Surgeries, procedures, medical conditions and hospital stays

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.

Biopsies

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Biopsies		Park Nicollet Charges			Average Insurance Payment			Average Medicare Payment
Type of service	CPT/DRG Code	MH	PNC	Total	MH	PNC	Total	MH	PNC	Total
Breast core biopsy (non-surgical, image guided)	Multiple	$0	$1,290	$1,290	$0	$1,182	$1,182	$0	$583	$583

Updated: February 2007

Bones, muscles and orthopedics

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Bones, muscles and orthopedics		Park Nicollet Charges			Average Insurance Payment			Average Medicare Payment
Type of service	CPT/DRG Code	MH	PNC	Total	MH	PNC	Total	MH	PNC	Total
Carpal tunnel release (one hand) - local anesthesia	64721	$1,629	$864	$2,493	$1,436	$801	$2,237	$1,149	$378	$1,527
Hip replace-ment*	544	$29,095	$3,258	$32,353	$17,980	$3,007	$20,987	$11,728	$1,624	$13,352
Knee arthroscopy	29881	$5,999	$1,337	$7,336	$2,784	$1,204	$3,988	$1,900	$580	$2,480
Knee replacement*	544	$29,145	$4,510	$33,655	$18,013	$3,646	$21,659	$11,735	$1,590	$13,325
*Type of prosthesis or device used contributes to the total charge. The charge for these services can vary widely.

Updated: February 2007

Digestive, intestinal and gastroenterology

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Digestive, intestinal and gastroenterology		Park Nicollet Charges			Average Insurance Payment			Average Medicare Payment
Type of service	CPT/DRG Code	MH	PNC	Total	MH	PNC	Total	MH	PNC	Total
Abdominal pain, gastrointestinal disorder (over age 17)	183	$7,212	$835	$8,047	$4,374	$773	$5,147	$3,404	$374	$3,778
Colonoscopy screening	45378	$1,487	$454	$1,941	$886	$426	$1,312	$564	$379	$943
Colonoscopy with polyp removal	45385	$2,009	$646	$2,655	$1,219	$539	$1,758	$913	$505	$1,418
Endoscopy	43239	$1,356	$356	$1,712	$875	$308	$1,183	$569	$322	$891
Gall bladder surgery (laparoscopic)	47562	$8,733	$1,458	$10,191	$4,952	$1,359	$6,311	$2,937	$632	$3,569
Sigmoidoscopy (colon cancer screening test - local anesthesia)	45330	$0	$276	$276	$0	$230	$230	$0	$124	$124

Updated: February 2007

Ear, nose and throat

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Ear, nose and throat		Park Nicollet Charges			Average Insurance Payment			Average Medicare Payment
Type of service	CPT/DRG Code	MH	PNC	Total	MH	PNC	Total	MH	PNC	Total
Ear tube placement (myringotomy)	69436	$3,946	$370	$4,316	$1,721	$340	$2,061	$1,629	$165	$1,794
Septoplasty (nostril wall repair)	30520	$7,417	$1,067	$8,484	$5,896	$974	$6,870	$5,104	$477	$5,581
Tonsillectomy only (under age 12)	42825	$4,882	$569	$5,451	$2,164	$534	$2,698	$1,488	$254	$1,742
Tonsillectomy and adenoidectomy (under age 12)	42820	$5,208	$625	$5,833	$2,182	$576	$2,758	$1,488	$278	$1,766

Updated: February 2007

Eye care

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Eye care		Park Nicollet Charges			Average Insurance Payment			Average Medicare Payment
Type of service	CPT/DRG Code	MH	PNC	Total	MH	PNC	Total	MH	PNC	Total
Cataract extraction with lens implant (one eye)	66984	$3,183	$1,501	$4,684	$2,377	$1,388	$3,765	$1,578	$676	$2,254
Lasik (laser surgery per eye; fee depends on procedure)	66999	$0	$1,199-1,798	$1,199-1,798	No Coverage			No Coverage

Updated: February 2007

Family planning

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Family planning		Park Nicollet Charges			Average Insurance Payment			Average Medicare Payment
Type of service	CPT/DRG Code	MH	PNC	Total	MH	PNC	Total	MH	PNC	Total
Tubal ligation - general anesthesia (women)	58670	$6,510	$794	$7,304	$3,439	$728	$4,167	$2,924	$347	$3,271
Vasectomy - local anesthesia (men)	55250	$0	$1,251	$1,251	$0	$995	$995	$0	$567	$567

Updated: February 2007

Heart; cardiology

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Heart; cardiology		Park Nicollet Charges			Average Insurance Payment			Average Medicare Payment
Type of service	CPT/DRG Code	MH	PNC	Total	MH	PNC	Total	MH	PNC	Total
Cardiac catheterization	Multiple	$6,486	$842	$7,328	$5,301	$751	$6,052	$2,385	$357	$2,742
Cardiac percutaneous transluminal coronary angioplasty (PTCA)	92980	$32,340	$1,990	$34,330	$18,299	$1,643	$19,942	$12,129	$809	$12,938
Congestive heart failure	127	$13,215	$381	$13,596	$8,534	$349	$8,883	$6,113	$103	$6,216
Coronary artery bypass graft (CABG)	550	$53,311	$6,596	$59,907	$30,317	$6,050	$36,367	$21,254	$2,694	$23,948
Coronary artery bypass graft (CABG) with catheterization	548	$69,440	$8,873	$78,313	$41,369	$8,056	$49,425	$27,401	$3,621	$31,022
Heart attack with cardiac catheterization	122	$13,034	$2,497	$15,531	$7,511	$2,130	$9,641	$5,607	$1,038	$6,645
Pacemaker insertion or replacement*	552	$38,264	$1,354	$39,618	$18,613	$1,130	$19,743	$12,156	$548	$12,704
*Type of prosthesis or device used contributes to the total charge. The charge for these services can vary widely.

Updated: February 2007

Hernia

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Hernia		Park Nicollet Charges			Average Insurance Payment			Average Medicare Payment
Type of service	CPT/DRG Code	MH	PNC	Total	MH	PNC	Total	MH	PNC	Total
Hernia repair (inguinal) - age 5 and older	49505	$4,302	$1,029	$5,331	$2,558	$943	$3,501	$1,945	$446	$2,391

Updated: February 2007

Pneumonia

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Pneumonia		Park Nicollet Charges			Average Insurance Payment			Average Medicare Payment
Type of service	CPT/DRG Code	MH	PNC	Total	MH	PNC	Total	MH	PNC	Total
Pneumonia (over age 17)	89	$13,322	$1,087	$14,409	$7,931	$818	$8,749	$6,047	$392	$6,439

Updated: February 2007

Pregnancy; birth

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Pregnancy; birth		Park Nicollet Charges			Average Insurance Payment			Average Medicare Payment
Type of service	CPT/DRG Code	MH	PNC	Total	MH	PNC	Total	MH	PNC	Total
C-section (includes normal newborn care)	371	$14,305	$4,282	$18,587	$8,475	$3,939	$12,414	$3,927	$1,828	$5,755
Newborn care with significant problems	390	$2,891	$359	$3,250	$2,017	$331	$2,348	$6,731	$161	$6,892
Normal newborn care	391	$2,108	$289	$2,397	$1,248	$266	$1,514	$911	$129	$1,040
Vaginal delivery** (includes normal newborn care)	373	$6,316	$3,994	$10,310	$3,655	$3,337	$6,992	$2,279	$1,543	$3,822
**Based on a woman in labor 7 - 12 hours.

Updated: February 2007

Stroke, seizures and headaches

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Stroke, seizures and headaches		Park Nicollet Charges			Average Insurance Payment			Average Medicare Payment
Type of service	CPT/DRG Code	MH	PNC	Total	MH	PNC	Total	MH	PNC	Total
Seizures (over age 17)	563	$9,057	$1,503	$10,560	$4,738	$1,287	$6,025	$3,753	$617	$4,370
Stroke	14	$15,148	$2,515	$17,663	$9,587	$1,983	$11,570	$7,062	$959	$8,021

Updated: February 2007

Pricing and payment considerations

In viewing our pricing tables, note the following.

• 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.
• 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.
• 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.