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 |
|---|---|---|---|---|
| Mayo c1 esterase inhibitor CPT 83883 | $287.20 | $359.00 | $11.14 – $41.40 | 15 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $65.60 | $82.00 | $17.67 – $65.70 | 15 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $50.40 | $63.00 | $15.25 – $56.70 | 15 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $85.60 | $107.00 | $25.90 – $96.30 | 15 |
| Mayo ceruloplasmin CPT 82390 | $64.80 | $81.00 | $19.61 – $72.90 | 15 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $131.20 | $164.00 | $11.62 – $43.20 | 15 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $102.40 | $128.00 | $30.99 – $115.20 | 15 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $296.00 | $370.00 | $89.58 – $333.00 | 15 |
| Mayo coccidioides antibody CPT 86635 | $57.60 | $72.00 | $17.43 – $64.80 | 15 |
| Mayo cocou cortisone urine CPT 82542 | $180.00 | $225.00 | $54.47 – $202.50 | 15 |
| Mayo cortisol free CPT 82530 | $108.80 | $136.00 | $15.25 – $56.70 | 15 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $66.40 | $83.00 | $20.09 – $74.70 | 15 |
| Mayo cyanide CPT 82600 | $121.60 | $152.00 | $36.80 – $136.80 | 15 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | $642.40 | $803.00 | $194.41 – $722.70 | 15 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $61.60 | $77.00 | $18.64 – $69.30 | 15 |
| Mayo everolimus therapeutic drug level CPT 80169 | $71.20 | $89.00 | $21.55 – $80.10 | 15 |
| Mayo factor viii vw factor antigen CPT 85246 | $94.40 | $118.00 | $17.67 – $65.70 | 15 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $73.60 | $92.00 | $22.27 – $82.80 | 15 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $94.40 | $118.00 | $28.57 – $106.20 | 15 |
| Mayo fat/lipids feces quantitative CPT 82710 | $57.60 | $72.00 | $17.43 – $64.80 | 15 |
| Mayo ffspg allergen clam igg CPT 86001 | $54.40 | $68.00 | $16.46 – $61.20 | 15 |
| Mayo fibrinogen antigen CPT 85385 | $64.00 | $80.00 | $19.37 – $72.00 | 15 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $165.60 | $207.00 | $26.39 – $98.10 | 15 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | $165.60 | $207.00 | $50.11 – $186.30 | 15 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $61.60 | $77.00 | $18.64 – $69.30 | 15 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $73.60 | $92.00 | $22.27 – $82.80 | 15 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $32.00 | $40.00 | $9.68 – $36.00 | 15 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $60.00 | $75.00 | $18.16 – $67.50 | 15 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $65.60 | $82.00 | $19.85 – $73.80 | 15 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $865.60 | $1,082.00 | $14.77 – $54.90 | 15 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $52.80 | $66.00 | $15.98 – $59.40 | 15 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $101.60 | $127.00 | $30.75 – $114.30 | 15 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $52.80 | $66.00 | $15.98 – $59.40 | 15 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $68.00 | $85.00 | $19.37 – $72.00 | 15 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $206.40 | $258.00 | $62.46 – $232.20 | 15 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | $103.20 | $129.00 | $31.23 – $116.10 | 15 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $104.80 | $131.00 | $31.72 – $117.90 | 15 |
| Mayo infliximab therapeutic drug level CPT 80230 | $150.40 | $188.00 | $45.51 – $169.20 | 15 |
| Mayo insulin antibodies CPT 86337 | $54.40 | $68.00 | $16.46 – $61.20 | 15 |
| Mayo itraconazole therapeutic drug level CPT 80189 | $71.20 | $89.00 | $21.55 – $80.10 | 15 |
| Mayo lacosamide therapeutic drug level CPT 80235 | $99.20 | $124.00 | $30.02 – $111.60 | 15 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $37.60 | $47.00 | $11.38 – $42.30 | 15 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $49.60 | $62.00 | $15.01 – $55.80 | 15 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $52.80 | $66.00 | $15.98 – $59.40 | 15 |
| Mayo metanephrines plasma CPT 83835 | $46.40 | $58.00 | $14.04 – $52.20 | 15 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | $54.40 | $68.00 | $16.46 – $61.20 | 15 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $88.80 | $111.00 | $15.98 – $59.40 | 15 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $256.00 | $320.00 | $17.19 – $63.90 | 15 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | $440.80 | $551.00 | $133.40 – $495.90 | 15 |
| Mayo mpl sequence analysis exon 10 CPT 81339 | $488.80 | $611.00 | $136.79 – $508.50 | 15 |
| Mayo muramidase CPT 85549 | $52.80 | $66.00 | $15.98 – $59.40 | 15 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | $71.20 | $89.00 | $21.55 – $80.10 | 15 |
| Mayo opatu opiates definitive assay >=1 CPT 80361 | $78.40 | $98.00 | $23.73 – $88.20 | 15 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $162.40 | $203.00 | $15.74 – $58.50 | 15 |
| Mayo oxalate 24 hour urine CPT 83945 | $57.60 | $72.00 | $11.14 – $41.40 | 15 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $56.80 | $71.00 | $17.19 – $63.90 | 15 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $90.40 | $113.00 | $15.98 – $59.40 | 15 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $286.40 | $358.00 | $86.67 – $322.20 | 15 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $74.40 | $93.00 | $22.52 – $83.70 | 15 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $71.20 | $89.00 | $21.55 – $80.10 | 15 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $60.00 | $75.00 | $9.44 – $35.10 | 15 |
| Mayo pregnenolone CPT 84140 | $49.60 | $62.00 | $15.01 – $55.80 | 15 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $71.20 | $89.00 | $21.55 – $80.10 | 15 |
| Mayo psaft prostate specific antigen free CPT 84154 | $72.00 | $90.00 | $20.82 – $77.40 | 15 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $198.40 | $248.00 | $15.25 – $56.70 | 15 |
| Mayo renin CPT 84244 | $61.60 | $77.00 | $15.49 – $57.60 | 15 |
| Mayo repu protein electrophoresis urine CPT 84166 | $72.00 | $90.00 | $21.79 – $81.00 | 15 |
| Mayo selenium CPT 84255 | $169.60 | $212.00 | $18.64 – $69.30 | 15 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $55.20 | $69.00 | $16.70 – $62.10 | 15 |
| Mayo tau phosphorylated 217 each CPT 84393 | $500.00 | $625.00 | $151.31 – $562.50 | 15 |
| Mayo tgrp testosterone free CPT 84402 | $60.00 | $75.00 | $18.16 – $67.50 | 15 |
| Mayo tgrp testosterone total CPT 84403 | $113.60 | $142.00 | $18.40 – $68.40 | 15 |
| Mayo thiopurine s-methyltransferase CPT 84433 | $150.40 | $188.00 | $45.51 – $169.20 | 15 |
| Mayo thyroglobulin CPT 84432 | $120.80 | $151.00 | $13.80 – $51.30 | 15 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $56.80 | $71.00 | $17.19 – $63.90 | 15 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $66.40 | $83.00 | $20.09 – $74.70 | 15 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | $124.80 | $156.00 | $36.32 – $135.00 | 15 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | $84.80 | $106.00 | $25.66 – $95.40 | 15 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $132.00 | $165.00 | $12.11 – $45.00 | 15 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $57.60 | $72.00 | $17.43 – $64.80 | 15 |
| Mayo vitamin k CPT 84597 | $76.00 | $95.00 | $23.00 – $85.50 | 15 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $71.20 | $89.00 | $21.55 – $80.10 | 15 |
| Mcp joint arthroscopy dx CPT 29900 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Mcp joint arthroscopy surg CPT 29901 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Mcp joint arthroscopysurg 29902 CPT 29902 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Mdfc flap w/prsrv vasc pedcl CPT 15730 | not published | not published | $3,844.02 – $3,844.02 | 1 |
| Meas lung vol thru 2 yrs CPT 94013 | not published | not published | $557.13 – $557.13 | 1 |
| Measure kidney pressure CPT 50396 | not published | not published | $700.84 – $700.84 | 1 |
| Measurement post void urine by ultrasound CPT 51798 | $185.60 | $232.00 | $56.17 – $208.80 | 15 |
| Measure ureter pressure CPT 50686 | not published | not published | $164.28 – $164.28 | 1 |
| #mec-opiates CPT 80356 | $76.00 | $95.00 | $23.00 – $85.50 | 15 |
| Medial canthopexy CPT 21280 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Mediastinoscpy w/lmph nod bx CPT 39402 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Mediastinoscpy w/medstnl bx 39401 CPT 39401 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Med physic dos eval rad exps CPT 76145 | not published | not published | $557.13 – $557.13 | 1 |
| Meg evoked single CPT 95966 | not published | not published | $1,068.26 – $1,068.26 | 1 |
| Meg spontaneous CPT 95965 | not published | not published | $1,068.26 – $1,068.26 | 1 |
| Meniscal trnspl knee w/scpe CPT 29868 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $25.64 | $32.05 | $7.54 – $28.03 | 15 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | not published | not published | $31.01 – $31.01 | 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.