Maple Grove Hospital prices
Maple Grove Hospital in Maple Grove, MN publishes its standard charges, as every US hospital must under the federal Hospital Price Transparency Rule. Below is what its own file lists for common services, next to what it has agreed to accept from insurers.
What Maple Grove Hospital publishes for common services
MRI brain, without contrast: listed at $1,380. Insurers pay a median of $434, across 4 insurers.
If you were billed the list price, you may have been charged far more than insurers typically pay. See how to use these numbers below.
| Service | List price | Cash price | Insurers pay (median) |
|---|---|---|---|
| ER visit, level 1 (minor)CPT 99281, listed as "Emergency department visit, self limited or minor problem" | $242 | $128 | - |
| ER visit, level 2 (low-moderate)CPT 99282, listed as "Emergency department visit, low to moderately severe problem" | $390 | $206 | - |
| ER visit, level 3 (moderate)CPT 99283, listed as "Emergency department visit, moderately severe problem" | $642 | $338 | - |
| ER visit, level 4 (high)CPT 99284, listed as "Emergency department visit, problem of high severity" | $1,059 | $558 | - |
| ER visit, level 5 (critical)CPT 99285, listed as "Emergency department visit, problem with significant threat to life or function" | $1,406 | $741 | - |
| Routine venipuncture (blood draw)CPT 36415, listed as "Insertion of needle into vein for collection of blood sample" | $19.00 | $10.01 | $9.09$2.50 to $16.36, 10 insurers |
| Vitamin B12 injectionCPT J3420, listed as "CYANOCOBALAMIN (VIT B-12) 1,000 MCG/ML INJECTION SOLUTION" | $40.53 | $21.36 | $2.16$2.16 to $3.63, 4 insurers |
| Comprehensive metabolic panelCPT 80053, listed as "Comprehensive metabolic panel" | $59.00 | $31.09 | $10.88$7.66 to $47.81, 10 insurers |
| Basic metabolic panelCPT 80048, listed as "Basic metbolic panel" | $47.00 | $24.77 | $8.71$6.23 to $50.13, 10 insurers |
| CBC with differentialCPT 85025, listed as "Complete blood cell count (red cells, white blood cell, platelets), automated test" | $42.00 to $43.00 | $22.13 to $22.66 | $8.00$5.75 to $23.16, 10 insurers |
| Lipid panelCPT 80061, listed as "Blood test, lipids (cholesterol and triglycerides)" | $35.00 to $42.00 | $18.44 to $22.13 | $13.79$8.68 to $40.28, 10 insurers |
| Hepatic function panelCPT 80076, listed as "Liver profile panel" | $46.00 | $24.24 | $8.42$5.99 to $74.86, 10 insurers |
| X-ray, ankle, 3 viewsCPT 73610, listed as "X-Ray, ankle; minimum of 3 views" | $294 to $588 | $155 to $310 | $168$69.98 to $322, 3 insurers |
| CT abdomen, without contrastCPT 74176, listed as "CT scan of abdomen and pelvis" | $927 | $489 | $434$189 to $452, 4 insurers |
| CT abdomen and pelvis, with contrastCPT 74177, listed as "CT scan of abdomen and pelvis with contrast" | $1,341 | $707 | $681$296 to $709, 4 insurers |
| CT abdomen and pelvis, with and without contrastCPT 74178, listed as "CT scan of abdomen and pelvis before and after contrast" | $1,232 | $649 | $681$296 to $709, 4 insurers |
| MRI brain, without contrastCPT 70551, listed as "Magnetic resonance imaging (MRI), brain" | $1,380 | $727 | $434$189 to $452, 4 insurers |
| MRI brain, with and without contrastCPT 70553, listed as "Magnetic resonance imaging (MRI), brain" | $1,975 | $1,041 | $681$296 to $709, 4 insurers |
| MRI pelvis, without contrastCPT 72195, listed as "Magnetic resonance imaging (MRI), pelvis" | $1,380 | $727 | $434$189 to $452, 4 insurers |
| MRI pelvis, with and without contrastCPT 72197, listed as "Magnetic resonance imaging (MRI), pelvis" | $1,955 | $1,030 | $681$296 to $709, 4 insurers |
| Complete echocardiogram with DopplerCPT 93306, listed as "Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function" | $1,487 | $784 | $997$425 to $1,018, 3 insurers |
| Electrocardiogram, tracing only (technical component)CPT 93005, listed as "Routine electrocardiogram (EKG) with tracing using at least 12 leads" | $186 | $98.02 | $111$47.10 to $113, 3 insurers |
| Laparoscopic cholecystectomyCPT 47562, listed as "Laparoscopy Surg Cholecystectomy" | $12,960 | $6,830 | - |
| Knee arthroscopy, meniscectomyCPT 29881, listed as "Arthrs Kne Surg W/Meniscectomy Med/Lat W/Shvg" | $10,687 | $5,632 | - |
Source: Maple Grove Hospital's standard charges file, which the hospital dated September 25, 2026. Read on September 28, 2026. View the hospital's file (a large data file). Hospitals must publish this file under 45 CFR § 180.
List price
The hospital's full charge (its "gross charge") before any discount. Few people pay it, but it is often the starting point on a bill.
Cash price
What the hospital says it accepts from patients paying without insurance.
Insurers pay
The median of the per-service rates the hospital has negotiated with insurers, shown only when at least 3 insurers report one. Your plan's rate may differ.
How to use these numbers
Uninsured or paying yourself? You can ask Maple Grove Hospital to bill you its published cash price, and ask about financial assistance, which nonprofit hospitals must offer.
Insured, and the hospital is in your network? Your share should be based on your plan's negotiated rate, not the list price. If your bill or explanation of benefits shows the list price, ask the billing office why.
These figures summarize what the hospital publishes. They are not a quote, and they don't include separate physician bills.
Check your Maple Grove Hospital bill for errors
The free check looks for duplicate charges, unbundling, upcoding and surprise billing. Its price comparison uses national reference pricing, separate from the hospital's published prices above.
BillMender is a document-preparation tool, not a law firm, and does not provide legal advice. We don't guarantee any outcome or dollar amount. Estimates are based on public reference pricing, not your hospital's actual contract rates.