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 |
|---|---|---|---|---|
| Unlstd laps px mat care&dlvr CPT 59898 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Unlstd laps px sprmatic cord CPT 55559 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Unsched dialysis esrd pt hos HCPCS G0257 | not published | not published | $734.71 – $734.71 | 1 |
| Upgrade pm system CPT 33214 | not published | not published | $10,988.60 – $10,988.60 | 1 |
| Upper Arm (Humerus) X-ray (left side) CPT 73060 | $338.40 | $423.00 | $92.45 – $380.70 | 15 |
| Upper Back (Thoracic Spine) CT Scan (with contrast) CPT 72129 | not published | not published | $186.92 – $446.60 | 2 |
| Upper Back (Thoracic Spine) CT Scan (without contrast) CPT 72128 | $2,437.60 | $3,047.00 | $111.66 – $2,742.30 | 15 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $4,144.00 | $5,180.00 | $374.99 – $4,662.00 | 15 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $3,461.60 | $4,327.00 | $374.99 – $3,894.30 | 15 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $3,237.60 | $4,047.00 | $253.81 – $3,642.30 | 15 |
| Upper Back (Thoracic Spine) X-ray (2 views) CPT 72070 | $382.40 | $478.00 | $111.66 – $430.20 | 15 |
| Upper Back (Thoracic Spine) X-ray (3 views) CPT 72072 | $474.40 | $593.00 | $111.66 – $533.70 | 15 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | not published | not published | $984.44 – $1,135.20 | 2 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | not published | not published | $984.44 – $1,135.20 | 2 |
| Upper GI Barium X-ray (barium and gas) CPT 74246 | not published | not published | $186.92 – $186.92 | 1 |
| Upper GI Barium X-ray (barium only) CPT 74240 | $910.40 | $1,138.00 | $186.92 – $1,024.20 | 15 |
| Uppr gi scope w/submuc inj CPT 43236 | not published | not published | $984.44 – $984.44 | 1 |
| Urachal cyst/sinus excision 51500 CPT 51500 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Urea nitrogen CPT 84520 | $52.00 | $65.00 | $14.28 – $53.10 | 15 |
| Urea nitrogen 24 hour urine CPT 84540 | $16.00 | $20.00 | $4.60 – $17.10 | 15 |
| Ureteral reflux study CPT 78740 | $1,383.20 | $1,729.00 | $418.59 – $1,556.10 | 15 |
| Ureter endoscopy CPT 50970 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Ureter endoscopy & biopsy CPT 50974 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Ureter endoscopy & catheter CPT 50972 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Ureter endoscopy & treatment CPT 50957 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $856.80 | $1,071.00 | $253.81 – $963.90 | 15 |
| Urethrlys transvag with scope CPT 53500 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Urethrocystography void s&i CPT 74455 | $1,009.60 | $1,262.00 | $253.81 – $1,135.80 | 15 |
| Uric acid blood CPT 84550 | $53.60 | $67.00 | $16.22 – $60.30 | 15 |
| Uric acid urine CPT 84560 | $13.60 | $17.00 | $4.12 – $15.30 | 15 |
| Urinalysis microscopic only CPT 81015 | $23.20 | $29.00 | $7.02 – $26.10 | 15 |
| Urinalysis (with microscopy) CPT 81001 | $56.80 | $71.00 | $17.19 – $63.90 | 15 |
| Urinalysis (without microscopy) CPT 81003 | $36.80 | $46.00 | $8.72 – $32.40 | 15 |
| Urinary reflex study CPT 51792 | not published | not published | $62.37 – $62.37 | 1 |
| Urine Culture Test CPT 87086 | $88.00 | $110.00 | $26.63 – $99.00 | 15 |
| Urine flow measurement 51736 CPT 51736 | not published | not published | $135.35 – $135.35 | 1 |
| Urine pregnancy test CPT 81025 | $68.80 | $86.00 | $20.82 – $77.40 | 15 |
| Urography, antegrade CPT 74425 | $684.80 | $856.00 | $207.24 – $770.40 | 15 |
| Urography inf drip &/or bolus CPT 74410 | $1,040.00 | $1,300.00 | $186.92 – $1,170.00 | 15 |
| Use 1st target lesion CPT 76982 | not published | not published | $111.66 – $111.66 | 1 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $3,130.79 | $3,913.48 | $947.45 – $3,522.13 | 15 |
| Vaccine Administration (one shot) CPT 90471 | $73.60 | $92.00 | $4.76 – $17.71 | 15 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | $232.02 | $290.02 | $70.21 – $261.02 | 15 |
| Vaccine dtap < 7 years im CPT 90700 | $76.58 | $95.72 | $23.17 – $86.15 | 15 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $101.91 | $127.38 | $30.84 – $114.64 | 15 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | $218.79 | $273.48 | $66.21 – $246.13 | 15 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $76.32 | $95.39 | $23.09 – $85.85 | 15 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | $443.59 | $554.48 | $96.25 – $357.82 | 15 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | $53.76 | $67.19 | $16.27 – $60.47 | 15 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | $29.07 | $36.33 | $8.80 – $32.70 | 15 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $394.26 | $492.82 | $119.31 – $443.54 | 15 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | $238.10 | $297.62 | $72.05 – $267.86 | 15 |
| Vaccine mmr live subcutaneous CPT 90707 | $104.84 | $131.05 | $31.73 – $117.95 | 15 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $192.88 | $241.10 | $33.17 – $123.30 | 15 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $287.84 | $359.80 | $32.34 – $120.22 | 15 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | $365.22 | $456.52 | $110.52 – $410.87 | 15 |
| Vaccine rabies im CPT 90675 | $564.92 | $706.14 | $150.38 – $559.03 | 15 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | $106.63 | $133.28 | $32.27 – $119.95 | 15 |
| Vaccine tdap >=7 years im CPT 90715 | $89.71 | $112.13 | $25.80 – $95.90 | 15 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $79.88 | $99.84 | $22.62 – $84.09 | 15 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | not published | not published | $5,183.27 – $5,183.27 | 1 |
| Vag hyst incl t/o complex CPT 58291 | not published | not published | $5,183.27 – $5,183.27 | 1 |
| Vag hyst including t/o CPT 58262 | not published | not published | $5,183.27 – $5,183.27 | 1 |
| Vag hyst t/o & repair compl CPT 58292 | not published | not published | $7,764.55 – $7,764.55 | 1 |
| Vag hyst w/enterocele compl 58294 CPT 58294 | not published | not published | $5,183.27 – $5,183.27 | 1 |
| Vag hyst w/enterocele repair CPT 58270 | not published | not published | $5,183.27 – $5,183.27 | 1 |
| Vaginal bx CPT 58999 | not published | not published | $211.23 – $211.23 | 1 |
| Vaginal delivery after cesarean delivery 59612 CPT 59612 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Vaginal hysterectomy CPT 58260 | not published | not published | $5,183.27 – $5,183.27 | 1 |
| Vaginectomy partial w/nodes CPT 57109 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Valproic acid total therapeutic drug level CPT 80164 | $121.60 | $152.00 | $21.55 – $80.10 | 15 |
| Valvuloplasty aortic CPT 92986 | not published | not published | $5,986.60 – $5,986.60 | 1 |
| Valvuloplasty mitral CPT 92987 | not published | not published | $11,907.60 – $11,907.60 | 1 |
| Valvuloplasty pulmonary CPT 92990 | not published | not published | $11,907.60 – $11,907.60 | 1 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | $74.49 | $93.11 | $18.55 – $68.95 | 15 |
| Vancomycin 750 mg intravenous solution HCPCS J3374 | $91.42 | $114.27 | $20.53 – $76.34 | 15 |
| Vancomycin peak therapeutic drug level CPT 80202 | $132.00 | $165.00 | $39.95 – $148.50 | 15 |
| Varicella zoster antibody igg CPT 86787 | $60.00 | $75.00 | $18.16 – $67.50 | 15 |
| Vasc graft into carpal bone CPT 25430 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Vasectomy CPT 55250 | $3,408.00 | $4,260.00 | $1,031.35 – $3,834.00 | 15 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $64.40 | $80.50 | $19.49 – $72.45 | 15 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | $9,441.12 | $11,801.40 | $22.69 – $10,621.26 | 15 |
| Veeg cont 2-12 hrs CPT 95713 | not published | not published | $557.13 – $557.13 | 1 |
| Veeg ea 12-26hr cont mntr CPT 95716 | not published | not published | $1,068.26 – $1,068.26 | 1 |
| Veeg intrmnt 2-12 hrs CPT 95712 | not published | not published | $326.96 – $326.96 | 1 |
| Veeg unmon 12-26 hrs CPT 95714 | not published | not published | $557.13 – $557.13 | 1 |
| Veeg unmon 2-12 hrs CPT 95711 | not published | not published | $326.96 – $326.96 | 1 |
| Vein x-ray adrenal gland CPT 75840 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| Vein x-ray adrenal glands CPT 75842 | not published | not published | $5,675.99 – $5,675.99 | 1 |
| Vein x-ray eye socket CPT 75880 | not published | not published | $649.17 – $649.17 | 1 |
| Vein x-ray kidney CPT 75831 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| Vein x-ray liver CPT 75891 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| Vein x-ray liver w/hemodynam CPT 75885 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| Vein x-ray liver w/hemodynam CPT 75889 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| Vein x-ray liver without hemodyn CPT 75887 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| Vein x-ray skull CPT 75870 | not published | not published | $3,304.88 – $3,304.88 | 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.