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Cost of care at HealthPartners clinics

You can see the cost of care for procedures at HealthPartners clinics. Then use information from your insurance plan to estimate the amount you’ll pay.

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, range and maximum cost for about 50 of the most common procedures at HealthPartners. 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 don’t see what you’re looking for, or if what you see doesn’t make sense, we’re here to help.

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 to determine the range.
  • Maximum: This is the most you’ll pay for this procedure if you get insurance through HealthPartners, Blue Cross Blue Shield, PreferredOne or Medica. You may be expected 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.

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, PreferredOne 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: Jane has 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 has had a tough year, and she’s been to this doctor a few times. She’s met her $1,000 deductible.

Jane has met her deductible, and she doesn’t have coinsurance. She has a $25 copay for office visits, so that is what she’ll pay for this visit.

Office visit, established patient, low to moderate severity Maximum cost: $179
X-ray exam of foot Maximum cost: $71
Jane’s responsibility Copay of $25

Clinic cost estimates

The costs listed here are accurate for Jan. 1, 2018 – Dec. 31, 2018. These costs reflect data from HealthPartners, Blue Cross Blue Shield, PreferredOne and Medica. If you have another insurance company, your cost may be different.

These costs reflect data from HealthPartners, Blue Cross Blue Shield, PreferredOne and Medica. These numbers are good faith estimates.

Prenatal and pregnancy

Description CPT Average Range Maximum Medicare
Amniocentesis diagnostic 59000 $311 $256 - $348 $348 $130
Fetal non-stress test 59025 $119 $98 - $134 $134 $50
OB ultrasound after first trimester (14 weeks or later), single fetus 76805 $336 $270 - $393 $393 $146
Urine pregnancy test 81025 $12 $10 - $15 $15 $0

Mammograms

Description CPT Average Range Maximum Medicare
Computer-aided screening mammogram of both breasts 77067 $314 $201 - $373 $373 $140
Computer-aided diagnosis mammogram of one breast 77065 $331 $294 - $364 $364 $136
Computer-aided diagnosis mammogram of both breasts 77066 $420 $373 - $462 $462 $173

Other OB-GYN procedures

Description CPT Average Range Maximum Medicare
Pap Smear Screen 88142 $29 $16 - $43 $43 $25
Chlamydia detection 87491 $74 $54 - $103 $103 $43

These costs reflect data from HealthPartners, Blue Cross Blue Shield, PreferredOne and Medica. These numbers are good faith estimates.

Description CPT Average Range Maximum Medicare
Chest X-ray - 1 view 71045 $47 $39 - $54 $54 $20
Chest X-ray - 2 views 71046 $72 $60 - $83 $83 $31
X-Ray Exam Of Spine - 1 View 72020 $54 $48 - $60 $60 $23
X-ray exam of the foot 73630 $72 $63 - $79 $79 $30
DXA bone density study, axial skeleton (hips, pelvis, spine) 77080 $102 $90 - $112 $112 $43

These costs reflect data from HealthPartners, Blue Cross Blue Shield, PreferredOne 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. For example, the average cost for a cholesterol (lipid) panel is $37. That includes the average cost of $27, plus the $10 fee for drawing blood.

Description CPT Average Range Maximum Medicare
Cholesterol (lipid) panel 80061 $27 $18 - $34 $34 $17
Blood glucose quantitative analysis 82947 $8 $5 - $11 $11 $5
Complete blood count (CBC) with automated white blood cell (WHB) count and type 85025 $16 $12 - $19 $19 $10
Red blood cell (RBC) antibody screening 86850 $12 $6 - $26 $26 $10
Blood typing ABO 86900 $5 $5 - $7 $7 $4
Blood typing RH (D) 86901 $8 $5 - $14 $14 $4
Total prostate specific antigen (PSA) analysis 84153 $34 $30 - $43 $43 $23

Urine tests and other lab work

Description CPT Average Range Maximum Medicare
Urine culture and colony count 87086 $15 $12 - $19 $19 $25
Urinalysis automated with microscopy 81001 $6 $5 - $7 $7 $10
Urine pregnancy test 81025 $12 $10 - $15 $15 $19
Chlamydia detection 87491 $74 $53 - $103 $103 $43

These costs reflect data from HealthPartners, Blue Cross Blue Shield, PreferredOne 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 Maximum Medicare
Minor problem, includes exam and reviewing patient’s history 99201 $113 $107 - $120 $120 $45
Low to moderate severity, includes exam and reviewing patient’s expanded history 99202 $193 $181 - $204 $204 $76
Moderate severity, includes exam and reviewing patient’s detailed history 99203 $278 $262 - $295 $295 $110
Moderate to high severity, includes exam and reviewing patient’s comprehensive history 99204 $423 $398 - $448 $448 $167
High severity, includes exam and reviewing patient’s comprehensive history 99205 $532 $501 - $564 $564 $211

Office visit for established patients

Description CPT Average Range Maximum Medicare
Minimal problem, may not require a physician 99211 $67 $49 - $113 $113 $22
Limited or minor problem, includes exam and reviewing patient’s history 99212 $133 $106 - $193 $193 $45
Low to moderate severity, includes exam and reviewing patient’s expanded history 99213 $210 $177 - $276 $276 $74
Moderate to high severity, includes exam and reviewing patient’s detailed history 99214 $313 $260 - $420 $420 $109
Moderate to high severity, includes exam and reviewing patient’s comprehensive history 99215 $412 $350 - $528 $528 $148

These costs reflect data from HealthPartners, Blue Cross Blue Shield, PreferredOne 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.

Preventive care for new patients

Description CPT Average Range Maximum Medicare
Infant less than 1 year 99381 $285 $267 - $301 $301 n/a
Age 1-4 years 99382 $297 $279 - $315 $315 n/a
Age 5-11 years 99383 $310 $291 - $328 $328 n/a
Age 12-17 years 99384 $349 $327 - $369 $369 n/a
Age 18-39 years 99385 $338 $317 - $357 $357 n/a
Age 40-64 years 99386 $393 $369 - $415 $415 n/a
Age 65+ years 99387 $425 $399 - $450 $450 n/a

Preventive care for established patients

Description CPT Average Range Maximum Medicare
Infant less than 1 year 99391 $255 $240 - $270 $270 n/a
Age 1-4 years 99392 $273 $256 - $288 $288 n/a
Age 5-11 years 99393 $272 $255 - $287 $287 n/a
Age 12-17 years 99394 $298 $280 - $316 $316 n/a
Age 18-39 years 99395 $305 $286 - $322 $322 n/a
Age 40-64 years 99396 $325 $305 - $344 $344 n/a
Age 65+ years 99397 $350 $328 - $370 $370 n/a
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