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 |
|---|---|---|---|---|
| Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn CPT 87350 | $28.80 | $36.00 | $8.72 – $32.40 | 15 |
| Warde infectious agent nucleic acid genotype hepatitis c CPT 87902 | $603.20 | $754.00 | $182.54 – $678.60 | 15 |
| Warde lipoprotein (a) CPT 83695 | $48.80 | $61.00 | $14.77 – $54.90 | 15 |
| Warde oxcarbazepine therapeutic drug level CPT 80183 | $71.20 | $89.00 | $21.55 – $80.10 | 15 |
| Warde sex hormone binding globulin CPT 84270 | $51.20 | $64.00 | $15.49 – $57.60 | 15 |
| Warde somatomedin CPT 84305 | $137.60 | $172.00 | $16.46 – $61.20 | 15 |
| Warde t3 (triiodothyronine) reverse CPT 84482 | $45.60 | $57.00 | $13.80 – $51.30 | 15 |
| Warde topiramate therapeutic drug level CPT 80201 | $71.20 | $89.00 | $21.55 – $80.10 | 15 |
| Warde virus isolation tissue culture innoculation presumptive id herpes simplex CPT 87252 | $164.00 | $205.00 | $49.63 – $184.50 | 15 |
| Warde viscosity CPT 85810 | $70.40 | $88.00 | $21.30 – $79.20 | 15 |
| Warde vitamin a CPT 84590 | $48.80 | $61.00 | $14.77 – $54.90 | 15 |
| Warde vitamin b-1 (thiamine) CPT 84425 | $52.00 | $65.00 | $15.74 – $58.50 | 15 |
| Warde vitamin b6 (pyridoxine) CPT 84207 | $68.80 | $86.00 | $20.82 – $77.40 | 15 |
| Warde vitamin d (1 25 dihydroxy) CPT 82652 | $228.00 | $285.00 | $37.04 – $137.70 | 15 |
| Warde vitamin e (alpha-tocopherol) CPT 84446 | $48.80 | $61.00 | $14.77 – $54.90 | 15 |
| Warde zinc CPT 84630 | $40.00 | $50.00 | $7.99 – $29.70 | 15 |
| Wash harvest stem cells CPT 38209 | not published | not published | $459.04 – $459.04 | 1 |
| Wbc automated CPT 85048 | $19.20 | $24.00 | $5.81 – $21.60 | 15 |
| Wcd device interrogate CPT 93292 | not published | not published | $39.15 – $39.15 | 1 |
| Wedge rescj/bisctj ovary uni/bi 58920 CPT 58920 | not published | not published | $7,764.55 – $7,764.55 | 1 |
| Wedging of cast CPT 29740 | not published | not published | $278.86 – $278.86 | 1 |
| Wedging of clubfoot cast CPT 29750 | not published | not published | $278.86 – $278.86 | 1 |
| Whole-Body Bone Scan (Nuclear Medicine) CPT 78306 | $1,880.00 | $2,350.00 | $421.92 – $2,115.00 | 15 |
| Whole Skeleton X-ray Survey CPT 77075 | $749.60 | $937.00 | $111.66 – $843.30 | 15 |
| Wound Cleaning and Dead Tissue Removal (up to 20 sq cm) CPT 97597 | not published | not published | $208.64 – $208.64 | 1 |
| Wound therapy negative pressure per session <= 50 sq cm CPT 97607 | not published | not published | $419.51 – $419.51 | 1 |
| Wound therapy negative pressure per session > 50 sq cm CPT 97608 | not published | not published | $419.51 – $419.51 | 1 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | $313.60 | $392.00 | $94.90 – $352.80 | 15 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | $398.40 | $498.00 | $120.57 – $448.20 | 15 |
| Wrist arthroscopy CPT 29840 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Wrist arthroscopy/surgery CPT 29843 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Wrist arthroscopy/surgery CPT 29844 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Wrist arthroscopy/surgery CPT 29845 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Wrist arthroscopy/surgery CPT 29846 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Wrist arthroscopy/surgery CPT 29847 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Wrist endoscopy/surgery CPT 29848 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Wrist X-ray CPT 73110 | $215.20 | $269.00 | $65.12 – $242.10 | 15 |
| Wrist X-ray (2 views, both wrists) CPT 73100 | $198.40 | $248.00 | $60.04 – $223.20 | 15 |
| Xcapsl ctrc rmvl cplx w/ecp CPT 66987 | not published | not published | $4,224.00 – $4,224.00 | 1 |
| Xcapsl ctrc rmvl cplx wo ecp CPT 66982 | not published | not published | $2,394.77 – $2,394.77 | 1 |
| Xcapsl ctrc rmvl insj 1+ CPT 66991 | not published | not published | $5,417.70 – $5,417.70 | 1 |
| Xcapsl ctrc rmvl w/ecp CPT 66988 | not published | not published | $4,224.00 – $4,224.00 | 1 |
| Xcpsl ctrc rmvl cplx insj 1+ CPT 66989 | not published | not published | $5,417.70 – $5,417.70 | 1 |
| Xe133 xenon 10mci HCPCS A9558 | $300.80 | $376.00 | $91.03 – $338.40 | 15 |
| Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/< CPT 14040 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| Xfer tis s/a/l 10 sq cm/< CPT 14020 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| X-ray abdomen >=3 views CPT 74021 | $363.20 | $454.00 | $109.91 – $408.60 | 15 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | not published | not published | $374.99 – $374.99 | 1 |
| X-ray bone length studies CPT 77073 | not published | not published | $111.66 – $111.66 | 1 |
| X-ray bone survey infant CPT 77076 | $451.20 | $564.00 | $111.66 – $507.60 | 15 |
| X-ray exam entire spi 4/5 vw CPT 72083 | not published | not published | $111.66 – $111.66 | 1 |
| X-ray exam entire spi 6/> vw CPT 72084 | not published | not published | $111.66 – $111.66 | 1 |
| X-ray exam of arm infant CPT 73092 | $239.20 | $299.00 | $72.39 – $269.10 | 15 |
| X-ray exam of femur 1 CPT 73551 | not published | not published | $92.45 – $92.45 | 1 |
| X-ray exam of jaw joint CPT 70328 | not published | not published | $92.45 – $92.45 | 1 |
| X-ray exam of jaw joint CPT 70332 | not published | not published | $253.81 – $253.81 | 1 |
| X-ray exam of mastoids CPT 70120 | not published | not published | $111.66 – $111.66 | 1 |
| X-ray exam of middle ear CPT 70134 | not published | not published | $575.70 – $575.70 | 1 |
| X-ray exam of penis CPT 74445 | not published | not published | $111.66 – $111.66 | 1 |
| X-ray exam of perineum CPT 74775 | not published | not published | $253.81 – $253.81 | 1 |
| X-ray exam of salivary gland CPT 70380 | not published | not published | $92.45 – $92.45 | 1 |
| X-ray exam of tear duct CPT 70170 | not published | not published | $253.81 – $253.81 | 1 |
| X-ray exam of teeth CPT 70300 | not published | not published | $92.45 – $92.45 | 1 |
| X-ray exam of teeth CPT 70310 | not published | not published | $253.81 – $253.81 | 1 |
| X-ray exam si joints CPT 72200 | not published | not published | $111.66 – $111.66 | 1 |
| X-ray exam thorac spine4/>vw CPT 72074 | $288.00 | $360.00 | $87.16 – $324.00 | 15 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $187.20 | $234.00 | $56.65 – $210.60 | 15 |
| X-ray head for orthodontia CPT 70350 | not published | not published | $92.45 – $92.45 | 1 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $320.80 | $401.00 | $97.08 – $360.90 | 15 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $392.00 | $490.00 | $111.66 – $441.00 | 15 |
| X-ray joint survey 1 view CPT 77077 | $199.20 | $249.00 | $60.28 – $224.10 | 15 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | not published | not published | $92.45 – $92.45 | 1 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | not published | not published | $111.66 – $111.66 | 1 |
| X-ray male genital tract CPT 74440 | not published | not published | $253.81 – $253.81 | 1 |
| X-ray mandible ltd <4 views CPT 70100 | not published | not published | $92.45 – $92.45 | 1 |
| X-ray nose to rectum for foreign body child CPT 76010 | not published | not published | $92.45 – $92.45 | 1 |
| X-ray of mammary ducts CPT 77054 | not published | not published | $253.81 – $253.81 | 1 |
| X-ray optic foramina CPT 70190 | not published | not published | $92.45 – $92.45 | 1 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $1,072.00 | $1,340.00 | $324.41 – $1,206.00 | 15 |
| X-ray ribs 2 views left CPT 71100 | $208.80 | $261.00 | $63.19 – $234.90 | 15 |
| X-ray sella turcica CPT 70240 | not published | not published | $92.45 – $92.45 | 1 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $570.40 | $713.00 | $172.62 – $641.70 | 15 |
| X-ray slg plne bdy sect without urogr CPT 76100 | not published | not published | $111.66 – $111.66 | 1 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $204.80 | $256.00 | $61.98 – $230.40 | 15 |
| X-ray surgical specimen CPT 76098 | $372.80 | $466.00 | $112.82 – $419.40 | 15 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | not published | not published | $92.45 – $92.45 | 1 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | not published | not published | $186.92 – $186.92 | 1 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $400.16 | $500.20 | $19.85 – $73.81 | 15 |
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.