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 |
|---|---|---|---|---|
| Cystoscopy & ureter catheter CPT 52005 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Cystotomy/cystostomy fulg+/insj radact matrl 51020 CPT 51020 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Cystotomy excise/incise/repair 51535 CPT 51535 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Cystouretero & or pyeloscope CPT 52351 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Cysto/uretero stricture tx CPT 52344 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Cystouretero w/biopsy CPT 52354 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Cystouretero w/excise tumor CPT 52355 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Cysto/uretero w/lithotripsy CPT 52356 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Cystouretero w/lithotripsy CPT 52353 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Cystouretero w/renal strict CPT 52346 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Cystouretero w/stone remove CPT 52352 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Cysto/uretero w/up stricture CPT 52345 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Cystourethro cut ejacul duct CPT 52402 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Cysto w/renal stricture tx CPT 52343 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Cysto w/up stricture tx CPT 52342 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Cysto w/ureter stricture tx CPT 52341 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Cytogenetics 25-99 CPT 88274 | $103.20 | $129.00 | $31.23 – $116.10 | 15 |
| Cytogenetics 3-5 CPT 88272 | $99.20 | $124.00 | $30.02 – $111.60 | 15 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $78.40 | $98.00 | $23.73 – $88.20 | 15 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $80.80 | $101.00 | $24.45 – $90.90 | 15 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $148.00 | $185.00 | $44.79 – $166.50 | 15 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $108.80 | $136.00 | $32.93 – $122.40 | 15 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $84.00 | $105.00 | $25.42 – $94.50 | 15 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $166.40 | $208.00 | $50.36 – $187.20 | 15 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $155.20 | $194.00 | $46.97 – $174.60 | 15 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $301.60 | $377.00 | $91.27 – $339.30 | 15 |
| Cytopath smear other source CPT 88160 | $152.80 | $191.00 | $46.24 – $171.90 | 15 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | $9,315.64 | $11,644.54 | $61.60 – $10,480.09 | 15 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $2,571.60 | $3,214.50 | $83.92 – $311.98 | 15 |
| Dbrdmt prmlg les w/pdt CPT 96574 | not published | not published | $208.64 – $208.64 | 1 |
| D&c after delivery 59160 CPT 59160 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Dch glucoscan CPT 82948 | $16.80 | $21.00 | $5.08 – $18.90 | 15 |
| Dch pulmonary stress test CPT 94621 | not published | not published | $326.96 – $326.96 | 1 |
| Dch validity tests CPT 81002 | $19.20 | $24.00 | $2.91 – $10.80 | 15 |
| Dcmprn orbit only transcrnl CPT 61330 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Dcmprn plantar digital nerve CPT 64726 | not published | not published | $2,050.41 – $2,050.41 | 1 |
| D&c of cervical stump CPT 57558 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Deamidated gliadin antibody iga CPT 86258 | $66.40 | $83.00 | $16.46 – $61.20 | 15 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | not published | not published | $642.74 – $642.74 | 1 |
| Debridement bone <= 20 sq cm CPT 11044 | not published | not published | $1,701.25 – $1,701.25 | 1 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | not published | not published | $419.51 – $419.51 | 1 |
| Debride nail1-5 11720 CPT 11720 | not published | not published | $62.37 – $62.37 | 1 |
| Debride nail6 or more 11721 CPT 11721 | not published | not published | $62.37 – $62.37 | 1 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | not published | not published | $738.77 – $738.77 | 1 |
| Debride skin bone at fx site CPT 11012 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | not published | not published | $208.64 – $208.64 | 1 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | not published | not published | $738.77 – $738.77 | 1 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | not published | not published | $642.74 – $642.74 | 1 |
| Decalcification CPT 88311 | $72.80 | $91.00 | $22.03 – $81.90 | 15 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | $1,537.37 | $1,921.71 | $281.63 – $1,046.96 | 15 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | not published | not published | $348.27 – $348.27 | 1 |
| Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Decomp forearm 1 space 25020 CPT 25020 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Decomp forearm 2 spaces w/debrid 25025 CPT 25025 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Decompress fasciotomyhand 26037 CPT 26037 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Decompress fingers/hand CPT 26035 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Decompress forearm 1 space CPT 25023 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Decompress forearm 2 spaces CPT 25024 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Decompression fasct forearm CPT 24495 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Decompression of leg CPT 27892 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Decompression of leg CPT 27893 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Decompression of leg CPT 27894 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Decompression of lower leg CPT 27600 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Decompression of lower leg CPT 27601 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Decompression of thigh/knee CPT 27496 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Decompression of thigh/knee CPT 27497 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Decompression of thigh/knee CPT 27498 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Decompression of thigh/knee CPT 27499 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Decompression of tibia nerve CPT 28035 | not published | not published | $2,050.41 – $2,050.41 | 1 |
| Decompression unspecified nerve 64722 CPT 64722 | not published | not published | $2,050.41 – $2,050.41 | 1 |
| Decompress optic nerve CPT 67570 | not published | not published | $3,959.55 – $3,959.55 | 1 |
| Decompres spinal cord;thoracic 63055 CPT 63055 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Decompress spinal cord lmbr CPT 63056 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Decompress spinal cord thrc CPT 63064 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Deep muscle biopsy 20205 CPT 20205 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | $85.49 | $106.86 | $21.11 – $78.49 | 15 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | $1,214.60 | $1,518.25 | $367.57 – $1,366.43 | 15 |
| Delayed breast prosthesis 19342 CPT 19342 | not published | not published | $10,047.49 – $10,047.49 | 1 |
| Delay flap arms/legs CPT 15610 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| Delay flap eye/nos/ear/lip CPT 15630 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| Delay flap fccnaxghf 15620 CPT 15620 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| Delay flap trunk 15600 CPT 15600 | not published | not published | $3,844.02 – $3,844.02 | 1 |
| Delivery of placenta 59414 CPT 59414 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Demonstrate use home inr mon HCPCS G0248 | not published | not published | $135.31 – $135.31 | 1 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $180.00 | $225.00 | $34.14 – $126.90 | 15 |
| Denervation of hip joint CPT 27035 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $4,887.27 | $6,109.08 | $859.70 – $3,195.90 | 15 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $498.40 | $623.00 | $135.35 – $560.70 | 15 |
| Dermabrasion other than face CPT 15782 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Dermabrasion segmental face 15781 CPT 15781 | not published | not published | $738.77 – $738.77 | 1 |
| Dermabrasion suprfl any site CPT 15783 | not published | not published | $419.51 – $419.51 | 1 |
| Dermabrasion total face CPT 15780 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Derma-fat-fascia graft 15770 CPT 15770 | not published | not published | $3,844.02 – $3,844.02 | 1 |
| Dermal filler injection(s) HCPCS G0429 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| Derm autograft face/nck/hf/g CPT 15135 | not published | not published | $3,844.02 – $3,844.02 | 1 |
| Derm autograft trnk/arm/leg CPT 15130 | 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.