Gillette Childrens Specialty Hospital

200 University Avenue East, Saint Paul, MN 55106 · (651) 578-5611

ChildrensGovernment - Hospital District or AuthorityMinneapolis, MN-WI metro Website ↗

Price file

Prices published

File dated 2026-01-01

881 price rows for 62 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048

—

cash

$6 to $11

10 negotiated rates

—

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177

—

cash

$308 to $371

2 negotiated rates

—

list

CT scan of the head, no contrast

CPT 70450

—

cash

$88 to $111

2 negotiated rates

—

list

CT scan of the pelvis, with contrast

CPT 72193

—

cash

$147 to $185

2 negotiated rates

—

list

Cataract surgery with lens implant

CPT 66984

—

cash

$1,867 to $2,372

2 negotiated rates

—

list

Cesarean delivery with prenatal and postpartum care

CPT 59510

—

cash

$3,520 to $5,615

10 negotiated rates

—

list

Chlamydia test (DNA)

CPT 87491

—

cash

$24 to $35

8 negotiated rates

—

list

Colonoscopy (diagnostic)

CPT 45378

—

cash

$249 to $948

14 negotiated rates

—

list

Colonoscopy with biopsy

CPT 45380 · lowest of 2 lines · metro median $553

$715

cash

$283 to $1,226

41 negotiated rates

$1,192

list

Colonoscopy with polyp removal

CPT 45385

—

cash

$332 to $1,226

14 negotiated rates

—

list

Complete blood count (CBC) with differential

CPT 85025

—

cash

$5 to $10

10 negotiated rates

—

list

Comprehensive metabolic panel (blood test)

CPT 80053

—

cash

$7 to $13

10 negotiated rates

—

list

Diagnostic mammogram (both breasts)

CPT 77066

—

cash

$71 to $155

2 negotiated rates

—

list

Electrocardiogram (ECG) with interpretation

CPT 93000

—

cash

$21 to $27

10 negotiated rates

—

list

Established patient office visit (about 40 minutes)

CPT 99215

—

cash

$175 to $335

10 negotiated rates

—

list

Family psychotherapy with the patient

CPT 90847

—

cash

$116 to $194

12 negotiated rates

—

list

Family psychotherapy without the patient

CPT 90846

—

cash

$111 to $186

12 negotiated rates

—

list

Gallbladder removal (laparoscopic)

CPT 47562

—

cash

$4,622 to $6,067

2 negotiated rates

—

list

Gonorrhea test (DNA)

CPT 87591

—

cash

$24 to $44

12 negotiated rates

—

list

Group psychotherapy

CPT 90853

—

cash

$27 to $96

12 negotiated rates

—

list

Inguinal hernia repair (age 5 and up)

CPT 49505

—

cash

$2,771 to $3,670

2 negotiated rates

—

list

Knee arthroscopy with meniscus repair

CPT 29881

—

cash

$2,593 to $3,374

2 negotiated rates

—

list

Laser treatment after cataract surgery (YAG)

CPT 66821

—

cash

$466 to $570

2 negotiated rates

—

list

Left heart catheterization

CPT 93452

—

cash

$2,610 to $3,345

2 negotiated rates

—

list

Lipid panel (cholesterol test)

CPT 80061

—

cash

$9 to $17

10 negotiated rates

—

list

Liver function panel

CPT 80076

—

cash

$6 to $10

12 negotiated rates

—

list

MRI of the brain, with and without contrast

CPT 70553

—

cash

$308 to $371

2 negotiated rates

—

list

MRI of the knee or other lower joint, no contrast

CPT 73721 · lowest of 6 lines · metro median $806

$3,562

cash

$196 to $6,236

83 negotiated rates

$5,937

list

MRI of the lower back (lumbar spine), no contrast

CPT 72148 · lowest of 2 lines · metro median $753

$2,153

cash

$196 to $3,051

29 negotiated rates

$3,589

list

MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 4 lines · metro median $753

$2,321

cash

$196 to $8,838

56 negotiated rates

$3,868

list

Neck (cervical) spinal fusion, no complications

MS-DRG 473

—

cash

$11,926 to $34,030

3 negotiated rates

—

list

Nerve block injection, lower back, with imaging guidance

CPT 64483

—

cash

$730 to $926

2 negotiated rates

—

list

New patient office visit (about 30 minutes)

CPT 99203

—

cash

$112 to $206

10 negotiated rates

—

list

New patient office visit (about 45 minutes)

CPT 99204

—

cash

$181 to $308

10 negotiated rates

—

list

New patient office visit (about 60 minutes)

CPT 99205

—

cash

$247 to $406

10 negotiated rates

—

list

PSA test (prostate)

CPT 84153

—

cash

$13 to $23

12 negotiated rates

—

list

Partial thromboplastin time (blood clotting test)

CPT 85730

—

cash

$4 to $7

12 negotiated rates

—

list

Physical therapy, therapeutic exercise (15 minutes)

CPT 97110

—

cash

$18 to $41

12 negotiated rates

—

list

Pregnancy ultrasound (after first trimester)

CPT 76805

—

cash

$88 to $111

2 negotiated rates

—

list

Preventive visit, new patient age 18 to 39

CPT 99385

—

cash

$82 to $241

11 negotiated rates

—

list

Preventive visit, new patient age 40 to 64

CPT 99386

—

cash

$94 to $277

11 negotiated rates

—

list

Prostate biopsy

CPT 55700

—

cash

$177 to $2,130

14 negotiated rates

—

list

Prostate removal (laparoscopic)

CPT 55866

—

cash

$8,245 to $10,826

2 negotiated rates

—

list

Prothrombin time (blood clotting test)

CPT 85610

—

cash

$4 to $5

10 negotiated rates

—

list

Psychotherapy, 30 minutes

CPT 90832

—

cash

$77 to $167

12 negotiated rates

—

list

Psychotherapy, 45 minutes

CPT 90834

—

cash

$103 to $197

12 negotiated rates

—

list

Psychotherapy, 60 minutes

CPT 90837

—

cash

$128 to $292

12 negotiated rates

—

list

Removal of a breast lump (biopsy by excision)

CPT 19120

—

cash

$3,053 to $3,982

2 negotiated rates

—

list

Screening mammogram (both breasts)

CPT 77067

—

cash

$59 to $126

2 negotiated rates

—

list

Sleep study (overnight, attended)

CPT 95810

—

cash

$837 to $1,058

2 negotiated rates

—

list

Spinal injection, lower back, no imaging guidance

CPT 62322

—

cash

$99 to $926

14 negotiated rates

—

list

Spinal injection, lower back, with imaging guidance

CPT 62323

—

cash

$142 to $720

14 negotiated rates

—

list

TSH test (thyroid)

CPT 84443

—

cash

$12 to $21

10 negotiated rates

—

list

Tonsils and adenoids removal (under age 12)

CPT 42820

—

cash

$4,691 to $6,151

2 negotiated rates

—

list

Transvaginal ultrasound

CPT 76830

—

cash

$88 to $111

2 negotiated rates

—

list

Ultrasound of the abdomen (complete)

CPT 76700

—

cash

$88 to $111

2 negotiated rates

—

list

Upper endoscopy (EGD)

CPT 43235

—

cash

$173 to $975

14 negotiated rates

—

list

Upper endoscopy with biopsy

CPT 43239 · lowest of 2 lines · metro median $510

$712

cash

$195 to $1,008

41 negotiated rates

$1,186

list

Urinalysis with microscope

CPT 81001

—

cash

$3 to $4

12 negotiated rates

—

list

Vaginal delivery after a previous cesarean

CPT 59610

—

cash

$3,334 to $5,294

10 negotiated rates

—

list

Vaginal delivery with prenatal and postpartum care

CPT 59400

—

cash

$3,189 to $5,050

10 negotiated rates

—

list

X-ray of the lower spine (4 or more views)

CPT 72110

—

cash

$88 to $111

2 negotiated rates

—

list

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.

https://www.gillettechildrens.org/assets/uploads/documents/363379150-gillette-childrens-specialty-healthcare-standardcharges.csv
Gillette Children's Specialty Healthcare · parsed · wide v3.0.0 · file dated 2026-01-01 · 75.5 MB · 881 price rows read · read Nov 2026