Park Nicollet Methodist Hospital
6500 Excelsior Blvd, Saint Louis Park, MN 55426 · 108 Priced Procedures · 82% Patient Recommendation
Typical commercial prices here are 7% below the fair benchmark (0.93×) after accounting for local nurse/doctor wages and patient complexity.
4-Star CMS clinical quality rating paired with 0.93× fair market pricing.
Aligned Regional Benchmark Peer
Park Nicollet Methodist Hospital prices shoppable and inpatient services (1.1× to 1.1× Medicare, divergence 1.00×) in alignment with regional hospital peers (0.93× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.
Where They're Good (Patient & Payer Edge)
- Elective shoppable care is priced 7% below peer Fair BaseRate (0.93×)
- Self-pay cash beats commercial insurance on 64% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (71/100 safety score) with 82% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (27.4% AGB cap)
Where You Can Get Burned (Markup Traps)
- Even at low-cost facilities (0.93× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
- Commercial insurance median sits at 0.96× Fair BaseRate (1.1× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Even at low-cost facilities (0.93× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
- Unnegotiated chargemaster list prices average 5.1× Medicare (20¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Park Nicollet Methodist Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 108 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Spinal fusion, single level (inpatient stay) MS-DRG Code: 451 | $43,702 | unverified |
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $26,279 | 1.4× |
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $26,095 | 1.3× |
| Heart stent placement (inpatient stay) MS-DRG Code: 322 | $23,850 | 1.3× |
| Total hip replacement CPT Code: 27130 | $12,139 | 0.9× |
| Total knee replacement CPT Code: 27447 | $12,139 | 0.9× |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $10,547 | 1.3× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $5,703 | 0.9× |
| Breast lump removal CPT Code: 19120 | $3,613 | 0.9× |
| Inguinal hernia repair CPT Code: 49505 | $3,329 | 0.9× |
| Bunion correction surgery CPT Code: 28296 | $3,282 | 1.0× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $3,190 | 0.9× |
| Cataract surgery with lens implant CPT Code: 66984 | $2,307 | 0.9× |
| Rabies immune globulin HCPCS Code: 90375 | $2,155 | unverified |
| Trauma team activation HCPCS Code: G0390 | $1,338 | 0.9× |
| Colonoscopy with biopsy CPT Code: 45380 | $1,193 | 0.9× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $1,029 | 1.0× |
| Upper endoscopy with biopsy CPT Code: 43239 | $948 | 1.0× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $922 | 0.9× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $555 | 1.0× |
| Blood transfusion CPT Code: 36430 | $442 | 0.9× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $361 | 0.8× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $361 | 0.7× |
| Screening mammogram (both breasts) CPT Code: 77067 | $277 | 2.3× |
| Behavioral health day program HCPCS Code: H2012 | $244 | 2.4× |
Audit a Bill or Quote at Park Nicollet Methodist Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $24,685
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (27.4% of gross = $24,685).
Self-Pay Cash Rate ($27,888) Beats Your Bill
Park Nicollet Methodist Hospital's published 45 CFR § 180 self-pay cash rate is $27,888 (vs. $43,702 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)
Your bill ($89,960) is $59,185 above the denoised Fair BaseRate ($30,775) and 3.8× the $23,504 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (27.4% of gross charges)
Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.
Clinical Quality, Patient Experience & Infection Benchmarks
Healthcare-Associated Infections (CDC NHSN / CMS HAI)
1.00 SIR = National Predicted Baseline (Lower Is Safer)Source: CMS Hospital Care Compare (1,112 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Park Nicollet Methodist Hospital.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.