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 |
|---|---|---|---|---|
| Microwave bronch, 3d, ebus HCPCS C9751 | not published | not published | $3,938.03 – $3,938.03 | 1 |
| Mid and Lower Back (Thoracolumbar Spine) X-ray CPT 72080 | not published | not published | $92.45 – $92.45 | 1 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $60.80 | $76.00 | $18.23 – $67.75 | 15 |
| Middle cerebral artery echo CPT 76821 | not published | not published | $111.66 – $111.66 | 1 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | $970.31 | $1,212.88 | $292.02 – $1,085.59 | 15 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | $870.60 | $1,088.24 | $263.46 – $979.42 | 15 |
| Mlt osteot rlgnm imed rd hum CPT 24410 | not published | not published | $13,510.16 – $13,510.16 | 1 |
| Mnl appl strs jt radiography CPT 77071 | not published | not published | $92.45 – $92.45 | 1 |
| Mnpj anes sho jt fixj aprats CPT 23700 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Mnpj elbow under anes CPT 24300 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Mnpj of tmj w/anesth CPT 21073 | not published | not published | $1,555.34 – $1,555.34 | 1 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $61.89 | $77.36 | $18.73 – $69.62 | 15 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | $66.80 | $83.49 | $20.21 – $75.14 | 15 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $206.40 | $258.00 | $62.46 – $232.20 | 15 |
| Motion analysis video/3d CPT 96000 | not published | not published | $557.13 – $557.13 | 1 |
| Motion test w/ft press meas CPT 96001 | not published | not published | $1,068.26 – $1,068.26 | 1 |
| Motor &/ sens nrve cndj test CPT 95905 | not published | not published | $418.99 – $418.99 | 1 |
| Mouth vestibule bx/w complex rpr 40814 CPT 40814 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $800.00 | $1,000.00 | $242.10 – $900.00 | 15 |
| MRA abdomen post contrast CPT 74185 | $2,665.60 | $3,332.00 | $578.05 – $2,998.80 | 15 |
| MRA aorta thoracic w/wo contrast CPT 71555 | not published | not published | $578.05 – $578.05 | 1 |
| MRA chest w IV cont HCPCS C8909 | not published | not published | $374.99 – $374.99 | 1 |
| MRA chest wo IV cont HCPCS C8910 | not published | not published | $253.81 – $253.81 | 1 |
| MRA chest wwo IV cont HCPCS C8911 | not published | not published | $374.99 – $374.99 | 1 |
| MRA ext low(run-off)pst cntrst CPT 73725 | $2,970.40 | $3,713.00 | $578.05 – $3,341.70 | 15 |
| MRA pelvis CPT 72198 | not published | not published | $578.05 – $578.05 | 1 |
| MRA pelvis w IV cont HCPCS C8918 | not published | not published | $374.99 – $374.99 | 1 |
| MRA pelvis wo IV cont HCPCS C8919 | not published | not published | $253.81 – $253.81 | 1 |
| MRA spinal canal CPT 72159 | not published | not published | $578.05 – $578.05 | 1 |
| MRA upper extremity post contrast-bil CPT 73225 | not published | not published | $578.05 – $578.05 | 1 |
| MRA w/cont, abd HCPCS C8900 | not published | not published | $374.99 – $374.99 | 1 |
| MRA w/cont, lwr ext HCPCS C8912 | not published | not published | $374.99 – $374.99 | 1 |
| Mra, w/dye, spinal canal HCPCS C8931 | not published | not published | $374.99 – $374.99 | 1 |
| Mra, w/dye, upper extremity HCPCS C8934 | not published | not published | $374.99 – $374.99 | 1 |
| MRA without cont, abd HCPCS C8901 | not published | not published | $253.81 – $253.81 | 1 |
| MRA without cont, lwr ext HCPCS C8913 | not published | not published | $253.81 – $253.81 | 1 |
| Mra, without dye, spinal canal HCPCS C8932 | not published | not published | $253.81 – $253.81 | 1 |
| Mra, without dye, upper extr HCPCS C8935 | not published | not published | $253.81 – $253.81 | 1 |
| MRA without fol w/cont, abd HCPCS C8902 | not published | not published | $374.99 – $374.99 | 1 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | not published | not published | $374.99 – $374.99 | 1 |
| MRA without fol w/cont, pelvis HCPCS C8920 | not published | not published | $374.99 – $374.99 | 1 |
| Mra, w/o&w/dye, spinal canal HCPCS C8933 | not published | not published | $374.99 – $374.99 | 1 |
| Mra, w/o&w/dye, upper extr HCPCS C8936 | not published | not published | $374.99 – $374.99 | 1 |
| Mr elastography CPT 76391 | not published | not published | $253.81 – $253.81 | 1 |
| MRI brain w/dye CPT 70558 | not published | not published | $186.92 – $186.92 | 1 |
| MRI brain without dye CPT 70557 | not published | not published | $575.70 – $575.70 | 1 |
| MRI brain without & w/dye CPT 70559 | not published | not published | $186.92 – $186.92 | 1 |
| MRI breast c- unilateral CPT 77046 | not published | not published | $253.81 – $578.05 | 2 |
| MRI breast c-+ w/cad uni CPT 77048 | not published | not published | $446.60 – $446.60 | 1 |
| MRI breast without cont bi CPT 77047 | not published | not published | $253.81 – $578.05 | 2 |
| MRI breast w IV cont bi CPT 77049 | not published | not published | $446.60 – $446.60 | 1 |
| MRI cardiac morph & func wo IV cont CPT 75557 | not published | not published | $253.81 – $578.05 | 2 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | not published | not published | $374.99 – $607.75 | 2 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | not published | not published | $611.05 – $829.56 | 2 |
| MRI chest without contrast CPT 71550 | $2,899.20 | $3,624.00 | $253.81 – $3,261.60 | 15 |
| MRI chest without & w/contrast CPT 71552 | not published | not published | $374.99 – $607.75 | 2 |
| MRI chest w IV cont CPT 71551 | not published | not published | $611.05 – $829.56 | 2 |
| MRI fetal sngl/1st gestation CPT 74712 | not published | not published | $253.81 – $578.05 | 2 |
| MRI hyperpolarized xenon129 HCPCS C9791 | not published | not published | $1,313.03 – $1,313.03 | 1 |
| MRI loex nonjt w IV cont CPT 73719 | not published | not published | $374.99 – $607.75 | 2 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $2,672.80 | $3,341.00 | $253.81 – $3,006.90 | 15 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $4,018.40 | $5,023.00 | $374.99 – $4,520.70 | 15 |
| MRI orbit fac&nck w IV cont CPT 70542 | not published | not published | $374.99 – $607.75 | 2 |
| MRI tmj CPT 70336 | $2,789.60 | $3,487.00 | $253.81 – $3,138.30 | 15 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $2,681.60 | $3,352.00 | $253.81 – $3,016.80 | 15 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $4,018.40 | $5,023.00 | $374.99 – $4,520.70 | 15 |
| MRI upper extremity w/dye CPT 73219 | not published | not published | $374.99 – $607.75 | 2 |
| MRI w/cont, breast, bi HCPCS C8906 | not published | not published | $374.99 – $374.99 | 1 |
| MRI w/cont, breast, uni HCPCS C8903 | not published | not published | $186.92 – $186.92 | 1 |
| MRI without fol w/cont, breast HCPCS C8908 | not published | not published | $374.99 – $607.75 | 2 |
| MRI without fol w/cont, brst, un HCPCS C8905 | not published | not published | $374.99 – $374.99 | 1 |
| Mr safety determination physician/other qhp CPT 76016 | not published | not published | $92.45 – $92.45 | 1 |
| Mr safety implant elec prepj CPT 76018 | not published | not published | $96.38 – $96.38 | 1 |
| Mr safety implt pos&/immoblj CPT 76019 | not published | not published | $62.37 – $62.37 | 1 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | not published | not published | $25.71 – $25.71 | 1 |
| Mr sfty med physics xm cstmz CPT 76017 | not published | not published | $253.81 – $253.81 | 1 |
| Mr spectroscopy CPT 76390 | not published | not published | $92.45 – $92.45 | 1 |
| Mt bone graft microvasc CPT 20957 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Multi family grp psychotherapy CPT 90849 | not published | not published | $168.70 – $168.70 | 1 |
| Multiple sleep latency test CPT 95805 | $2,748.80 | $3,436.00 | $557.13 – $3,092.40 | 15 |
| Mumps antibody igg CPT 86735 | $77.60 | $97.00 | $23.48 – $87.30 | 15 |
| Muscle-skin graft arm CPT 15736 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| Muscle-skin graft leg CPT 15738 | not published | not published | $3,844.02 – $3,844.02 | 1 |
| Muscle-skin graft trunk CPT 15734 | not published | not published | $3,844.02 – $3,844.02 | 1 |
| Muscle test cran nerv unilat CPT 95867 | not published | not published | $326.96 – $326.96 | 1 |
| Muscle test hemidiaphragm CPT 95866 | not published | not published | $164.28 – $164.28 | 1 |
| Muscle test larynx CPT 95865 | not published | not published | $135.35 – $135.35 | 1 |
| Muscle test one fiber CPT 95872 | not published | not published | $164.28 – $164.28 | 1 |
| Muscle transfers CPT 23397 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Muscle transfer shoulder/arm CPT 23395 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Musc myoq/fscq flp h&n pedcl CPT 15733 | not published | not published | $3,844.02 – $3,844.02 | 1 |
| Musc/tdn transfer upr a/e 1 CPT 24301 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | $1.20 | $1.50 | $0.36 – $1.35 | 15 |
| Mycophenolic acid HCPCS J7518 | $7.94 | $9.92 | $0.36 – $1.35 | 15 |
| Mycoplasma antibody igm CPT 86738 | $76.80 | $96.00 | $23.24 – $86.40 | 15 |
| Myelogphy 2/> spine regions CPT 72270 | not published | not published | $829.56 – $829.56 | 1 |
| Myelography l-s spine CPT 72265 | not published | not published | $829.56 – $829.56 | 1 |
| Myelography neck spine CPT 72240 | not published | not published | $829.56 – $829.56 | 1 |
| Myelography thoracic spine CPT 72255 | not published | not published | $829.56 – $829.56 | 1 |
| Myelography via inj w/s&i 2+ regions CPT 62305 | not published | not published | $829.56 – $829.56 | 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.