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 |
|---|---|---|---|---|
| Opn tx orbit fx combined CPT 21387 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Opn tx orbit fx periorbital CPT 21386 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Opn tx orbit fx transantral CPT 21385 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Opn tx orbit fx w/bone grft CPT 21408 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Opn tx orbit fx w/implant CPT 21407 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Opn tx orbit fx without impl 21406 CPT 21406 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Opn tx orbit periorbtl implt CPT 21390 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Opn tx orbit periorbt w/grft CPT 21395 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Opps service,sched team conf HCPCS G0175 | not published | not published | $447.11 – $447.11 | 1 |
| Opscpy extnd on/mac draw CPT 92202 | not published | not published | $62.37 – $62.37 | 1 |
| Opscpy extnd rta draw uni/bi CPT 92201 | not published | not published | $62.37 – $62.37 | 1 |
| Optx acrclv dslc aq/chrn grf CPT 23552 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Optx acromclv dislc aqt/chrn CPT 23550 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Optx acute shoulder dislc CPT 23660 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Optx carpl scphd fx int fixj CPT 25628 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Optx clavicular fx w/int fix CPT 23515 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Optx complicated mndblr fx CPT 21470 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Optx cranfcl sep w/wiring CPT 21432 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Optx crpl fx oth/thn scph ea CPT 25645 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Optx gr hmrl tbrs fx int fix CPT 23630 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Optx lunate dislocation CPT 25695 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Optx medial ankle fx CPT 27766 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Optx mndblr cndylr fx CPT 21465 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Optx mndblr fx wo ntrdntl CPT 21461 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Optx mndblr fx xtrnl fixj CPT 21454 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Optx mndblr/max alv ridge fx CPT 21445 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Optx partclr fx&/dslc elbw w CPT 24587 | not published | not published | $13,510.16 – $13,510.16 | 1 |
| Optx post ankle fx CPT 27769 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Optx prox humrl fx w/int fix CPT 23615 | not published | not published | $13,510.16 – $13,510.16 | 1 |
| Optx prx hmrl fx fix rpr rpl CPT 23616 | not published | not published | $19,309.55 – $19,309.55 | 1 |
| Optx radial shaft fracture CPT 25515 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Optx rad/uln dislc aqt/chrnc CPT 25676 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Optx rdcrpl/ntrcrpl dislc 1+ CPT 25670 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Optx rdl shft fx&cltx rad/ul CPT 25525 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Optx rdl shft fx&dstl rad/ul CPT 25526 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Optx rdl&uln shft fx rds&uln CPT 25575 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Optx rdl&uln shft fx rds/uln CPT 25574 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Optx scapular fx w/int fixj CPT 23585 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Optx sho dislc fx CPT 23670 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Optx sho dislc neck fx fixj CPT 23680 | not published | not published | $13,510.16 – $13,510.16 | 1 |
| Optx strclv dslc aq/chrn grf CPT 23532 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Optx strnclav dislc aqt/chrn CPT 23530 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Optx tmprmand dislocation CPT 21490 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Optx trns-scphprlnr fx dislc CPT 25685 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Optx ulnar shft fx int fixj CPT 25545 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Optx ulnar styloid fracture CPT 25652 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Orchiectomy partial CPT 54522 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Orchiopexy (fowler-stephens) CPT 54650 | not published | not published | $3,705.51 – $3,705.51 | 1 |
| Orchiopexy ingun/scrot appr CPT 54640 | not published | not published | $3,705.51 – $3,705.51 | 1 |
| Oropharyngeal biopsy 42800 CPT 42800 | not published | not published | $1,555.34 – $1,555.34 | 1 |
| Orthopantogram CPT 70355 | not published | not published | $92.45 – $92.45 | 1 |
| Orthop traing supvj phys/qhp CPT 92066 | not published | not published | $62.37 – $62.37 | 1 |
| Oscillation chest wall mechanical per session CPT 94669 | not published | not published | $213.56 – $213.56 | 1 |
| Osmolality blood CPT 83930 | $41.60 | $52.00 | $12.59 – $46.80 | 15 |
| Osmolality urine CPT 83935 | $46.40 | $58.00 | $14.04 – $52.20 | 15 |
| Ostectomy complete 1st metatarsal head 28111 CPT 28111 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Ostectomy scapula partial CPT 23190 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Osteochondral knee allograft CPT 27415 | not published | not published | $13,510.16 – $13,510.16 | 1 |
| Osteochondral knee autograft CPT 27416 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Osteochondral talus autogrft CPT 28446 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Osteopath manip tx/5-6 body region 98927 CPT 98927 | not published | not published | $26.57 – $26.57 | 1 |
| Osteopath manip tx/7-8 body region 98928 CPT 98928 | not published | not published | $26.57 – $26.57 | 1 |
| Osteopath manip tx/9-10 body region98929 CPT 98929 | not published | not published | $26.57 – $26.57 | 1 |
| Osteoplasty humerus CPT 24420 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Osteot humerus w/wo int fixj CPT 24400 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Osteotomy/graft tarsal/calcaneus/talus 28305 CPT 28305 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Oth resp proc, group HCPCS G0239 | $170.40 | $213.00 | $41.21 – $191.70 | 15 |
| Oth resp proc, indiv HCPCS G0238 | $120.00 | $150.00 | $25.71 – $135.00 | 15 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $75.20 | $94.00 | $22.76 – $84.60 | 15 |
| Otoplasty 69300 CPT 69300 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Ot re-evaluation patient/family CPT 97168 | $188.80 | $236.00 | $57.14 – $212.40 | 15 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $127.20 | $159.00 | $38.49 – $143.10 | 15 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $129.60 | $162.00 | $39.22 – $145.80 | 15 |
| Ovarian cystectomy 58925 CPT 58925 | not published | not published | $5,183.27 – $5,183.27 | 1 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $1,184.23 | $1,480.28 | $358.38 – $1,332.25 | 15 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $153.12 | $191.39 | $18.31 – $68.06 | 15 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $678.17 | $847.71 | $205.23 – $762.94 | 15 |
| Paliperidone 117 mg/0.75 ml inj HCPCS J2426 | $4,655.39 | $5,819.23 | $1,408.84 – $5,237.31 | 15 |
| Palivizumab 50 mg/0.5 ml inj CPT 90378 | $5,409.40 | $6,761.74 | $861.76 – $3,203.57 | 15 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | $4,408.24 | $5,510.29 | $1,334.04 – $4,959.26 | 15 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $62.00 | $77.50 | $18.49 – $68.74 | 15 |
| Parathormone (pth) intact CPT 83970 | $223.20 | $279.00 | $67.55 – $251.10 | 15 |
| Parathyrd planar w/spect&ct CPT 78072 | $2,179.20 | $2,724.00 | $565.18 – $2,451.60 | 15 |
| Parathyroid planar imaging CPT 78070 | not published | not published | $421.92 – $421.92 | 1 |
| Parathyroid planar img w/tomo spect CPT 78071 | not published | not published | $421.92 – $421.92 | 1 |
| Paravaginal defect repair 57284 CPT 57284 | not published | not published | $5,183.27 – $5,183.27 | 1 |
| Parial mast w/lymph removal 19302 CPT 19302 | not published | not published | $6,847.53 – $6,847.53 | 1 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | not published | not published | $208.64 – $208.64 | 1 |
| Parotid duct diversion CPT 42507 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Parotid duct diversion CPT 42509 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Parotid duct diversion CPT 42510 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Part exc/post vert comp/sng/thorac 22101 CPT 22101 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Part hymenectomy/revi hymenal ring 56700 CPT 56700 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Partial exc bone humerus CPT 24140 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Partial excision of lip CPT 40500 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Partial removal finger bone CPT 26235 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Partial removal finger bone CPT 26236 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Partial removal foot fascia CPT 28060 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Partial removal leg bone(s) CPT 27360 | not published | not published | $3,406.84 – $3,406.84 | 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.