 | $128.03 – $948.49 | 15 |
| Intracranial limited study CPT 93888 | $479.81 | $856.80 | $99.61 – $909.00 | 15 |
| Intraventricular pacing CPT 93612 | $7,143.92 | $12,757.00 | $1,742.41 – $9,413.36 | 14 |
| Intrinsic factor antibody CPT 86340 | $56.11 | $100.20 | $14.04 – $78.68 | 14 |
| Intro cath svc/ivc CPT 36010 | $251.27 | $448.70 | $281.06 – $1,002.38 | 8 |
| Intro long gi tube w/mult fluo CPT 74340 | $246.29 | $439.80 | $164.00 – $884.37 | 9 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | $3,832.14 | $6,843.10 | $432.00 – $5,989.57 | 8 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | $3,372.99 | $6,023.20 | $432.00 – $9,489.69 | 8 |
| Intubation endotracheal emergency procedure CPT 31500 | $987.28 | $1,763.00 | $225.66 – $1,300.91 | 17 |
| Iodine i-123 sod iodide mil HCPCS A9509 | $433.05 | $773.30 | $72.65 – $570.62 | 5 |
| Iodine i-125 sodium iodide HCPCS A9527 | $94.25 | $168.30 | $11.43 – $428.98 | 11 |
| Ionm in operatng room 15 min CPT 95940 | $125.10 | $223.40 | $93.59 – $217.26 | 5 |
| Ionm remote/>1 pt or per hr CPT 95941 | $416.98 | $744.60 | $312.11 – $724.49 | 5 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $0.84 | $1.50 | $0.20 – $0.74 | 6 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $17.40 | $31.08 | $0.14 – $0.25 | 6 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | $56,633.47 | $101,131.19 | $143.55 – $355.73 | 14 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | $239.43 | $427.56 | $1.75 – $4.51 | 5 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | $5,517.12 | $9,852.00 | $35.69 – $129.54 | 14 |
| Iron CPT 83540 | $23.52 | $42.00 | $6.02 – $30.25 | 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.