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Maple Grove Hospital prices. From its own published file.

Maple Grove Hospital in Maple Grove, MN publishes its standard charges as required by federal rule. Here's what it lists for common services, and how to check your bill against it.

2,872prices published
Sep 2026file last updated
$5,632cash price for knee arthroscopy (list $10,687)

Common services

ServiceCash priceList priceInsurers pay
Emergency visit, moderate (level 3)
99283
$338$642$220–$874
Emergency visit, high (level 4)
99284
$558$1,059$341–$1,076
Emergency visit, highest (level 5)
99285
$741$1,406$495–$1,429
Comprehensive metabolic panel
80053
$31.09$59.00$7.66–$47.81
Basic metabolic panel
80048
$24.77$47.00$6.23–$50.13
Complete blood count (CBC)
85025
$22.13$42.50$5.75–$34.40
Blood draw (venipuncture)
36415
$10.01$19.00$2.50–$16.36
Urinalysis
81001
$14.76$28.00$2.40–$22.40
Troponin (heart test)
84484
$13.17$25.00$7.20–$37.26
EKG tracing
93005
$98.02$186$41.13–$149
Chest X-ray, 2 views
71046
$143$271$61.10–$892
CT head without contrast
70450
$549$1,042$73.93–$1,432
CT abdomen and pelvis with contrast
74177
$707$1,341$259–$1,432
MRI lower back without contrast
72148
$741$1,407$165–$2,340
Ultrasound, abdomen
76700
$328$623$73.93–$498
IV push, single drug
96374
$234$444$109–$390
IV fluids, first hour
96360
$265$502$109–$402
Ketorolac injection, 15 mg
J1885
$0.14$20.89$0.18–$33.22
Ondansetron injection
J2405
$0.15$40.28$0.14–$32.71
Colonoscopy, diagnostic
45378
$2,075$3,937$615–$3,197
Upper GI endoscopy with biopsy
43239
$2,426$4,603$127–$3,197
Knee arthroscopy
29881
$5,632$10,687$2,036–$6,002

Cash price: the discounted price for self-pay patients. List price: the hospital's gross charge. Insurers pay: the lowest and highest rates it lists for insurance plans. Source: Maple Grove Hospital price transparency page.

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