Cost of Care at Park Nicollet Clinics
Our Know Your Cost team members walk you through the cost of office visits surgical procedures, imaging, lab work and more. You'll talk to a real person and get a detailed estimate.
If you're a HealthPartners insurance member, you get a detailed out-of-pocket cost estimate.
How much will I pay?
You want to know how much your medical care will cost before you see the doctor or get the bill. This helps eliminate surprises. And it allows you to plan for upcoming health needs.
This page provides the average cost and range for 50 of the most common procedures at Park Nicollet. We can provide average cost information. Then you can work with your insurance company to estimate what you’ll pay. Some preventive services are covered 100 percent by your insurance, which means there’s no cost to you.
Your deductible, coinsurance and copay all affect what you’ll pay.
We’re here to help
If you have any questions about your Know Your Cost estimate, we're here to help.
Call us
1-844-997-COST
1-844-997-2678
Call us
1-844-997-COST
1-844-997-2678
How do I estimate my cost?
In order to provide accurate cost information, each procedure has five numbers associated with it.
- CPT: CPT stands for Current Procedural Terminology. Your doctor uses this code to bill the insurance company. It tells the insurance company what services you received. Each service has a different code.
- Average: This is the average amount patients pay for this procedure. You and your insurance company may split this cost. Your deductible, coinsurance, copay and coverage affect how much you’ll pay. If you have questions about your insurance, call your insurance company.
- Range: Just like the cost of milk varies depending where you buy it, the cost of procedures changes depending on your insurance. We use information from four major insurance companies (HealthPartners, Blue Cross Blue Shield, United Healthcare and Medica) to determine the range. The top of the range is the most you should pay if you get your insurance through one of these four insurance companies. You may have to pay this if you haven’t met your deductible.
- Medicare payment: If you have Medicare, this is the most you’ll pay for this procedure. Depending on your Medicare plan, you may not be expected to pay anything.
- MHCP: If you have insurance from a Minnesota Health Care Program (MHCP) from the state of Minnesota, this is the most you’ll pay for this procedure. Depending on your plan, you may not be expected to pay anything.
- Self-Pay: If you do not have any insurance, this is the most you should expect to pay. If you need assistance to pay for services you can contact us to set up an appointment.
If you have additional procedures or services, there may be additional cost. For example, let’s say you go to the doctor for a routine preventive care visit. While you’re there, you ask the doctor to look at a mole. There may be an additional charge for that.
These clinic costs reflect data from HealthPartners, Blue Cross Blue Shield, United Healthcare and Medica. If you have insurance through one of those companies, these good faith estimates should be accurate. If you have another insurance company, your cost may be different.
Example one: Jane hasn’t met her deductible
Jane is doing housework and falls off the ladder. She thinks she broke her foot, so she goes to the doctor. The doctor orders an X-ray of her foot.
Jane hasn’t been to this doctor before. She hasn’t had any other medical expenses this year, so she hasn’t met her $1,000 deductible.
Because Jane has not met her deductible, she is responsible for the full cost of the visit.
Office visit, new patient, moderate severity | Maximum cost: $268 |
X-ray exam of foot | Maximum cost: $71 |
Jane’s responsibility | $339 |
Example two: Mike has met his deductible
Mike is doing housework and falls off the ladder. He thinks he broke his arm, so he goes to the doctor. The doctor orders an X-ray of his arm.
Mike has had a tough year, and he’s been to this doctor a few times. He’s met his $1,000 deductible.
Mike has met his deductible, and he doesn’t have coinsurance. He has a $25 copay for office visits, so that is what he’ll pay for this visit.
Office visit, established patient, low to moderate severity | Maximum cost: $180 |
X-ray exam of arm | Maximum cost: $75 |
Mike’s responsibility | Copay of $25 |
Clinic cost estimates
The costs listed here are accurate for Jan. 1, 2024 – Dec. 31, 2024. These costs reflect data from HealthPartners, Blue Cross Blue Shield, United Healthcare and Medica. If you have another insurance company, your cost may be different.
These costs reflect data from HealthPartners, Blue Cross Blue Shield, United Healthcare and Medica. These numbers are good faith estimates.
Prenatal and pregnancy
Description | CPT | Average | Range | Medicare | MHCP | Self-Pay |
---|---|---|---|---|---|---|
Amniocentesis diagnostic | 59000 | $416 | $391 - $485 | $109 | $85 | $553 |
Fetal non-stress test | 59025 | $171 | $163 - $192 | $46 | $36 | $229 |
OB ultrasound after first trimester (14 weeks or later), single fetus | 76805 | $408 | $352 - $467 | $134 | $104 | $514 |
Urine pregnancy test | 81025 | $14 | $12 - $17 | $9 | $9 | $34 |
Mammograms
Description | CPT | Average | Range | Medicare | MHCP | Self-Pay |
---|---|---|---|---|---|---|
Computer-aided screening mammogram of both breasts | 77067 | $397 | $364 - $457 | $127 | $96 | $485 |
Computer-aided diagnosis mammogram of one breast | 77065 | $388 | $355 - $447 | $124 | $94 | $474 |
Computer-aided diagnosis mammogram of both breasts | 77066 | $489 | $448 - $563 | $157 | $119 | $597 |
Other OB-GYN procedures
Description | CPT | Average | Range | Medicare | MHCP | Self-Pay |
---|---|---|---|---|---|---|
Pap Smear Screen | 88142 | $43 | $27 - $76 | $20 | $20 | $81 |
Chlamydia detection | 87491 | $73 | $47 - $115 | $35 | $35 | $140 |
These costs reflect data from HealthPartners, Blue Cross Blue Shield, United Healthcare and Medica. These numbers are good faith estimates.
Description | CPT | Average | Range | Medicare | MHCP | Self-Pay |
---|---|---|---|---|---|---|
CT scan of the head or brain, without dye | 70450 | $337 | $311 - $384 | $108 | $81 | $415 |
CT scan of the belly (abdomen), with dye | 74160 | $744 | $692 - $823 | $238 | $179 | $922 |
CT scan of the chest (thorax), without dye | 71250 | $434 | $390 - $526 | $135 | $102 | $520 |
Chest X-ray – 1 view | 71045 | $77 | $73 - $81 | $25 | $19 | $98 |
Chest X-ray – 2 view | 71046 | $100 | $94 - $105 | $33 | $25 | $127 |
X-ray exam of the spine – 1 view | 72020 | $73 | $69 - $77 | $24 | $18 | $93 |
X-ray exam of the foot | 73630 | $101 | $96 - $107 | $34 | $26 | $130 |
DXA bone density study, axial skeleton (hips, pelvis, spine) | 77080 | $116 | $107 - $131 | $39 | $29 | $144 |
These costs reflect data from HealthPartners, Blue Cross Blue Shield, United Healthcare and Medica. These numbers are good faith estimates.
Blood work
In addition to the price below, there is also a flat fee for drawing blood. For routine blood draws, that cost is about $10. This fee is charged once, even if there are multiple blood draws in one visit.
Description | CPT | Average | Range | Medicare | MHCP | Self-Pay |
---|---|---|---|---|---|---|
Cholesterol (lipid) panel | 80061 | $23 | $18 - $26 | $13 | $13 | $54 |
Blood glucose quantitative analysis | 82947 | $7 | $5 - $8 | $4 | $4 | $16 |
Complete blood count (CBC) with automated white blood cell (WBC) count and type | 85025 | $13 | $11 - $15 | $8 | $8 | $31 |
Red blood cell (RBC) antibody screening | 86850 | $17 | $13 - $19 | $10 | $10 | $39 |
Blood typing ABO | 86900 | $5 | $4 - $6 | $3 | $3 | $12 |
Blood typing RH (D) | 86901 | $5 | $4 - $6 | $3 | $3 | $12 |
Total prostate specific antigen (PSA) analysis | 84153 | $31 | $25 - $36 | $18 | $18 | $77 |
Urine tests and other lab work
Description | CPT | Average | Range | Medicare | MHCP | Self-Pay |
---|---|---|---|---|---|---|
Urine culture and colony count | 87086 | $14 | $11 - $16 | $8 | $8 | $32 |
Urinalysis automated with microscopy | 81001 | $5 | $4 - $6 | $3 | $3 | $13 |
Urine pregnancy test | 81025 | $14 | $12 - $17 | $9 | $9 | $34 |
Chlamydia detection | 87491 | $73 | $47 - $115 | $35 | $35 | $140 |
These costs reflect data from HealthPartners, Blue Cross Blue Shield, United Healthcare and Medica. These numbers are good faith estimates.
Care for new patients
You are considered a “new patient” if you have not been seen in the department/specialty in the last three years.
Office visit for new patients
Description | CPT | Average | Range | Medicare | MHCP | Self-Pay |
---|---|---|---|---|---|---|
Straightforward severity, includes medically appropriate exam and history | 99202 | $218 | $200 - $249 | $70 | $54 | $271 |
Low severity, includes medically appropriate exam and history | 99203 | $328 | $306 - $352 | $107 | $83 | $420 |
Moderate severity, includes medically appropriate exam and history | 99204 | $490 | $454 - $538 | $161 | $124 | $622 |
High severity, includes medically appropriate exam and history | 99205 | $639 | $599 - $680 | $211 | $164 | $822 |
Office visit for established patients
Description | CPT | Average | Range | Medicare | MHCP | Self-Pay |
---|---|---|---|---|---|---|
Minimal problem, may not require a physician | 99211 | $69 | $65 - $76 | $23 | $18 | $87 |
Limited Or Minor Problem - History, Exam includes Exam And Reviewing Patient's History | 99212 | $159 | $149 - $172 | $55 | $43 | $212 |
Low To Moderate Severity - Includes Exam And Reviewing Patient's Expanded History | 99213 | $255 | $245 - $274 | $88 | $68 | $338 |
Moderate To High Severity - Includes Exam And Reviewing Patient’s Detailed History | 99214 | $363 | $352 - $387 | $124 | $96 | $478 |
Moderate To High Severity Includes Exam And Reviewing Patient's Comprehensive History | 99215 | $503 | $478 - $542 | $174 | $135 | $669 |
These costs reflect data from HealthPartners, Blue Cross Blue Shield, United Healthcare and Medica. These numbers are good faith estimates.
Preventive visits are recommended for everyone. However, different services are needed at different ages. For example, an infant may need several shots. A teenage boy may only need a physical exam. And a 50-year-old woman may need a mammogram. As a result, your age affects the cost of your office visit.
Some preventive services are covered 100 percent by your insurance, which means there’s no cost to you. Note: Medicare does not cover preventive care.
Care for new patients
You are considered a “new patient” if you have not been seen in the department/specialty in the last three years.
Office visit for new patients
Description | CPT | Average | Range | Medicare | MHCP | Self-Pay |
---|---|---|---|---|---|---|
Infant less than 1 year | 99381 | $322 | $301 - $352 | n/a | $82 | $407 |
Age 1-4 years | 99382 | $337 | $314 - $369 | n/a | $86 | $425 |
Age 5-11 years | 99383 | $350 | $326 - $385 | n/a | $89 | $441 |
Age 12-17 years | 99384 | $395 | $367 - $436 | n/a | $100 | $496 |
Age 18-39 years | 99385 | $383 | $356 - $422 | n/a | $97 | $483 |
Age 40-64 years | 99386 | $404 | $336 - $452 | n/a | $112 | $556 |
Age 65+ years | 99387 | $480 | $446 - $531 | n/a | $121 | $605 |
Office visit for established patients
Description | CPT | Average | Range | Medicare | MHCP | Self-Pay |
---|---|---|---|---|---|---|
Infant less than 1 year | 99391 | $291 | $271 - $319 | n/a | $74 | $365 |
Age 1-4 years | 99392 | $310 | $288 - $339 | n/a | $79 | $391 |
Age 5-11 years | 99393 | $309 | $287 - $338 | n/a | $78 | $389 |
Age 12-17 years | 99394 | $337 | $314 - $372 | n/a | $86 | $425 |
Age 18-39 years | 99395 | $345 | $321 - $381 | n/a | $88 | $435 |
Age 40-64 years | 99396 | $367 | $341 - $405 | n/a | $93 | $461 |
Age 65+ years | 99397 | $395 | $368 - $436 | n/a | $100 | $498 |