Billing Information & Financial Services

To avoid surprises about your care costs, check with your insurance company before your visit and talk about your financial coverage, plus your rights and responsibilities. This could include whether you need a referral or prior authorization (permission) for your appointment.

You can login to mychart to get a cost of care estimate. 

Beginning January 1, 2021, the U.S. Department of Health & Human Services and Centers for Medicare & Medicaid Services also requires hospitals and health systems to disclose all standard charges. Negotiated rate information is available here, listed by hospital:

• M Health Fairview Lakes Medical Center
• M Health Fairview Northland Medical
• M Health Fairview Ridges Hospital
• M Health Fairview Southdale Hospital
• M Health Fairview St. John’s Hospital
• M Health Fairview St. Joseph’s Hospital
• M Health Fairview University of Minnesota Masonic Children’s Hospital
• M Health Fairview University of Minnesota Medical Center
• M Health Fairview Woodwinds Hospital

Gross charge (a.k.a, “list prices”) information is available here: 

• M Health Fairview Lakes, Northland, Ridges, Southdale & University of Minnesota Medical Center
• M Health Fairview St. John's, St. Joseph's & Woodwinds Hospitals 
• Fairview Range Medical Center and Grand Itasca Clinic & Hospital

You have the right to an estimate of the charges for care. You also may speak to a financial counselor before you agree to a suggested procedure. There are two different ways to obtain an estimate for the cost of care: 

1. View our Fairview online patient estimate tool
2. Submit a pricing inquiry request form

If you have additional questions, you can call one of our Financial Service representatives at 612-672-1048. You can also view hospital pricing and compare charges on the Minnesota Hospital Association website.

Minnesota statute 62J.812 requires our primary care clinics to post charges and payments for 25 of the most commonly billed procedures, and the average payments or reimbursements received for those services from government and commercial insurance. You can review this information here:

• M Health Fairview Clinics, formally known as Fairview Clinics

• M Health Fairview Clinics in the east region, formally known as HealthEast

Prices listed do not reflect what you may owe for your care. The amount you may owe out of pocket for your care depends on the type of insurance you have and your insurance’s contracted rate with our health system.

If you would like to get an accurate estimate of the payment rate M Health Fairview will receive related to your care, and/or an estimate of what you may need to pay out of pocket, please contact your insurance company.

In accordance with the GPDC Performance Year (PY) 2022 Direct Contracting Entities (DCEs) are required to publicly report certain information from the start of each PY. 

Based on Section 14.01 of the PY 2022 PA, each DCE shall report the following organizational information on a publicly accessible website maintained by the DCE. 

Direct Contracting Public Reporting Requirements:

1 Name and location of the Direct Contracting Entity
Fairview Health Services
2450 Riverside Avenue
Minneapolis, MN 55454

3. Please see excel document for list of Participant and Preferred Providers
Direct Contracting Participant List January 2022
Direct Contracting Preferred Provider List Dec 2021

4. Identification of all joint ventures between or among the Direct Contracting Entity and any of its Direct Contracting Participant Providers and Preferred Providers:
There are no joint ventures between Fairview Health Services and any of its Direct Contracting  Participant  Providers and Preferred Providers.

5. Key clinical and administrative leaders and the name of any company by which they are employed:

6. Governing Body members and the name of the entity by which they are employed:

7. Shared Savings and Shared Losses information, including:
Shared savings and shared losses will be updated as results become available in 2022.

1. The amount of any Shared Savings or Shared Losses for any Performance Year
2. The proportion of Shared Savings invested in infrastructure, redesigned care processes, and other resources necessary to improve outcomes and reduce Medicare costs for Beneficiaries; and
3. The proportion of Shared Savings distributed to DC Participant Providers and Preferred Providers

8. Performance on the quality measures described in Section 9.02
  Performance on quality measures will be updated as results become available in 2022.

Your bills depend on the clinics you visit and the services you receive. The out-of-pocket costs that you pay may be different depending on whether you receive care or tests in a freestanding or hospital-based clinic.

Because of your own health insurance plan, an outpatient hospital visit may cost more out-of-pocket. It may be through an increased co-pay, co-insurance, or deductible amount. Your insurance company can explain the cost difference between services in a hospital based clinic and those in a freestanding clinic.

If your insurance plan calls for a our co-pay, it’s due when you visit. We accept cash, personal check, and credit/debit cards (Visa®, MasterCard®, American Express® and Discover®).

Before your visit, you may want to check with your insurance company for coverage, referral, and payment options. Ask about the cost difference between outpatient services in a hospital-based clinic versus a freestanding clinic.

Hospital-based: The medical center owns some of our clinics (hospital-based).

Freestanding clinics: The clinic is not owned and operated by a hospital. 

M Health Fairview’s Hospital-Based Clinics

M Health Fairview Clinics & Surgery Centers - Minneapolis

Advanced Treatment Center

Blood and Marrow Transplant Clinic

Breast Center (Clinic services only. Imaging services billed as freestanding clinic) 

Center for Bleeding and Clotting Disorders

Center for Lung Science and Health

Delaware Infectious Disease Clinic

Heart Care Clinic

Hepatology (Liver) Clinic

Masonic Cancer Clinic

Multiple Sclerosis Care (Neurology Clinic)

Nephrology (Kidney) Clinic

Rheumatology Clinic

Solid Organ Transplant Clinic

Other Specialty Clinics

Discovery Clinic (pediatric)

Explorer Clinic (pediatric)

Eye Clinic

Journey Clinic (pediatric)

Lakes Cancer Clinic

Maternal Fetal Medicine Clinic

Psychiatry Clinic

Ridges Cancer Clinic

Sleep Medicine Center (Riverside)

Southdale Cancer Clinic

Women’s Health Specialists

University of Minnesota Health Heart Care (imaging services at most locations are considered hospital-based)

There may be exceptions for specific programs or services within a clinic or for imaging or anesthesiology.

The following hospital-based clinics of University of Minnesota Medical Center charge a facility fee: Lakes Cancer Clinic, Ridges Cancer Clinic, and Southdale Cancer Clinic. Patients at these clinics may receive a separate charge or bill for the facility fee.

Facility fees at hospital based locations:
62J.824 FACILITY FEE DISCLOSURE. (a) Prior to the delivery of nonemergency services, a provider-based clinic that charges a facility fee shall provide notice to any patient stating that the clinic is part of a hospital and the patient may receive a separate charge or billing for the facility component, which may result in a higher out-of-pocket expense Adding- Understanding Your Bills If you receive treatment at one of our M Health Fairview hospitals or a hospital-based clinic, you will most likely receive two bills. One will be for physician and care team services (this will often be from M Physicians). The other bill will be from Fairview Health Services for hospital services (nursing, equipment, and facilities). Medicare Medicare rules require hospital-based clinics to bill some services as two separate charges. One charge is for the provider's services (provider fee). The other charge is for the costs of nursing staff, supplies, equipment and building expenses (facility fee).