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 |
|---|---|---|---|---|
| Apl(pml-rara) quant - sendout CPT 81315 | $816.65 | $1,458.30 | $193.00 – $1,076.08 | 14 |
| Application finger splntstatic 29130 CPT 29130 | $81.48 | $145.50 | $98.50 – $637.50 | 14 |
| Application long leg splint 29505 CPT 29505 | $81.48 | $145.50 | $98.50 – $637.50 | 14 |
| Application multi layer compression below knee (both sides) CPT 29581 | $230.50 | $411.60 | $146.09 – $637.50 | 14 |
| Application of forearm cast 29075 CPT 29075 | $149.86 | $267.60 | $177.23 – $850.20 | 14 |
| Application of long arm cast 29065 CPT 29065 | $81.48 | $145.50 | $98.50 – $850.20 | 14 |
| Application of long leg cast 29345 CPT 29345 | $146.61 | $261.80 | $177.23 – $850.20 | 14 |
| Application of paste boot 29580 CPT 29580 | $161.22 | $287.90 | $92.47 – $637.50 | 14 |
| Application short leg cast 29405 CPT 29405 | $146.61 | $261.80 | $139.39 – $850.20 | 14 |
| Applicator tag rfid localizer 12gx7cm HCPCS C1819 | $5,717.99 | $10,210.70 | $20.92 – $66.34 | 4 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | $81.48 | $145.50 | $4.52 – $107.36 | 14 |
| Appl modality 1/> areas vasopneumatic devices 97016 CPT 97016 | $81.48 | $145.50 | $8.94 – $107.36 | 14 |
| Appl multlay comprs arm/hand CPT 29584 | $198.69 | $354.80 | $139.39 – $637.50 | 14 |
| Apply finger cast 29086 CPT 29086 | $81.48 | $145.50 | $98.50 – $1,627.80 | 14 |
| Apply forearm splintdynamic 29126 CPT 29126 | $240.35 | $429.20 | $130.26 – $637.50 | 14 |
| Apply hand/wrist cast 29085 CPT 29085 | $146.61 | $261.80 | $159.10 – $850.20 | 14 |
| Apply interstit radiat compl CPT 77778 | $1,532.44 | $2,736.50 | $663.57 – $5,486.32 | 14 |
| Apply intrcav radiat compl CPT 77763 | $1,459.86 | $2,606.90 | $663.57 – $5,486.32 | 14 |
| Apply intrcav radiat interm CPT 77762 | $1,194.42 | $2,132.90 | $526.44 – $5,486.32 | 14 |
| Apply intrcav radiat simple CPT 77761 | $929.10 | $1,659.10 | $526.44 – $5,486.32 | 14 |
| Apply of finger splint 29131 CPT 29131 | $198.69 | $354.80 | $57.76 – $637.50 | 14 |
| Apply rigid leg cast 29445 CPT 29445 | $197.85 | $353.30 | $239.17 – $850.20 | 14 |
| Apply surf ldr radionuclide CPT 77789 | $595.28 | $1,063.00 | $97.21 – $5,486.32 | 14 |
| App mdlty 1+hubbrd tnk ea 15 CPT 97036 | $81.48 | $145.50 | $24.58 – $107.36 | 14 |
| Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion HCPCS J0185 | $503.56 | $899.21 | $1.59 – $663.52 | 14 |
| #aptt mix-1:1 incubated CPT 87532 | $133.34 | $238.10 | $20.71 – $129.28 | 14 |
| Aqaprn-4 antb flo cytmtry ea CPT 86053 | $486.81 | $869.30 | $35.13 – $156.21 | 10 |
| Aquaporin-4 antibody cba each CPT 86052 | $434.11 | $775.20 | $11.22 – $572.02 | 10 |
| Aqua therapy w/exercise/ea 15 min 97113 CPT 97113 | $81.48 | $145.50 | $27.31 – $107.36 | 14 |
| Aquatic exercise - group charge CPT 97150 | $240.35 | $429.20 | $12.91 – $316.71 | 14 |
| Arch supp att to shoe long/m HCPCS L3090 | $88.03 | $157.20 | $27.93 – $116.00 | 14 |
| Arch supp att to shoe metata HCPCS L3080 | $68.71 | $122.70 | $18.48 – $50.63 | 14 |
| Arch suprt att to sho longit HCPCS L3070 | $68.71 | $122.70 | $21.82 – $90.54 | 14 |
| Argatroban nonesrd use 1mg HCPCS J0883 | $2,348.04 | $4,192.93 | $0.56 – $3,093.95 | 14 |
| Arm CT Scan (with contrast, both arms) CPT 73201 | $1,824.98 | $3,258.90 | $222.00 – $709.05 | 14 |
| Arm CT Scan (without contrast, both arms) CPT 73200 | $1,368.81 | $2,444.30 | $99.61 – $709.05 | 14 |
| Arm or Leg Ultrasound (limited, left side) CPT 76882 | $300.72 | $537.00 | $99.61 – $625.00 | 18 |
| Arsenic trioxide 2 mg/ml intravenous solution HCPCS J9017 | $212.97 | $380.31 | $5.12 – $245.17 | 5 |
| Arterial blood draw/perc 36620 CPT 36620 | $247.24 | $441.50 | $112.77 – $1,002.38 | 8 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right CPT 20605 | $1,004.25 | $1,793.30 | $292.45 – $1,002.38 | 17 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides) CPT 20606 | $411.77 | $735.30 | $275.34 – $3,572.45 | 17 |
| Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) CPT 20611 | $348.82 | $622.90 | $241.41 – $1,002.38 | 17 |
| Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance CPT 20600 | $1,004.25 | $1,793.30 | $292.45 – $1,002.38 | 17 |
| Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604 CPT 20604 | $335.78 | $599.60 | $56.85 – $1,002.38 | 17 |
| Aspa gene CPT 81200 | $173.49 | $309.80 | $43.98 – $259.78 | 11 |
| Asp core fat pad CPT 17999 | $752.42 | $1,343.60 | $185.30 – $1,002.38 | 16 |
| Aspirate/inj ganglion cyst 20612 CPT 20612 | $564.09 | $1,007.30 | $292.45 – $7,562.43 | 17 |
| Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion CPT 10005 | $1,161.50 | $2,074.10 | $185.03 – $3,572.45 | 17 |
| Aspir/inj thyroid cyst 60300 CPT 60300 | $348.82 | $622.90 | $61.08 – $3,572.45 | 17 |
| Assay myeloperoxidase CPT 83876 | $44.86 | $80.10 | $41.58 – $120.52 | 14 |
| Assay neurflmnt light chain CPT 83884 | $287.90 | $514.10 | $108.21 – $379.35 | 10 |
| Assay of breath ethanol CPT 82075 | $84.00 | $150.00 | $17.83 – $87.59 | 14 |
| Assay of digoxin free CPT 80163 | $48.94 | $87.40 | $12.36 – $64.49 | 14 |
| Assay of feces porphyrins CPT 84126 | $108.30 | $193.40 | $17.83 – $142.71 | 14 |
| Assay of galactose CPT 82760 | $19.71 | $35.20 | $10.43 – $51.68 | 14 |
| Assay of interleukin-6 (il-6) CPT 83529 | $148.51 | $265.20 | $16.07 – $102.27 | 10 |
| Assay of osteocalcin CPT 83937 | $89.71 | $160.20 | $27.14 – $78.68 | 14 |
| Assay of salicylate CPT 80179 | $25.65 | $45.80 | $17.36 – $53.34 | 14 |
| Assay of thiocyanate CPT 84430 | $71.23 | $127.20 | $10.83 – $68.33 | 14 |
| Assay of troponin qual CPT 84512 | $80.86 | $144.40 | $9.40 – $106.55 | 14 |
| Assay of tyrosine CPT 84510 | $18.93 | $33.80 | $9.90 – $51.68 | 14 |
| Assay of urine sulfate CPT 84392 | $10.47 | $18.70 | $4.64 – $13.80 | 14 |
| Assess aphasia/interp/rpt/per hr 96105 CPT 96105 | $240.35 | $429.20 | $77.21 – $325.76 | 14 |
| Assess cyst contrast inject CPT 49424 | $110.15 | $196.70 | $56.00 – $1,002.38 | 8 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | $29.12 | $52.00 | $3.97 – $32.54 | 14 |
| Assistive tech assessment, ot CPT 97755 | $81.48 | $145.50 | $30.08 – $196.23 | 14 |
| Ast/sgot CPT 84450 | $23.46 | $41.90 | $4.83 – $30.25 | 14 |
| Atezolizumab 60 mg/ml intravenous solution (wrapper) HCPCS J9022 | $12,516.52 | $22,350.92 | $66.72 – $16,492.65 | 14 |
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | $60.07 | $107.27 | $0.11 – $37.15 | 5 |
| Audiometry air + bone CPT 92553 | $169.57 | $302.80 | $51.21 – $223.44 | 14 |
| Audit/dast 15-30 min CPT 99408 | $192.19 | $343.20 | $28.33 – $253.25 | 8 |
| Aud rehab pre-ling hear loss CPT 92630 | $81.48 | $145.50 | $98.50 – $392.47 | 5 |
| Autologous blood process CPT 86890 | $216.10 | $385.90 | $61.45 – $228.75 | 11 |
| Automated diff wbc count CPT 85004 | $26.88 | $48.00 | $6.02 – $19.48 | 14 |
| Autopsy (necropsy) complete CPT 88025 | $618.02 | $1,103.60 | $256.82 – $814.34 | 4 |
| Axillary crutch extension HCPCS L0978 | $406.84 | $726.50 | $129.11 – $536.08 | 14 |
| Azacitidine injection HCPCS J9025 | $432.07 | $771.55 | $0.34 – $204.82 | 5 |
| Azathioprine 50 mg tablet HCPCS J7500 | $2.97 | $5.30 | $1.03 – $3.39 | 5 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $41.32 | $73.79 | $2.26 – $38.08 | 5 |
| Azithromycin dihydrate, oral HCPCS Q0144 | $43.28 | $77.28 | $3.58 – $43.44 | 8 |
| Baclofen eval charges CPT 97750 | $81.48 | $145.50 | $26.88 – $179.88 | 14 |
| Bacterial meningitis antigen CPT 86403 | $56.11 | $100.20 | $10.74 – $73.94 | 14 |
| Bacterial vaginosis pcr CPT 87801 | $886.26 | $1,582.60 | $13.43 – $75.68 | 14 |
| #bac vag cand-c. albicans naa CPT 87481 | $229.04 | $409.00 | $18.29 – $58.66 | 14 |
| Balance and Coordination Retraining (each 15 minutes) CPT 97112 | $81.48 | $145.50 | $24.58 – $107.36 | 14 |
| Balloon dilate urtrl strix CPT 50706 | $1,411.65 | $2,520.80 | $432.00 – $1,968.99 | 8 |
| Barium Enema (Colon X-ray, barium and air) CPT 74280 | $278.66 | $497.60 | $164.00 – $514.39 | 18 |
| Barium Enema (Colon X-ray, barium only) CPT 74270 | $374.86 | $669.40 | $164.00 – $521.04 | 18 |
| Barium Swallow (Esophagus X-ray) CPT 74220 | $208.99 | $373.20 | $69.64 – $336.00 | 18 |
| Basic vestibular evaluation CPT 92540 | $857.08 | $1,530.50 | $73.29 – $1,129.35 | 14 |
| Battery elec/combo vad, rep HCPCS Q0496 | $188.44 | $336.50 | $179.94 – $2,392.27 | 14 |
| Bausch health Ultrasound surg HCPCS V2788 | $807.13 | $1,441.30 | $163.27 – $517.71 | 4 |
| B cells total count CPT 86355 | $92.06 | $164.40 | $25.07 – $121.31 | 14 |
| Bcg live 50 mg intravesical suspension HCPCS J9030 | $483.97 | $864.24 | $3.05 – $637.72 | 14 |
| Bckdhb gene CPT 81205 | $173.49 | $309.80 | $88.44 – $259.78 | 11 |
| Bebtelovimab injection HCPCS M0222 | $259.45 | $463.30 | $141.00 – $341.87 | 9 |
| Behavior counsel obesity 15min medicare g0447 HCPCS G0447 | $45.36 | $81.00 | $54.83 – $143.08 | 11 |
| Belimumab 120 mg intravenous solution HCPCS J0490 | $4,047.32 | $7,227.35 | $49.32 – $1,828.15 | 14 |
| Below elbow prosth tiss shap HCPCS L6400 | $5,403.33 | $9,648.80 | $1,870.56 – $7,119.82 | 14 |
| Below knee acrylic socket HCPCS L5629 | $665.39 | $1,188.20 | $217.20 – $876.77 | 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.