Lake City 55041-1143
1 known revision on file.
| Revision date | Added | Payer-specific rates |
|---|---|---|
| Mar 31, 2026 | Oct 24, 2026 | Yes |
Search by billing code or procedure name (CPT, HCPCS, MS-DRG and more) to see Mayo Clinic Health System’s price for it.
The codes Mayo Clinic Health System has the most pricing samples for.
| Procedure | |||||||
|---|---|---|---|---|---|---|---|
| Iodixanol contrast injection, 320 mg/mLHCPCS Q9967 | $40 | $51 | $30 | 60% | 24,148 | $0 | $106 |
| Blood draw from a veinCPT 36415 | $34 | $33 | $8 | 24% | 12,890–13,394 | $5 | $203 |
| Intraocular lens implant, posterior chamberHCPCS V2632 | $165 | $189 | $40 | 21% | 1,303–12,553 | $35 | $309 |
| Propofol intravenous emulsionHCPCS J2704 | $50 | $44 | $11 | 24% | 2,970 | $1 | $52 |
| Complete blood count with automated differentialCPT 85025 | $67 | $65 | $10 | 16% | 2,532–2,721 | $7 | $71 |
| Outpatient office visit, established patient, level 4CPT 99214 | $311 | $319 | $157 | 49% | 1,738–2,566 | $27 | $631 |
| Basic metabolic panel, total calciumCPT 80048 | $87 | $84 | $13 | 16% | 1,985–2,183 | $8 | $92 |
| Outpatient office visit, established patientCPT 99213 | $217 | $234 | $128 | 55% | 1,609–2,401 | $19 | $523 |
| Comprehensive metabolic blood panelCPT 80053 | $101 | $97 | $15 | 16% | 1,502–1,736 | $9 | $106 |
| Hemoglobin A1c blood testCPT 83036 | $29 | $48 | $22 | 46% | 1,310–1,814 | $6 | $76 |
EIN: 411906820
Last updated: Mar 31, 2026
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Hospital ID: 0c0be75d723fe01c3ec2c3bf4b78c7defc6a04b99119c3e8f7b8f03f4cf2923e