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Park Nicollet Clinic

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P.O.Box 650
Minneapolis, MN 55440
952-993-3123

Patients 800-862-7412

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866-993-5777

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Park Nicollet Health Services > Out-of-Pocket Insurance Calculator

Out-of-pocket insurance calculator

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Choose a Park Nicollet service Doctor's office and emergency center visits [ + ] Current patient: doctor's office visits Low-level visit Low-to-moderate-level visit Moderate-level visit Moderate-to-high-level visit High-level visit [ + ] Current patient: routine physical examinations Age 0-1 Age 1-4 Age 5-11 Age 12-17 Age 18-39 Age 40-64 Age 65 and older [ + ] New patient: doctor's office visits (anyone not seen within past three years) Low-level visit Low-to-moderate-level visit Moderate-level visit Moderate-to-high-level visit High-level visit [ + ] New patient: routine annual physicals (anyone not seen within past three years) Age 0-1 Age 1-4 Age 5-11 Age 12-17 Age 18-39 Age 40-64 Age 65 and older [ + ] Doctor's office visit for consultation (usually pertaining to a specialist referral) Low-level visit Low-to-moderate-level visit Moderate-level visit Moderate-to-high-level visit High-level visit** [ + ] Park Nicollet Methodist Hospital emergency center visits Low-level visit* Low-to-moderate-level visit* Moderate-level visit* Moderate-to-high-level visit* High-level visit* Surgeries and procedures [ + ] Biopsies Breast core biopsy (non-surgical, image guided)** [ + ] Bones, muscles and orthopedics Carpal tunnel release (one hand) - local anesthesia* Hip replacement* Knee arthroscopy* Knee replacement* [ + ] Digestive, intestinal and gastroenterology Abdominal pain, gastrointestinal disorder (over age 17)* Colonoscopy screening* Colonoscopy with polyp removal* Endoscopy* Gall bladder surgery (laparoscopic)* Sigmoidoscopy (colon cancer screening test - local anesthesia)** [ + ] Ear, nose and throat Ear tube placement (myringotomy)* Septoplasty (nostril wall repair)* Tonsillectomy only (under age 12)* Tonsillectomy and adenoidectomy (under age 12)* [ + ] Eye care Cataract extraction with lens implant (one eye)* Lasik (laser surgery per eye; fee depends on procedure)** [ + ] Family planning Tubal ligation - general anesthesia (women)* Vasectomy - local anesthesia (men)** [ + ] Heart; cardiology Cardiac catheterization* Cardiac percutaneous transluminal coronary angioplasty (PTCA)* Congestive heart failure* Coronary artery bypass graft (CABG)* Coronary artery bypass graft (CABG) with catheterization* Heart attack with cardiac catheterization* Pacemaker insertion or replacement** [ + ] Hernia Hernia repair (inguinal) - age 5 and older* [ + ] Pneumonia Pneumonia (over age 17)* [ + ] Pregnancy; birth C-section (includes normal newborn care)* Newborn care with significant problems* Normal newborn care* Vaginal delivery (includes normal newborn care)* [ + ] Stroke, seizures and headaches Seizures (over age 17)* Stroke* Diagnostic services [ + ] CT scans Abdominal CT scan* Chest CT Scan** Head CT Scan* Pelvis CT Scan* [ + ] Lab tests Complete blood count (CBC) Glucose Test Lipid profile Pap test (with liquid base preparation) Prostate specific antigen (PSA) Urinalysis (urine analysis) [ + ] Mammograms Bilateral screening, analog (only at Bloomington, Carlson, Maple Grove, Minneapolis & Shakopee) Bilateral screening diagnostic (only at JBBC-St Louis Park, JBBC-Wayzata, Burnsville & Chanhassen) Bilateral screening digital** [ + ] MRIs Brain MRI* Knee MRI** Pelvis MRI* Spine MRI [ + ] Pregnancy and prenatal tests ABO type (blood typing) Amniocentesis Antibody detection Chlamydia Test Fetal non-stress test Obstetric ultrasound Pregnancy test Rh type Urine culture [ + ] Stress tests Bicycle stress test - echocardiogram* Radiologic stress test* [ + ] Ultrasounds Ultrasound, pelvis, complete [ + ] X-Rays Bone density scan (dexa scan) Chest X-ray (single view) Chest X-ray (two views) Chest X-ray (multiple views) Foot X-ray Spine X-ray**