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 |
|---|---|---|---|---|
| Ligation internal/common carotid artery 37605 CPT 37605 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| Ligation internal jugular vein 37565 CPT 37565 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| Ligation major artery neck CPT 37615 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| Ligation nasal sinus artery CPT 30915 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| Ligation of femoral vein CPT 37650 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| Ligation of inf vena cava CPT 37619 | not published | not published | $5,675.99 – $5,675.99 | 1 |
| Ligation of neck artery CPT 37606 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| Ligation of salivary duct CPT 42665 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Ligation upper jaw artery CPT 30920 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| Lig/band angioaccess av fistula CPT 37607 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| Lig&div&compl strpg saph vn CPT 37735 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| Limb exercise test CPT 95875 | not published | not published | $164.28 – $164.28 | 1 |
| Limited visual field xm CPT 92081 | not published | not published | $62.37 – $62.37 | 1 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $212.40 | $265.49 | $47.11 – $175.13 | 15 |
| Lipase CPT 83690 | $37.60 | $47.00 | $11.38 – $42.30 | 15 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Lipoprotein direct measurement hdl CPT 83718 | $48.00 | $60.00 | $14.53 – $54.00 | 15 |
| Lipoprotein direct measurement ldl CPT 83721 | $66.40 | $83.00 | $20.09 – $74.70 | 15 |
| Lip surgery procedure CPT 40799 | not published | not published | $243.83 – $243.83 | 1 |
| Lithium therapeutic drug level CPT 80178 | $39.20 | $49.00 | $11.86 – $44.10 | 15 |
| Liver elastography 91200 CPT 91200 | not published | not published | $164.28 – $164.28 | 1 |
| Liver Function Test CPT 80076 | $48.00 | $60.00 | $14.53 – $54.00 | 15 |
| Liver imaging CPT 78201 | not published | not published | $565.18 – $565.18 | 1 |
| Liver imag w/vasclr flow CPT 78202 | $1,436.00 | $1,795.00 | $434.57 – $1,615.50 | 15 |
| Liver/spleen imag static only CPT 78215 | not published | not published | $421.92 – $421.92 | 1 |
| Liver/spleen imag w/vasclr flow CPT 78216 | not published | not published | $421.92 – $421.92 | 1 |
| Lmtd oph exam general anes CPT 92019 | not published | not published | $2,449.61 – $2,449.61 | 1 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | $6.40 | $8.00 | $1.94 – $7.20 | 15 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $61.44 | $76.80 | $18.27 – $67.91 | 15 |
| Loudness balance test CPT 92562 | not published | not published | $326.96 – $326.96 | 1 |
| Low back disk surgery CPT 63030 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Low-Dose Lung Cancer Screening CT Scan CPT 71271 | not published | not published | $111.66 – $111.66 | 1 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | not published | not published | $186.92 – $446.60 | 2 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $2,661.60 | $3,327.00 | $374.99 – $2,994.30 | 15 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $2,495.20 | $3,119.00 | $111.66 – $2,807.10 | 15 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $4,279.20 | $5,349.00 | $374.99 – $4,814.10 | 15 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $3,344.00 | $4,180.00 | $374.99 – $3,762.00 | 15 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $2,875.20 | $3,594.00 | $253.81 – $3,234.60 | 15 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $274.40 | $343.00 | $83.04 – $308.70 | 15 |
| Lower Back (Lumbar Spine) X-ray (4 or more views) CPT 72110 | $320.80 | $401.00 | $97.08 – $360.90 | 15 |
| Lower Back (Lumbar Spine) X-ray (with bending views) CPT 72114 | $446.40 | $558.00 | $111.66 – $502.20 | 15 |
| Lower jaw bone graft CPT 21215 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Lower Leg (Shin) X-ray (both sides) CPT 73590 | $195.20 | $244.00 | $59.07 – $219.60 | 15 |
| Lsh uterus 250 g or less CPT 58541 | not published | not published | $10,931.77 – $10,931.77 | 1 |
| Lsh uterus above 250 g CPT 58543 | not published | not published | $10,931.77 – $10,931.77 | 1 |
| Lsh w/t/o ut 250 g or less CPT 58542 | not published | not published | $10,931.77 – $10,931.77 | 1 |
| Lsh w/t/o uterus above 250 g CPT 58544 | not published | not published | $10,931.77 – $10,931.77 | 1 |
| Lumbar diskogram s&i CPT 72295 | not published | not published | $2,050.41 – $2,050.41 | 1 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $19,309.55 – $19,309.55 | 1 |
| Lumizyme injection HCPCS J0221 | not published | not published | $205.76 – $205.76 | 1 |
| Lung Function Test Before and After an Inhaler CPT 94060 | $450.40 | $563.00 | $136.30 – $506.70 | 15 |
| Lung function test (mbc/mvv) CPT 94200 | not published | not published | $62.37 – $62.37 | 1 |
| Lung Function Test (Spirometry) CPT 94010 | $279.20 | $349.00 | $78.68 – $292.50 | 15 |
| Lung perfusion imaging CPT 78580 | $1,439.20 | $1,799.00 | $421.92 – $1,619.10 | 15 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | $18,943.32 | $23,679.15 | $41.40 – $7,148.79 | 15 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | not published | not published | $25.71 – $25.71 | 1 |
| Lymphatics/lymph node imaging CPT 78195 | $2,056.80 | $2,571.00 | $565.18 – $2,313.90 | 15 |
| Lymph vessel x-ray arm/leg CPT 75801 | not published | not published | $649.17 – $649.17 | 1 |
| Lymph vessel x-ray arms/legs CPT 75803 | not published | not published | $1,631.11 – $1,631.11 | 1 |
| Lymph vessel x-ray trunk CPT 75805 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| Lymph vessel x-ray trunk CPT 75807 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| Lysis intranasal synechia 30560 CPT 30560 | not published | not published | $534.71 – $534.71 | 1 |
| Lysis of labial adhesions CPT 56441 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Lysis penil circumic lesion CPT 54162 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Macroscopic exam arthropod CPT 87168 | $62.40 | $78.00 | $18.88 – $70.20 | 15 |
| Magnesium CPT 83735 | $41.60 | $52.00 | $12.59 – $46.80 | 15 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $128.80 | $161.00 | $18.29 – $67.98 | 15 |
| Magnetic image bone marrow CPT 77084 | not published | not published | $253.81 – $578.05 | 2 |
| Male sling procedure CPT 53440 | not published | not published | $13,642.04 – $13,642.04 | 1 |
| Manipulate finger w/anesth CPT 26340 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Manipulate wrist w/anesthes CPT 25259 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Manipulation of hip joint CPT 27275 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Manipulation of spine CPT 22505 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Manipulat palm cord post inj CPT 26341 | not published | not published | $251.87 – $251.87 | 1 |
| Marker biop eviva buckle ss HCPCS A4648 | $187.20 | $234.00 | $56.65 – $210.60 | 15 |
| Mastectomy partial CPT 19301 | not published | not published | $4,020.74 – $4,020.74 | 1 |
| Mast mod rad CPT 19307 | not published | not published | $6,847.53 – $6,847.53 | 1 |
| Mastoidectomy CPT 69501 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Mastoidectomy complete 69502 CPT 69502 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Mastoids complete CPT 70130 | $336.80 | $421.00 | $101.92 – $378.90 | 15 |
| Mastoid surgery revision CPT 69603 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Mastopexy CPT 19316 | not published | not published | $6,847.53 – $6,847.53 | 1 |
| Mast simple complete CPT 19303 | not published | not published | $6,847.53 – $6,847.53 | 1 |
| Maxillofacial fixation CPT 21100 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Mayo aathr protein s free CPT 85306 | $144.80 | $181.00 | $43.82 – $162.90 | 15 |
| Mayo activated protein c resistance assay CPT 85307 | $109.60 | $137.00 | $33.17 – $123.30 | 15 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $49.60 | $62.00 | $15.01 – $55.80 | 15 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $50.40 | $63.00 | $15.25 – $56.70 | 15 |
| Mayo alpha 1 antitrypsin CPT 82103 | $88.80 | $111.00 | $23.48 – $87.30 | 15 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $38.40 | $48.00 | $11.62 – $43.20 | 15 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $293.60 | $367.00 | $88.85 – $330.30 | 15 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $460.00 | $575.00 | $139.21 – $517.50 | 15 |
| Mayo androstenedione CPT 82157 | $68.80 | $86.00 | $20.82 – $77.40 | 15 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $95.20 | $119.00 | $12.35 – $45.90 | 15 |
| Mayo antithrombin iii antigen CPT 85301 | $129.60 | $162.00 | $39.22 – $145.80 | 15 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $50.40 | $63.00 | $9.44 – $35.10 | 15 |
| Mayo avwpr vw factor activity CPT 85397 | $88.80 | $111.00 | $26.87 – $99.90 | 15 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $353.60 | $442.00 | $107.01 – $397.80 | 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.