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 |
|---|---|---|---|---|
| Magnetic image bone marrow CPT 77084 | $2,075.98 | $3,707.10 | $227.33 – $2,735.46 | 14 |
| Mammosite ced HCPCS C1728 | $5,811.96 | $10,378.50 | $94.81 – $300.62 | 4 |
| Man's shoe oxford brace HCPCS L3225 | $159.54 | $284.90 | $50.64 – $210.23 | 14 |
| Mapping functional cort/subcort ea add'l hr CPT 95962 | $212.91 | $380.20 | $257.38 – $820.99 | 5 |
| Mapping io sentinel lymph node CPT 38900 | $783.16 | $1,398.50 | $432.00 – $3,251.47 | 8 |
| Map tachycard site(s) CPT 93609 | $10,715.88 | $19,135.50 | $3,959.12 – $14,120.03 | 5 |
| Marker biop eviva buckle ss HCPCS A4648 | $5,717.99 | $10,210.70 | $6.16 – $578.11 | 5 |
| Marker lymphatic sentimag magtrace 10 vial HCPCS A9697 | $1,307.32 | $2,334.50 | $543.27 – $1,722.62 | 10 |
| Matrion 1 sq cm HCPCS Q4201 | $191.52 | $342.00 | $87.90 – $148.91 | 12 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | $70.56 | $126.00 | $5.08 – $140.11 | 12 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $53.26 | $95.10 | $13.46 – $51.68 | 14 |
| Mayo aathr protein s free CPT 85306 | $104.61 | $186.80 | $14.26 – $79.18 | 14 |
| Mayo activated protein c resistance assay CPT 85307 | $67.26 | $120.10 | $14.26 – $73.94 | 14 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $133.06 | $237.60 | $18.41 – $128.47 | 14 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $29.06 | $51.90 | $13.76 – $51.68 | 14 |
| Mayo alpha 1 antitrypsin CPT 82103 | $53.26 | $95.10 | $12.51 – $51.68 | 14 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $47.71 | $85.20 | $14.04 – $63.69 | 14 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $1,049.61 | $1,874.30 | $66.88 – $264.92 | 14 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $1,049.61 | $1,874.30 | $55.31 – $259.78 | 14 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $673.96 | $1,203.50 | $115.71 – $477.86 | 14 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $2,765.06 | $4,937.60 | $89.61 – $1,444.36 | 14 |
| Mayo androstenedione CPT 82157 | $94.75 | $169.20 | $18.08 – $78.68 | 14 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $95.76 | $171.00 | $13.59 – $51.68 | 14 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $45.47 | $81.20 | $14.01 – $72.68 | 14 |
| Mayo avwpr vw factor activity CPT 85397 | $334.32 | $597.00 | $26.07 – $440.52 | 14 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | $160.55 | $286.70 | $32.67 – $153.63 | 13 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $33.77 | $60.30 | $7.51 – $72.68 | 14 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $748.05 | $1,335.80 | $89.77 – $315.48 | 14 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | $190.74 | $340.60 | $181.25 – $420.75 | 14 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $53.26 | $95.10 | $12.01 – $72.68 | 14 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $230.50 | $411.60 | $12.28 – $303.72 | 14 |
| Mayo brcmg brucella antibody igm CPT 86622 | $44.86 | $80.10 | $8.31 – $72.68 | 14 |
| Mayo c1 esterase inhibitor CPT 83883 | $40.10 | $71.60 | $12.66 – $72.68 | 14 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $45.19 | $80.70 | $15.70 – $51.68 | 14 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $113.29 | $202.30 | $34.73 – $266.23 | 14 |
| Mayo ceruloplasmin CPT 82390 | $37.52 | $67.00 | $10.00 – $51.68 | 14 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $326.54 | $583.10 | $13.15 – $51.68 | 14 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $122.64 | $219.00 | $11.99 – $53.02 | 14 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $21.50 | $38.40 | $11.00 – $38.93 | 14 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $762.05 | $1,360.80 | $108.45 – $376.70 | 14 |
| Mayo chromium CPT 82495 | $67.87 | $121.20 | $11.87 – $40.29 | 14 |
| Mayo coccidioides antibody CPT 86635 | $137.93 | $246.30 | $10.68 – $72.68 | 14 |
| Mayo cocou cortisone urine CPT 82542 | $1,529.86 | $2,731.90 | $17.83 – $123.01 | 14 |
| Mayo cortisol free CPT 82530 | $53.93 | $96.30 | $15.56 – $51.68 | 14 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $84.84 | $151.50 | $32.26 – $105.22 | 14 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $43.40 | $77.50 | $11.29 – $72.68 | 14 |
| Mayo cyanide CPT 82600 | $74.09 | $132.30 | $11.87 – $97.62 | 14 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | $525.78 | $938.90 | $63.66 – $692.81 | 14 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $56.11 | $100.20 | $12.33 – $53.02 | 14 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $72.91 | $130.20 | $17.83 – $51.68 | 14 |
| Mayo dihydrotestosterone CPT 82642 | $89.71 | $160.20 | $27.26 – $80.58 | 14 |
| Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid CPT 83518 | $819.90 | $1,464.10 | $8.98 – $1,080.36 | 14 |
| Mayo estriol CPT 82677 | $130.09 | $232.30 | $22.51 – $78.68 | 14 |
| Mayo estrone CPT 82679 | $104.16 | $186.00 | $23.23 – $78.68 | 14 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $47.71 | $85.20 | $15.21 – $63.69 | 14 |
| Mayo everolimus therapeutic drug level CPT 80169 | $81.31 | $145.20 | $12.79 – $74.23 | 14 |
| Mayo factor ii CPT 85210 | $89.71 | $160.20 | $12.08 – $60.43 | 14 |
| Mayo factor v CPT 85220 | $106.51 | $190.20 | $16.43 – $46.34 | 14 |
| Mayo factor viii vw factor antigen CPT 85246 | $389.48 | $695.50 | $21.36 – $95.19 | 14 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $98.11 | $175.20 | $21.36 – $106.92 | 14 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $389.48 | $695.50 | $21.36 – $77.26 | 14 |
| Mayo factor x CPT 85260 | $76.78 | $137.10 | $16.66 – $101.17 | 14 |
| Mayo factor xi CPT 85270 | $89.71 | $160.20 | $16.66 – $59.92 | 14 |
| Mayo fat/lipids feces quantitative CPT 82710 | $81.31 | $145.20 | $15.64 – $51.68 | 14 |
| Mayo fbl culture fungi blood CPT 87103 | $54.10 | $96.60 | $19.05 – $71.28 | 14 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $64.51 | $115.20 | $20.18 – $63.69 | 14 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $651.00 | $1,162.50 | $43.98 – $139.46 | 4 |
| Mayo hemosiderin qualitative urine CPT 83070 | $81.31 | $145.20 | $4.42 – $87.59 | 14 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $127.01 | $226.80 | $20.71 – $83.97 | 14 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | $127.01 | $226.80 | $20.71 – $167.36 | 14 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $28.06 | $50.10 | $12.83 – $72.68 | 14 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $90.05 | $160.80 | $8.27 – $101.17 | 14 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $90.05 | $160.80 | $12.59 – $101.17 | 14 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $46.31 | $82.70 | $22.61 – $78.68 | 14 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $172.31 | $307.70 | $16.07 – $53.02 | 14 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $155.29 | $277.30 | $13.96 – $72.68 | 14 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $47.71 | $85.20 | $19.37 – $60.01 | 14 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $181.72 | $324.50 | $17.83 – $51.68 | 14 |
| Mayo inf agt nucleic acid amp prb helicobacter pylori clarithromycin resistance CPT 87513 | $892.08 | $1,593.00 | $32.67 – $1,175.47 | 10 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $89.71 | $160.20 | $13.43 – $118.21 | 14 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $65.74 | $117.40 | $11.15 – $86.63 | 14 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | $81.26 | $145.10 | $18.19 – $52.75 | 14 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | $165.31 | $295.20 | $20.71 – $211.56 | 14 |
| Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii CPT 87594 | $177.80 | $317.50 | $32.67 – $217.83 | 10 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $121.63 | $217.20 | $20.71 – $151.12 | 14 |
| Mayo infectious disease hepatitis c chronic six biochemical assays CPT 81596 | $460.99 | $823.20 | $60.97 – $150.46 | 14 |
| Mayo infliximab therapeutic drug level CPT 80230 | $133.06 | $237.60 | $18.41 – $147.65 | 14 |
| Mayo inhab inhibin a CPT 86336 | $131.71 | $235.20 | $14.52 – $51.68 | 14 |
| Mayo insulin antibodies CPT 86337 | $79.63 | $142.20 | $19.93 – $78.68 | 14 |
| Mayo iodine CPT 83789 | $73.81 | $131.80 | $17.83 – $51.68 | 14 |
| Mayo itraconazole therapeutic drug level CPT 80189 | $114.91 | $205.20 | $18.41 – $97.62 | 14 |
| Mayo lacosamide therapeutic drug level CPT 80235 | $114.69 | $204.80 | $18.41 – $118.21 | 14 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $58.13 | $103.80 | $12.33 – $63.69 | 14 |
| Mayo legionella antibody CPT 86713 | $89.71 | $160.20 | $14.24 – $72.68 | 14 |
| Mayo leptospira antibody igm CPT 86720 | $118.55 | $211.70 | $15.09 – $156.21 | 14 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $74.59 | $133.20 | $14.42 – $72.68 | 14 |
| Mayo manganese CPT 83785 | $112.56 | $201.00 | $11.87 – $39.03 | 14 |
| Mayo metanephrines plasma CPT 83835 | $106.51 | $190.20 | $15.77 – $78.68 | 14 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | $140.00 | $250.00 | $11.22 – $184.47 | 10 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | $292.66 | $522.60 | $17.13 – $79.62 | 13 |
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.