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 |
|---|---|---|---|---|
| Gastric mucosa imaging CPT 78261 | not published | not published | $421.92 – $421.92 | 1 |
| Gastroesophageal reflux study CPT 78262 | not published | not published | $421.92 – $421.92 | 1 |
| Gastroesophageal reflux test CPT 91034 | not published | not published | $557.13 – $557.13 | 1 |
| Gastrostomy open neonatal CPT 43831 | not published | not published | $984.44 – $984.44 | 1 |
| Gated heart multiple CPT 78473 | not published | not published | $421.92 – $421.92 | 1 |
| General health panel CPT 80050 | $318.40 | $398.00 | $96.36 – $358.20 | 15 |
| Genioplasty augmentation CPT 21120 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Geniop sldg augmentation CPT 21123 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Geniop sldg osteot 1 CPT 21121 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Geniop sldg osteot 2/> CPT 21122 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $51.00 | $63.75 | $7.45 – $27.71 | 15 |
| Gentamicin peak therapeutic drug level CPT 80170 | $83.20 | $104.00 | $25.18 – $93.60 | 15 |
| G-esoph reflx tst w/electrod CPT 91035 | not published | not published | $557.13 – $557.13 | 1 |
| Ghs abscess perianal iandd CPT 46050 | not published | not published | $957.30 – $957.30 | 1 |
| Ghs abscess postoperative iandd complex CPT 10180 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Ghs analysis neurostim without reprogramming CPT 95970 | not published | not published | $135.35 – $135.35 | 1 |
| Ghs aspiration bladder - needle CPT 51100 | not published | not published | $255.37 – $255.37 | 1 |
| Ghs bladder cath - complex-foley CPT 51703 | not published | not published | $164.28 – $164.28 | 1 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | not published | not published | $727.15 – $727.15 | 1 |
| Ghs central line insert < age 5, failed CPT 36555 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| Ghs change cysto/gastrost CPT 43762 | not published | not published | $255.37 – $255.37 | 1 |
| Ghs chemo >8 hrs CPT 96416 | not published | not published | $308.80 – $348.27 | 2 |
| Ghs chemo infusion >8 hrs CPT 96425 | not published | not published | $348.27 – $407.20 | 2 |
| Ghs chemo IV push, ea addtl CPT 96411 | not published | not published | $74.73 – $132.00 | 2 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $385.60 | $482.00 | $116.69 – $433.80 | 15 |
| Ghs closed reduction ankle dislocation CPT 27840 | $716.00 | $895.00 | $216.68 – $805.50 | 15 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $1,004.00 | $1,255.00 | $303.84 – $1,129.50 | 15 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | not published | not published | $251.87 – $251.87 | 1 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | $561.60 | $702.00 | $169.95 – $631.80 | 15 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | $510.40 | $638.00 | $154.46 – $574.20 | 15 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $603.20 | $754.00 | $182.54 – $678.60 | 15 |
| Ghs community re-entry 15 minutes CPT 97537 | $118.40 | $148.00 | $35.83 – $133.20 | 15 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | $447.20 | $559.00 | $135.33 – $503.10 | 15 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $348.80 | $436.00 | $105.56 – $392.40 | 15 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $440.00 | $550.00 | $133.16 – $495.00 | 15 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | not published | not published | $135.35 – $135.35 | 1 |
| Ghs cricothyroidotomy CPT 31605 | not published | not published | $243.83 – $243.83 | 1 |
| Ghs cutdown placement age 1 and over CPT 36425 | not published | not published | $418.99 – $418.99 | 1 |
| Ghs cutdown placement under 1 yr CPT 36420 | not published | not published | $135.35 – $135.35 | 1 |
| Ghs dislocation elbow closed treatment CPT 24600 | $724.80 | $906.00 | $219.34 – $815.40 | 15 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | not published | not published | $984.44 – $984.44 | 1 |
| Ghs ed rmvl or bivalving cast CPT 29700 | not published | not published | $278.86 – $278.86 | 1 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | not published | not published | $727.15 – $727.15 | 1 |
| Ghs eeg cont rec w/video by tec min 8 chnls CPT 95700 | not published | not published | $164.28 – $164.28 | 1 |
| Ghs electrostagmgraphy CPT 92537 | not published | not published | $164.28 – $164.28 | 1 |
| Ghs elect torsion swing CPT 92546 | not published | not published | $164.28 – $164.28 | 1 |
| Ghs epidermal shaving diameter >2.0 cm CPT 11303 | not published | not published | $419.51 – $419.51 | 1 |
| Ghs excision ingrown nail CPT 11765 | $471.20 | $589.00 | $142.60 – $530.10 | 15 |
| Ghs eye exam CPT 92002 | not published | not published | $135.31 – $135.31 | 1 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | not published | not published | $313.88 – $313.88 | 1 |
| Ghs fb removal foot - deep - left CPT 28192 | not published | not published | $1,701.25 – $1,701.25 | 1 |
| Ghs fb removal from muscle - complicated CPT 20525 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Ghs fb removal - incisional CPT 10121 | $2,355.20 | $2,944.00 | $712.74 – $2,649.60 | 15 |
| Ghs fb removal - non-incisional CPT 20520 | not published | not published | $1,701.25 – $1,701.25 | 1 |
| Ghs fish cytogen CPT 88271 | $241.60 | $302.00 | $15.49 – $57.60 | 15 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $144.80 | $181.00 | $16.95 – $63.00 | 15 |
| Ghs flow volume loop CPT 94375 | not published | not published | $326.96 – $326.96 | 1 |
| Ghs gastric intub aspiration lavage CPT 43753 | not published | not published | $326.96 – $326.96 | 1 |
| Ghs hcv amplificaiton CPT 87521 | $87.20 | $109.00 | $26.39 – $98.10 | 15 |
| Ghs HIV antibody CPT 86703 | $66.40 | $83.00 | $20.09 – $74.70 | 15 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | not published | not published | $1,238.03 – $1,238.03 | 1 |
| Ghs i and d pilonidal cyst complex CPT 10081 | not published | not published | $738.77 – $738.77 | 1 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $720.80 | $901.00 | $218.13 – $810.90 | 15 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $407.20 | $509.00 | $123.23 – $458.10 | 15 |
| Ghs indirect laryngoscopy/w fb removal CPT 31511 | $696.80 | $871.00 | $203.85 – $783.90 | 15 |
| Ghs inhibitor screen CPT 85335 | $36.00 | $45.00 | $10.89 – $40.50 | 15 |
| Ghs init tx 1st degree burn CPT 16000 | $266.40 | $333.00 | $80.62 – $299.70 | 15 |
| Ghs inj neurolytic intercostal nerve CPT 64620 | not published | not published | $934.80 – $934.80 | 1 |
| Ghs inj neurolytic other perph nerve CPT 64640 | not published | not published | $934.80 – $934.80 | 1 |
| Ghs inj tendon origin/insertion CPT 20551 | $416.80 | $521.00 | $126.13 – $468.90 | 15 |
| Ghs inj transforaminal cerv single bil CPT 64479 | not published | not published | $934.80 – $934.80 | 1 |
| Ghs insertion of needle - bone CPT 36680 | $494.40 | $618.00 | $149.62 – $556.20 | 15 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $887.20 | $1,109.00 | $268.49 – $998.10 | 15 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $1,088.00 | $1,360.00 | $329.26 – $1,224.00 | 15 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | $3,100.00 | $3,875.00 | $938.14 – $3,487.50 | 15 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | not published | not published | $255.37 – $255.37 | 1 |
| Ghs IV infusion casirivimab/imdevimab HCPCS M0243 | not published | not published | $495.55 – $495.55 | 1 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $852.80 | $1,066.00 | $258.08 – $959.40 | 15 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $520.80 | $651.00 | $157.61 – $585.90 | 15 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $887.20 | $1,109.00 | $268.49 – $998.10 | 15 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $540.80 | $676.00 | $163.66 – $608.40 | 15 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $634.40 | $793.00 | $191.99 – $713.70 | 15 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $787.20 | $984.00 | $238.23 – $885.60 | 15 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $715.20 | $894.00 | $216.44 – $804.60 | 15 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $880.00 | $1,100.00 | $266.31 – $990.00 | 15 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $674.40 | $843.00 | $204.09 – $758.70 | 15 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $887.20 | $1,109.00 | $268.49 – $998.10 | 15 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $946.40 | $1,183.00 | $286.40 – $1,064.70 | 15 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | $929.60 | $1,162.00 | $281.32 – $1,045.80 | 15 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $999.20 | $1,249.00 | $302.38 – $1,124.10 | 15 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | $1,158.40 | $1,448.00 | $350.56 – $1,303.20 | 15 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | $874.40 | $1,093.00 | $264.62 – $983.70 | 15 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | $1,857.60 | $2,322.00 | $562.16 – $2,089.80 | 15 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | $1,304.00 | $1,630.00 | $394.62 – $1,467.00 | 15 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $173.60 | $217.00 | $52.54 – $195.30 | 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.