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 |
|---|---|---|---|---|
| Destroy vulva lesion extensive 56515 CPT 56515 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| Destroy vulva lesion simple 56501 CPT 56501 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| Destruct ben lesion 15/> 17111 CPT 17111 | not published | not published | $208.64 – $208.64 | 1 |
| Destruct cut vasl lesions 10-50cm 17107 CPT 17107 | not published | not published | $642.74 – $642.74 | 1 |
| Destruct cut vasl lesions <10cm 17106 CPT 17106 | not published | not published | $419.51 – $419.51 | 1 |
| Destruct cut vasl lesions >50cm 17108 CPT 17108 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| Destruction 2-14 lesions 17003 CPT 17003 | $36.00 | $45.00 | $10.89 – $40.50 | 15 |
| Destruction anal lesion(s) CPT 46910 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| Destruction anal lesion(s) CPT 46924 | not published | not published | $2,879.51 – $2,879.51 | 1 |
| Destruction anal lesion(s) smpl chem 46900 CPT 46900 | not published | not published | $419.51 – $419.51 | 1 |
| Destruction benign lesions < 14 lesions CPT 17110 | $243.20 | $304.00 | $73.60 – $273.60 | 15 |
| Destruction by injection tx of nerve 64630 CPT 64630 | not published | not published | $934.80 – $934.80 | 1 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | not published | not published | $2,050.41 – $2,050.41 | 1 |
| Destruction ciliary body CPT 66700 | not published | not published | $2,394.77 – $2,394.77 | 1 |
| Destruction ciliary body CPT 66720 | not published | not published | $2,449.61 – $2,449.61 | 1 |
| Destruction ciliary body CPT 66740 | not published | not published | $2,449.61 – $2,449.61 | 1 |
| Destruction cryosurgery anal lesion(s) simpl 46916 CPT 46916 | not published | not published | $208.64 – $208.64 | 1 |
| Destruction laser surgery anal lesions 46917 CPT 46917 | not published | not published | $2,879.51 – $2,879.51 | 1 |
| Destruction les conjunctiva CPT 68135 | not published | not published | $2,449.61 – $2,449.61 | 1 |
| Destruction mal lsn s/n/h/f/g 2.1-3cm CPT 17273 | not published | not published | $419.51 – $419.51 | 1 |
| Destruction mal lsn s/n/h/f/g 3.1-4cm CPT 17274 | not published | not published | $419.51 – $419.51 | 1 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | not published | not published | $419.51 – $419.51 | 1 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | not published | not published | $419.51 – $419.51 | 1 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | not published | not published | $419.51 – $419.51 | 1 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| Destruction premal lesions 15/> 17004 CPT 17004 | not published | not published | $419.51 – $419.51 | 1 |
| Destruction rectal tumor 45190 CPT 45190 | not published | not published | $2,879.51 – $2,879.51 | 1 |
| Destruction vag lesions complex 57065 CPT 57065 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Destruction vag lesions simple 57061 CPT 57061 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| Devel tst phys/qhp 1st hr CPT 96112 | not published | not published | $164.28 – $164.28 | 1 |
| Device intraute mirena HCPCS J7298 | $845.72 | $1,057.14 | $255.93 – $951.43 | 15 |
| Devlopment test interpt&rep HCPCS G0451 | not published | not published | $97.13 – $97.13 | 1 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | not published | not published | $92.45 – $92.45 | 1 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $4.70 | $5.87 | $0.36 – $1.35 | 15 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $61.00 | $76.24 | $18.23 – $67.79 | 15 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $280.64 | $350.80 | $84.93 – $315.72 | 15 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $86.40 | $108.00 | $26.15 – $97.20 | 15 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $86.40 | $108.00 | $19.61 – $72.90 | 15 |
| Dextrose 5 % IV bolus HCPCS J7070 | $86.40 | $108.00 | $26.15 – $97.20 | 15 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $197.60 | $247.00 | $59.80 – $222.30 | 15 |
| Diabetes (HbA1c) Test CPT 83036 | $87.20 | $109.00 | $38.50 – $98.10 | 15 |
| Diabetes training group per 30 min g0109 HCPCS G0136 | not published | not published | $31.28 – $31.28 | 1 |
| Diab manage trn ind/group HCPCS G0109 | $64.00 | $80.00 | $19.37 – $72.00 | 15 |
| Diag bronchoscope/catheter CPT 31643 | not published | not published | $1,810.69 – $1,810.69 | 1 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Diagnostic anoscopy CPT 46601 | not published | not published | $418.99 – $418.99 | 1 |
| Diagnostic anoscopy & biopsy CPT 46607 | not published | not published | $1,238.03 – $1,238.03 | 1 |
| Diagnostic anoscopy spx 46600 CPT 46600 | not published | not published | $135.35 – $135.35 | 1 |
| Diagnostic laryngoscopy 31505 CPT 31505 | not published | not published | $203.85 – $203.85 | 1 |
| Diagnostic laryngoscopy 31575 CPT 31575 | not published | not published | $203.85 – $203.85 | 1 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $424.00 | $530.00 | $128.31 – $477.00 | 15 |
| Diagnostic Mammogram (one breast) CPT 77065 | $272.80 | $341.00 | $82.56 – $306.90 | 15 |
| Diagnostic radio unlisted proc CPT 76499 | not published | not published | $92.45 – $92.45 | 1 |
| Dialysis one evaluation CPT 90945 | not published | not published | $447.11 – $447.11 | 1 |
| Diathermy eg microwave CPT 97024 | $89.60 | $112.00 | $27.12 – $100.80 | 15 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $66.64 | $83.29 | $19.97 – $74.22 | 15 |
| Diffusing capacity CPT 94729 | $234.40 | $293.00 | $70.94 – $263.70 | 15 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $64.80 | $81.00 | $18.31 – $68.09 | 15 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $4,438.71 | $5,548.38 | $1,343.26 – $4,993.54 | 15 |
| Digoxin total therapeutic drug level CPT 80162 | $114.40 | $143.00 | $34.62 – $128.70 | 15 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $96.63 | $120.78 | $29.24 – $108.70 | 15 |
| Dilate esophagus CPT 43453 | $2,518.40 | $3,148.00 | $762.13 – $2,833.20 | 15 |
| Dilate esophagus 1/mult pass CPT 43450 | not published | not published | $984.44 – $984.44 | 1 |
| Dilate tear duct opening CPT 68801 | not published | not published | $418.99 – $418.99 | 1 |
| Dilate urethra stricture CPT 53600 | not published | not published | $255.37 – $255.37 | 1 |
| Dilate urethra stricture CPT 53601 | not published | not published | $135.35 – $135.35 | 1 |
| Dilate urethra stricture CPT 53605 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Dilate urethra stricture CPT 53621 | not published | not published | $255.37 – $255.37 | 1 |
| Dilation/female urethra/initial 53660 CPT 53660 | not published | not published | $164.28 – $164.28 | 1 |
| Dilation of anal sphincter CPT 45905 | not published | not published | $1,238.03 – $1,238.03 | 1 |
| Dilation of cervical canal 57800 CPT 57800 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Dilation of rectal stricture 45910 CPT 45910 | not published | not published | $1,238.03 – $1,238.03 | 1 |
| Dilation of salivary duct CPT 42660 | not published | not published | $534.71 – $534.71 | 1 |
| Dilation of urethra CPT 53661 | not published | not published | $135.35 – $135.35 | 1 |
| Dilation of urethra CPT 53665 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Dilation of vagina CPT 57400 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Dilation salivary duct 42650 CPT 42650 | not published | not published | $1,555.34 – $1,555.34 | 1 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | not published | not published | $700.84 – $700.84 | 1 |
| Dilat xst trc ndurlgc px CPT 50436 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Dilat xst trc new access rcs CPT 50437 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | $61.25 | $76.56 | $18.34 – $68.19 | 15 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | $515.85 | $644.81 | $156.11 – $580.33 | 15 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | $1.20 | $1.50 | $0.36 – $1.35 | 15 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $62.48 | $78.09 | $18.31 – $68.06 | 15 |
| Dir nsl mucous membrane test CPT 95065 | not published | not published | $41.21 – $41.21 | 1 |
| Disability dlco CPT 94727 | $280.00 | $350.00 | $84.74 – $315.00 | 15 |
| Disarticulation sho sec clsr CPT 23921 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| Discography cerv/thor spine CPT 72285 | not published | not published | $2,050.41 – $2,050.41 | 1 |
| Dise eval slp do brth flx dx CPT 42975 | not published | not published | $1,810.69 – $1,810.69 | 1 |
| Dist revas ligation hemo CPT 36838 | not published | not published | $5,675.99 – $5,675.99 | 1 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Dna antibody native/double stranded CPT 86225 | $100.00 | $125.00 | $30.26 – $112.50 | 15 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $132.43 | $165.53 | $18.75 – $69.70 | 15 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $130.23 | $162.78 | $39.41 – $146.50 | 15 |
| Doppler echo complete CPT 93320 | $760.80 | $951.00 | $230.24 – $855.90 | 15 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $648.00 | $810.00 | $164.28 – $729.00 | 15 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $540.80 | $676.00 | $133.64 – $496.80 | 15 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | not published | not published | $283.24 – $283.24 | 1 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | not published | not published | $114.74 – $114.74 | 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.