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 |
|---|---|---|---|---|
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | not published | not published | $984.44 – $984.44 | 1 |
| Esophagoscopy flex dx brush CPT 43197 | not published | not published | $984.44 – $984.44 | 1 |
| Esophagoscopy flex remove fb CPT 43215 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Esophagoscopy lesion ablate CPT 43229 | not published | not published | $3,994.76 – $3,994.76 | 1 |
| Esophagoscopy lesion removal CPT 43216 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Esophagoscopy retro balloon CPT 43213 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Esophagoscopy rigid balloon CPT 43195 | not published | not published | $3,994.76 – $3,994.76 | 1 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Esophagoscopy rigid trnso 43180 CPT 43180 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Esophagoscopy snare les remv CPT 43217 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Esophagoscopy w/us needle bx CPT 43232 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Esophagoscp guide wire dilat 43196 CPT 43196 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Esophagoscp rig trnso biopsy CPT 43193 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Esophagoscp rig trnso inject CPT 43192 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Esophagoscp rig trnso rem fb CPT 43194 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Esophagus endoscopy/ligation CPT 43205 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Esophagus motility study CPT 91010 | not published | not published | $557.13 – $557.13 | 1 |
| Esoph balloon distension tst CPT 91040 | not published | not published | $557.13 – $557.13 | 1 |
| Esoph egd dilation <30 mm CPT 43249 | not published | not published | $958.10 – $1,991.84 | 2 |
| Esoph endoscopy dilation CPT 43226 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Esoph imped function test CPT 91037 | not published | not published | $326.96 – $326.96 | 1 |
| Esoph imped funct test > 1hr CPT 91038 | not published | not published | $557.13 – $557.13 | 1 |
| Esoph optical endomicroscopy CPT 43206 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Esoph scope w/sclerosis inj CPT 43204 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Esoph scope w/submucous inj CPT 43201 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Essure 58565 CPT 58565 | not published | not published | $5,183.27 – $5,183.27 | 1 |
| Established Patient Office Visit (level 1) CPT 99211 | $241.60 | $302.00 | $22.27 – $82.80 | 15 |
| Established Patient Office Visit (level 2) CPT 99212 | $123.20 | $154.00 | $37.28 – $138.60 | 15 |
| Established Patient Office Visit (level 3) CPT 99213 | $153.60 | $192.00 | $44.30 – $164.70 | 15 |
| Established Patient Office Visit (level 4) CPT 99214 | $192.00 | $240.00 | $55.44 – $206.10 | 15 |
| Established Patient Office Visit (level 5) CPT 99215 | $240.80 | $301.00 | $69.48 – $258.30 | 15 |
| Estradiol total CPT 82670 | $186.40 | $233.00 | $56.41 – $209.70 | 15 |
| Estrogens total-sendout CPT 82672 | $52.80 | $66.00 | $15.98 – $59.40 | 15 |
| Ethmoidectomy extranasal total 31205 CPT 31205 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Etonogestrel implant system HCPCS J7307 | $1,839.43 | $2,299.28 | $449.24 – $1,670.04 | 15 |
| Evacuate mole of uterus CPT 59870 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $361.60 | $452.00 | $109.43 – $406.80 | 15 |
| Evaluation of speech fluency 92521 CPT 92521 | $297.60 | $372.00 | $90.06 – $334.80 | 15 |
| Evaluation psychiatric diagnostic CPT 90791 | not published | not published | $168.70 – $168.70 | 1 |
| Event monitor CPT 93270 | not published | not published | $39.15 – $39.15 | 1 |
| Evoked auditory tst complete CPT 92588 | not published | not published | $326.96 – $326.96 | 1 |
| Evoked oa emissions ltd CPT 92587 | not published | not published | $326.96 – $326.96 | 1 |
| Evoked potentials upper limbs CPT 95925 | not published | not published | $326.96 – $326.96 | 1 |
| Evoked potential visual not glaucoma CPT 95930 | not published | not published | $326.96 – $326.96 | 1 |
| Exam of vagina w/scope 57420 CPT 57420 | not published | not published | $319.40 – $319.40 | 1 |
| Exam plvc w/anes othr thn lcl CPT 57410 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Ex arm/elbow tum deep < 5 cm CPT 24076 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Ex arm/elbow tum deep 5 cm/> CPT 24073 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Exc abd les sc 3 cm/> CPT 22903 | $5,467.20 | $6,834.00 | $1,654.51 – $6,150.60 | 15 |
| Exc abdl tum deep < 5 cm CPT 22900 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Exc abdl tum deep 5 cm/> CPT 22901 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | $5,296.80 | $6,621.00 | $1,602.94 – $5,958.90 | 15 |
| Exc arm/elbo les sc <3cm 24075 CPT 24075 | not published | not published | $1,701.25 – $1,701.25 | 1 |
| Exc aurl glomus tum trnscanl CPT 69550 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Exc aurl glomus tum trnsmstd CPT 69552 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Exc back les sbq <3 cm 21930 CPT 21930 | not published | not published | $1,701.25 – $1,701.25 | 1 |
| Exc back tum deep 5 cm/> CPT 21933 | $6,620.00 | $8,275.00 | $2,003.38 – $7,447.50 | 15 |
| Exc bartholins gland/cyst CPT 56740 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Exc benign feenlm 3.1-4.0cm 11444 CPT 11444 | not published | not published | $1,701.25 – $1,701.25 | 1 |
| Exc benign feenlm >4.0cm 11446 CPT 11446 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 | $3,394.40 | $4,243.00 | $1,027.23 – $3,818.70 | 15 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | not published | not published | $738.77 – $738.77 | 1 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | $1,568.80 | $1,961.00 | $474.76 – $1,764.90 | 15 |
| Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 | $2,087.20 | $2,609.00 | $598.96 – $2,226.60 | 15 |
| Exc ben+marg excep skin tag feenlm 2.1-3cm 11443 CPT 11443 | not published | not published | $1,701.25 – $1,701.25 | 1 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | $2,014.40 | $2,518.00 | $609.61 – $2,266.20 | 15 |
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | $3,230.40 | $4,038.00 | $977.60 – $3,634.20 | 15 |
| Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | $1,284.80 | $1,606.00 | $388.81 – $1,445.40 | 15 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | $2,555.20 | $3,194.00 | $738.77 – $2,874.60 | 15 |
| Exc breast duct fistula 19112 CPT 19112 | not published | not published | $4,020.74 – $4,020.74 | 1 |
| Exc cervix repair bowel 57556 CPT 57556 | not published | not published | $5,183.27 – $5,183.27 | 1 |
| Exc cervix/repair vagina 57555 CPT 57555 | not published | not published | $5,183.27 – $5,183.27 | 1 |
| Exc chest wall tumor w/ribs 21601 CPT 21601 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Exc coccygl pr ulc flap clsr CPT 15922 | not published | not published | $3,844.02 – $3,844.02 | 1 |
| Exc coccygl pr ulc prim sutr CPT 15920 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Exc constrict ring finger w/mlt z-plasties 26596 CPT 26596 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Exc/crtg b1 cst/b9 tum rds CPT 24120 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Exc/crtg b1 cst/tum hum agrf CPT 24115 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Exc/crtg b1 cst/tum hum algr CPT 24116 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Exc/crtg b1 cst/tum rds agrf CPT 24125 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Exc/crtg b1 cst/tum rds algr CPT 24126 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Exc/curetg cst/tum tarsal/metar w/iliac/agrf 28106 CPT 28106 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Exc/curtg b1 cst/b9 tum hum CPT 24110 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Exc excessive skin buttock CPT 15835 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Exc excessive skin hip CPT 15834 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Exc excessive skin leg CPT 15833 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Exc excessive skin thigh CPT 15832 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Exc excsv skin forearm/hand CPT 15837 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Exc excsv submental fat pad CPT 15838 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Exc ext ear/partial/simple repair 69110 CPT 69110 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Exc face tum deep < 2 cm CPT 21013 | not published | not published | $1,701.25 – $1,701.25 | 1 |
| Exc face tum deep 2cm/> 21014 CPT 21014 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Exc feenl mal+mrg 0.6-1 11641 CPT 11641 | $2,025.60 | $2,532.00 | $613.00 – $2,278.80 | 15 |
| Exc feenl mal+mrg 2.1-3 11643 CPT 11643 | not published | not published | $1,701.25 – $1,701.25 | 1 |
| Exc foot/toe tum dep 1.5cm/> CPT 28041 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Exc foot/toe tum subq < 1.5 cm 28043 CPT 28043 | $4,466.40 | $5,583.00 | $1,351.64 – $5,024.70 | 15 |
| Exc forearm les sc 3 cm/> CPT 25071 | not published | not published | $1,701.25 – $1,701.25 | 1 |
| Exc forearm tum deep < 3 cm CPT 25076 | not published | not published | $1,701.25 – $1,701.25 | 1 |
| Exc forearm tum deep 3 cm/> CPT 25073 | not published | not published | $3,005.15 – $3,005.15 | 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.