Cost of care at HealthPartners clinics

How much will I pay?

You want to know how much your medical care will cost before you see the doctor or get the bill. This helps eliminate surprises. And it allows you to plan for upcoming health needs.

This page provides the average cost and range for about 50 of the most common procedures at HealthPartners. We can provide average cost information. Then you can work with your insurance company to estimate what you’ll pay. Some preventive services are covered 100 percent by your insurance, which means there’s no cost to you.

Your deductible, coinsurance and copay all affect what you’ll pay.

We’re here to help

How do I estimate my cost?

In order to provide accurate cost information, each procedure has five numbers associated with it.

• CPT: CPT stands for Current Procedural Terminology. Your doctor uses this code to bill the insurance company. It tells the insurance company what services you received. Each service has a different code.
• Average: This is the average amount patients pay for this procedure. You and your insurance company may split this cost. Your deductible, coinsurance, copay and coverage affect how much you’ll pay. If you have questions about your insurance, call your insurance company.
• Range: Just like the cost of milk varies depending where you buy it, the cost of procedures changes depending on your insurance. We use information from four major insurance companies (HealthPartners, Blue Cross Blue Shield, United Healthcare and Medica) to determine the range. The top of the range is the most you should pay if you get your insurance through one of these four insurance companies. You may have to pay this if you haven’t met your deductible.
• Medicare payment: If you have Medicare, this is the most you’ll pay for this procedure. Depending on your Medicare plan, you may not be expected to pay anything.
• MHCP: If you have insurance from a Minnesota Health Care Program (MHCP) from the state of Minnesota, this is the most you’ll pay for this procedure. Depending on your plan, you may not be expected to pay anything.
• Self-Pay: If you do not have any insurance, this is the most you should expect to pay. If you need assistance to pay for services you can contact us to set up an appointment.

If you have additional procedures or services, there may be additional cost. For example, let’s say you go to the doctor for a routine preventive care visit. While you’re there, you ask the doctor to look at a mole. There may be an additional charge for that.

Example one: Jane hasn’t met her deductible

Jane is doing housework and falls off the ladder. She thinks she broke her foot, so she goes to the doctor. The doctor orders an X-ray of her foot.

Jane hasn’t been to this doctor before. She hasn’t had any other medical expenses this year, so she hasn’t met her $1,000 deductible.

Because Jane has not met her deductible, she is responsible for the full cost of the visit.

Example two: Mike has met his deductible

Mike is doing housework and falls off the ladder. He thinks he broke his arm, so he goes to the doctor. The doctor orders an X-ray of his arm.

Mike has had a tough year, and he's been to this doctor a few times. He's met his $1,000 deductible.

Mike has met his deductible, and he doesn’t have coinsurance. He has a $25 copay for office visits, so that is what he'll pay for this visit.