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 |
|---|---|---|---|---|
| Ext ecg>7d<15d scan a/r CPT 93247 | $380.00 | $475.00 | $115.00 – $427.50 | 15 |
| Extended visual field xm CPT 92083 | not published | not published | $135.35 – $135.35 | 1 |
| Extensive ear canal surgery 69150 CPT 69150 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Extensive hand surgery CPT 26250 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Extensive mastoid surgery CPT 69511 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Extensive mastoid surgery CPT 69530 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Extensive surgery of throat CPT 42842 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Extensive surgery of throat CPT 42844 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Extensive testis surgery CPT 54535 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| External cannula declotting CPT 36860 | not published | not published | $1,631.11 – $1,631.11 | 1 |
| External ocular photography CPT 92285 | not published | not published | $41.21 – $41.21 | 1 |
| Extnd color vision xm CPT 92283 | not published | not published | $62.37 – $62.37 | 1 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $84.00 | $105.00 | $17.19 – $63.90 | 15 |
| Extraction of lens CPT 66930 | not published | not published | $4,224.00 – $4,224.00 | 1 |
| Extraction of lens CPT 66940 | not published | not published | $2,394.77 – $2,394.77 | 1 |
| Extraction of lens 66920 CPT 66920 | not published | not published | $2,394.77 – $2,394.77 | 1 |
| Extrnl counterpulse, per tx HCPCS G0166 | not published | not published | $135.35 – $135.35 | 1 |
| Eye allergy tests CPT 95060 | not published | not published | $135.35 – $135.35 | 1 |
| Eye Socket (Orbit) X-ray CPT 70200 | $472.00 | $590.00 | $111.66 – $531.00 | 15 |
| Eye Socket, Pituitary or Ear CT Scan (with and without contrast) CPT 70482 | $2,569.60 | $3,212.00 | $186.92 – $2,890.80 | 15 |
| Eye Socket, Pituitary or Ear CT Scan (with contrast) CPT 70481 | $2,384.80 | $2,981.00 | $186.92 – $2,682.90 | 15 |
| Eye Socket, Pituitary or Ear CT Scan (without contrast) CPT 70480 | $2,116.00 | $2,645.00 | $111.66 – $2,380.50 | 15 |
| Face bone graft CPT 21210 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Face, Eye Socket and Neck MRI (with and without contrast) CPT 70543 | $4,304.00 | $5,380.00 | $374.99 – $4,842.00 | 15 |
| Face, Eye Socket and Neck MRI (without contrast) CPT 70540 | $3,376.00 | $4,220.00 | $253.81 – $3,798.00 | 15 |
| Facial Bones X-ray (1 to 2 views) CPT 70140 | not published | not published | $92.45 – $92.45 | 1 |
| Facial Bones X-ray (complete) CPT 70150 | $477.60 | $597.00 | $111.66 – $537.30 | 15 |
| Facial nerve function test CPT 92516 | not published | not published | $326.96 – $326.96 | 1 |
| Facility svs dental rehab HCPCS G0330 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Fallopian tube recnl CPT 58345 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Family therapy without pt 50min 90846 CPT 90846 | not published | not published | $168.70 – $168.70 | 1 |
| Family therapy with patient 50 min 90847 CPT 90847 | not published | not published | $168.70 – $168.70 | 1 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $60.81 | $76.01 | $18.28 – $67.95 | 15 |
| Fecal microbiota prep instil HCPCS G0455 | not published | not published | $957.30 – $957.30 | 1 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $71.20 | $89.00 | $21.55 – $80.10 | 15 |
| Fem/popl revasc w/stent CPT 37226 | not published | not published | $11,907.60 – $11,907.60 | 1 |
| Feno poc CPT 95012 | not published | not published | $41.21 – $41.21 | 1 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $61.52 | $76.89 | $18.29 – $68.00 | 15 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $1,204.66 | $1,505.82 | $364.56 – $1,355.24 | 15 |
| Ferritin CPT 82728 | $133.60 | $167.00 | $40.43 – $150.30 | 15 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | $637.73 | $797.16 | $192.99 – $717.44 | 15 |
| Ferumoxytol, esrd use HCPCS Q0139 | $637.73 | $797.16 | $0.32 – $717.44 | 15 |
| Fetal biophys profile w/nst 76818 CPT 76818 | not published | not published | $111.66 – $111.66 | 1 |
| Fetal contract stress test 59020 - 26 CPT 59020 | not published | not published | $211.23 – $211.23 | 1 |
| Fetal cord puncture prenatal CPT 59012 | not published | not published | $319.40 – $319.40 | 1 |
| Fetal fibronectin CPT 82731 | $329.60 | $412.00 | $99.75 – $370.80 | 15 |
| Fetal fluid drainage w/us CPT 59074 | not published | not published | $319.40 – $319.40 | 1 |
| Fetal non stress test CPT 59025 | $378.40 | $473.00 | $114.51 – $425.70 | 15 |
| Fetal scalp blood sampling 59030 CPT 59030 | not published | not published | $319.40 – $319.40 | 1 |
| Fetal shunt placement w/us CPT 59076 | not published | not published | $319.40 – $319.40 | 1 |
| Fibrin degradation d dimer quantitative CPT 85379 | $115.20 | $144.00 | $34.86 – $129.60 | 15 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | $714.34 | $892.92 | $142.50 – $529.74 | 15 |
| Filleted finger/toe flap CPT 14350 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| Filtered speech hearing test CPT 92571 | not published | not published | $41.21 – $41.21 | 1 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | not published | not published | $738.77 – $738.77 | 1 |
| Fine needle asp without image guide 10021 CPT 10021 | $731.20 | $914.00 | $221.28 – $822.60 | 15 |
| Finger tendon transfer CPT 26497 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Finger tendon transfer CPT 26498 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Finger X-ray (both hands) CPT 73140 | $315.20 | $394.00 | $92.45 – $354.60 | 15 |
| Fitting of diaphragm/cap 57170 CPT 57170 | not published | not published | $211.23 – $211.23 | 1 |
| Fixation of ankle joint CPT 27860 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Fixation of knee joint CPT 27570 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Fixation of shoulder blade CPT 23400 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Fix g/colon tube w/device CPT 49460 | not published | not published | $984.44 – $984.44 | 1 |
| Fixtn pq skel dstl rad fx/epiphysl sep CPT 25606 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Flebogamma injection HCPCS J1572 | not published | not published | $52.94 – $52.94 | 1 |
| Fl exam g/colon tube w contrast CPT 49465 | not published | not published | $253.81 – $253.81 | 1 |
| Flexible Sigmoidoscopy CPT 45330 | not published | not published | $957.30 – $957.30 | 1 |
| Flexor-plasty elbow CPT 24330 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Flexor-plasty elbw w/advmnt CPT 24331 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Floor of mouth biopsy 41108 CPT 41108 | not published | not published | $1,701.25 – $1,701.25 | 1 |
| Flow cytometry marker each additional CPT 88185 | $121.60 | $152.00 | $36.80 – $136.80 | 15 |
| Flow cytometry one marker technical component CPT 88184 | $558.40 | $698.00 | $168.99 – $628.20 | 15 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $107.70 | $134.62 | $32.35 – $120.26 | 15 |
| Fluidotherapy charges pt CPT 97022 | $156.00 | $195.00 | $47.21 – $175.50 | 15 |
| Fluid pressure muscle 20950 CPT 20950 | not published | not published | $738.77 – $738.77 | 1 |
| Fluorescein angioscopy i&r CPT 92230 | not published | not published | $557.13 – $557.13 | 1 |
| Fluorescein angrph mltiframe CPT 92235 | not published | not published | $326.96 – $326.96 | 1 |
| Fluorescein&icg angiography CPT 92242 | not published | not published | $326.96 – $326.96 | 1 |
| Fluorescent antibody titer dna CPT 86256 | $96.00 | $120.00 | $27.36 – $101.70 | 15 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $632.00 | $790.00 | $191.26 – $711.00 | 15 |
| Fluoroscopy (Live X-ray Guidance, up to 1 hour) CPT 76000 | $664.00 | $830.00 | $200.94 – $747.00 | 15 |
| Fmri brain by phys/psych CPT 70555 | not published | not published | $253.81 – $578.05 | 2 |
| Fmri brain by tech CPT 70554 | not published | not published | $253.81 – $578.05 | 2 |
| Fna bx w/ct gdn 1st les CPT 10009 | not published | not published | $738.77 – $738.77 | 1 |
| Fna bx w/mr gdn 1st les CPT 10011 | not published | not published | $738.77 – $738.77 | 1 |
| Folic acid CPT 82746 | $140.00 | $175.00 | $42.37 – $157.50 | 15 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $60.09 | $75.11 | $18.18 – $67.60 | 15 |
| Follow-up angiography CPT 75898 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| Follow-up surgery of eye CPT 66250 | not published | not published | $2,449.61 – $2,449.61 | 1 |
| Foot X-ray CPT 73630 | $368.80 | $461.00 | $92.45 – $414.90 | 15 |
| Foot X-ray (2 views, both feet) CPT 73620 | $313.60 | $392.00 | $92.45 – $352.80 | 15 |
| Forearm X-ray (both sides) CPT 73090 | $329.60 | $412.00 | $92.45 – $370.80 | 15 |
| Forehead flap w/vasc pedicle 15731 CPT 15731 | not published | not published | $3,844.02 – $3,844.02 | 1 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | not published | not published | $255.37 – $255.37 | 1 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $61.55 | $76.93 | $18.62 – $69.24 | 15 |
| Fracture assessment via dxa CPT 77086 | not published | not published | $92.45 – $92.45 | 1 |
| _fragile x methylation-sendout CPT 81244 | $120.80 | $151.00 | $36.56 – $135.90 | 15 |
| Fragmenting of kidney stone CPT 50590 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Frenectomy 41115 CPT 41115 | not published | not published | $1,555.34 – $1,555.34 | 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.