CT imaging
CT abdomen and pelvis with contrast
CPT 74177
$2,250 - $2,319
from 2 insurers ยท median $2,284
Typical for a hospital with this service line
Mayo Clinic ยท Lake City, MN
34
In-network payers
241
Disclosed rate categories
18
Beds
Mayo Clnic Health System - Lake City is an 18-bed voluntary non-profit - private hospital in Lake City, MN, affiliated with Mayo Clinic. Below you'll find publicly disclosed negotiated rates and facility details, including 34 in-network payers and 241 disclosed rate categories.
CCN (Medicare provider number)
241338
NPI
1538113022
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Private
Beds
18
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.




The 24 services Mayo Clnic Health System - Lake City most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
CT imaging
CPT 74177
$2,250 - $2,319
from 2 insurers ยท median $2,284
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$1,771 - $2,518
from 2 insurers ยท median $2,144
Typical for a hospital with this service line
CT imaging
CPT 71275
$2,528 - $2,754
from 2 insurers ยท median $2,641
Typical for a hospital with this service line
CT imaging
CPT 70450
$779 - $858
from 2 insurers ยท median $818
Typical for a hospital with this service line
CT imaging
CPT 74176
$1,281 - $1,338
from 2 insurers ยท median $1,310
Typical for a hospital with this service line
Mammography
CPT 77067
$347 - $361
from 2 insurers ยท median $354
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$4,547
negotiated rate
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$1,794 - $2,247
from 2 insurers ยท median $2,021
Typical for a hospital with this service line
MRI imaging
CPT 70553
$4,801
negotiated rate
Typical for a hospital with this service line
MRI imaging
CPT 73721
$2,287 - $2,803
from 2 insurers ยท median $2,545
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$3,679 - $5,123
from 2 insurers ยท median $4,401
Typical for a hospital with this service line
MRI imaging
CPT 72141
$2,580 - $2,737
from 2 insurers ยท median $2,659
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$2,894
negotiated rate
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$14,383
negotiated rate
Typical for a hospital with this service line
MRI imaging
CPT 70551
$3,377
negotiated rate
Typical for a hospital with this service line
Ultrasound
CPT 76705
$394 - $480
from 2 insurers ยท median $437
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$4,097
negotiated rate
Hospital reports nuclear medicine services to CMS
Digestive procedures
CPT 45378
$3,560
negotiated rate
Typical for a hospital with this service line
Laboratory and pathology
CPT 80053
$88 - $99
from 2 insurers ยท median $94
Typical for a hospital with this service line
Medicine & Surgery
CPT 55866
$42,984
negotiated rate
Typical for a hospital with this service line
Ultrasound
CPT 76830
$445 - $482
from 2 insurers ยท median $463
Typical for a hospital with this service line
Gynecology
CPT 58571
$9,614
negotiated rate
Typical for a hospital with this service line
Gynecology
CPT 58558
$8,564
negotiated rate
Typical for a hospital with this service line
Ultrasound
CPT 76536
$411 - $427
from 2 insurers ยท median $419
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 14 | 471% | 12 | 2 |
| Insurer B* | 24 | 450% | 13 | 4 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Mayo Clnic Health System - Lake City.
500 West Grant Street, Lake City, MN 55041
(651) 345-5955
About Mayo Clnic Health System - Lake City's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Mayo Clnic Health System - Lake City range from $4,801 to $4,801 across 1 insurers. Aetna's rate is $4,801. The median at nearby comparable hospitals is $3,340. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Mayo Clnic Health System - Lake City range from $2,250 to $2,319 across 2 insurers. Aetna's rate is $2,319. The median at nearby comparable hospitals is $1,959. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Mayo Clnic Health System - Lake City range from $1,794 to $2,247 across 2 insurers. Aetna's rate is $2,247. The median at nearby comparable hospitals is $3,291. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Mayo Clnic Health System - Lake City range from $347 to $361 across 2 insurers. Blue Cross Blue Shield's rate is $347. The median at nearby comparable hospitals is $349. What a patient pays depends on their plan's deductible, coinsurance and network status.
Mayo Clnic Health System - Lake City has 18 beds. Facility type: Critical Access Hospital.
Mayo Clnic Health System - Lake City is located at 500 West Grant Street, Lake City, MN 55041. Its main phone number is (651) 345-5955.
Mayo Clnic Health System - Lake City's CMS Certification Number (CCN), also called its Medicare provider number, is 241338.
The National Provider Identifier (NPI) on file for Mayo Clnic Health System - Lake City is 1538113022.
Mayo Clnic Health System - Lake City is affiliated with Mayo Clinic.
Mayo Clnic Health System - Lake City lists 34 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
241 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers