Grand Itasca Clinic And Hospital
Fairview Health Services
Hospital Overview
Facility Details
CCN
240064
NPI
1669426631
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
64
Contact Information
Address
1601 Golf Course Road
Grand Rapids, MN 55744
Phone
(218) 326-3401
Insurance Accepted
💡
Important Notice
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
Price Transparency Contract Information
The data below comes from CMS-mandated price transparency data. Learn more.
NOTE: Rates shown are negotiated amounts between this hospital and insurance providers. Actual patient costs depend on your insurance plan and coverage details.
| Payer | Category | Code Type & Group | Contract Type | Rate Compared to State Average |
|---|---|---|---|---|
Aetna | Outpatient | HCPCS Miscellaneous Medical Services Range: M0075 - M0301 | Negotiated | Very Low |
Aetna | Outpatient | CPT Pathology and Laboratory Procedures Range: 80047 - 89398 | Negotiated | Very Low |
Aetna | Outpatient | CPT Proprietary Laboratory Analyses Range: 0001U - 0401U | Negotiated | Very Low |
Aetna | Outpatient | HCPCS Durable medical equipment (DME) Medicare administrative contractors (MACs) Range: K0001 - K0900 | Negotiated | High |
Aetna | Outpatient | CPT Surgery Range: 10004 - 69990 | Negotiated | Very Low |
Aetna | Outpatient | CPT Evaluation and Management Range: 99091 - 99499 | Negotiated | Very Low |
Aetna | Outpatient | HCPCS Matrix for Wound Management (Placental, Equine, Synthetic) Range: A2001 - A2021 | Negotiated | High |
Aetna | Outpatient | HCPCS Orthotic Procedures and services Range: L0112 - L4631 | Negotiated | Low |
Aetna | Outpatient | HCPCS Outpatient PPS Range: C1713 - C9899 | Negotiated | Very Low |
Aetna | Outpatient | HCPCS Hearing Services Range: V5008 - V5364 | Negotiated | Low |
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