Doctor's office and emergency center visits

When you select a link from the following service classifications, a pricing table will display immediately below the link you selected. By reselecting the same link, the pricing table will close, and you then can select another service classification to view more price and payment information.

Doctor's office visits for current Park Nicollet patients

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Doctor's office visits for current Park Nicollet patients		Park Nicollet Charges			Average Insurance Payment			Average Medicare Payment
Type of visit	CPT Code	MH	PNC	Total	MH	PNC	Total	MH	PNC	Total
Low-Level Visit	99211	$0	$47	$47	$0	$43	$43	$0	$20	$20
Low-to-Moderate-Level Visit	99212	$0	$85	$85	$0	$74	$74	$0	$36	$36
Moderate-Level Visit	99213	$0	$116	$116	$0	$104	$104	$0	$49	$49
Moderate-to-High-Level Visit	99214	$0	$181	$181	$0	$165	$165	$0	$77	$77
High-Level Visit	99215	$0	$264	$264	$0	$240	$240	$0	$112	$112

Updated: February 2007

Routine physical examinations for current Park Nicollet patients

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Routine physical examinations for current Park Nicollet patients		Park Nicollet Charges			Average Insurance Payment			Average Medicare Payment
Type of visit	CPT Code	MH	PNC	Total	MH	PNC	Total	MH	PNC	Total
Age 0 - 1	99391	$0	$173	$173	$0	$161	$161	No Coverage
Age 1 - 4	99392	$0	$194	$194	$0	$178	$178	No Coverage
Age 5 - 11	99393	$0	$191	$191	$0	$174	$174	No Coverage
Age 12 - 17	99394	$0	$211	$211	$0	$191	$191	No Coverage
Age 18 - 39	99395	$0	$214	$214	$0	$192	$192	No Coverage
Age 40 - 64	99396	$0	$236	$236	$0	$211	$211	No Coverage
Age 65 and over	99397	$0	$260	$260	$0	$227	$227	No Coverage

Updated: February 2007

Doctors office visits for new patients (or anyone not seen within the past three years)

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Doctors office visits for new patients		Park Nicollet Charges			Average Insurance Payment			Average Medicare Payment
Type of visit	CPT Code	MH	PNC	Total	MH	PNC	Total	MH	PNC	Total
Low-Level Visit	99201	$0	$81	$81	$0	$71	$71	$0	$34	$34
Low-to-Moderate-Level Visit	99202	$0	$143	$143	$0	$128	$128	$0	$61	$61
Moderate-Level Visit	99203	$0	$213	$213	$0	$193	$193	$0	$90	$90
Moderate-to-High-Level Visit	99204	$0	$301	$301	$0	$274	$274	$0	$128	$128
High-Level Visit	99205	$0	$383	$383	$0	$327	$327	$0	$162	$162

Updated: February 2007

Routine annual physicals for new patients (or anyone not seen within the past three years)

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Routine annual physicals for new patients		Park Nicollet Charges			Average Insurance Payment			Average Medicare Payment
Type of visit	CPT Code	MH	PNC	Total	MH	PNC	Total	MH	PNC	Total
Age 0 - 1	99381	$0	$228	$228	$0	$206	$206	No Coverage
Age 1 - 4	99382	$0	$245	$245	$0	$221	$221	No Coverage
Age 5 - 11	99383	$0	$240	$240	$0	$224	$224	No Coverage
Age 12 - 17	99384	$0	$261	$261	$0	$238	$238	No Coverage
Age 18 - 39	99385	$0	$261	$261	$0	$234	$234	No Coverage
Age 40 - 64	99386	$0	$308	$308	$0	$272	$272	No Coverage
Age 65 and over	99387	$0	$334	$334	$0	$307	$307	No Coverage

Updated: February 2007

Doctor's office visit for consultation (usually pertaining to a specialist referral)

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Doctor's office visit for consultation		Park Nicollet Charges			Average Insurance Payment			Average Medicare Payment
Type of visit	CPT Code	MH	PNC	Total	MH	PNC	Total	MH	PNC	Total
Low-Level Visit	99241	$0	$111	$111	$0	$101	$101	$0	$47	$47
Low-to-Moderate-Level Visit	99242	$0	$202	$202	$0	$186	$186	$0	$85	$85
Moderate-Level Visit	99243	$0	$270	$270	$0	$247	$247	$0	$114	$114
Moderate-to-High-Level Visit	99244	$0	$380	$380	$0	$347	$347	$0	$161	$161
High-Level Visit	99245	$0	$492	$492	$0	$444	$444	$0	$208	$208

Updated: February 2007

Methodist Hospital emergency center visits

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Methodist Hospital emergency center visits*		Park Nicollet Charges			Average Insurance Payment			Average Medicare Payment
Type of visit	CPT Code	MH	PNC	Total	MH	PNC	Total	MH	PNC	Total
Low-Level Visit	99281	$187	$37	$224	$137	$34	$171	$78	$15	$93
Low-to-Moderate-Level Visit	99282	$187	$61	$248	$137	$56	$193	$78	$25	$103
Moderate-Level Visit	99283	$331	$136	$467	$242	$125	$367	$137	$57	$194
Moderate-to-High-Level Visit	99284	$618	$213	$831	$393	$195	$588	$239	$89	$328
High-Level Visit	99285	$686	$334	$1,020	$411	$306	$717	$239	$139	$378

Updated: February 2007

*Most emergency room services are performed by independently contracted physicians not employed by Park Nicollet. Fees shown are for Park Nicollet doctors only. To learn more, please see the help section.

Pricing and payment considerations

In viewing our pricing tables, note the following.

• Some prices are classified by 'levels' of service. Levels of service are defined by the complexity of a visit, the nature of a patient's individual condition, paperwork requirements, and examination and counseling time.
• The total charge listed is intended to be comprehensive of all charges normally associated with the specified service or condition. If the service is done at the hospital, a facility (hospital) and a professional (clinic) charge will be shown. If the service is done at the clinic, only a professional (clinic) charge will be shown.
• For individuals with health insurance, the average insurance payment shown on our pricing tables includes all patient expense responsibilities (co-pays, deductibles and co-insurance). The actual portion of cost for which an insured patient is responsible will depend upon each individual's insurance benefits and whether deductible or out-of-pocket maximums have been met. Your insurance company can best explain your individual health plan coverage and how much out-of-pocket expenses you may incur.
• While the date when prices were last updated is indicated on each price table above, prices are subject to change without notice. If you have questions about service prices, please refer to frequently asked questions, or call 952-993-5586.

Read more about Park Nicollet billing and insurance information. Refer to our overview of service options to better understand how Park Nicollet serves patients in Minneapolis and surrounding suburbs and greater Minnesota communities.