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
BONE SRGRY CMPTR CT/MRI IMAG
Wyoming, MN
See all hospitals reporting CPT 0055T →Price type
Fairview Health Services’s median price of $233 is 85% below the median hospital's median price ($1.6k), higher than 17% of the 1,101 hospitals reporting CPT 0055T. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 30 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | Bcbs Mn pmap fee schedule · outpatient | $106.05 | $106.05 | $106.05 – $106.05 |
| 2 | Sanford Health Plan medicare advantage fee schedule · both | $145.01 | $145.01 | $145.01 – $145.01 |
| 3 | UnitedHealthcare medicare advantage fee schedule · both | $145.01 | $145.01 | $145.01 – $145.01 |
| 4 | WellCare medicare advantage fee schedule · both | $145.01 | $145.01 | $145.01 – $145.01 |
| 5 | Bcbs Mn medicare advantage fee schedule · both | $150.81 | $150.81 | $150.81 – $150.81 |
| 6 | Ucare medicare advantage/msho fee schedule · both | $156.61 | $156.61 | $156.61 – $156.61 |
| 7 | Bcbs Mn aware federal fee schedule · both | $174.24 | $174.24 | $174.24 – $174.24 |
| 8 | Bcbs Mn aware/blue plus fee schedule · both | $177.38 | $177.38 | $177.38 – $177.38 |
| 9 | Medica medicare advantage non-snp fee schedule · both | $205.75 | $205.75 | $205.75 – $205.75 |
| 10 | Medica msho/medicare advantage snp fee schedule · both | $209.63 | $209.63 | $209.63 – $209.63 |
| 11 | Bcbs Mn aware federal fee schedule · outpatient | $250.76 | $250.76 | $250.76 – $250.76 |
| 12 | Bcbs Mn aware/blue plus fee schedule · outpatient | $255.27 | $255.27 | $255.27 – $255.27 |
| 13 | Medica managed medicaid/accessability case rate · outpatient | $321.00 | $321.00 | $321.00 – $321.00 |
| 14 | Medica bold fee schedule · both | $370.56 | $370.56 | $370.56 – $370.56 |
| 15 | Ucare individual and family with m health fairview fee schedule · both | $382.68 | $382.68 | $382.68 – $382.68 |
| 16 | Medica vantage self insured fee schedule · both | $401.44 | $401.44 | $401.44 – $401.44 |
| 17 | Ucare individual and family fee schedule · both | $403.13 | $403.13 | $403.13 – $403.13 |
| 18 | Medica city of st. paul/essential fee schedule · both | $411.73 | $411.73 | $411.73 – $411.73 |
| 19 | Medica individual and family business (except aco) and elect fee schedule · both | $411.73 | $411.73 | $411.73 – $411.73 |
| 20 | Medica choice fee schedule · both | $426.08 | $426.08 | $426.08 – $426.08 |
| 21 | Medica msho/medicare advantage snp case rate · outpatient | $494.00 | $494.00 | $494.00 – $494.00 |
| 22 | UnitedHealthcare commercial fee schedule · both | $534.98 | $534.98 | $534.98 – $534.98 |
| 23 | UnitedHealthcare core fee schedule · both | $534.98 | $534.98 | $534.98 – $534.98 |
| 24 | Medica bold case rate · outpatient | $914.00 | $914.00 | $914.00 – $914.00 |
| 25 | Medica city of st. paul/essential case rate · outpatient | $946.00 | $946.00 | $946.00 – $946.00 |
Last updated: Feb 5, 2026
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