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 |
|---|---|---|---|---|
| Endoscopy of ureter CPT 50951 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Endoscopy of ureter CPT 50953 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Endoscpy nsl/sns w/cntrl nsl hmrrgh CPT 31238 | not published | not published | $1,810.69 – $1,810.69 | 1 |
| Endo sleeve gastro w/tube HCPCS C9784 | not published | not published | $10,931.77 – $10,931.77 | 1 |
| Endovasc tempory vessel occl CPT 61623 | not published | not published | $11,907.60 – $11,907.60 | 1 |
| Endovenous mchnchem 1st vein CPT 36473 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $91.01 | $113.76 | $7.82 – $29.06 | 15 |
| Ep & ablate supravent arrhyt CPT 93653 | not published | not published | $25,758.92 – $25,758.92 | 1 |
| Ep & ablate ventric tachy CPT 93654 | not published | not published | $25,758.92 – $25,758.92 | 1 |
| Epidrm a-grft face/nck/hf/g 15115 CPT 15115 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| Epidrm agrft t/a/l 1st 100 CPT 15110 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| Epidural lysis mult sessions CPT 62263 | not published | not published | $934.80 – $934.80 | 1 |
| Epidural lysis on single day 62264 CPT 62264 | not published | not published | $934.80 – $934.80 | 1 |
| Epiglottidectomy CPT 31420 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Ep induct arrhy by elect pacing CPT 93618 | not published | not published | $1,274.69 – $1,274.69 | 1 |
| Epinephrine 0.1 mg/ml injection syringe HCPCS J0168 | $32.67 | $40.83 | $9.44 – $35.10 | 15 |
| Epinephrine 1 mg/ml im kit - adult HCPCS J0169 | $26.08 | $32.60 | $7.89 – $29.34 | 15 |
| Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution HCPCS J0166 | $25.14 | $31.42 | $7.61 – $28.28 | 15 |
| Epiphysl arrst dstl rds&ulna CPT 25455 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Epiphysl arrst dstl rds/ulna CPT 25450 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Episiotomy/vag rpr oth/thn attending phys 59300 CPT 59300 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Epoetin alfa, 100 units esrd HCPCS Q4081 | $248.79 | $310.98 | $75.29 – $279.88 | 15 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $292.31 | $365.38 | $88.46 – $328.84 | 15 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $481.42 | $601.77 | $75.29 – $279.87 | 15 |
| Epstein barr nuclear antigen antibody CPT 86664 | $76.80 | $96.00 | $21.79 – $81.00 | 15 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $90.40 | $113.00 | $21.79 – $81.00 | 15 |
| Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 | not published | not published | $19.05 – $19.05 | 1 |
| Ercp bil/panc duct; each stent plcmt 43274 CPT 43274 | not published | not published | $6,250.45 – $6,250.45 | 1 |
| Ercp ea duct/ampulla dilate CPT 43277 | not published | not published | $3,994.76 – $3,994.76 | 1 |
| Ercp lesion ablate w/dilate 43278 CPT 43278 | not published | not published | $3,994.76 – $3,994.76 | 1 |
| Ercp lithotripsy calculi CPT 43265 | not published | not published | $6,250.45 – $6,250.45 | 1 |
| Ercp remove duct calculi 43264 CPT 43264 | not published | not published | $3,994.76 – $3,994.76 | 1 |
| Ercp remove forgn body duct 43275 CPT 43275 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Ercp sphincter pressure meas CPT 43263 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Ercp stent exchange w/dilate CPT 43276 | not published | not published | $6,250.45 – $6,250.45 | 1 |
| Ercp w/specimen collection CPT 43260 | not published | not published | $3,994.76 – $3,994.76 | 1 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $165.73 | $207.16 | $18.05 – $67.09 | 15 |
| ER Visit (level 1, minor) CPT 99281 | $244.00 | $305.00 | $73.84 – $274.50 | 15 |
| ER Visit (level 2) CPT 99282 | $372.00 | $465.00 | $112.58 – $418.50 | 15 |
| ER Visit (level 3) CPT 99283 | $569.60 | $712.00 | $172.38 – $640.80 | 15 |
| ER Visit (level 4) CPT 99284 | $957.60 | $1,197.00 | $289.79 – $1,077.30 | 15 |
| ER Visit (level 5, high severity) CPT 99285 | $1,270.40 | $1,588.00 | $384.45 – $1,429.20 | 15 |
| Esophageal motility CPT 78258 | not published | not published | $421.92 – $421.92 | 1 |
| Esophageal recording CPT 93615 | not published | not published | $1,274.69 – $1,274.69 | 1 |
| Esophageal recording CPT 93616 | not published | not published | $1,274.69 – $1,274.69 | 1 |
| Esophagosc dilate balloon 30 CPT 43214 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Esophagosc flex trnsn biopsy CPT 43198 | not published | not published | $984.44 – $984.44 | 1 |
| Esophagoscop mucosal resect CPT 43211 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Esophagoscop stent placement CPT 43212 | not published | not published | $6,250.45 – $6,250.45 | 1 |
| Esophagoscop ultrasound exam CPT 43231 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Esophagoscopy balloon <30mm CPT 43220 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Esophagoscopy control bleed CPT 43227 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Esophagoscopy flex biopsy CPT 43202 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | not published | not published | $984.44 – $984.44 | 1 |
| Esophagoscopy flex dx brush CPT 43197 | not published | not published | $984.44 – $984.44 | 1 |
| Esophagoscopy flex remove fb CPT 43215 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Esophagoscopy lesion ablate CPT 43229 | not published | not published | $3,994.76 – $3,994.76 | 1 |
| Esophagoscopy lesion removal CPT 43216 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Esophagoscopy retro balloon CPT 43213 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Esophagoscopy rigid balloon CPT 43195 | not published | not published | $3,994.76 – $3,994.76 | 1 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Esophagoscopy rigid trnso 43180 CPT 43180 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Esophagoscopy snare les remv CPT 43217 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Esophagoscopy w/us needle bx CPT 43232 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Esophagoscp guide wire dilat 43196 CPT 43196 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Esophagoscp rig trnso biopsy CPT 43193 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Esophagoscp rig trnso inject CPT 43192 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Esophagoscp rig trnso rem fb CPT 43194 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Esophagus endoscopy/ligation CPT 43205 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Esophagus motility study CPT 91010 | not published | not published | $557.13 – $557.13 | 1 |
| Esoph balloon distension tst CPT 91040 | not published | not published | $557.13 – $557.13 | 1 |
| Esoph egd dilation <30 mm CPT 43249 | not published | not published | $958.10 – $1,991.84 | 2 |
| Esoph endoscopy dilation CPT 43226 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Esoph imped function test CPT 91037 | not published | not published | $326.96 – $326.96 | 1 |
| Esoph imped funct test > 1hr CPT 91038 | not published | not published | $557.13 – $557.13 | 1 |
| Esoph optical endomicroscopy CPT 43206 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Esoph scope w/sclerosis inj CPT 43204 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Esoph scope w/submucous inj CPT 43201 | not published | not published | $1,991.84 – $1,991.84 | 1 |
| Essure 58565 CPT 58565 | not published | not published | $5,183.27 – $5,183.27 | 1 |
| Established Patient Office Visit (level 1) CPT 99211 | $140.00 | $175.00 | $29.05 – $108.00 | 15 |
| Established Patient Office Visit (level 2) CPT 99212 | $135.20 | $169.00 | $40.91 – $152.10 | 15 |
| Established Patient Office Visit (level 3) CPT 99213 | $164.00 | $205.00 | $49.63 – $184.50 | 15 |
| Established Patient Office Visit (level 4) CPT 99214 | $200.00 | $250.00 | $60.53 – $225.00 | 15 |
| Established Patient Office Visit (level 5) CPT 99215 | $258.40 | $323.00 | $78.20 – $290.70 | 15 |
| Estradiol total CPT 82670 | $157.60 | $197.00 | $47.69 – $177.30 | 15 |
| Ethmoidectomy extranasal total 31205 CPT 31205 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Evacuate mole of uterus CPT 59870 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Evaluation of speech fluency 92521 CPT 92521 | $357.60 | $447.00 | $108.22 – $402.30 | 15 |
| Evaluation psychiatric diagnostic CPT 90791 | $332.80 | $416.00 | $100.71 – $374.40 | 15 |
| Event monitor CPT 93270 | $290.40 | $363.00 | $39.15 – $326.70 | 15 |
| Evoked auditory tst complete CPT 92588 | not published | not published | $326.96 – $326.96 | 1 |
| Evoked oa emissions ltd CPT 92587 | not published | not published | $326.96 – $326.96 | 1 |
| Evoked potentials upper limbs CPT 95925 | not published | not published | $326.96 – $326.96 | 1 |
| Evoked potential visual not glaucoma CPT 95930 | not published | not published | $326.96 – $326.96 | 1 |
| Exam of vagina w/scope 57420 CPT 57420 | not published | not published | $319.40 – $319.40 | 1 |
| Exam plvc w/anes othr thn lcl CPT 57410 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Ex arm/elbow tum deep < 5 cm CPT 24076 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Ex arm/elbow tum deep 5 cm/> CPT 24073 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Exc abd les sc 3 cm/> CPT 22903 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Exc abdl tum deep < 5 cm CPT 22900 | not published | not published | $3,005.15 – $3,005.15 | 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.