Sanford Luverne Medical Center
1600 N Kniss Ave, Luverne, MN · Sanford Health · · NPI 1497703045
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 |
|---|---|---|---|---|
| Cryopreserve stem cells CPT 38207 | not published | not published | $459.04 – $459.04 | 1 |
| Cryosurgery penis lesion(s) 54056 CPT 54056 | not published | not published | $208.64 – $208.64 | 1 |
| Cryotherapy of acne 17340 CPT 17340 | not published | not published | $62.37 – $62.37 | 1 |
| Crystal identification light microscopy CPT 89060 | $43.20 | $54.00 | $13.07 – $48.60 | 15 |
| Csf leakage imaging CPT 78650 | not published | not published | $1,370.75 – $1,370.75 | 1 |
| Csf shunt reprogram 62252 CPT 62252 | not published | not published | $314.91 – $314.91 | 1 |
| Csf ventriculography CPT 78635 | not published | not published | $565.18 – $565.18 | 1 |
| CT 3d report other modality w/workstation CPT 76377 | $802.40 | $1,003.00 | $242.83 – $902.70 | 15 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | not published | not published | $186.92 – $446.60 | 2 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $4,839.20 | $6,049.00 | $374.99 – $5,444.10 | 15 |
| CT Angiogram of the Abdomen CPT 74175 | $3,443.20 | $4,304.00 | $186.92 – $3,873.60 | 15 |
| CT Angiogram of the Abdomen and Both Legs CPT 75635 | not published | not published | $186.92 – $186.92 | 1 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $3,344.00 | $4,180.00 | $186.92 – $3,762.00 | 15 |
| CT Angiogram of the Head CPT 70496 | $3,188.80 | $3,986.00 | $186.92 – $3,587.40 | 15 |
| CT Angiogram of the Neck CPT 70498 | $3,288.80 | $4,111.00 | $186.92 – $3,699.90 | 15 |
| CT angio hrt w/3d image CPT 75574 | not published | not published | $374.99 – $446.60 | 2 |
| CT angio pelvis CPT 72191 | not published | not published | $186.92 – $446.60 | 2 |
| Cta upper extremity w &/or without contrast left CPT 73206 | not published | not published | $186.92 – $446.60 | 2 |
| CT bone density axial CPT 77078 | not published | not published | $92.45 – $92.45 | 1 |
| CT colonography dx CPT 74261 | not published | not published | $111.66 – $352.55 | 2 |
| CT colonography dx w/dye CPT 74262 | not published | not published | $186.92 – $446.60 | 2 |
| CT colonography screening CPT 74263 | not published | not published | $253.81 – $253.81 | 1 |
| CT guidance for needle placement CPT 77012 | $1,876.00 | $2,345.00 | $567.72 – $2,110.50 | 15 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $1,010.40 | $1,263.00 | $305.77 – $1,136.70 | 15 |
| CT guid cryo ablat intramuscular CPT 20999 | not published | not published | $251.87 – $251.87 | 1 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | not published | not published | $92.45 – $92.45 | 1 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | not published | not published | $374.99 – $446.60 | 2 |
| CT hrt w/3d image CPT 75572 | not published | not published | $374.99 – $446.60 | 2 |
| CT limited or localized follow-up study CPT 76380 | $1,361.60 | $1,702.00 | $92.45 – $1,531.80 | 15 |
| CT lwr extremity w/o&w/dye CPT 73702 | $3,152.80 | $3,941.00 | $186.92 – $3,546.90 | 15 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | not published | not published | $243.83 – $243.83 | 1 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $5,067.20 | $6,334.00 | $374.99 – $5,700.60 | 15 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $4,336.00 | $5,420.00 | $374.99 – $4,878.00 | 15 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $3,158.40 | $3,948.00 | $253.81 – $3,553.20 | 15 |
| CT t-spine w /wo contrast CPT 72130 | not published | not published | $186.92 – $446.60 | 2 |
| CT uppr extremity w/o&w/dye CPT 73202 | $3,199.20 | $3,999.00 | $186.92 – $3,599.10 | 15 |
| Cult skin graft fnhfg 15155 CPT 15155 | not published | not published | $3,844.02 – $3,844.02 | 1 |
| Cult skin grft t/arm/leg CPT 15150 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| Culture aerobic additional method definitive id each CPT 87077 | $90.40 | $113.00 | $19.37 – $72.00 | 15 |
| Culture afb any source CPT 87116 | $71.20 | $89.00 | $21.55 – $80.10 | 15 |
| Culture anaerobic additional method definitive id each CPT 87076 | $44.80 | $56.00 | $13.56 – $50.40 | 15 |
| Culture anaerobic except blood CPT 87075 | $77.60 | $97.00 | $23.48 – $87.30 | 15 |
| Culture bact stool aero addl path ea CPT 87046 | $44.80 | $56.00 | $12.59 – $46.80 | 15 |
| Culture body fluid CPT 87070 | $48.00 | $60.00 | $7.99 – $29.70 | 15 |
| Culture fungi definitive id mold CPT 87107 | $62.40 | $78.00 | $11.62 – $43.20 | 15 |
| Culture fungi definitive id yeast CPT 87106 | $110.40 | $138.00 | $31.72 – $117.90 | 15 |
| Culture fungi other (except blood) CPT 87102 | $66.40 | $83.00 | $20.09 – $74.70 | 15 |
| Culture fungi skin/hair/nail CPT 87101 | $78.40 | $98.00 | $23.73 – $88.20 | 15 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $149.60 | $187.00 | $45.27 – $168.30 | 15 |
| Culture mycoplasma any source CPT 87109 | $164.00 | $205.00 | $49.63 – $184.50 | 15 |
| Culture screening strep group a CPT 87081 | $41.60 | $52.00 | $11.14 – $41.40 | 15 |
| Culture typing immunologic CPT 87147 | $40.00 | $50.00 | $12.11 – $45.00 | 15 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $576.00 | $720.00 | $174.31 – $648.00 | 15 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $172.00 | $215.00 | $52.05 – $193.50 | 15 |
| Culture urine each isolate CPT 87088 | $40.80 | $51.00 | $12.35 – $45.90 | 15 |
| Curette/treat cornea CPT 65435 | not published | not published | $1,016.97 – $1,016.97 | 1 |
| Curette/treat cornea CPT 65436 | not published | not published | $2,449.61 – $2,449.61 | 1 |
| Cv line/pic reposition CPT 36597 | not published | not published | $1,631.11 – $1,631.11 | 1 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $61.72 | $77.15 | $18.64 – $69.31 | 15 |
| Cyclic citrullinated peptide antibody CPT 86200 | $81.60 | $102.00 | $24.69 – $91.80 | 15 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | $968.48 | $1,210.59 | $293.08 – $1,089.53 | 15 |
| Cyclosporine 2 hour CPT 80158 | $214.40 | $268.00 | $40.67 – $151.20 | 15 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | $4.85 | $6.06 | $0.36 – $1.35 | 15 |
| Cysto cgen post urtl valves CPT 52400 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $478.40 | $598.00 | $144.78 – $538.20 | 15 |
| Cysto impl 4 or more HCPCS C9740 | not published | not published | $9,709.51 – $9,709.51 | 1 |
| Cysto insj dev ischmc rmdlg CPT 53865 | not published | not published | $9,709.51 – $9,709.51 | 1 |
| Cystometrogram w/up 51727 CPT 51727 | not published | not published | $700.84 – $700.84 | 1 |
| Cystorrhaphy wound simple 51860 CPT 51860 | not published | not published | $9,709.51 – $9,709.51 | 1 |
| Cystoscopy and biopsy CPT 52007 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Cystoscopy and radiotracer CPT 52250 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Cystoscopy and treatment CPT 52214 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Cystoscopy and treatment CPT 52224 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Cystoscopy and treatment CPT 52234 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Cystoscopy and treatment CPT 52235 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Cystoscopy and treatment CPT 52240 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Cystoscopy and treatment CPT 52260 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Cystoscopy and treatment CPT 52265 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Cystoscopy and treatment CPT 52276 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Cystoscopy and treatment CPT 52277 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Cystoscopy and treatment CPT 52283 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Cystoscopy and treatment CPT 52285 | not published | not published | $700.84 – $700.84 | 1 |
| Cystoscopy and treatment CPT 52290 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Cystoscopy and treatment CPT 52300 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Cystoscopy and treatment CPT 52301 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Cystoscopy and treatment CPT 52305 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Cystoscopy and treatment CPT 52310 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Cystoscopy and treatment CPT 52315 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Cystoscopy and treatment CPT 52320 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Cystoscopy and treatment CPT 52330 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Cystoscopy (Bladder Scope) CPT 52000 | not published | not published | $700.84 – $700.84 | 1 |
| Cystoscopy chemodenervation CPT 52287 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Cystoscopy & duct catheter CPT 52010 | not published | not published | $700.84 – $700.84 | 1 |
| Cystoscopy implant stent CPT 52282 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Cystoscopy inject material CPT 52327 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Cystoscopy prostatic imp 1-3 HCPCS C9739 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Cystoscopy removal of clots CPT 52001 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Cystoscopy & revise urethra CPT 52270 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Cystoscopy & revise urethra CPT 52275 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Cystoscopy stone removal CPT 52325 | 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.