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 |
|---|---|---|---|---|
| Laps abltj uterine fibroids CPT 58674 | not published | not published | $10,931.77 – $10,931.77 | 1 |
| Laps pelvic lymphadec CPT 38573 | not published | not published | $10,931.77 – $10,931.77 | 1 |
| Laps surg prst8ect rpbic rad CPT 55866 | not published | not published | $10,931.77 – $10,931.77 | 1 |
| Large Joint Injection or Fluid Draw (both sides) CPT 20610 | $687.20 | $859.00 | $207.96 – $773.10 | 15 |
| Largsc w/laser dstrj les CPT 31572 | not published | not published | $3,871.30 – $3,871.30 | 1 |
| Largsc w/njx augmentation CPT 31574 | not published | not published | $1,810.69 – $1,810.69 | 1 |
| Largsc w/removal lesion CPT 31578 | not published | not published | $3,871.30 – $3,871.30 | 1 |
| Largsc w/rmvl foreign bdy(s) CPT 31577 | not published | not published | $407.73 – $407.73 | 1 |
| Largsc w/ther injection CPT 31573 | not published | not published | $1,810.69 – $1,810.69 | 1 |
| Laronidase injection HCPCS J1931 | not published | not published | $39.41 – $39.41 | 1 |
| Laryngeal function studies CPT 92520 | not published | not published | $135.35 – $135.35 | 1 |
| Laryngoplasty cricoid split CPT 31587 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Laryngoplasty fx rdctj fixj CPT 31584 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Laryngoplasty laryngeal sten CPT 31551 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Laryngoplasty laryngeal sten CPT 31552 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Laryngoplasty laryngeal sten CPT 31553 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Laryngoplasty laryngeal sten CPT 31554 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Laryngoplasty laryngeal web CPT 31580 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Laryngoplasty medialization CPT 31591 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Laryngoscope w/vc inj CPT 31570 | not published | not published | $3,871.30 – $3,871.30 | 1 |
| Laryngoscop w/arytenoidectom CPT 31560 | not published | not published | $7,268.59 – $7,268.59 | 1 |
| Laryngoscop w/vc inj + scope CPT 31571 | not published | not published | $3,871.30 – $3,871.30 | 1 |
| Laryngoscopy and dilation CPT 31528 | not published | not published | $3,871.30 – $3,871.30 | 1 |
| Laryngoscopy and dilation CPT 31529 | not published | not published | $3,871.30 – $3,871.30 | 1 |
| Laryngoscopy direct w/wo tracheoscopy dx exc newborn CPT 31525 | not published | not published | $1,810.69 – $1,810.69 | 1 |
| Laryngoscopy for treatment CPT 31527 | not published | not published | $3,871.30 – $3,871.30 | 1 |
| Laryngoscopy telescopic CPT 31579 | not published | not published | $407.73 – $407.73 | 1 |
| Laryngoscopy w/biopsy CPT 31535 | not published | not published | $3,871.30 – $3,871.30 | 1 |
| Laryngoscopy w/bx & op scope CPT 31536 | not published | not published | $3,871.30 – $3,871.30 | 1 |
| Laryngoscopy w/exc of tumor CPT 31540 | not published | not published | $3,871.30 – $3,871.30 | 1 |
| Laryngoscopy w/fb & op scope CPT 31531 | not published | not published | $3,871.30 – $3,871.30 | 1 |
| Laryngoscopy w/fb removal CPT 31530 | not published | not published | $1,810.69 – $1,810.69 | 1 |
| Laryngoscopy with biopsy CPT 31576 | not published | not published | $1,810.69 – $1,810.69 | 1 |
| Laryngoscopy with biopsy 31510 CPT 31510 | not published | not published | $3,871.30 – $3,871.30 | 1 |
| Laryngoscopy w/w/o tracheoscopy aspiration CPT 31515 | not published | not published | $407.73 – $407.73 | 1 |
| Larynscop remve cart + scop CPT 31561 | not published | not published | $7,268.59 – $7,268.59 | 1 |
| Larynscop w/tumr exc + scope CPT 31541 | not published | not published | $3,871.30 – $3,871.30 | 1 |
| Laser surgery eye strands CPT 67031 | not published | not published | $576.03 – $576.03 | 1 |
| Laser surgery of cervix 57513 CPT 57513 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Laser surgery of prostate CPT 52647 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Laser surgery of prostate CPT 52648 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Laser surg penis lesion(s) CPT 54057 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| Laser treatment of retina CPT 67039 | not published | not published | $4,224.00 – $4,224.00 | 1 |
| Laser treatment of retina CPT 67040 | not published | not published | $4,224.00 – $4,224.00 | 1 |
| Lateral canthopexy CPT 21282 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Lat retinacular release open CPT 27425 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Lavage cannulation maxillary sinus CPT 31000 | not published | not published | $243.83 – $243.83 | 1 |
| Lavh >250 gms 58553 CPT 58553 | not published | not published | $10,931.77 – $10,931.77 | 1 |
| Lb with mastopexy 15839 CPT 15839 | not published | not published | $3,005.15 – $3,005.15 | 1 |
| Lead capillary CPT 83655 | $68.00 | $85.00 | $8.96 – $33.30 | 15 |
| Lefort i-1 piece without graft CPT 21141 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Lefort i-2 piece without graft CPT 21142 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Lefort i-3/> piece without graft CPT 21143 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Lefort ii anterior intrusion CPT 21150 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Leg Artery Ultrasound (complete, both legs) CPT 93925 | $1,174.40 | $1,468.00 | $253.81 – $1,321.20 | 15 |
| Leg CT Scan (with contrast, both legs) CPT 73701 | $1,960.80 | $2,451.00 | $186.92 – $2,205.90 | 15 |
| Leg CT Scan (without contrast, both legs) CPT 73700 | $1,649.60 | $2,062.00 | $111.66 – $1,855.80 | 15 |
| Leg vein fusion 34530 CPT 34530 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $1,256.00 | $1,570.00 | $253.81 – $1,413.00 | 15 |
| Lengthening of hand tendon CPT 26478 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Lengthening of palate CPT 42227 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Lengthening of palate+pharyngeal flap 42226 CPT 42226 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Lengthening of thigh tendon CPT 27393 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Lengthening of thigh tendons CPT 27394 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Lengthening of thigh tendons CPT 27395 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Lengthen metacarpal/finger CPT 26568 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Lengthen radius or ulna CPT 25391 | not published | not published | $13,510.16 – $13,510.16 | 1 |
| Lengthen radius & ulna CPT 25393 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $156.80 | $196.00 | $47.45 – $176.40 | 15 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $1,602.88 | $2,003.59 | $82.14 – $305.36 | 15 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | $2,500.19 | $3,125.23 | $756.62 – $2,812.71 | 15 |
| Lev 1 hosp type b ed visit HCPCS G0380 | not published | not published | $88.27 – $88.27 | 1 |
| Lev 2 hosp type b ed visit HCPCS G0381 | not published | not published | $116.19 – $116.19 | 1 |
| Lev 3 hosp type b ed visit HCPCS G0382 | not published | not published | $195.92 – $195.92 | 1 |
| Lev 4 hosp type b ed visit HCPCS G0383 | not published | not published | $299.83 – $299.83 | 1 |
| Lev 5 hosp type b ed visit HCPCS G0384 | not published | not published | $424.08 – $424.08 | 1 |
| Levalbuterol non-comp unit HCPCS J7614 | $3.61 | $4.51 | $1.00 – $3.73 | 15 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $25.20 | $31.50 | $7.55 – $28.08 | 15 |
| Levetiracetam therapeutic drug level CPT 80177 | $62.40 | $78.00 | $18.88 – $70.20 | 15 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $212.60 | $265.75 | $10.97 – $40.77 | 15 |
| L hrt cath chd nm/abn nt cnj CPT 93595 | not published | not published | $3,377.23 – $3,377.23 | 1 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | $28.16 | $35.20 | $7.31 – $27.18 | 15 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $50.80 | $63.50 | $15.13 – $56.25 | 15 |
| Ligate leg veins open CPT 37761 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| Ligate leg veins radical 37760 CPT 37760 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| Ligate/strip long leg vein CPT 37722 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| Ligate/strip short leg vein CPT 37718 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| Ligate/transect fallopian tubes 58600 CPT 58600 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | not published | not published | $1,701.25 – $1,701.25 | 1 |
| Ligation/divis of long saph vein 37700 CPT 37700 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| Ligation external carotid artery 37600 CPT 37600 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| Ligation internal/common carotid artery 37605 CPT 37605 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| Ligation internal jugular vein 37565 CPT 37565 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| Ligation major artery neck CPT 37615 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| Ligation nasal sinus artery CPT 30915 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| Ligation of femoral vein CPT 37650 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| Ligation of inf vena cava CPT 37619 | not published | not published | $5,675.99 – $5,675.99 | 1 |
| Ligation of neck artery CPT 37606 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| Ligation of salivary duct CPT 42665 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Ligation upper jaw artery CPT 30920 | not published | not published | $3,304.88 – $3,304.88 | 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.