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 |
|---|---|---|---|---|
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| Lig/band angioaccess av fistula CPT 37607 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| Lig&div&compl strpg saph vn CPT 37735 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| Limb exercise test CPT 95875 | not published | not published | $164.28 – $164.28 | 1 |
| Limited visual field xm CPT 92081 | not published | not published | $62.37 – $62.37 | 1 |
| Lipase CPT 83690 | $73.60 | $92.00 | $22.27 – $82.80 | 15 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Lipoprotein direct measurement hdl CPT 83718 | $56.80 | $71.00 | $17.19 – $63.90 | 15 |
| Lipoprotein direct measurement ldl CPT 83721 | $68.00 | $85.00 | $20.58 – $76.50 | 15 |
| Lip surgery procedure CPT 40799 | not published | not published | $243.83 – $243.83 | 1 |
| Lithium therapeutic drug level CPT 80178 | $60.80 | $76.00 | $18.40 – $68.40 | 15 |
| Liver elastography 91200 CPT 91200 | not published | not published | $164.28 – $164.28 | 1 |
| Liver Function Test CPT 80076 | $113.60 | $142.00 | $34.38 – $127.80 | 15 |
| Liver imaging CPT 78201 | not published | not published | $565.18 – $565.18 | 1 |
| Liver imag w/vasclr flow CPT 78202 | not published | not published | $565.18 – $565.18 | 1 |
| Liver/spleen imag static only CPT 78215 | not published | not published | $421.92 – $421.92 | 1 |
| Liver/spleen imag w/vasclr flow CPT 78216 | not published | not published | $421.92 – $421.92 | 1 |
| Lmtd oph exam general anes CPT 92019 | not published | not published | $2,449.61 – $2,449.61 | 1 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | $9.60 | $12.00 | $2.91 – $10.80 | 15 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $24.82 | $31.02 | $7.39 – $27.49 | 15 |
| Loudness balance test CPT 92562 | not published | not published | $326.96 – $326.96 | 1 |
| Low back disk surgery CPT 63030 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Low-Dose Lung Cancer Screening CT Scan CPT 71271 | $476.00 | $595.00 | $111.66 – $535.50 | 15 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | not published | not published | $186.92 – $446.60 | 2 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $2,468.80 | $3,086.00 | $374.99 – $2,777.40 | 15 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $1,872.00 | $2,340.00 | $111.66 – $2,106.00 | 15 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $3,850.40 | $4,813.00 | $374.99 – $4,331.70 | 15 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $3,036.00 | $3,795.00 | $374.99 – $3,415.50 | 15 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $2,809.60 | $3,512.00 | $253.81 – $3,160.80 | 15 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $397.60 | $497.00 | $111.66 – $447.30 | 15 |
| Lower Back (Lumbar Spine) X-ray (4 or more views) CPT 72110 | $547.20 | $684.00 | $111.66 – $615.60 | 15 |
| Lower Back (Lumbar Spine) X-ray (with bending views) CPT 72114 | $720.00 | $900.00 | $111.66 – $810.00 | 15 |
| Lower jaw bone graft CPT 21215 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Lower Leg (Shin) X-ray (both sides) CPT 73590 | $326.40 | $408.00 | $92.45 – $367.20 | 15 |
| Lsh uterus 250 g or less CPT 58541 | not published | not published | $10,931.77 – $10,931.77 | 1 |
| Lsh uterus above 250 g CPT 58543 | not published | not published | $10,931.77 – $10,931.77 | 1 |
| Lsh w/t/o ut 250 g or less CPT 58542 | not published | not published | $10,931.77 – $10,931.77 | 1 |
| Lsh w/t/o uterus above 250 g CPT 58544 | not published | not published | $10,931.77 – $10,931.77 | 1 |
| Lumbar diskogram s&i CPT 72295 | not published | not published | $2,050.41 – $2,050.41 | 1 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $19,309.55 – $19,309.55 | 1 |
| Lumizyme injection HCPCS J0221 | not published | not published | $205.76 – $205.76 | 1 |
| Lung Function Test Before and After an Inhaler CPT 94060 | not published | not published | $326.96 – $326.96 | 1 |
| Lung function test (mbc/mvv) CPT 94200 | not published | not published | $62.37 – $62.37 | 1 |
| Lung Function Test (Spirometry) CPT 94010 | not published | not published | $164.28 – $164.28 | 1 |
| Lung perfusion imaging CPT 78580 | $1,407.20 | $1,759.00 | $421.92 – $1,583.10 | 15 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | $12,147.28 | $15,184.09 | $41.40 – $5,155.23 | 15 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | not published | not published | $25.71 – $25.71 | 1 |
| Lymphatics/lymph node imaging CPT 78195 | not published | not published | $565.18 – $565.18 | 1 |
| Lymph vessel x-ray arm/leg CPT 75801 | not published | not published | $649.17 – $649.17 | 1 |
| Lymph vessel x-ray arms/legs CPT 75803 | not published | not published | $1,631.11 – $1,631.11 | 1 |
| Lymph vessel x-ray trunk CPT 75805 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| Lymph vessel x-ray trunk CPT 75807 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| Lysis intranasal synechia 30560 CPT 30560 | not published | not published | $534.71 – $534.71 | 1 |
| Lysis of labial adhesions CPT 56441 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Lysis penil circumic lesion CPT 54162 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Magnesium CPT 83735 | $54.40 | $68.00 | $5.08 – $18.90 | 15 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $180.45 | $225.56 | $7.39 – $27.46 | 15 |
| Magnetic image bone marrow CPT 77084 | not published | not published | $253.81 – $578.05 | 2 |
| Makena, 10 mg HCPCS J1726 | $243.53 | $304.41 | $73.70 – $273.97 | 15 |
| Male sling procedure CPT 53440 | not published | not published | $13,642.04 – $13,642.04 | 1 |
| Manipulate finger w/anesth CPT 26340 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Manipulate wrist w/anesthes CPT 25259 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Manipulation of hip joint CPT 27275 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Manipulation of spine CPT 22505 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Manipulat palm cord post inj CPT 26341 | not published | not published | $251.87 – $251.87 | 1 |
| Mastectomy partial CPT 19301 | not published | not published | $4,020.74 – $4,020.74 | 1 |
| Mast mod rad CPT 19307 | not published | not published | $6,847.53 – $6,847.53 | 1 |
| Mastoidectomy CPT 69501 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Mastoidectomy complete 69502 CPT 69502 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Mastoids complete CPT 70130 | not published | not published | $111.66 – $111.66 | 1 |
| Mastoid surgery revision CPT 69603 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Mastopexy CPT 19316 | not published | not published | $6,847.53 – $6,847.53 | 1 |
| Mast simple complete CPT 19303 | not published | not published | $6,847.53 – $6,847.53 | 1 |
| Maxillofacial fixation CPT 21100 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $148.00 | $185.00 | $16.22 – $60.30 | 15 |
| Mayo aathr protein s free CPT 85306 | $80.00 | $100.00 | $24.21 – $90.00 | 15 |
| Mayo activated protein c resistance assay CPT 85307 | $136.00 | $170.00 | $41.16 – $153.00 | 15 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $176.00 | $220.00 | $53.26 – $198.00 | 15 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $106.40 | $133.00 | $32.20 – $119.70 | 15 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $45.60 | $57.00 | $13.80 – $51.30 | 15 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $50.40 | $63.00 | $15.25 – $56.70 | 15 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $88.80 | $111.00 | $26.87 – $99.90 | 15 |
| Mayo alpha 1 antitrypsin CPT 82103 | $125.60 | $157.00 | $10.89 – $40.50 | 15 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | $58.40 | $73.00 | $17.67 – $65.70 | 15 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $73.60 | $92.00 | $22.27 – $82.80 | 15 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $440.00 | $550.00 | $133.16 – $495.00 | 15 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $250.40 | $313.00 | $75.78 – $281.70 | 15 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $460.00 | $575.00 | $139.21 – $517.50 | 15 |
| Mayo androstenedione CPT 82157 | $71.20 | $89.00 | $21.55 – $80.10 | 15 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $79.20 | $99.00 | $15.74 – $58.50 | 15 |
| Mayo antithrombin iii antigen CPT 85301 | $112.00 | $140.00 | $33.89 – $126.00 | 15 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $69.60 | $87.00 | $21.06 – $78.30 | 15 |
| Mayo avwpr vw factor activity CPT 85397 | $79.20 | $99.00 | $23.97 – $89.10 | 15 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $48.00 | $60.00 | $14.53 – $54.00 | 15 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $33.60 | $42.00 | $10.17 – $37.80 | 15 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $353.60 | $442.00 | $107.01 – $397.80 | 15 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | $524.00 | $655.00 | $158.58 – $589.50 | 15 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $62.40 | $78.00 | $18.88 – $70.20 | 15 |
| Mayo brcmg brucella antibody igm CPT 86622 | $56.80 | $71.00 | $17.19 – $63.90 | 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.