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 |
|---|---|---|---|---|
| Srs linear based CPT 77372 | not published | not published | $8,026.71 – $8,026.71 | 1 |
| Srs multisource CPT 77371 | not published | not published | $8,026.71 – $8,026.71 | 1 |
| Staggered spondaic word test CPT 92572 | not published | not published | $164.28 – $164.28 | 1 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $368.80 | $461.00 | $111.61 – $414.90 | 15 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $349.60 | $437.00 | $105.80 – $393.30 | 15 |
| Stenger test pure tone CPT 92565 | not published | not published | $62.37 – $62.37 | 1 |
| Stenger test speech CPT 92577 | not published | not published | $557.13 – $557.13 | 1 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | not published | not published | $18,854.56 – $18,854.56 | 1 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $3,720.00 | $4,650.00 | $1,125.77 – $4,185.00 | 15 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $174.40 | $218.00 | $52.78 – $196.20 | 15 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | not published | not published | $11,907.60 – $11,907.60 | 1 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | not published | not published | $18,854.56 – $18,854.56 | 1 |
| Sterile water/saline, 10 ml HCPCS A4216 | $5.09 | $6.36 | $1.20 – $4.46 | 15 |
| St evaluate speech sound production CPT 92522 | $351.20 | $439.00 | $106.28 – $395.10 | 15 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $457.60 | $572.00 | $138.48 – $514.80 | 15 |
| Stimulation of spinal cord CPT 63610 | not published | not published | $2,050.41 – $2,050.41 | 1 |
| Stomach Emptying Scan (Nuclear Medicine) CPT 78264 | $1,857.60 | $2,322.00 | $421.92 – $2,089.80 | 15 |
| Strapping of ankle and/or ft 29540 CPT 29540 | not published | not published | $165.68 – $165.68 | 1 |
| Strapping of chest CPT 29200 | not published | not published | $165.68 – $165.68 | 1 |
| Strapping of elbow or wrist 29260 CPT 29260 | not published | not published | $62.37 – $62.37 | 1 |
| Strapping of hand or finger CPT 29280 | not published | not published | $62.37 – $62.37 | 1 |
| Strapping of hip CPT 29520 | not published | not published | $135.35 – $135.35 | 1 |
| Strapping of knee CPT 29530 | not published | not published | $135.35 – $135.35 | 1 |
| Strapping of toes 29550 CPT 29550 | not published | not published | $62.37 – $62.37 | 1 |
| Strep b dna amp probe CPT 87653 | $180.80 | $226.00 | $54.71 – $203.40 | 15 |
| Stress test pulmonary CPT 94618 | $332.00 | $415.00 | $100.47 – $373.50 | 15 |
| Stress tte complete CPT 93351 | not published | not published | $575.70 – $575.70 | 1 |
| Subdural tap fontanelle/sutur infant init 61000 CPT 61000 | not published | not published | $727.15 – $727.15 | 1 |
| Subq njx filling matrl 1cc/< CPT 11950 | not published | not published | $208.64 – $208.64 | 1 |
| Subq njx fil matrl 5.1-10cc CPT 11952 | not published | not published | $642.74 – $642.74 | 1 |
| Subtalar arthro w/deb CPT 29906 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Subtalar arthro w/exc CPT 29905 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Subtalar arthro w/fb rmvl CPT 29904 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Subtalar arthro w/fusion CPT 29907 | not published | not published | $13,510.16 – $13,510.16 | 1 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $66.77 | $83.46 | $20.16 – $74.96 | 15 |
| Suction lipectomy head&neck CPT 15876 | not published | not published | $3,844.02 – $3,844.02 | 1 |
| Suction lipectomy lwr extrem CPT 15879 | not published | not published | $3,844.02 – $3,844.02 | 1 |
| Suction lipectomy trunk CPT 15877 | not published | not published | $3,844.02 – $3,844.02 | 1 |
| Suction lipectomy upr extrem CPT 15878 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $67.49 | $84.36 | $19.82 – $73.68 | 15 |
| Sup of prep of antigen # of vials 95144 CPT 95144 | not published | not published | $48.45 – $48.45 | 1 |
| Support clav 29.6-40.5in med HCPCS L3650 | $24.80 | $31.00 | $7.51 – $27.90 | 15 |
| Surg dx exam anorectal CPT 45990 | not published | not published | $2,879.51 – $2,879.51 | 1 |
| Surgery for urethra pouch CPT 53240 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Surgery to stop leg growth CPT 27475 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Surgery to stop leg growth CPT 27477 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Surgery to stop leg growth CPT 27479 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Surgery to stop leg growth CPT 27485 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Surgical exposure prostate 55860 CPT 55860 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Surgical opening of stomach CPT 43510 | not published | not published | $984.44 – $984.44 | 1 |
| Surgical opening of throat CPT 42955 | not published | not published | $1,555.34 – $1,555.34 | 1 |
| Surgical pathology level 1 gross examination only CPT 88300 | $37.60 | $47.00 | $11.38 – $42.30 | 15 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $86.40 | $108.00 | $26.15 – $97.20 | 15 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $115.20 | $144.00 | $34.86 – $129.60 | 15 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $128.80 | $161.00 | $56.67 – $144.90 | 15 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $680.00 | $850.00 | $205.79 – $765.00 | 15 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $1,016.80 | $1,271.00 | $307.71 – $1,143.90 | 15 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | not published | not published | $2,879.51 – $2,879.51 | 1 |
| Susceptibility agar dilution per agent CPT 87181 | $22.40 | $28.00 | $6.78 – $25.20 | 15 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $38.40 | $48.00 | $11.62 – $43.20 | 15 |
| Susceptibility mic per plate CPT 87186 | $45.60 | $57.00 | $13.80 – $51.30 | 15 |
| Suspension of testis CPT 54620 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Svc venogram s&i CPT 75827 | not published | not published | $1,631.11 – $1,631.11 | 1 |
| Swallowing Evaluation (Bedside) CPT 92610 | $370.40 | $463.00 | $112.09 – $416.70 | 15 |
| Swallowing Therapy Session CPT 92526 | $284.00 | $355.00 | $85.95 – $319.50 | 15 |
| Sympathectomy cervical CPT 64802 | not published | not published | $2,050.41 – $2,050.41 | 1 |
| Sympathectomy digital artery CPT 64820 | not published | not published | $2,050.41 – $2,050.41 | 1 |
| Sympathectomy supfc palmar CPT 64823 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Synthetic sentence id test CPT 92576 | not published | not published | $41.21 – $41.21 | 1 |
| T3 (triiodothyronine) free CPT 84481 | $111.20 | $139.00 | $33.65 – $125.10 | 15 |
| T3 (triiodothyronine) total CPT 84480 | $76.00 | $95.00 | $23.00 – $85.50 | 15 |
| T4 (thyroxine) free CPT 84439 | $72.00 | $90.00 | $20.34 – $75.60 | 15 |
| T4 (thyroxine) total CPT 84436 | $32.80 | $41.00 | $9.93 – $36.90 | 15 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $5.19 | $6.48 | $0.36 – $1.35 | 15 |
| Tacrolimus therapeutic drug level CPT 80197 | $122.40 | $153.00 | $37.04 – $137.70 | 15 |
| Tailbone (Sacrum and Coccyx) X-ray CPT 72220 | $192.00 | $240.00 | $58.10 – $216.00 | 15 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $642.74 – $642.74 | 1 |
| Tbs techl calculation only CPT 77091 | not published | not published | $92.45 – $92.45 | 1 |
| Tbs techl prep&transmis data CPT 77090 | not published | not published | $92.45 – $92.45 | 1 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $306.40 | $383.00 | $92.72 – $344.70 | 15 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $192.00 | $240.00 | $54.47 – $202.50 | 15 |
| Tc-99m maa HCPCS A9540 | $936.80 | $1,171.00 | $283.50 – $1,053.90 | 15 |
| Tc-99m mebrofenin HCPCS A9537 | $178.40 | $223.00 | $53.99 – $200.70 | 15 |
| Tc-99m medronate HCPCS A9503 | $133.60 | $167.00 | $40.43 – $150.30 | 15 |
| Tc-99m mertiatide HCPCS A9562 | $756.00 | $945.00 | $228.78 – $850.50 | 15 |
| Tc-99m oxidronate HCPCS A9561 | $168.00 | $210.00 | $50.84 – $189.00 | 15 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $388.80 | $486.00 | $117.66 – $437.40 | 15 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $352.00 | $440.00 | $106.52 – $396.00 | 15 |
| Tc-99m sulfur colloid HCPCS A9541 | $308.00 | $385.00 | $93.21 – $346.50 | 15 |
| Tcd emboli detect w/inj CPT 93893 | not published | not published | $111.66 – $111.66 | 1 |
| Tcd emboli detect without inj CPT 93892 | not published | not published | $111.66 – $111.66 | 1 |
| T-cell depletion of harvest CPT 38210 | not published | not published | $459.04 – $459.04 | 1 |
| T cells absolute cd 4 count CPT 86361 | $111.20 | $139.00 | $33.65 – $125.10 | 15 |
| Tcranial magn stim tx deli CPT 90868 | not published | not published | $326.96 – $326.96 | 1 |
| Tcranial magn stim tx plan CPT 90867 | not published | not published | $326.96 – $326.96 | 1 |
| Tcran magn stim redetemine CPT 90869 | not published | not published | $326.96 – $326.96 | 1 |
| Tee w or without fol w/cont,cong HCPCS C8926 | not published | not published | $829.56 – $829.56 | 1 |
| Tee w or without fol w/cont, mon HCPCS C8927 | not published | not published | $829.56 – $829.56 | 1 |
| Telehealth original site facility fee HCPCS Q3014 | $52.80 | $66.00 | $15.98 – $59.40 | 15 |
| Telethx isodose plan cplx CPT 77307 | not published | not published | $384.37 – $384.37 | 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.