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 |
|---|---|---|---|---|
| Shoulder MRI (with and without contrast) CPT 73223 | $4,018.40 | $5,023.00 | $374.99 – $4,520.70 | 15 |
| Shoulder MRI (with contrast) CPT 73222 | not published | not published | $611.05 – $829.56 | 2 |
| Shoulder MRI (without contrast) CPT 73221 | $2,809.60 | $3,512.00 | $253.81 – $3,160.80 | 15 |
| Shoulder prosthesis removal CPT 23334 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Shoulder X-ray CPT 73030 | $274.40 | $343.00 | $83.04 – $308.70 | 15 |
| Shoulder X-ray (single view, both shoulders) CPT 73020 | $150.40 | $188.00 | $45.51 – $169.20 | 15 |
| Shunt glaucoma baerveldt 350mm HCPCS C1783 | $6,000.00 | $7,500.00 | $1,815.75 – $6,750.00 | 15 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | not published | not published | $111.66 – $111.66 | 1 |
| Sialography s&i CPT 70390 | not published | not published | $253.81 – $253.81 | 1 |
| Sialolithotomy 42330 CPT 42330 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Sickling rbc CPT 85660 | $33.60 | $42.00 | $10.17 – $37.80 | 15 |
| Sigmoidoscopy and biopsy CPT 45331 | not published | not published | $957.30 – $957.30 | 1 |
| Sigmoidoscopy flex decompression 45337 CPT 45337 | not published | not published | $957.30 – $957.30 | 1 |
| Sigmoidoscopy for bleeding CPT 45334 | not published | not published | $1,238.03 – $1,238.03 | 1 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | not published | not published | $957.30 – $957.30 | 1 |
| Sigmoidoscopy w/ablation CPT 45346 | not published | not published | $1,238.03 – $1,238.03 | 1 |
| Sigmoidoscopy w/fb removal 45332 CPT 45332 | not published | not published | $1,238.03 – $1,238.03 | 1 |
| Sigmoidoscopy w/plcmt stent CPT 45347 | not published | not published | $6,250.45 – $6,250.45 | 1 |
| Sigmoidoscopy w/resection CPT 45349 | not published | not published | $2,879.51 – $2,879.51 | 1 |
| Sigmoidoscopy w/tumr remove CPT 45338 | not published | not published | $1,238.03 – $1,238.03 | 1 |
| Sigmoidoscopy w/ultrasound CPT 45341 | not published | not published | $957.30 – $957.30 | 1 |
| Sigmoidoscopy w/us guide bx CPT 45342 | not published | not published | $1,238.03 – $1,238.03 | 1 |
| Sigmoid/rmv tumor/polyp/hot bx for 45333 CPT 45333 | not published | not published | $957.30 – $957.30 | 1 |
| Signal avg ecg w or without ecg 93278 CPT 93278 | not published | not published | $62.37 – $62.37 | 1 |
| Sig w/tndsc balloon dilation CPT 45340 | not published | not published | $1,238.03 – $1,238.03 | 1 |
| Simple cystometrogram 51725 CPT 51725 | not published | not published | $255.37 – $255.37 | 1 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $424.00 | $530.00 | $59.81 – $222.34 | 15 |
| Sinus CT scan (with and without contrast) CPT 70488 | $2,814.40 | $3,518.00 | $186.92 – $3,166.20 | 15 |
| Sinus CT scan (with contrast) CPT 70487 | $2,431.20 | $3,039.00 | $186.92 – $2,735.10 | 15 |
| Sinus CT scan (without contrast) CPT 70486 | $1,888.00 | $2,360.00 | $111.66 – $2,124.00 | 15 |
| Sinus/juglr venogram s&i CPT 75860 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| Sinusotomy maxillary sinus 31020 CPT 31020 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Sinusotomy sinus remove polyps 31032 CPT 31032 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Sinusotomy sphenoid w/wo bx 31050 CPT 31050 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Sinus X-ray (complete) CPT 70220 | $240.80 | $301.00 | $72.87 – $270.90 | 15 |
| Sinus X-ray (limited) CPT 70210 | $200.80 | $251.00 | $60.77 – $225.90 | 15 |
| Sipuleucel-t - su HCPCS Q2043 | not published | not published | $58,743.27 – $58,743.27 | 1 |
| Skin and muscle repair face CPT 15845 | not published | not published | $3,844.02 – $3,844.02 | 1 |
| Skin Biopsy CPT 11102 | not published | not published | $208.64 – $208.64 | 1 |
| Skin full graft 20sq cm less 15200 CPT 15200 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| Skin pedicle flap arms/legs CPT 15572 | not published | not published | $3,844.02 – $3,844.02 | 1 |
| Skin pedicle flap trunk CPT 15570 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| Skull X-ray (1 to 3 views) CPT 70250 | $224.80 | $281.00 | $68.03 – $252.90 | 15 |
| Skull X-ray (complete) CPT 70260 | $290.40 | $363.00 | $87.88 – $326.70 | 15 |
| Skyla, 13.5 mg HCPCS J7301 | $719.68 | $899.59 | $217.79 – $809.63 | 15 |
| Sleep study attended CPT 95807 | not published | not published | $557.13 – $557.13 | 1 |
| Sleep Study (Polysomnography) CPT 95810 | $4,214.40 | $5,268.00 | $1,068.26 – $4,741.20 | 15 |
| Sleep study unattended CPT 95806 | not published | not published | $164.28 – $164.28 | 1 |
| Sling suprapubic suburetheral HCPCS C1771 | $3,776.80 | $4,721.00 | $854.13 – $3,175.20 | 15 |
| Slitting of prepuce CPT 54000 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Slitting of prepuce CPT 54001 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Slp stdy unatnd w/anal CPT 95801 | not published | not published | $62.37 – $62.37 | 1 |
| Small Bowel Barium X-ray (Follow-Through) CPT 74250 | $646.40 | $808.00 | $186.92 – $727.20 | 15 |
| Small bowel endoscopy CPT 44360 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Small bowel endoscopy CPT 44364 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Small bowel endoscopy CPT 44366 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Small bowel endoscopy CPT 44369 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Small bowel endoscopy CPT 44376 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Small bowel endoscopy CPT 44378 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Small bowel endoscopy CPT 44382 | not published | not published | $984.44 – $984.44 | 1 |
| Small bowel endoscopy CPT 44384 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Small bowel endoscopy 44365 CPT 44365 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Small bowel endoscopy/biopsy CPT 44361 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Small bowel endoscopy/biopsy CPT 44377 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Small bowel endoscopy br/wa CPT 44380 | not published | not published | $984.44 – $984.44 | 1 |
| Small bowel endoscopy br/wa CPT 44381 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Small bowel endoscopy/stent 44370 CPT 44370 | not published | not published | $6,250.45 – $6,250.45 | 1 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $48.80 | $61.00 | $14.77 – $54.90 | 15 |
| Smear gram stain CPT 87205 | $28.00 | $35.00 | $8.47 – $31.50 | 15 |
| Smear nasal eosinophil CPT 89190 | $28.80 | $36.00 | $8.72 – $32.40 | 15 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $54.40 | $68.00 | $16.46 – $61.20 | 15 |
| Smear wet mount CPT 87210 | $41.60 | $52.00 | $11.86 – $44.10 | 15 |
| Sodium 24 hour urine CPT 84300 | $28.00 | $35.00 | $8.47 – $31.50 | 15 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $70.79 | $88.48 | $21.42 – $79.63 | 15 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $70.79 | $88.48 | $14.28 – $53.09 | 15 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $47.20 | $58.99 | $14.28 – $53.09 | 15 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $4.86 | $6.07 | $1.47 – $5.46 | 15 |
| Sodium serum/plasma/whole blood CPT 84295 | $27.20 | $34.00 | $8.23 – $30.60 | 15 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | $95.89 | $119.86 | $29.02 – $107.87 | 15 |
| Somatosensory testing CPT 95927 | not published | not published | $326.96 – $326.96 | 1 |
| Special physics consult CPT 77370 | not published | not published | $139.41 – $139.41 | 1 |
| Special radiation dosimetry CPT 77331 | not published | not published | $139.41 – $139.41 | 1 |
| Special radiation treatment CPT 77470 | not published | not published | $607.39 – $607.39 | 1 |
| Special teletx port plan CPT 77321 | not published | not published | $384.37 – $384.37 | 1 |
| Specimen fat stain CPT 89125 | $54.40 | $68.00 | $16.46 – $61.20 | 15 |
| Speech and Language Evaluation (comprehensive) CPT 92523 | $461.60 | $577.00 | $139.69 – $519.30 | 15 |
| Speech audiometry complete CPT 92556 | not published | not published | $62.37 – $62.37 | 1 |
| Speech evaluation complex CPT 70371 | not published | not published | $253.81 – $253.81 | 1 |
| Speech recep thresh CPT 92555 | not published | not published | $62.37 – $62.37 | 1 |
| Speech Therapy Session (one-on-one) CPT 92507 | $302.40 | $378.00 | $133.06 – $340.20 | 15 |
| Sphenoid sinus surgery CPT 31051 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Sphincteroplasty inc/prolapse adult 46750 CPT 46750 | not published | not published | $2,879.51 – $2,879.51 | 1 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | not published | not published | $727.15 – $727.15 | 1 |
| Spine device implant surgery HCPCS C9757 | not published | not published | $13,510.16 – $13,510.16 | 1 |
| Spine X-ray (single view, one level) CPT 72020 | not published | not published | $92.45 – $92.45 | 1 |
| Spirmtry w/brnchdil inf-2 yr CPT 94012 | not published | not published | $326.96 – $326.96 | 1 |
| Spirometry up to 2 yrs old CPT 94011 | not published | not published | $164.28 – $164.28 | 1 |
| Spleen imaging CPT 78185 | not published | not published | $421.92 – $421.92 | 1 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | not published | not published | $3,844.02 – $3,844.02 | 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.