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 FLUOR IMAGE
Maplewood, MN
See all hospitals reporting CPT 0054T →Price type
HealthEast St John's Hospital’s median price of $172 is 89% below the median hospital's median price ($1.5k), higher than 16% of the 1,025 hospitals reporting CPT 0054T. 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 | $39.73 | $39.73 | $39.73 – $39.73 |
| 2 | Bcbs Mn aware federal fee schedule · both | $65.28 | $65.28 | $65.28 – $65.28 |
| 3 | Bcbs Mn aware/blue plus fee schedule · both | $66.46 | $66.46 | $66.46 – $66.46 |
| 4 | Bcbs Mn aware federal fee schedule · outpatient | $93.95 | $93.95 | $93.95 – $93.95 |
| 5 | Bcbs Mn aware/blue plus fee schedule · outpatient | $95.64 | $95.64 | $95.64 – $95.64 |
| 6 | Sanford Health Plan medicare advantage fee schedule · both | $145.01 | $145.01 | $145.01 – $145.01 |
| 7 | UnitedHealthcare medicare advantage fee schedule · both | $145.01 | $145.01 | $145.01 – $145.01 |
| 8 | WellCare medicare advantage fee schedule · both | $145.01 | $145.01 | $145.01 – $145.01 |
| 9 | Bcbs Mn medicare advantage fee schedule · both | $150.81 | $150.81 | $150.81 – $150.81 |
| 10 | Ucare medicare advantage/msho fee schedule · both | $156.61 | $156.61 | $156.61 – $156.61 |
| 11 | Medica medicare advantage non-snp fee schedule · both | $164.59 | $164.59 | $164.59 – $164.59 |
| 12 | Medica msho/medicare advantage snp fee schedule · both | $167.69 | $167.69 | $167.69 – $167.69 |
| 13 | Medica bold fee schedule · both | $296.48 | $296.48 | $296.48 – $296.48 |
| 14 | Medica managed medicaid/accessability case rate · outpatient | $321.00 | $321.00 | $321.00 – $321.00 |
| 15 | Medica vantage self insured fee schedule · both | $321.18 | $321.18 | $321.18 – $321.18 |
| 16 | Medica city of st. paul/essential fee schedule · both | $329.42 | $329.42 | $329.42 – $329.42 |
| 17 | Medica individual and family business (except aco) and elect fee schedule · both | $329.42 | $329.42 | $329.42 – $329.42 |
| 18 | Medica choice fee schedule · both | $340.90 | $340.90 | $340.90 – $340.90 |
| 19 | Ucare individual and family with m health fairview fee schedule · both | $382.68 | $382.68 | $382.68 – $382.68 |
| 20 | Ucare individual and family fee schedule · both | $403.13 | $403.13 | $403.13 – $403.13 |
| 21 | Medica msho/medicare advantage snp case rate · outpatient | $445.00 | $445.00 | $445.00 – $445.00 |
| 22 | UnitedHealthcare commercial fee schedule · both | $476.70 | $476.70 | $476.70 – $476.70 |
| 23 | UnitedHealthcare core fee schedule · both | $476.70 | $476.70 | $476.70 – $476.70 |
| 24 | Medica bold case rate · outpatient | $841.00 | $841.00 | $841.00 – $841.00 |
| 25 | Medica city of st. paul/essential case rate · outpatient | $870.00 | $870.00 | $870.00 – $870.00 |
Last updated: Feb 5, 2026
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