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 |
|---|---|---|---|---|
| Telethx isodose plan simple CPT 77306 | not published | not published | $384.37 – $384.37 | 1 |
| Temperature gradient studies CPT 93740 | not published | not published | $164.28 – $164.28 | 1 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | $1,490.76 | $1,863.44 | $451.14 – $1,677.10 | 15 |
| Tendon lengthening CPT 26476 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Tendon lngth upr a/e ea tdn CPT 24305 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Tendon shortening CPT 26477 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Tendon transfer with graft CPT 26492 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $11,545.44 | $14,431.80 | $3,493.94 – $12,988.62 | 15 |
| Tenodesis biceps tdn at elbw CPT 24340 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Tenolysis triceps CPT 24332 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Tenoplasty elbow to sho 1 CPT 24320 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Tenosynovectomy radic 26145 CPT 26145 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Tenotomy length/rls abductor hallucis musc 28240 CPT 28240 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $61.20 | $76.49 | $18.45 – $68.57 | 15 |
| Testicular imaging w/vasc flow CPT 78761 | not published | not published | $421.92 – $421.92 | 1 |
| Test stress cardiovascular tracing only CPT 93017 | $1,016.00 | $1,270.00 | $307.47 – $1,143.00 | 15 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | not published | not published | $18.45 – $18.45 | 1 |
| Thaw preserved stem cells CPT 38208 | not published | not published | $459.04 – $459.04 | 1 |
| Theophylline therapeutic drug level CPT 80198 | $50.40 | $63.00 | $15.25 – $56.70 | 15 |
| Therapeutic procd strg endur HCPCS G0237 | $72.80 | $91.00 | $22.03 – $81.90 | 15 |
| Therapy Activity Training (each 15 minutes) CPT 97530 | $124.80 | $156.00 | $54.91 – $140.40 | 15 |
| Therapy Exercise Session (each 15 minutes) CPT 97110 | $110.40 | $138.00 | $48.58 – $124.20 | 15 |
| Therapy photodnmc lght dstr lsn skn by staff rx per day CPT 96567 | not published | not published | $208.64 – $208.64 | 1 |
| Ther fx nasal inf turbinate CPT 30930 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Ther nma rdctj intus/obstrcj CPT 74283 | not published | not published | $186.92 – $186.92 | 1 |
| Ther/proph/diag inj ia CPT 96373 | not published | not published | $44.80 – $221.22 | 2 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $61.56 | $76.94 | $18.55 – $68.95 | 15 |
| Thigh Bone (Femur) X-ray (both sides) CPT 73552 | $304.80 | $381.00 | $92.24 – $342.90 | 15 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $1,778.40 | $2,223.00 | $538.19 – $2,000.70 | 15 |
| Thoracoscopy diagnostic 32601 CPT 32601 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Thoracoscopy w/bx med space CPT 32606 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Thoracoscopy wbx sac CPT 32604 | not published | not published | $10,931.77 – $10,931.77 | 1 |
| Thoracotomy with cardiac massage CPT 32160 | $7,071.20 | $8,839.00 | $2,139.92 – $7,955.10 | 15 |
| Thorcscpy w/biop pleura CPT 32609 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Thrcspy w/diag bp lng inf uni CPT 32607 | not published | not published | $10,931.77 – $10,931.77 | 1 |
| Thrcspy w/diag bp lng nod uni CPT 32608 | not published | not published | $10,931.77 – $10,931.77 | 1 |
| Three-Phase Bone Scan (Nuclear Medicine) CPT 78315 | $2,199.20 | $2,749.00 | $421.92 – $2,474.10 | 15 |
| Throat x-ray & fluoroscopy CPT 70370 | not published | not published | $92.45 – $92.45 | 1 |
| Thrombectomy/inf pq dialysis circuit CPT 36904 | not published | not published | $5,986.60 – $5,986.60 | 1 |
| Thrombectomy/inf pq dialysis circuit w/pta CPT 36905 | not published | not published | $11,907.60 – $11,907.60 | 1 |
| Thrombectomy/inf pq dialysis circuit w/stent plcmnt CPT 36906 | not published | not published | $18,854.56 – $18,854.56 | 1 |
| Thromboendarterectomy including patch graft if preformed; CPT 35321 | not published | not published | $5,675.99 – $5,675.99 | 1 |
| Thumb fusion with graft CPT 26820 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Thumb fusion with graft CPT 26842 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Thumb tendon transfer CPT 26510 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Thymectomy prtl/tot transcervical appr 60520 CPT 60520 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Thyroglobulin antibody CPT 86800 | $86.40 | $108.00 | $15.98 – $59.40 | 15 |
| Thyroid imaging CPT 78013 | $1,077.60 | $1,347.00 | $326.11 – $1,212.30 | 15 |
| Thyroid met imaging CPT 78015 | not published | not published | $421.92 – $421.92 | 1 |
| Thyroid met imaging/studies CPT 78016 | not published | not published | $421.92 – $421.92 | 1 |
| Thyroid mets imag whole body CPT 78018 | not published | not published | $565.18 – $565.18 | 1 |
| Thyroid (TSH) Test CPT 84443 | $90.40 | $113.00 | $39.78 – $101.70 | 15 |
| Thyroid Ultrasound CPT 76536 | $736.80 | $921.00 | $111.66 – $828.90 | 15 |
| Thyroid uptake measurement CPT 78012 | $754.40 | $943.00 | $228.30 – $848.70 | 15 |
| Tibial arthroscopy/surgery CPT 29855 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Tibial arthroscopy/surgery CPT 29856 | not published | not published | $13,510.16 – $13,510.16 | 1 |
| Tib/per revasc stent & ather 37231 CPT 37231 | not published | not published | $18,854.56 – $18,854.56 | 1 |
| Tilt table study CPT 93660 | not published | not published | $557.13 – $557.13 | 1 |
| Tissue exam koh skin/hair/nails CPT 87220 | $47.20 | $59.00 | $14.28 – $53.10 | 15 |
| Tissue transglutaminase iga CPT 86364 | $37.60 | $47.00 | $11.38 – $42.30 | 15 |
| Tlh uterus 250 g or less CPT 58570 | not published | not published | $10,931.77 – $10,931.77 | 1 |
| Tlh uterus over 250 g CPT 58572 | not published | not published | $10,931.77 – $10,931.77 | 1 |
| Tlh w/t/o 250 g or less CPT 58571 | not published | not published | $10,931.77 – $10,931.77 | 1 |
| Tlh w/t/o uterus over 250 g CPT 58573 | not published | not published | $10,931.77 – $10,931.77 | 1 |
| Tnot opn elbw to sho ea tdn CPT 24310 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $61.04 | $76.30 | $18.47 – $68.67 | 15 |
| Tobramycin peak therapeutic drug level CPT 80200 | $93.60 | $117.00 | $28.33 – $105.30 | 15 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | $4,289.76 | $5,362.20 | $6.08 – $876.83 | 15 |
| Toe X-ray (both feet) CPT 73660 | $200.80 | $251.00 | $60.77 – $225.90 | 15 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $100.00 | $125.00 | $30.26 – $112.50 | 15 |
| Tomosynthesis breast screen bilateral CPT 77063 | $124.00 | $155.00 | $54.56 – $139.50 | 15 |
| Tone decay hearing test CPT 92563 | not published | not published | $41.21 – $41.21 | 1 |
| Tongue base vol reduction CPT 41530 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Tongue biopsy; posterior one-third 41105 CPT 41105 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Tongue to lip surgery CPT 41510 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Tonsillectomy (age 12+) CPT 42826 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Tonsillectomy (child under 12) CPT 42825 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | $487.56 | $609.44 | $147.55 – $548.50 | 15 |
| Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution HCPCS J3263 | not published | not published | $46.57 – $46.57 | 1 |
| Total Hip Replacement CPT 27130 | not published | not published | $13,510.16 – $13,510.16 | 1 |
| Total Knee Replacement CPT 27447 | not published | not published | $13,510.16 – $13,510.16 | 1 |
| Tot disc arthrp 1ntrspc crv CPT 22856 | not published | not published | $19,309.55 – $19,309.55 | 1 |
| Toxoplasma antibody igg CPT 86777 | $84.00 | $105.00 | $25.42 – $94.50 | 15 |
| Toxoplasma antibody igm CPT 86778 | $84.80 | $106.00 | $25.66 – $95.40 | 15 |
| Tprnl balo cntnc dev adjmt CPT 53454 | not published | not published | $255.37 – $255.37 | 1 |
| Tprnl balo cntnc dev bi CPT 53451 | not published | not published | $13,642.04 – $13,642.04 | 1 |
| Tprnl balo cntnc dev rmvl ea CPT 53453 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Tprnl balo cntnc dev uni CPT 53452 | not published | not published | $9,709.51 – $9,709.51 | 1 |
| Tprnl plmt biodegrdabl matrl CPT 55874 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Trabeculoplasty laser surg CPT 65855 | not published | not published | $576.03 – $576.03 | 1 |
| Trachelectomy (cervicectomy) 57530 CPT 57530 | not published | not published | $5,183.27 – $5,183.27 | 1 |
| Tracheobrnchsc thru est trachs incisn CPT 31615 | not published | not published | $534.71 – $534.71 | 1 |
| Tracheostoma revision; simple, without flap rotation CPT 31613 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108 | $124.80 | $156.00 | $37.77 – $140.40 | 15 |
| Transabdom amnioinfus w/us CPT 59070 | not published | not published | $319.40 – $319.40 | 1 |
| Transcath biopsy CPT 37200 | not published | not published | $5,675.99 – $5,675.99 | 1 |
| Transcath closure of asd CPT 93580 | not published | not published | $18,854.56 – $18,854.56 | 1 |
| Transcath closure of vsd CPT 93581 | not published | not published | $18,854.56 – $18,854.56 | 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.