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 |
|---|---|---|---|---|
| Lsh w/t/o ut 250 g or less CPT 58542 | not published | not published | $10,931.77 – $10,931.77 | 1 |
| Lsh w/t/o uterus above 250 g CPT 58544 | not published | not published | $10,931.77 – $10,931.77 | 1 |
| Lumbar diskogram s&i CPT 72295 | not published | not published | $2,050.41 – $2,050.41 | 1 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $19,309.55 – $19,309.55 | 1 |
| Lumizyme injection HCPCS J0221 | not published | not published | $205.76 – $205.76 | 1 |
| Lung Function Test Before and After an Inhaler CPT 94060 | $688.80 | $861.00 | $208.45 – $774.90 | 15 |
| Lung function test (mbc/mvv) CPT 94200 | not published | not published | $62.37 – $62.37 | 1 |
| Lung Function Test (Spirometry) CPT 94010 | $358.40 | $448.00 | $108.46 – $403.20 | 15 |
| Lung perfusion imaging CPT 78580 | $1,398.40 | $1,748.00 | $421.92 – $1,573.20 | 15 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | not published | not published | $41.40 – $41.40 | 1 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | not published | not published | $25.71 – $25.71 | 1 |
| Lymphatics/lymph node imaging CPT 78195 | $1,928.80 | $2,411.00 | $565.18 – $2,169.90 | 15 |
| Lymph vessel x-ray arm/leg CPT 75801 | not published | not published | $649.17 – $649.17 | 1 |
| Lymph vessel x-ray arms/legs CPT 75803 | not published | not published | $1,631.11 – $1,631.11 | 1 |
| Lymph vessel x-ray trunk CPT 75805 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| Lymph vessel x-ray trunk CPT 75807 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| Lysis intranasal synechia 30560 CPT 30560 | not published | not published | $534.71 – $534.71 | 1 |
| Lysis of labial adhesions CPT 56441 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Lysis penil circumic lesion CPT 54162 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Macroscopic exam parasite CPT 87169 | $33.60 | $42.00 | $10.17 – $37.80 | 15 |
| Magnesium CPT 83735 | $80.00 | $100.00 | $6.29 – $23.40 | 15 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $106.42 | $133.02 | $18.23 – $67.76 | 15 |
| Magnetic image bone marrow CPT 77084 | not published | not published | $253.81 – $578.05 | 2 |
| Makena, 10 mg HCPCS J1726 | $257.65 | $322.06 | $65.06 – $241.87 | 15 |
| Male sling procedure CPT 53440 | not published | not published | $13,642.04 – $13,642.04 | 1 |
| Manipulate finger w/anesth CPT 26340 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Manipulate wrist w/anesthes CPT 25259 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Manipulation of hip joint CPT 27275 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Manipulation of spine CPT 22505 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Manipulat palm cord post inj CPT 26341 | not published | not published | $251.87 – $251.87 | 1 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | $64.00 | $80.00 | $18.56 – $68.99 | 15 |
| Marker biop eviva buckle ss HCPCS A4648 | $437.60 | $547.00 | $132.43 – $492.30 | 15 |
| Mastectomy partial CPT 19301 | not published | not published | $4,020.74 – $4,020.74 | 1 |
| Mast mod rad CPT 19307 | not published | not published | $6,847.53 – $6,847.53 | 1 |
| Mastoidectomy CPT 69501 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Mastoidectomy complete 69502 CPT 69502 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Mastoids complete CPT 70130 | not published | not published | $111.66 – $111.66 | 1 |
| Mastoid surgery revision CPT 69603 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Mastopexy CPT 19316 | not published | not published | $6,847.53 – $6,847.53 | 1 |
| Mast simple complete CPT 19303 | not published | not published | $6,847.53 – $6,847.53 | 1 |
| Maxillofacial fixation CPT 21100 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Mayo aathr protein s free CPT 85306 | $244.00 | $305.00 | $73.84 – $274.50 | 15 |
| Mayo activated protein c resistance assay CPT 85307 | $200.00 | $250.00 | $60.53 – $225.00 | 15 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $170.40 | $213.00 | $51.57 – $191.70 | 15 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $70.40 | $88.00 | $21.30 – $79.20 | 15 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $77.60 | $97.00 | $23.48 – $87.30 | 15 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $55.20 | $69.00 | $16.70 – $62.10 | 15 |
| Mayo alpha 1 antitrypsin CPT 82103 | $92.00 | $115.00 | $26.39 – $98.10 | 15 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $73.60 | $92.00 | $22.27 – $82.80 | 15 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $250.40 | $313.00 | $75.78 – $281.70 | 15 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $460.00 | $575.00 | $139.21 – $517.50 | 15 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $135.20 | $169.00 | $40.91 – $152.10 | 15 |
| Mayo antithrombin iii antigen CPT 85301 | $193.60 | $242.00 | $58.59 – $217.80 | 15 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $68.80 | $86.00 | $9.68 – $36.00 | 15 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $72.80 | $91.00 | $22.03 – $81.90 | 15 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $353.60 | $442.00 | $107.01 – $397.80 | 15 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | $524.00 | $655.00 | $158.58 – $589.50 | 15 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $68.80 | $86.00 | $20.82 – $77.40 | 15 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $86.40 | $108.00 | $26.15 – $97.20 | 15 |
| Mayo c1 esterase inhibitor CPT 83883 | $181.60 | $227.00 | $54.96 – $204.30 | 15 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $77.60 | $97.00 | $23.48 – $87.30 | 15 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $52.00 | $65.00 | $15.74 – $58.50 | 15 |
| Mayo ceruloplasmin CPT 82390 | $52.00 | $65.00 | $15.74 – $58.50 | 15 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $129.60 | $162.00 | $21.79 – $81.00 | 15 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $168.00 | $210.00 | $50.84 – $189.00 | 15 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $296.00 | $370.00 | $89.58 – $333.00 | 15 |
| Mayo chromium CPT 82495 | $72.00 | $90.00 | $21.79 – $81.00 | 15 |
| Mayo coccidioides antibody CPT 86635 | $64.80 | $81.00 | $19.61 – $72.90 | 15 |
| Mayo cocou cortisone urine CPT 82542 | $63.20 | $79.00 | $19.13 – $71.10 | 15 |
| Mayo cortisol free CPT 82530 | $81.60 | $102.00 | $24.69 – $91.80 | 15 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $60.00 | $75.00 | $16.46 – $61.20 | 15 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $56.80 | $71.00 | $17.19 – $63.90 | 15 |
| Mayo estriol CPT 82677 | $137.60 | $172.00 | $41.64 – $154.80 | 15 |
| Mayo estrone CPT 82679 | $60.00 | $75.00 | $18.16 – $67.50 | 15 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $93.60 | $117.00 | $13.07 – $48.60 | 15 |
| Mayo everolimus therapeutic drug level CPT 80169 | $71.20 | $89.00 | $21.55 – $80.10 | 15 |
| Mayo fat/lipids feces quantitative CPT 82710 | $57.60 | $72.00 | $17.43 – $64.80 | 15 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $71.20 | $89.00 | $21.55 – $80.10 | 15 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $113.60 | $142.00 | $34.38 – $127.80 | 15 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $193.60 | $242.00 | $58.59 – $217.80 | 15 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $65.60 | $82.00 | $19.85 – $73.80 | 15 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $203.20 | $254.00 | $61.49 – $228.60 | 15 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $108.80 | $136.00 | $19.85 – $73.80 | 15 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $200.00 | $250.00 | $14.77 – $54.90 | 15 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $58.40 | $73.00 | $17.67 – $65.70 | 15 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $101.60 | $127.00 | $30.75 – $114.30 | 15 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $52.80 | $66.00 | $15.98 – $59.40 | 15 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $104.80 | $131.00 | $27.12 – $100.80 | 15 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $121.60 | $152.00 | $36.80 – $136.80 | 15 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | $206.40 | $258.00 | $62.46 – $232.20 | 15 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $104.80 | $131.00 | $31.72 – $117.90 | 15 |
| Mayo infliximab therapeutic drug level CPT 80230 | $150.40 | $188.00 | $45.51 – $169.20 | 15 |
| Mayo inhab inhibin a CPT 86336 | $56.80 | $71.00 | $17.19 – $63.90 | 15 |
| Mayo insulin antibodies CPT 86337 | $54.40 | $68.00 | $16.46 – $61.20 | 15 |
| Mayo iodine CPT 83789 | $88.00 | $110.00 | $17.92 – $66.60 | 15 |
| Mayo itraconazole therapeutic drug level CPT 80189 | $71.20 | $89.00 | $21.55 – $80.10 | 15 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $37.60 | $47.00 | $11.38 – $42.30 | 15 |
| Mayo lipoprotein electrophoresis CPT 83700 | $57.60 | $72.00 | $17.43 – $64.80 | 15 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $52.80 | $66.00 | $15.98 – $59.40 | 15 |
| Mayo metanephrines plasma CPT 83835 | $51.20 | $64.00 | $15.49 – $57.60 | 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.