Maple Grove Hospital

9875 Hospital Drive, Maple Grove, MN 55369 · (763) 581-1000

Acute Care HospitalsVoluntary non-profit - PrivateCMS rating 5/5Minneapolis, MN-WI metro Website ↗

Price file

Prices published

File dated 2026-04-30

1,507 price rows for 35 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048 · metro median $16

$25

cash

$6 to $50

30 negotiated rates

$47

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177 · metro median $707

$707

cash

$259 to $1,432

30 negotiated rates

$1,341

list

CT scan of the head, no contrast

CPT 70450 · metro median $432

$549

cash

$74 to $1,432

29 negotiated rates

$1,042

list

CT scan of the pelvis, with contrast

CPT 72193 · metro median $650

$681

cash

$124 to $1,432

30 negotiated rates

$1,292

list

Cesarean section hospital stay, no complications

MS-DRG 788 · metro median $11,081

$11,081

cash

$4,901 to $13,608

19 negotiated rates

$21,026

list

Chlamydia test (DNA)

CPT 87491 · metro median $64

$64

cash

$26 to $203

60 negotiated rates

$122

list

Complete blood count (CBC) with differential

CPT 85025 · metro median $19

$22

cash

$6 to $34

60 negotiated rates

$42

list

Comprehensive metabolic panel (blood test)

CPT 80053 · metro median $19

$31

cash

$8 to $48

30 negotiated rates

$59

list

Diagnostic mammogram (both breasts)

CPT 77066 · metro median $231

$308

cash

$90 to $581

27 negotiated rates

$584

list

Gonorrhea test (DNA)

CPT 87591 · metro median $46

$46

cash

$26 to $105

60 negotiated rates

$88

list

Hip or knee replacement, no major complications

MS-DRG 470 · metro median $19,110

$18,804

cash

$9,311 to $37,201

19 negotiated rates

$35,681

list

Hospital stay for digestive disorders, no complications

MS-DRG 392 · metro median $6,600

$6,600

cash

$6,477 to $15,395

19 negotiated rates

$12,523

list

Hysterectomy for non-cancer reasons, no complications

MS-DRG 743 · metro median $13,422

$13,422

cash

$9,610 to $23,650

19 negotiated rates

$25,469

list

Lipid panel (cholesterol test)

CPT 80061 · lowest of 2 lines · metro median $18

$18

cash

$9 to $40

62 negotiated rates

$35

list

Liver function panel

CPT 80076 · metro median $17

$24

cash

$6 to $75

30 negotiated rates

$46

list

MRI of the brain, with and without contrast

CPT 70553 · metro median $1,041

$1,041

cash

$259 to $2,340

30 negotiated rates

$1,975

list

MRI of the knee or other lower joint, no contrast

CPT 73721 · metro median $806

$806

cash

$165 to $2,340

30 negotiated rates

$1,530

list

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

CPT 72148 · metro median $753

$741

cash

$165 to $2,340

30 negotiated rates

$1,407

list

MRI of the neck (cervical spine), no contrast

CPT 72141 · metro median $753

$828

cash

$165 to $2,340

30 negotiated rates

$1,571

list

Neck (cervical) spinal fusion, no complications

MS-DRG 473 · metro median $19,576

$19,576

cash

$18,361 to $46,708

19 negotiated rates

$37,147

list

Nerve block injection, lower back, with imaging guidance

CPT 64483 · metro median $1,009

$1,252

cash

$611 to $4,126

29 negotiated rates

$2,376

list

PSA test (prostate)

CPT 84153 · metro median $18

$17

cash

$13 to $54

60 negotiated rates

$33

list

Partial thromboplastin time (blood clotting test)

CPT 85730 · metro median $31

$35

cash

$4 to $53

90 negotiated rates

$66

list

Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · metro median $69

$75

cash

$24 to $266

62 negotiated rates

$142

list

Pregnancy ultrasound (after first trimester)

CPT 76805 · metro median $274

$320

cash

$74 to $486

31 negotiated rates

$608

list

Prothrombin time (blood clotting test)

CPT 85610 · metro median $22

$25

cash

$3 to $38

90 negotiated rates

$47

list

Screening mammogram (both breasts)

CPT 77067 · metro median $188

$243

cash

$38 to $469

54 negotiated rates

$462

list

Spinal injection, lower back, no imaging guidance

CPT 62322 · metro median $628

$961

cash

$600 to $1,647

26 negotiated rates

$1,824

list

Spinal injection, lower back, with imaging guidance

CPT 62323 · metro median $752

$896

cash

$533 to $4,126

27 negotiated rates

$1,700

list

TSH test (thyroid)

CPT 84443 · metro median $16

$16

cash

$12 to $58

90 negotiated rates

$30

list

Transvaginal ultrasound

CPT 76830 · metro median $195

$195

cash

$74 to $296

31 negotiated rates

$370

list

Ultrasound of the abdomen (complete)

CPT 76700 · metro median $278

$328

cash

$74 to $498

30 negotiated rates

$623

list

Urinalysis with microscope

CPT 81001 · metro median $15

$15

cash

$2 to $22

30 negotiated rates

$28

list

Vaginal delivery hospital stay, no complications

MS-DRG 807 · metro median $5,721

$5,721

cash

$3,697 to $9,931

19 negotiated rates

$10,856

list

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

CPT 72110 · metro median $205

$222

cash

$74 to $892

31 negotiated rates

$421

list

Source files

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

https://northmemorial.com/wp-content/uploads/2026/04/208316475_maple-grove-hospital-corporation_standardcharges.csv
Maple Grove Hospital · parsed · tall v3.0.0 · file dated 2026-04-30 · 105.8 MB · 1507 price rows read · read Nov 2026