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 |
|---|---|---|---|---|
| Drain cerebro spinal fluid 62272 CPT 62272 | not published | not published | $727.15 – $727.15 | 1 |
| Drain chest lesion CPT 21502 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Drain finger abscess;simple 26010 CPT 26010 | $485.60 | $607.00 | $146.95 – $546.30 | 15 |
| Drain lower leg bursa CPT 27604 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Drain lower leg lesion 27603 CPT 27603 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Drain neck/chest lesion 21501 CPT 21501 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Drain ovarn cyst abd CPT 58805 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Drain ovary abscess open CPT 58820 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Drain penis lesion CPT 54015 | not published | not published | $1,701.25 – $1,701.25 | 1 |
| Drain shoulder bone lesion CPT 23035 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Drain shoulder bursa 23031 CPT 23031 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Drain shoulder lesion CPT 23030 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Drain thigh/knee lesion 27301 CPT 27301 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Drain thyroid/tongue cyst CPT 60000 | not published | not published | $1,555.34 – $1,555.34 | 1 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $527.20 | $659.00 | $159.54 – $593.10 | 15 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $439.20 | $549.00 | $132.91 – $494.10 | 15 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $660.00 | $825.00 | $199.73 – $742.50 | 15 |
| Dressing change not for burn w/anes 15852 CPT 15852 | not published | not published | $642.74 – $642.74 | 1 |
| Drng hand tendon sheath 26020 CPT 26020 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Drng of eyelid abscess 67700 CPT 67700 | not published | not published | $313.88 – $313.88 | 1 |
| Drng of finger abscess comp 26011 CPT 26011 | not published | not published | $1,701.25 – $1,701.25 | 1 |
| Drng of hydrocele 55000 CPT 55000 | not published | not published | $738.77 – $738.77 | 1 |
| Drng of mouth lesion 40801 CPT 40801 | not published | not published | $534.71 – $534.71 | 1 |
| Drng of ovarian cyst(s) 58800 CPT 58800 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Drng of palm multi bursas 26030 CPT 26030 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Drng of palm single bursa 26025 CPT 26025 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Drng of pelvic abscess transrectal 45000 CPT 45000 | not published | not published | $1,238.03 – $1,238.03 | 1 |
| Drng of salivary cyst 42409 CPT 42409 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Drng of scrotum abscess 55100 CPT 55100 | not published | not published | $1,701.25 – $1,701.25 | 1 |
| Drng salivary gland simple 42300 CPT 42300 | not published | not published | $1,555.34 – $1,555.34 | 1 |
| Drng salivary gland submax/subling 42310 CPT 42310 | not published | not published | $534.71 – $534.71 | 1 |
| Drug assay vedolizumab CPT 80280 | $193.60 | $242.00 | $58.59 – $217.80 | 15 |
| Drug of abuse screen urine CPT 80305 | $58.40 | $73.00 | $17.67 – $65.70 | 15 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $209.60 | $262.00 | $21.06 – $78.30 | 15 |
| Dry needling (97799) CPT 97799 | $114.40 | $143.00 | $34.62 – $128.70 | 15 |
| Dstrj extensive retinopathy CPT 67227 | not published | not published | $3,959.55 – $3,959.55 | 1 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | not published | not published | $2,050.41 – $2,050.41 | 1 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | not published | not published | $419.51 – $419.51 | 1 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | not published | not published | $419.51 – $419.51 | 1 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | not published | not published | $642.74 – $642.74 | 1 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | not published | not published | $642.74 – $642.74 | 1 |
| Dstry eye lesn,fdr vssl tech HCPCS G0186 | not published | not published | $576.03 – $576.03 | 1 |
| Ductogram sgl duct CPT 77053 | not published | not published | $253.81 – $253.81 | 1 |
| Duodenal motility study CPT 91022 | not published | not published | $557.13 – $557.13 | 1 |
| Duplex scan bilateral study 93985 CPT 93985 | not published | not published | $253.81 – $253.81 | 1 |
| Duplex scan unilateral study 93986 CPT 93986 | not published | not published | $111.66 – $111.66 | 1 |
| Dup scan/hemodialysis access 93990 CPT 93990 | not published | not published | $111.66 – $111.66 | 1 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | not published | not published | $164.28 – $164.28 | 1 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | not published | not published | $253.81 – $253.81 | 1 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | not published | not published | $98.03 – $98.03 | 1 |
| Dxa bone density axl vrt fx CPT 77085 | not published | not published | $111.66 – $111.66 | 1 |
| Dx aly aud oi snd prcsr 1st CPT 92622 | not published | not published | $164.28 – $164.28 | 1 |
| Dx bronchoscope/brush 31623 CPT 31623 | not published | not published | $1,810.69 – $1,810.69 | 1 |
| Dx bronchoscope/lavage 31624 CPT 31624 | not published | not published | $1,810.69 – $1,810.69 | 1 |
| Dx bronchoscope/wash 31622 CPT 31622 | not published | not published | $1,810.69 – $1,810.69 | 1 |
| Dx dark adaptation exam i&r CPT 92284 | not published | not published | $418.99 – $418.99 | 1 |
| Dx duod intub w/asp spec 43756 CPT 43756 | not published | not published | $984.44 – $984.44 | 1 |
| Dx duod intub w/asp specs CPT 43757 | not published | not published | $984.44 – $984.44 | 1 |
| Dx gastr intub w/asp spec CPT 43754 | not published | not published | $326.96 – $326.96 | 1 |
| Dx gastr intub w/asp specs CPT 43755 | not published | not published | $164.28 – $164.28 | 1 |
| Dx laryngoscopy newborn CPT 31520 | not published | not published | $407.73 – $407.73 | 1 |
| Dx laryngoscopy w/oper scope CPT 31526 | not published | not published | $1,810.69 – $1,810.69 | 1 |
| Dynamic cavernosometry CPT 54231 | not published | not published | $255.37 – $255.37 | 1 |
| Dynamic surface emg CPT 96002 | not published | not published | $326.96 – $326.96 | 1 |
| Ear and throat examination CPT 92502 | not published | not published | $534.71 – $534.71 | 1 |
| Ear canal biopsy 69105 CPT 69105 | not published | not published | $1,555.34 – $1,555.34 | 1 |
| Ear cartilage graft CPT 21235 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Ear irrigation 69209 CPT 69209 | $104.80 | $131.00 | $31.72 – $117.90 | 15 |
| Ear protector evaluation CPT 92596 | not published | not published | $41.21 – $41.21 | 1 |
| Ecallantide injection HCPCS J1290 | not published | not published | $576.49 – $576.49 | 1 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $156.80 | $196.00 | $47.45 – $176.40 | 15 |
| Ecg < 30 days transmission & analysis CPT 93271 | not published | not published | $96.38 – $96.38 | 1 |
| Ecg external < 48 hours recording CPT 93225 | $382.40 | $478.00 | $115.72 – $430.20 | 15 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $598.40 | $748.00 | $62.37 – $673.20 | 15 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $194.40 | $243.00 | $41.21 – $218.70 | 15 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $212.00 | $265.00 | $41.21 – $238.50 | 15 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $1,397.60 | $1,747.00 | $575.70 – $1,572.30 | 15 |
| Echocardiogram (Limited Follow-Up Heart Ultrasound) CPT 93308 | $736.80 | $921.00 | $222.97 – $828.90 | 15 |
| Echocardiography doppler color flow mapping CPT 93325 | $503.20 | $629.00 | $152.28 – $566.10 | 15 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $2,818.40 | $3,523.00 | $829.56 – $3,170.70 | 15 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $1,370.40 | $1,713.00 | $374.99 – $1,541.70 | 15 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $324.80 | $406.00 | $98.29 – $365.40 | 15 |
| Echo exam of eye CPT 76516 | not published | not published | $111.66 – $111.66 | 1 |
| Echo exam of eye CPT 76519 | not published | not published | $111.66 – $111.66 | 1 |
| Echo exam of eye CPT 76529 | not published | not published | $92.45 – $92.45 | 1 |
| Echo exam of eye thickness CPT 76514 | not published | not published | $25.71 – $25.71 | 1 |
| Echo exam of fetal heart CPT 76825 | not published | not published | $575.70 – $575.70 | 1 |
| Echo exam of fetal heart CPT 76826 | not published | not published | $253.81 – $253.81 | 1 |
| Echo exam of fetal heart CPT 76827 | not published | not published | $111.66 – $111.66 | 1 |
| Echo exam of fetal heart CPT 76828 | not published | not published | $111.66 – $111.66 | 1 |
| Echo exam uterus 76831- CPT 76831 | not published | not published | $253.81 – $253.81 | 1 |
| Echograp trans r pros study CPT 76873 | not published | not published | $111.66 – $111.66 | 1 |
| Echo guide for artery repair CPT 76936 | not published | not published | $326.96 – $326.96 | 1 |
| Echo stress CPT 93350 | not published | not published | $575.70 – $575.70 | 1 |
| Echo tee cngntl wo ctrst probe plcmnt CPT 93316 | not published | not published | $575.70 – $575.70 | 1 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | not published | not published | $575.70 – $575.70 | 1 |
| Echo transesophageal CPT 93313 | not published | not published | $575.70 – $575.70 | 1 |
| Echo transesophageal CPT 93315 | not published | not published | $575.70 – $575.70 | 1 |
| Echo transesophageal intraop CPT 93318 | not published | not published | $575.70 – $575.70 | 1 |
| Echo transthoracic CPT 93303 | $1,522.40 | $1,903.00 | $460.72 – $1,712.70 | 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.