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 |
|---|---|---|---|---|
| Skull X-ray (1 to 3 views) CPT 70250 | $410.40 | $513.00 | $111.66 – $461.70 | 15 |
| Skull X-ray (complete) CPT 70260 | $551.20 | $689.00 | $111.66 – $620.10 | 15 |
| Skyla, 13.5 mg HCPCS J7301 | $745.19 | $931.48 | $225.51 – $838.33 | 15 |
| Sleep study attended CPT 95807 | not published | not published | $557.13 – $557.13 | 1 |
| Sleep Study (Polysomnography) CPT 95810 | $4,175.20 | $5,219.00 | $1,068.26 – $4,697.10 | 15 |
| Sleep study unattended CPT 95806 | not published | not published | $164.28 – $164.28 | 1 |
| Sling suprapubic suburetheral HCPCS C1771 | $3,372.00 | $4,215.00 | $1,020.45 – $3,793.50 | 15 |
| Slitting of prepuce CPT 54000 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Slitting of prepuce CPT 54001 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Slp stdy unatnd w/anal CPT 95801 | not published | not published | $62.37 – $62.37 | 1 |
| Small Bowel Barium X-ray (Follow-Through) CPT 74250 | $760.80 | $951.00 | $186.92 – $855.90 | 15 |
| Small bowel endoscopy CPT 44360 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Small bowel endoscopy CPT 44364 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Small bowel endoscopy CPT 44366 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Small bowel endoscopy CPT 44369 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Small bowel endoscopy CPT 44376 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Small bowel endoscopy CPT 44378 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Small bowel endoscopy CPT 44382 | not published | not published | $984.44 – $984.44 | 1 |
| Small bowel endoscopy CPT 44384 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Small bowel endoscopy 44365 CPT 44365 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Small bowel endoscopy/biopsy CPT 44361 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Small bowel endoscopy/biopsy CPT 44377 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Small bowel endoscopy br/wa CPT 44380 | not published | not published | $984.44 – $984.44 | 1 |
| Small bowel endoscopy br/wa CPT 44381 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Small bowel endoscopy/stent 44370 CPT 44370 | not published | not published | $6,250.45 – $6,250.45 | 1 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $47.20 | $59.00 | $14.28 – $53.10 | 15 |
| Smear gram stain CPT 87205 | $55.20 | $69.00 | $16.70 – $62.10 | 15 |
| Smear nasal eosinophil CPT 89190 | $52.80 | $66.00 | $15.98 – $59.40 | 15 |
| Smear wet mount CPT 87210 | $63.20 | $79.00 | $19.13 – $71.10 | 15 |
| Sodium 24 hour urine CPT 84300 | $36.00 | $45.00 | $4.12 – $15.30 | 15 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $86.40 | $108.00 | $26.15 – $97.20 | 15 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $194.40 | $243.00 | $19.61 – $72.90 | 15 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $324.00 | $405.00 | $19.61 – $72.90 | 15 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $84.80 | $106.00 | $19.95 – $74.15 | 15 |
| Sodium serum/plasma/whole blood CPT 84295 | $50.40 | $63.00 | $15.25 – $56.70 | 15 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | $92.66 | $115.82 | $28.04 – $104.24 | 15 |
| Somatosensory testing CPT 95927 | not published | not published | $326.96 – $326.96 | 1 |
| Special physics consult CPT 77370 | not published | not published | $139.41 – $139.41 | 1 |
| Special radiation dosimetry CPT 77331 | not published | not published | $139.41 – $139.41 | 1 |
| Special radiation treatment CPT 77470 | not published | not published | $607.39 – $607.39 | 1 |
| Special teletx port plan CPT 77321 | not published | not published | $384.37 – $384.37 | 1 |
| Specific gravity body fluid CPT 84315 | $25.60 | $32.00 | $7.75 – $28.80 | 15 |
| Specimen fat stain CPT 89125 | $99.20 | $124.00 | $30.02 – $111.60 | 15 |
| Speech and Language Evaluation (comprehensive) CPT 92523 | $467.20 | $584.00 | $141.39 – $525.60 | 15 |
| Speech audiometry complete CPT 92556 | not published | not published | $62.37 – $62.37 | 1 |
| Speech evaluation complex CPT 70371 | not published | not published | $253.81 – $253.81 | 1 |
| Speech recep thresh CPT 92555 | not published | not published | $62.37 – $62.37 | 1 |
| Speech Therapy Session (one-on-one) CPT 92507 | $315.20 | $394.00 | $167.75 – $354.60 | 15 |
| Sphenoid sinus surgery CPT 31051 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Sphincteroplasty inc/prolapse adult 46750 CPT 46750 | not published | not published | $2,879.51 – $2,879.51 | 1 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | not published | not published | $727.15 – $727.15 | 1 |
| Spine device implant surgery HCPCS C9757 | not published | not published | $13,510.16 – $13,510.16 | 1 |
| Spine X-ray (single view, one level) CPT 72020 | $359.20 | $449.00 | $92.45 – $404.10 | 15 |
| Spirmtry w/brnchdil inf-2 yr CPT 94012 | not published | not published | $326.96 – $326.96 | 1 |
| Spirometry up to 2 yrs old CPT 94011 | not published | not published | $164.28 – $164.28 | 1 |
| Spleen imaging CPT 78185 | not published | not published | $421.92 – $421.92 | 1 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | $175.20 | $219.00 | $53.02 – $197.10 | 15 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | not published | not published | $3,844.02 – $3,844.02 | 1 |
| Srs linear based CPT 77372 | not published | not published | $8,026.71 – $8,026.71 | 1 |
| Srs multisource CPT 77371 | not published | not published | $8,026.71 – $8,026.71 | 1 |
| Staggered spondaic word test CPT 92572 | not published | not published | $164.28 – $164.28 | 1 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $255.20 | $319.00 | $77.23 – $287.10 | 15 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $331.20 | $414.00 | $100.23 – $372.60 | 15 |
| Stenger test pure tone CPT 92565 | not published | not published | $62.37 – $62.37 | 1 |
| Stenger test speech CPT 92577 | not published | not published | $557.13 – $557.13 | 1 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | not published | not published | $18,854.56 – $18,854.56 | 1 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $294.40 | $368.00 | $52.78 – $196.20 | 15 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $3,120.00 | $3,900.00 | $944.19 – $3,510.00 | 15 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | not published | not published | $11,907.60 – $11,907.60 | 1 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | not published | not published | $18,854.56 – $18,854.56 | 1 |
| Sterile water/saline, 10 ml HCPCS A4216 | $5.20 | $6.49 | $1.18 – $4.37 | 15 |
| St evaluate speech sound production CPT 92522 | $243.20 | $304.00 | $73.60 – $273.60 | 15 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $524.00 | $655.00 | $158.58 – $589.50 | 15 |
| Stimulation of spinal cord CPT 63610 | not published | not published | $2,050.41 – $2,050.41 | 1 |
| Stomach Emptying Scan (Nuclear Medicine) CPT 78264 | $1,829.60 | $2,287.00 | $421.92 – $2,058.30 | 15 |
| Strapping of ankle and/or ft 29540 CPT 29540 | not published | not published | $165.68 – $165.68 | 1 |
| Strapping of chest CPT 29200 | not published | not published | $165.68 – $165.68 | 1 |
| Strapping of elbow or wrist 29260 CPT 29260 | not published | not published | $62.37 – $62.37 | 1 |
| Strapping of hand or finger CPT 29280 | not published | not published | $62.37 – $62.37 | 1 |
| Strapping of hip CPT 29520 | not published | not published | $135.35 – $135.35 | 1 |
| Strapping of knee CPT 29530 | not published | not published | $135.35 – $135.35 | 1 |
| Strapping of toes 29550 CPT 29550 | not published | not published | $62.37 – $62.37 | 1 |
| Strep b dna amp probe CPT 87653 | $183.20 | $229.00 | $55.44 – $206.10 | 15 |
| Stress test pulmonary CPT 94618 | $320.00 | $400.00 | $96.84 – $360.00 | 15 |
| Stress tte complete CPT 93351 | not published | not published | $575.70 – $575.70 | 1 |
| Subdural tap fontanelle/sutur infant init 61000 CPT 61000 | not published | not published | $727.15 – $727.15 | 1 |
| Subq njx filling matrl 1cc/< CPT 11950 | not published | not published | $208.64 – $208.64 | 1 |
| Subq njx fil matrl 5.1-10cc CPT 11952 | not published | not published | $642.74 – $642.74 | 1 |
| Subtalar arthro w/deb CPT 29906 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Subtalar arthro w/exc CPT 29905 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Subtalar arthro w/fb rmvl CPT 29904 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Subtalar arthro w/fusion CPT 29907 | not published | not published | $13,510.16 – $13,510.16 | 1 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $63.44 | $79.29 | $19.20 – $71.36 | 15 |
| Suction lipectomy head&neck CPT 15876 | not published | not published | $3,844.02 – $3,844.02 | 1 |
| Suction lipectomy lwr extrem CPT 15879 | not published | not published | $3,844.02 – $3,844.02 | 1 |
| Suction lipectomy trunk CPT 15877 | not published | not published | $3,844.02 – $3,844.02 | 1 |
| Suction lipectomy upr extrem CPT 15878 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | $62.90 | $78.62 | $18.97 – $70.53 | 15 |
| Sulfonylurea screen qn-sendout CPT 80377 | $109.60 | $137.00 | $33.17 – $123.30 | 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.