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 |
|---|---|---|---|---|
| Unlisted px forearm/wrist CPT 25999 | not published | not published | $251.87 – $251.87 | 1 |
| Unlisted px hands/fingers CPT 26989 | not published | not published | $251.87 – $251.87 | 1 |
| Unlisted px inner ear CPT 69949 | not published | not published | $243.83 – $243.83 | 1 |
| Unlisted px lacrimal system CPT 68899 | not published | not published | $313.88 – $313.88 | 1 |
| Unlisted px leg/ankle CPT 27899 | not published | not published | $251.87 – $251.87 | 1 |
| Unlisted px male genital sys CPT 55899 | not published | not published | $255.37 – $255.37 | 1 |
| Unlisted px med radj physics CPT 77399 | not published | not published | $139.41 – $139.41 | 1 |
| Unlisted px middle ear CPT 69799 | not published | not published | $243.83 – $243.83 | 1 |
| Unlisted px neck/thorax CPT 21899 | not published | not published | $243.83 – $243.83 | 1 |
| Unlisted px palate uvula CPT 42299 | not published | not published | $243.83 – $243.83 | 1 |
| Unlisted px pelvis/hip joint CPT 27299 | not published | not published | $251.87 – $251.87 | 1 |
| Unlisted px posterior segmnt CPT 67299 | not published | not published | $2,394.77 – $2,394.77 | 1 |
| Unlisted px salivry glnd/dux CPT 42699 | not published | not published | $243.83 – $243.83 | 1 |
| Unlisted px small intestine CPT 44799 | not published | not published | $984.44 – $984.44 | 1 |
| Unlisted px temporal bone CPT 69979 | not published | not published | $243.83 – $243.83 | 1 |
| Unlisted px ther rad tx plng CPT 77299 | not published | not published | $139.41 – $139.41 | 1 |
| Unlisted px tongue flr mouth CPT 41599 | not published | not published | $243.83 – $243.83 | 1 |
| Unlisted px vestibule mouth CPT 40899 | not published | not published | $243.83 – $243.83 | 1 |
| Unlisted resp px dx nuc med CPT 78599 | not published | not published | $421.92 – $421.92 | 1 |
| Unlisted spec derm svc/px CPT 96999 | not published | not published | $208.64 – $208.64 | 1 |
| Unlisted ultrasound procedure CPT 76999 | $401.60 | $502.00 | $92.45 – $451.80 | 15 |
| Unlisted vasc endoscopy px CPT 37501 | not published | not published | $649.17 – $649.17 | 1 |
| Unlstd hematop ret/endo lymp CPT 78199 | not published | not published | $421.92 – $421.92 | 1 |
| Unlstd laps px mat care&dlvr CPT 59898 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Unlstd laps px sprmatic cord CPT 55559 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Unsched dialysis esrd pt hos HCPCS G0257 | not published | not published | $734.71 – $734.71 | 1 |
| Upgrade pm system CPT 33214 | not published | not published | $10,988.60 – $10,988.60 | 1 |
| Upper Arm (Humerus) X-ray (left side) CPT 73060 | $296.00 | $370.00 | $89.58 – $333.00 | 15 |
| Upper Back (Thoracic Spine) CT Scan (with contrast) CPT 72129 | not published | not published | $186.92 – $446.60 | 2 |
| Upper Back (Thoracic Spine) CT Scan (without contrast) CPT 72128 | $1,844.00 | $2,305.00 | $111.66 – $2,074.50 | 15 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $3,820.00 | $4,775.00 | $374.99 – $4,297.50 | 15 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $3,275.20 | $4,094.00 | $374.99 – $3,684.60 | 15 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $2,879.20 | $3,599.00 | $253.81 – $3,239.10 | 15 |
| Upper Back (Thoracic Spine) X-ray (2 views) CPT 72070 | $355.20 | $444.00 | $107.49 – $399.60 | 15 |
| Upper Back (Thoracic Spine) X-ray (3 views) CPT 72072 | $517.60 | $647.00 | $111.66 – $582.30 | 15 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | not published | not published | $984.44 – $1,135.20 | 2 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | not published | not published | $984.44 – $1,135.20 | 2 |
| Upper GI Barium X-ray (barium and gas) CPT 74246 | not published | not published | $186.92 – $186.92 | 1 |
| Upper GI Barium X-ray (barium only) CPT 74240 | not published | not published | $186.92 – $186.92 | 1 |
| Uppr gi scope w/submuc inj CPT 43236 | not published | not published | $984.44 – $984.44 | 1 |
| Urachal cyst/sinus excision 51500 CPT 51500 | not published | not published | $6,126.08 – $6,126.08 | 1 |
| Urea nitrogen CPT 84520 | $54.40 | $68.00 | $13.32 – $49.50 | 15 |
| Urea nitrogen 24 hour urine CPT 84540 | $20.00 | $25.00 | $4.36 – $16.20 | 15 |
| Ureteral reflux study CPT 78740 | not published | not published | $421.92 – $421.92 | 1 |
| Ureter endoscopy CPT 50970 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Ureter endoscopy & biopsy CPT 50974 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Ureter endoscopy & catheter CPT 50972 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Ureter endoscopy & treatment CPT 50957 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $5,337.80 – $5,337.80 | 1 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $849.60 | $1,062.00 | $253.81 – $955.80 | 15 |
| Urethrlys transvag with scope CPT 53500 | not published | not published | $3,621.42 – $3,621.42 | 1 |
| Urethrocystography void s&i CPT 74455 | not published | not published | $253.81 – $253.81 | 1 |
| Uric acid blood CPT 84550 | $46.40 | $58.00 | $14.04 – $52.20 | 15 |
| Uric acid urine CPT 84560 | $47.20 | $59.00 | $3.87 – $14.40 | 15 |
| Urinalysis microscopic only CPT 81015 | $33.60 | $42.00 | $10.17 – $37.80 | 15 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | $68.00 | $85.00 | $20.58 – $76.50 | 15 |
| Urinalysis (with microscopy) CPT 81001 | $62.40 | $78.00 | $18.88 – $70.20 | 15 |
| Urinalysis (without microscopy) CPT 81003 | $28.80 | $36.00 | $7.26 – $27.00 | 15 |
| Urinary reflex study CPT 51792 | not published | not published | $62.37 – $62.37 | 1 |
| Urine Culture Test CPT 87086 | $84.80 | $106.00 | $25.66 – $95.40 | 15 |
| Urine flow measurement 51736 CPT 51736 | not published | not published | $135.35 – $135.35 | 1 |
| Urine pregnancy test CPT 81025 | $60.80 | $76.00 | $18.40 – $68.40 | 15 |
| Urography, antegrade CPT 74425 | not published | not published | $374.99 – $374.99 | 1 |
| Urography inf drip &/or bolus CPT 74410 | not published | not published | $186.92 – $186.92 | 1 |
| Use 1st target lesion CPT 76982 | not published | not published | $111.66 – $111.66 | 1 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $2,558.91 | $3,198.63 | $774.39 – $2,878.77 | 15 |
| Vaccine Administration (one shot) CPT 90471 | $72.00 | $90.00 | $4.76 – $17.71 | 15 |
| Vaccine dtap < 7 years im CPT 90700 | $56.44 | $70.54 | $11.36 – $42.23 | 15 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $56.32 | $70.39 | $17.04 – $63.35 | 15 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | $122.85 | $153.56 | $37.18 – $138.20 | 15 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | $60.37 | $75.46 | $18.27 – $67.91 | 15 |
| Vaccine rabies im CPT 90675 | $467.37 | $584.21 | $141.44 – $525.79 | 15 |
| Vaccine tdap >=7 years im CPT 90715 | $70.24 | $87.80 | $20.13 – $74.84 | 15 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $83.66 | $104.57 | $11.84 – $44.00 | 15 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | not published | not published | $5,183.27 – $5,183.27 | 1 |
| Vag hyst incl t/o complex CPT 58291 | not published | not published | $5,183.27 – $5,183.27 | 1 |
| Vag hyst including t/o CPT 58262 | not published | not published | $5,183.27 – $5,183.27 | 1 |
| Vag hyst t/o & repair compl CPT 58292 | not published | not published | $7,764.55 – $7,764.55 | 1 |
| Vag hyst w/enterocele compl 58294 CPT 58294 | not published | not published | $5,183.27 – $5,183.27 | 1 |
| Vag hyst w/enterocele repair CPT 58270 | not published | not published | $5,183.27 – $5,183.27 | 1 |
| Vaginal bx CPT 58999 | not published | not published | $211.23 – $211.23 | 1 |
| Vaginal delivery after cesarean delivery 59612 CPT 59612 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Vaginal hysterectomy CPT 58260 | not published | not published | $5,183.27 – $5,183.27 | 1 |
| Vaginectomy partial w/nodes CPT 57109 | not published | not published | $3,338.51 – $3,338.51 | 1 |
| Valproic acid total therapeutic drug level CPT 80164 | $102.40 | $128.00 | $12.11 – $45.00 | 15 |
| Valvuloplasty aortic CPT 92986 | not published | not published | $5,986.60 – $5,986.60 | 1 |
| Valvuloplasty mitral CPT 92987 | not published | not published | $11,907.60 – $11,907.60 | 1 |
| Valvuloplasty pulmonary CPT 92990 | not published | not published | $11,907.60 – $11,907.60 | 1 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | $33.37 | $41.71 | $7.62 – $28.31 | 15 |
| Vancomycin 750 mg intravenous solution HCPCS J3374 | $71.42 | $89.27 | $9.48 – $35.23 | 15 |
| Vancomycin peak therapeutic drug level CPT 80202 | $100.80 | $126.00 | $30.50 – $113.40 | 15 |
| Varicella zoster antibody igg CPT 86787 | $54.40 | $68.00 | $16.46 – $61.20 | 15 |
| Vasc graft into carpal bone CPT 25430 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Vasectomy CPT 55250 | not published | not published | $2,150.94 – $2,150.94 | 1 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | $9,422.31 | $11,777.88 | $22.69 – $10,600.09 | 15 |
| Veeg cont 2-12 hrs CPT 95713 | not published | not published | $557.13 – $557.13 | 1 |
| Veeg ea 12-26hr cont mntr CPT 95716 | not published | not published | $1,068.26 – $1,068.26 | 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.