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 |
|---|---|---|---|---|
| Head CT scan (with and without contrast) CPT 70470 | $2,569.60 | $3,212.00 | $186.92 – $2,890.80 | 15 |
| Head CT scan (with contrast) CPT 70460 | $2,384.80 | $2,981.00 | $186.92 – $2,682.90 | 15 |
| Head CT scan (without contrast) CPT 70450 | $1,952.80 | $2,441.00 | $111.66 – $2,196.90 | 15 |
| Heart first pass multiple CPT 78483 | not published | not published | $565.18 – $565.18 | 1 |
| Heart image spect CPT 78494 | not published | not published | $421.92 – $421.92 | 1 |
| Heart infarct image CPT 78466 | not published | not published | $421.92 – $421.92 | 1 |
| Heart infarct image (ef) CPT 78468 | not published | not published | $565.18 – $565.18 | 1 |
| Heel (Calcaneus) X-ray (both feet) CPT 73650 | $329.60 | $412.00 | $92.45 – $370.80 | 15 |
| Helicobacter pylori antibody igm CPT 86677 | $184.00 | $230.00 | $55.68 – $207.00 | 15 |
| Hematocrit CPT 85014 | $47.20 | $59.00 | $14.28 – $53.10 | 15 |
| Hematopoietic nuclear tx CPT 79403 | not published | not published | $235.34 – $235.34 | 1 |
| Hemiepiphyseal arrest CPT 24470 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Hemodialysis one evaluation CPT 90935 | not published | not published | $734.71 – $734.71 | 1 |
| Hemoglobin CPT 85018 | $40.00 | $50.00 | $12.11 – $45.00 | 15 |
| Hemoglobin plasma CPT 83051 | $97.60 | $122.00 | $29.54 – $109.80 | 15 |
| Hemophilus influenza antibdy CPT 86684 | $56.80 | $71.00 | $17.19 – $63.90 | 15 |
| Hemorrhoidectomy intern transanal deater 2+ 46948 CPT 46948 | not published | not published | $2,879.51 – $2,879.51 | 1 |
| Hemorrhoidectomy intrnl lig rbbr band ligations CPT 46221 | $1,665.60 | $2,082.00 | $504.05 – $1,873.80 | 15 |
| Hemorrhoidopexy stapling 46947 CPT 46947 | not published | not published | $2,879.51 – $2,879.51 | 1 |
| Hepagam b intravenous, inj HCPCS J1573 | $252.69 | $315.86 | $76.47 – $284.27 | 15 |
| Heparin assay CPT 85520 | $155.20 | $194.00 | $46.97 – $174.60 | 15 |
| Heparin bolus from bag HCPCS J1644 | $130.43 | $163.03 | $18.20 – $67.64 | 15 |
| Hepatitis a antibody igm CPT 86709 | $69.60 | $87.00 | $21.06 – $78.30 | 15 |
| Hepatitis b core antibody igm CPT 86705 | $155.20 | $194.00 | $46.97 – $174.60 | 15 |
| Hepatitis b core antibody total CPT 86704 | $95.20 | $119.00 | $28.81 – $107.10 | 15 |
| Hepatitis b surface antibody CPT 86706 | $95.20 | $119.00 | $28.81 – $107.10 | 15 |
| Hepatitis b vaccine 40 mcg/ml inj-adult CPT 90747 | $216.15 | $270.18 | $65.41 – $243.16 | 15 |
| Hepatitis c antibody CPT 86803 | $144.80 | $181.00 | $43.82 – $162.90 | 15 |
| Hernia Repair (Inguinal) CPT 49505 | not published | not published | $3,705.51 – $3,705.51 | 1 |
| Herpes simplex type 1 antibody igg CPT 86695 | $88.00 | $110.00 | $26.63 – $99.00 | 15 |
| Herpes simplex type 2 antibody igg CPT 86696 | $88.00 | $110.00 | $26.63 – $99.00 | 15 |
| Heterophile antibodies screening CPT 86308 | $67.20 | $84.00 | $20.34 – $75.60 | 15 |
| Hi enrgy eswt plantar fascia CPT 28890 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Hip and Pelvis X-ray (2 views, both hips) CPT 73521 | $440.80 | $551.00 | $111.66 – $495.90 | 15 |
| Hip and Pelvis X-ray (3 to 4 views, both hips) CPT 73522 | $504.00 | $630.00 | $111.66 – $567.00 | 15 |
| Hip and Pelvis X-ray (single view, left side) CPT 73501 | $296.00 | $370.00 | $89.58 – $333.00 | 15 |
| Hip arthr0 w/debridement CPT 29862 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Hip arthr0 w/synovectomy CPT 29863 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Hip arthro acetabuloplasty CPT 29915 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Hip arthroscopy dx CPT 29860 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Hip arthro w/fb removal CPT 29861 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Hip arthro w/femoroplasty CPT 29914 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Hip arthro w/labral repair CPT 29916 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Hip X-ray CPT 73502 | $362.40 | $453.00 | $92.45 – $407.70 | 15 |
| HIV prep counsel, clin staff HCPCS G0013 | not published | not published | $31.28 – $31.28 | 1 |
| Hizentra injection HCPCS J1559 | not published | not published | $13.46 – $13.46 | 1 |
| Hla ii typing 1 loc hr CPT 81382 | $299.20 | $374.00 | $90.55 – $336.60 | 15 |
| Hlth bhv assmt/reassessment CPT 96156 | not published | not published | $97.13 – $97.13 | 1 |
| Hlth bhv ivntj fam 1st 30 CPT 96167 | not published | not published | $31.28 – $31.28 | 1 |
| Hlth bhv ivntj grp 1st 30 CPT 96164 | not published | not published | $31.28 – $31.28 | 1 |
| Hlth bhv ivntj indiv 1st 30 CPT 96158 | not published | not published | $168.70 – $168.70 | 1 |
| Home sleep test/type 3 porta HCPCS G0399 | $698.40 | $873.00 | $211.35 – $785.70 | 15 |
| Homocysteine CPT 83090 | $96.00 | $120.00 | $29.05 – $108.00 | 15 |
| Hopd mntl hlt, grp HCPCS C7903 | not published | not published | $31.28 – $31.28 | 1 |
| H pylori (c-13) breath CPT 83013 | $250.40 | $313.00 | $75.78 – $281.70 | 15 |
| Hrv skn cll ssp agrft 1st 25 CPT 15011 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| Hyaluronidase 150 unit/ml injection solution HCPCS J3470 | $85.18 | $106.47 | $25.78 – $95.82 | 15 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | $98.44 | $123.04 | $29.79 – $110.74 | 15 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $89.89 | $112.36 | $19.17 – $71.28 | 15 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $73.76 | $92.19 | $21.22 – $78.90 | 15 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $62.67 | $78.33 | $18.96 – $70.50 | 15 |
| Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge HCPCS J7999 | $85.00 | $106.25 | $25.72 – $95.63 | 15 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $61.98 | $77.47 | $18.76 – $69.72 | 15 |
| Hymenotomy CPT 56442 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Hyoid myotomy & suspension CPT 21685 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Hyperthermia ext gen deep CPT 77605 | not published | not published | $728.50 – $728.50 | 1 |
| Hyperthermia ext gen supfc CPT 77600 | not published | not published | $276.13 – $276.13 | 1 |
| Hyperthermia gen intrcv prb CPT 77620 | not published | not published | $607.39 – $607.39 | 1 |
| Hyperthermia ntrstl prb 5/< CPT 77610 | not published | not published | $607.39 – $607.39 | 1 |
| Hyperthermia ntrstl prb>5 CPT 77615 | not published | not published | $607.39 – $607.39 | 1 |
| Hyqvia 100mg immuneglobulin HCPCS J1575 | not published | not published | $17.81 – $17.81 | 1 |
| Hysterosalpingography s&i CPT 74740 | $1,023.20 | $1,279.00 | $253.81 – $1,151.10 | 15 |
| Hysteroscopy ablation CPT 58563 | not published | not published | $5,183.27 – $5,183.27 | 1 |
| Hysteroscopy biopsy CPT 58558 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Hysteroscopy dx sep proc CPT 58555 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Hysteroscopy lysis CPT 58559 | not published | not published | $5,183.27 – $5,183.27 | 1 |
| Hysteroscopy remove fb CPT 58562 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Hysteroscopy remove myoma CPT 58561 | not published | not published | $5,183.27 – $5,183.27 | 1 |
| Hysteroscopy resect septum CPT 58560 | not published | not published | $5,183.27 – $5,183.27 | 1 |
| Hysterotomy abdominal 59100 CPT 59100 | not published | not published | $5,183.27 – $5,183.27 | 1 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | $267.33 | $334.16 | $80.90 – $300.74 | 15 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $224.80 | $281.00 | $68.03 – $252.90 | 15 |
| Icatibant injection HCPCS J1744 | not published | not published | $93.19 – $93.19 | 1 |
| Icg angiography i&r uni/bi CPT 92240 | not published | not published | $326.96 – $326.96 | 1 |
| Icut allergy test-delayed CPT 95028 | not published | not published | $41.21 – $41.21 | 1 |
| Icut allergy test drug/bug CPT 95024 | not published | not published | $62.37 – $62.37 | 1 |
| Icut allergy titrate-airborn CPT 95027 | not published | not published | $25.71 – $25.71 | 1 |
| I&d abscess posterior spine l/s/ls-22015 CPT 22015 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| I&d/bursa/foot 28001 CPT 28001 | not published | not published | $1,701.25 – $1,701.25 | 1 |
| I&d frarm&/wrst deep absc/hematoma CPT 25028 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| I&d intramural/intramuscular/submuc abscess transanal anes CPT 46045 | not published | not published | $2,879.51 – $2,879.51 | 1 |
| I&d lacrimal gland CPT 68400 | not published | not published | $1,016.97 – $1,016.97 | 1 |
| I&d lacrimal sac CPT 68420 | not published | not published | $2,449.61 – $2,449.61 | 1 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Idursulfase injection HCPCS J1743 | not published | not published | $548.06 – $548.06 | 1 |
| I & d vag hematoma non-ob 57023 CPT 57023 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| I&d vag hemtma obst/postpart CPT 57022 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Igh@ var region somatic mutation analy CPT 81263 | $718.40 | $898.00 | $217.41 – $808.20 | 15 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $159.20 | $199.00 | $48.18 – $179.10 | 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.