Essentia Health-Moose Lake — price list
← Hospital overviewVerified from Essentia Health-Moose Lake’s published price file
Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Showing the first 1,500 prices from a large file. Search a procedure or code below to narrow the list.
How to read these columns
- List
- The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
- Cash
- The discounted self-pay price for paying directly, without insurance.
- Negotiated
- Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.
These are the hospital’s published reference prices, not a personalized estimate of your bill.
1,500 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| (nk) cells, total count - ref Outpatient | 8635790 CDM | $173 | $128 | $68.85 – $157 | — | |
| **methacholine kit Outpatient | J7674.01 CDM | $4.75 | $3.51 | $1.89 – $4.30 | — | |
| AAA US screen tc Outpatient | 7670601 CDM | $560 | $414 | $223 – $507 | — | |
| Abatacept 250 mg recon soln 1 each vial Outpatient | J0129.01 CDM | $138 | $102 | $54.78 – $125 | — | |
| Abd duplex abd-follow up(t) Outpatient | 9397601 CDM | $695 | $514 | $277 – $629 | — | |
| Abd paracentesis Outpatient | 49082F CDM | $1,462 | $1,080 | $582 – $1,323 | — | |
| Ace - ref Outpatient | 8216490 CDM | $113 | $83.51 | $44.97 – $102 | — | |
| Acetaminophen 120 mg suppository Outpatient | 63700001 CDM | $5.55 | $4.10 | $2.21 – $5.02 | — | |
| Acetaminophen 500 mg tablet Outpatient | 63700001 CDM | $0.25 | $0.18 | $0.10 – $0.23 | — | |
| Acetaminophen 650 mg suppository Outpatient | 63700001 CDM | $1.00 | $0.74 | $0.40 – $0.90 | — | |
| Acetazolamide 500 mg capsule extended release 12 hour Outpatient | 63700001 CDM | $16.00 | $11.82 | $6.37 – $14.48 | — | |
| Acetylcholine chloride 20 mg recon soln Outpatient | 25000000 CDM | $294 | $217 | $117 – $266 | — | |
| Acyclovir 400 mg tablet Outpatient | 63700001 CDM | $3.00 | $2.22 | $1.19 – $2.72 | — | |
| Acyclovir 50 mg/ml solution 20 ml vial Outpatient | J0133.01 CDM | $0.40 | $0.30 | $0.16 – $0.36 | — | |
| Acylcarnitines, quant - ref Outpatient | 8201790 CDM | $145 | $107 | $57.71 – $131 | — | |
| Adalimumab - ref Outpatient | 8014590 CDM | $315 | $233 | $125 – $285 | — | |
| Adapter inhance sys anatomic offset taper 5120-00-110 Outpatient | C1776 CDM | $625 | $462 | $249 – $566 | — | |
| Adenosine 6 mg/2ml solution Outpatient | J0153.01 CDM | $8.33 | $6.16 | $3.32 – $7.54 | — | |
| Adult resuscitation bag Outpatient | 27109003 CDM | $50.00 | $36.95 | $19.90 – $45.25 | — | |
| Adult vent mgmt inpat init day Outpatient | 9400201 CDM | $1,507 | $1,114 | $600 – $1,364 | — | |
| Aerobic isolate - ref Outpatient | 8707790 CDM | $185 | $137 | $73.63 – $167 | — | |
| Aerogen nebulizer (aeroneb) Outpatient | 272250143 CDM | $182 | $135 | $72.44 – $165 | — | |
| Aerosol inhalation treatment Outpatient | 94642F CDM | $431 | $319 | $172 – $390 | — | |
| Aflibercept 2 mg/0.05ml solution Outpatient | J0178.01 CDM | $2,168 | $1,602 | $863 – $1,962 | — | |
| Airway inhalation treatment Outpatient | 94640 CDM | $203 | $150 | $80.79 – $184 | — | |
| Airway nasal pvc clear 28fr/7.0mm 123328 Outpatient | 27200000 CDM | $8.00 | $5.91 | $3.18 – $7.24 | — | |
| Albumin; other source, quantitative, each specimen Outpatient | 82042 CDM | $56.00 | $41.38 | $22.29 – $50.68 | — | |
| Albuterol 0.63 mg/3ml nebulization solution Outpatient | J7613.01 CDM | $5.00 | $3.70 | $1.99 – $4.53 | — | |
| Albuterol 1.25 mg/3ml nebulization solution Outpatient | J7613.01 CDM | $5.00 | $3.70 | $1.99 – $4.53 | — | |
| Alcohol Outpatient | 80307A CDM | $248 | $183 | $98.70 – $224 | — |