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 |
|---|---|---|---|---|
| Pvb thoracic cont infusion CPT 64463 | not published | not published | $727.15 – $727.15 | 1 |
| Pvb thoracic single inj site CPT 64461 | not published | not published | $727.15 – $727.15 | 1 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | not published | not published | $565.18 – $565.18 | 1 |
| Quant diff pulm perf w/imaging CPT 78597 | not published | not published | $421.92 – $421.92 | 1 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $797.84 | $997.30 | $241.45 – $897.57 | 15 |
| Racepinephrine hcl soln nebu 2.25% (base equivalent) HCPCS J7699 | $5.24 | $6.55 | $1.50 – $5.56 | 15 |
| Radiation physics consult CPT 77336 | not published | not published | $139.41 – $139.41 | 1 |
| Radiation therapy dose plan CPT 77300 | not published | not published | $139.41 – $139.41 | 1 |
| Radiation treatment aid(s) CPT 77332 | not published | not published | $139.41 – $139.41 | 1 |
| Radiation treatment aid(s) CPT 77333 | not published | not published | $139.41 – $139.41 | 1 |
| Radiation treatment aid(s) CPT 77334 | not published | not published | $384.37 – $384.37 | 1 |
| Radiation treatment delivery CPT 77401 | not published | not published | $114.98 – $114.98 | 1 |
| Radiation treatment delivery CPT 77402 | not published | not published | $114.98 – $114.98 | 1 |
| Radiation treatment delivery CPT 77412 | not published | not published | $276.13 – $276.13 | 1 |
| Radical resection of elbow CPT 24149 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Radic resect abd tumor<5cm 22904 CPT 22904 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Radic resect shoulder tumor 5cm/> 23078 CPT 23078 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Radiotherapy dose plan imrt CPT 77301 | not published | not published | $1,436.67 – $1,436.67 | 1 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | not published | not published | $1,370.75 – $1,370.75 | 1 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | not published | not published | $1,370.75 – $1,370.75 | 1 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | not published | not published | $1,370.75 – $1,370.75 | 1 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $2,764.00 | $3,455.00 | $836.46 – $3,109.50 | 15 |
| Radphm lcl tumor plr sgl day CPT 78800 | not published | not published | $421.92 – $421.92 | 1 |
| Rad rescj tum dstl/shft hum CPT 24150 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Rad rescj tum shoulder<5 cm CPT 23077 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Rad rescj tum tiss a/e 5 cm+ CPT 24079 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Rad rescj tum tiss a/e <5cm CPT 24077 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Rad resec soft tis tum/ft/toe/<3cm 28046 CPT 28046 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Rad resect abd tumor 5 cm/> CPT 22905 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Rad resect hand tumor < 3 cm CPT 26117 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Rad resect hand tumor 3 cm/> CPT 26118 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Rad resection tum radial h/n CPT 24152 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Rad resect tumor/neck/ant thor/<5cm21557 CPT 21557 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Rapid desensitization CPT 95180 | not published | not published | $418.99 – $418.99 | 1 |
| Rapid Strep Test CPT 87880 | $46.40 | $58.00 | $14.04 – $52.20 | 15 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | not published | not published | $221.77 – $224.93 | 2 |
| Rbc depletion of harvest CPT 38212 | not published | not published | $459.04 – $459.04 | 1 |
| Rcnst bfrnt sp orb rm&lw fhd CPT 21175 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Rdctj forehead cntrg only CPT 21137 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Rdctj forehead cntrg&prostc CPT 21138 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Rdctj forehead cntrg&setback CPT 21139 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Realignment of tendons CPT 26437 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Rebuild eardrum structures CPT 69632 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Rebuild eardrum structures CPT 69633 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Rebuild eardrum structures CPT 69636 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Rebuild outer ear canal CPT 69310 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Rebuild outer ear canal CPT 69320 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Reconst lwr jaw w/fixation CPT 21196 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Reconst lwr jaw w/graft CPT 21194 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Reconst lwr jaw without fixation CPT 21195 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Reconst lwr jaw without graft CPT 21193 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Reconstr lwr jaw segment CPT 21198 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Reconstr lwr jaw w/advance CPT 21199 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Reconstruct ankle joint CPT 27702 | not published | not published | $19,309.55 – $19,309.55 | 1 |
| Reconstruct cleft foot CPT 28360 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Reconstruct cleft palate CPT 42200 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Reconstruct cleft palate CPT 42205 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Reconstruct cleft palate CPT 42210 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Reconstruct cleft palate CPT 42215 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Reconstruct cleft palate CPT 42220 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Reconstruct cleft palate CPT 42225 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Reconstruct elbow joint CPT 24360 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Reconstruct elbow joint CPT 24361 | not published | not published | $19,309.55 – $19,309.55 | 1 |
| Reconstruct elbow joint CPT 24362 | not published | not published | $13,510.16 – $13,510.16 | 1 |
| Reconstruct elbow lat ligmnt CPT 24344 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Reconstruct elbow med ligmnt CPT 24346 | not published | not published | $13,510.16 – $13,510.16 | 1 |
| Reconstruct extra finger CPT 26587 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Reconstruct finger joint CPT 26545 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Reconstruct finger joint CPT 26548 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Reconstruct head of radius CPT 24365 | not published | not published | $13,510.16 – $13,510.16 | 1 |
| Reconstruct head of radius CPT 24366 | not published | not published | $13,510.16 – $13,510.16 | 1 |
| Reconstruction knee CPT 27427 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Reconstruction knee CPT 27428 | not published | not published | $13,510.16 – $13,510.16 | 1 |
| Reconstruction knee CPT 27429 | not published | not published | $13,510.16 – $13,510.16 | 1 |
| Reconstruction of anus CPT 46753 | not published | not published | $2,879.51 – $2,879.51 | 1 |
| Reconstruction of eyelid CPT 67971 | not published | not published | $2,449.61 – $2,449.61 | 1 |
| Reconstruction of eyelid CPT 67973 | not published | not published | $2,449.61 – $2,449.61 | 1 |
| Reconstruction of eyelid CPT 67974 | not published | not published | $3,959.55 – $3,959.55 | 1 |
| Reconstruction of eyelid CPT 67975 | not published | not published | $2,449.61 – $2,449.61 | 1 |
| Reconstruction of jaw CPT 21245 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Reconstruction of jaw CPT 21246 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Reconstruction of jaw CPT 21248 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Reconstruction of jaw CPT 21249 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Reconstruction of jaw joint CPT 21240 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Reconstruction of jaw joint CPT 21242 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Reconstruction of jaw joint CPT 21243 | not published | not published | $19,309.55 – $19,309.55 | 1 |
| Reconstruction of lower jaw CPT 21244 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Reconstruction of mouth CPT 40840 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Reconstruction of mouth CPT 40842 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Reconstruction of mouth CPT 40843 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Reconstruction of mouth CPT 40844 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Reconstruction of mouth CPT 40845 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Reconstruction of nail bed CPT 11762 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| Reconstruction of nose CPT 30410 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Reconstruction of nose CPT 30420 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Reconstruction of orbit CPT 21256 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Reconstruction of throat CPT 42950 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Reconstruction of urethra CPT 53410 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Reconstruction of urethra CPT 53430 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Reconstruction of urethra CPT 54308 | not published | not published | $5,337.80 – $5,337.80 | 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.