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 |
|---|---|---|---|---|
| Gum graft CPT 41870 | not published | not published | $1,555.34 – $1,555.34 | 1 |
| Gw stiffened micro access kit HCPCS C1894 | $168.80 | $211.00 | $23.97 – $89.10 | 15 |
| Gynecomastia (males) 19300 CPT 19300 | not published | not published | $4,020.74 – $4,020.74 | 1 |
| Hair removal by electrolysis 17380 CPT 17380 | not published | not published | $642.74 – $642.74 | 1 |
| Hair trnspl 1-15 punch grfts CPT 15775 | not published | not published | $419.51 – $419.51 | 1 |
| Hair trnspl >15 punch grafts CPT 15776 | not published | not published | $419.51 – $419.51 | 1 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $89.33 | $111.66 | $27.03 – $100.49 | 15 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $63.72 | $79.64 | $18.28 – $67.96 | 15 |
| Hands-On Manual Therapy (each 15 minutes) CPT 97140 | $109.60 | $137.00 | $48.22 – $123.30 | 15 |
| Hand tendon/muscle transfer CPT 26494 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Hand tendon reconstruction CPT 26500 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Hand tendon reconstruction CPT 26502 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Hand X-ray CPT 73130 | $218.40 | $273.00 | $66.09 – $245.70 | 15 |
| Hand X-ray (2 views, both hands) CPT 73120 | $172.00 | $215.00 | $52.05 – $193.50 | 15 |
| Haptoglobin quantitative CPT 83010 | $72.00 | $90.00 | $21.79 – $81.00 | 15 |
| Harvest auto stem cells CPT 38206 | not published | not published | $1,721.24 – $1,721.24 | 1 |
| Harvest cultured skin graft 15040 CPT 15040 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| Harvest eye tissue alograft CPT 68371 | not published | not published | $2,449.61 – $2,449.61 | 1 |
| Harvest stem cell concentrte CPT 38215 | not published | not published | $459.04 – $459.04 | 1 |
| Hast w/i&r phys/qhp CPT 94452 | not published | not published | $135.35 – $135.35 | 1 |
| Hast w/oxygen titrate CPT 94453 | not published | not published | $135.35 – $135.35 | 1 |
| Hbot, full body chamber, 30m HCPCS G0277 | not published | not published | $144.80 – $144.80 | 1 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | not published | not published | $186.92 – $186.92 | 1 |
| Hcg qualitative CPT 84703 | $52.00 | $65.00 | $15.74 – $58.50 | 15 |
| Hcg quantitative CPT 84702 | $79.20 | $99.00 | $23.97 – $89.10 | 15 |
| Hc metata joint dislocation anes CPT 28635 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks CPT 17311 | not published | not published | $642.74 – $642.74 | 1 |
| Hc mohs trunk/arm/leg 1st stage 5 blocks CPT 17313 | not published | not published | $642.74 – $642.74 | 1 |
| Hc nm cardiac blood pool planar 1 stdy wal motn eject fract CPT 78481 | not published | not published | $565.18 – $565.18 | 1 |
| Hc nm fusion spect CT unlisted CPT 78999 | not published | not published | $421.92 – $421.92 | 1 |
| Hc nm kidney imaging with flow CPT 78701 | not published | not published | $421.92 – $421.92 | 1 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | not published | not published | $565.18 – $565.18 | 1 |
| Hc pet myocardial imaging metabolic eval single study CPT 78459 | not published | not published | $1,370.75 – $1,370.75 | 1 |
| Hdr rdncl ntrstl/icav brchtx CPT 77770 | not published | not published | $728.50 – $728.50 | 1 |
| Hdr rdncl ntrstl/icav brchtx CPT 77771 | not published | not published | $728.50 – $728.50 | 1 |
| Hdr rdncl ntrstl/icav brchtx CPT 77772 | not published | not published | $728.50 – $728.50 | 1 |
| Hdr rdncl skn surf brachytx CPT 77767 | not published | not published | $276.13 – $276.13 | 1 |
| Hdr rdncl skn surf brachytx CPT 77768 | not published | not published | $276.13 – $276.13 | 1 |
| Head CT scan (with and without contrast) CPT 70470 | $2,568.80 | $3,211.00 | $186.92 – $2,889.90 | 15 |
| Head CT scan (with contrast) CPT 70460 | $2,248.00 | $2,810.00 | $186.92 – $2,529.00 | 15 |
| Head CT scan (without contrast) CPT 70450 | $1,883.20 | $2,354.00 | $111.66 – $2,118.60 | 15 |
| Heart first pass multiple CPT 78483 | not published | not published | $565.18 – $565.18 | 1 |
| Heart image spect CPT 78494 | not published | not published | $421.92 – $421.92 | 1 |
| Heart infarct image CPT 78466 | not published | not published | $421.92 – $421.92 | 1 |
| Heart infarct image (ef) CPT 78468 | not published | not published | $565.18 – $565.18 | 1 |
| Heel (Calcaneus) X-ray (both feet) CPT 73650 | $184.00 | $230.00 | $55.68 – $207.00 | 15 |
| Helicobacter pylori antibody igm CPT 86677 | $84.00 | $105.00 | $25.42 – $94.50 | 15 |
| Hematocrit CPT 85014 | $14.40 | $18.00 | $4.36 – $16.20 | 15 |
| Hematopoietic nuclear tx CPT 79403 | not published | not published | $235.34 – $235.34 | 1 |
| Hemiepiphyseal arrest CPT 24470 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Hemodialysis one evaluation CPT 90935 | not published | not published | $734.71 – $734.71 | 1 |
| Hemoglobin CPT 85018 | $15.20 | $19.00 | $4.60 – $17.10 | 15 |
| Hemophilus influenza antibdy CPT 86684 | $56.80 | $71.00 | $17.19 – $63.90 | 15 |
| Hemorrhoidectomy intern transanal deater 2+ 46948 CPT 46948 | not published | not published | $2,879.51 – $2,879.51 | 1 |
| Hemorrhoidectomy intrnl lig rbbr band ligations CPT 46221 | not published | not published | $957.30 – $957.30 | 1 |
| Hemorrhoidopexy stapling 46947 CPT 46947 | not published | not published | $2,879.51 – $2,879.51 | 1 |
| Hepagam b intravenous, inj HCPCS J1573 | $903.33 | $1,129.16 | $273.37 – $1,016.24 | 15 |
| Heparin assay CPT 85520 | $156.80 | $196.00 | $47.45 – $176.40 | 15 |
| Heparin bolus from bag HCPCS J1644 | $156.88 | $196.09 | $18.20 – $67.67 | 15 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | $8.97 | $11.21 | $2.71 – $10.09 | 15 |
| Hepatitis a antibody igm CPT 86709 | $64.00 | $80.00 | $19.37 – $72.00 | 15 |
| Hepatitis b core antibody igm CPT 86705 | $68.80 | $86.00 | $20.82 – $77.40 | 15 |
| Hepatitis b core antibody total CPT 86704 | $70.40 | $88.00 | $21.30 – $79.20 | 15 |
| Hepatitis b surface antibody CPT 86706 | $61.60 | $77.00 | $18.64 – $69.30 | 15 |
| Hepatitis c antibody CPT 86803 | $97.60 | $122.00 | $29.54 – $109.80 | 15 |
| Hernia Repair (Inguinal) CPT 49505 | not published | not published | $3,705.51 – $3,705.51 | 1 |
| Herpes simplex type 1 antibody igg CPT 86695 | $92.80 | $116.00 | $28.08 – $104.40 | 15 |
| Herpes simplex type 2 antibody igg CPT 86696 | $92.80 | $116.00 | $28.08 – $104.40 | 15 |
| Heterophile antibodies screening CPT 86308 | $36.00 | $45.00 | $10.89 – $40.50 | 15 |
| Hi enrgy eswt plantar fascia CPT 28890 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Hip and Pelvis X-ray (2 views, both hips) CPT 73521 | not published | not published | $111.66 – $111.66 | 1 |
| Hip and Pelvis X-ray (3 to 4 views, both hips) CPT 73522 | $327.20 | $409.00 | $99.02 – $368.10 | 15 |
| Hip and Pelvis X-ray (single view, left side) CPT 73501 | $167.20 | $209.00 | $50.60 – $188.10 | 15 |
| Hip arthr0 w/debridement CPT 29862 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Hip arthr0 w/synovectomy CPT 29863 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Hip arthro acetabuloplasty CPT 29915 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Hip arthroscopy dx CPT 29860 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Hip arthro w/fb removal CPT 29861 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Hip arthro w/femoroplasty CPT 29914 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Hip arthro w/labral repair CPT 29916 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Hip X-ray CPT 73502 | $248.00 | $310.00 | $75.05 – $279.00 | 15 |
| HIV prep counsel, clin staff HCPCS G0013 | not published | not published | $31.28 – $31.28 | 1 |
| Hizentra injection HCPCS J1559 | not published | not published | $13.46 – $13.46 | 1 |
| Hla i low res one antigen equiv ea CPT 81374 | $191.20 | $239.00 | $57.86 – $215.10 | 15 |
| Hlth bhv assmt/reassessment CPT 96156 | not published | not published | $97.13 – $97.13 | 1 |
| Hlth bhv ivntj fam 1st 30 CPT 96167 | not published | not published | $31.28 – $31.28 | 1 |
| Hlth bhv ivntj grp 1st 30 CPT 96164 | not published | not published | $31.28 – $31.28 | 1 |
| Hlth bhv ivntj indiv 1st 30 CPT 96158 | not published | not published | $168.70 – $168.70 | 1 |
| Home sleep test/type 3 porta HCPCS G0399 | $453.60 | $567.00 | $137.27 – $510.30 | 15 |
| Homocysteine CPT 83090 | $96.00 | $120.00 | $29.05 – $108.00 | 15 |
| Homovanillic acid (hva) CPT 83150 | $68.80 | $86.00 | $20.82 – $77.40 | 15 |
| Hopd mntl hlt, grp HCPCS C7903 | not published | not published | $31.28 – $31.28 | 1 |
| H pylori (c-13) breath CPT 83013 | $296.00 | $370.00 | $89.58 – $333.00 | 15 |
| Hrv skn cll ssp agrft 1st 25 CPT 15011 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | $98.15 | $122.68 | $29.70 – $110.41 | 15 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $62.85 | $78.56 | $18.92 – $70.34 | 15 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $76.19 | $95.23 | $21.18 – $78.73 | 15 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $60.38 | $75.47 | $18.24 – $67.82 | 15 |
| Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge HCPCS J7999 | $270.78 | $338.47 | $19.55 – $72.67 | 15 |
| Hymenotomy CPT 56442 | not published | not published | $3,338.51 – $3,338.51 | 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.