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 |
|---|---|---|---|---|
| Perq tx nasoethmoid fx CPT 21340 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $6,520.78 | $8,150.97 | $16.20 – $7,335.87 | 15 |
| Pet CT skull-mid thgh initial CPT 78815 | $7,007.20 | $8,759.00 | $1,531.52 – $7,883.10 | 15 |
| Pet CT whole body initial CPT 78816 | $6,656.00 | $8,320.00 | $1,531.52 – $7,488.00 | 15 |
| Pet fdg brain metoblic eval sb CPT 78608 | not published | not published | $1,531.52 – $1,531.52 | 1 |
| Pet image full body CPT 78813 | not published | not published | $1,531.52 – $1,531.52 | 1 |
| Pet image ltd area CPT 78811 | not published | not published | $1,370.75 – $1,370.75 | 1 |
| Pet image skull-thigh CPT 78812 | not published | not published | $1,531.52 – $1,531.52 | 1 |
| Pet image w/ct lmtd CPT 78814 | $6,043.20 | $7,554.00 | $1,531.52 – $6,798.60 | 15 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $882.40 | $1,103.00 | $267.04 – $992.70 | 15 |
| Phalangectomy ea toe 28150 CPT 28150 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Ph body fluid CPT 83986 | $16.00 | $20.00 | $4.84 – $18.00 | 15 |
| Phenobarbital therapeutic drug level CPT 80184 | $71.20 | $89.00 | $15.01 – $55.80 | 15 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $62.56 | $78.20 | $18.37 – $68.29 | 15 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $60.60 | $75.75 | $18.31 – $68.05 | 15 |
| Phenytoin total therapeutic drug level CPT 80185 | $88.00 | $110.00 | $21.79 – $81.00 | 15 |
| Phlebotomy therapeutic CPT 99195 | $248.00 | $310.00 | $75.05 – $279.00 | 15 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| Phleb veins 1 extrm >20 stab CPT 37766 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| Phosphorus CPT 84100 | $27.20 | $34.00 | $8.23 – $30.60 | 15 |
| Phosphorus 24 hour urine CPT 84105 | $20.80 | $26.00 | $6.29 – $23.40 | 15 |
| Photchmtx tar&uvb/ptrltm&uvb CPT 96910 | not published | not published | $62.37 – $62.37 | 1 |
| Photochemotherapy puva CPT 96912 | not published | not published | $62.37 – $62.37 | 1 |
| Photochemotherapy uv-a or b CPT 96913 | not published | not published | $419.51 – $419.51 | 1 |
| Photo patch test CPT 95052 | not published | not published | $62.37 – $62.37 | 1 |
| Photopheresis CPT 36522 | not published | not published | $4,919.43 – $4,919.43 | 1 |
| Photosensitivity tests CPT 95056 | not published | not published | $135.35 – $135.35 | 1 |
| Physical Therapy Evaluation (high complexity) CPT 97163 | $229.60 | $287.00 | $69.48 – $258.30 | 15 |
| Physical Therapy Evaluation (low complexity) CPT 97161 | $219.20 | $274.00 | $96.45 – $246.60 | 15 |
| Physical Therapy Evaluation (moderate complexity) CPT 97162 | $224.80 | $281.00 | $68.03 – $252.90 | 15 |
| Physical Therapy Re-Evaluation CPT 97164 | $164.00 | $205.00 | $49.63 – $184.50 | 15 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $79.04 | $98.79 | $22.87 – $85.03 | 15 |
| Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050 CPT 15050 | not published | not published | $642.74 – $642.74 | 1 |
| Pin finger dislocation CPT 26776 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Pin finger fracture each CPT 26756 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Pin hand dislocation CPT 26676 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Pin knuckle dislocation CPT 26706 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $63.52 | $79.39 | $18.58 – $69.07 | 15 |
| Place breast rad tube/caths CPT 19298 | not published | not published | $6,847.53 – $6,847.53 | 1 |
| Place cecostomy tube perc CPT 49442 | not published | not published | $1,238.03 – $1,238.03 | 1 |
| Place duod/jej tube perc CPT 49441 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Place endorectal app HCPCS C9725 | not published | not published | $957.30 – $957.30 | 1 |
| Place gastrostomy tube perc CPT 49440 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $1,528.80 | $1,911.00 | $462.65 – $1,719.90 | 15 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | not published | not published | $738.77 – $738.77 | 1 |
| Placement nephrostomy catheter (both sides) CPT 50432 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Placement of seton CPT 46020 | not published | not published | $2,879.51 – $2,879.51 | 1 |
| Placement stent(s) intravascular transcatheter artery initial CPT 37236 | not published | not published | $11,907.60 – $11,907.60 | 1 |
| Place ndl musc/tis for right CPT 20555 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Place needles h&n for right CPT 41019 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Place needles pelvic for right CPT 55920 | not published | not published | $5,183.27 – $5,183.27 | 1 |
| Place non-slctv cath thoracic arta CPT 36221 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| Place po breast cath for rad CPT 19296 | not published | not published | $10,047.49 – $10,047.49 | 1 |
| Place right device/marker pros CPT 55876 | not published | not published | $1,436.67 – $1,436.67 | 1 |
| Place slctv cath carotd art uni CPT 36224 | not published | not published | $5,675.99 – $5,675.99 | 1 |
| Place slctv cath carotid/inom art excrn uni CPT 36222 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| Place slctv cath carotid/inom art intcrn uni CPT 36223 | not published | not published | $5,675.99 – $5,675.99 | 1 |
| Place slctv cath subclavian art CPT 36225 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| Place slctv cath vertebral art uni CPT 36226 | not published | not published | $5,675.99 – $5,675.99 | 1 |
| Plasma volume multiple CPT 78111 | not published | not published | $1,370.75 – $1,370.75 | 1 |
| Plasma volume single CPT 78110 | not published | not published | $1,370.75 – $1,370.75 | 1 |
| Platelet automated CPT 85049 | $25.60 | $32.00 | $7.75 – $28.80 | 15 |
| Platelet deplete of harvest CPT 38213 | not published | not published | $459.04 – $459.04 | 1 |
| Platelets each unit HCPCS P9019 | $599.20 | $749.00 | $181.33 – $674.10 | 15 |
| Platelets leukocytes reduced each unit HCPCS P9031 | $264.80 | $331.00 | $80.14 – $297.90 | 15 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $1,384.80 | $1,731.00 | $419.08 – $1,557.90 | 15 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $1,932.00 | $2,415.00 | $584.67 – $2,173.50 | 15 |
| Platelet survival CPT 78191 | not published | not published | $421.92 – $421.92 | 1 |
| Plcmnt biliary drainage cath w/img ext CPT 47533 | not published | not published | $3,705.51 – $3,705.51 | 1 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Plcmnt ureteral stent pq w/img new w/cath CPT 50695 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | not published | not published | $738.77 – $738.77 | 1 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $380.80 | $476.00 | $115.24 – $428.40 | 15 |
| Plmt access bil tree sm bwl CPT 47541 | not published | not published | $6,551.74 – $6,551.74 | 1 |
| Plmt biliary drainage cath CPT 47534 | not published | not published | $3,705.51 – $3,705.51 | 1 |
| Plmt nephroureteral catheter CPT 50433 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Plmt ureteral stent prq CPT 50694 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Pm device progr eval dual CPT 93280 | not published | not published | $39.15 – $39.15 | 1 |
| Pm device progr eval multi CPT 93281 | not published | not published | $39.15 – $39.15 | 1 |
| Pm phone r-strip device eval CPT 93293 | not published | not published | $39.15 – $39.15 | 1 |
| Pneumothrx tx-intraplrl inj ai CPT 32960 | not published | not published | $649.17 – $649.17 | 1 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $151.20 | $189.00 | $45.76 – $170.10 | 15 |
| Polysom <6 yrs cpap/bilvl CPT 95783 | not published | not published | $1,068.26 – $1,068.26 | 1 |
| Polysom any age 1-3> param CPT 95808 | not published | not published | $1,068.26 – $1,068.26 | 1 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $4,808.00 | $6,010.00 | $1,068.26 – $5,162.40 | 15 |
| Positional change of finger CPT 26555 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Post op service lvrs min 6 HCPCS G0305 | not published | not published | $557.13 – $557.13 | 1 |
| Potassium 24 hour urine CPT 84133 | $25.60 | $32.00 | $7.75 – $28.80 | 15 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $245.04 | $306.29 | $18.68 – $69.44 | 15 |
| Potassium serum/plasma/whole blood CPT 84132 | $26.40 | $33.00 | $7.99 – $29.70 | 15 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Pq thr inj ext pse CPT 36002 | not published | not published | $649.17 – $649.17 | 1 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Pralidoxime 1 gram solution for injection HCPCS J2730 | $188.84 | $236.05 | $57.15 – $212.45 | 15 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Pr application of long arm splint CPT 29105 | $270.40 | $338.00 | $81.83 – $304.20 | 15 |
| Pr application splint static short arm CPT 29125 | $237.60 | $297.00 | $71.90 – $267.30 | 15 |
| Pr assessment emotional/behavioral per instrument brief CPT 96127 | not published | not published | $41.21 – $41.21 | 1 |
| Pr biopsy skin punch single lesion CPT 11104 | not published | not published | $419.51 – $419.51 | 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.