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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 cost and range 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 (HealthPartners, Blue Cross Blue Shield, PreferredOne 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, 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, 2019 – Dec. 31, 2019. 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 Medicare MHCP Self-Pay
Amniocentesis diagnostic 59000 $333 $264 - $394 $120 $93 $449
Fetal non-stress test 59025 $127 $100 - $151 $47 $36 $172
OB ultrasound after first trimester (14 weeks or later), single fetus 76805 $357 $276 - $396 $142 $110 $414
Urine pregnancy test 81025 $13 $10 - $16 $9 $9 $26

Mammograms

Description CPT Average Range Medicare MHCP Self-Pay
Computer-aided screening mammogram of both breasts 77067 $329 $210 - $380 $138 $98 $395
Computer-aided diagnosis mammogram of one breast 77065 $351 $321 - $374 $136 $96 $386
Computer-aided diagnosis mammogram of both breasts 77066 $444 $406 - $472 $172 $122 $489

Other OB-GYN procedures

Description CPT Average Range Medicare MHCP Self-Pay
Pap Smear Screen 88142 $37 $28 - $45 $23 $23 $75
Chlamydia detection 87491 $70 $49 - $99 $39 $39 $130

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

Description CPT Average Range Medicare MHCP Self-Pay
Chest X-ray - 1 view 71045 $51 $45 - $55 $25 $18 $57
Chest X-ray - 2 views 71046 $79 $71 - $84 $32 $23 $88
X-Ray Exam Of Spine - 1 View 72020 $57 $51 - $61 $23 $16 $64
X-ray exam of the foot 73630 $76 $69 - $81 $32 $22 $85
DXA bone density study, axial skeleton (hips, pelvis, spine) 77080 $109 $99 - $116 $41 $29 $121

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 $34. That includes the average cost of $24, plus the $10 fee for drawing blood.

Description CPT Average Range Medicare MHCP Self-Pay
Cholesterol (lipid) panel 80061 $24 $17 - $31 $15 $15 $44
Blood glucose quantitative analysis 82947 $7 $5 - $9 $4 $4 $22
Complete blood count (CBC) with automated white blood cell (WHB) count and type 85025 $14 $10 - $18 $9 $9 $34
Red blood cell (RBC) antibody screening 86850 $14 $11 - $18 $10 $10 $34
Blood typing ABO 86900 $5 $4 - $7 $3 $3 $22
Blood typing RH (D) 86901 $5 $4 - $7 $3 $3 $22
Total prostate specific antigen (PSA) analysis 84153 $34 $28 - $42 $20 $20 $89

Urine tests and other lab work

Description CPT Average Range Medicare MHCP Self-Pay
Urine culture and colony count 87086 $15 $11 - $18 $9 $9 $43
Urinalysis automated with microscopy 81001 $6 $4 - $7 $4 $4 $37
Urine pregnancy test 81025 $13 $10 - $16 $9 $9 $31
Chlamydia detection 87491 $70 $49 - $99 $39 $39 $121

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 Medicare MHCP Self-Pay
Minor problem, includes exam and reviewing patient’s history 99201 $119 $114 - $123 $46 $35 $128
Low to moderate severity, includes exam and reviewing patient’s expanded history 99202 $201 $192 - $207 $76 $59 $216
Moderate severity, includes exam and reviewing patient’s detailed history 99203 $288 $277 - $298 $107 $83 $311
Moderate to high severity, includes exam and reviewing patient’s comprehensive history 99204 $439 $422 - $454 $163 $126 $474
High severity, includes exam and reviewing patient’s comprehensive history 99205 $553 $531 - $571 $204 $158 $596

Office visit for established patients

Description CPT Average Range Medicare MHCP Self-Pay
Minimal problem, may not require a physician 99211 $58 $55 - $60 $23 $18 $62
Limited or minor problem, includes exam and reviewing patient’s history 99212 $117 $113 - $121 $45 $35 $126
Low to moderate severity, includes exam and reviewing patient’s expanded history 99213 $195 $187 - $201 $74 $57 $210
Moderate to high severity, includes exam and reviewing patient’s detailed history 99214 $288 $276 - $297 $109 $84 $310
Moderate to high severity, includes exam and reviewing patient’s comprehensive history 99215 $388 $372 - $400 $145 $112 $418

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 Medicare MHCP Self-Pay
Infant less than 1 year 99381 $297 $284 - $305 n/a $86 $319
Age 1-4 years 99382 $310 $297 - $319 n/a $90 $333
Age 5-11 years 99383 $322 $309 - $332 n/a $94 $346
Age 12-17 years 99384 $364 $349 - $375 n/a $106 $391
Age 18-39 years 99385 $353 $338 - $363 n/a $102 $379
Age 40-64 years 99386 $409 $392 - $421 n/a $119 $440
Age 65+ years 99387 $443 $425 - $457 n/a $128 $477

Preventive care for established patients

Description CPT Average Range Medicare MHCP Self-Pay
Infant less than 1 year 99391 $266 $255 - $274 n/a $78 $286
Age 1-4 years 99392 $284 $272 - $293 n/a $83 $306
Age 5-11 years 99393 $283 $271 - $292 n/a $82 $305
Age 12-17 years 99394 $311 $298 - $320 n/a $90 $334
Age 18-39 years 99395 $318 $304 - $327 n/a $92 $341
Age 40-64 years 99396 $338 $324 - $348 n/a $98 $364
Age 65+ years 99397 $365 $350 - $376 n/a $106 $392
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