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 |
|---|---|---|---|---|
| Reconstr lwr jaw w/advance CPT 21199 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Reconstruct ankle joint CPT 27702 | not published | not published | $19,309.55 – $19,309.55 | 1 |
| Reconstruct cleft foot CPT 28360 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Reconstruct cleft palate CPT 42200 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Reconstruct cleft palate CPT 42205 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Reconstruct cleft palate CPT 42210 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Reconstruct cleft palate CPT 42215 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Reconstruct cleft palate CPT 42220 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Reconstruct cleft palate CPT 42225 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Reconstruct elbow joint CPT 24360 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Reconstruct elbow joint CPT 24361 | not published | not published | $19,309.55 – $19,309.55 | 1 |
| Reconstruct elbow joint CPT 24362 | not published | not published | $13,510.16 – $13,510.16 | 1 |
| Reconstruct elbow lat ligmnt CPT 24344 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Reconstruct elbow med ligmnt CPT 24346 | not published | not published | $13,510.16 – $13,510.16 | 1 |
| Reconstruct extra finger CPT 26587 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Reconstruct finger joint CPT 26545 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Reconstruct finger joint CPT 26548 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Reconstruct head of radius CPT 24365 | not published | not published | $13,510.16 – $13,510.16 | 1 |
| Reconstruct head of radius CPT 24366 | not published | not published | $13,510.16 – $13,510.16 | 1 |
| Reconstruction knee CPT 27427 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Reconstruction knee CPT 27428 | not published | not published | $13,510.16 – $13,510.16 | 1 |
| Reconstruction knee CPT 27429 | not published | not published | $13,510.16 – $13,510.16 | 1 |
| Reconstruction of anus CPT 46753 | not published | not published | $2,879.51 – $2,879.51 | 1 |
| Reconstruction of eyelid CPT 67971 | not published | not published | $2,449.61 – $2,449.61 | 1 |
| Reconstruction of eyelid CPT 67973 | not published | not published | $2,449.61 – $2,449.61 | 1 |
| Reconstruction of eyelid CPT 67974 | not published | not published | $3,959.55 – $3,959.55 | 1 |
| Reconstruction of eyelid CPT 67975 | not published | not published | $2,449.61 – $2,449.61 | 1 |
| Reconstruction of jaw CPT 21245 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Reconstruction of jaw CPT 21246 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Reconstruction of jaw CPT 21248 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Reconstruction of jaw CPT 21249 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Reconstruction of jaw joint CPT 21240 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Reconstruction of jaw joint CPT 21242 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Reconstruction of jaw joint CPT 21243 | not published | not published | $19,309.55 – $19,309.55 | 1 |
| Reconstruction of lower jaw CPT 21244 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Reconstruction of mouth CPT 40840 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Reconstruction of mouth CPT 40842 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Reconstruction of mouth CPT 40843 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Reconstruction of mouth CPT 40844 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Reconstruction of mouth CPT 40845 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Reconstruction of nail bed CPT 11762 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| Reconstruction of nose CPT 30410 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Reconstruction of nose CPT 30420 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Reconstruction of orbit CPT 21256 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Reconstruction of throat CPT 42950 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Reconstruction of urethra CPT 53410 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Reconstruction of urethra CPT 53430 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Reconstruction of urethra CPT 54308 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Reconstruction of urethra CPT 54312 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Reconstruction of urethra CPT 54316 | not published | not published | $9,709.51 – $9,709.51 | 1 |
| Reconstruction of urethra CPT 54318 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Reconstruction of urethra CPT 54322 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Reconstruction of urethra CPT 54324 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Reconstruction of urethra CPT 54326 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Reconstruction tongue fold CPT 41520 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Reconstruct lip with flap CPT 40527 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Reconstruct lip w/local flap 40525 CPT 40525 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Reconstruct lower jaw bone CPT 21255 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Reconstruct orbit/forehead CPT 21172 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Reconstruct shoulder joint CPT 23470 | not published | not published | $13,510.16 – $13,510.16 | 1 |
| Reconstruct shoulder joint CPT 23472 | not published | not published | $19,309.55 – $19,309.55 | 1 |
| Reconstruct ulna/radioulnar CPT 25337 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Reconstruct upper jaw bone CPT 21206 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Reconstruct urethra/bladder CPT 53431 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Reconstruct urethra stage 1 CPT 53420 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Reconstruct urethra stage 2 CPT 53425 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Rectal sensation test CPT 91120 | not published | not published | $326.96 – $326.96 | 1 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $505.60 | $632.00 | $153.01 – $568.80 | 15 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $734.40 | $918.00 | $222.25 – $826.20 | 15 |
| Red cell mass multiple CPT 78121 | not published | not published | $565.18 – $565.18 | 1 |
| Red cell mass single CPT 78120 | not published | not published | $421.92 – $421.92 | 1 |
| Red cell sequestration CPT 78140 | not published | not published | $421.92 – $421.92 | 1 |
| Red cell survival study CPT 78130 | not published | not published | $421.92 – $421.92 | 1 |
| Redo endovas vena cava filtr CPT 37192 | not published | not published | $3,304.88 – $3,304.88 | 1 |
| Reduce testis torsion CPT 54600 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Reduction of facial bones CPT 21209 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Reduction of procidentia 45900 CPT 45900 | not published | not published | $957.30 – $957.30 | 1 |
| Re-explore parathyroids CPT 60502 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Refill maint impl spine pump CPT 95991 | not published | not published | $309.95 – $309.95 | 1 |
| Refill/maint pump/resvr syst CPT 96522 | not published | not published | $221.22 – $284.80 | 2 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | $312.00 | $390.00 | $9.16 – $34.04 | 15 |
| Reinforce clavicle CPT 23490 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Reinforce eye wall CPT 67250 | not published | not published | $2,449.61 – $2,449.61 | 1 |
| Reinforce/graft eye wall CPT 67255 | not published | not published | $4,224.00 – $4,224.00 | 1 |
| Reinforce shoulder bones CPT 23491 | not published | not published | $13,510.16 – $13,510.16 | 1 |
| Reinforce tibia CPT 27745 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Reinnervate larynx CPT 31590 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Reinsert ocular implant CPT 65155 | not published | not published | $3,959.55 – $3,959.55 | 1 |
| Release encircling material CPT 67115 | not published | not published | $4,224.00 – $4,224.00 | 1 |
| Release eye tissue CPT 67343 | not published | not published | $2,449.61 – $2,449.61 | 1 |
| Release facial nerve CPT 69720 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Release facial nerve CPT 69725 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Release facial nerve CPT 69955 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Release finger contracture CPT 26525 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Release forearm/hand tendon CPT 26449 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Release inner ear canal CPT 69960 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Release knuckle contracture CPT 26520 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Release middle ear bone CPT 69650 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Release muscles of hand CPT 26593 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Release of eye fluid CPT 67015 | not published | not published | $2,394.77 – $2,394.77 | 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.