Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Limited US Pelvic (Non-OB)
Low
$30
Average
$410
Median
$352
High
$2.1k
Each hospital's average Healthpartners rate, under the methodology and billing class chosen below.
113 hospitals; the 90th percentile is 3.9× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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230 hospital rates
iThe hospitals that file a Healthpartners rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Regions Hospital St. Paul, MN facility · case rate · both | 1 | $193 | $193 | — | — | 19 | $193 – $193 |
| 2 | Amery Hospital Amery, WI facility · case rate · both | 1 | $303 | $303 | — | — | 3–30 | $303 – $303 |
| 3 | Hudson Hospital Hudson, WI facility · case rate · both | 1 | $196 | $196 | — | — | 3–30 | $196 – $196 |
| 4 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 3 | $303 | $264 | $72 | 27% | 3–30 | $138 – $316 |
| 5 | Northfield Hospital Northfield, MN percent of total billed charges · bothfrom % of charges | 1 | $119 | $233 | $240 | 103% | 3–30 | $108 – $713 |
| 6 | Westfields Hospital New Richmond, WI facility · case rate · both | 1 | $264 | $264 | — | — | 3–30 | $264 – $264 |
| 7 | Avera Holy Family Hospital Estherville, IA percent of total billed charges · outpatientfrom % of charges | 1 | $646 | $646 | — | — | 2–20 | $646 – $646 |
| 8 | Avera Queen of Peace Mitchell, SD percent of total billed charges · outpatientfrom % of charges | 1 | $621 | $621 | — | — | 2–20 | $621 – $621 |
| 9 | Lakes Regional Hospital Spirit Lake, IA percent of total billed charges · outpatientfrom % of charges | 1 | $413 | $413 | $11 | 3% | 2–20 | $401 – $424 |
| 10 | Lakeview Hospital Stillwater, MN facility · case rate · both | 1 | $198 | $198 | — | — | 2–20 | $198 – $198 |
| 11 | Pipestone County Medical Center Pipestone, MN percent of total billed charges · outpatientfrom % of charges | 1 | $445 | $445 | — | — | 2–20 | $445 – $445 |
| 12 | Allina Health Systems Owatonna, MN facility · other · outpatient | 1 | $370 | $411 | $91 | 22% | 1–10 | $370 – $615 |
| 13 | Allina Health Systems Cambridge, MN facility · other · outpatient | 1 | $370 | $411 | $91 | 22% | 1–10 | $370 – $615 |
| 14 | Allina Health Systems Faribualt, MN facility · other · outpatient | 1 | $370 | $411 | $91 | 22% | 1–10 | $370 – $615 |
| 15 | Allina Health Systems Buffalo, MN facility · other · outpatient | 1 | $370 | $411 | $91 | 22% | 1–10 | $370 – $615 |
| 16 | Hutchinson Hospital Hutchinson, MN facility · percent of total billed charges · bothfrom % of charges | 1 | $414 | $414 | — | — | 1–10 | $414 – $414 |
| 17 | Mayo Clinic Health System Mankato 56001-4752 facility · percent of total billed charges · bothfrom % of charges | 2 | $51 | $109 | $83 | 76% | 1–10 | $51 – $227 |
| 18 | Mayo Clinic Health System Fairmont 56031-4575 facility · percent of total billed charges · bothfrom % of charges | 2 | $51 | $109 | $83 | 76% | 1–10 | $51 – $227 |
| 19 | Mayo Clinic Health System Menomonie, WI facility · percent of total billed charges · bothfrom % of charges | 2 | $119 | $266 | $208 | 78% | 1–10 | $119 – $561 |
| 20 | Mayo Clinic Health System St, NE facility · percent of total billed charges · bothfrom % of charges | 2 | $51 | $109 | $83 | 76% | 1–10 | $51 – $227 |
| 21 | Mayo Clinic Health System Waseca 56093-2811 facility · percent of total billed charges · bothfrom % of charges | 2 | $51 | $109 | $83 | 76% | 1–10 | $51 – $227 |
| 22 | Mayo Clinic Health System Cannon Falls 55009-5003 facility · percent of total billed charges · bothfrom % of charges | 2 | $51 | $109 | $83 | 76% | 1–10 | $51 – $227 |
| 23 | Mayo Clinic Health System Red Wing 55066-2848 facility · percent of total billed charges · bothfrom % of charges | 2 | $229 | $229 | $2 | 1% | 1–10 | $227 – $232 |
| 24 | Mayo Clinic Health System Barron, WI facility · percent of total billed charges · bothfrom % of charges | 3 | $337 | $337 | $218 | 65% | 1–10 | $119 – $555 |
| 25 | Methodist Hospital St. Louis Park, MN facility · case rate · both | 1 | $195 | $195 | — | — | 1–10 | $195 – $195 |
← Payers reporting CPT 76857 · Snapshot 20261111T120946Z-9134e7f7