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 |
|---|---|---|---|---|
| Ghs opcc repair cvp w subq port CPT 36576 | not published | not published | $1,631.11 – $1,631.11 | 1 |
| Ghs optokenetic CPT 92544 | not published | not published | $164.28 – $164.28 | 1 |
| Ghs oscillating trac CPT 92545 | not published | not published | $326.96 – $326.96 | 1 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | not published | not published | $26.57 – $26.57 | 1 |
| Ghs osteopathic manipulative tx, 3-4 regions CPT 98926 | not published | not published | $26.57 – $26.57 | 1 |
| Ghs ot group caregiver training CPT 97552 | $52.00 | $65.00 | $15.74 – $58.50 | 15 |
| Ghs ot prosthetic training/15 min CPT 97761 | $121.60 | $152.00 | $36.80 – $136.80 | 15 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $121.60 | $152.00 | $36.80 – $136.80 | 15 |
| Ghs pacing - transcutaneous CPT 92953 | not published | not published | $687.10 – $687.10 | 1 |
| Ghs peritonsillar abscess i andd CPT 42700 | not published | not published | $243.83 – $243.83 | 1 |
| Ghs picc line insert < 5 CPT 36568 | not published | not published | $1,631.11 – $1,631.11 | 1 |
| Ghs plngl fx pm cl CPT 26725 | $447.20 | $559.00 | $135.33 – $503.10 | 15 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | not published | not published | $1,068.26 – $1,068.26 | 1 |
| Ghs pos nystagmus CPT 92542 | not published | not published | $135.35 – $135.35 | 1 |
| Ghs ppd (tb intradermal) CPT 86580 | $29.60 | $37.00 | $8.96 – $33.30 | 15 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $56.00 | $70.00 | $16.95 – $63.00 | 15 |
| Ghs pr without cont pulse ox CPT 94625 | $298.40 | $373.00 | $62.37 – $335.70 | 15 |
| Ghs refill of implantable pump CPT 95990 | not published | not published | $348.27 – $348.27 | 1 |
| Ghs removal intranasal foreign body CPT 30300 | $212.80 | $266.00 | $64.40 – $239.40 | 15 |
| Ghs removal pharyngeal foreign body CPT 42809 | not published | not published | $418.99 – $418.99 | 1 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Ghs reticulocyte count CPT 85044 | $26.40 | $33.00 | $7.99 – $29.70 | 15 |
| Ghs sedimentation rate CPT 85651 | $24.00 | $30.00 | $7.26 – $27.00 | 15 |
| Ghs sensitivity (per antimicro) CPT 87184 | $45.60 | $57.00 | $13.80 – $51.30 | 15 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $456.80 | $571.00 | $138.24 – $513.90 | 15 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | not published | not published | $419.51 – $419.51 | 1 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | not published | not published | $419.51 – $419.51 | 1 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | not published | not published | $419.51 – $419.51 | 1 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $385.60 | $482.00 | $116.69 – $433.80 | 15 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $356.00 | $445.00 | $107.73 – $400.50 | 15 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $424.00 | $530.00 | $128.31 – $477.00 | 15 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | not published | not published | $208.64 – $208.64 | 1 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | not published | not published | $208.64 – $208.64 | 1 |
| Ghs sleep study unattended CPT 95800 | $660.80 | $826.00 | $164.28 – $743.40 | 15 |
| Ghs somatosensory testing lower extremit CPT 95926 | not published | not published | $326.96 – $326.96 | 1 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | not published | not published | $557.13 – $557.13 | 1 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | $170.40 | $213.00 | $51.57 – $191.70 | 15 |
| Ghs sphenopalatine ganglion block CPT 64505 | not published | not published | $309.95 – $309.95 | 1 |
| Ghs spont nystagmus CPT 92541 | not published | not published | $135.35 – $135.35 | 1 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $301.60 | $377.00 | $91.27 – $339.30 | 15 |
| Ghs st - eval for alt comm CPT 92567 | not published | not published | $41.21 – $41.21 | 1 |
| Ghs strapping shoulder - 29240 CPT 29240 | not published | not published | $135.35 – $135.35 | 1 |
| Ghs st - re-eval for alt comm CPT 92597 | $328.00 | $410.00 | $99.26 – $369.00 | 15 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | $151.20 | $189.00 | $38.40 – $170.10 | 15 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | $248.80 | $311.00 | $75.29 – $279.90 | 15 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $1,141.60 | $1,427.00 | $345.48 – $1,284.30 | 15 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | not published | not published | $419.51 – $419.51 | 1 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | not published | not published | $1,555.34 – $1,555.34 | 1 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | not published | not published | $251.87 – $251.87 | 1 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | not published | not published | $251.87 – $251.87 | 1 |
| Ghs vaginal delivery only CPT 59409 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | not published | not published | $557.13 – $557.13 | 1 |
| Ghs windowing of cast CPT 29730 | not published | not published | $165.68 – $165.68 | 1 |
| Gi endoscopic ultrasound CPT 76975 | not published | not published | $253.81 – $253.81 | 1 |
| Gi inhouse confirmation CPT 87045 | $47.20 | $59.00 | $14.28 – $53.10 | 15 |
| Gingivoplasty each quadrant CPT 41872 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Gi protein loss CPT 78282 | not published | not published | $421.92 – $421.92 | 1 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | not published | not published | $984.44 – $984.44 | 1 |
| Gi trc img intral colon i&r CPT 91113 | not published | not published | $957.30 – $957.30 | 1 |
| Gi trc img intral esophagus CPT 91111 | not published | not published | $984.44 – $984.44 | 1 |
| Glassia injection HCPCS J0257 | not published | not published | $5.66 – $5.66 | 1 |
| Glaucoma scrn hgh risk direc HCPCS G0117 | not published | not published | $25.71 – $25.71 | 1 |
| Glaucoma scrn hgh risk direc HCPCS G0118 | not published | not published | $41.21 – $41.21 | 1 |
| Glaucoma surgery CPT 66150 | not published | not published | $4,224.00 – $4,224.00 | 1 |
| Glaucoma surgery CPT 66155 | not published | not published | $4,224.00 – $4,224.00 | 1 |
| Glaucoma surgery CPT 66160 | not published | not published | $2,394.77 – $2,394.77 | 1 |
| Glaucoma surgery CPT 66170 | not published | not published | $2,394.77 – $2,394.77 | 1 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $246.33 | $307.91 | $70.37 – $261.59 | 15 |
| Glucose 1 hr post dose CPT 82950 | $27.20 | $34.00 | $8.23 – $30.60 | 15 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $28.80 | $36.00 | $8.72 – $32.40 | 15 |
| Glucose blood quantitative CPT 82947 | $51.20 | $64.00 | $15.49 – $57.60 | 15 |
| Glucose body fluid CPT 82945 | $28.00 | $35.00 | $8.47 – $31.50 | 15 |
| Glucose monitoring continual min 72hr pt CPT 95249 | not published | not published | $62.37 – $62.37 | 1 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $72.00 | $90.00 | $21.79 – $81.00 | 15 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $24.00 | $30.00 | $7.26 – $27.00 | 15 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $3,234.23 | $4,042.78 | $11.33 – $3,638.50 | 15 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $97.60 | $122.00 | $15.98 – $59.40 | 15 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $97.60 | $122.00 | $15.98 – $59.40 | 15 |
| Gonioscopy CPT 92020 | not published | not published | $135.35 – $135.35 | 1 |
| Goniotomy CPT 65820 | not published | not published | $4,224.00 – $4,224.00 | 1 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $1,498.84 | $1,873.54 | $453.58 – $1,686.19 | 15 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $244.00 | $305.00 | $73.84 – $274.50 | 15 |
| Graft axiofill 1000mg HCPCS J3590 | $2,055.09 | $2,568.86 | $621.92 – $2,311.97 | 15 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $402.40 | $503.00 | $88.12 – $327.60 | 15 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $636.80 | $796.00 | $117.42 – $436.50 | 15 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $28,800.00 | $36,000.00 | $28.33 – $105.30 | 15 |
| Great toe with reduction 28495 CPT 28495 | not published | not published | $251.87 – $251.87 | 1 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $3,844.02 – $3,844.02 | 1 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $3,844.02 – $3,844.02 | 1 |
| Ground mileage HCPCS A0425 | $24.00 | $30.00 | $7.02 – $26.10 | 15 |
| Group train without patient HCPCS G0543 | $52.00 | $65.00 | $15.74 – $58.50 | 15 |
| Gstrst open wo constj tube CPT 43830 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| G-tube reposition CPT 43761 | not published | not published | $255.37 – $255.37 | 1 |
| Gu dilat ureter/urethra s&i CPT 74485 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Guided cath fluid drainage 10030 CPT 10030 | not published | not published | $738.77 – $738.77 | 1 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $548.00 | $685.00 | $16.46 – $61.20 | 15 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $241.60 | $302.00 | $73.11 – $271.80 | 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.