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Ely Bloomenson Comm Hospital

Minnesota · 1,500 published self-pay prices, from $29.97 to $10,818.

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
02 THERAPIST INSTR/ASSIST$86.06Outpatient
2019-NCOV CORONAVIRUS, SARS-COV-2/2019-NCOV (COVID-19), ANY TECHNIQUE, MULTIPLE TYPES OR SUBTYPES (INCLUDES ALL TARGETS), NON-CDC$267Outpatient
2D ultrasound scan of eye tissue and structures$92.34Outpatient
3D breast mammography of 1 breast$116Outpatient
3D breast mammography of both breasts$116Outpatient
3D radiographic procedure$101Outpatient
5% DEXTROSE/NORMAL SALINE (500 ML = 1 UNIT)$42.07Outpatient
5% DEXTROSE/WATER (500 ML = 1 UNIT)$78.11Outpatient
ABDOMINAL BINDER$55.96Outpatient
ABDOMINAL SUPPORTS$93.68Outpatient
Activated protein resistance assay$274Outpatient
Acute hepatitis panel$359Outpatient
Administration of additional new drug or substance into vein using push technique$60.75Outpatient
Administration of additional new drug or substance into vein, 1 hour or less$231Outpatient
Administration of chemotherapy into vein using push technique$353Outpatient
Administration of chemotherapy into vein, 1 hour or less$433Outpatient
Administration of chemotherapy into vein, each additional hour$134Outpatient
Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle$91.57Outpatient
Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle$120Outpatient
Administration of severe acute respiratory syndrome coronavirus 2 (COVID-19) vaccine by intramuscular injection, single dose$40.50Outpatient
Administration of vaccine$33.41Outpatient
Administration of vaccine, each additional vaccine$33.41Outpatient
Adrenocorticotropic hormone (ACTH) level$182Outpatient
ADULT FLEET ENEMA$33.49Outpatient
ADVANCED ORTHOSIS$88.61Outpatient
AIRSPIRAL BREATHING TUBE AND CHAMBER$84.82Outpatient
Albumin (protein) level$39.61Outpatient
Alcohols levels$138Outpatient
Alcohols levels, 1 or 2$132Outpatient
Aldolase (enzyme) level$62.01Outpatient
Aldosterone hormone level$62.78Outpatient
ALGINATE OR OTHER FIBER GELLING DRESSING, WOUND FILLER, STERILE, PER 6 INCHES$48.60Outpatient
Alkaloids levels$53.46Outpatient
ALLOWRAP DS OR DRY, PER SQUARE CENTIMETER$7,082Outpatient
Alpha-fetoprotein (AFP) level, serum$55.20Outpatient
AMBU BAG$96.59Outpatient
AMBU BAG, ADULT$96.59Outpatient
Ammonia level$133Outpatient
Amphetamines levels, 1 or 2$103Outpatient
Amphetamines levels, 3 or 4$39.69Outpatient
Amplifed DNA or RNA probe detection of severe acute respiratory syndrome coronavirus 2 (Covid-19) antigen$97.20Outpatient
Amputation of finger or thumb with direct closure$2,108Outpatient
Amputation of toe and midfoot bone$502Outpatient
Amputation of toe at joint between forefoot and toes$1,053Outpatient
Amputation of toe at toe joint$632Outpatient
Amylase (enzyme) level$134Outpatient
Analgesics levels, 1 or 2$305Outpatient
Analysis for antibody (IgM) to Chlamydia (bacteria)$46.98Outpatient
Analysis for antibody (IgM) to Cytomegalovirus (CMV)$104Outpatient
Analysis for antibody (IgM) to West Nile virus$89.91Outpatient
Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria)$127Outpatient
Analysis for antibody to blastomyces (fungus)$80.19Outpatient
Analysis for antibody to Chlamydia (bacteria)$44.55Outpatient
Analysis for antibody to Coccidioides (bacteria)$65.00Outpatient
Analysis for antibody to Cytomegalovirus (CMV)$85.86Outpatient
Analysis for antibody to Ehrlichia (bacteria transmitted by ticks)$114Outpatient
Analysis for antibody to Epstein-Barr virus (mononucleosis virus), nuclear antigen$40.05Outpatient
Analysis for antibody to Epstein-Barr virus (mononucleosis virus), viral capsid$40.05Outpatient
Analysis for antibody to Francisella tularensis (bacteria transmitted by rodents)$211Outpatient
Analysis for antibody to fungus$69.46Outpatient
Analysis for antibody to Helicobacter pylori (gastrointestinal bacteria)$158Outpatient
Analysis for antibody to histoplasma (fungus)$49.82Outpatient
Analysis for antibody to La crosse (California) virus (encephalitis causing virus)$37.26Outpatient
Analysis for antibody to Legionella (waterborne bacteria)$58.32Outpatient
Analysis for antibody to Leptospira$181Outpatient
Analysis for antibody to mumps virus$122Outpatient
Analysis for antibody to parvovirus$76.14Outpatient
Analysis for antibody to protozoa (parasite)$69.54Outpatient
Analysis for antibody to Rickettsia (bacteria)$42.93Outpatient
Analysis for antibody to Rubeola (measles virus)$51.84Outpatient
Analysis for antibody to St. Louis virus (viral encephalitis)$37.26Outpatient
Analysis for antibody to varicella-zoster virus (chicken pox)$68.85Outpatient
Analysis for antibody to virus$74.52Outpatient
Analysis for antibody to West Nile virus$182Outpatient
Analysis for antibody to Western equine virus (viral encephalitis)$37.26Outpatient
Analysis for detection of tumor marker$94.77Outpatient
Analysis of substance using immunoassay technique, multiple step method$67.59Outpatient
Analysis using chemiluminescent technique (light and chemical )reaction$53.82Outpatient
ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE)$1,677Outpatient
Androstenedione (hormone) level$88.29Outpatient
ANESTHESIA IV INFUSION PUMP$57.96Outpatient
ANESTHESIA LEVEL - G3$52.65Outpatient
Angiotensin l - converting enzyme (ACE) level$56.54Outpatient
ANKLE CONTROL ORTHOSIS, STIRRUP STYLE, RIGID, INCLUDES ANY TYPE INTERFACE (E.G., PNEUMATIC, GEL), PREFABRICATED, OFF-THE-SHELF$165Outpatient
ANKLE ORTHOSIS, ANKLE GAUNTLET OR SIMILAR, WITH OR WITHOUT JOINTS, PREFABRICATED, OFF-THE-SHELF$83.27Outpatient
ANORO ELLIPTA 62.5-25 MCG INH$407Outpatient
Antibody evaluation, each additional single antibody stain procedure$81.00Outpatient
Antibody evaluation, initial single antibody stain procedure$39.69Outpatient
Antibody identification test, platelet antibodies$202Outpatient
Antipsychotics levels, 1-3$126Outpatient
Antithrombin III antigen (clotting inhibitor) activity$111Outpatient
Antithrombin III antigen (clotting inhibitor) level$95.58Outpatient
APLIGRAF LIVING BI-LAYERED SKIN SUBSTITUTE$2,122Outpatient
Application of chemical to stop tissue regrowth in wound$140Outpatient
Application of elbow to finger cast$113Outpatient
Application of electrical stimulation$94.85Outpatient
Application of electrical stimulation with therapist present, each 15 minutes$94.85Outpatient
Application of hot and cold baths, each 15 minutes$67.39Outpatient
Application of long leg cast from thigh to toe$228Outpatient
Application of long leg splint from thigh to ankle or toe$225Outpatient
Application of lower and upper arm splint$204Outpatient
Application of mechanical traction$94.85Outpatient
Application of medication using electrical current, each 15 minutes$110Outpatient
Application of moveable or hinged forearm to hand splint$174Outpatient
Application of nonmoveable finger splint$137Outpatient
Application of nonmoveable forearm to hand splint$156Outpatient
Application of on-body injector for under skin injection$10,818Outpatient
Application of short leg splint from calf to foot$208Outpatient
Application of shoulder to hand cast$566Outpatient
Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less$582Outpatient
Application of ultrasound, each 15 minutes$94.85Outpatient
Application of vein wound compression bandages on lower leg, ankle, and foot$115Outpatient
Application of walking cast covering below knee to toe$96.39Outpatient
AQUACELL DRESSING)$32.97Outpatient
AQUAPAK 400 ML REFIL$71.44Outpatient
ARM SLING II HEMI MEDIUM RIGHT REG OT$51.57Outpatient
Artery puncture collection of blood sample$175Outpatient
Aspiration and/or injection of fluid from large joint$90.07Outpatient
Aspiration and/or injection of fluid from medium joint$224Outpatient
Aspiration and/or injection of fluid from medium joint using ultrasound guidance$255Outpatient
Aspiration and/or injection of fluid from small joint$133Outpatient
Aspiration and/or injection of fluid from small joint using ultrasound guidance$190Outpatient
Aspiration and/or injection of fluid large joint using ultrasound guidance$224Outpatient
Aspiration of abscess, blood, or cyst$290Outpatient
Aspiration of bone marrow sample for diagnosis$198Outpatient
Aspiration of fluid from chest cavity$370Outpatient
Aspiration of fluid from chest cavity using imaging guidance$377Outpatient
ATROPINE 1% EYE DROPS$218Outpatient
Automated urinalysis test$104Outpatient
Automated white blood cell count$40.01Outpatient
AZITHROMYCIN DIHYDRATE, ORAL, CAPSULES/POWDER, 1 GRAM$34.32Outpatient
BACK SUPPORT$35.24Outpatient
Bacterial blood culture$201Outpatient
Bacterial colony count, urine$201Outpatient
Bacterial culture for aerobic isolates$118Outpatient
Bacterial culture for anaerobic isolates$45.77Outpatient
Bacterial culture, any other source except urine, blood or stool, aerobic$201Outpatient
Bacterial culture, any source, except blood, anaerobic$190Outpatient
BAIR HUG FLUID WARMER$33.05Outpatient
Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, 3.0 cm or more$389Outpatient
Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm$1,402Outpatient
BALLOON EXTRACTOR PEDS ITEM 10771$44.73Outpatient
BEAR OXYGEN NEBULIZER$46.90Outpatient
BED SENSOR$33.82Outpatient
Benzodiazepines levels, 1-12$90.72Outpatient
Beta 2 glycoprotein 1 antibody (autoantibody) measurement$42.93Outpatient
Beta-2 microglobulin (protein) level$40.50Outpatient
Bile acids level, total$192Outpatient
Bilirubin level, direct$105Outpatient
Bilirubin level, total$105Outpatient
BINDER STABILIZATION ADULT  ITEM 10734$129Outpatient
Biochemical assays for evaluation of chronic Hepatitis C virus infection$437Outpatient
Biopsy and aspiration of bone marrow sample for diagnosis$1,233Outpatient
Biopsy of abdomen using an endoscope$472Outpatient
Biopsy of anal and/or rectal wall through anus$412Outpatient
Biopsy of bone marrow$861Outpatient
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope$1,734Outpatient
Biopsy of fingernail or toenail$1,072Outpatient
Biopsy of growth of external female genitals, first growth$115Outpatient
Biopsy of large bowel using a flexible endoscope$1,791Outpatient
Biopsy of lower large bowel using a flexible endoscope$1,066Outpatient
Biopsy of prostate gland$1,467Outpatient
Biopsy of related skin growth, first growth$141Outpatient
Biopsy of small bowel using an endoscope$956Outpatient
Biopsy or removal of lymph nodes of groin$492Outpatient
BLOOD CLOT FACTOR VIII TEST$121Outpatient
Blood coagulation screening test$84.24Outpatient
Blood count, hemoglobin$47.34Outpatient
Blood creatinine level$40.62Outpatient
Blood gases measurement$364Outpatient
Blood glucose (sugar) level$40.58Outpatient
Blood glucose (sugar) level after receiving dose of glucose$60.75Outpatient
Blood group typing (ABO)$64.03Outpatient
Blood pH level$103Outpatient
Blood potassium level$40.62Outpatient
Blood sodium level$40.62Outpatient
Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide)$122Outpatient
Blood test, basic group of blood chemicals (Calcium, total)$166Outpatient
Blood test, clotting time$90.84Outpatient
Blood test, clotting time, substitution$121Outpatient
Blood test, comprehensive group of blood chemicals$278Outpatient
Blood test, lipids (cholesterol and triglycerides)$172Outpatient
Blood test, thyroid stimulating hormone (TSH)$207Outpatient
Blood typing for Rh (D) antigen$64.03Outpatient
Blood typing Rh phenotyping$94.77Outpatient
Blood unit compatibility test, antiglobulin technique$83.88Outpatient
Blood unit compatibility test, immediate spin technique$283Outpatient
Blood viscosity measurement$66.14Outpatient
Body fluid cell count$106Outpatient
Body fluid cell count with cell identification$157Outpatient
Body fluid pH level$103Outpatient
BONE MARROW ASPIRATE &BIOPSY$289Outpatient
BONE MARROW BIOPSY ASPIRATION NEEDLE$90.72Outpatient
BRIDION 200 MG/2 ML VIAL$548Outpatient
BRONCHOSCOPE BFLEX 5.0 SINGLE-USE$452Outpatient
BUPRENORPHINE 10 MCG/HR PATCH$346Outpatient
C PAP MASK LG/FULL1010871$66.50Outpatient
C-peptide (protein) level$126Outpatient
C02 SAMPLING LINE CAPNOLINE PL$35.15Outpatient
CADEXOMER IODINE 0.9 % EX GEL$270Outpatient
Calcium level, ionized$90.72Outpatient
Cancer cytogenomic array gene analysis$3,181Outpatient
Cannabinoids levels, natural$40.50Outpatient
CANNULA OPTIFLOW$32.40Outpatient
CANNULA OPTIFLOW XXL$63.62Outpatient
CANNULA, NASAL$41.96Outpatient
Carbamazepine level, total$101Outpatient
Carbohydrate analysis, single qualitative$31.14Outpatient
Carbon dioxide (bicarbonate) level$78.57Outpatient
Carboxyhemoglobin (protein) level$110Outpatient
Cardiolipin antibody (tissue antibody) measurement$110Outpatient
Carnitine level$85.86Outpatient
Catecholamines (organic nitrogen) level$59.13Outpatient
CATHETER FOLY TEMP-SENSING LUBRISIL 12FR ITEM 10750$31.64Outpatient
CATHETER URETERAL TIGERTAIL OPEN TIP FLEXIBLE$36.45Outpatient
CATHETER, ELECTROPHYSIOLOGY, DIAGNOSTIC, OTHER THAN 3D MAPPING (20 OR MORE ELECTRODES)$320Outpatient
CATHETER, INFUSION, INSERTED PERIPHERALLY, CENTRALLY OR MIDLINE (OTHER THAN HEMODIALYSIS)$152Outpatient
CATHETERIZATION FOR COLLECTION OF SPECIMEN, SINGLE PATIENT, ALL PLACES OF SERVICE$112Outpatient
Cell examination of specimen, selective cellular enhancement technique$262Outpatient
CENTRAL VENOUS CATHETERIZATION KIT 16GX8  ITEM 10611$54.84Outpatient
Ceruloplasmin (protein) level$53.95Outpatient
CERVICAL, MULTIPLE POST COLLAR, OCCIPITAL/MANDIBULAR SUPPORTS, ADJUSTABLE$86.10Outpatient
CETACAINE SPRAY$304Outpatient
CHAIR SENSOR$33.78Outpatient
CHARCOAL ACTIVATED OR LIQD$108Outpatient
Chemical analysis using chromatography technique$460Outpatient
Chemical test for genetic disorder$90.72Outpatient
Chloride level$139Outpatient
Cholesterol level$56.70Outpatient
Chromosome analysis for genetic defects, analyze 100-300 cells$85.05Outpatient
Chromosome analysis for genetic defects, analyze 20-25 cells$2,260Outpatient
Chromosome analysis for genetic defects, analyze 25-99 cells$73.71Outpatient
Chromosome analysis for genetic defects, count 15-20 cells$292Outpatient
Citrate level$46.17Outpatient
CLEANSING ENEMA SET$32.12Outpatient
Closed treatment of 2 broken lower leg bones at ankle$351Outpatient
Closed treatment of 2 broken lower leg bones at ankle with manipulation$775Outpatient
Closed treatment of 3 broken lower leg bones at ankle$382Outpatient
Closed treatment of 3 broken lower leg bones at ankle with manipulation$596Outpatient
Closed treatment of broken ankle joint bone with manipulation$921Outpatient
Closed treatment of broken end of finger or thumb with manipulation$241Outpatient
Closed treatment of broken finger or hand at base of finger with manipulation$454Outpatient
Closed treatment of broken finger or thumb at midportion or part near hand with manipulation$267Outpatient
Closed treatment of broken forearm (radius) bone at the wrist area on the thumb side of the wrist without manipulation$831Outpatient
Closed treatment of broken forearm bone on thumb side at elbow with manipulation$1,234Outpatient
Closed treatment of broken great toe with manipulation$302Outpatient
Closed treatment of broken hand bone$239Outpatient
Closed treatment of broken middle part of upper arm bone with manipulation$1,708Outpatient
Closed treatment of broken midpart of both forearm bones with manipulation$672Outpatient
Closed treatment of broken midpart of forearm bone on thumb side with manipulation$527Outpatient
Closed treatment of broken or growth plate separate of forearm bone at wrist with manipulation$636Outpatient
Closed treatment of broken outside lower leg bone at ankle with manipulation$1,034Outpatient
Closed treatment of broken shin bone at lower weight bearing joint with manipulation and/or traction$1,455Outpatient
Closed treatment of broken thigh bone at midportion with manipulation$877Outpatient
Closed treatment of broken toe with manipulation$211Outpatient
Closed treatment of dislocated finger joint with manipulation$675Outpatient
Closed treatment of dislocated forearm bone on thumb side at elbow with manipulation, child$146Outpatient
Closed treatment of dislocated hand bone at wrist joint with manipulation under anesthesia$1,530Outpatient
Closed treatment of dislocated hip prosthesis under anesthesia$1,234Outpatient
Closed treatment of dislocated jaw joint$184Outpatient
Closed treatment of dislocated joint between collar bone and shoulder with manipulation$340Outpatient
Closed treatment of dislocated joint between toe and foot$201Outpatient
Closed treatment of dislocated joint in toe$241Outpatient
Closed treatment of dislocated kneecap$253Outpatient
Closed treatment of dislocated kneecap under anesthesia$460Outpatient
Closed treatment of dislocated shoulder with manipulation$426Outpatient
Closed treatment of dislocated shoulder with manipulation under anesthesia$470Outpatient
Closed treatment of dislocated thumb at wrist with manipulation$1,394Outpatient
Closed treatment of dislocated wrist bones with manipulation$1,063Outpatient
Closed treatment of middle part of broken shin bone with manipulation$1,847Outpatient
Closed treatment of upper arm bone broken at elbow with manipulation$2,036Outpatient
Closure of surgically created opening from stomach to skin$2,831Outpatient
Clotting factor V (AcG or proaccelerin) measurement$183Outpatient
Clotting factor VII (proconvertin, stable factor)$104Outpatient
Clotting factor VIII (AHG) measurement$716Outpatient
Clotting factor VIII (VW factor) antigen$716Outpatient
Clotting factor X assessment test, diluted$76.95Outpatient
Clozapine level$46.98Outpatient
Coagulation assessment blood test, plasma or whole blood$99.75Outpatient
Coagulation assessment blood test, substitution, plasma fractions$129Outpatient
Coagulation function measurement, D-dimer; quantitative$124Outpatient
Coagulation function measurement, paracoagulation$125Outpatient
Coagulation function screening test with interpretation and report$82.13Outpatient
COLD PAC HOSP GEL$53.38Outpatient
Collagen cross links test, (urine test to evaluate bone health)$122Outpatient
Collection of blood sample from central venous tube$148Outpatient
Collection of blood sample from implanted device$148Outpatient
COLONOSCOPY,TRANSENDOSCOPIC STENT$2,905Outpatient
COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL AT HIGH RISK$1,791Outpatient
COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK$1,765Outpatient
COMBAT APPLICATION TOURNIQUET$48.45Outpatient
Complete blood cell count (red cells, white blood cell, platelets), automated test$90.36Outpatient
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count$118Outpatient
Complete ultrasound of abdomen and pelvis artery and vein blood flow$556Outpatient
Complete ultrasound scan behind abdominal cavity$398Outpatient
Complete ultrasound scan of 1 breast$234Outpatient
Complete ultrasound scan of abdomen$412Outpatient
Complete ultrasound scan of joint$292Outpatient
Complete ultrasound scan of pelvis$332Outpatient
Complete ultrasound study of arm and leg arteries$575Outpatient

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