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
HC VISIT TO DETERM LDCT ELIG
Low
$30
Average
$108
Median
$89
High
$246
Each hospital's average Bcbs Mn rate, under the methodology and billing class chosen below.
19 hospitals; the 90th percentile is 2.3× 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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38 hospital rates
iThe hospitals that file a Bcbs Mn 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 | Grand Itasca Clinic and Hospital Grand Rapids, MN facility · other · inpatient | 1 | $90 | $90 | — | — | 3–30 | $90 – $90 |
| 2 | Range Regional Health Services Hibbing, MN facility · other · inpatient | 1 | $90 | $90 | — | — | 3–30 | $90 – $90 |
| 3 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · other · outpatient | 5 | $122 | $122 | $36 | 29% | — | $60 – $162 |
| 4 | Allina Health Systems MN 55443; 550 Osborne Road NE. Fridley, MN facility · other · outpatient | 4 | $118 | $112 | $34 | 30% | — | $60 – $153 |
| 5 | Allina Health Systems MN 55443; 550 Osborne Road NE. Fridley, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $205 | $205 | — | — | — | $205 – $205 |
| 6 | Allina Health Systems Minneapolis, MN facility · other · outpatient | 4 | $118 | $112 | $34 | 30% | — | $60 – $153 |
| 7 | Allina Health Systems Minneapolis, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $205 | $205 | — | — | — | $205 – $205 |
| 8 | Aspirus St. Luke’s Hospital Duluth, MN fee schedule · both | 3 | $22 | $35 | $20 | 59% | — | $19 – $64 |
| 9 | Aspirus St. Luke’s Hospital Duluth, MN fee schedule · outpatient | 4 | $164 | $146 | $64 | 44% | — | $51 – $204 |
| 10 | Fairview Bethesda Hospital St. Paul, MN fee schedule · both | 4 | $54 | $53 | $31 | 59% | — | $20 – $85 |
| 11 | Fairview Bethesda Hospital St. Paul, MN fee schedule · outpatient | 1 | $95 | $95 | — | — | — | $95 – $95 |
| 12 | Fairview Health Services Edina, MN fee schedule · both | 4 | $54 | $53 | $31 | 59% | — | $20 – $85 |
| 13 | Fairview Health Services Edina, MN fee schedule · outpatient | 4 | $121 | $113 | $37 | 32% | — | $62 – $149 |
| 14 | Fairview Health Services Minneapolis, MN fee schedule · both | 5 | $84 | $59 | $31 | 51% | — | $20 – $85 |
| 15 | Fairview Health Services Minneapolis, MN fee schedule · outpatient | 5 | $146 | $120 | $35 | 29% | — | $62 – $149 |
| 16 | Fairview Health Services Burnsville, MN fee schedule · both | 4 | $54 | $53 | $31 | 59% | — | $20 – $85 |
| 17 | Fairview Health Services Burnsville, MN fee schedule · outpatient | 4 | $120 | $112 | $37 | 33% | — | $62 – $149 |
| 18 | Fairview Health Services Wyoming, MN fee schedule · both | 4 | $54 | $53 | $31 | 59% | — | $20 – $85 |
| 19 | Fairview Health Services Wyoming, MN fee schedule · outpatient | 4 | $121 | $113 | $37 | 32% | — | $62 – $149 |
| 20 | Fairview Health Services Princeton, MN fee schedule · both | 4 | $54 | $53 | $31 | 59% | — | $20 – $85 |
| 21 | Fairview Health Services Princeton, MN fee schedule · outpatient | 4 | $121 | $113 | $37 | 32% | — | $62 – $149 |
| 22 | GLENCOE REGIONAL HEALTH SERVICES Glencoe, MN professional · fee schedule · outpatient | 4 | $22 | $30 | $22 | 72% | — | $2 – $60 |
| 23 | Grand Itasca Clinic and Hospital Grand Rapids, MN facility · fee schedule · outpatient | 4 | $245 | $235 | $116 | 49% | — | $96 – $353 |
| 24 | Grand Itasca Clinic and Hospital Grand Rapids, MN professional · fee schedule · both | 4 | $51 | $51 | $29 | 57% | — | $20 – $80 |
| 25 | HealthEast St John's Hospital Maplewood, MN fee schedule · both | 4 | $54 | $53 | $31 | 59% | — | $20 – $85 |
← Payers reporting HCPCS G0296 · Snapshot 20261111T120946Z-9134e7f7