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 |
|---|---|---|---|---|
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | $2,264.64 | $2,830.79 | $685.33 – $2,547.71 | 15 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $79.64 | $99.54 | $24.10 – $89.59 | 15 |
| ER Visit (level 1, minor) CPT 99281 | $230.40 | $288.00 | $69.72 – $259.20 | 15 |
| ER Visit (level 2) CPT 99282 | $430.40 | $538.00 | $130.25 – $484.20 | 15 |
| ER Visit (level 3) CPT 99283 | $658.40 | $823.00 | $199.25 – $740.70 | 15 |
| ER Visit (level 4) CPT 99284 | $1,190.40 | $1,488.00 | $360.24 – $1,339.20 | 15 |
| ER Visit (level 5, high severity) CPT 99285 | $1,766.40 | $2,208.00 | $534.56 – $1,987.20 | 15 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $64.59 | $80.73 | $18.65 – $69.33 | 15 |
| Esophageal motility CPT 78258 | not published | not published | $421.92 – $421.92 | 1 |
| Esophageal recording CPT 93615 | not published | not published | $1,274.69 – $1,274.69 | 1 |
| Esophageal recording CPT 93616 | not published | not published | $1,274.69 – $1,274.69 | 1 |
| Esophagosc dilate balloon 30 CPT 43214 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Esophagosc flex trnsn biopsy CPT 43198 | not published | not published | $984.44 – $984.44 | 1 |
| Esophagoscop mucosal resect CPT 43211 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Esophagoscop stent placement CPT 43212 | not published | not published | $6,250.45 – $6,250.45 | 1 |
| Esophagoscop ultrasound exam CPT 43231 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Esophagoscopy balloon <30mm CPT 43220 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Esophagoscopy control bleed CPT 43227 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Esophagoscopy flex biopsy CPT 43202 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | not published | not published | $984.44 – $984.44 | 1 |
| Esophagoscopy flex dx brush CPT 43197 | not published | not published | $984.44 – $984.44 | 1 |
| Esophagoscopy flex remove fb CPT 43215 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Esophagoscopy lesion ablate CPT 43229 | not published | not published | $3,994.76 – $3,994.76 | 1 |
| Esophagoscopy lesion removal CPT 43216 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Esophagoscopy retro balloon CPT 43213 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Esophagoscopy rigid balloon CPT 43195 | not published | not published | $3,994.76 – $3,994.76 | 1 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Esophagoscopy rigid trnso 43180 CPT 43180 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Esophagoscopy snare les remv CPT 43217 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Esophagoscopy w/us needle bx CPT 43232 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Esophagoscp guide wire dilat 43196 CPT 43196 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Esophagoscp rig trnso biopsy CPT 43193 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Esophagoscp rig trnso inject CPT 43192 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Esophagoscp rig trnso rem fb CPT 43194 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Esophagus endoscopy/ligation CPT 43205 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Esophagus motility study CPT 91010 | not published | not published | $557.13 – $557.13 | 1 |
| Esoph balloon distension tst CPT 91040 | not published | not published | $557.13 – $557.13 | 1 |
| Esoph egd dilation <30 mm CPT 43249 | not published | not published | $958.10 – $1,991.84 | 2 |
| Esoph endoscopy dilation CPT 43226 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Esoph imped function test CPT 91037 | not published | not published | $326.96 – $326.96 | 1 |
| Esoph imped funct test > 1hr CPT 91038 | not published | not published | $557.13 – $557.13 | 1 |
| Esoph optical endomicroscopy CPT 43206 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Esoph scope w/sclerosis inj CPT 43204 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Esoph scope w/submucous inj CPT 43201 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Essure 58565 CPT 58565 | not published | not published | $5,183.27 – $5,183.27 | 1 |
| Established Patient Office Visit (level 1) CPT 99211 | $135.20 | $169.00 | $40.91 – $152.10 | 15 |
| Established Patient Office Visit (level 2) CPT 99212 | $156.80 | $196.00 | $47.45 – $176.40 | 15 |
| Established Patient Office Visit (level 3) CPT 99213 | $205.60 | $257.00 | $62.22 – $231.30 | 15 |
| Established Patient Office Visit (level 4) CPT 99214 | $273.60 | $342.00 | $82.80 – $307.80 | 15 |
| Established Patient Office Visit (level 5) CPT 99215 | $350.40 | $438.00 | $106.04 – $394.20 | 15 |
| Estradiol total CPT 82670 | $146.40 | $183.00 | $20.34 – $75.60 | 15 |
| Estrogens total-sendout CPT 82672 | $52.80 | $66.00 | $15.98 – $59.40 | 15 |
| Ethmoidectomy extranasal total 31205 CPT 31205 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Ethylene glycol -sendout CPT 82693 | $200.00 | $250.00 | $60.53 – $225.00 | 15 |
| Etonogestrel implant system HCPCS J7307 | $990.92 | $1,238.64 | $299.87 – $1,114.78 | 15 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $445.24 | $556.55 | $129.70 – $482.17 | 15 |
| Evacuate mole of uterus CPT 59870 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $450.40 | $563.00 | $136.30 – $506.70 | 15 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $273.60 | $342.00 | $82.80 – $307.80 | 15 |
| Evaluation of speech fluency 92521 CPT 92521 | $391.20 | $489.00 | $118.39 – $440.10 | 15 |
| Evaluation psychiatric diagnostic CPT 90791 | $390.40 | $488.00 | $99.75 – $370.80 | 15 |
| Event monitor CPT 93270 | $305.60 | $382.00 | $39.15 – $343.80 | 15 |
| Evoked auditory tst complete CPT 92588 | not published | not published | $326.96 – $326.96 | 1 |
| Evoked oa emissions ltd CPT 92587 | $151.20 | $189.00 | $45.76 – $170.10 | 15 |
| Evoked potentials upper limbs CPT 95925 | not published | not published | $326.96 – $326.96 | 1 |
| Evoked potential visual not glaucoma CPT 95930 | not published | not published | $326.96 – $326.96 | 1 |
| Exam of vagina w/scope 57420 CPT 57420 | not published | not published | $319.40 – $319.40 | 1 |
| Exam plvc w/anes othr thn lcl CPT 57410 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Ex arm/elbow tum deep < 5 cm CPT 24076 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Ex arm/elbow tum deep 5 cm/> CPT 24073 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Exc abd les sc 3 cm/> CPT 22903 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Exc abdl tum deep < 5 cm CPT 22900 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Exc abdl tum deep 5 cm/> CPT 22901 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Exc arm/elbo les sc <3cm 24075 CPT 24075 | not published | not published | $1,701.25 – $1,701.25 | 1 |
| Exc aurl glomus tum trnscanl CPT 69550 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Exc aurl glomus tum trnsmstd CPT 69552 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Exc back les sbq <3 cm 21930 CPT 21930 | not published | not published | $1,701.25 – $1,701.25 | 1 |
| Exc back tum deep 5 cm/> CPT 21933 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Exc bartholins gland/cyst CPT 56740 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Exc benign feenlm 3.1-4.0cm 11444 CPT 11444 | not published | not published | $1,701.25 – $1,701.25 | 1 |
| Exc benign feenlm >4.0cm 11446 CPT 11446 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 | not published | not published | $1,701.25 – $1,701.25 | 1 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | not published | not published | $738.77 – $738.77 | 1 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | not published | not published | $738.77 – $738.77 | 1 |
| Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 | not published | not published | $738.77 – $738.77 | 1 |
| Exc ben+marg excep skin tag feenlm 2.1-3cm 11443 CPT 11443 | not published | not published | $1,701.25 – $1,701.25 | 1 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | not published | not published | $738.77 – $738.77 | 1 |
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | not published | not published | $1,701.25 – $1,701.25 | 1 |
| Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | not published | not published | $419.51 – $419.51 | 1 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | not published | not published | $738.77 – $738.77 | 1 |
| Exc breast duct fistula 19112 CPT 19112 | not published | not published | $4,020.74 – $4,020.74 | 1 |
| Exc cervix repair bowel 57556 CPT 57556 | not published | not published | $5,183.27 – $5,183.27 | 1 |
| Exc cervix/repair vagina 57555 CPT 57555 | not published | not published | $5,183.27 – $5,183.27 | 1 |
| Exc chest wall tumor w/ribs 21601 CPT 21601 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Exc coccygl pr ulc flap clsr CPT 15922 | not published | not published | $3,844.02 – $3,844.02 | 1 |
| Exc coccygl pr ulc prim sutr CPT 15920 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Exc constrict ring finger w/mlt z-plasties 26596 CPT 26596 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Exc/crtg b1 cst/b9 tum rds CPT 24120 | not published | not published | $3,406.84 – $3,406.84 | 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.