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 |
|---|---|---|---|---|
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | $524.00 | $655.00 | $158.58 – $589.50 | 15 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $70.40 | $88.00 | $21.30 – $79.20 | 15 |
| Mayo c1 esterase inhibitor CPT 83883 | $111.20 | $139.00 | $10.65 – $39.60 | 15 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $50.40 | $63.00 | $15.25 – $56.70 | 15 |
| Mayo ceruloplasmin CPT 82390 | $57.60 | $72.00 | $17.43 – $64.80 | 15 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $129.60 | $162.00 | $39.22 – $145.80 | 15 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $32.80 | $41.00 | $9.93 – $36.90 | 15 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $54.40 | $68.00 | $16.46 – $61.20 | 15 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $54.40 | $68.00 | $16.46 – $61.20 | 15 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $296.00 | $370.00 | $89.58 – $333.00 | 15 |
| Mayo chromium CPT 82495 | $59.20 | $74.00 | $17.92 – $66.60 | 15 |
| Mayo coccidioides antibody CPT 86635 | $69.60 | $87.00 | $19.13 – $71.10 | 15 |
| Mayo cortisol free CPT 82530 | $108.80 | $136.00 | $15.25 – $56.70 | 15 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $56.80 | $71.00 | $17.19 – $63.90 | 15 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $61.60 | $77.00 | $18.64 – $69.30 | 15 |
| Mayo estriol CPT 82677 | $58.40 | $73.00 | $17.67 – $65.70 | 15 |
| Mayo estrone CPT 82679 | $60.00 | $75.00 | $18.16 – $67.50 | 15 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $92.80 | $116.00 | $12.59 – $46.80 | 15 |
| Mayo factor v CPT 85220 | $156.00 | $195.00 | $47.21 – $175.50 | 15 |
| Mayo factor vii CPT 85230 | $150.40 | $188.00 | $45.51 – $169.20 | 15 |
| Mayo factor viii vw factor antigen CPT 85246 | $147.20 | $184.00 | $44.55 – $165.60 | 15 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $154.40 | $193.00 | $46.73 – $173.70 | 15 |
| Mayo factor x CPT 85260 | $212.80 | $266.00 | $45.76 – $170.10 | 15 |
| Mayo fat/lipids feces quantitative CPT 82710 | $57.60 | $72.00 | $17.43 – $64.80 | 15 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $67.20 | $84.00 | $19.37 – $72.00 | 15 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $174.40 | $218.00 | $52.29 – $194.40 | 15 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $80.80 | $101.00 | $24.45 – $90.90 | 15 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $302.40 | $378.00 | $14.77 – $54.90 | 15 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $112.80 | $141.00 | $30.75 – $114.30 | 15 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $52.80 | $66.00 | $15.98 – $59.40 | 15 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $64.00 | $80.00 | $19.37 – $72.00 | 15 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $104.80 | $131.00 | $31.72 – $117.90 | 15 |
| Mayo inhab inhibin a CPT 86336 | $148.00 | $185.00 | $17.19 – $63.90 | 15 |
| Mayo iodine CPT 83789 | $109.60 | $137.00 | $21.06 – $78.30 | 15 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $37.60 | $47.00 | $11.38 – $42.30 | 15 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $58.40 | $73.00 | $17.67 – $65.70 | 15 |
| Mayo legionella antibody CPT 86713 | $156.80 | $196.00 | $47.45 – $176.40 | 15 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $52.80 | $66.00 | $15.98 – $59.40 | 15 |
| Mayo metanephrines plasma CPT 83835 | $46.40 | $58.00 | $14.04 – $52.20 | 15 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | $47.20 | $59.00 | $14.28 – $53.10 | 15 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $78.40 | $98.00 | $15.98 – $59.40 | 15 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $113.60 | $142.00 | $21.55 – $80.10 | 15 |
| Mayo myoglobin CPT 83874 | $108.00 | $135.00 | $28.57 – $106.20 | 15 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $52.00 | $65.00 | $15.25 – $56.70 | 15 |
| Mayo organic acids qualitative each specimen CPT 83919 | $57.60 | $72.00 | $17.43 – $64.80 | 15 |
| Mayo oxalate 24 hour urine CPT 83945 | $57.60 | $72.00 | $17.43 – $64.80 | 15 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $56.80 | $71.00 | $17.19 – $63.90 | 15 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $66.40 | $83.00 | $15.98 – $59.40 | 15 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $80.00 | $100.00 | $24.21 – $90.00 | 15 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $71.20 | $89.00 | $21.55 – $80.10 | 15 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $71.20 | $89.00 | $21.55 – $80.10 | 15 |
| Mayo psaft prostate specific antigen free CPT 84154 | $104.00 | $130.00 | $31.47 – $117.00 | 15 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $116.80 | $146.00 | $17.43 – $64.80 | 15 |
| Mayo renin CPT 84244 | $51.20 | $64.00 | $15.49 – $57.60 | 15 |
| Mayo repu protein electrophoresis urine CPT 84166 | $96.00 | $120.00 | $29.05 – $108.00 | 15 |
| Mayo semb semen analysis volume/count/motility/differential strict morphologic criteria CPT 89322 | $166.40 | $208.00 | $50.36 – $187.20 | 15 |
| Mayo serotonin CPT 84260 | $103.20 | $129.00 | $31.23 – $116.10 | 15 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $121.60 | $152.00 | $36.80 – $136.80 | 15 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $25.60 | $32.00 | $7.75 – $28.80 | 15 |
| Mayo tgrp testosterone total CPT 84403 | $139.20 | $174.00 | $18.40 – $68.40 | 15 |
| Mayo thyroglobulin CPT 84432 | $146.40 | $183.00 | $13.80 – $51.30 | 15 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | $120.00 | $150.00 | $36.32 – $135.00 | 15 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $132.00 | $165.00 | $11.38 – $42.30 | 15 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $66.40 | $83.00 | $20.09 – $74.70 | 15 |
| Mayo vitamin k CPT 84597 | $180.80 | $226.00 | $54.71 – $203.40 | 15 |
| Mcp joint arthroscopy dx CPT 29900 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Mcp joint arthroscopy surg CPT 29901 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Mcp joint arthroscopysurg 29902 CPT 29902 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Mdfc flap w/prsrv vasc pedcl CPT 15730 | not published | not published | $3,844.02 – $3,844.02 | 1 |
| Meas lung vol thru 2 yrs CPT 94013 | not published | not published | $557.13 – $557.13 | 1 |
| Measure kidney pressure CPT 50396 | not published | not published | $700.84 – $700.84 | 1 |
| Measurement post void urine by ultrasound CPT 51798 | $187.20 | $234.00 | $56.65 – $210.60 | 15 |
| Measure ureter pressure CPT 50686 | not published | not published | $164.28 – $164.28 | 1 |
| Medial canthopexy CPT 21280 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Mediastinoscpy w/lmph nod bx CPT 39402 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Mediastinoscpy w/medstnl bx 39401 CPT 39401 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Med physic dos eval rad exps CPT 76145 | not published | not published | $557.13 – $557.13 | 1 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | $80.00 | $99.99 | $24.21 – $89.99 | 15 |
| Meg evoked single CPT 95966 | not published | not published | $1,068.26 – $1,068.26 | 1 |
| Meg spontaneous CPT 95965 | not published | not published | $1,068.26 – $1,068.26 | 1 |
| Meniscal trnspl knee w/scpe CPT 29868 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $64.36 | $80.44 | $18.37 – $68.28 | 15 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | not published | not published | $31.01 – $31.01 | 1 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $62.75 | $78.43 | $18.75 – $69.71 | 15 |
| Metabolic Blood Panel (Basic) CPT 80048 | $60.80 | $76.00 | $26.75 – $68.40 | 15 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $72.00 | $90.00 | $31.68 – $81.00 | 15 |
| Metabolic panel ionized ca CPT 80047 | $60.00 | $75.00 | $18.16 – $67.50 | 15 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $7.07 | $8.83 | $1.51 – $5.62 | 15 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | $428.15 | $535.18 | $128.99 – $479.52 | 15 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $1,546.48 | $1,933.10 | $8.24 – $74.79 | 15 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $74.68 | $93.35 | $22.01 – $81.81 | 15 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | $98.68 | $123.35 | $29.86 – $111.02 | 15 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $70.53 | $88.16 | $19.58 – $72.78 | 15 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $95.03 | $118.78 | $19.25 – $71.56 | 15 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $60.94 | $76.17 | $18.34 – $68.18 | 15 |
| Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) HCPCS J0616 | $60.45 | $75.56 | $18.24 – $67.81 | 15 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $126.56 | $158.20 | $38.13 – $141.75 | 15 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | $101.69 | $127.11 | $25.79 – $95.87 | 15 |
| Microalbumin urine screen CPT 82044 | $63.20 | $79.00 | $19.13 – $71.10 | 15 |
| Microvolt t-wave assess CPT 93025 | not published | not published | $164.28 – $164.28 | 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.