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 |
|---|---|---|---|---|
| Dextrose 5 % IV bolus HCPCS J7070 | $40.00 | $50.00 | $12.11 – $45.00 | 15 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $88.80 | $111.00 | $26.87 – $99.90 | 15 |
| Diabetes (HbA1c) Test CPT 83036 | $68.80 | $86.00 | $38.50 – $77.40 | 15 |
| Diabetes training group per 30 min g0109 HCPCS G0136 | not published | not published | $31.28 – $31.28 | 1 |
| Diag bronchoscope/catheter CPT 31643 | not published | not published | $1,810.69 – $1,810.69 | 1 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Diagnostic anoscopy CPT 46601 | not published | not published | $418.99 – $418.99 | 1 |
| Diagnostic anoscopy & biopsy CPT 46607 | not published | not published | $1,238.03 – $1,238.03 | 1 |
| Diagnostic anoscopy spx 46600 CPT 46600 | not published | not published | $135.35 – $135.35 | 1 |
| Diagnostic laryngoscopy 31505 CPT 31505 | not published | not published | $203.85 – $203.85 | 1 |
| Diagnostic laryngoscopy 31575 CPT 31575 | not published | not published | $203.85 – $203.85 | 1 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $523.20 | $654.00 | $158.33 – $588.60 | 15 |
| Diagnostic Mammogram (one breast) CPT 77065 | $409.60 | $512.00 | $123.96 – $460.80 | 15 |
| Diagnostic radio unlisted proc CPT 76499 | not published | not published | $92.45 – $92.45 | 1 |
| Dialysis one evaluation CPT 90945 | not published | not published | $447.11 – $447.11 | 1 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $32.03 | $40.03 | $7.68 – $28.56 | 15 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $26.39 | $32.98 | $7.42 – $27.59 | 15 |
| Digoxin total therapeutic drug level CPT 80162 | $105.60 | $132.00 | $31.96 – $118.80 | 15 |
| Dilate esophagus CPT 43453 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Dilate esophagus 1/mult pass CPT 43450 | not published | not published | $984.44 – $984.44 | 1 |
| Dilate tear duct opening CPT 68801 | not published | not published | $418.99 – $418.99 | 1 |
| Dilate urethra stricture CPT 53600 | not published | not published | $255.37 – $255.37 | 1 |
| Dilate urethra stricture CPT 53601 | not published | not published | $135.35 – $135.35 | 1 |
| Dilate urethra stricture CPT 53605 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Dilate urethra stricture CPT 53621 | not published | not published | $255.37 – $255.37 | 1 |
| Dilation/female urethra/initial 53660 CPT 53660 | not published | not published | $164.28 – $164.28 | 1 |
| Dilation of anal sphincter CPT 45905 | not published | not published | $1,238.03 – $1,238.03 | 1 |
| Dilation of cervical canal 57800 CPT 57800 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Dilation of rectal stricture 45910 CPT 45910 | not published | not published | $1,238.03 – $1,238.03 | 1 |
| Dilation of salivary duct CPT 42660 | not published | not published | $534.71 – $534.71 | 1 |
| Dilation of urethra CPT 53661 | not published | not published | $135.35 – $135.35 | 1 |
| Dilation of urethra CPT 53665 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Dilation of vagina CPT 57400 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Dilation salivary duct 42650 CPT 42650 | not published | not published | $1,555.34 – $1,555.34 | 1 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | not published | not published | $700.84 – $700.84 | 1 |
| Dilat xst trc ndurlgc px CPT 50436 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Dilat xst trc new access rcs CPT 50437 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | $25.32 | $31.64 | $7.39 – $27.49 | 15 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | $2.40 | $3.00 | $0.73 – $2.70 | 15 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $24.52 | $30.64 | $7.40 – $27.50 | 15 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | $133.60 | $167.00 | $40.43 – $150.30 | 15 |
| Dir nsl mucous membrane test CPT 95065 | not published | not published | $41.21 – $41.21 | 1 |
| Disability dlco CPT 94727 | not published | not published | $164.28 – $164.28 | 1 |
| Disarticulation sho sec clsr CPT 23921 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| Discography cerv/thor spine CPT 72285 | not published | not published | $2,050.41 – $2,050.41 | 1 |
| Dise eval slp do brth flx dx CPT 42975 | not published | not published | $1,810.69 – $1,810.69 | 1 |
| Dist revas ligation hemo CPT 36838 | not published | not published | $5,675.99 – $5,675.99 | 1 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Dna antibody native/double stranded CPT 86225 | $80.00 | $100.00 | $24.21 – $90.00 | 15 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $122.00 | $152.50 | $8.20 – $30.47 | 15 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $90.00 | $112.50 | $20.82 – $77.40 | 15 |
| Doppler echo complete CPT 93320 | $507.20 | $634.00 | $153.49 – $570.60 | 15 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | not published | not published | $164.28 – $164.28 | 1 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $500.80 | $626.00 | $135.35 – $563.40 | 15 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | not published | not published | $283.24 – $283.24 | 1 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | not published | not published | $114.74 – $114.74 | 1 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $36.27 | $45.33 | $10.02 – $37.24 | 15 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | not published | not published | $738.77 – $738.77 | 1 |
| Drainage ext aud canal abscess 69020 CPT 69020 | not published | not published | $738.77 – $738.77 | 1 |
| Drainage external ear complex 69005 CPT 69005 | not published | not published | $1,701.25 – $1,701.25 | 1 |
| Drainage external ear simple 69000 CPT 69000 | $633.60 | $792.00 | $191.74 – $712.80 | 15 |
| Drainage lymph node lesion 38300 CPT 38300 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Drainage lymph node lesion 38305 CPT 38305 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Drainage mouth roof lesion CPT 42000 | not published | not published | $243.83 – $243.83 | 1 |
| Drainage of arm bursa 23931 CPT 23931 | not published | not published | $1,701.25 – $1,701.25 | 1 |
| Drainage of bladder abscess CPT 51080 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Drainage of eye CPT 65800 | not published | not published | $2,394.77 – $2,394.77 | 1 |
| Drainage of eye CPT 65810 | not published | not published | $2,394.77 – $2,394.77 | 1 |
| Drainage of eye CPT 65815 | not published | not published | $2,394.77 – $2,394.77 | 1 |
| Drainage of forearm bursa CPT 25031 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Drainage of kidney lesion CPT 50390 | not published | not published | $738.77 – $738.77 | 1 |
| Drainage of mouth lesion CPT 41005 | not published | not published | $243.83 – $243.83 | 1 |
| Drainage of mouth lesion CPT 41006 | not published | not published | $1,555.34 – $1,555.34 | 1 |
| Drainage of mouth lesion CPT 41007 | not published | not published | $1,555.34 – $1,555.34 | 1 |
| Drainage of mouth lesion CPT 41008 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Drainage of mouth lesion CPT 41009 | not published | not published | $534.71 – $534.71 | 1 |
| Drainage of mouth lesion CPT 41015 | not published | not published | $534.71 – $534.71 | 1 |
| Drainage of mouth lesion CPT 41016 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Drainage of mouth lesion CPT 41017 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Drainage of mouth lesion CPT 41018 | not published | not published | $1,555.34 – $1,555.34 | 1 |
| Drainage of nose lesion int 30000 CPT 30000 | not published | not published | $243.83 – $243.83 | 1 |
| Drainage of nose lesion sept 30020 CPT 30020 | not published | not published | $534.71 – $534.71 | 1 |
| Drainage of pelvis bursa CPT 26991 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Drainage of pelvis lesion 26990 CPT 26990 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Drainage of prostate abscess CPT 52700 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Drainage of prostate abscess CPT 55720 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Drainage of prostate abscess CPT 55725 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Drainage of rectal abscess CPT 45005 | not published | not published | $1,238.03 – $1,238.03 | 1 |
| Drainage of rectal abscess 45020 CPT 45020 | not published | not published | $2,879.51 – $2,879.51 | 1 |
| Drainage of salivary gland CPT 42305 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Drainage of salivary gland CPT 42320 | not published | not published | $534.71 – $534.71 | 1 |
| Drainage of throat abscess CPT 42725 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Drainage of urethra abscess CPT 53040 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Drainage of urethra abscess 53060 CPT 53060 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Drainage of urinary leakage CPT 53080 | not published | not published | $700.84 – $700.84 | 1 |
| Drainage of urinary leakage CPT 53085 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Drain bladder by trocar/cath CPT 51101 | not published | not published | $1,068.26 – $1,068.26 | 1 |
| Drain blood from under nail 11740 CPT 11740 | $261.60 | $327.00 | $79.17 – $294.30 | 15 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | not published | not published | $1,701.25 – $1,701.25 | 1 |
| Drain cath image guided visceral pq CPT 49405 | not published | not published | $1,701.25 – $1,701.25 | 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.