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 |
|---|---|---|---|---|
| Optx strnclav dislc aqt/chrn CPT 23530 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Optx tmprmand dislocation CPT 21490 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Optx trns-scphprlnr fx dislc CPT 25685 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Optx ulnar shft fx int fixj CPT 25545 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Optx ulnar styloid fracture CPT 25652 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Orchiectomy partial CPT 54522 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Orchiopexy (fowler-stephens) CPT 54650 | not published | not published | $3,705.51 – $3,705.51 | 1 |
| Orchiopexy ingun/scrot appr CPT 54640 | not published | not published | $3,705.51 – $3,705.51 | 1 |
| Oropharyngeal biopsy 42800 CPT 42800 | not published | not published | $1,555.34 – $1,555.34 | 1 |
| Orthopantogram CPT 70355 | not published | not published | $92.45 – $92.45 | 1 |
| Orthop traing supvj phys/qhp CPT 92066 | not published | not published | $62.37 – $62.37 | 1 |
| Oscillation chest wall mechanical per session CPT 94669 | not published | not published | $213.56 – $213.56 | 1 |
| Osmolality blood CPT 83930 | $47.20 | $59.00 | $14.28 – $53.10 | 15 |
| Osmolality urine CPT 83935 | $52.80 | $66.00 | $5.33 – $19.80 | 15 |
| Ostectomy complete 1st metatarsal head 28111 CPT 28111 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Ostectomy scapula partial CPT 23190 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Osteochondral knee allograft CPT 27415 | not published | not published | $13,510.16 – $13,510.16 | 1 |
| Osteochondral knee autograft CPT 27416 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Osteochondral talus autogrft CPT 28446 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Osteopath manip tx/5-6 body region 98927 CPT 98927 | not published | not published | $26.57 – $26.57 | 1 |
| Osteopath manip tx/7-8 body region 98928 CPT 98928 | not published | not published | $26.57 – $26.57 | 1 |
| Osteopath manip tx/9-10 body region98929 CPT 98929 | not published | not published | $26.57 – $26.57 | 1 |
| Osteoplasty humerus CPT 24420 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Osteot humerus w/wo int fixj CPT 24400 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Osteotomy/graft tarsal/calcaneus/talus 28305 CPT 28305 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Oth resp proc, group HCPCS G0239 | $179.20 | $224.00 | $41.21 – $201.60 | 15 |
| Oth resp proc, indiv HCPCS G0238 | $121.60 | $152.00 | $25.71 – $136.80 | 15 |
| Otoplasty 69300 CPT 69300 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Ot re-evaluation patient/family CPT 97168 | $182.40 | $228.00 | $55.20 – $205.20 | 15 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $119.20 | $149.00 | $36.07 – $134.10 | 15 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $157.60 | $197.00 | $47.69 – $177.30 | 15 |
| Ovarian cystectomy 58925 CPT 58925 | not published | not published | $5,183.27 – $5,183.27 | 1 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $60.75 | $75.93 | $18.33 – $68.14 | 15 |
| Paliperidone 117 mg/0.75 ml inj HCPCS J2426 | $3,495.00 | $4,368.74 | $1,057.67 – $3,931.87 | 15 |
| Palivizumab 50 mg/0.5 ml inj CPT 90378 | $2,313.62 | $2,892.02 | $379.33 – $1,410.16 | 15 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $83.12 | $103.90 | $25.15 – $93.51 | 15 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $61.48 | $76.84 | $18.42 – $68.47 | 15 |
| Parathormone (pth) intact CPT 83970 | $276.00 | $345.00 | $83.52 – $310.50 | 15 |
| Parathyrd planar w/spect&ct CPT 78072 | $1,171.20 | $1,464.00 | $354.43 – $1,317.60 | 15 |
| Parathyroid planar imaging CPT 78070 | not published | not published | $421.92 – $421.92 | 1 |
| Parathyroid planar img w/tomo spect CPT 78071 | $2,384.00 | $2,980.00 | $421.92 – $2,682.00 | 15 |
| Paravaginal defect repair 57284 CPT 57284 | not published | not published | $5,183.27 – $5,183.27 | 1 |
| Parial mast w/lymph removal 19302 CPT 19302 | not published | not published | $6,847.53 – $6,847.53 | 1 |
| Paricalcitol HCPCS J2501 | $76.83 | $96.03 | $20.20 – $75.08 | 15 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $273.60 | $342.00 | $82.80 – $307.80 | 15 |
| Parotid duct diversion CPT 42507 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Parotid duct diversion CPT 42509 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Parotid duct diversion CPT 42510 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Part exc/post vert comp/sng/thorac 22101 CPT 22101 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Part hymenectomy/revi hymenal ring 56700 CPT 56700 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Partial exc bone humerus CPT 24140 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Partial excision of lip CPT 40500 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Partial removal finger bone CPT 26235 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Partial removal finger bone CPT 26236 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Partial removal foot fascia CPT 28060 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Partial removal leg bone(s) CPT 27360 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Partial removal of eye fluid CPT 67005 | not published | not published | $2,394.77 – $2,394.77 | 1 |
| Partial removal of eye fluid CPT 67010 | not published | not published | $2,394.77 – $2,394.77 | 1 |
| Partial removal of fibula CPT 27641 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Partial removal of foot bone CPT 28288 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Partial removal of hand bone CPT 26230 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Partial removal of lip CPT 40530 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Partial removal of nose CPT 30150 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Partial removal of penis CPT 54120 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Partial removal of pharynx 42890 CPT 42890 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Partial removal of radius CPT 25151 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Partial removal of radius CPT 25230 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Partial removal of rib CPT 21600 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Partial removal of thyroid CPT 60220 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Partial removal of thyroid CPT 60225 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Partial removal of tibia CPT 27640 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Partial removal of toe CPT 28160 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Partial removal of tongue CPT 41120 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Partial removal of ulna CPT 25119 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Partial removal of ulna CPT 25150 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Partial removal of ulna CPT 25240 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Partial removal of vaginal wall 57106 CPT 57106 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Partial removal tear gland CPT 68505 | not published | not published | $3,959.55 – $3,959.55 | 1 |
| Partial thyroid excision CPT 60210 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Partial thyroid lobect w/contratlat stot lobec 60212 CPT 60212 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Part removal of metatarsal CPT 28110 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Part removal of metatarsal CPT 28113 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Part removal of metatarsal 28112 CPT 28112 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Passy muir valve metal trach HCPCS L8501 | $289.60 | $362.00 | $87.64 – $325.80 | 15 |
| Path clin consltj high 41-60 CPT 80505 | not published | not published | $179.93 – $179.93 | 1 |
| Path clin consltj mod 21-40 CPT 80504 | not published | not published | $179.93 – $179.93 | 1 |
| Path clin consltj sf 5-20 CPT 80503 | not published | not published | $56.10 – $56.10 | 1 |
| Patient recorded spirometry CPT 94014 | not published | not published | $418.99 – $418.99 | 1 |
| Patient recorded spirometry CPT 94015 | not published | not published | $326.96 – $326.96 | 1 |
| Pca3/klk3 antigen CPT 81313 | $662.40 | $828.00 | $200.46 – $745.20 | 15 |
| Pcv21 vaccine im CPT 90684 | $418.77 | $523.46 | $126.73 – $471.11 | 15 |
| Pdt dstr prmlg les phys/qhp CPT 96573 | not published | not published | $208.64 – $208.64 | 1 |
| Pedcle fh/ch/ch/m/n/ax/g/h/f CPT 15574 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| Ped home apnea mntr dl&alys CPT 94776 | not published | not published | $164.28 – $164.28 | 1 |
| Pedicle enel/ntroral 15576 CPT 15576 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | not published | not published | $31.73 – $31.73 | 1 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | $3,217.04 | $4,021.30 | $98.36 – $3,619.17 | 15 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $3,346.60 | $4,183.24 | $146.06 – $3,764.92 | 15 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | $6,736.15 | $8,420.18 | $311.44 – $7,578.16 | 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.