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 |
|---|---|---|---|---|
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | $349.60 | $437.00 | $105.80 – $393.30 | 15 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $460.80 | $576.00 | $139.45 – $518.40 | 15 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $105.60 | $132.00 | $31.96 – $118.80 | 15 |
| Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae CPT 87494 | $340.00 | $425.00 | $60.77 – $225.90 | 15 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $1,227.20 | $1,534.00 | $371.38 – $1,380.60 | 15 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | $744.80 | $931.00 | $214.74 – $798.30 | 15 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $103.20 | $129.00 | $31.23 – $116.10 | 15 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $100.00 | $125.00 | $30.26 – $112.50 | 15 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $125.60 | $157.00 | $38.01 – $141.30 | 15 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $434.40 | $543.00 | $131.46 – $488.70 | 15 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $348.00 | $435.00 | $105.31 – $391.50 | 15 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $1,552.96 | $1,941.20 | $32.81 – $915.95 | 15 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | not published | not published | $21.68 – $21.68 | 1 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | not published | not published | $13.88 – $13.88 | 1 |
| Infuse radioactive materials CPT 77750 | not published | not published | $276.13 – $276.13 | 1 |
| Ingest challenge ini 120 min CPT 95076 | not published | not published | $557.13 – $557.13 | 1 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $233.60 | $292.00 | $70.69 – $262.80 | 15 |
| Inj, abilify maintena, 1 mg HCPCS J0401 | $2,507.03 | $3,133.78 | $758.69 – $2,820.40 | 15 |
| Inj, acetaminophen (b braun) HCPCS J0136 | $128.40 | $160.50 | $38.86 – $144.45 | 15 |
| Inj acetaminophen -fresenius HCPCS J0134 | $154.16 | $192.69 | $46.65 – $173.42 | 15 |
| Inj, adzynma, 10 iu HCPCS J7171 | not published | not published | $35.25 – $35.25 | 1 |
| Inj anifrolumab-fnia 1mg HCPCS J0491 | not published | not published | $17.63 – $17.63 | 1 |
| Inj. asceniv HCPCS J1554 | not published | not published | $500.66 – $500.66 | 1 |
| Inj aval alfa-nqpt 4mg HCPCS J0219 | not published | not published | $79.24 – $79.24 | 1 |
| Inj., benralizumab, 1 mg HCPCS J0517 | $8,055.65 | $10,069.56 | $170.48 – $9,062.60 | 15 |
| Inj, bupivacaine liposome HCPCS J0666 | $60.00 | $75.00 | $18.16 – $67.50 | 15 |
| Inj cefazolin sodium, hikma HCPCS J0688 | $63.96 | $79.95 | $19.36 – $71.96 | 15 |
| Inj, cefepime hcl (b braun) HCPCS J0703 | $214.77 | $268.46 | $63.44 – $235.84 | 15 |
| Inj., cerliponase alfa 1 mg HCPCS J0567 | not published | not published | $116.40 – $116.40 | 1 |
| Inj, cipaglucosidase, 5 mg HCPCS J1203 | not published | not published | $89.74 – $89.74 | 1 |
| Inj cutaquig 100 mg HCPCS J1551 | not published | not published | $14.78 – $14.78 | 1 |
| Inj cuvitru, 100 mg HCPCS J1555 | not published | not published | $17.14 – $17.14 | 1 |
| Inj, daptomycin (hospira) HCPCS J0877 | $86.81 | $108.51 | $26.27 – $97.66 | 15 |
| Inj, donanemab-azbt, 2 mg HCPCS J0175 | not published | not published | $4.16 – $4.16 | 1 |
| Inj dupuytren cord w/enzyme CPT 20527 | not published | not published | $309.95 – $309.95 | 1 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | not published | not published | $727.15 – $727.15 | 1 |
| Injection, burosumab-twza 1m HCPCS J0584 | not published | not published | $478.43 – $478.43 | 1 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | not published | not published | $309.95 – $309.95 | 1 |
| Injection, casimersen, 10 mg HCPCS J1426 | not published | not published | $160.00 – $160.00 | 1 |
| Injection, daratumumab 10 mg HCPCS J9145 | $3,653.26 | $4,566.57 | $78.01 – $1,429.62 | 15 |
| Injection, edaravone, 1 mg HCPCS J1301 | not published | not published | $22.58 – $22.58 | 1 |
| Injection epidural blood patch or clot CPT 62273 | not published | not published | $727.15 – $727.15 | 1 |
| Injection eye drug CPT 67028 | not published | not published | $348.27 – $348.27 | 1 |
| Injection, fulvestrant HCPCS J9395 | $646.27 | $807.83 | $140.80 – $523.43 | 15 |
| Injection, inclisiran, 1 mg HCPCS J1306 | $5,549.16 | $6,936.44 | $1,679.31 – $6,242.80 | 15 |
| Injection into brain canal CPT 61026 | not published | not published | $727.15 – $727.15 | 1 |
| Injection into brain canal CPT 61055 | not published | not published | $309.95 – $309.95 | 1 |
| Injection into hemorrhoid(s) CPT 46500 | not published | not published | $957.30 – $957.30 | 1 |
| Injection into spinal artery CPT 62294 | not published | not published | $934.80 – $934.80 | 1 |
| Injection into vocal cord CPT 31513 | not published | not published | $407.73 – $407.73 | 1 |
| Injection of sinus tract CPT 20500 | not published | not published | $1,555.34 – $1,555.34 | 1 |
| Injection,onabotulinumtoxina HCPCS J0585 | $1,074.40 | $1,343.00 | $325.14 – $1,208.70 | 15 |
| Injection px peyronie ds CPT 54200 | not published | not published | $255.37 – $255.37 | 1 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | not published | not published | $421.92 – $421.92 | 1 |
| Injection, renflexis HCPCS Q5104 | $713.81 | $892.26 | $27.68 – $776.09 | 15 |
| Injection, ruconest HCPCS J0596 | not published | not published | $35.36 – $35.36 | 1 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | not published | not published | $727.15 – $727.15 | 1 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | not published | not published | $727.15 – $727.15 | 1 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | not published | not published | $727.15 – $727.15 | 1 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | not published | not published | $934.80 – $934.80 | 1 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | not published | not published | $934.80 – $934.80 | 1 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $781.60 | $977.00 | $236.53 – $879.30 | 15 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | not published | not published | $934.80 – $934.80 | 1 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | not published | not published | $727.15 – $727.15 | 1 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | not published | not published | $727.15 – $727.15 | 1 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | not published | not published | $309.95 – $309.95 | 1 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | not published | not published | $309.95 – $309.95 | 1 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | not published | not published | $309.95 – $309.95 | 1 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $172.00 | $215.00 | $33.60 – $193.50 | 15 |
| Injection treatment of eye CPT 66020 | not published | not published | $2,394.77 – $2,394.77 | 1 |
| Injection treatment of eye CPT 66030 | not published | not published | $2,394.77 – $2,394.77 | 1 |
| Injection treatment of nerve CPT 64605 | not published | not published | $2,050.41 – $2,050.41 | 1 |
| Injection treatment of nerve CPT 64610 | not published | not published | $2,050.41 – $2,050.41 | 1 |
| Injection treatment of nerve CPT 64681 | not published | not published | $934.80 – $934.80 | 1 |
| Injection treatment of nose CPT 30200 | not published | not published | $534.71 – $534.71 | 1 |
| Inject/treat eye socket CPT 67500 | not published | not published | $313.88 – $313.88 | 1 |
| Inject/treat eye socket CPT 67505 | not published | not published | $313.88 – $313.88 | 1 |
| Inject/treat eye socket CPT 67515 | not published | not published | $313.88 – $313.88 | 1 |
| Inj efgart-alfa 2mg hya-qvfc HCPCS J9334 | not published | not published | $33.75 – $33.75 | 1 |
| Inj eflapegrastim-xnst 0.1mg HCPCS J1449 | not published | not published | $23.18 – $23.18 | 1 |
| Inj epidural sgl cerv-thor without img CPT 62320 | not published | not published | $727.15 – $727.15 | 1 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | not published | not published | $934.80 – $934.80 | 1 |
| Inj, eteplirsen, 10 mg HCPCS J1428 | not published | not published | $160.00 – $160.00 | 1 |
| Inj, evinacumab-dgnb, 5mg HCPCS J1305 | not published | not published | $189.83 – $189.83 | 1 |
| Inj. fe derisomaltose 10 mg HCPCS J1437 | $3,221.52 | $4,026.90 | $974.91 – $3,624.21 | 15 |
| Inj givosiran 0.5 mg HCPCS J0223 | not published | not published | $114.26 – $114.26 | 1 |
| Inj glycopyrrolate, glyrx-pf HCPCS J1597 | $60.76 | $75.95 | $18.39 – $68.36 | 15 |
| Inj golodirsen 10 mg HCPCS J1429 | not published | not published | $160.00 – $160.00 | 1 |
| Inj., haegarda 10 units HCPCS J0599 | not published | not published | $14.43 – $14.43 | 1 |
| Inj heparin, pfizer, 1000u HCPCS J1643 | $61.04 | $76.29 | $18.47 – $68.66 | 15 |
| Inj. herceptin hylecta, 10mg HCPCS J9356 | $5,665.84 | $7,082.29 | $76.42 – $6,374.06 | 15 |
| Inj herzuma 10 mg HCPCS Q5113 | not published | not published | $72.41 – $72.41 | 1 |
| Inj hydroxocobalamin IV 25mg HCPCS J3424 | $1,521.86 | $1,902.32 | $460.55 – $1,712.09 | 15 |
| Inj., ibalizumab-uiyk, 10 mg HCPCS J1746 | not published | not published | $78.53 – $78.53 | 1 |
| Inj, imm glob bivigam, 500mg HCPCS J1556 | not published | not published | $76.58 – $76.58 | 1 |
| Inj. inebilizumab-cdon, 1 mg HCPCS J1823 | not published | not published | $493.54 – $493.54 | 1 |
| Inj/inf neurolyt sbst spinal canal lesion 62282 CPT 62282 | not published | not published | $934.80 – $934.80 | 1 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | not published | not published | $208.64 – $208.64 | 1 |
| Inj intralesional > 7 lsns CPT 11901 | not published | not published | $208.64 – $208.64 | 1 |
| Inj, invega hafyera/trinza HCPCS J2427 | $15,908.48 | $19,885.60 | $4,814.30 – $17,897.04 | 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.