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 |
|---|---|---|---|---|
| Unlisted px abdomen muscskel CPT 22999 | not published | not published | $251.87 – $251.87 | 1 |
| Unlisted px accessory sinus CPT 31299 | not published | not published | $243.83 – $243.83 | 1 |
| Unlisted px ant segment eye CPT 66999 | not published | not published | $2,394.77 – $2,394.77 | 1 |
| Unlisted px arthroscopy CPT 29999 | not published | not published | $251.87 – $251.87 | 1 |
| Unlisted px biliary tract CPT 47999 | not published | not published | $984.44 – $984.44 | 1 |
| Unlisted px casting/strpg CPT 29799 | not published | not published | $165.68 – $165.68 | 1 |
| Unlisted px conjunctiva CPT 68399 | not published | not published | $313.88 – $313.88 | 1 |
| Unlisted px exc pressure ulc CPT 15999 | not published | not published | $738.77 – $738.77 | 1 |
| Unlisted px external ear CPT 69399 | not published | not published | $243.83 – $243.83 | 1 |
| Unlisted px extraocular musc CPT 67399 | not published | not published | $313.88 – $313.88 | 1 |
| Unlisted px foot/toes CPT 28899 | not published | not published | $251.87 – $251.87 | 1 |
| Unlisted px forearm/wrist CPT 25999 | not published | not published | $251.87 – $251.87 | 1 |
| Unlisted px hands/fingers CPT 26989 | not published | not published | $251.87 – $251.87 | 1 |
| Unlisted px inner ear CPT 69949 | not published | not published | $243.83 – $243.83 | 1 |
| Unlisted px lacrimal system CPT 68899 | not published | not published | $313.88 – $313.88 | 1 |
| Unlisted px leg/ankle CPT 27899 | not published | not published | $251.87 – $251.87 | 1 |
| Unlisted px male genital sys CPT 55899 | not published | not published | $255.37 – $255.37 | 1 |
| Unlisted px med radj physics CPT 77399 | not published | not published | $139.41 – $139.41 | 1 |
| Unlisted px middle ear CPT 69799 | not published | not published | $243.83 – $243.83 | 1 |
| Unlisted px neck/thorax CPT 21899 | not published | not published | $243.83 – $243.83 | 1 |
| Unlisted px palate uvula CPT 42299 | not published | not published | $243.83 – $243.83 | 1 |
| Unlisted px pelvis/hip joint CPT 27299 | not published | not published | $251.87 – $251.87 | 1 |
| Unlisted px posterior segmnt CPT 67299 | not published | not published | $2,394.77 – $2,394.77 | 1 |
| Unlisted px salivry glnd/dux CPT 42699 | not published | not published | $243.83 – $243.83 | 1 |
| Unlisted px small intestine CPT 44799 | not published | not published | $984.44 – $984.44 | 1 |
| Unlisted px temporal bone CPT 69979 | not published | not published | $243.83 – $243.83 | 1 |
| Unlisted px ther rad tx plng CPT 77299 | not published | not published | $139.41 – $139.41 | 1 |
| Unlisted px tongue flr mouth CPT 41599 | not published | not published | $243.83 – $243.83 | 1 |
| Unlisted px vestibule mouth CPT 40899 | not published | not published | $243.83 – $243.83 | 1 |
| Unlisted resp px dx nuc med CPT 78599 | not published | not published | $421.92 – $421.92 | 1 |
| Unlisted spec derm svc/px CPT 96999 | not published | not published | $208.64 – $208.64 | 1 |
| Unlisted ultrasound procedure CPT 76999 | $368.80 | $461.00 | $92.45 – $414.90 | 15 |
| Unlisted vasc endoscopy px CPT 37501 | not published | not published | $649.17 – $649.17 | 1 |
| Unlstd hematop ret/endo lymp CPT 78199 | not published | not published | $421.92 – $421.92 | 1 |
| Unlstd laps px mat care&dlvr CPT 59898 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Unlstd laps px sprmatic cord CPT 55559 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Unsched dialysis esrd pt hos HCPCS G0257 | not published | not published | $734.71 – $734.71 | 1 |
| Upgrade pm system CPT 33214 | not published | not published | $10,988.60 – $10,988.60 | 1 |
| Upper Arm (Humerus) X-ray (left side) CPT 73060 | $198.40 | $248.00 | $60.04 – $223.20 | 15 |
| Upper Back (Thoracic Spine) CT Scan (with contrast) CPT 72129 | not published | not published | $186.92 – $446.60 | 2 |
| Upper Back (Thoracic Spine) CT Scan (without contrast) CPT 72128 | $2,507.20 | $3,134.00 | $111.66 – $2,820.60 | 15 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $4,279.20 | $5,349.00 | $374.99 – $4,814.10 | 15 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $3,209.60 | $4,012.00 | $374.99 – $3,610.80 | 15 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $2,993.60 | $3,742.00 | $253.81 – $3,367.80 | 15 |
| Upper Back (Thoracic Spine) X-ray (2 views) CPT 72070 | $218.40 | $273.00 | $66.09 – $245.70 | 15 |
| Upper Back (Thoracic Spine) X-ray (3 views) CPT 72072 | $230.40 | $288.00 | $69.72 – $259.20 | 15 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | not published | not published | $984.44 – $1,135.20 | 2 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | not published | not published | $984.44 – $1,135.20 | 2 |
| Upper GI Barium X-ray (barium and gas) CPT 74246 | $744.80 | $931.00 | $186.92 – $837.90 | 15 |
| Upper GI Barium X-ray (barium only) CPT 74240 | $649.60 | $812.00 | $186.92 – $730.80 | 15 |
| Uppr gi scope w/submuc inj CPT 43236 | not published | not published | $984.44 – $984.44 | 1 |
| Urachal cyst/sinus excision 51500 CPT 51500 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Urea nitrogen CPT 84520 | $25.60 | $32.00 | $7.75 – $28.80 | 15 |
| Urea nitrogen 24 hour urine CPT 84540 | $25.60 | $32.00 | $7.75 – $28.80 | 15 |
| Ureteral reflux study CPT 78740 | $1,428.00 | $1,785.00 | $421.92 – $1,606.50 | 15 |
| Ureter endoscopy CPT 50970 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Ureter endoscopy & biopsy CPT 50974 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Ureter endoscopy & catheter CPT 50972 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Ureter endoscopy & treatment CPT 50957 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | not published | not published | $253.81 – $253.81 | 1 |
| Urethrlys transvag with scope CPT 53500 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Urethrocystography void s&i CPT 74455 | $573.60 | $717.00 | $173.59 – $645.30 | 15 |
| Uric acid blood CPT 84550 | $26.40 | $33.00 | $7.99 – $29.70 | 15 |
| Uric acid urine CPT 84560 | $24.00 | $30.00 | $7.26 – $27.00 | 15 |
| Urinalysis microscopic only CPT 81015 | $16.80 | $21.00 | $5.08 – $18.90 | 15 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | $9.60 | $12.00 | $2.91 – $10.80 | 15 |
| Urinalysis (with microscopy) CPT 81001 | $32.00 | $40.00 | $9.68 – $36.00 | 15 |
| Urinalysis (without microscopy) CPT 81003 | $26.40 | $33.00 | $7.51 – $27.90 | 15 |
| Urinary reflex study CPT 51792 | not published | not published | $62.37 – $62.37 | 1 |
| Urine Culture Test CPT 87086 | $43.20 | $54.00 | $13.07 – $48.60 | 15 |
| Urine flow measurement 51736 CPT 51736 | not published | not published | $135.35 – $135.35 | 1 |
| Urine pregnancy test CPT 81025 | $33.60 | $42.00 | $10.17 – $37.80 | 15 |
| Urography, antegrade CPT 74425 | not published | not published | $374.99 – $374.99 | 1 |
| Urography inf drip &/or bolus CPT 74410 | not published | not published | $186.92 – $186.92 | 1 |
| Use 1st target lesion CPT 76982 | not published | not published | $111.66 – $111.66 | 1 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $3,340.66 | $4,175.82 | $1,010.97 – $3,758.24 | 15 |
| Vaccine Administration (one shot) CPT 90471 | $85.60 | $107.00 | $4.76 – $17.71 | 15 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | $229.80 | $287.24 | $69.54 – $258.52 | 15 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | $76.88 | $96.09 | $23.26 – $86.48 | 15 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $73.56 | $91.94 | $22.26 – $82.75 | 15 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | $244.84 | $306.04 | $74.09 – $275.44 | 15 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $76.61 | $95.76 | $23.18 – $86.18 | 15 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | $423.04 | $528.80 | $128.02 – $475.92 | 15 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | $53.58 | $66.97 | $16.21 – $60.27 | 15 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | $30.58 | $38.22 | $9.25 – $34.40 | 15 |
| Vaccine mmr live subcutaneous CPT 90707 | $193.24 | $241.54 | $58.48 – $217.39 | 15 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | $75.21 | $94.01 | $22.76 – $84.61 | 15 |
| Vaccine rabies im CPT 90675 | $573.83 | $717.28 | $141.91 – $527.56 | 15 |
| Vaccine tdap >=7 years im CPT 90715 | $90.24 | $112.80 | $26.18 – $97.34 | 15 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $83.23 | $104.03 | $25.19 – $93.63 | 15 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | not published | not published | $5,183.27 – $5,183.27 | 1 |
| Vag hyst incl t/o complex CPT 58291 | not published | not published | $5,183.27 – $5,183.27 | 1 |
| Vag hyst including t/o CPT 58262 | not published | not published | $5,183.27 – $5,183.27 | 1 |
| Vag hyst t/o & repair compl CPT 58292 | not published | not published | $7,764.55 – $7,764.55 | 1 |
| Vag hyst w/enterocele compl 58294 CPT 58294 | not published | not published | $5,183.27 – $5,183.27 | 1 |
| Vag hyst w/enterocele repair CPT 58270 | not published | not published | $5,183.27 – $5,183.27 | 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.