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 |
|---|---|---|---|---|
| Incision of iris CPT 66500 | not published | not published | $2,394.77 – $2,394.77 | 1 |
| Incision of iris CPT 66505 | not published | not published | $2,394.77 – $2,394.77 | 1 |
| Incision of jaw joint CPT 21010 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Incision of jaw nerve CPT 64738 | not published | not published | $2,050.41 – $2,050.41 | 1 |
| Incision of knee joint CPT 27435 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Incision of lymph channels CPT 38308 | not published | not published | $4,020.74 – $4,020.74 | 1 |
| Incision of metatarsal CPT 28306 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Incision of metatarsal CPT 28307 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Incision of metatarsal CPT 28308 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Incision of metatarsals CPT 28309 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Incision of midfoot bones CPT 28304 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Incision of palm tendon CPT 26450 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Incision of prostate CPT 52450 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Incision of rectal abscess CPT 46060 | not published | not published | $2,879.51 – $2,879.51 | 1 |
| Incision of sperm duct CPT 55200 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Incision of spinal nerve 64772 CPT 64772 | not published | not published | $2,050.41 – $2,050.41 | 1 |
| Incision of tendon & muscle CPT 23405 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Incision of tendon sheath CPT 25000 | $4,356.00 | $5,445.00 | $1,318.23 – $4,900.50 | 15 |
| Incision of thigh tendon CPT 27306 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Incision of thigh tendon CPT 27390 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Incision of thigh tendons CPT 27307 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Incision of thigh tendons CPT 27391 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Incision of thigh tendons CPT 27392 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Incision of tibia CPT 27705 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Incision of tibia & fibula CPT 27709 | not published | not published | $13,510.16 – $13,510.16 | 1 |
| Incision of toe tendons 28011 CPT 28011 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Incision of tongue fold CPT 41010 | not published | not published | $1,555.34 – $1,555.34 | 1 |
| Incision of tongue nerve CPT 64740 | not published | not published | $2,050.41 – $2,050.41 | 1 |
| Incision of urethra CPT 53000 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Incision of urethra CPT 53010 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Incision of urethra CPT 53020 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Incision of urethra CPT 53025 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Incision of windpipe CPT 31601 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Incision of windpipe CPT 31610 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Incision of wrist capsule CPT 25085 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Incision secondary cataract CPT 66820 | not published | not published | $2,394.77 – $2,394.77 | 1 |
| Incision tendon sheath CPT 26055 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Incisn of toe tndn CPT 28010 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Incisn windpipe CPT 31600 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Induced abortion d&c CPT 59840 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Induced abortion dilat&evac CPT 59841 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s) CPT 87626 | $142.40 | $178.00 | $43.09 – $160.20 | 15 |
| Infect ag ia optc obs influenza CPT 87804 | $60.80 | $76.00 | $18.40 – $68.40 | 15 |
| Infect ag na hpv high-risk types CPT 87624 | $142.40 | $178.00 | $32.20 – $119.70 | 15 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $248.80 | $311.00 | $75.29 – $279.90 | 15 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $151.20 | $189.00 | $45.76 – $170.10 | 15 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $144.00 | $180.00 | $43.58 – $162.00 | 15 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $67.20 | $84.00 | $20.34 – $75.60 | 15 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $97.60 | $122.00 | $20.34 – $75.60 | 15 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $176.80 | $221.00 | $53.50 – $198.90 | 15 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $92.00 | $115.00 | $27.84 – $103.50 | 15 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $106.40 | $133.00 | $32.20 – $119.70 | 15 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $139.20 | $174.00 | $10.17 – $37.80 | 15 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $80.00 | $100.00 | $24.21 – $90.00 | 15 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $90.40 | $113.00 | $27.36 – $101.70 | 15 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $120.80 | $151.00 | $15.49 – $57.60 | 15 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $172.00 | $215.00 | $34.62 – $128.70 | 15 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $202.40 | $253.00 | $61.25 – $227.70 | 15 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $151.20 | $189.00 | $26.15 – $97.20 | 15 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $107.20 | $134.00 | $32.44 – $120.60 | 15 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $185.60 | $232.00 | $56.17 – $208.80 | 15 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $108.00 | $135.00 | $26.15 – $97.20 | 15 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $124.80 | $156.00 | $66.00 – $140.40 | 15 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | $349.60 | $437.00 | $105.80 – $393.30 | 15 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $460.80 | $576.00 | $139.45 – $518.40 | 15 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $112.00 | $140.00 | $31.96 – $118.80 | 15 |
| Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae CPT 87494 | $280.00 | $350.00 | $79.41 – $295.20 | 15 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $1,227.20 | $1,534.00 | $371.38 – $1,380.60 | 15 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | $312.80 | $391.00 | $94.66 – $351.90 | 15 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | $704.00 | $880.00 | $213.05 – $792.00 | 15 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $113.60 | $142.00 | $34.38 – $127.80 | 15 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $104.80 | $131.00 | $31.72 – $117.90 | 15 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $455.20 | $569.00 | $137.75 – $512.10 | 15 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $427.20 | $534.00 | $129.28 – $480.60 | 15 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $348.00 | $435.00 | $105.31 – $391.50 | 15 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $1,587.80 | $1,984.74 | $32.81 – $914.26 | 15 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | $691.41 | $864.26 | $21.68 – $777.83 | 15 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | $804.90 | $1,006.12 | $13.88 – $905.51 | 15 |
| Infuse radioactive materials CPT 77750 | not published | not published | $276.13 – $276.13 | 1 |
| Ingest challenge ini 120 min CPT 95076 | not published | not published | $557.13 – $557.13 | 1 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | not published | not published | $213.56 – $213.56 | 1 |
| Inj, acetaminophen (b braun) HCPCS J0136 | $214.84 | $268.54 | $32.51 – $120.84 | 15 |
| Inj acetaminophen -fresenius HCPCS J0134 | $129.19 | $161.48 | $39.09 – $145.33 | 15 |
| Inj, adalimumab, 1 mg HCPCS J0139 | $1,679.01 | $2,098.76 | $508.11 – $1,888.88 | 15 |
| Inj, adzynma, 10 iu HCPCS J7171 | not published | not published | $35.25 – $35.25 | 1 |
| Inj alymsys 10 mg HCPCS Q5126 | $2,727.24 | $3,409.04 | $825.33 – $3,068.14 | 15 |
| Inj anifrolumab-fnia 1mg HCPCS J0491 | not published | not published | $17.63 – $17.63 | 1 |
| Inj. asceniv HCPCS J1554 | not published | not published | $500.66 – $500.66 | 1 |
| Inj aval alfa-nqpt 4mg HCPCS J0219 | not published | not published | $79.24 – $79.24 | 1 |
| Inj., benralizumab, 1 mg HCPCS J0517 | $8,205.27 | $10,256.58 | $170.48 – $9,230.92 | 15 |
| Inj, bortezomib freseniuskab HCPCS J9048 | $1,926.94 | $2,408.67 | $583.14 – $2,167.80 | 15 |
| Inj., cerliponase alfa 1 mg HCPCS J0567 | not published | not published | $116.40 – $116.40 | 1 |
| Inj, cipaglucosidase, 5 mg HCPCS J1203 | not published | not published | $89.74 – $89.74 | 1 |
| Inj cutaquig 100 mg HCPCS J1551 | not published | not published | $14.78 – $14.78 | 1 |
| Inj cuvitru, 100 mg HCPCS J1555 | not published | not published | $17.14 – $17.14 | 1 |
| Inj, daptomycin (baxter) HCPCS J0874 | $223.17 | $278.96 | $60.27 – $224.06 | 15 |
| Inj daptomycin (xellia) HCPCS J0873 | $69.80 | $87.25 | $21.12 – $78.53 | 15 |
| Inj, donanemab-azbt, 2 mg HCPCS J0175 | not published | not published | $4.16 – $4.16 | 1 |
| Inj dupuytren cord w/enzyme CPT 20527 | not published | not published | $309.95 – $309.95 | 1 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | not published | not published | $727.15 – $727.15 | 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.