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 |
|---|---|---|---|---|
| Intra-atrial pacing CPT 93610 | not published | not published | $7,967.51 – $7,967.51 | 1 |
| Intra-atrial recording CPT 93602 | not published | not published | $7,967.51 – $7,967.51 | 1 |
| Intracranial complete study CPT 93886 | not published | not published | $253.81 – $253.81 | 1 |
| Intracranial limited study CPT 93888 | not published | not published | $111.66 – $111.66 | 1 |
| Intranasal biopsy 30100 CPT 30100 | not published | not published | $1,555.34 – $1,555.34 | 1 |
| Intranasal reconstruction CPT 30620 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Intraoral i+d tongue/floor lingual 41000 CPT 41000 | not published | not published | $534.71 – $534.71 | 1 |
| Intrapul surf admin endo tube CPT 94610 | not published | not published | $213.56 – $213.56 | 1 |
| Intrauterine transfusion ftl CPT 36460 | not published | not published | $459.04 – $459.04 | 1 |
| Intraventricular pacing CPT 93612 | not published | not published | $7,967.51 – $7,967.51 | 1 |
| Intrinsic factor antibody CPT 86340 | $56.80 | $71.00 | $17.19 – $63.90 | 15 |
| Intrm oph exam est patient CPT 92012 | not published | not published | $135.31 – $135.31 | 1 |
| Intro cath dialysis circuit CPT 36901 | not published | not published | $1,631.11 – $1,631.11 | 1 |
| Intro cath dialysis circuit w/pta CPT 36902 | not published | not published | $5,986.60 – $5,986.60 | 1 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | not published | not published | $11,907.60 – $11,907.60 | 1 |
| Intro long gi tube CPT 44500 | not published | not published | $984.44 – $984.44 | 1 |
| Intro windpipe wire/tube CPT 31730 | not published | not published | $1,810.69 – $1,810.69 | 1 |
| Intubation endotracheal emergency procedure CPT 31500 | $744.00 | $930.00 | $225.15 – $837.00 | 15 |
| Io anal gast n-stim subsq CPT 95981 | not published | not published | $62.37 – $62.37 | 1 |
| Io ga n-stim subsq w/reprog CPT 95982 | not published | not published | $39.15 – $39.15 | 1 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $20.00 | $25.00 | $6.05 – $22.50 | 15 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $100.00 | $125.00 | $6.05 – $22.50 | 15 |
| Ipratropium bromide non-comp HCPCS J7644 | $3.89 | $4.86 | $1.18 – $4.37 | 15 |
| Iron CPT 83540 | $84.00 | $105.00 | $25.42 – $94.50 | 15 |
| Iron binding capacity CPT 83550 | $105.60 | $132.00 | $31.96 – $118.80 | 15 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $82.79 | $103.48 | $25.05 – $93.13 | 15 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $66.40 | $82.99 | $19.99 – $74.30 | 15 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $160.80 | $201.00 | $43.58 – $162.00 | 15 |
| Irrigation sphenoid sinus CPT 31002 | not published | not published | $1,555.34 – $1,555.34 | 1 |
| Irrigation vagina and/or appl medicament tx disease CPT 57150 | not published | not published | $62.37 – $62.37 | 1 |
| Isatuximab-irfc 20 mg/ml intravenous solution HCPCS J9227 | $5,053.68 | $6,317.09 | $1,529.37 – $5,685.38 | 15 |
| Island pedicle flap graft CPT 15740 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| Ivc venogram s&i CPT 75825 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| IV Fluids (each additional hour) CPT 96361 | $190.40 | $238.00 | $48.45 – $214.20 | 15 |
| IV Fluids (first hour) CPT 96360 | $632.80 | $791.00 | $191.50 – $711.90 | 15 |
| Ivig non-lyophilized, nos HCPCS J1599 | not published | not published | $156.45 – $156.45 | 1 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $187.20 | $234.00 | $47.20 – $210.60 | 15 |
| IV inj ra drug dx study CPT 78808 | not published | not published | $421.92 – $421.92 | 1 |
| IV Medicine Infusion (additional drug) CPT 96367 | $376.80 | $471.00 | $68.80 – $423.90 | 15 |
| IV Medicine Infusion (each additional hour) CPT 96366 | $190.40 | $238.00 | $48.45 – $214.20 | 15 |
| IV Medicine Infusion (first hour) CPT 96365 | $705.60 | $882.00 | $151.20 – $675.00 | 15 |
| IV njx tst vasc flo flap/grf CPT 15860 | not published | not published | $418.99 – $418.99 | 1 |
| IV Push Injection (each additional drug) CPT 96375 | $184.80 | $231.00 | $6.05 – $22.50 | 15 |
| IV Push Injection (first drug) CPT 96374 | $484.80 | $606.00 | $6.05 – $22.50 | 15 |
| Ivp w/nephrotomography CPT 74415 | $1,202.40 | $1,503.00 | $186.92 – $1,352.70 | 15 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $1,087.20 | $1,359.00 | $186.92 – $1,223.10 | 15 |
| Jaw arthroscopy/surgery CPT 29800 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Jaw arthroscopy/surgery CPT 29804 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Jaw Joint (TMJ) X-ray (both sides, open and closed) CPT 70330 | $425.60 | $532.00 | $92.45 – $478.80 | 15 |
| Jaw (Mandible) X-ray (complete) CPT 70110 | $492.80 | $616.00 | $111.66 – $554.40 | 15 |
| Jejunstmy tube plcmt CPT 44372 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Keratoprosthesis CPT 65770 | not published | not published | $15,003.78 – $15,003.78 | 1 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $46.40 | $58.00 | $14.04 – $52.20 | 15 |
| Ketorolac (Toradol) Pain Shot, 15 mg HCPCS J1885 | $62.40 | $77.99 | $18.24 – $67.80 | 15 |
| Kidney endoscopy CPT 50551 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Kidney endoscopy CPT 50553 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Kidney endoscopy CPT 50570 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Kidney endoscopy CPT 50575 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Kidney endoscopy & biopsy CPT 50555 | not published | not published | $9,709.51 – $9,709.51 | 1 |
| Kidney endoscopy & biopsy CPT 50574 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Kidney endoscopy & treatment CPT 50557 | not published | not published | $9,709.51 – $9,709.51 | 1 |
| Kidney endoscopy & treatment CPT 50561 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Kidney endoscopy & treatment CPT 50576 | not published | not published | $9,709.51 – $9,709.51 | 1 |
| Kidney endoscopy & treatment CPT 50580 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Kidney function study CPT 78725 | $2,088.00 | $2,610.00 | $421.92 – $2,349.00 | 15 |
| Kidney imaging morphology CPT 78700 | not published | not published | $421.92 – $421.92 | 1 |
| Kidney imag w/bld flow multi CPT 78709 | not published | not published | $565.18 – $565.18 | 1 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $1,356.80 | $1,696.00 | $410.60 – $1,526.40 | 15 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $1,017.60 | $1,272.00 | $111.66 – $1,144.80 | 15 |
| Kidney (Retroperitoneal) Ultrasound (limited) CPT 76775 | $700.00 | $875.00 | $111.66 – $787.50 | 15 |
| Knee Arthroscopy (Cartilage Smoothing) CPT 29877 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Knee arthroscopy/drainage CPT 29871 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Knee arthroscopy dx CPT 29870 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Knee Arthroscopy (Meniscus Trimming) CPT 29881 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Knee arthroscopy/surgery CPT 29850 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Knee arthroscopy/surgery CPT 29851 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Knee arthroscopy/surgery CPT 29873 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Knee arthroscopy/surgery CPT 29874 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Knee arthroscopy/surgery CPT 29875 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Knee arthroscopy/surgery CPT 29876 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Knee arthroscopy/surgery CPT 29879 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Knee arthroscopy/surgery CPT 29880 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Knee arthroscopy/surgery CPT 29882 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Knee arthroscopy/surgery CPT 29883 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Knee arthroscopy/surgery CPT 29884 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Knee arthroscopy/surgery CPT 29886 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Knee arthroscopy/surgery CPT 29887 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Knee arthroscopy/surgery CPT 29888 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Knee arthroscopy/surgery CPT 29889 | not published | not published | $13,510.16 – $13,510.16 | 1 |
| Knee MRI (with and without contrast) CPT 73723 | $3,895.20 | $4,869.00 | $374.99 – $4,382.10 | 15 |
| Knee MRI (with contrast) CPT 73722 | not published | not published | $611.05 – $829.56 | 2 |
| Knee MRI (without contrast) CPT 73721 | $3,237.60 | $4,047.00 | $253.81 – $3,642.30 | 15 |
| Knee X-ray CPT 73564 | $468.80 | $586.00 | $111.66 – $527.40 | 15 |
| Knee X-ray (1 to 2 views, both knees) CPT 73560 | $329.60 | $412.00 | $92.45 – $370.80 | 15 |
| Knee X-ray (3 views, both knees) CPT 73562 | $373.60 | $467.00 | $92.45 – $420.30 | 15 |
| Knee X-ray (standing, both knees) CPT 73565 | $324.80 | $406.00 | $92.45 – $365.40 | 15 |
| Kyleena, 19.5 mg HCPCS J7296 | $845.72 | $1,057.14 | $255.93 – $951.43 | 15 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $60.38 | $75.47 | $18.27 – $67.91 | 15 |
| Labioplasty 56800 CPT 56800 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Lactate dehydrogenase (ldh) CPT 83615 | $66.40 | $83.00 | $20.09 – $74.70 | 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.