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 |
|---|---|---|---|---|
| Stenger test pure tone CPT 92565 | not published | not published | $62.37 – $62.37 | 1 |
| Stenger test speech CPT 92577 | not published | not published | $557.13 – $557.13 | 1 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | not published | not published | $18,854.56 – $18,854.56 | 1 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | not published | not published | $11,907.60 – $11,907.60 | 1 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | not published | not published | $18,854.56 – $18,854.56 | 1 |
| Sterile water/saline, 10 ml HCPCS A4216 | $2.40 | $3.00 | $0.73 – $2.70 | 15 |
| Sterile water/saline, 500 ml HCPCS A4217 | $40.00 | $50.00 | $7.43 – $27.64 | 15 |
| St evaluate speech sound production CPT 92522 | $237.60 | $297.00 | $71.90 – $267.30 | 15 |
| Stimulation of spinal cord CPT 63610 | not published | not published | $2,050.41 – $2,050.41 | 1 |
| Stomach Emptying Scan (Nuclear Medicine) CPT 78264 | not published | not published | $421.92 – $421.92 | 1 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $228.80 | $286.00 | $69.24 – $257.40 | 15 |
| Strapping of chest CPT 29200 | not published | not published | $165.68 – $165.68 | 1 |
| Strapping of elbow or wrist 29260 CPT 29260 | $192.00 | $240.00 | $58.10 – $216.00 | 15 |
| Strapping of hand or finger CPT 29280 | not published | not published | $62.37 – $62.37 | 1 |
| Strapping of hip CPT 29520 | not published | not published | $135.35 – $135.35 | 1 |
| Strapping of knee CPT 29530 | not published | not published | $135.35 – $135.35 | 1 |
| Strapping of toes 29550 CPT 29550 | not published | not published | $62.37 – $62.37 | 1 |
| Strep b dna amp probe CPT 87653 | $71.20 | $89.00 | $21.55 – $80.10 | 15 |
| Stress test pulmonary CPT 94618 | not published | not published | $135.35 – $135.35 | 1 |
| Stress tte complete CPT 93351 | not published | not published | $575.70 – $575.70 | 1 |
| Subdural tap fontanelle/sutur infant init 61000 CPT 61000 | not published | not published | $727.15 – $727.15 | 1 |
| Subq njx filling matrl 1cc/< CPT 11950 | not published | not published | $208.64 – $208.64 | 1 |
| Subq njx fil matrl 5.1-10cc CPT 11952 | not published | not published | $642.74 – $642.74 | 1 |
| Subtalar arthro w/deb CPT 29906 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Subtalar arthro w/exc CPT 29905 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Subtalar arthro w/fb rmvl CPT 29904 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Subtalar arthro w/fusion CPT 29907 | not published | not published | $13,510.16 – $13,510.16 | 1 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $31.83 | $39.78 | $8.23 – $30.60 | 15 |
| Suction lipectomy head&neck CPT 15876 | not published | not published | $3,844.02 – $3,844.02 | 1 |
| Suction lipectomy lwr extrem CPT 15879 | not published | not published | $3,844.02 – $3,844.02 | 1 |
| Suction lipectomy trunk CPT 15877 | not published | not published | $3,844.02 – $3,844.02 | 1 |
| Suction lipectomy upr extrem CPT 15878 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | $29.92 | $37.40 | $7.84 – $29.16 | 15 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $33.12 | $41.39 | $8.17 – $30.36 | 15 |
| Sup of prep of antigen # of vials 95144 CPT 95144 | not published | not published | $48.45 – $48.45 | 1 |
| Surg dx exam anorectal CPT 45990 | not published | not published | $2,879.51 – $2,879.51 | 1 |
| Surgery for urethra pouch CPT 53240 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Surgery to stop leg growth CPT 27475 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Surgery to stop leg growth CPT 27477 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Surgery to stop leg growth CPT 27479 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Surgery to stop leg growth CPT 27485 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Surgical exposure prostate 55860 CPT 55860 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Surgical opening of stomach CPT 43510 | not published | not published | $984.44 – $984.44 | 1 |
| Surgical opening of throat CPT 42955 | not published | not published | $1,555.34 – $1,555.34 | 1 |
| Surgical pathology level 1 gross examination only CPT 88300 | $56.00 | $70.00 | $16.95 – $63.00 | 15 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $85.60 | $107.00 | $25.90 – $96.30 | 15 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $101.60 | $127.00 | $30.75 – $114.30 | 15 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $154.40 | $193.00 | $79.75 – $173.70 | 15 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $463.20 | $579.00 | $140.18 – $521.10 | 15 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $716.00 | $895.00 | $216.68 – $805.50 | 15 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | not published | not published | $2,879.51 – $2,879.51 | 1 |
| Susceptibility agar dilution per agent CPT 87181 | $36.00 | $45.00 | $7.02 – $26.10 | 15 |
| Susceptibility mic per plate CPT 87186 | $68.00 | $85.00 | $15.25 – $56.70 | 15 |
| Suspension of testis CPT 54620 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Svc venogram s&i CPT 75827 | not published | not published | $1,631.11 – $1,631.11 | 1 |
| Swallowing Evaluation (Bedside) CPT 92610 | $338.40 | $423.00 | $102.41 – $380.70 | 15 |
| Swallowing Therapy Session CPT 92526 | $273.60 | $342.00 | $82.80 – $307.80 | 15 |
| Sympathectomy cervical CPT 64802 | not published | not published | $2,050.41 – $2,050.41 | 1 |
| Sympathectomy digital artery CPT 64820 | not published | not published | $2,050.41 – $2,050.41 | 1 |
| Sympathectomy supfc palmar CPT 64823 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Synthetic sentence id test CPT 92576 | not published | not published | $41.21 – $41.21 | 1 |
| Synvisc or synvisc-one HCPCS J7325 | $608.68 | $760.84 | $184.20 – $684.76 | 15 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $11.20 | $14.00 | $3.39 – $12.60 | 15 |
| T3 (triiodothyronine) free CPT 84481 | $122.40 | $153.00 | $37.04 – $137.70 | 15 |
| T3 (triiodothyronine) total CPT 84480 | $107.20 | $134.00 | $32.44 – $120.60 | 15 |
| T4 (thyroxine) free CPT 84439 | $81.60 | $102.00 | $24.69 – $91.80 | 15 |
| T4 (thyroxine) total CPT 84436 | $44.80 | $56.00 | $13.07 – $48.60 | 15 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $2.40 | $3.00 | $0.73 – $2.70 | 15 |
| Tacrolimus therapeutic drug level CPT 80197 | $180.00 | $225.00 | $42.37 – $157.50 | 15 |
| Tailbone (Sacrum and Coccyx) X-ray CPT 72220 | $336.80 | $421.00 | $92.45 – $378.90 | 15 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $642.74 – $642.74 | 1 |
| Tbs techl calculation only CPT 77091 | not published | not published | $92.45 – $92.45 | 1 |
| Tbs techl prep&transmis data CPT 77090 | not published | not published | $92.45 – $92.45 | 1 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $289.60 | $362.00 | $87.64 – $325.80 | 15 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $250.40 | $313.00 | $56.17 – $208.80 | 15 |
| Tc-99m mebrofenin HCPCS A9537 | $178.40 | $223.00 | $53.99 – $200.70 | 15 |
| Tc-99m medronate HCPCS A9503 | $133.60 | $167.00 | $40.43 – $150.30 | 15 |
| Tc-99m mertiatide HCPCS A9562 | $756.00 | $945.00 | $228.78 – $850.50 | 15 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $352.00 | $440.00 | $106.52 – $396.00 | 15 |
| Tcd emboli detect w/inj CPT 93893 | not published | not published | $111.66 – $111.66 | 1 |
| Tcd emboli detect without inj CPT 93892 | not published | not published | $111.66 – $111.66 | 1 |
| T-cell depletion of harvest CPT 38210 | not published | not published | $459.04 – $459.04 | 1 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $156.00 | $195.00 | $47.21 – $175.50 | 15 |
| T cells absolute cd 4 count CPT 86361 | $114.40 | $143.00 | $34.62 – $128.70 | 15 |
| T cells total count CPT 86359 | $139.20 | $174.00 | $42.13 – $156.60 | 15 |
| Tcranial magn stim tx deli CPT 90868 | not published | not published | $326.96 – $326.96 | 1 |
| Tcranial magn stim tx plan CPT 90867 | not published | not published | $326.96 – $326.96 | 1 |
| Tcran magn stim redetemine CPT 90869 | not published | not published | $326.96 – $326.96 | 1 |
| Tee w or without fol w/cont,cong HCPCS C8926 | not published | not published | $829.56 – $829.56 | 1 |
| Tee w or without fol w/cont, mon HCPCS C8927 | not published | not published | $829.56 – $829.56 | 1 |
| Telehealth original site facility fee HCPCS Q3014 | $57.60 | $72.00 | $17.43 – $64.80 | 15 |
| Telethx isodose plan cplx CPT 77307 | not published | not published | $384.37 – $384.37 | 1 |
| Telethx isodose plan simple CPT 77306 | not published | not published | $384.37 – $384.37 | 1 |
| Temperature gradient studies CPT 93740 | not published | not published | $164.28 – $164.28 | 1 |
| Tendon lengthening CPT 26476 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Tendon lngth upr a/e ea tdn CPT 24305 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Tendon shortening CPT 26477 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Tendon transfer with graft CPT 26492 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $8,632.32 | $10,790.40 | $2,068.74 – $7,690.50 | 15 |
| Tenodesis biceps tdn at elbw CPT 24340 | not published | not published | $7,500.92 – $7,500.92 | 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.