Sanford Wheaton
401 12th St N, Wheaton, MN · Sanford Health · · NPI 1154615573
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 |
|---|---|---|---|---|
| Culture mycobacteria definitive id each isolate CPT 87118 | $92.00 | $115.00 | $27.84 – $103.50 | 15 |
| Culture screening strep group a CPT 87081 | $51.20 | $64.00 | $15.49 – $57.60 | 15 |
| Culture typing immunologic CPT 87147 | $33.60 | $42.00 | $6.54 – $24.30 | 15 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $611.20 | $764.00 | $184.96 – $687.60 | 15 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $138.40 | $173.00 | $41.88 – $155.70 | 15 |
| Culture urine each isolate CPT 87088 | $45.60 | $57.00 | $13.80 – $51.30 | 15 |
| Curette/treat cornea CPT 65435 | not published | not published | $1,016.97 – $1,016.97 | 1 |
| Curette/treat cornea CPT 65436 | not published | not published | $2,449.61 – $2,449.61 | 1 |
| Cv line/pic reposition CPT 36597 | not published | not published | $1,631.11 – $1,631.11 | 1 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $24.98 | $31.22 | $7.49 – $27.83 | 15 |
| Cyclic citrullinated peptide antibody CPT 86200 | $91.20 | $114.00 | $17.19 – $63.90 | 15 |
| Cystatin c CPT 82610 | $99.20 | $124.00 | $30.02 – $111.60 | 15 |
| Cysto cgen post urtl valves CPT 52400 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $804.00 | $1,005.00 | $243.31 – $904.50 | 15 |
| Cysto impl 4 or more HCPCS C9740 | not published | not published | $9,709.51 – $9,709.51 | 1 |
| Cysto insj dev ischmc rmdlg CPT 53865 | not published | not published | $9,709.51 – $9,709.51 | 1 |
| Cystometrogram w/up 51727 CPT 51727 | not published | not published | $700.84 – $700.84 | 1 |
| Cystorrhaphy wound simple 51860 CPT 51860 | not published | not published | $9,709.51 – $9,709.51 | 1 |
| Cystoscopy and biopsy CPT 52007 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Cystoscopy and radiotracer CPT 52250 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Cystoscopy and treatment CPT 52214 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Cystoscopy and treatment CPT 52224 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Cystoscopy and treatment CPT 52234 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Cystoscopy and treatment CPT 52235 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Cystoscopy and treatment CPT 52240 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Cystoscopy and treatment CPT 52260 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Cystoscopy and treatment CPT 52265 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Cystoscopy and treatment CPT 52276 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Cystoscopy and treatment CPT 52277 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Cystoscopy and treatment CPT 52283 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Cystoscopy and treatment CPT 52285 | not published | not published | $700.84 – $700.84 | 1 |
| Cystoscopy and treatment CPT 52290 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Cystoscopy and treatment CPT 52300 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Cystoscopy and treatment CPT 52301 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Cystoscopy and treatment CPT 52305 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Cystoscopy and treatment CPT 52310 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Cystoscopy and treatment CPT 52315 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Cystoscopy and treatment CPT 52320 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Cystoscopy and treatment CPT 52330 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Cystoscopy (Bladder Scope) CPT 52000 | $1,180.80 | $1,476.00 | $357.34 – $1,328.40 | 15 |
| Cystoscopy chemodenervation CPT 52287 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Cystoscopy & duct catheter CPT 52010 | not published | not published | $700.84 – $700.84 | 1 |
| Cystoscopy implant stent CPT 52282 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Cystoscopy inject material CPT 52327 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Cystoscopy prostatic imp 1-3 HCPCS C9739 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Cystoscopy removal of clots CPT 52001 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Cystoscopy & revise urethra CPT 52270 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Cystoscopy & revise urethra CPT 52275 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Cystoscopy stone removal CPT 52325 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Cystoscopy & ureter catheter CPT 52005 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Cystotomy/cystostomy fulg+/insj radact matrl 51020 CPT 51020 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Cystotomy excise/incise/repair 51535 CPT 51535 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Cystouretero & or pyeloscope CPT 52351 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Cysto/uretero stricture tx CPT 52344 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Cystouretero w/biopsy CPT 52354 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Cystouretero w/excise tumor CPT 52355 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Cysto/uretero w/lithotripsy CPT 52356 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Cystouretero w/lithotripsy CPT 52353 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Cystouretero w/renal strict CPT 52346 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Cystouretero w/stone remove CPT 52352 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Cysto/uretero w/up stricture CPT 52345 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Cystourethro cut ejacul duct CPT 52402 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Cysto w/renal stricture tx CPT 52343 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Cysto w/up stricture tx CPT 52342 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Cysto w/ureter stricture tx CPT 52341 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Cytogenetics 25-99 CPT 88274 | $103.20 | $129.00 | $31.23 – $116.10 | 15 |
| Cytogenetics 3-5 CPT 88272 | $99.20 | $124.00 | $30.02 – $111.60 | 15 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $66.40 | $83.00 | $17.67 – $65.70 | 15 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $61.60 | $77.00 | $17.67 – $65.70 | 15 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $127.20 | $159.00 | $38.49 – $143.10 | 15 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $89.60 | $112.00 | $27.12 – $100.80 | 15 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $72.00 | $90.00 | $21.79 – $81.00 | 15 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $134.40 | $168.00 | $40.67 – $151.20 | 15 |
| Cytopath tbs c/v manual CPT 88164 | $71.20 | $89.00 | $21.55 – $80.10 | 15 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $56.84 | $71.04 | $10.91 – $40.57 | 15 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | not published | not published | $61.60 – $61.60 | 1 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $1,799.89 | $2,249.86 | $67.11 – $249.47 | 15 |
| Dbrdmt prmlg les w/pdt CPT 96574 | not published | not published | $208.64 – $208.64 | 1 |
| D&c after delivery 59160 CPT 59160 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Dch glucoscan CPT 82948 | $32.80 | $41.00 | $9.93 – $36.90 | 15 |
| Dch pulmonary stress test CPT 94621 | not published | not published | $326.96 – $326.96 | 1 |
| Dcmprn orbit only transcrnl CPT 61330 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Dcmprn plantar digital nerve CPT 64726 | not published | not published | $2,050.41 – $2,050.41 | 1 |
| D&c of cervical stump CPT 57558 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Deamidated gliadin antibody iga CPT 86258 | $54.40 | $68.00 | $13.56 – $50.40 | 15 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | not published | not published | $642.74 – $642.74 | 1 |
| Debridement (>20 cm) charge pt CPT 97598 | $361.60 | $452.00 | $109.43 – $406.80 | 15 |
| Debridement bone <= 20 sq cm CPT 11044 | not published | not published | $1,701.25 – $1,701.25 | 1 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $640.00 | $800.00 | $193.68 – $720.00 | 15 |
| Debride nail1-5 11720 CPT 11720 | $136.80 | $171.00 | $41.40 – $153.90 | 15 |
| Debride nail6 or more 11721 CPT 11721 | $159.20 | $199.00 | $48.18 – $179.10 | 15 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | not published | not published | $738.77 – $738.77 | 1 |
| Debride skin bone at fx site CPT 11012 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $640.00 | $800.00 | $193.68 – $720.00 | 15 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | not published | not published | $208.64 – $208.64 | 1 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | $1,826.40 | $2,283.00 | $552.71 – $2,054.70 | 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.