Patient Accounts & Billing: Cost of Care at Park Nicollet Clinics

 

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 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.

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If you don’t see what you’re looking for, or if what you see doesn’t make sense, we’re here to help.

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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.

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, new patient, moderate severity Maximum cost: $268
X-ray exam of foot Maximum cost: $71
Jane’s responsibility $339
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, 2017 – Dec. 31, 2017. These costs reflect data from HealthPartners, Blue Cross Blue Shield, PreferredOne and Medica. If you have another insurance company, your cost may be different.

OB-GYN

X-rays, CT scans and MRIs

Lab work

Office visit (for an injury or illness)

Office visit (for routine or preventive care)