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 |
|---|---|---|---|---|
| Metabolic Blood Panel (Basic) CPT 80048 | $107.20 | $134.00 | $57.75 – $120.60 | 15 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $123.20 | $154.00 | $74.25 – $138.60 | 15 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $5.22 | $6.52 | $0.93 – $3.47 | 15 |
| Methotrexate therapeutic drug level CPT 80204 | $108.00 | $135.00 | $32.68 – $121.50 | 15 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $303.40 | $379.25 | $8.24 – $341.33 | 15 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $39.86 | $49.82 | $12.06 – $44.84 | 15 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $34.53 | $43.16 | $8.12 – $30.19 | 15 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $101.52 | $126.89 | $8.07 – $30.01 | 15 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $25.06 | $31.32 | $7.38 – $27.43 | 15 |
| Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) HCPCS J0616 | $24.81 | $31.01 | $7.33 – $27.24 | 15 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $50.40 | $63.00 | $14.79 – $54.99 | 15 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | $120.64 | $150.79 | $19.86 – $73.85 | 15 |
| Microalbumin urine screen CPT 82044 | $52.80 | $66.00 | $15.98 – $59.40 | 15 |
| Microvolt t-wave assess CPT 93025 | not published | not published | $164.28 – $164.28 | 1 |
| Microwave bronch, 3d, ebus HCPCS C9751 | not published | not published | $3,938.03 – $3,938.03 | 1 |
| Mid and Lower Back (Thoracolumbar Spine) X-ray CPT 72080 | $388.00 | $485.00 | $92.45 – $436.50 | 15 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $24.36 | $30.45 | $7.33 – $27.25 | 15 |
| Middle cerebral artery echo CPT 76821 | not published | not published | $111.66 – $111.66 | 1 |
| Mlt osteot rlgnm imed rd hum CPT 24410 | not published | not published | $13,510.16 – $13,510.16 | 1 |
| Mnl appl strs jt radiography CPT 77071 | not published | not published | $92.45 – $92.45 | 1 |
| Mnpj anes sho jt fixj aprats CPT 23700 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Mnpj elbow under anes CPT 24300 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Mnpj of tmj w/anesth CPT 21073 | not published | not published | $1,555.34 – $1,555.34 | 1 |
| Mnt subs tx for change dx HCPCS G0270 | $43.20 | $54.00 | $13.07 – $48.60 | 15 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | $420.00 | $525.00 | $127.10 – $472.50 | 15 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $25.49 | $31.86 | $7.59 – $28.21 | 15 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | $25.83 | $32.28 | $7.63 – $28.38 | 15 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $339.20 | $424.00 | $102.65 – $381.60 | 15 |
| Motion analysis video/3d CPT 96000 | not published | not published | $557.13 – $557.13 | 1 |
| Motion test w/ft press meas CPT 96001 | not published | not published | $1,068.26 – $1,068.26 | 1 |
| Motor &/ sens nrve cndj test CPT 95905 | not published | not published | $418.99 – $418.99 | 1 |
| Mouth vestibule bx/w complex rpr 40814 CPT 40814 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $833.60 | $1,042.00 | $252.27 – $937.80 | 15 |
| MRA abdomen post contrast CPT 74185 | $2,651.20 | $3,314.00 | $578.05 – $2,982.60 | 15 |
| MRA aorta thoracic w/wo contrast CPT 71555 | $2,909.60 | $3,637.00 | $578.05 – $3,273.30 | 15 |
| MRA chest w IV cont HCPCS C8909 | not published | not published | $374.99 – $374.99 | 1 |
| MRA chest wo IV cont HCPCS C8910 | not published | not published | $253.81 – $253.81 | 1 |
| MRA chest wwo IV cont HCPCS C8911 | not published | not published | $374.99 – $374.99 | 1 |
| MRA ext low(run-off)pst cntrst CPT 73725 | $2,526.40 | $3,158.00 | $578.05 – $2,842.20 | 15 |
| MRA pelvis CPT 72198 | not published | not published | $578.05 – $578.05 | 1 |
| MRA pelvis w IV cont HCPCS C8918 | not published | not published | $374.99 – $374.99 | 1 |
| MRA pelvis wo IV cont HCPCS C8919 | not published | not published | $253.81 – $253.81 | 1 |
| MRA spinal canal CPT 72159 | $2,004.80 | $2,506.00 | $578.05 – $2,255.40 | 15 |
| MRA upper extremity post contrast-bil CPT 73225 | not published | not published | $578.05 – $578.05 | 1 |
| MRA w/cont, abd HCPCS C8900 | not published | not published | $374.99 – $374.99 | 1 |
| MRA w/cont, lwr ext HCPCS C8912 | not published | not published | $374.99 – $374.99 | 1 |
| Mra, w/dye, spinal canal HCPCS C8931 | not published | not published | $374.99 – $374.99 | 1 |
| Mra, w/dye, upper extremity HCPCS C8934 | not published | not published | $374.99 – $374.99 | 1 |
| MRA without cont, abd HCPCS C8901 | not published | not published | $253.81 – $253.81 | 1 |
| MRA without cont, lwr ext HCPCS C8913 | not published | not published | $253.81 – $253.81 | 1 |
| Mra, without dye, spinal canal HCPCS C8932 | not published | not published | $253.81 – $253.81 | 1 |
| Mra, without dye, upper extr HCPCS C8935 | not published | not published | $253.81 – $253.81 | 1 |
| MRA without fol w/cont, abd HCPCS C8902 | not published | not published | $374.99 – $374.99 | 1 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | not published | not published | $374.99 – $374.99 | 1 |
| MRA without fol w/cont, pelvis HCPCS C8920 | not published | not published | $374.99 – $374.99 | 1 |
| Mra, w/o&w/dye, spinal canal HCPCS C8933 | not published | not published | $374.99 – $374.99 | 1 |
| Mra, w/o&w/dye, upper extr HCPCS C8936 | not published | not published | $374.99 – $374.99 | 1 |
| Mr elastography CPT 76391 | not published | not published | $253.81 – $253.81 | 1 |
| MRI brain w/dye CPT 70558 | not published | not published | $186.92 – $186.92 | 1 |
| MRI brain without dye CPT 70557 | not published | not published | $575.70 – $575.70 | 1 |
| MRI brain without & w/dye CPT 70559 | not published | not published | $186.92 – $186.92 | 1 |
| MRI breast c- unilateral CPT 77046 | not published | not published | $253.81 – $578.05 | 2 |
| MRI breast c-+ w/cad uni CPT 77048 | not published | not published | $446.60 – $446.60 | 1 |
| MRI breast without cont bi CPT 77047 | not published | not published | $253.81 – $578.05 | 2 |
| MRI breast w IV cont bi CPT 77049 | not published | not published | $446.60 – $446.60 | 1 |
| MRI cardiac morph & func wo IV cont CPT 75557 | not published | not published | $253.81 – $578.05 | 2 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | not published | not published | $374.99 – $607.75 | 2 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | not published | not published | $611.05 – $829.56 | 2 |
| MRI chest without contrast CPT 71550 | $2,654.40 | $3,318.00 | $253.81 – $2,986.20 | 15 |
| MRI chest without & w/contrast CPT 71552 | $3,848.00 | $4,810.00 | $374.99 – $4,329.00 | 15 |
| MRI chest w IV cont CPT 71551 | $3,030.40 | $3,788.00 | $611.05 – $3,409.20 | 15 |
| MRI fetal sngl/1st gestation CPT 74712 | not published | not published | $253.81 – $578.05 | 2 |
| MRI hyperpolarized xenon129 HCPCS C9791 | not published | not published | $1,313.03 – $1,313.03 | 1 |
| MRI loex nonjt w IV cont CPT 73719 | not published | not published | $374.99 – $607.75 | 2 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $2,508.80 | $3,136.00 | $253.81 – $2,822.40 | 15 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $3,662.40 | $4,578.00 | $374.99 – $4,120.20 | 15 |
| MRI orbit fac&nck w IV cont CPT 70542 | $3,553.60 | $4,442.00 | $374.99 – $3,997.80 | 15 |
| MRI tmj CPT 70336 | $2,672.00 | $3,340.00 | $253.81 – $3,006.00 | 15 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $2,520.00 | $3,150.00 | $253.81 – $2,835.00 | 15 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $3,620.00 | $4,525.00 | $374.99 – $4,072.50 | 15 |
| MRI upper extremity w/dye CPT 73219 | not published | not published | $374.99 – $607.75 | 2 |
| MRI w/cont, breast, bi HCPCS C8906 | not published | not published | $374.99 – $374.99 | 1 |
| MRI w/cont, breast, uni HCPCS C8903 | not published | not published | $186.92 – $186.92 | 1 |
| MRI without fol w/cont, breast HCPCS C8908 | not published | not published | $374.99 – $607.75 | 2 |
| MRI without fol w/cont, brst, un HCPCS C8905 | not published | not published | $374.99 – $374.99 | 1 |
| Mr safety determination physician/other qhp CPT 76016 | not published | not published | $92.45 – $92.45 | 1 |
| Mr safety implant elec prepj CPT 76018 | not published | not published | $96.38 – $96.38 | 1 |
| Mr safety implt pos&/immoblj CPT 76019 | not published | not published | $62.37 – $62.37 | 1 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | not published | not published | $25.71 – $25.71 | 1 |
| Mr sfty med physics xm cstmz CPT 76017 | not published | not published | $253.81 – $253.81 | 1 |
| Mr spectroscopy CPT 76390 | not published | not published | $92.45 – $92.45 | 1 |
| Mt bone graft microvasc CPT 20957 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Multi family grp psychotherapy CPT 90849 | not published | not published | $168.70 – $168.70 | 1 |
| Multiple sleep latency test CPT 95805 | $2,708.80 | $3,386.00 | $557.13 – $3,047.40 | 15 |
| Mumps antibody igg CPT 86735 | $76.80 | $96.00 | $23.24 – $86.40 | 15 |
| Muscle-skin graft arm CPT 15736 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| Muscle-skin graft leg CPT 15738 | not published | not published | $3,844.02 – $3,844.02 | 1 |
| Muscle-skin graft trunk CPT 15734 | not published | not published | $3,844.02 – $3,844.02 | 1 |
| Muscle test cran nerv unilat CPT 95867 | not published | not published | $326.96 – $326.96 | 1 |
| Muscle test hemidiaphragm CPT 95866 | not published | not published | $164.28 – $164.28 | 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.