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 |
|---|---|---|---|---|
| Dx dark adaptation exam i&r CPT 92284 | not published | not published | $418.99 – $418.99 | 1 |
| Dx duod intub w/asp spec 43756 CPT 43756 | not published | not published | $984.44 – $984.44 | 1 |
| Dx duod intub w/asp specs CPT 43757 | not published | not published | $984.44 – $984.44 | 1 |
| Dx gastr intub w/asp spec CPT 43754 | not published | not published | $326.96 – $326.96 | 1 |
| Dx gastr intub w/asp specs CPT 43755 | not published | not published | $164.28 – $164.28 | 1 |
| Dx laryngoscopy newborn CPT 31520 | not published | not published | $407.73 – $407.73 | 1 |
| Dx laryngoscopy w/oper scope CPT 31526 | not published | not published | $1,810.69 – $1,810.69 | 1 |
| Dynamic cavernosometry CPT 54231 | not published | not published | $255.37 – $255.37 | 1 |
| Dynamic surface emg CPT 96002 | not published | not published | $326.96 – $326.96 | 1 |
| Ear and throat examination CPT 92502 | not published | not published | $534.71 – $534.71 | 1 |
| Ear canal biopsy 69105 CPT 69105 | not published | not published | $1,555.34 – $1,555.34 | 1 |
| Ear cartilage graft CPT 21235 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Ear irrigation 69209 CPT 69209 | $264.00 | $330.00 | $62.37 – $297.00 | 15 |
| Ear protector evaluation CPT 92596 | not published | not published | $41.21 – $41.21 | 1 |
| Ecallantide injection HCPCS J1290 | not published | not published | $576.49 – $576.49 | 1 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $153.60 | $192.00 | $46.48 – $172.80 | 15 |
| Ecg < 30 days transmission & analysis CPT 93271 | not published | not published | $96.38 – $96.38 | 1 |
| Ecg external < 48 hours recording CPT 93225 | $708.80 | $886.00 | $135.35 – $797.40 | 15 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $826.40 | $1,033.00 | $62.37 – $929.70 | 15 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $181.60 | $227.00 | $41.21 – $204.30 | 15 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $230.40 | $288.00 | $41.21 – $259.20 | 15 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $2,481.60 | $3,102.00 | $575.70 – $2,791.80 | 15 |
| Echocardiogram (Limited Follow-Up Heart Ultrasound) CPT 93308 | $1,002.40 | $1,253.00 | $253.81 – $1,127.70 | 15 |
| Echocardiography doppler color flow mapping CPT 93325 | $684.80 | $856.00 | $207.24 – $770.40 | 15 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $2,664.80 | $3,331.00 | $806.44 – $2,997.90 | 15 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $1,104.80 | $1,381.00 | $334.34 – $1,242.90 | 15 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $434.40 | $543.00 | $131.46 – $488.70 | 15 |
| Echo exam of eye CPT 76516 | not published | not published | $111.66 – $111.66 | 1 |
| Echo exam of eye CPT 76519 | not published | not published | $111.66 – $111.66 | 1 |
| Echo exam of eye CPT 76529 | not published | not published | $92.45 – $92.45 | 1 |
| Echo exam of eye thickness CPT 76514 | not published | not published | $25.71 – $25.71 | 1 |
| Echo exam of fetal heart CPT 76825 | not published | not published | $575.70 – $575.70 | 1 |
| Echo exam of fetal heart CPT 76826 | not published | not published | $253.81 – $253.81 | 1 |
| Echo exam of fetal heart CPT 76827 | not published | not published | $111.66 – $111.66 | 1 |
| Echo exam of fetal heart CPT 76828 | not published | not published | $111.66 – $111.66 | 1 |
| Echo exam uterus 76831- CPT 76831 | not published | not published | $253.81 – $253.81 | 1 |
| Echograp trans r pros study CPT 76873 | not published | not published | $111.66 – $111.66 | 1 |
| Echo guide for artery repair CPT 76936 | not published | not published | $326.96 – $326.96 | 1 |
| Echo stress CPT 93350 | $2,165.60 | $2,707.00 | $575.70 – $2,436.30 | 15 |
| Echo tee cngntl wo ctrst probe plcmnt CPT 93316 | not published | not published | $575.70 – $575.70 | 1 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | not published | not published | $575.70 – $575.70 | 1 |
| Echo transesophageal CPT 93313 | not published | not published | $575.70 – $575.70 | 1 |
| Echo transesophageal CPT 93315 | not published | not published | $575.70 – $575.70 | 1 |
| Echo transesophageal intraop CPT 93318 | not published | not published | $575.70 – $575.70 | 1 |
| Echo transthoracic CPT 93303 | $2,382.40 | $2,978.00 | $575.70 – $2,680.20 | 15 |
| Echo transthoracic CPT 93304 | not published | not published | $575.70 – $575.70 | 1 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $1,879.20 | $2,349.00 | $253.81 – $2,114.10 | 15 |
| Ecog impltd brn npgt <30 d CPT 95836 | not published | not published | $39.15 – $39.15 | 1 |
| Ecp ciliary body destruction CPT 66711 | not published | not published | $2,394.77 – $2,394.77 | 1 |
| Eculizumab injection HCPCS J1300 | not published | not published | $228.86 – $228.86 | 1 |
| Eeg 41-60 minutes 95812-26 CPT 95812 | $1,262.40 | $1,578.00 | $326.96 – $1,420.20 | 15 |
| Eeg/cerebral death evaluation only 95824 -26 CPT 95824 | not published | not published | $557.13 – $557.13 | 1 |
| Eeg monitoring/function test CPT 95958 | not published | not published | $1,068.26 – $1,068.26 | 1 |
| Eeg monitoring/giving drugs CPT 95954 | not published | not published | $557.13 – $557.13 | 1 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $1,134.40 | $1,418.00 | $326.96 – $1,276.20 | 15 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | not published | not published | $326.96 – $326.96 | 1 |
| Eeg/record in coma or sleep only 95822 CPT 95822 | not published | not published | $326.96 – $326.96 | 1 |
| Eeg recording awake and asleep CPT 95819 | $1,224.80 | $1,531.00 | $326.96 – $1,377.90 | 15 |
| Eeg without vid 2-12hr cont mntr CPT 95707 | not published | not published | $326.96 – $326.96 | 1 |
| Eeg without vid 2-12 hr unmntr CPT 95705 | not published | not published | $326.96 – $326.96 | 1 |
| Eeg without vid ea 12-26hr cont CPT 95710 | not published | not published | $557.13 – $557.13 | 1 |
| Eeg without vid ea 12-26hr intmt CPT 95709 | not published | not published | $557.13 – $557.13 | 1 |
| Eeg wo vid 2-12hr intmt mntr CPT 95706 | not published | not published | $326.96 – $326.96 | 1 |
| Eeg wo vid ea 12-26hr unmntr CPT 95708 | not published | not published | $557.13 – $557.13 | 1 |
| Efgartigimod alfa-fcab 20 mg/ml intravenous solution HCPCS J9332 | not published | not published | $33.19 – $33.19 | 1 |
| Egd balloon dil esoph30 mm/> CPT 43233 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Egd control bleeding any CPT 43255 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Egd dilate stricture CPT 43245 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Egd endo mucosal resection CPT 43254 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Egd endoscopic stent place CPT 43266 | not published | not published | $6,250.45 – $6,250.45 | 1 |
| Egd esophagogastrc fndoplsty CPT 43210 | not published | not published | $10,931.77 – $10,931.77 | 1 |
| Egd guide wire insertion CPT 43248 | not published | not published | $984.44 – $984.44 | 1 |
| Egd injection varices CPT 43243 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Egd/insert intraluminal tube/cath 43241 CPT 43241 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Egd lesion ablation CPT 43270 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Egd optical endomicroscopy CPT 43252 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Egd remove foreign body CPT 43247 | not published | not published | $984.44 – $984.44 | 1 |
| Egd remove lesion snare CPT 43251 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Egd/remov tum/polyp/hot bx forcep 43250 CPT 43250 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Egd Ultrasound exam duodenum/jejunum CPT 43259 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Egd Ultrasound fine needle bx/aspir CPT 43238 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Egd Ultrasound fine needle bx/aspir CPT 43242 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Egd Ultrasound transmural injxn/mark CPT 43253 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Egd varices ligation CPT 43244 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Egd w/thrml txmnt gerd CPT 43257 | not published | not published | $3,994.76 – $3,994.76 | 1 |
| Egd w/transmural drain cyst CPT 43240 | not published | not published | $6,250.45 – $6,250.45 | 1 |
| EKG tracing for initial prev HCPCS G0404 | $169.60 | $212.00 | $25.71 – $190.80 | 15 |
| EKG (Tracing Only) CPT 93005 | $265.60 | $332.00 | $62.37 – $298.80 | 15 |
| Elbow arthroscopy CPT 29830 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Elbow arthroscopy/surgery CPT 29834 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Elbow arthroscopy/surgery CPT 29835 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Elbow arthroscopy/surgery CPT 29836 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Elbow arthroscopy/surgery CPT 29837 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Elbow arthroscopy/surgery CPT 29838 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Elbow X-ray (2 views, both sides) CPT 73070 | $329.60 | $412.00 | $92.45 – $370.80 | 15 |
| Elbow X-ray (3 or more views, both sides) CPT 73080 | $368.80 | $461.00 | $92.45 – $414.90 | 15 |
| Elec analys infus pump w/reprog 62368 CPT 62368 | not published | not published | $314.91 – $314.91 | 1 |
| Elect analysis of infusion pump 62367 CPT 62367 | not published | not published | $314.91 – $314.91 | 1 |
| Elect anlys sp inf pmp w/reprg&fill 62369 CPT 62369 | not published | not published | $314.91 – $314.91 | 1 |
| Electrical Stimulation Therapy (each 15 minutes) CPT 97032 | $118.40 | $148.00 | $35.83 – $133.20 | 15 |
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.