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 |
|---|---|---|---|---|
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | not published | not published | $186.92 – $446.60 | 2 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $4,181.60 | $5,227.00 | $374.99 – $4,704.30 | 15 |
| CT Angiogram of the Abdomen CPT 74175 | not published | not published | $186.92 – $446.60 | 2 |
| CT Angiogram of the Abdomen and Both Legs CPT 75635 | not published | not published | $186.92 – $186.92 | 1 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $2,885.60 | $3,607.00 | $186.92 – $3,246.30 | 15 |
| CT Angiogram of the Head CPT 70496 | $2,860.00 | $3,575.00 | $186.92 – $3,217.50 | 15 |
| CT Angiogram of the Neck CPT 70498 | $2,920.00 | $3,650.00 | $186.92 – $3,285.00 | 15 |
| CT angio hrt w/3d image CPT 75574 | not published | not published | $374.99 – $446.60 | 2 |
| CT angio pelvis CPT 72191 | not published | not published | $186.92 – $446.60 | 2 |
| Cta upper extremity w &/or without contrast left CPT 73206 | not published | not published | $186.92 – $446.60 | 2 |
| CT bone density axial CPT 77078 | not published | not published | $92.45 – $92.45 | 1 |
| CT colonography dx CPT 74261 | not published | not published | $111.66 – $352.55 | 2 |
| CT colonography dx w/dye CPT 74262 | not published | not published | $186.92 – $446.60 | 2 |
| CT colonography screening CPT 74263 | not published | not published | $253.81 – $253.81 | 1 |
| CT guid cryo ablat intramuscular CPT 20999 | not published | not published | $251.87 – $251.87 | 1 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | not published | not published | $92.45 – $92.45 | 1 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | not published | not published | $374.99 – $446.60 | 2 |
| CT hrt w/3d image CPT 75572 | not published | not published | $374.99 – $446.60 | 2 |
| CT limited or localized follow-up study CPT 76380 | not published | not published | $92.45 – $92.45 | 1 |
| CT lwr extremity w/o&w/dye CPT 73702 | not published | not published | $186.92 – $446.60 | 2 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | not published | not published | $243.83 – $243.83 | 1 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $4,394.40 | $5,493.00 | $374.99 – $4,943.70 | 15 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $4,086.40 | $5,108.00 | $374.99 – $4,597.20 | 15 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $3,645.60 | $4,557.00 | $253.81 – $4,101.30 | 15 |
| CT t-spine w /wo contrast CPT 72130 | not published | not published | $186.92 – $446.60 | 2 |
| CT uppr extremity w/o&w/dye CPT 73202 | not published | not published | $186.92 – $446.60 | 2 |
| Cult skin graft fnhfg 15155 CPT 15155 | not published | not published | $3,844.02 – $3,844.02 | 1 |
| Cult skin grft t/arm/leg CPT 15150 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| Culture aerobic additional method definitive id each CPT 87077 | $100.00 | $125.00 | $27.36 – $101.70 | 15 |
| Culture afb any source CPT 87116 | $67.20 | $84.00 | $20.34 – $75.60 | 15 |
| Culture anaerobic additional method definitive id each CPT 87076 | $101.60 | $127.00 | $30.75 – $114.30 | 15 |
| Culture anaerobic except blood CPT 87075 | $129.60 | $162.00 | $39.22 – $145.80 | 15 |
| Culture bact stool aero addl path ea CPT 87046 | $51.20 | $64.00 | $15.49 – $57.60 | 15 |
| Culture body fluid CPT 87070 | $99.20 | $124.00 | $23.24 – $86.40 | 15 |
| Culture fungi definitive id mold CPT 87107 | $108.00 | $135.00 | $16.22 – $60.30 | 15 |
| Culture fungi definitive id yeast CPT 87106 | $101.60 | $127.00 | $30.75 – $114.30 | 15 |
| Culture fungi other (except blood) CPT 87102 | $119.20 | $149.00 | $19.85 – $73.80 | 15 |
| Culture fungi skin/hair/nail CPT 87101 | $112.80 | $141.00 | $34.14 – $126.90 | 15 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $180.00 | $225.00 | $54.47 – $202.50 | 15 |
| Culture screening strep group a CPT 87081 | $73.60 | $92.00 | $22.27 – $82.80 | 15 |
| Culture typing immunologic CPT 87147 | $65.60 | $82.00 | $10.17 – $37.80 | 15 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $604.80 | $756.00 | $183.03 – $680.40 | 15 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $185.60 | $232.00 | $56.17 – $208.80 | 15 |
| Culture urine each isolate CPT 87088 | $89.60 | $112.00 | $27.12 – $100.80 | 15 |
| Curette/treat cornea CPT 65435 | not published | not published | $1,016.97 – $1,016.97 | 1 |
| Curette/treat cornea CPT 65436 | not published | not published | $2,449.61 – $2,449.61 | 1 |
| Cv line/pic reposition CPT 36597 | not published | not published | $1,631.11 – $1,631.11 | 1 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $62.38 | $77.97 | $18.39 – $68.38 | 15 |
| Cyclic citrullinated peptide antibody CPT 86200 | $133.60 | $167.00 | $40.43 – $150.30 | 15 |
| Cyclosporine 2 hour CPT 80158 | $118.40 | $148.00 | $35.83 – $133.20 | 15 |
| Cystatin c CPT 82610 | $99.20 | $124.00 | $30.02 – $111.60 | 15 |
| Cysto cgen post urtl valves CPT 52400 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $876.00 | $1,095.00 | $265.10 – $985.50 | 15 |
| Cysto impl 4 or more HCPCS C9740 | not published | not published | $9,709.51 – $9,709.51 | 1 |
| Cysto insj dev ischmc rmdlg CPT 53865 | not published | not published | $9,709.51 – $9,709.51 | 1 |
| Cystometrogram w/up 51727 CPT 51727 | not published | not published | $700.84 – $700.84 | 1 |
| Cystorrhaphy wound simple 51860 CPT 51860 | not published | not published | $9,709.51 – $9,709.51 | 1 |
| Cystoscopy and biopsy CPT 52007 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Cystoscopy and radiotracer CPT 52250 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Cystoscopy and treatment CPT 52214 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Cystoscopy and treatment CPT 52224 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Cystoscopy and treatment CPT 52234 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Cystoscopy and treatment CPT 52235 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Cystoscopy and treatment CPT 52240 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Cystoscopy and treatment CPT 52260 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Cystoscopy and treatment CPT 52265 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Cystoscopy and treatment CPT 52276 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Cystoscopy and treatment CPT 52277 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Cystoscopy and treatment CPT 52283 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Cystoscopy and treatment CPT 52285 | not published | not published | $700.84 – $700.84 | 1 |
| Cystoscopy and treatment CPT 52290 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Cystoscopy and treatment CPT 52300 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Cystoscopy and treatment CPT 52301 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Cystoscopy and treatment CPT 52305 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Cystoscopy and treatment CPT 52310 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Cystoscopy and treatment CPT 52315 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Cystoscopy and treatment CPT 52320 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Cystoscopy and treatment CPT 52330 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Cystoscopy (Bladder Scope) CPT 52000 | $3,423.20 | $4,279.00 | $700.84 – $3,851.10 | 15 |
| Cystoscopy chemodenervation CPT 52287 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Cystoscopy & duct catheter CPT 52010 | not published | not published | $700.84 – $700.84 | 1 |
| Cystoscopy implant stent CPT 52282 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Cystoscopy inject material CPT 52327 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Cystoscopy prostatic imp 1-3 HCPCS C9739 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Cystoscopy removal of clots CPT 52001 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Cystoscopy & revise urethra CPT 52270 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Cystoscopy & revise urethra CPT 52275 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Cystoscopy stone removal CPT 52325 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Cystoscopy & ureter catheter CPT 52005 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Cystotomy/cystostomy fulg+/insj radact matrl 51020 CPT 51020 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Cystotomy excise/incise/repair 51535 CPT 51535 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Cystouretero & or pyeloscope CPT 52351 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Cysto/uretero stricture tx CPT 52344 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Cystouretero w/biopsy CPT 52354 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Cystouretero w/excise tumor CPT 52355 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Cysto/uretero w/lithotripsy CPT 52356 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Cystouretero w/lithotripsy CPT 52353 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Cystouretero w/renal strict CPT 52346 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Cystouretero w/stone remove CPT 52352 | not published | not published | $3,621.42 – $3,621.42 | 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.