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 |
|---|---|---|---|---|
| Ghs myocardial strain img spckl track CPT 93356 | $500.00 | $625.00 | $151.31 – $562.50 | 15 |
| Ghs nailbed repair/nail removal CPT 11760 | $980.00 | $1,225.00 | $296.57 – $1,102.50 | 15 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | not published | not published | $934.80 – $934.80 | 1 |
| Ghs nerve blk intercostal, single level CPT 64420 | not published | not published | $727.15 – $727.15 | 1 |
| Ghs nerve block axillary nerve CPT 64417 | not published | not published | $934.80 – $934.80 | 1 |
| Ghs nerve block brachial plexus CPT 64415 | not published | not published | $934.80 – $934.80 | 1 |
| Ghs nerve block celiac plexus CPT 64530 | not published | not published | $934.80 – $934.80 | 1 |
| Ghs nerve block interscaline CPT 64510 | not published | not published | $934.80 – $934.80 | 1 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | not published | not published | $934.80 – $934.80 | 1 |
| Ghs nerve block sciatic nerve CPT 64445 | not published | not published | $727.15 – $727.15 | 1 |
| Ghs nerve block suprascapular CPT 64418 | not published | not published | $727.15 – $727.15 | 1 |
| Ghs ng placement w fluoro guidance CPT 43752 | not published | not published | $418.99 – $418.99 | 1 |
| Ghs o2 uptake rest & exercise CPT 94680 | not published | not published | $164.28 – $164.28 | 1 |
| Ghs o2 uptake rest & indirect CPT 94690 | not published | not published | $62.37 – $62.37 | 1 |
| Ghs ob unlisted IV or art inj or infusion CPT 96379 | not published | not published | $48.45 – $48.45 | 1 |
| Ghs opcc repair cvp without subq port CPT 36575 | not published | not published | $649.17 – $649.17 | 1 |
| Ghs opcc repair cvp w subq port CPT 36576 | not published | not published | $1,631.11 – $1,631.11 | 1 |
| Ghs optokenetic CPT 92544 | not published | not published | $164.28 – $164.28 | 1 |
| Ghs oscillating trac CPT 92545 | not published | not published | $326.96 – $326.96 | 1 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | not published | not published | $26.57 – $26.57 | 1 |
| Ghs osteopathic manipulative tx, 3-4 regions CPT 98926 | not published | not published | $26.57 – $26.57 | 1 |
| Ghs ot group caregiver training CPT 97552 | $56.80 | $71.00 | $17.19 – $63.90 | 15 |
| Ghs ot work hardening-additional hours CPT 97546 | $153.60 | $192.00 | $46.48 – $172.80 | 15 |
| Ghs pacing - transcutaneous CPT 92953 | not published | not published | $687.10 – $687.10 | 1 |
| Ghs peritonsillar abscess i andd CPT 42700 | not published | not published | $243.83 – $243.83 | 1 |
| Ghs phenylketonurid CPT 84030 | $105.60 | $132.00 | $25.90 – $96.30 | 15 |
| Ghs picc line insert < 5 CPT 36568 | not published | not published | $1,631.11 – $1,631.11 | 1 |
| Ghs plngl fx pm cl CPT 26725 | $664.00 | $830.00 | $200.94 – $747.00 | 15 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | not published | not published | $1,068.26 – $1,068.26 | 1 |
| Ghs pos nystagmus CPT 92542 | not published | not published | $135.35 – $135.35 | 1 |
| Ghs pr without cont pulse ox CPT 94625 | not published | not published | $62.37 – $62.37 | 1 |
| Ghs pt - work hardening/int 2hrs CPT 97545 | $337.60 | $422.00 | $102.17 – $379.80 | 15 |
| Ghs refill of implantable pump CPT 95990 | not published | not published | $348.27 – $348.27 | 1 |
| Ghs removal intranasal foreign body CPT 30300 | $321.60 | $402.00 | $97.32 – $361.80 | 15 |
| Ghs removal pharyngeal foreign body CPT 42809 | $380.80 | $476.00 | $115.24 – $428.40 | 15 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Ghs sedimentation rate CPT 85651 | $38.40 | $48.00 | $11.62 – $43.20 | 15 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $474.40 | $593.00 | $143.57 – $533.70 | 15 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $680.80 | $851.00 | $206.03 – $765.90 | 15 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $729.60 | $912.00 | $220.80 – $820.80 | 15 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | $683.20 | $854.00 | $206.75 – $768.60 | 15 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $365.60 | $457.00 | $110.64 – $411.30 | 15 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $454.40 | $568.00 | $137.51 – $511.20 | 15 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $520.00 | $650.00 | $157.37 – $585.00 | 15 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $696.00 | $870.00 | $208.64 – $783.00 | 15 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | $640.00 | $800.00 | $193.68 – $720.00 | 15 |
| Ghs sleep study unattended CPT 95800 | $376.00 | $470.00 | $113.79 – $423.00 | 15 |
| Ghs somatosensory testing lower extremit CPT 95926 | not published | not published | $326.96 – $326.96 | 1 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | not published | not published | $557.13 – $557.13 | 1 |
| Ghs sphenopalatine ganglion block CPT 64505 | not published | not published | $309.95 – $309.95 | 1 |
| Ghs spont nystagmus CPT 92541 | not published | not published | $135.35 – $135.35 | 1 |
| Ghs st - eval for alt comm CPT 92567 | not published | not published | $41.21 – $41.21 | 1 |
| Ghs strapping shoulder - 29240 CPT 29240 | not published | not published | $135.35 – $135.35 | 1 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | not published | not published | $38.40 – $48.45 | 2 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | not published | not published | $221.22 – $345.60 | 2 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $1,440.00 | $1,800.00 | $435.78 – $1,620.00 | 15 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | $802.40 | $1,003.00 | $242.83 – $902.70 | 15 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | not published | not published | $1,555.34 – $1,555.34 | 1 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $641.60 | $802.00 | $194.16 – $721.80 | 15 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | not published | not published | $251.87 – $251.87 | 1 |
| Ghs urine, porphyrins quant CPT 84120 | $57.60 | $72.00 | $15.25 – $56.70 | 15 |
| Ghs vaginal delivery only CPT 59409 | $3,338.40 | $4,173.00 | $1,010.28 – $3,755.70 | 15 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | not published | not published | $557.13 – $557.13 | 1 |
| Ghs windowing of cast CPT 29730 | $284.00 | $355.00 | $85.95 – $319.50 | 15 |
| Gi endoscopic ultrasound CPT 76975 | not published | not published | $253.81 – $253.81 | 1 |
| Gi inhouse confirmation CPT 87045 | $44.80 | $56.00 | $13.56 – $50.40 | 15 |
| Gingivoplasty each quadrant CPT 41872 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Gi protein loss CPT 78282 | not published | not published | $421.92 – $421.92 | 1 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | not published | not published | $984.44 – $984.44 | 1 |
| Gi trc img intral colon i&r CPT 91113 | not published | not published | $957.30 – $957.30 | 1 |
| Gi trc img intral esophagus CPT 91111 | not published | not published | $984.44 – $984.44 | 1 |
| Glassia injection HCPCS J0257 | not published | not published | $5.66 – $5.66 | 1 |
| Glaucoma scrn hgh risk direc HCPCS G0117 | not published | not published | $25.71 – $25.71 | 1 |
| Glaucoma scrn hgh risk direc HCPCS G0118 | not published | not published | $41.21 – $41.21 | 1 |
| Glaucoma surgery CPT 66150 | not published | not published | $4,224.00 – $4,224.00 | 1 |
| Glaucoma surgery CPT 66155 | not published | not published | $4,224.00 – $4,224.00 | 1 |
| Glaucoma surgery CPT 66160 | not published | not published | $2,394.77 – $2,394.77 | 1 |
| Glaucoma surgery CPT 66170 | not published | not published | $2,394.77 – $2,394.77 | 1 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $279.39 | $349.23 | $84.55 – $314.31 | 15 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $238.84 | $298.54 | $71.56 – $266.00 | 15 |
| Glucose 1 hr post dose CPT 82950 | $60.80 | $76.00 | $18.40 – $68.40 | 15 |
| Glucose blood quantitative CPT 82947 | $44.80 | $56.00 | $13.56 – $50.40 | 15 |
| Glucose body fluid CPT 82945 | $48.00 | $60.00 | $14.53 – $54.00 | 15 |
| Glucose monitoring continual min 72hr pt CPT 95249 | not published | not published | $62.37 – $62.37 | 1 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $124.80 | $156.00 | $37.77 – $140.40 | 15 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $27.20 | $34.00 | $8.23 – $30.60 | 15 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $27.45 | $34.31 | $0.86 – $3.20 | 15 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | not published | not published | $11.33 – $11.33 | 1 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $83.20 | $104.00 | $25.18 – $93.60 | 15 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $73.60 | $92.00 | $22.27 – $82.80 | 15 |
| Gonioscopy CPT 92020 | not published | not published | $135.35 – $135.35 | 1 |
| Goniotomy CPT 65820 | not published | not published | $4,224.00 – $4,224.00 | 1 |
| Graft axiofill 1000mg HCPCS J3590 | $3,264.31 | $4,080.38 | $987.86 – $3,672.34 | 15 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Great toe with reduction 28495 CPT 28495 | not published | not published | $251.87 – $251.87 | 1 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $3,844.02 – $3,844.02 | 1 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $3,844.02 – $3,844.02 | 1 |
| Ground mileage HCPCS A0425 | $24.80 | $31.00 | $7.51 – $27.90 | 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.