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 |
|---|---|---|---|---|
| Mayo microsomal antibody liver-kidney CPT 86376 | $104.00 | $130.00 | $16.46 – $61.20 | 15 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $156.00 | $195.00 | $21.55 – $80.10 | 15 |
| Mayo myoglobin CPT 83874 | $157.60 | $197.00 | $28.08 – $104.40 | 15 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $100.80 | $126.00 | $17.43 – $64.80 | 15 |
| Mayo oxalate 24 hour urine CPT 83945 | $37.60 | $47.00 | $11.38 – $42.30 | 15 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $56.80 | $71.00 | $17.19 – $63.90 | 15 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $328.80 | $411.00 | $20.09 – $74.70 | 15 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $201.60 | $252.00 | $61.01 – $226.80 | 15 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $72.00 | $90.00 | $21.79 – $81.00 | 15 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $31.20 | $39.00 | $9.44 – $35.10 | 15 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $71.20 | $89.00 | $21.55 – $80.10 | 15 |
| Mayo proinsulin CPT 84206 | $64.80 | $81.00 | $19.61 – $72.90 | 15 |
| Mayo psaft prostate specific antigen free CPT 84154 | $111.20 | $139.00 | $33.65 – $125.10 | 15 |
| Mayo renin CPT 84244 | $107.20 | $134.00 | $16.22 – $60.30 | 15 |
| Mayo repu protein electrophoresis urine CPT 84166 | $105.60 | $132.00 | $31.96 – $118.80 | 15 |
| Mayo serotonin CPT 84260 | $103.20 | $129.00 | $31.23 – $116.10 | 15 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | $55.20 | $69.00 | $16.70 – $62.10 | 15 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $55.20 | $69.00 | $16.70 – $62.10 | 15 |
| Mayo tgrp testosterone free CPT 84402 | $66.40 | $83.00 | $20.09 – $74.70 | 15 |
| Mayo tgrp testosterone total CPT 84403 | $172.80 | $216.00 | $19.13 – $71.10 | 15 |
| Mayo thyroglobulin CPT 84432 | $116.80 | $146.00 | $13.80 – $51.30 | 15 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | $120.00 | $150.00 | $36.32 – $135.00 | 15 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $71.20 | $89.00 | $21.55 – $80.10 | 15 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $57.60 | $72.00 | $17.43 – $64.80 | 15 |
| Mayo vitamin k CPT 84597 | $76.00 | $95.00 | $23.00 – $85.50 | 15 |
| Mcp joint arthroscopy dx CPT 29900 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Mcp joint arthroscopy surg CPT 29901 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Mcp joint arthroscopysurg 29902 CPT 29902 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Mdfc flap w/prsrv vasc pedcl CPT 15730 | not published | not published | $3,844.02 – $3,844.02 | 1 |
| Meas lung vol thru 2 yrs CPT 94013 | not published | not published | $557.13 – $557.13 | 1 |
| Measure kidney pressure CPT 50396 | not published | not published | $700.84 – $700.84 | 1 |
| Measurement post void urine by ultrasound CPT 51798 | $188.00 | $235.00 | $28.81 – $107.10 | 15 |
| Measure ureter pressure CPT 50686 | not published | not published | $164.28 – $164.28 | 1 |
| Medial canthopexy CPT 21280 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Mediastinoscpy w/lmph nod bx CPT 39402 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Mediastinoscpy w/medstnl bx 39401 CPT 39401 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Med physic dos eval rad exps CPT 76145 | not published | not published | $557.13 – $557.13 | 1 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | $110.46 | $138.07 | $21.37 – $79.43 | 15 |
| Meg evoked single CPT 95966 | not published | not published | $1,068.26 – $1,068.26 | 1 |
| Meg spontaneous CPT 95965 | not published | not published | $1,068.26 – $1,068.26 | 1 |
| Meniscal trnspl knee w/scpe CPT 29868 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | $4,072.68 | $5,090.84 | $31.01 – $4,581.76 | 15 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $68.03 | $85.03 | $19.18 – $71.32 | 15 |
| Metabolic Blood Panel (Basic) CPT 80048 | $120.80 | $151.00 | $57.75 – $135.90 | 15 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $180.80 | $226.00 | $74.25 – $203.40 | 15 |
| Methacholine chloride 0.0625 mg/ml nebulization soln HCPCS J7674 | $85.94 | $107.42 | $25.40 – $94.41 | 15 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | $314.28 | $392.85 | $18.98 – $70.55 | 15 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $286.71 | $358.38 | $8.24 – $234.90 | 15 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | $232.80 | $291.00 | $70.45 – $261.90 | 15 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | $1.20 | $1.50 | $0.36 – $1.35 | 15 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $107.21 | $134.01 | $18.77 – $69.77 | 15 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $64.25 | $80.31 | $18.83 – $69.99 | 15 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $60.92 | $76.15 | $18.25 – $67.83 | 15 |
| Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) HCPCS J0616 | $68.64 | $85.80 | $18.23 – $67.76 | 15 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $105.70 | $132.12 | $31.77 – $118.10 | 15 |
| Microalbumin urine screen CPT 82044 | $56.00 | $70.00 | $16.95 – $63.00 | 15 |
| Microvolt t-wave assess CPT 93025 | not published | not published | $164.28 – $164.28 | 1 |
| Microwave bronch, 3d, ebus HCPCS C9751 | not published | not published | $3,938.03 – $3,938.03 | 1 |
| Mid and Lower Back (Thoracolumbar Spine) X-ray CPT 72080 | $383.20 | $479.00 | $92.45 – $431.10 | 15 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $60.61 | $75.76 | $18.23 – $67.75 | 15 |
| Middle cerebral artery echo CPT 76821 | not published | not published | $111.66 – $111.66 | 1 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | $1,241.91 | $1,552.38 | $375.83 – $1,397.14 | 15 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | $498.99 | $623.73 | $151.01 – $561.36 | 15 |
| Mlt osteot rlgnm imed rd hum CPT 24410 | not published | not published | $13,510.16 – $13,510.16 | 1 |
| Mnl appl strs jt radiography CPT 77071 | not published | not published | $92.45 – $92.45 | 1 |
| Mnpj anes sho jt fixj aprats CPT 23700 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Mnpj elbow under anes CPT 24300 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Mnpj of tmj w/anesth CPT 21073 | not published | not published | $1,555.34 – $1,555.34 | 1 |
| Mnt subs tx for change dx HCPCS G0270 | $41.60 | $52.00 | $12.59 – $46.80 | 15 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | $61.33 | $76.66 | $18.56 – $68.99 | 15 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $205.60 | $257.00 | $62.22 – $231.30 | 15 |
| Motion analysis video/3d CPT 96000 | not published | not published | $557.13 – $557.13 | 1 |
| Motion test w/ft press meas CPT 96001 | not published | not published | $1,068.26 – $1,068.26 | 1 |
| Motor &/ sens nrve cndj test CPT 95905 | not published | not published | $418.99 – $418.99 | 1 |
| Mouth vestibule bx/w complex rpr 40814 CPT 40814 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| MRA abdomen post contrast CPT 74185 | not published | not published | $578.05 – $578.05 | 1 |
| MRA aorta thoracic w/wo contrast CPT 71555 | not published | not published | $578.05 – $578.05 | 1 |
| MRA chest w IV cont HCPCS C8909 | not published | not published | $374.99 – $374.99 | 1 |
| MRA chest wo IV cont HCPCS C8910 | not published | not published | $253.81 – $253.81 | 1 |
| MRA chest wwo IV cont HCPCS C8911 | not published | not published | $374.99 – $374.99 | 1 |
| MRA ext low(run-off)pst cntrst CPT 73725 | not published | not published | $578.05 – $578.05 | 1 |
| MRA pelvis CPT 72198 | not published | not published | $578.05 – $578.05 | 1 |
| MRA pelvis w IV cont HCPCS C8918 | not published | not published | $374.99 – $374.99 | 1 |
| MRA pelvis wo IV cont HCPCS C8919 | not published | not published | $253.81 – $253.81 | 1 |
| MRA spinal canal CPT 72159 | not published | not published | $578.05 – $578.05 | 1 |
| MRA upper extremity post contrast-bil CPT 73225 | not published | not published | $578.05 – $578.05 | 1 |
| MRA w/cont, abd HCPCS C8900 | not published | not published | $374.99 – $374.99 | 1 |
| MRA w/cont, lwr ext HCPCS C8912 | not published | not published | $374.99 – $374.99 | 1 |
| Mra, w/dye, spinal canal HCPCS C8931 | not published | not published | $374.99 – $374.99 | 1 |
| Mra, w/dye, upper extremity HCPCS C8934 | not published | not published | $374.99 – $374.99 | 1 |
| MRA without cont, abd HCPCS C8901 | not published | not published | $253.81 – $253.81 | 1 |
| MRA without cont, lwr ext HCPCS C8913 | not published | not published | $253.81 – $253.81 | 1 |
| Mra, without dye, spinal canal HCPCS C8932 | not published | not published | $253.81 – $253.81 | 1 |
| Mra, without dye, upper extr HCPCS C8935 | not published | not published | $253.81 – $253.81 | 1 |
| MRA without fol w/cont, abd HCPCS C8902 | not published | not published | $374.99 – $374.99 | 1 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | not published | not published | $374.99 – $374.99 | 1 |
| MRA without fol w/cont, pelvis HCPCS C8920 | not published | not published | $374.99 – $374.99 | 1 |
| Mra, w/o&w/dye, spinal canal HCPCS C8933 | not published | not published | $374.99 – $374.99 | 1 |
| Mra, w/o&w/dye, upper extr HCPCS C8936 | not published | not published | $374.99 – $374.99 | 1 |
| Mr elastography CPT 76391 | not published | not published | $253.81 – $253.81 | 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.