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 |
|---|---|---|---|---|
| Cerv collar supp adj cerv ba HCPCS L0190 | $1,118.43 | $1,997.20 | $365.05 – $1,473.73 | 14 |
| Cervical collar molded to pt HCPCS L0170 | $1,690.02 | $3,017.90 | $551.63 – $2,226.90 | 14 |
| Cerv sr wire occ/man pre ots HCPCS L0160 | $337.90 | $603.40 | $107.23 – $445.25 | 14 |
| Cetuximab 100 mg/50 ml intravenous solution HCPCS J9055 | $3,179.81 | $5,678.24 | $74.92 – $151.84 | 14 |
| #cf-97variants CPT 81220 | $305.20 | $545.00 | $89.61 – $262.49 | 14 |
| Change g-tube to g-j perc CPT 49446 | $993.89 | $1,774.80 | $378.87 – $4,275.53 | 17 |
| Chemo adm cns w/lmbr punct CPT 96450 | $439.66 | $785.10 | $200.01 – $579.32 | 14 |
| Chemodenerv musc neck dyston 64616 CPT 64616 | $1,004.25 | $1,793.30 | $292.45 – $1,802.35 | 17 |
| Chemo extend IV infus w/pump HCPCS G0498 | $748.55 | $1,336.70 | $323.39 – $1,019.93 | 11 |
| Chest 2 vws w oblique CPT 71048 | $138.49 | $247.30 | $99.61 – $336.00 | 18 |
| Chest apical lordotic proj CPT 71047 | $138.54 | $247.40 | $82.91 – $336.00 | 18 |
| Chest CT scan (with and without contrast) CPT 71270 | $1,368.81 | $2,444.30 | $167.11 – $709.05 | 14 |
| Chest CT scan (with contrast) CPT 71260 | $912.46 | $1,629.40 | $167.11 – $709.05 | 14 |
| Chest CT scan (without contrast) CPT 71250 | $912.46 | $1,629.40 | $99.61 – $709.05 | 14 |
| Chest Physiotherapy (first session) CPT 94667 | $125.50 | $224.10 | $62.56 – $165.36 | 14 |
| Chest Physiotherapy (follow-up session) CPT 94668 | $93.07 | $166.20 | $81.06 – $196.46 | 14 |
| Chest Ultrasound CPT 76604 | $505.79 | $903.20 | $99.61 – $625.00 | 18 |
| Chest X-ray CPT 71046 | $208.99 | $373.20 | $78.42 – $336.00 | 18 |
| Chest X-ray (single view) CPT 71045 | $208.99 | $373.20 | $61.68 – $336.00 | 18 |
| Chg pr pul rehab for copd patients CPT 94626 | $257.82 | $460.40 | $56.21 – $249.70 | 13 |
| Chlamydia culture CPT 87110 | $31.81 | $56.80 | $13.43 – $41.91 | 14 |
| Chlnggrphy intraop addl s&i CPT 74301 | $152.43 | $272.20 | $164.00 – $884.37 | 9 |
| Chloride CPT 82435 | $59.86 | $106.90 | $4.28 – $30.25 | 14 |
| Chloride 24 hour urine CPT 82436 | $30.91 | $55.20 | $5.35 – $30.25 | 14 |
| Chloroprocaine hcl injection HCPCS J2401 | $65.36 | $116.71 | $0.04 – $76.94 | 5 |
| Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205 | $186.09 | $332.31 | $33.06 – $112.65 | 5 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $68.54 | $122.40 | $29.56 – $90.32 | 5 |
| Chlorpromazine 100 mg tablet HCPCS Q0161 | $27.58 | $49.25 | $1.86 – $3.16 | 5 |
| Cholangiogram percutaneous compl CPT 47532 | $2,727.87 | $4,871.20 | $314.58 – $7,359.62 | 17 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $208.99 | $373.20 | $164.00 – $884.37 | 9 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | $1,059.91 | $1,892.70 | $842.31 – $7,359.62 | 17 |
| Cholesterol CPT 82465 | $23.52 | $42.00 | $4.05 – $30.25 | 14 |
| Cholesterol body fluid CPT 84999 | $592.70 | $1,058.40 | $246.31 – $780.99 | 4 |
| Cholesterol (Lipid) Test CPT 80061 | $30.91 | $55.20 | $12.46 – $46.84 | 14 |
| Cholinesterase challenge CPT 95857 | $138.82 | $247.90 | $74.89 – $243.09 | 14 |
| Chrom analysis CPT 88273 | $84.00 | $150.00 | $32.40 – $259.78 | 14 |
| Chromatography CPT 83021 | $30.69 | $54.80 | $12.86 – $39.33 | 14 |
| Chromogenic substrate assay CPT 85130 | $150.98 | $269.60 | $11.07 – $198.94 | 14 |
| Chromo high res and frag x - sendout CPT 81243 | $229.38 | $409.60 | $53.10 – $259.78 | 14 |
| Chromosome analysis 100 CPT 88249 | $762.05 | $1,360.80 | $89.61 – $326.08 | 14 |
| Chromosome analysis 15-20 cell count CPT 88262 | $436.30 | $779.10 | $89.61 – $574.90 | 14 |
| Chromosome analysis 5 CPT 88261 | $197.96 | $353.50 | $89.61 – $284.95 | 14 |
| Chromosome analysis 50-100 CPT 88248 | $481.94 | $860.60 | $89.61 – $635.03 | 14 |
| Chromosome count additional CPT 88285 | $169.29 | $302.30 | $25.05 – $259.78 | 14 |
| Chromosome karyotype study CPT 88280 | $133.95 | $239.20 | $31.16 – $259.78 | 14 |
| Cidofovir injection HCPCS J0740 | $979.05 | $1,748.30 | $489.11 – $1,290.07 | 14 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $59.18 | $105.68 | $2.14 – $65.97 | 5 |
| Circumcision (newborn) CPT 54150 | $131.94 | $235.60 | $159.49 – $5,802.19 | 14 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | $208.79 | $372.84 | $3.05 – $5.17 | 5 |
| C-kit mutation liquid tumor - sendout CPT 81272 | $1,049.61 | $1,874.30 | $278.29 – $671.41 | 14 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | $325.32 | $580.93 | $6.91 – $26.12 | 14 |
| Clamp isol transpolr 5mmx6.5cm transpolar HCPCS C1733 | $15,560.16 | $27,786.00 | $2.12 – $6.71 | 4 |
| Clearance of airways CPT 31720 | $54.26 | $96.90 | $41.31 – $246.53 | 14 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $68.61 | $122.52 | $1.64 – $34.44 | 5 |
| Clip ligating vesolock lg HCPCS C1760 | $2,120.38 | $3,786.40 | $21.20 – $67.22 | 4 |
| Cllr miami j sm HCPCS L0174 | $585.37 | $1,045.30 | $85.30 – $443.50 | 14 |
| Clotting assay whole blood CPT 85396 | $227.14 | $405.60 | $25.33 – $299.29 | 5 |
| C motor evoked lwr limbs CPT 95929 | $418.26 | $746.90 | $301.05 – $698.82 | 15 |
| C motor evoked uppr limbs CPT 95928 | $83.89 | $149.80 | $101.41 – $966.78 | 15 |
| C motor evoked upr&lwr limbs CPT 95939 | $836.75 | $1,494.20 | $456.00 – $1,601.22 | 15 |
| Cmv pcr-sendout CPT 87496 | $416.42 | $743.60 | $20.71 – $114.82 | 14 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | $3,224.72 | $5,758.43 | $2.03 – $4,249.13 | 14 |
| Cocaine 4 % nasal solution HCPCS C9046 | $702.78 | $1,254.97 | $1.04 – $578.12 | 8 |
| Coch imp ext proc/contr rplc HCPCS L8619 | $16,672.10 | $29,771.60 | $5,778.05 – $15,619.81 | 14 |
| Cold agglutinin titer CPT 86157 | $37.63 | $67.20 | $7.50 – $53.02 | 14 |
| Collagen based wound filler HCPCS A6010 | $30.24 | $54.00 | $24.64 – $57.19 | 5 |
| Collarbone (Clavicle) X-ray (both sides) CPT 73000 | $278.60 | $497.50 | $69.64 – $336.00 | 18 |
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | $71.40 | $127.50 | $6.03 – $42.11 | 14 |
| Collar cerv adlt perfit ace extric HCPCS L0140 | $129.42 | $231.10 | $6.16 – $95.34 | 14 |
| Collar cerv ascend 172 reg HCPCS L0172 | $306.21 | $546.80 | $6.09 – $225.55 | 14 |
| Collar cerv patriot adlt HCPCS L0150 | $231.39 | $413.20 | $6.09 – $170.46 | 14 |
| Collar extrication adult univ HCPCS L0200 | $1,297.30 | $2,316.60 | $423.43 – $1,709.41 | 14 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $137.70 | $245.90 | $60.79 – $149.79 | 14 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $26.77 | $47.80 | $26.00 – $164.43 | 14 |
| Combination bilateral ho HCPCS L1690 | $4,064.65 | $7,258.30 | $1,326.72 – $5,355.88 | 14 |
| Combo ankle/foot prosthesis HCPCS L5975 | $976.36 | $1,743.50 | $318.70 – $1,286.52 | 14 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $134.46 | $240.10 | $14.62 – $191.80 | 14 |
| Compatibility test each unit electronic CPT 86923 | $9.86 | $17.60 | $11.91 – $191.80 | 11 |
| Compatibility test each unit immediate spin technique CPT 86920 | $140.39 | $250.70 | $12.25 – $191.80 | 14 |
| Compatibility test incubate CPT 86921 | $140.22 | $250.40 | $11.05 – $191.80 | 14 |
| Complement antigen each component c3 CPT 86160 | $112.56 | $201.00 | $11.17 – $53.02 | 14 |
| Complex cystometrogram 51726 CPT 51726 | $525.67 | $938.70 | $238.04 – $963.80 | 17 |
| Complex uroflowmetry (electronic) 51741 CPT 51741 | $169.57 | $302.80 | $17.39 – $490.26 | 17 |
| Component ankle afo plastic jt mold to pt mdl foot cup HCPCS L1970 | $1,454.82 | $2,597.90 | $474.87 – $1,916.98 | 14 |
| Comprehensive hearing test CPT 92557 | $261.46 | $466.90 | $44.10 – $344.52 | 14 |
| Computed tomographic angiography head and neck with contrast CPT 70471 | $1,007.66 | $1,799.40 | $341.56 – $1,327.77 | 10 |
| Concentration infection agents any type CPT 87015 | $80.64 | $144.00 | $6.22 – $38.93 | 14 |
| Conjugated estrogens 25 mg solution for injection HCPCS J1410 | $744.16 | $1,328.86 | $365.34 – $980.56 | 14 |
| Connector tis 2x10mm HCPCS C9352 | $2,627.35 | $4,691.70 | $70.07 – $222.18 | 4 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $34.94 | $62.40 | $31.35 – $907.05 | 14 |
| Cont gluc mntr analysis i&r 95251 CPT 95251 | $521.08 | $930.50 | $17.83 – $686.61 | 11 |
| Contrast baths charges CPT 97034 | $81.48 | $145.50 | $10.68 – $107.36 | 14 |
| Contrast x-ray gallbladder CPT 74290 | $201.99 | $360.70 | $91.20 – $336.00 | 18 |
| Contrast x-ray of ankle CPT 73615 | $304.53 | $543.80 | $164.00 – $884.37 | 18 |
| Contrast x-ray of elbow CPT 73085 | $295.96 | $528.50 | $164.00 – $884.37 | 18 |
| Contrast x-ray of hip CPT 73525 | $278.66 | $497.60 | $164.00 – $884.37 | 18 |
| Contrast x-ray of knee joint CPT 73580 | $278.66 | $497.60 | $164.00 – $884.37 | 18 |
| Contrast x-ray of wrist CPT 73115 | $278.77 | $497.80 | $164.00 – $884.37 | 18 |
| Controler lvad heartmate 3 includes ebb HCPCS Q0481 | $16,946.16 | $30,261.00 | $1,628.25 – $23,186.52 | 14 |
| Controller infinity pt dbs HCPCS C1787 | $10,293.36 | $18,381.00 | $528.15 – $1,674.66 | 4 |
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.