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 |
|---|---|---|---|---|
| Parotid duct diversion CPT 42510 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Part exc/post vert comp/sng/thorac 22101 CPT 22101 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Part hymenectomy/revi hymenal ring 56700 CPT 56700 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Partial exc bone humerus CPT 24140 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Partial excision of lip CPT 40500 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Partial removal finger bone CPT 26235 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Partial removal finger bone CPT 26236 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Partial removal foot fascia CPT 28060 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Partial removal leg bone(s) CPT 27360 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Partial removal of eye fluid CPT 67005 | not published | not published | $2,394.77 – $2,394.77 | 1 |
| Partial removal of eye fluid CPT 67010 | not published | not published | $2,394.77 – $2,394.77 | 1 |
| Partial removal of fibula CPT 27641 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Partial removal of foot bone CPT 28288 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Partial removal of hand bone CPT 26230 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Partial removal of lip CPT 40530 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Partial removal of nose CPT 30150 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Partial removal of penis CPT 54120 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Partial removal of pharynx 42890 CPT 42890 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Partial removal of radius CPT 25151 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Partial removal of radius CPT 25230 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Partial removal of rib CPT 21600 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Partial removal of thyroid CPT 60220 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Partial removal of thyroid CPT 60225 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Partial removal of tibia CPT 27640 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Partial removal of toe CPT 28160 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Partial removal of tongue CPT 41120 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Partial removal of ulna CPT 25119 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Partial removal of ulna CPT 25150 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Partial removal of ulna CPT 25240 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Partial removal of vaginal wall 57106 CPT 57106 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Partial removal tear gland CPT 68505 | not published | not published | $3,959.55 – $3,959.55 | 1 |
| Partial thyroid excision CPT 60210 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Partial thyroid lobect w/contratlat stot lobec 60212 CPT 60212 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Part removal of metatarsal CPT 28110 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Part removal of metatarsal CPT 28113 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Part removal of metatarsal 28112 CPT 28112 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Path clin consltj high 41-60 CPT 80505 | not published | not published | $179.93 – $179.93 | 1 |
| Path clin consltj mod 21-40 CPT 80504 | not published | not published | $179.93 – $179.93 | 1 |
| Path clin consltj sf 5-20 CPT 80503 | not published | not published | $56.10 – $56.10 | 1 |
| Patient recorded spirometry CPT 94014 | not published | not published | $418.99 – $418.99 | 1 |
| Patient recorded spirometry CPT 94015 | not published | not published | $326.96 – $326.96 | 1 |
| Pdt dstr prmlg les phys/qhp CPT 96573 | not published | not published | $208.64 – $208.64 | 1 |
| Pedcle fh/ch/ch/m/n/ax/g/h/f CPT 15574 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| Ped home apnea mntr dl&alys CPT 94776 | not published | not published | $164.28 – $164.28 | 1 |
| Pedicle enel/ntroral 15576 CPT 15576 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $3,920.00 | $4,900.00 | $31.73 – $4,410.00 | 15 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | $2,809.27 | $3,511.58 | $98.36 – $3,160.42 | 15 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $2,858.24 | $3,572.80 | $146.06 – $3,215.52 | 15 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | $4,972.60 | $6,215.74 | $311.44 – $5,594.17 | 15 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $1,882.92 | $2,353.64 | $138.08 – $2,118.28 | 15 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | not published | not published | $189.71 – $189.71 | 1 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | not published | not published | $3,547.84 – $3,547.84 | 1 |
| Pegunigalsidase alfa-iwxj HCPCS J2508 | not published | not published | $227.78 – $227.78 | 1 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $2,530.40 | $3,163.00 | $186.92 – $2,846.70 | 15 |
| Pelvic CT scan (with contrast) CPT 72193 | $2,115.20 | $2,644.00 | $186.92 – $2,379.60 | 15 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,703.20 | $2,129.00 | $111.66 – $1,916.10 | 15 |
| Pelvic MRI (with and without contrast) CPT 72197 | $3,416.80 | $4,271.00 | $374.99 – $3,843.90 | 15 |
| Pelvic MRI (with contrast) CPT 72196 | $3,568.80 | $4,461.00 | $374.99 – $4,014.90 | 15 |
| Pelvic MRI (without contrast) CPT 72195 | $2,810.40 | $3,513.00 | $253.81 – $3,161.70 | 15 |
| Pelvic ring fracture uni/bil HCPCS G0413 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Pelvic Ultrasound (complete) CPT 76856 | $776.80 | $971.00 | $111.66 – $873.90 | 15 |
| Pelvic Ultrasound (limited) CPT 76857 | $716.80 | $896.00 | $111.66 – $806.40 | 15 |
| Pelvis X-ray (1 to 2 views) CPT 72170 | $310.40 | $388.00 | $93.93 – $349.20 | 15 |
| Pelvis X-ray (complete, 4 or more views) CPT 72190 | $400.80 | $501.00 | $111.66 – $450.90 | 15 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | not published | not published | $58.52 – $69.76 | 2 |
| Pemivibart infusion HCPCS M0224 | $783.20 | $979.00 | $237.02 – $881.10 | 15 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $457.17 | $571.46 | $138.35 – $514.31 | 15 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $58.25 | $72.81 | $17.50 – $65.06 | 15 |
| Penile injection CPT 54235 | not published | not published | $255.37 – $255.37 | 1 |
| Penile vascular study CPT 93980 | not published | not published | $111.66 – $111.66 | 1 |
| Penile vascular study CPT 93981 | not published | not published | $111.66 – $111.66 | 1 |
| Penile venous occlusion CPT 37790 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Penis plastic surgery CPT 54360 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Penis study CPT 54240 | not published | not published | $326.96 – $326.96 | 1 |
| Pentamidine non-comp unit HCPCS J2545 | $136.40 | $170.50 | $26.61 – $98.93 | 15 |
| Perc cryo ablate renal tum CPT 50593 | not published | not published | $10,931.77 – $10,931.77 | 1 |
| Perc d-e cor revasc chro sin HCPCS C9607 | not published | not published | $18,854.56 – $18,854.56 | 1 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | not published | not published | $11,907.60 – $11,907.60 | 1 |
| Perc d-e cor stent ather s HCPCS C9602 | not published | not published | $18,854.56 – $18,854.56 | 1 |
| Perc drug-el cor stent sing HCPCS C9600 | not published | not published | $11,907.60 – $11,907.60 | 1 |
| Perc rf ablate renal tumor CPT 50592 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Percut ablate liver rf CPT 47382 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $597.95 | $747.43 | $78.08 – $290.25 | 15 |
| Pericardiocentesis wwo imaging CPT 33016 | not published | not published | $1,631.11 – $1,631.11 | 1 |
| Peri-implt capslc brst compl CPT 19371 | not published | not published | $4,020.74 – $4,020.74 | 1 |
| Perineoplasty rpr per nonob CPT 56810 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Peripheral vascular rehab CPT 93668 | $154.40 | $193.00 | $46.73 – $173.70 | 15 |
| Peritoneal cath sub q resv per CPT 49419 | not published | not published | $5,675.99 – $5,675.99 | 1 |
| Peritoneogram rs&i CPT 74190 | not published | not published | $575.70 – $575.70 | 1 |
| Perit-vens shunt pat tst CPT 78291 | not published | not published | $421.92 – $421.92 | 1 |
| Perq dev breast 1st mr guide CPT 19287 | not published | not published | $738.77 – $738.77 | 1 |
| Perq dev breast 1st strtctc CPT 19283 | not published | not published | $738.77 – $738.77 | 1 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | not published | not published | $9,709.51 – $9,709.51 | 1 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | not published | not published | $9,709.51 – $9,709.51 | 1 |
| Perq p-art revsc 1 abnor bi CPT 33903 | not published | not published | $11,907.60 – $11,907.60 | 1 |
| Perq p-art revsc 1 abnor uni CPT 33902 | not published | not published | $18,854.56 – $18,854.56 | 1 |
| Perq p-art revsc 1 nm nt bi CPT 33901 | not published | not published | $11,907.60 – $11,907.60 | 1 |
| Perq plmt bile duct stent CPT 47538 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Perq plmt bile duct stent CPT 47539 | not published | not published | $6,126.08 – $6,126.08 | 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.