Maple Grove Hospital
9875 Hospital Drive, Maple Grove, MN 55369 · Acute care hospital · Emergency room
These are Maple Grove Hospital's own posted figures from its standard-charges file dated September 25, 2026. They are not a quote. Source: the hospital's file · its price transparency page.
177 of the services we track have a posted price here. Tap a service to compare it with nearby hospitals. How to read these numbers.
Emergency room
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Critical care, first 30 to 74 minutes CPT 99291 | $1,432.91 | $2,719.00 | $683.33 – $2,175.20 |
| Emergency room visit, level 1 (minor) CPT 99281 | $127.53 | $242.00 | $68.37 – $393.00 |
| Emergency room visit, level 2 CPT 99282 | $205.53 | $390.00 | $125.95 – $670.00 |
| Emergency room visit, level 3 (moderate) CPT 99283 | $338.33 | $642.00 | $219.71 – $874.00 |
| Emergency room visit, level 4 CPT 99284 | $558.09 | $1,059.00 | $341.07 – $1,076.00 |
| Emergency room visit, level 5 (most severe) CPT 99285 | $740.96 | $1,406.00 | $494.63 – $1,429.00 |
| Simple wound repair (stitches), 2.5 cm or less CPT 12001 | $202.89 | $385.00 | $126.67 – $367.59 |
Imaging
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| 3D screening mammogram (tomosynthesis), add-on CPT 77063 | $51.12 | $97.00 | $19.80 – $190.43 |
| Abdominal X-ray, 1 view CPT 74018 | $140.71 | $267.00 | $61.10 – $892.00 |
| Ankle X-ray, 3 or more views CPT 73610 | $154.94 | $294.00 | $61.10 – $892.00 |
| Breast ultrasound, one breast, complete CPT 76641 | $244.00 | $463.00 | $84.67 – $370.40 |
| Breast ultrasound, one breast, limited CPT 76642 | $181.29 | $344.00 | $69.98 – $275.20 |
| Chest X-ray, 1 view CPT 71045 | $148.61 | $282.00 | $61.10 – $892.00 |
| Chest X-ray, 2 views CPT 71046 | $142.82 | $271.00 | $61.10 – $892.00 |
| CT angiogram of the chest (checks for lung clots) CPT 71275 | $727.26 | $1,380.00 | $123.55 – $1,432.00 |
| CT angiogram of the head CPT 70496 | $668.76 | $1,269.00 | $123.55 – $1,432.00 |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $706.71 | $1,341.00 | $258.61 – $1,432.00 |
| CT scan of the abdomen and pelvis, without and with contrast CPT 74178 | $649.26 | $1,232.00 | $258.61 – $1,432.00 |
| CT scan of the abdomen and pelvis, without contrast CPT 74176 | $488.53 | $927.00 | $164.77 – $1,432.00 |
| CT scan of the abdomen, without contrast CPT 74150 | $483.26 | $917.00 | $73.93 – $1,432.00 |
| CT scan of the chest, with contrast CPT 71260 | $598.14 | $1,135.00 | $123.55 – $1,432.00 |
| CT scan of the chest, without contrast CPT 71250 | $488.53 | $927.00 | $73.93 – $1,432.00 |
| CT scan of the head, without contrast CPT 70450 | $549.13 | $1,042.00 | $73.93 – $1,432.00 |
| CT scan of the neck (cervical spine), without contrast CPT 72125 | $555.98 | $1,055.00 | $73.93 – $1,432.00 |
| CT scan of the pelvis, with contrast CPT 72193 | $680.88 | $1,292.00 | $123.55 – $1,432.00 |
| CT scan of the sinuses or face, without contrast CPT 70486 | $564.94 | $1,072.00 | $73.93 – $1,432.00 |
| Diagnostic mammogram, both breasts CPT 77066 | $307.77 | $584.00 | $90.44 – $581.07 |
| Diagnostic mammogram, one breast CPT 77065 | $248.74 | $472.00 | $74.66 – $459.00 |
| Foot X-ray, 3 or more views CPT 73630 | $154.41 | $293.00 | $61.10 – $892.00 |
| Hand X-ray, 3 or more views CPT 73130 | $152.30 | $289.00 | $69.98 – $892.00 |
| Knee X-ray, 3 views CPT 73562 | $210.80 | $400.00 | $61.10 – $892.00 |
| Leg or arm vein ultrasound, both sides CPT 93970 | $434.77 | $825.00 | $164.77 – $660.00 |
| Leg or arm vein ultrasound, one side CPT 93971 | $244.53 | $464.00 | $73.93 – $371.20 |
| Lower back X-ray, 2 or 3 views CPT 72100 | $190.77 | $362.00 | $73.93 – $892.00 |
| MRI of the abdomen, without and with contrast CPT 74183 | $1,040.82 | $1,975.00 | $258.61 – $2,340.00 |
| MRI of the brain, without and with contrast CPT 70553 | $1,040.82 | $1,975.00 | $258.61 – $2,340.00 |
| MRI of the brain, without contrast CPT 70551 | $727.26 | $1,380.00 | $164.77 – $2,340.00 |
| MRI of the knee or other leg joint, without contrast CPT 73721 | $806.31 | $1,530.00 | $164.77 – $2,340.00 |
| MRI of the lower back (lumbar spine), without contrast CPT 72148 | $741.49 | $1,407.00 | $164.77 – $2,340.00 |
| MRI of the mid back (thoracic spine), without contrast CPT 72146 | $741.49 | $1,407.00 | $164.77 – $2,340.00 |
| MRI of the neck (cervical spine), without contrast CPT 72141 | $827.92 | $1,571.00 | $164.77 – $2,340.00 |
| MRI of the pelvis, without and with contrast CPT 72197 | $1,030.28 | $1,955.00 | $258.61 – $2,340.00 |
| MRI of the shoulder or other arm joint, without contrast CPT 73221 | $741.49 | $1,407.00 | $164.77 – $2,340.00 |
| Neck X-ray, 2 or 3 views CPT 72040 | $190.77 | $362.00 | $61.10 – $892.00 |
| Pelvic ultrasound, complete (not pregnancy) CPT 76856 | $235.04 | $446.00 | $73.93 – $356.80 |
| Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805 | $320.42 | $608.00 | $73.93 – $486.40 |
| Pregnancy ultrasound, under 14 weeks, single baby CPT 76801 | $287.74 | $546.00 | $73.93 – $436.80 |
| Screening mammogram, both breasts CPT 77067 | $243.47 | $462.00 | $38.02 – $468.77 |
| Shoulder X-ray, 2 or more views CPT 73030 | $176.02 | $334.00 | $61.10 – $892.00 |
| Transvaginal pregnancy ultrasound CPT 76817 | $244.53 | $464.00 | $73.93 – $371.20 |
| Transvaginal ultrasound CPT 76830 | $194.99 | $370.00 | $73.93 – $296.00 |
| Ultrasound of the abdomen, complete CPT 76700 | $328.32 | $623.00 | $73.93 – $498.40 |
| Ultrasound of the neck or thyroid CPT 76536 | $259.28 | $492.00 | $73.93 – $393.60 |
| Wrist X-ray, 3 or more views CPT 73110 | $166.53 | $316.00 | $61.10 – $892.00 |
| X-ray of the lower back, 4 or more views CPT 72110 | $221.87 | $421.00 | $73.93 – $892.00 |
Lab tests
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 | $24.77 | $47.00 | $6.23 – $50.13 |
| Blood culture CPT 87040 | $37.42 | $71.00 | $7.66 – $56.80 |
| Blood draw (venipuncture) CPT 36415 | $10.01 | $19.00 | $2.50 – $16.36 |
| BNP test (heart failure) CPT 83880 | $95.27 | $180.78 | $13.60 – $144.62 |
| C-reactive protein (CRP) test CPT 86140 | $14.23 | $27.00 | $3.83 – $21.60 |
| Chlamydia test (DNA/NAAT) CPT 87491 | $64.29 | $122.00 | $25.62 – $203.41 |
| Complete blood count (CBC) with differential CPT 85025 | $22.66 | $43.00 | $5.75 – $34.40 |
| Complete blood count (CBC), automated CPT 85027 | $19.50 | $37.00 | $4.31 – $29.60 |
| Comprehensive metabolic panel (blood test) CPT 80053 | $31.09 | $59.00 | $7.66 – $47.81 |
| COVID-19 PCR test CPT 87635 | $105.40 | $200.00 | $37.59 – $160.00 |
| D-dimer test (blood clots) CPT 85379 | $59.03 | $112.02 | $7.42 – $89.62 |
| Drug screen, instrument chemistry CPT 80307 | $120.75 | $229.12 | $32.62 – $184.28 |
| Ferritin (iron stores) test CPT 82728 | $28.46 | $54.00 | $10.05 – $64.41 |
| Free T4 (thyroid) test CPT 84439 | $17.92 | $34.00 | $6.70 – $27.20 |
| Glucose (blood sugar) test CPT 82947 | $12.12 | $23.00 | $2.87 – $18.40 |
| Gonorrhea test (DNA/NAAT) CPT 87591 | $46.38 | $88.00 | $25.62 – $104.73 |
| Hemoglobin A1c test CPT 83036 | $17.92 | $34.00 | $7.18 – $29.20 |
| Hepatitis C antibody test CPT 86803 | $27.93 | $53.00 | $10.54 – $42.40 |
| HIV-1/HIV-2 antigen and antibody test CPT 87389 | $36.89 | $70.00 | $17.72 – $71.50 |
| Iron test CPT 83540 | $12.65 | $24.00 | $4.78 – $19.20 |
| Kidney function panel CPT 80069 | $11.59 | $22.00 | $6.47 – $47.63 |
| Lipase test (pancreas) CPT 83690 | $19.50 | $37.00 | $5.03 – $29.60 |
| Lipid panel, cholesterol and triglycerides CPT 80061 | $22.13 | $42.00 | $8.68 – $40.28 |
| Liver function panel CPT 80076 | $24.24 | $46.00 | $5.99 – $74.86 |
| Magnesium test CPT 83735 | $16.34 | $31.00 | $4.78 – $24.80 |
| Partial thromboplastin time (PTT), clotting test CPT 85730 | $34.86 | $66.14 | $4.31 – $52.91 |
| Pregnancy blood test (hCG), quantitative CPT 84702 | $31.62 | $60.00 | $7.52 – $48.00 |
| Prothrombin time (PT/INR), clotting test CPT 85610 | $24.87 | $47.20 | $3.11 – $37.76 |
| PSA (prostate specific antigen), free CPT 84154 | $17.44 | $33.10 | $3.67 – $33.10 |
| PSA (prostate specific antigen), total CPT 84153 | $26.88 | $51.00 | $13.42 – $54.38 |
| Sed rate (ESR) test CPT 85652 | $7.90 | $15.00 | $1.92 – $12.00 |
| Thyroid stimulating hormone (TSH) CPT 84443 | $38.47 | $73.00 | $12.21 – $58.40 |
| Tissue exam by a pathologist (biopsy specimen) CPT 88305 | $305.13 | $579.00 | $36.44 – $463.20 |
| Troponin test (heart damage) CPT 84484 | $13.17 | $25.00 | $7.20 – $37.26 |
| Urinalysis, automated, with microscope CPT 81001 | $14.76 | $28.00 | $2.40 – $22.40 |
| Urinalysis, automated, without microscope CPT 81003 | $7.38 | $14.00 | $1.68 – $11.20 |
| Urinalysis, manual, without microscope CPT 81002 | $3.16 | $6.00 | $2.25 – $6.26 |
| Urine culture, colony count CPT 87086 | $28.98 | $55.00 | $5.99 – $44.00 |
| Urine pregnancy test CPT 81025 | $25.30 | $48.00 | $3.64 – $38.40 |
| Vitamin B12 test CPT 82607 | $26.88 | $51.00 | $11.02 – $45.32 |
| Vitamin D test CPT 82306 | $39.52 | $75.00 | $21.55 – $87.61 |
Heart
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Carotid artery ultrasound, both sides CPT 93880 | $345.18 | $655.00 | $164.77 – $524.00 |
| ECG tracing only (no interpretation) CPT 93005 | $98.02 | $186.00 | $41.13 – $148.80 |
| Echocardiogram (heart ultrasound), complete with Doppler CPT 93306 | $783.65 | $1,487.00 | $370.97 – $1,569.00 |
| Left heart catheterization with coronary angiogram CPT 93458 | $4,147.49 | $7,870.00 | $2,509.29 – $6,712.00 |
| Nuclear stress test (heart perfusion imaging) CPT 78452 | $1,845.55 | $3,502.00 | $662.48 – $2,801.60 |
Surgery
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Appendix removal, laparoscopic CPT 44970 | $6,680.18 | $12,675.86 | $3,614.00 – $10,793.43 |
| Breast biopsy with ultrasound guidance CPT 19083 | $1,777.57 | $3,373.00 | $984.00 – $3,197.00 |
| Carpal tunnel release CPT 64721 | $2,879.17 | $5,463.33 | $1,298.35 – $3,989.00 |
| Colonoscopy with biopsy CPT 45380 | $2,510.84 | $4,764.40 | $793.54 – $3,197.00 |
| Colonoscopy with polyp removal (snare) CPT 45385 | $2,539.97 | $4,819.67 | $793.54 – $3,197.00 |
| Colonoscopy, diagnostic CPT 45378 | $2,074.75 | $3,936.91 | $614.59 – $3,197.00 |
| Colposcopy with biopsy CPT 57454 | $3,404.94 | $6,460.98 | $215.73 – $917.00 |
| Ear tubes, under general anesthesia CPT 69436 | $2,551.20 | $4,840.98 | $1,025.51 – $10,494.00 |
| Flexible sigmoidoscopy, diagnostic CPT 45330 | $2,251.83 | $4,272.93 | $611.00 – $4,126.00 |
| Gallbladder removal, laparoscopic CPT 47562 | $6,829.71 | $12,959.60 | $3,614.00 – $10,793.43 |
| Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571 | $9,439.65 | $17,912.04 | $3,614.00 – $19,260.52 |
| Hysteroscopy with biopsy or polyp removal CPT 58558 | $4,354.41 | $8,262.63 | $209.53 – $10,494.00 |
| Inguinal (groin) hernia repair, laparoscopic CPT 49650 | $9,274.36 | $17,598.40 | $395.06 – $10,793.43 |
| Inguinal (groin) hernia repair, open, age 5 or older CPT 49505 | $4,530.85 | $8,597.43 | $2,036.00 – $6,528.68 |
| Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881 | $5,632.27 | $10,687.41 | $2,036.00 – $6,002.46 |
| Removal of a breast lump, open surgery CPT 19120 | $13,386.62 | $25,401.55 | $383.27 – $23,099.13 |
| Rotator cuff repair, arthroscopic CPT 29827 | $9,306.25 | $17,658.91 | $3,614.00 – $13,215.74 |
| Screening colonoscopy, average risk HCPCS G0121 | $2,102.12 | $3,988.84 | $611.00 – $4,126.00 |
| Screening colonoscopy, high risk HCPCS G0105 | $2,109.38 | $4,002.61 | $168.55 – $4,126.00 |
| Septoplasty (nasal septum repair) CPT 30520 | $5,072.21 | $9,624.68 | $639.57 – $11,404.57 |
| Total hip replacement CPT 27130 | $16,187.71 | $30,716.72 | $6,822.00 – $24,278.31 |
| Total knee replacement CPT 27447 | $15,508.45 | $29,427.79 | $6,822.00 – $24,278.31 |
| Upper endoscopy (EGD) with biopsy CPT 43239 | $2,425.90 | $4,603.23 | $126.89 – $3,197.00 |
| Upper endoscopy (EGD), diagnostic CPT 43235 | $2,039.77 | $3,870.54 | $609.56 – $3,197.00 |
Pregnancy and birth
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Fetal non-stress test CPT 59025 | $330.43 | $627.00 | $134.00 – $501.60 |
| IUD insertion CPT 58300 | $4,995.54 | $9,479.21 | $8.61 – $917.00 |
Hospital stays
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Alcohol or drug use disorder, without rehab, without major complications MS-DRG 897 | $6,419.39 | $12,181.01 | ? – $17,405.61 |
| C-section, without complications MS-DRG 788 | $11,079.37 | $21,023.48 | $4,901.00 – $13,608.18 |
| Chest pain MS-DRG 313 | $8,225.98 | $15,609.07 | $5,976.55 – $30,308.26 |
| COPD flare-up, with major complications MS-DRG 190 | $5,500.38 | $10,437.15 | $2,137.95 – $22,156.54 |
| COPD flare-up, without complications MS-DRG 192 | $13,171.23 | $24,992.84 | $5,433.24 – $12,769.11 |
| Fainting (syncope) MS-DRG 312 | $8,096.43 | $15,363.24 | $7,158.80 – $17,190.56 |
| Gastrointestinal bleeding, with complications MS-DRG 378 | $7,660.59 | $14,536.22 | $8,016.86 – $19,451.59 |
| Heart failure, with major complications MS-DRG 291 | $7,208.46 | $13,678.29 | $10,404.59 – $25,743.42 |
| Heart failure, without complications MS-DRG 293 | $11,098.85 | $21,060.43 | $4,606.34 – $10,825.73 |
| Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 | $18,950.37 | $35,958.96 | $14,752.53 – $37,200.50 |
| Irregular heartbeat, without complications MS-DRG 310 | $4,764.32 | $9,040.45 | $4,697.00 – $25,297.82 |
| Kidney failure, with complications MS-DRG 683 | $4,451.41 | $8,446.69 | $7,290.58 – $17,537.80 |
| Kidney or urinary tract infection, without major complications MS-DRG 690 | $5,826.19 | $11,055.38 | $2,406.00 – $15,835.12 |
| Neck (cervical) spinal fusion, without complications MS-DRG 473 | $19,580.24 | $37,154.15 | $18,360.70 – $46,708.28 |
| Normal newborn care MS-DRG 795 | $1,660.07 | $3,150.03 | ? – $3,914.14 |
| Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641 | $7,247.24 | $13,751.88 | $6,485.70 – $15,416.85 |
| Pneumonia, with complications MS-DRG 194 | $6,109.49 | $11,592.96 | $2,459.00 – $37,529.00 |
| Pneumonia, with major complications MS-DRG 193 | $7,497.42 | $14,226.61 | $10,501.18 – $25,997.93 |
| Pneumonia, without complications MS-DRG 195 | $4,615.11 | $8,757.33 | $5,227.57 – $12,285.73 |
| Sepsis, with major complications MS-DRG 871 | $7,288.99 | $13,831.11 | $3,362.00 – $38,711.80 |
| Sepsis, without major complications MS-DRG 872 | $7,030.64 | $13,340.87 | $8,354.56 – $20,341.40 |
| Skin infection (cellulitis), without major complications MS-DRG 603 | $6,341.93 | $12,034.02 | $2,385.00 – $90,667.72 |
| Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392 | $6,247.23 | $11,854.33 | $6,477.46 – $15,395.15 |
| Stroke, with complications or clot-busting drug MS-DRG 65 | $7,777.40 | $14,757.87 | $8,248.98 – $20,063.21 |
| Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743 | $13,383.69 | $25,395.99 | $9,610.18 – $23,650.09 |
| Vaginal delivery, without complications MS-DRG 807 | $5,725.59 | $10,864.49 | $3,697.00 – $9,930.78 |
Pain and spine
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Large joint injection or drainage (knee, shoulder, hip) CPT 20610 | $435.83 | $827.00 | $199.17 – $917.00 |
| Lower back nerve root injection with imaging guidance CPT 64483 | $1,252.15 | $2,376.00 | $611.00 – $4,126.00 |
| Lower back spinal injection (epidural), with imaging guidance CPT 62323 | $895.90 | $1,700.00 | $532.53 – $4,126.00 |
| Lower back spinal injection (epidural), without imaging CPT 62322 | $961.25 | $1,824.00 | $600.10 – $1,647.02 |
Lungs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Spirometry (breathing test) CPT 94010 | $168.64 | $320.00 | $105.28 – $289.45 |
Therapy
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Manual therapy, 15 minutes CPT 97140 | $84.85 | $161.00 | $13.37 – $266.00 |
| Physical therapy evaluation, low complexity CPT 97161 | $145.98 | $277.00 | $76.84 – $266.00 |
| Physical therapy evaluation, moderate complexity CPT 97162 | $155.46 | $295.00 | $76.84 – $266.00 |
| Physical therapy, therapeutic exercise, 15 minutes CPT 97110 | $75.36 | $143.00 | $24.31 – $266.00 |
| Therapeutic activities, 15 minutes CPT 97530 | $70.09 | $133.00 | $30.82 – $266.00 |
Infusions and injections
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Injection under the skin or into a muscle CPT 96372 | $94.33 | $179.00 | $54.25 – $143.20 |
| IV hydration, each additional hour CPT 96361 | $84.32 | $160.00 | $36.58 – $128.00 |
| IV hydration, first hour CPT 96360 | $264.55 | $502.00 | $108.65 – $401.60 |
| IV push injection of a drug, first CPT 96374 | $233.99 | $444.00 | $108.65 – $389.77 |
| IV push injection, each additional drug CPT 96375 | $81.16 | $154.00 | $36.58 – $123.20 |
Drugs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696 | $37.59 | $71.32 | $1.41 – $57.06 |
| Dexamethasone injection, per 1 mg HCPCS J1100 | $22.83 | $43.33 | ? – $34.66 |
| Fentanyl injection, per 0.1 mg HCPCS J3010 | $30.88 | $58.60 | ? – $46.88 |
| Ketorolac (Toradol) injection, per 15 mg HCPCS J1885 | $21.89 | $41.53 | ? – $33.22 |
| Midazolam (Versed) injection, per 1 mg HCPCS J2250 | $22.33 | $42.37 | ? – $33.90 |
| Morphine injection, up to 10 mg HCPCS J2270 | $22.63 | $42.95 | ? – $34.36 |
| Ondansetron (Zofran) injection, per 1 mg HCPCS J2405 | $21.55 | $40.89 | ? – $32.71 |
| Propofol injection, per 10 mg HCPCS J2704 | $33.33 | $63.25 | $1.76 – $101.80 |
| Saline IV solution, 1000 ml HCPCS J7030 | $29.98 | $56.88 | ? – $45.50 |
Cash price: the hospital's posted discounted price for people paying themselves. Gross charge: its list price before any discount. Insurer rates: the lowest and highest rates it says it negotiated with any insurer. When the file lists a service on several rows, this page shows one (the facility row for the usual setting); the service's own page lists every row.