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 |
|---|---|---|---|---|
| Blepharoplasty lower 15820 CPT 15820 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| Blepharoplasty upper 15822 CPT 15822 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| Blepharoplasty upper eyelid 15823 CPT 15823 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| Blepharp lwr eyelid fat pad CPT 15821 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| Blind interatrial shunt ide HCPCS C9758 | not published | not published | $18,375.53 – $18,375.53 | 1 |
| Blind/nonblind trans atrial HCPCS C9792 | not published | not published | $10,238.03 – $10,238.03 | 1 |
| Blink reflex test CPT 95933 | not published | not published | $62.37 – $62.37 | 1 |
| Bln 30frx10mmx12cm renal nephromax HCPCS C1726 | $510.40 | $638.00 | $56.41 – $209.70 | 15 |
| Bln dil 900ml preperitnl HCPCS C1727 | $1,329.60 | $1,662.00 | $272.60 – $1,013.40 | 15 |
| Block brachial plexus w/cath plmt w/img CPT 64416 | not published | not published | $934.80 – $934.80 | 1 |
| Block femoral nerve cont infusion cath w/img CPT 64448 | not published | not published | $934.80 – $934.80 | 1 |
| Block paracervical nrv CPT 64435 | not published | not published | $727.15 – $727.15 | 1 |
| Block plantar digital nerve CPT 64455 | not published | not published | $309.95 – $309.95 | 1 |
| Blood Clotting (PT/INR) Test CPT 85610 | $32.00 | $40.00 | $8.96 – $33.30 | 15 |
| Blood Clotting (PTT) Test CPT 85730 | $34.40 | $43.00 | $10.41 – $38.70 | 15 |
| Blood Count (CBC) Test CPT 85025 | $49.60 | $62.00 | $21.82 – $55.80 | 15 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $31.20 | $39.00 | $9.44 – $35.10 | 15 |
| Blood Culture Test CPT 87040 | $72.80 | $91.00 | $22.03 – $81.90 | 15 |
| Blood draw capillary 36416 CPT 36416 | $13.60 | $17.00 | $4.12 – $15.30 | 15 |
| Blood Draw (Venipuncture) CPT 36415 | $19.20 | $24.00 | $8.45 – $21.60 | 15 |
| Blood gases o2 saturation direct measurement CPT 82805 | $240.80 | $301.00 | $72.87 – $270.90 | 15 |
| Blood gases ph venous CPT 82800 | $36.00 | $45.00 | $10.89 – $40.50 | 15 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $57.60 | $72.00 | $17.43 – $64.80 | 15 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $20.80 | $26.00 | $6.29 – $23.40 | 15 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $27.20 | $34.00 | $8.23 – $30.60 | 15 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $27.20 | $34.00 | $8.23 – $30.60 | 15 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $20.00 | $25.00 | $6.05 – $22.50 | 15 |
| Blood Transfusion CPT 36430 | $1,004.80 | $1,256.00 | $304.08 – $1,130.40 | 15 |
| Blood typing abo CPT 86900 | $19.20 | $24.00 | $5.81 – $21.60 | 15 |
| Blood typing ag donor ea ag CPT 86902 | $123.20 | $154.00 | $37.28 – $138.60 | 15 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $80.00 | $100.00 | $24.21 – $90.00 | 15 |
| Blood typing rh (d) CPT 86901 | $19.20 | $24.00 | $5.81 – $21.60 | 15 |
| Blood volume CPT 78122 | not published | not published | $565.18 – $565.18 | 1 |
| Bls-emergency HCPCS A0429 | $1,088.00 | $1,360.00 | $329.26 – $1,224.00 | 15 |
| Bone Age X-ray (hand and wrist) CPT 77072 | not published | not published | $111.66 – $111.66 | 1 |
| Bone biopsy open superficial CPT 20240 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Bone Density Scan (DEXA) CPT 77080 | $501.60 | $627.00 | $111.66 – $564.30 | 15 |
| Bone imaging multiple areas CPT 78305 | not published | not published | $421.92 – $421.92 | 1 |
| Bone/joint imaging ltd area CPT 78300 | $1,280.00 | $1,600.00 | $387.36 – $1,440.00 | 15 |
| Bone marrow;aspiration only 38220 CPT 38220 | not published | not published | $1,701.25 – $1,701.25 | 1 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | not published | not published | $1,701.25 – $1,701.25 | 1 |
| Bone marrow harvest allogen CPT 38230 | not published | not published | $1,721.24 – $1,721.24 | 1 |
| Bone marrow harvest autolog CPT 38232 | not published | not published | $4,919.43 – $4,919.43 | 1 |
| Bone marrow imaging body CPT 78104 | not published | not published | $421.92 – $421.92 | 1 |
| Bone marrow imaging ltd CPT 78102 | not published | not published | $421.92 – $421.92 | 1 |
| Bone marrow imaging mult CPT 78103 | not published | not published | $421.92 – $421.92 | 1 |
| Bone/skin graft great toe CPT 20973 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Bone/skin graft metatarsal CPT 20972 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Bone survey-lead poisoning CPT 77074 | $392.00 | $490.00 | $111.66 – $441.00 | 15 |
| Boot j walker l HCPCS L4386 | $75.20 | $94.00 | $22.52 – $83.70 | 15 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $98.40 | $123.00 | $29.78 – $110.70 | 15 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | $2,626.34 | $3,282.92 | $132.62 – $492.99 | 15 |
| Bowel imaging CPT 78290 | $1,667.20 | $2,084.00 | $421.92 – $1,875.60 | 15 |
| Brace ank air stirrup univ HCPCS L4350 | $52.00 | $65.00 | $15.74 – $58.50 | 15 |
| Brace back pinnacle tlso 464 HCPCS L0464 | $3,612.80 | $4,516.00 | $1,093.32 – $4,064.40 | 15 |
| Brace knee extender plus 22-30in HCPCS L1832 | $225.60 | $282.00 | $68.27 – $253.80 | 15 |
| Brace or Splint Fitting and Training (each 15 minutes) CPT 97760 | $133.60 | $167.00 | $40.43 – $150.30 | 15 |
| Brace oths wrist hnd fngr without HCPCS L3807 | $41.60 | $52.00 | $12.59 – $46.80 | 15 |
| Brace wrist classic lft sm HCPCS L3908 | $52.00 | $65.00 | $7.51 – $27.90 | 15 |
| Brachioplasty 15836 CPT 15836 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Brachytx isodose complex CPT 77318 | not published | not published | $384.37 – $384.37 | 1 |
| Brachytx isodose intermed CPT 77317 | not published | not published | $384.37 – $384.37 | 1 |
| Brachytx isodose plan simple CPT 77316 | not published | not published | $384.37 – $384.37 | 1 |
| Brain flow imaging only CPT 78610 | not published | not published | $565.18 – $565.18 | 1 |
| Brain image < 4 views CPT 78600 | not published | not published | $421.92 – $421.92 | 1 |
| Brain image 4+ views CPT 78605 | not published | not published | $565.18 – $565.18 | 1 |
| Brain image w/flow < 4 views CPT 78601 | not published | not published | $421.92 – $421.92 | 1 |
| Brain image w/flow 4 + views CPT 78606 | not published | not published | $565.18 – $565.18 | 1 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $3,812.00 | $4,765.00 | $374.99 – $4,288.50 | 15 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $2,888.80 | $3,611.00 | $374.99 – $3,249.90 | 15 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $2,700.00 | $3,375.00 | $253.81 – $3,037.50 | 15 |
| Brain MRI (with and without contrast) CPT 70553 | $4,024.00 | $5,030.00 | $374.99 – $4,527.00 | 15 |
| Brain MRI (with contrast) CPT 70552 | $3,168.00 | $3,960.00 | $374.99 – $3,564.00 | 15 |
| Brain MRI (without contrast) CPT 70551 | $2,939.20 | $3,674.00 | $253.81 – $3,306.60 | 15 |
| Breast augmentation 19325 CPT 19325 | not published | not published | $10,047.49 – $10,047.49 | 1 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $2,393.60 | $2,992.00 | $724.36 – $2,692.80 | 15 |
| Breastbone (Sternum) X-ray CPT 71120 | $187.20 | $234.00 | $56.65 – $210.60 | 15 |
| Breast punct aspir cyst, bil CPT 19000 | not published | not published | $738.77 – $738.77 | 1 |
| Breast reconstruction 19357 CPT 19357 | not published | not published | $18,268.26 – $18,268.26 | 1 |
| Breast reduction CPT 19318 | not published | not published | $6,847.53 – $6,847.53 | 1 |
| Breath hydrogen test 91065 CPT 91065 | not published | not published | $164.28 – $164.28 | 1 |
| Breathing response hypoxia CPT 94450 | not published | not published | $164.28 – $164.28 | 1 |
| Breath recording infant CPT 94772 | not published | not published | $557.13 – $557.13 | 1 |
| Bronch/asp/tracheobronch tree/subs 31646 CPT 31646 | not published | not published | $407.73 – $407.73 | 1 |
| Bronch ebus samplng 1/2 node CPT 31652 | not published | not published | $3,871.30 – $3,871.30 | 1 |
| Bronch ebus samplng 3/> node CPT 31653 | not published | not published | $3,871.30 – $3,871.30 | 1 |
| Bronchial allergy tests CPT 95070 | not published | not published | $557.13 – $557.13 | 1 |
| Bronchial brush biopsy CPT 31717 | not published | not published | $407.73 – $407.73 | 1 |
| Bronchial challenge CPT 94070 | not published | not published | $326.96 – $326.96 | 1 |
| Bronchial valve init insert CPT 31647 | not published | not published | $7,268.59 – $7,268.59 | 1 |
| Bronchial valve remov addl CPT 31649 | not published | not published | $1,810.69 – $1,810.69 | 1 |
| Bronchial valve remov init CPT 31648 | not published | not published | $3,871.30 – $3,871.30 | 1 |
| Bronchoscopy bronch stents CPT 31636 | not published | not published | $7,268.59 – $7,268.59 | 1 |
| Bronchoscopy clear airways 31645 CPT 31645 | not published | not published | $1,810.69 – $1,810.69 | 1 |
| Bronchoscopy dilate/fx repr CPT 31630 | not published | not published | $3,871.30 – $3,871.30 | 1 |
| Bronchoscopy dilate w/stent CPT 31631 | not published | not published | $7,268.59 – $7,268.59 | 1 |
| Bronchoscopy/lung bx each 31628 CPT 31628 | not published | not published | $3,871.30 – $3,871.30 | 1 |
| Bronchoscopy/needle bx each 31629 CPT 31629 | not published | not published | $3,871.30 – $3,871.30 | 1 |
| Bronchoscopy revise stent CPT 31638 | not published | not published | $7,268.59 – $7,268.59 | 1 |
| Bronchoscopy treat blockage CPT 31641 | not published | not published | $3,871.30 – $3,871.30 | 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.