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 |
|---|---|---|---|---|
| Ins mark thor for right perq CPT 32553 | not published | not published | $1,436.67 – $1,436.67 | 1 |
| Ins picad w subq port 5yr> CPT 36571 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| Ins picc wo subq prt/pmp w image guidnc <5yr CPT 36572 | not published | not published | $649.17 – $649.17 | 1 |
| Ins pm gen exist dual lead CPT 33230 | not published | not published | $23,568.50 – $23,568.50 | 1 |
| Ins pm gen w/exist mlt leads CPT 33221 | not published | not published | $20,024.72 – $20,024.72 | 1 |
| Ins pq tunnld ip cath w/img CPT 49418 | not published | not published | $3,705.51 – $3,705.51 | 1 |
| Ins/rplc spi npg/rcvr pocket CPT 63685 | not published | not published | $31,997.27 – $31,997.27 | 1 |
| Ins/rpl ldless pm right vent w img & eval CPT 33274 | not published | not published | $20,024.72 – $20,024.72 | 1 |
| Ins/rpl pm gen exist dual lead CPT 33213 | not published | not published | $10,988.60 – $10,988.60 | 1 |
| Ins/rpl pm gen exist sgl lead CPT 33212 | not published | not published | $8,689.78 – $8,689.78 | 1 |
| Ins/rpl pm w/tv ld atrl CPT 33206 | not published | not published | $10,988.60 – $10,988.60 | 1 |
| Ins/rpl prph sac/gstr npg/r CPT 64590 | not published | not published | $22,516.61 – $22,516.61 | 1 |
| Ins/rpl wireless pulm art sensor incl s&i CPT 33289 | not published | not published | $29,849.75 – $29,849.75 | 1 |
| Insrt/redo neurostim 1 array CPT 61885 | not published | not published | $22,516.61 – $22,516.61 | 1 |
| Install spinal shunt 63741 CPT 63741 | not published | not published | $6,724.27 – $6,724.27 | 1 |
| Inst fibrinolysis agent ini day CPT 32561 | not published | not published | $649.17 – $649.17 | 1 |
| Inst fibrinolysis agent sbsq d CPT 32562 | not published | not published | $649.17 – $649.17 | 1 |
| Instillation anticarcinogenic agent bladder CPT 51720 | $942.40 | $1,178.00 | $285.19 – $1,060.20 | 15 |
| Instill pharm renal pelvis HCPCS C9789 | not published | not published | $2,363.03 – $2,363.03 | 1 |
| Instll rx agnt into rnal tub CPT 50391 | not published | not published | $255.37 – $255.37 | 1 |
| Ins tun cvad 2 cath w/subq port(s) CPT 36566 | not published | not published | $5,675.99 – $5,675.99 | 1 |
| Ins tun cv cath wo subq prt/pm CPT 36557 | not published | not published | $5,675.99 – $5,675.99 | 1 |
| Ins tun cv cath wo subq prt/pm CPT 36558 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| Ins tun intraperit dia cath CPT 49421 | not published | not published | $3,705.51 – $3,705.51 | 1 |
| Inst via cath agent pleurds CPT 32560 | not published | not published | $649.17 – $649.17 | 1 |
| Insulin total CPT 83525 | $61.60 | $77.00 | $18.64 – $69.30 | 15 |
| Ins vag brachytx device CPT 57156 | not published | not published | $319.40 – $319.40 | 1 |
| Intens cardiac rehab no exer HCPCS G0423 | not published | not published | $132.21 – $132.21 | 1 |
| Intens cardiac rehab w/exerc HCPCS G0422 | not published | not published | $132.21 – $132.21 | 1 |
| Interdental fixation CPT 21110 | not published | not published | $1,555.34 – $1,555.34 | 1 |
| Interdental wirg oth/thn fx CPT 21497 | not published | not published | $1,555.34 – $1,555.34 | 1 |
| Interdiscal perq aspir dx CPT 62267 | not published | not published | $738.77 – $738.77 | 1 |
| Interferon alfa-2b inj HCPCS J9214 | $1,990.80 | $2,488.49 | $602.46 – $2,239.64 | 15 |
| Intermediate visual field xm CPT 92082 | not published | not published | $62.37 – $62.37 | 1 |
| Interrogate subq defib CPT 93261 | not published | not published | $39.15 – $39.15 | 1 |
| Interrogation vad in person CPT 93750 | not published | not published | $96.38 – $96.38 | 1 |
| Interrog dev eval icpms ip CPT 93290 | not published | not published | $39.15 – $39.15 | 1 |
| Interrog dev eval scrms ip CPT 93291 | not published | not published | $25.71 – $25.71 | 1 |
| Interrog device eval heart CPT 93289 | not published | not published | $39.15 – $39.15 | 1 |
| Interrog evl pm/ldls pm ip CPT 93288 | not published | not published | $39.15 – $39.15 | 1 |
| Interstitial brachy inter CPT 77799 | not published | not published | $114.98 – $114.98 | 1 |
| Int hrhc lig 1 hroid without img CPT 46945 | not published | not published | $2,879.51 – $2,879.51 | 1 |
| Int hrhc lig 2+hroid without img CPT 46946 | not published | not published | $2,879.51 – $2,879.51 | 1 |
| Intra-atrial pacing CPT 93610 | not published | not published | $7,967.51 – $7,967.51 | 1 |
| Intra-atrial recording CPT 93602 | not published | not published | $7,967.51 – $7,967.51 | 1 |
| Intracranial complete study CPT 93886 | not published | not published | $253.81 – $253.81 | 1 |
| Intracranial limited study CPT 93888 | not published | not published | $111.66 – $111.66 | 1 |
| Intranasal biopsy 30100 CPT 30100 | not published | not published | $1,555.34 – $1,555.34 | 1 |
| Intranasal reconstruction CPT 30620 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Intraoral i+d tongue/floor lingual 41000 CPT 41000 | not published | not published | $534.71 – $534.71 | 1 |
| Intrapul surf admin endo tube CPT 94610 | not published | not published | $213.56 – $213.56 | 1 |
| Intrauterine transfusion ftl CPT 36460 | $1,729.60 | $2,162.00 | $459.04 – $1,945.80 | 15 |
| Intraventricular pacing CPT 93612 | not published | not published | $7,967.51 – $7,967.51 | 1 |
| Intrinsic factor antibody CPT 86340 | $56.80 | $71.00 | $17.19 – $63.90 | 15 |
| Intrm oph exam est patient CPT 92012 | not published | not published | $135.31 – $135.31 | 1 |
| Intro cath dialysis circuit CPT 36901 | not published | not published | $1,631.11 – $1,631.11 | 1 |
| Intro cath dialysis circuit w/pta CPT 36902 | not published | not published | $5,986.60 – $5,986.60 | 1 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | not published | not published | $11,907.60 – $11,907.60 | 1 |
| Intro long gi tube CPT 44500 | not published | not published | $984.44 – $984.44 | 1 |
| Intro windpipe wire/tube CPT 31730 | not published | not published | $1,810.69 – $1,810.69 | 1 |
| Intubation endotracheal emergency procedure CPT 31500 | $832.00 | $1,040.00 | $193.68 – $720.00 | 15 |
| Io anal gast n-stim subsq CPT 95981 | not published | not published | $62.37 – $62.37 | 1 |
| Io ga n-stim subsq w/reprog CPT 95982 | not published | not published | $39.15 – $39.15 | 1 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $200.00 | $250.00 | $1.21 – $4.50 | 15 |
| Ipratropium bromide non-comp HCPCS J7644 | $3.97 | $4.96 | $1.20 – $4.46 | 15 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | $441.16 | $551.45 | $133.51 – $496.31 | 15 |
| Iron CPT 83540 | $33.60 | $42.00 | $10.17 – $37.80 | 15 |
| Iron binding capacity CPT 83550 | $46.40 | $58.00 | $14.04 – $52.20 | 15 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $86.82 | $108.52 | $26.27 – $97.67 | 15 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $72.44 | $90.55 | $20.20 – $75.08 | 15 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $171.20 | $214.00 | $51.81 – $192.60 | 15 |
| Irrigation sphenoid sinus CPT 31002 | not published | not published | $1,555.34 – $1,555.34 | 1 |
| Irrigation vagina and/or appl medicament tx disease CPT 57150 | not published | not published | $62.37 – $62.37 | 1 |
| Island pedicle flap graft CPT 15740 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| Ivc venogram s&i CPT 75825 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| IV Fluids (each additional hour) CPT 96361 | $170.40 | $213.00 | $36.32 – $135.00 | 15 |
| IV Fluids (first hour) CPT 96360 | $394.40 | $493.00 | $78.68 – $292.50 | 15 |
| Ivig non-lyophilized, nos HCPCS J1599 | not published | not published | $156.45 – $156.45 | 1 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $240.80 | $301.00 | $47.20 – $252.00 | 15 |
| IV inj ra drug dx study CPT 78808 | not published | not published | $421.92 – $421.92 | 1 |
| IV Medicine Infusion (additional drug) CPT 96367 | $280.00 | $350.00 | $68.80 – $283.50 | 15 |
| IV Medicine Infusion (each additional hour) CPT 96366 | $248.00 | $310.00 | $48.45 – $216.00 | 15 |
| IV Medicine Infusion (first hour) CPT 96365 | $504.80 | $631.00 | $151.20 – $567.90 | 15 |
| IV njx tst vasc flo flap/grf CPT 15860 | not published | not published | $418.99 – $418.99 | 1 |
| IV Push Injection (each additional drug) CPT 96375 | $180.80 | $226.00 | $36.80 – $180.00 | 15 |
| IV Push Injection (first drug) CPT 96374 | $323.20 | $404.00 | $88.80 – $363.60 | 15 |
| Ivp w/nephrotomography CPT 74415 | not published | not published | $186.92 – $186.92 | 1 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $688.00 | $860.00 | $186.92 – $774.00 | 15 |
| Jaw arthroscopy/surgery CPT 29800 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Jaw arthroscopy/surgery CPT 29804 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Jaw Joint (TMJ) X-ray (both sides, open and closed) CPT 70330 | $284.00 | $355.00 | $85.95 – $319.50 | 15 |
| Jaw (Mandible) X-ray (complete) CPT 70110 | $235.20 | $294.00 | $71.18 – $264.60 | 15 |
| Jejunstmy tube plcmt CPT 44372 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Keratoprosthesis CPT 65770 | not published | not published | $15,003.78 – $15,003.78 | 1 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $48.00 | $60.00 | $14.53 – $54.00 | 15 |
| Ketorolac (Toradol) Pain Shot, 15 mg HCPCS J1885 | $61.20 | $76.50 | $18.31 – $68.08 | 15 |
| Kidney endoscopy CPT 50551 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Kidney endoscopy CPT 50553 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Kidney endoscopy CPT 50570 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Kidney endoscopy CPT 50575 | not published | not published | $5,337.80 – $5,337.80 | 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.