Maple Grove Hospital

Maple Grove Hospital
9875 Hospital Dr
Maple Grove, MN 55369

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Service Cost Level
Blood and Major Systemic Infections Lower Cost
Bronchitis, acute Higher Cost
Cardiac (Myocardial) Perfusion Scan Medium Cost
Cesarean Section Delivery (C-Section) Lower Cost
Contusion/Bruise, foot/ankle Medium Cost
CT Scan - Neck (Cervical Spine), without contrast Higher Cost
CT Scan - Abdomen and Pelvis, with contrast Higher Cost
CT Scan - Abdomen and Pelvis, without contrast Higher Cost
CT Scan - Chest, with contrast Higher Cost
CT Scan - Ear Higher Cost
CT Scan - Face and Jaw (Maxillofacial Area), without contrast Higher Cost
CT Scan - Head, without contrast Higher Cost
CT Scan - Lumbar Spine, without contrast Higher Cost
CT Scan - Neck, soft tissue, with contrast Higher Cost
CT Scan - Upper Extremity, without contrast Higher Cost
Diabetes, insulin dependent Higher Cost
Esophagitis Lower Cost
Genitourinary Infections, nonsexually transmitted Medium Cost
High Blood Pressure (Hypertension) Medium Cost
Knee Replacement Lower Cost
Medication-Related Complications Medium Cost
Menstrual Conditions, without surgery Medium Cost
MRI - Abdomen, with and without contrast Medium Cost
MRI - Brain with and without contrast Higher Cost
MRI - Brain, without contrast Higher Cost
MRI - Chest, with contrast Higher Cost
MRI - Lower Extremity, without contrast Higher Cost
MRI - Neck (Cervical Spine), with contrast Higher Cost
MRI - Neck (Cervical Spine), without contrast Higher Cost
MRI - Spine, without contrast Higher Cost
MRI - Upper Extremity, without contrast Higher Cost
Seizures and Epilepsy Lower Cost
Sepsis (Blood Poisoning), severe Medium Cost
Surgery, Small and Large Bowel Medium Cost
Ultrasound - Abdomen Higher Cost
Ultrasound - Head and Neck Higher Cost
Ultrasound - Kidney Medium Cost
Ultrasound - Pelvic Higher Cost
Ultrasound - Scrotum Medium Cost
Ultrasound - Transabdominal, first trimester Higher Cost
Ultrasound - Transvaginal (across vaginal area) Higher Cost
Vaginal Delivery Medium Cost
X-ray - Ankle Higher Cost
X-ray - Chest Higher Cost
X-ray - Elbow Medium Cost
X-ray - Foot Higher Cost
X-ray - Knee Higher Cost
X-ray - Shoulder Higher Cost
X-ray - Spine Higher Cost
X-ray - Wrist Higher Cost



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