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 |
|---|---|---|---|---|
| Wrist arthroscopy/surgery CPT 29843 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Wrist arthroscopy/surgery CPT 29844 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Wrist arthroscopy/surgery CPT 29845 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Wrist arthroscopy/surgery CPT 29846 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Wrist arthroscopy/surgery CPT 29847 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Wrist endoscopy/surgery CPT 29848 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Wrist X-ray CPT 73110 | $368.80 | $461.00 | $92.45 – $414.90 | 15 |
| Wrist X-ray (2 views, both wrists) CPT 73100 | $294.40 | $368.00 | $89.09 – $331.20 | 15 |
| Xcapsl ctrc rmvl cplx w/ecp CPT 66987 | not published | not published | $4,224.00 – $4,224.00 | 1 |
| Xcapsl ctrc rmvl cplx wo ecp CPT 66982 | not published | not published | $2,394.77 – $2,394.77 | 1 |
| Xcapsl ctrc rmvl insj 1+ CPT 66991 | not published | not published | $5,417.70 – $5,417.70 | 1 |
| Xcapsl ctrc rmvl w/ecp CPT 66988 | not published | not published | $4,224.00 – $4,224.00 | 1 |
| Xcpsl ctrc rmvl cplx insj 1+ CPT 66989 | not published | not published | $5,417.70 – $5,417.70 | 1 |
| Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/< CPT 14040 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| Xfer tis s/a/l 10 sq cm/< CPT 14020 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| X-ray abdomen >=3 views CPT 74021 | $443.20 | $554.00 | $111.66 – $498.60 | 15 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | not published | not published | $374.99 – $374.99 | 1 |
| X-ray bone length studies CPT 77073 | $443.20 | $554.00 | $111.66 – $498.60 | 15 |
| X-ray bone survey infant CPT 77076 | not published | not published | $111.66 – $111.66 | 1 |
| X-ray exam entire spi 4/5 vw CPT 72083 | not published | not published | $111.66 – $111.66 | 1 |
| X-ray exam entire spi 6/> vw CPT 72084 | not published | not published | $111.66 – $111.66 | 1 |
| X-ray exam of arm infant CPT 73092 | $298.40 | $373.00 | $90.30 – $335.70 | 15 |
| X-ray exam of femur 1 CPT 73551 | not published | not published | $92.45 – $92.45 | 1 |
| X-ray exam of jaw joint CPT 70328 | not published | not published | $92.45 – $92.45 | 1 |
| X-ray exam of jaw joint CPT 70332 | not published | not published | $253.81 – $253.81 | 1 |
| X-ray exam of mastoids CPT 70120 | $301.60 | $377.00 | $91.27 – $339.30 | 15 |
| X-ray exam of middle ear CPT 70134 | $475.20 | $594.00 | $143.81 – $534.60 | 15 |
| X-ray exam of penis CPT 74445 | not published | not published | $111.66 – $111.66 | 1 |
| X-ray exam of perineum CPT 74775 | not published | not published | $253.81 – $253.81 | 1 |
| X-ray exam of salivary gland CPT 70380 | $439.20 | $549.00 | $92.45 – $494.10 | 15 |
| X-ray exam of tear duct CPT 70170 | not published | not published | $253.81 – $253.81 | 1 |
| X-ray exam of teeth CPT 70300 | not published | not published | $92.45 – $92.45 | 1 |
| X-ray exam of teeth CPT 70310 | not published | not published | $253.81 – $253.81 | 1 |
| X-ray exam si joints CPT 72200 | not published | not published | $111.66 – $111.66 | 1 |
| X-ray exam thorac spine4/>vw CPT 72074 | not published | not published | $111.66 – $111.66 | 1 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $322.40 | $403.00 | $92.45 – $362.70 | 15 |
| X-ray head for orthodontia CPT 70350 | not published | not published | $92.45 – $92.45 | 1 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $436.00 | $545.00 | $111.66 – $490.50 | 15 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $550.40 | $688.00 | $111.66 – $619.20 | 15 |
| X-ray joint survey 1 view CPT 77077 | $344.00 | $430.00 | $104.10 – $387.00 | 15 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $316.80 | $396.00 | $92.45 – $356.40 | 15 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $307.20 | $384.00 | $92.97 – $345.60 | 15 |
| X-ray male genital tract CPT 74440 | not published | not published | $253.81 – $253.81 | 1 |
| X-ray mandible ltd <4 views CPT 70100 | $372.00 | $465.00 | $92.45 – $418.50 | 15 |
| X-ray nose to rectum for foreign body child CPT 76010 | $366.40 | $458.00 | $92.45 – $412.20 | 15 |
| X-ray of mammary ducts CPT 77054 | not published | not published | $253.81 – $253.81 | 1 |
| X-ray optic foramina CPT 70190 | $300.80 | $376.00 | $91.03 – $338.40 | 15 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $1,036.00 | $1,295.00 | $313.52 – $1,165.50 | 15 |
| X-ray ribs 2 views left CPT 71100 | $368.80 | $461.00 | $92.45 – $414.90 | 15 |
| X-ray sella turcica CPT 70240 | not published | not published | $92.45 – $92.45 | 1 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $974.40 | $1,218.00 | $294.88 – $1,096.20 | 15 |
| X-ray slg plne bdy sect without urogr CPT 76100 | not published | not published | $111.66 – $111.66 | 1 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $338.40 | $423.00 | $92.45 – $380.70 | 15 |
| X-ray surgical specimen CPT 76098 | $715.20 | $894.00 | $216.44 – $804.60 | 15 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $313.60 | $392.00 | $92.45 – $352.80 | 15 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | not published | not published | $186.92 – $186.92 | 1 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $263.52 | $329.40 | $20.86 – $77.54 | 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.