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 |
|---|---|---|---|---|
| Flexor-plasty elbow CPT 24330 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Flexor-plasty elbw w/advmnt CPT 24331 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Floor of mouth biopsy 41108 CPT 41108 | not published | not published | $1,701.25 – $1,701.25 | 1 |
| Flow cytometry marker each additional CPT 88185 | $148.80 | $186.00 | $45.03 – $167.40 | 15 |
| Flow cytometry one marker technical component CPT 88184 | $236.00 | $295.00 | $71.42 – $265.50 | 15 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $127.76 | $159.70 | $38.66 – $143.73 | 15 |
| Fluidotherapy charges pt CPT 97022 | $101.60 | $127.00 | $30.75 – $114.30 | 15 |
| Fluid pressure muscle 20950 CPT 20950 | not published | not published | $738.77 – $738.77 | 1 |
| Fluorescein angioscopy i&r CPT 92230 | not published | not published | $557.13 – $557.13 | 1 |
| Fluorescein angrph mltiframe CPT 92235 | not published | not published | $326.96 – $326.96 | 1 |
| Fluorescein&icg angiography CPT 92242 | not published | not published | $326.96 – $326.96 | 1 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $504.80 | $631.00 | $152.77 – $567.90 | 15 |
| Fluoroguide needle placement CPT 77002 | $523.20 | $654.00 | $158.33 – $588.60 | 15 |
| Fluoroscopy (Live X-ray Guidance, up to 1 hour) CPT 76000 | $376.80 | $471.00 | $114.03 – $423.90 | 15 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $434.96 | $543.70 | $130.02 – $483.35 | 15 |
| Fmri brain by phys/psych CPT 70555 | not published | not published | $253.81 – $578.05 | 2 |
| Fmri brain by tech CPT 70554 | not published | not published | $253.81 – $578.05 | 2 |
| Fna bx w/ct gdn 1st les CPT 10009 | not published | not published | $738.77 – $738.77 | 1 |
| Fna bx w/mr gdn 1st les CPT 10011 | not published | not published | $738.77 – $738.77 | 1 |
| Folic acid CPT 82746 | $79.20 | $99.00 | $23.97 – $89.10 | 15 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $60.14 | $75.17 | $18.20 – $67.65 | 15 |
| Follow-up angiography CPT 75898 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| Follow-up surgery of eye CPT 66250 | not published | not published | $2,449.61 – $2,449.61 | 1 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $974.40 | $1,218.00 | $268.00 – $996.30 | 15 |
| Foot X-ray CPT 73630 | $334.40 | $418.00 | $92.45 – $376.20 | 15 |
| Foot X-ray (2 views, both feet) CPT 73620 | $174.40 | $218.00 | $52.78 – $196.20 | 15 |
| Forearm X-ray (both sides) CPT 73090 | $166.40 | $208.00 | $50.36 – $187.20 | 15 |
| Forehead flap w/vasc pedicle 15731 CPT 15731 | not published | not published | $3,844.02 – $3,844.02 | 1 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | not published | not published | $255.37 – $255.37 | 1 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $71.24 | $89.05 | $20.43 – $75.95 | 15 |
| Fracture assessment via dxa CPT 77086 | not published | not published | $92.45 – $92.45 | 1 |
| _fragile x methylation-sendout CPT 81244 | $120.80 | $151.00 | $36.56 – $135.90 | 15 |
| Fragmenting of kidney stone CPT 50590 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Frenectomy 41115 CPT 41115 | not published | not published | $1,555.34 – $1,555.34 | 1 |
| Frenotomy 40806 CPT 40806 | not published | not published | $534.71 – $534.71 | 1 |
| Frenulotomy of penis CPT 54164 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $328.00 | $410.00 | $99.26 – $369.00 | 15 |
| Ftl cgen abnor four anal CPT 81511 | $371.20 | $464.00 | $112.33 – $417.60 | 15 |
| Full mouth x-ray of teeth CPT 70320 | not published | not published | $253.81 – $253.81 | 1 |
| Full Spine X-ray (Scoliosis Survey) CPT 72082 | not published | not published | $111.66 – $111.66 | 1 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| Fundus photography with i&r 92250 CPT 92250 | not published | not published | $135.35 – $135.35 | 1 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $60.89 | $76.11 | $18.20 – $67.67 | 15 |
| Fusion/graft of finger joint CPT 26862 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Fusion/graft of hand joint CPT 26844 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Fusion of ankle joint open CPT 27870 | not published | not published | $13,510.16 – $13,510.16 | 1 |
| Fusion of big toe joint CPT 28750 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Fusion of big toe joint CPT 28755 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Fusion of finger joint CPT 26860 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Fusion of finger tendons CPT 26471 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Fusion of finger tendons CPT 26474 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Fusion of foot bones CPT 28730 | not published | not published | $13,510.16 – $13,510.16 | 1 |
| Fusion of foot bones CPT 28735 | not published | not published | $13,510.16 – $13,510.16 | 1 |
| Fusion of foot bones CPT 28740 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Fusion of hand joint CPT 26843 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Fusion of knuckle CPT 26850 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Fusion of knuckle joint CPT 26516 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Fusion of knuckle joints CPT 26517 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Fusion of knuckle joints CPT 26518 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Fusion of knuckle with graft CPT 26852 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Fusion of spermatic ducts CPT 54900 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Fusion of spermatic ducts CPT 54901 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Fusion of tendons at wrist CPT 25300 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Fusion of tendons at wrist CPT 25301 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Fusion of thumb CPT 26841 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Fusion of tibiofibular joint CPT 27871 | not published | not published | $13,510.16 – $13,510.16 | 1 |
| Fusion of toes CPT 28280 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | $60.00 | $75.00 | $1.21 – $4.50 | 15 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $120.00 | $150.00 | $12.11 – $45.00 | 15 |
| Galactose transferase test CPT 82776 | $31.20 | $39.00 | $9.44 – $35.10 | 15 |
| Gallbladder and Bile Duct Scan (HIDA Scan) CPT 78226 | $1,837.60 | $2,297.00 | $421.92 – $2,067.30 | 15 |
| Gallbladder Function Scan (HIDA with Medication) CPT 78227 | $2,257.60 | $2,822.00 | $565.18 – $2,539.80 | 15 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Galsulfase injection HCPCS J1458 | not published | not published | $493.88 – $493.88 | 1 |
| Gamma globulin > 10 cc inj HCPCS J1560 | not published | not published | $507.94 – $507.94 | 1 |
| Gamma globulin 1 cc inj HCPCS J1460 | not published | not published | $50.78 – $50.78 | 1 |
| Gammaglobulin iga CPT 82784 | $50.40 | $63.00 | $8.72 – $32.40 | 15 |
| Gammaglobulin ige CPT 82785 | $88.80 | $111.00 | $26.87 – $99.90 | 15 |
| Gamma glutamyltransferase CPT 82977 | $31.20 | $39.00 | $9.44 – $35.10 | 15 |
| Gammaplex injection HCPCS J1557 | not published | not published | $59.03 – $59.03 | 1 |
| Gamunex-c/gammaked HCPCS J1561 | $7,043.04 | $8,803.80 | $49.73 – $2,067.48 | 15 |
| Gastric emptying imag study CPT 78265 | not published | not published | $421.92 – $421.92 | 1 |
| Gastric emptying imag study CPT 78266 | not published | not published | $565.18 – $565.18 | 1 |
| Gastric motility studies CPT 91020 | not published | not published | $557.13 – $557.13 | 1 |
| Gastric mucosa imaging CPT 78261 | not published | not published | $421.92 – $421.92 | 1 |
| Gastroesophageal reflux study CPT 78262 | not published | not published | $421.92 – $421.92 | 1 |
| Gastroesophageal reflux test CPT 91034 | not published | not published | $557.13 – $557.13 | 1 |
| Gastrostomy open neonatal CPT 43831 | not published | not published | $984.44 – $984.44 | 1 |
| Gated heart multiple CPT 78473 | not published | not published | $421.92 – $421.92 | 1 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $445.98 | $557.47 | $129.52 – $481.48 | 15 |
| General health panel CPT 80050 | $179.20 | $224.00 | $54.23 – $201.60 | 15 |
| Genioplasty augmentation CPT 21120 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Geniop sldg augmentation CPT 21123 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Geniop sldg osteot 1 CPT 21121 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Geniop sldg osteot 2/> CPT 21122 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $127.76 | $159.70 | $23.87 – $88.72 | 15 |
| Gentamicin peak therapeutic drug level CPT 80170 | $92.80 | $116.00 | $28.08 – $104.40 | 15 |
| G-esoph reflx tst w/electrod CPT 91035 | not published | not published | $557.13 – $557.13 | 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.