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Children'S Minnesota - Minnetonka Ambulatory Surgical Center

Minnesota · 1,500 published self-pay prices, from $186 to $71,419.

These items are published without a standard CPT or HCPCS code, so they cannot be reliably matched against the same service at another hospital. They are shown exactly as this facility published them, and are excluded from every median, average and comparison elsewhere on this site.

Showing the 300 lowest-priced of 1,500 published items.

ItemCash priceSetting
25mm GORE Septal Occluder$23,044Outpatient
ABDOMEN 1 V ONLY$220Inpatient
ABDOMEN 1 V ONLY PORT$298Inpatient
ABDOMEN 2 V & CHEST 1 V ACUTE$510Inpatient
ABDOMEN 2 V ONLY$407Inpatient
ABDOMEN 2 V ONLY PORT$503Inpatient
ABDOMEN 3 V MIN$655Inpatient
ABDOMEN 3 V MIN PORT$817Inpatient
ABDOMEN SURGERY PROCEDURE$5,169Outpatient
ABL1 gene REF$195Inpatient
Ablation, soft tissue inferior turbinates, uni or bilateral$3,226Outpatient
ACETYLCHOLN RCPTR BNDNG ANTB$226Inpatient
ACNE SURGERY$445Outpatient
ACROMIOCLAVICULAR JT BIL$196Inpatient
ACUITY HIGHGT60 MIN AN$1,351Inpatient
ACUITY LOW 16-30 MIN AN$626Inpatient
ACUITY MEDIUM 31-60 MIN AN$991Inpatient
ACUITY MINOR 0-15 MIN AN$626Inpatient
ADENOIDECTOMY < 12 YRS$6,821Outpatient
ADENOIDECTOMY 12 YRS OR MORE$5,269Outpatient
ADENOIDECTOMY SCNDRY < 12 YRS$4,969Outpatient
ADENOIDECTOMY SCNDRY GT 12 YRS-AMB$8,341Outpatient
ADJT TIS REARGMT EYE/NOSE/EAR/LIP 10.1-30.0 SQCM$6,166Outpatient
AEP HEARING STATUS DETER I&R$377Outpatient
AEP NEURODIAGNOSTIC I&R$357Outpatient
AEP NEURODIAGNOSTIC I&R -SSU$357Outpatient
AEP NEURODIAGNOSTIC I&R -SUR$357Outpatient
AEP THRSHLD EST MLT FREQ I&R$448Outpatient
AEP THRSHLD EST MLT FREQ I&R -CV Surg$448Outpatient
AEP THRSHLD EST MLT FREQ I&R -SSU$448Outpatient
AEP THRSHLD EST MLT FREQ I&R -SUR$448Outpatient
ALBUMIN - OTHER SOURCE 1 REF$278Inpatient
ALLO-ISOLEUCINE, BS$580Inpatient
ALVEOLOPLASTY EACH QUADRANT - AMB SUR$7,976Outpatient
ALVEOLOPLASTY EACH QUADRANT 76 MOD - AMB SUR$3,990Inpatient
ALVEOLOPLASTY W/EXTRACT 1-3 TE - AMB SURG$516Outpatient
ALVEOLOPLASTY W/EXTRACT 1-3 TE 76 MOD - AMB SURG$261Inpatient
ALVEOPLASTY WO EXTRACTION$7,508Inpatient
ALVEOPLASTY WO EXTRACTION 76-AMB SURG$3,753Inpatient
AMALGAM 4 / GT SURF PERM$1,205Outpatient
AMALGAM 4 / GT SURF PERM 76 MOD$604Inpatient
AMALGAM ONE SURF PERMANENT - AMB SURG$492Outpatient
AMALGAM ONE SURF PERMANENT 76 MOD - AMB SURG$245Inpatient
AMALGAM THREE SURF PERMANENT - AMB SURG$740Outpatient
AMALGAM THREE SURF PERMANENT 76 MOD - AMB SURG$370Inpatient
AMALGAM TWO SURF PERMANENT - AMB SURG$516Outpatient
AMALGAM TWO SURF PERMANENT 76 MOD - AMB SURG$261Inpatient
Amphetamine Confirmation$200Inpatient
Angiography, extremity, unilat, rad sup & interpretation$1,140Outpatient
ANT RESIN-BASED COMPOS CROWN - AMB SURG$859Outpatient
ANT RESIN-BASED COMPOS CROWN 76 MOD - AMB SURG$432Inpatient
ANTIPSYCHOTICS NOS 7/MORE$441Inpatient
Aortic Dysfunction/Dilation Dup/Del Analy 6 RE$890Inpatient
Aortic Dysfunction/Dilation Genomic Seq 3 REF$346Inpatient
APEXIF/RECAL/PULP REGEN - INIT - AMB SURG$516Outpatient
APEXIF/RECAL/PULP REGEN - INIT 76 MOD -AMB SUR$261Inpatient
APPLY CAST SHORT LEG - AMB SUR$762Outpatient
APPLY INTERDENTAL FIXATION DEVICE - ED$9,547Outpatient
APPLY INTERDENTAL FIXATION DEVICE - SUR$9,547Outpatient
AQUAPORIN-4 ANTB CBA EACH$293Inpatient
AQUAPORIN-4 ANTB ELISA$361Inpatient
Aquaporin-4 Antibody; Flow Cytometry Each 4$519Inpatient
ARTIFICIAL SPHINCTER INSTRUCTI- RAD$335Inpatient
ASAY OF INTERLEUKIN-6$198Inpatient
ASP INSERT SUPRAPUBIC CATHETER-ASC$9,482Outpatient
ASPIRATE PERITONSILLAR ABSCESS-ASC$315Outpatient
ASSAY NEURFLMNT LIGHT CHAIN$346Inpatient
Assay of Ammonia 2$335Inpatient
Assay of Blood Fatty Acids 2$764Inpatient
Assay of Histamine 1$231Inpatient
Assay of Homocystine 1 REF$316Inpatient
Assay of NOS Vitamin 2$373Inpatient
Assay of Prostaglandin-REF$194Inpatient
Assay of Protein Serum Ref$196Inpatient
Assay of Pyruvate 2$223Inpatient
ASSAY OF URINE CREATININE$356Inpatient
ASSAY OF URINE CREATININE 1$339Inpatient
ASXL1 Full Gene Seq 3$2,790Inpatient
AUD BRAINSTEM SCREEN COMP$615Outpatient
AUD BRAINSTEM SCREEN COMP-SUR$1,059Outpatient
AUD BRAINSTEM SCRN COMP RE$582Outpatient
AUD EVOK OAE LIM RE$301Outpatient
AUD EVOK OTOACOUS EMISSION LIM$615Outpatient
AUD EVOKED OTOACOUS EMIS COMP$325Outpatient
AUD TYMPAN REFLEX THRESH MEAS$303Outpatient
Balloon dilator eustachian -ASC$5,119Inpatient
BARTONELLA DNA AMP PROBE REF$767Inpatient
BCR/ABL1, Trans, Other Bkpt Qual/Quant 2$243Inpatient
BINOCULAR MICROSCOPY EXAM - AMB SUR$720Outpatient
BIOPSY CERVIX SINGLE/MULT/EXCISION OF LESION SPX$2,000Outpatient
BIOPSY EYELID/LID MARGIN$3,266Outpatient
Biopsy FNA w/CT Guide 1 Lesion$1,301Inpatient
Biopsy FNA w/CT Guide 1+Lesion$952Inpatient
Biopsy FNA w/FL Guide 1 Lesion$1,076Inpatient
Biopsy FNA w/FL Guide 1+Lesion$700Inpatient
Biopsy FNA w/MR Guide 1 Lesion$814Inpatient
Biopsy FNA w/MR Guide 1+Lesion$691Inpatient
Biopsy FNA w/US Guide 1 Lesion$836Inpatient
Biopsy FNA w/US Guide 1+Lesion$570Inpatient
BIOPSY INTRANASAL$4,145Outpatient
Biopsy Lesion Ear Canal AMB$4,583Outpatient
BIOPSY OF LACRIMAL GLAND$4,005Outpatient
Biopsy Of Lip$2,664Outpatient
BIOPSY OF TESTIS$5,142Outpatient
BIOPSY OF VULVA/PERINEUM 1 LES$2,333Outpatient
Biopsy Oral Vestibule of Mouth$2,988Outpatient
BIOPSY PALATE, UVULA$2,760Outpatient
BIOPSY SKIN SINGLE LESION$2,672Outpatient
BLEPHAROPLASTY LOWER EYELID$3,684Outpatient
BLEPHAROPLASTY LOWR EYELID BIL$5,527Outpatient
Blood Clot Factor V Test REF$335Inpatient
Blood Culture Identification Panel$258Inpatient
BONE AGE ARM & LEG LEFT$192Inpatient
BONE AGE HAND & KNEE LEFT$192Inpatient
BONE MARROW ASPIRATION - RAD$2,446Outpatient
BONE MARROW BIOPSY - RAD$1,881Outpatient
BONE RPLACE GRAFT RIDGE PRESER - AMB SURG$859Outpatient
BONE RPLACE GRAFT RIDGE PRESER 76 MOD$432Inpatient
BONE SURVEY COMPLETE$513Inpatient
BONE SURVEY COMPLETE PORT$667Inpatient
BONE SURVEY INFANT$372Inpatient
BONE SURVEY INFANT PORTABLE$483Inpatient
BONE SURVEY LIMITED$397Inpatient
BONE SURVEY LIMITED PORTABLE$397Inpatient
BOTOX INJ MULTI MUSC - AMB SUR$986Outpatient
BOTOX INJ NERVE FACE MUSCLE - AMB SUR$2,322Outpatient
BPSY OF VULVA/PERIN EA ADDL LE$2,333Outpatient
BUCCAL/LABIAL FRENECTOMY$9,803Outpatient
BUCCAL/LABIAL FRENECTOMY-ASC$5,811Outpatient
BUTTON MIC-KEY$444Outpatient
BX OR EXC OF LYMPH NODE OPEN$5,032Outpatient
BX ORAL TISSUE HARD-BONE TOOTH - AMB SURG$688Outpatient
BX ORAL TISSUE HARD-BONE TOOTH 76 MOD - AMB SUR$344Inpatient
C-Reactive Protein, STUDY$1,014Inpatient
CACNA1A Gene Full Gene Seq$746Inpatient
CACNA1A Gene Sequencing Ref 1$1,449Inpatient
CANAL PREP/FITTING DOWEL POST - AMB SURG$432Outpatient
CANAL PREP/FITTING DOWEL POST 76 MOD - AMB SUR$217Inpatient
Cannabinoids Natural 1 REF$430Inpatient
CANTHOPLASTY$4,572Outpatient
CANTHOPLASTY BILAT$6,858Outpatient
CAR ION CHNNLPATH INC 10 GNS 2026$991Inpatient
Cardiac Ion Channelopathies Seq-REF REF$1,696Inpatient
CAST REM LONG ARM OR LONG LEG BILATERAL$218Outpatient
CATHETER NEURO BALLOON-AMB SURG$1,022Outpatient
Cell Function Assay involving stimulation 2 REF$1,380Inpatient
CHANGE GASTROSTOMY TUBE PERCUTANEOUS W/O GDNCE$1,098Outpatient
CHECKPOINT GUARDIAN-SUR$1,542Inpatient
CHEMDNRV 1 EXT 5/ OR MORE MUSCL EA AD$1,058Outpatient
CHEMDNRV 1 EXTR 1-4 MUS EA ADL$1,076Outpatient
CHEMDNRV 1 EXTREM 5/ OR MORE MUSCLES$1,344Outpatient
CHEMODENERV 1 EXTR 1-4 MUSCLES$1,344Outpatient
CHEMODENERV ECCRINE GLANDS/OTH$1,213Outpatient
CHEMODNRV TRUNK MUSCLE(S) 6/OR MORE$1,644Outpatient
CHEMODNRV TRUNK MUSCLE(S)1-5$1,344Outpatient
CHEST 1 V ONLY PORT$365Inpatient
CHEST 1 VIEW ONLY$351Inpatient
CHEST 2 V ONLY PORT$556Inpatient
CHEST 2 VIEW ONLY$445Inpatient
CHEST 3 V ONLY PORT$817Inpatient
CHEST 3 VIEW ONLY$655Inpatient
CHEST 4 V MIN COMPLETE$655Inpatient
CHEST 4 V MIN PORT$817Inpatient
Chimerism Analy w/ no cell select 1$596Inpatient
Chlamydia Antibody 5$492Inpatient
Chorionic Gonadotropin Test 3$224Inpatient
Chromosome Analysis 20-25 5 REF$1,078Inpatient
Chromosome Analysis 50-100 1 REF$1,067Inpatient
CIRCUMCISION 28 DAYS OR OLDER - ACS$4,969Outpatient
CIRCUMCISION 28 DAYS OR OLDER-ACS$4,969Outpatient
CIRCUMCISION-ASC$2,326Outpatient
CL TX MAND/MAXILL ALVEOLAR RIDGE FX$5,685Outpatient
Clonidine Level-Ref Lab$258Inpatient
CLOSED TX NOSE FX W/ STABILIZ$5,427Outpatient
CLOSURE LACRIMAL FISTULA$3,273Outpatient
CLOSURE OF EYELID BY SUTURE$3,158Outpatient
CLSD REDUCTION SPLINT ALVEOLUS - AMB SURG$7,730Inpatient
CLSD REDUCTION SPLINT ALVEOLUS 76 MOD - AMB SURG$3,867Inpatient
CLSRE URETHROSTOMY OR FISTULA$8,221Outpatient
CMG (CYSTOMETROGRAM) CMPLX$1,044Outpatient
CNBP DNA (DM2)$2,027Inpatient
CNTRL NOSEBLEED CAUT/PACK BILA$5,180Outpatient
COBLATOR PROBE EIC5872-01$676Inpatient
Cochlear Drill$582Inpatient
COLONOSCOPY DIAGNOSTIC$2,314Outpatient
COLONOSCOPY FLEX W/ABLATION$3,270Outpatient
COLONOSCOPY FLEX W/BX SGL MULT$2,741Outpatient
COLONOSCOPY REMOVE LES/POLYP$2,314Outpatient
COLONOSCOPY REMOVE LESION, SNA$2,314Outpatient
COLONOSCOPY SUBMUCOUS NJX$2,574Outpatient
COLONOSCOPY W DILATION$2,466Outpatient
COLONOSCOPY, FLEX W ABLATION$2,579Outpatient
COLPOSCOPY CERVIX BX CERVIX & ENDOCRV CURRETAGE$1,482Outpatient
COLPOSCOPY CERVIX ENDOCERVICAL CURETTAGE$1,482Outpatient
COLPOSCOPY CERVIX UPPER/ADJACENT VAGINA$1,482Outpatient
COLPOSCOPY CERVIX UPPR/ADJCNT VAGINA W/CERVIX BX$1,482Outpatient
COLPOSCOPY ENTIRE VAGINA W/CERVIX IF PRESENT$1,482Outpatient
COLSC FLEXIBLE W/TRANSENDOSCOPIC BALLOON DILAT$2,574Outpatient
CONGENITAL CAR ANOMAL$4,481Outpatient
CONJUNCTIVOPLASTY W/GRF/XTNSV REARRANGEMENT$5,339Outpatient
CONSTJ INTERMARGIN ADHES/TARSORRH/CANTHORRHAPY$3,266Outpatient
Consult Prep Elsewhere Ref$512Inpatient
CONTROL NOSEBLEED CAUTERY/PACK$2,369Outpatient
CONTROL THROAT HMAGE SIMPLE$2,448Outpatient
Core buildup, including any pins when required 76 MOD-ASC$686Outpatient
Core buildup, including any pins when required-ASC$1,372Outpatient
Coronectomy-intentional partial tooth removal -ASC$5,631Outpatient
CORRECT TRICHIASIS FORCEPS$3,159Outpatient
Corticotomy-one to three teeth or tooth spaces,per quadrant$6,677Inpatient
CPS AIM Univ Final Pack 59CM$470Outpatient
CPS DIRECT UNIV FINAL PACK 47CM$1,096Outpatient
CROWN PORCELAIN CERAMIC 76-AMB SUR$1,234Inpatient
CROWN PORCELAIN CERAMIC-AMB SUR$2,469Inpatient
CROWN PORCELAIN FUSED BASE M 76 ASC$1,281Outpatient
CROWN PORCELAIN FUSED BASE M ASC$2,562Outpatient
CROWN RESIN-BASED INDIRECT - AMB SURG$1,032Outpatient
CROWN RESIN-BASED INDIRECT 76 MOD - AMB SURG$516Inpatient
CRUTCH UNDERARM PAIR NO WOOD$257Outpatient
CRUTCH UNDERARM PAIR NO WOOD-ED$257Outpatient
CRUTCH UNDERARM PAIR NO WOOD-PT$261Outpatient
CRUTCH UNDERARM PAIR NO WOOD-REH$261Outpatient
CT 3D RECON INDPT WKST- RAD$264Inpatient
CT ABD&PELVIS ANGIO W/WO CON$5,920Inpatient
CT ABDOMEN & PELVIS W/ CONT- RAD$3,948Inpatient
CT ABDOMEN & PELVIS W/O CONT- RAD$3,623Inpatient
CT ABDOMEN & PELVIS W/WO CONT- RAD$4,213Inpatient
CT ABDOMEN ANGIO W CONTRAST-RAD$2,617Inpatient
CT ABDOMEN ANGIO W/WO CON- RAD$2,783Inpatient
CT ABDOMEN W/CONT- RAD$2,020Inpatient
CT ABDOMEN W/WO CONT- RAD$2,348Inpatient
CT ABDOMEN WO CONT- RAD$1,896Inpatient
CT ABSCESS DRAINAGE- RAD$823Inpatient
CT Angio Head & Neck w/wo Contrast$853Inpatient
CT Cerebral Perfusion Analysis w/Angio$353Inpatient
CT Cerebral Perfusion Analysis w/o Angio$3,065Inpatient
CT CHEST ANGIO W CONTRAST-RAD$2,020Inpatient
CT CHEST ANGIO W/WO CONT- RAD$3,519Inpatient
CT CHEST W/CONT-RAD$2,029Inpatient
CT CHEST W/WO CONT- RAD$2,566Inpatient
CT CHEST WO CONT-RAD$1,873Inpatient
CT EXT ANGIO LOW LT W CON-RAD$2,617Inpatient
CT EXT ANGIO LOW LT W/WO CON- RAD$3,439Inpatient
CT EXT ANGIO LOW RT W CON- RAD$2,617Inpatient
CT EXT ANGIO UP LT W CON-RAD$2,204Inpatient
CT EXT ANGIO UP LT W/WO CON-RAD$3,439Inpatient
CT EXT ANGIO UP RT W CON- RAD$2,617Inpatient
CT EXT ANGIO UP RT W/WO CON-RAD$3,439Inpatient
CT EXT LOW LT W/CONT- RAD$2,389Inpatient
CT EXT LOW LT W/WO CONT- RAD$2,566Inpatient
CT EXT LOW LT WO CONT- RAD$1,947Inpatient
CT EXT LOW RT W/CONT-RAD$2,201Inpatient
CT EXT LOW RT W/WO CONT-RAD$2,566Inpatient
CT EXT LOW RT WO CONT-RAD$1,984Inpatient
CT EXT UP LT W/CONT- RAD$2,201Inpatient
CT EXT UP LT W/WO CONT-RAD$3,242Inpatient
CT EXT UP LT WO CONT-RAD$1,945Inpatient
CT EXT UP RT W/CONT-RAD$2,787Inpatient
CT EXT UP RT W/WO CONT-RAD$3,242Inpatient
CT EXT UP RT WO CONT-RAD$1,927Inpatient
CT GUIDE NDL BX INJ ASP-RAD$1,482Inpatient
CT HEAD ANGIO W CONTRAST- RAD$2,112Inpatient
CT HEAD ANGIO W/WO CONT$2,702Inpatient
CT HEAD ANGIO W/WO CONT- West$2,783Inpatient
CT HEAD OSPF/EAR W/CONT- RAD$2,026Inpatient
CT HEAD OSPF/EAR W/WO CONT- RAD$2,566Inpatient
CT HEAD OSPF/EAR WO CONT- RAD$1,949Inpatient
CT HEAD W/CONT- RAD$2,046Inpatient
CT HEAD W/WO CONT- RAD$2,786Inpatient
CT HEAD WO CONT- RAD$1,906Inpatient
CT LIMITED/LOCALIZED F/U STUDY-RAD$676Inpatient
CT MAXILLOFACIAL W/CONT- RAD$2,024Inpatient
CT MAXILLOFACIAL W/WO CONT- RAD$2,348Inpatient
CT MAXILLOFACIAL WO CONT- RAD$1,927Inpatient
CT NECK ANGIO W CONTRAST - RAD$2,054Inpatient
CT NECK ANGIO W/WO CONT- RAD$3,519Inpatient
CT NECK SOFT TISSUE W/CONT- RAD$2,030Inpatient
CT NECK SOFT TISSUE W/WO CONT- RAD$2,567Inpatient
CT NECK SOFT TISSUE WO CONT- RAD$1,896Inpatient
CT PELVIS ANGIO W CONTRAST-RAD$2,020Inpatient
CT PELVIS ANGIO W/WO CONT-RAD$3,519Inpatient
CT PELVIS W/CONT-RAD$2,020Inpatient
CT PELVIS W/WO CONT-RAD$2,566Inpatient
CT PELVIS WO CONT-RAD$1,895Inpatient
CT SPINE CERVICAL W/CONT-RAD$2,020Inpatient
CT SPINE CERVICAL W/WO CONT-RAD$3,242Inpatient
CT SPINE CERVICAL WO CONT- RAD$1,906Inpatient
CT SPINE LUMBAR W/CONT- RAD$2,020Inpatient
CT SPINE LUMBAR W/WO CONT- RAD$3,242Inpatient
CT SPINE LUMBAR WO CONT- RAD$1,884Inpatient
CT SPINE THORACIC W/CONT- RAD$2,786Inpatient
CT SPINE THORACIC W/WO CONT- RAD$3,242Inpatient
CT SPINE THORACIC WO CONT- RAD$1,896Inpatient
CYP3A4 Gene Analysis 2 REF$773Inpatient
CYSTO INC FULG/RESCJ URTL VALVES/FOLDS$5,386Outpatient
CYSTOGRAM INJECTION$762Inpatient
CYSTOGRAM VOIDING$688Inpatient
CYSTOSCOPY AND TREATMENT$3,313Outpatient
CYSTOSCOPY AND TREATMENT MALE$5,386Outpatient
CYSTOSCOPY CHEMODENERV W/INJ$3,313Outpatient
CYSTOSCOPY REM FB CACL STN SIM$3,239Outpatient

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