Sanford Canby Medical Center
112 St Olaf Ave S, Canby, MN · Sanford Health · · NPI 1780781054
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $70.40 | $88.00 | $21.30 – $79.20 | 15 |
| 1st hosp/birthing center care per day nml nb 99460 CPT 99460 | not published | not published | $135.31 – $135.31 | 1 |
| 24 hr ambulatory b/p monitor CPT 93786 | not published | not published | $135.35 – $135.35 | 1 |
| 2d tee w or without fol w/con,in HCPCS C8925 | not published | not published | $829.56 – $829.56 | 1 |
| 2d tte w or without fol w/con,co HCPCS C8923 | not published | not published | $829.56 – $829.56 | 1 |
| 3d anat seg imaging preop HCPCS C8001 | not published | not published | $164.28 – $164.28 | 1 |
| 3-d radiotherapy plan CPT 77295 | not published | not published | $1,436.67 – $1,436.67 | 1 |
| 3d recon without postprocess indpndt CPT 76376 | $876.00 | $1,095.00 | $265.10 – $985.50 | 15 |
| 5% dextrose and 0.45% saline HCPCS S5010 | $86.40 | $108.00 | $26.15 – $97.20 | 15 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $55.20 | $69.00 | $16.70 – $62.10 | 15 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $2,341.48 | $2,926.84 | $44.25 – $2,634.16 | 15 |
| Abd aorta w/runoff s&i CPT 75630 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| Abdominal and Pelvic Blood Vessel Ultrasound (complete) CPT 93975 | $1,552.80 | $1,941.00 | $116.21 – $432.00 | 15 |
| Abdominal and Pelvic Blood Vessel Ultrasound (limited) CPT 93976 | $952.00 | $1,190.00 | $111.66 – $1,071.00 | 15 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $2,701.60 | $3,377.00 | $186.92 – $3,039.30 | 15 |
| Abdominal CT scan (with contrast) CPT 74160 | $2,637.60 | $3,297.00 | $186.92 – $2,967.30 | 15 |
| Abdominal CT scan (without contrast) CPT 74150 | $2,130.40 | $2,663.00 | $111.66 – $2,396.70 | 15 |
| Abdominal MRI (with and without contrast) CPT 74183 | $4,098.40 | $5,123.00 | $374.99 – $4,610.70 | 15 |
| Abdominal MRI (with contrast) CPT 74182 | $3,392.00 | $4,240.00 | $374.99 – $3,816.00 | 15 |
| Abdominal MRI (without contrast) CPT 74181 | $3,083.20 | $3,854.00 | $253.81 – $3,468.60 | 15 |
| Abdominal paracentesis w/image guidance CPT 49083 | $1,934.40 | $2,418.00 | $585.40 – $2,176.20 | 15 |
| Abdominal Ultrasound (complete) CPT 76700 | $1,004.00 | $1,255.00 | $111.66 – $1,129.50 | 15 |
| Abdominal Ultrasound (limited) CPT 76705 | $772.00 | $965.00 | $111.66 – $868.50 | 15 |
| Abdominal X-ray (2 views) CPT 74019 | $404.80 | $506.00 | $111.66 – $455.40 | 15 |
| Abdominal X-ray Series (acute, with chest view) CPT 74022 | $531.20 | $664.00 | $111.66 – $597.60 | 15 |
| Abdominal X-ray (single view) CPT 74018 | $329.60 | $412.00 | $92.45 – $370.80 | 15 |
| Abdominoplasty 15830 CPT 15830 | not published | not published | $6,847.53 – $6,847.53 | 1 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $1,487.20 | $1,859.00 | $450.06 – $1,673.10 | 15 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Ablate bone tumor(s) perq CPT 20982 | not published | not published | $13,510.16 – $13,510.16 | 1 |
| Ablate heart dysrhythm focus CPT 93650 | not published | not published | $7,967.51 – $7,967.51 | 1 |
| Ablate inf turbinate submuc 30802 CPT 30802 | not published | not published | $1,555.34 – $1,555.34 | 1 |
| Ablate inf turbinate superf 30801 CPT 30801 | not published | not published | $1,555.34 – $1,555.34 | 1 |
| Ablate pulm tumor perq crybl CPT 32994 | not published | not published | $10,931.77 – $10,931.77 | 1 |
| Ablate pulm tumor perq rf CPT 32998 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Ablation cardiac vagal inputs atrium CPT 93799 | not published | not published | $164.28 – $164.28 | 1 |
| Ablation cryo abd perit om CPT 49999 | not published | not published | $984.44 – $984.44 | 1 |
| Ablation cryo adrenal tumor CPT 60699 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Ablation cryo pq chest wall tumor(s) w/guid CPT 23929 | $4,517.60 | $5,647.00 | $251.87 – $5,082.30 | 15 |
| Ablation cryo pq liver tumor(s) CPT 47383 | not published | not published | $10,931.77 – $10,931.77 | 1 |
| Ablation cryo retro lymph node CPT 38999 | not published | not published | $459.04 – $459.04 | 1 |
| Ablation cryo thigh/knee CPT 27599 | not published | not published | $251.87 – $251.87 | 1 |
| Ablation of upper extremity nerves rf CPT 64999 | not published | not published | $309.95 – $309.95 | 1 |
| Abltj 1/+thyr ndul 1lobe prq CPT 60660 | not published | not published | $1,701.25 – $1,701.25 | 1 |
| Abltj mal prst8 tiss hifu CPT 55880 | not published | not published | $9,709.51 – $9,709.51 | 1 |
| Abortion (mpr) CPT 59866 | not published | not published | $319.40 – $319.40 | 1 |
| Abrasion lesion single CPT 15786 | not published | not published | $208.64 – $208.64 | 1 |
| Abscess drain retroperitoneal surg code CPT 49406 | not published | not published | $1,701.25 – $1,701.25 | 1 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | $194.01 | $242.51 | $39.53 – $146.95 | 15 |
| Acetaminophen level CPT 80143 | $73.60 | $92.00 | $22.27 – $82.80 | 15 |
| Acetone qualitative CPT 82009 | $59.20 | $74.00 | $17.92 – $66.60 | 15 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $374.36 | $467.94 | $27.65 – $102.79 | 15 |
| Acetylcysteine non-comp unit HCPCS J7608 | $16.83 | $21.03 | $5.09 – $18.93 | 15 |
| Acid perfusion of esophagus CPT 91030 | not published | not published | $557.13 – $557.13 | 1 |
| Acne surgery 10040 CPT 10040 | not published | not published | $208.64 – $208.64 | 1 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | $427.20 | $534.00 | $129.28 – $480.60 | 15 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $26.40 | $33.00 | $7.99 – $29.70 | 15 |
| Acoustic immitance testing CPT 92570 | not published | not published | $164.28 – $164.28 | 1 |
| Acoustic refl threshold tst CPT 92568 | not published | not published | $41.21 – $41.21 | 1 |
| Acromp/acromionectomy prtl CPT 23130 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Actinotherapy uv light CPT 96900 | not published | not published | $41.21 – $41.21 | 1 |
| Acup 1/> w/estim 1st 15 min CPT 97813 | not published | not published | $25.71 – $25.71 | 1 |
| Acup 1/> wo estim 1st 15 min CPT 97810 | not published | not published | $25.71 – $25.71 | 1 |
| Acute hepatitis panel CPT 80074 | $342.40 | $428.00 | $103.62 – $385.20 | 15 |
| Acute venous thrombus image CPT 78456 | not published | not published | $1,370.75 – $1,370.75 | 1 |
| Acyclovir 400 mg tablet HCPCS J8499 | $6.97 | $8.71 | $0.36 – $1.35 | 15 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $62.48 | $78.10 | $18.58 – $69.08 | 15 |
| Adding walker to prev cast CPT 29440 | not published | not published | $165.68 – $165.68 | 1 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $69.86 | $87.32 | $18.59 – $69.09 | 15 |
| Adj gastric band via subq port CPT 43999 | not published | not published | $984.44 – $984.44 | 1 |
| Adjmt/revj ext fixj sys anes CPT 20693 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $20.00 | $25.00 | $6.05 – $22.50 | 15 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $280.80 | $351.00 | $67.20 – $315.90 | 15 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $308.00 | $385.00 | $74.73 – $346.50 | 15 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $799.20 | $999.00 | $241.86 – $899.10 | 15 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $685.60 | $857.00 | $207.48 – $771.30 | 15 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $508.00 | $635.00 | $74.73 – $571.50 | 15 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $508.00 | $635.00 | $74.73 – $571.50 | 15 |
| Administration immunization each additional vaccine CPT 90472 | $40.00 | $50.00 | $12.11 – $45.00 | 15 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | $32.80 | $41.00 | $9.93 – $36.90 | 15 |
| Administration immunization intranasal/oral route each additional vaccine CPT 90474 | $37.60 | $47.00 | $11.38 – $42.30 | 15 |
| Administration vaccine influenza virus HCPCS G0008 | $40.00 | $50.00 | $12.11 – $45.00 | 15 |
| Administration vaccine pneumococcal HCPCS G0009 | $70.40 | $88.00 | $21.30 – $79.20 | 15 |
| Adrenal cortex & medulla img CPT 78075 | not published | not published | $1,370.75 – $1,370.75 | 1 |
| Adv prim care mgmt lvl 1 HCPCS G0556 | not published | not published | $31.28 – $31.28 | 1 |
| Adv prim care mgmt lvl 2 HCPCS G0557 | not published | not published | $31.28 – $31.28 | 1 |
| Adv prim care mgmt lvl 3 HCPCS G0558 | not published | not published | $97.13 – $97.13 | 1 |
| Aep hearing status deter i&r CPT 92651 | not published | not published | $326.96 – $326.96 | 1 |
| Aep neurodiagnostic i&r CPT 92653 | not published | not published | $326.96 – $326.96 | 1 |
| Aep thrshld est mlt freq i&r CPT 92652 | not published | not published | $326.96 – $326.96 | 1 |
| _afb id by dna probe rflx ast CPT 87149 | $80.00 | $100.00 | $24.21 – $90.00 | 15 |
| After cataract laser surgery CPT 66821 | not published | not published | $576.03 – $576.03 | 1 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | not published | not published | $227.74 – $227.74 | 1 |
| Air conduction bilat CPT 92552 | not published | not published | $135.35 – $135.35 | 1 |
| Airway resistance by impulse oscillometry 94728 CPT 94728 | not published | not published | $164.28 – $164.28 | 1 |
| Albumin body fluid quantitative each specimen CPT 82042 | $36.80 | $46.00 | $11.14 – $41.40 | 15 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $232.17 | $290.21 | $35.77 – $132.96 | 15 |
| Albumin, human 25 % intravenous solution HCPCS P9046 | not published | not published | $22.29 – $22.29 | 1 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | not published | not published | $55.72 – $55.72 | 1 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.