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 |
|---|---|---|---|---|
| Njx chemonucleolysis lmbr CPT 62292 | not published | not published | $2,050.41 – $2,050.41 | 1 |
| Njx interlaminar crv/thrc CPT 62324 | not published | not published | $934.80 – $934.80 | 1 |
| Njx interlaminar crv/thrc CPT 62325 | not published | not published | $934.80 – $934.80 | 1 |
| Njx interlaminar lmbr/sac CPT 62326 | not published | not published | $934.80 – $934.80 | 1 |
| Njx interlaminar lmbr/sac CPT 62327 | not published | not published | $934.80 – $934.80 | 1 |
| Njx px nfrosgrm &/urtrgrm CPT 50430 | not published | not published | $700.84 – $700.84 | 1 |
| Njx px peyronie ds exps plaq CPT 54205 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | not published | not published | $421.92 – $421.92 | 1 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $1,782.40 | $2,228.00 | $421.92 – $2,005.20 | 15 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $1,272.00 | $1,590.00 | $384.94 – $1,431.00 | 15 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | $2,070.40 | $2,588.00 | $565.18 – $2,329.20 | 15 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $1,479.20 | $1,849.00 | $421.92 – $1,664.10 | 15 |
| Nm radiopharmaceutical therapy oral administration CPT 79005 | not published | not published | $235.34 – $235.34 | 1 |
| Non-blind interatrial shunt HCPCS C9760 | not published | not published | $28,875.53 – $28,875.53 | 1 |
| Non-card vasc flow imaging CPT 78445 | not published | not published | $421.92 – $421.92 | 1 |
| Non-imaging heart function CPT 78414 | not published | not published | $565.18 – $565.18 | 1 |
| Noninv pace analysis CPT 93724 | not published | not published | $314.91 – $314.91 | 1 |
| Non-ophthalmic fva HCPCS C9733 | not published | not published | $374.99 – $374.99 | 1 |
| No pt prsnt train add 15 HCPCS G0542 | $61.60 | $77.00 | $18.64 – $69.30 | 15 |
| No pt prsnt train initial 30 HCPCS G0541 | $123.20 | $154.00 | $37.28 – $138.60 | 15 |
| Nose (Nasal Bone) X-ray (complete) CPT 70160 | $223.20 | $279.00 | $67.55 – $251.10 | 15 |
| Npsy tst eval phsy/qhp 1st hr CPT 96132 | not published | not published | $557.13 – $557.13 | 1 |
| Nr lnr acclrtr tx max 5 sessions CPT 77373 | not published | not published | $1,843.71 – $1,843.71 | 1 |
| Nrv grf 1strnd arm/leg >4 cm CPT 64893 | not published | not published | $6,724.27 – $6,724.27 | 1 |
| Nrv grf 1strnd arm/leg <4cm CPT 64892 | not published | not published | $6,724.27 – $6,724.27 | 1 |
| Nrv grf 1strnd hnd/foot <4cm CPT 64890 | not published | not published | $6,724.27 – $6,724.27 | 1 |
| Nrv grf 1strnd hnd/foot >4cm CPT 64891 | not published | not published | $6,724.27 – $6,724.27 | 1 |
| Nrv grf mltst arm/leg <4 cm CPT 64897 | not published | not published | $6,724.27 – $6,724.27 | 1 |
| Nrv grf mltst arm/leg >4 cm CPT 64898 | not published | not published | $6,724.27 – $6,724.27 | 1 |
| Nrv grf mltst hnd/foot <4 cm CPT 64895 | not published | not published | $6,724.27 – $6,724.27 | 1 |
| Nrv grf mltst hnd/foot >4 cm CPT 64896 | not published | not published | $6,724.27 – $6,724.27 | 1 |
| Nrv rpr w/nrv algrft 1st CPT 64912 | not published | not published | $6,724.27 – $6,724.27 | 1 |
| Nsl/sins ndsc med&inf dcmprn CPT 31293 | not published | not published | $7,268.59 – $7,268.59 | 1 |
| Nsl/sins ndsc med/inf dcmprn CPT 31292 | not published | not published | $7,268.59 – $7,268.59 | 1 |
| Nsl/sins ndsc sphn tiss rmvl CPT 31259 | not published | not published | $7,268.59 – $7,268.59 | 1 |
| Nsl/sins ndsc surg frnt sins CPT 31296 | not published | not published | $7,268.59 – $7,268.59 | 1 |
| Nsl/sins ndsc surg frnt&sphn CPT 31298 | not published | not published | $7,268.59 – $7,268.59 | 1 |
| Nsl/sins ndsc surg max sins CPT 31295 | not published | not published | $7,268.59 – $7,268.59 | 1 |
| Nsl/sins ndsc surg on dcmprn CPT 31294 | not published | not published | $7,268.59 – $7,268.59 | 1 |
| Nsl/sins ndsc surg sphn sins CPT 31297 | not published | not published | $7,268.59 – $7,268.59 | 1 |
| Nsl/sins ndsc total CPT 31253 | not published | not published | $7,268.59 – $7,268.59 | 1 |
| Nsl/sins ndsc tot w/sphendt CPT 31257 | not published | not published | $7,268.59 – $7,268.59 | 1 |
| Nsl/sinus endoscopy surg dcr CPT 31239 | not published | not published | $3,871.30 – $3,871.30 | 1 |
| Nsl/sns ndsc lig sphnptn art CPT 31241 | not published | not published | $1,810.69 – $1,810.69 | 1 |
| Ntsty modul rad tx dlvr cplx CPT 77386 | not published | not published | $607.39 – $607.39 | 1 |
| Ntsty modul rad tx dlvr smpl CPT 77385 | not published | not published | $607.39 – $607.39 | 1 |
| Nuclear exam of tear flow CPT 78660 | not published | not published | $421.92 – $421.92 | 1 |
| Nuclear rx intra-arterial CPT 79445 | not published | not published | $235.34 – $235.34 | 1 |
| Nuclear rx intra-articular CPT 79440 | not published | not published | $235.34 – $235.34 | 1 |
| Nuclear rx intracav admin CPT 79200 | not published | not published | $235.34 – $235.34 | 1 |
| Nuclear rx IV admin CPT 79101 | not published | not published | $235.34 – $235.34 | 1 |
| Nuclear Stress Test (Heart) CPT 78452 | $3,588.00 | $4,485.00 | $1,370.75 – $4,036.50 | 15 |
| Nuclr rx interstit colloid CPT 79300 | not published | not published | $235.34 – $235.34 | 1 |
| Observation direct referral from physician office for admission HCPCS G0379 | $196.80 | $246.00 | $59.56 – $221.40 | 15 |
| Observation per hour HCPCS G0378 | $68.00 | $85.00 | $20.58 – $76.50 | 15 |
| Obstetrics panel CPT 80055 | $243.20 | $304.00 | $73.60 – $273.60 | 15 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | not published | not published | $111.66 – $111.66 | 1 |
| Occlude fallopian tube(s) device 58615 CPT 58615 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Occupational Therapy Evaluation (high complexity) CPT 97167 | $264.80 | $331.00 | $80.14 – $297.90 | 15 |
| Occupational Therapy Evaluation (low complexity) CPT 97165 | $236.00 | $295.00 | $71.42 – $265.50 | 15 |
| Occupational Therapy Evaluation (moderate complexity) CPT 97166 | $260.00 | $325.00 | $78.68 – $292.50 | 15 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | $31,448.64 | $39,310.80 | $60.94 – $35,379.72 | 15 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $219.22 | $274.02 | $18.43 – $68.51 | 15 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | $10,402.61 | $13,003.26 | $2,108.37 – $7,837.81 | 15 |
| Ocular photodynamic ther CPT 67221 | not published | not published | $576.03 – $576.03 | 1 |
| Ocular reconst transplant CPT 65780 | not published | not published | $3,959.55 – $3,959.55 | 1 |
| Ocular reconst transplant CPT 65781 | not published | not published | $5,417.70 – $5,417.70 | 1 |
| Ocular reconst transplant CPT 65782 | not published | not published | $3,959.55 – $3,959.55 | 1 |
| Off base opioid tx, 60 m HCPCS G2087 | not published | not published | $168.70 – $168.70 | 1 |
| Off base opioid tx 70min HCPCS G2086 | not published | not published | $168.70 – $168.70 | 1 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $80.76 | $100.95 | $21.16 – $78.67 | 15 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | $1,037.04 | $1,296.30 | $39.04 – $1,166.67 | 15 |
| Ondansetron 4 mg s0119 HCPCS S0119 | $4.87 | $6.08 | $0.36 – $1.35 | 15 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $60.35 | $75.43 | $18.18 – $67.58 | 15 |
| Open bx/exc inguinofem nodes CPT 38531 | not published | not published | $4,020.74 – $4,020.74 | 1 |
| Open nasoethmoid fx with fixj CPT 21339 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Open nasoethmoid fx without fixj CPT 21338 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Open periprosthetic breast capsule 19370 CPT 19370 | not published | not published | $4,020.74 – $4,020.74 | 1 |
| Open tenotomy tendon flexor foot single or multiple 28230 CPT 28230 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Open thrombectomy of av fistula without revision 36831 CPT 36831 | not published | not published | $5,675.99 – $5,675.99 | 1 |
| Open tx nose fx w/skele fixj CPT 21330 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Open tx nose & septal fx CPT 21335 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Open tx rib 1-3 fx w/fix 21811 CPT 21811 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Open tx rib 4-6 fx w/fix 21812 CPT 21812 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Open tx rib 7+ fx w/fix 21813 CPT 21813 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Ophthalmic biometry CPT 92136 | not published | not published | $135.35 – $135.35 | 1 |
| Ophthalmodynamometry CPT 92260 | not published | not published | $41.21 – $41.21 | 1 |
| Ophth Ultrasound b & quant a CPT 76510 | not published | not published | $135.35 – $135.35 | 1 |
| Oph Ultrasound dx ant sgm Ultrasound uni/bi CPT 76513 | not published | not published | $111.66 – $111.66 | 1 |
| Oph Ultrasound dx quan a-scan only CPT 76511 | not published | not published | $111.66 – $111.66 | 1 |
| Opn impltj crnl nrv nea&pg CPT 64568 | not published | not published | $31,997.27 – $31,997.27 | 1 |
| Opn impltj nea neuromuscular CPT 64580 | not published | not published | $22,516.61 – $22,516.61 | 1 |
| Opn impltj nea perph nerve CPT 64575 | not published | not published | $13,093.83 – $13,093.83 | 1 |
| Opn impltj nea sacral nerve CPT 64581 | not published | not published | $6,891.05 – $6,891.05 | 1 |
| Opn mpltj hpglsl nstm ary pg CPT 64582 | not published | not published | $31,997.27 – $31,997.27 | 1 |
| Opn tx complx malar fx CPT 21365 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Opn tx complx malar w/grft CPT 21366 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Opn tx dprsd zygomatic arch CPT 21356 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Opn tx nasomax fx multple CPT 21347 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Opn tx nasomax fx w/fixj CPT 21346 | not published | not published | $6,211.44 – $6,211.44 | 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.