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 |
|---|---|---|---|---|
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $1,036.00 | $1,295.00 | $111.66 – $1,165.50 | 15 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | not published | not published | $1,701.25 – $1,701.25 | 1 |
| Scope plantar fasciotomy CPT 29893 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Scope uretscp lithovue dig disp HCPCS C1747 | $980.00 | $1,225.00 | $296.57 – $1,102.50 | 15 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | $90.40 | $113.00 | $21.55 – $80.10 | 15 |
| Screening Colonoscopy (average risk) HCPCS G0121 | not published | not published | $957.30 – $1,142.90 | 2 |
| Screening Colonoscopy (high risk) HCPCS G0105 | not published | not published | $957.30 – $1,142.90 | 2 |
| Screening hepatitis c antibody high risk HCPCS G0472 | $122.40 | $153.00 | $37.04 – $137.70 | 15 |
| Screening Mammogram CPT 77067 | $480.80 | $601.00 | $165.00 – $482.40 | 15 |
| Screening prostate cancer PSA HCPCS G0103 | $138.40 | $173.00 | $41.88 – $155.70 | 15 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $2,680.00 | $3,350.00 | $29.29 – $108.90 | 15 |
| Scrotal (Testicle) Ultrasound CPT 76870 | $779.20 | $974.00 | $111.66 – $876.60 | 15 |
| Sc ther infusion reset pump CPT 96371 | not published | not published | $74.73 – $148.00 | 2 |
| Sedimentation rate erythrocyte automated CPT 85652 | $59.20 | $74.00 | $17.92 – $66.60 | 15 |
| Select picture audiometry CPT 92583 | not published | not published | $62.37 – $62.37 | 1 |
| Self-Care and Home Skills Training (each 15 minutes) CPT 97535 | $121.60 | $152.00 | $36.80 – $136.80 | 15 |
| Semen analysis presence/motility CPT 89321 | $68.80 | $86.00 | $20.82 – $77.40 | 15 |
| Sensorimotor examination CPT 92060 | not published | not published | $62.37 – $62.37 | 1 |
| Sensorineural acuity lvl tst CPT 92575 | not published | not published | $41.21 – $41.21 | 1 |
| Separate eyelid adhesions CPT 68340 | not published | not published | $2,449.61 – $2,449.61 | 1 |
| Sequestrectomy olecrn proces CPT 24138 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Sequestrectomy radial h/n CPT 24136 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Sequestrectomy shft/dstl hum CPT 24134 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Set radiation therapy field CPT 77280 | not published | not published | $139.41 – $139.41 | 1 |
| Set radiation therapy field CPT 77285 | not published | not published | $384.37 – $384.37 | 1 |
| Set radiation therapy field CPT 77290 | not published | not published | $384.37 – $384.37 | 1 |
| Set-up cardiovert-defibrill CPT 93745 | not published | not published | $314.91 – $314.91 | 1 |
| Sevelamer carbonate 800 mg tablet HCPCS J0601 | $1.20 | $1.50 | $0.36 – $1.35 | 15 |
| Sever cranial nerve CPT 64771 | not published | not published | $2,050.41 – $2,050.41 | 1 |
| Sgmdsc w/band ligation CPT 45350 | not published | not published | $1,238.03 – $1,238.03 | 1 |
| Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 | $404.80 | $506.00 | $122.50 – $455.40 | 15 |
| Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 | $228.00 | $285.00 | $69.00 – $256.50 | 15 |
| Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312 | $288.00 | $360.00 | $87.16 – $324.00 | 15 |
| Shave sgl skin lsn f/e/e/n/l/m >2cm CPT 11313 | not published | not published | $419.51 – $419.51 | 1 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | not published | not published | $208.64 – $208.64 | 1 |
| Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 | not published | not published | $208.64 – $208.64 | 1 |
| Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 | not published | not published | $208.64 – $208.64 | 1 |
| Shave sgl skin lsn s/n/h/f/g >2cm CPT 11308 | not published | not published | $419.51 – $419.51 | 1 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | $207.20 | $259.00 | $62.70 – $233.10 | 15 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | $209.60 | $262.00 | $63.43 – $235.80 | 15 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | $225.60 | $282.00 | $68.27 – $253.80 | 15 |
| Sho arthrs dx +- synovial bx CPT 29805 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Sho arthrs srg bicp tenodsis CPT 29828 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Sho arthrs srg capsulorraphy CPT 29806 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Sho arthrs srg compl synvct CPT 29821 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Sho arthrs srg lmtd dbrdmt CPT 29822 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Sho arthrs srg lss&rescj ads CPT 29825 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Sho arthrs srg prtl synvct CPT 29820 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Sho arthrs srg rmvl loose/fb CPT 29819 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Sho arthrs srg rpr slap les CPT 29807 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Shortening of hand tendon CPT 26479 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Shorten radius or ulna CPT 25390 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Shorten radius & ulna CPT 25392 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Shot (Injection into Muscle or Under the Skin) CPT 96372 | $149.60 | $187.00 | $6.05 – $22.50 | 15 |
| Shoulder AC Joint X-ray (both sides) CPT 73050 | $368.80 | $461.00 | $92.45 – $414.90 | 15 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Shoulder Blade (Scapula) X-ray (both sides) CPT 73010 | $359.20 | $449.00 | $108.70 – $404.10 | 15 |
| Shoulder MRI (with and without contrast) CPT 73223 | $3,992.00 | $4,990.00 | $374.99 – $4,491.00 | 15 |
| Shoulder MRI (with contrast) CPT 73222 | not published | not published | $611.05 – $829.56 | 2 |
| Shoulder MRI (without contrast) CPT 73221 | $3,237.60 | $4,047.00 | $253.81 – $3,642.30 | 15 |
| Shoulder prosthesis removal CPT 23334 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Shoulder X-ray CPT 73030 | $384.00 | $480.00 | $92.45 – $432.00 | 15 |
| Shoulder X-ray (single view, both shoulders) CPT 73020 | $308.80 | $386.00 | $92.45 – $347.40 | 15 |
| Shunt glaucoma baerveldt 350mm HCPCS C1783 | $6,000.00 | $7,500.00 | $1,434.44 – $5,332.50 | 15 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | not published | not published | $111.66 – $111.66 | 1 |
| Sialography s&i CPT 70390 | not published | not published | $253.81 – $253.81 | 1 |
| Sialolithotomy 42330 CPT 42330 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Sickling rbc CPT 85660 | $34.40 | $43.00 | $10.41 – $38.70 | 15 |
| Sigmoidoscopy and biopsy CPT 45331 | not published | not published | $957.30 – $957.30 | 1 |
| Sigmoidoscopy flex decompression 45337 CPT 45337 | not published | not published | $957.30 – $957.30 | 1 |
| Sigmoidoscopy for bleeding CPT 45334 | not published | not published | $1,238.03 – $1,238.03 | 1 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | not published | not published | $957.30 – $957.30 | 1 |
| Sigmoidoscopy w/ablation CPT 45346 | not published | not published | $1,238.03 – $1,238.03 | 1 |
| Sigmoidoscopy w/fb removal 45332 CPT 45332 | not published | not published | $1,238.03 – $1,238.03 | 1 |
| Sigmoidoscopy w/plcmt stent CPT 45347 | not published | not published | $6,250.45 – $6,250.45 | 1 |
| Sigmoidoscopy w/resection CPT 45349 | not published | not published | $2,879.51 – $2,879.51 | 1 |
| Sigmoidoscopy w/tumr remove CPT 45338 | not published | not published | $1,238.03 – $1,238.03 | 1 |
| Sigmoidoscopy w/ultrasound CPT 45341 | not published | not published | $957.30 – $957.30 | 1 |
| Sigmoidoscopy w/us guide bx CPT 45342 | not published | not published | $1,238.03 – $1,238.03 | 1 |
| Sigmoid/rmv tumor/polyp/hot bx for 45333 CPT 45333 | not published | not published | $957.30 – $957.30 | 1 |
| Signal avg ecg w or without ecg 93278 CPT 93278 | not published | not published | $62.37 – $62.37 | 1 |
| Sig w/tndsc balloon dilation CPT 45340 | not published | not published | $1,238.03 – $1,238.03 | 1 |
| Simple cystometrogram 51725 CPT 51725 | not published | not published | $255.37 – $255.37 | 1 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $463.20 | $579.00 | $140.18 – $521.10 | 15 |
| Sinus CT scan (with and without contrast) CPT 70488 | $2,612.80 | $3,266.00 | $186.92 – $2,939.40 | 15 |
| Sinus CT scan (with contrast) CPT 70487 | $2,328.00 | $2,910.00 | $186.92 – $2,619.00 | 15 |
| Sinus CT scan (without contrast) CPT 70486 | $2,045.60 | $2,557.00 | $111.66 – $2,301.30 | 15 |
| Sinus/juglr venogram s&i CPT 75860 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| Sinusotomy maxillary sinus 31020 CPT 31020 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Sinusotomy sinus remove polyps 31032 CPT 31032 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Sinusotomy sphenoid w/wo bx 31050 CPT 31050 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Sinus X-ray (complete) CPT 70220 | $433.60 | $542.00 | $92.45 – $487.80 | 15 |
| Sinus X-ray (limited) CPT 70210 | $282.40 | $353.00 | $85.46 – $317.70 | 15 |
| Sipuleucel-t - su HCPCS Q2043 | not published | not published | $58,743.27 – $58,743.27 | 1 |
| Skin and muscle repair face CPT 15845 | not published | not published | $3,844.02 – $3,844.02 | 1 |
| Skin Biopsy CPT 11102 | $430.40 | $538.00 | $130.25 – $484.20 | 15 |
| Skin full graft 20sq cm less 15200 CPT 15200 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| Skin pedicle flap arms/legs CPT 15572 | not published | not published | $3,844.02 – $3,844.02 | 1 |
| Skin pedicle flap trunk CPT 15570 | not published | not published | $1,920.69 – $1,920.69 | 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.