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 |
|---|---|---|---|---|
| Warde vitamin a CPT 84590 | $117.60 | $147.00 | $14.77 – $54.90 | 15 |
| Warde vitamin b-1 (thiamine) CPT 84425 | $52.00 | $65.00 | $15.74 – $58.50 | 15 |
| Warde vitamin b6 (pyridoxine) CPT 84207 | $68.80 | $86.00 | $20.82 – $77.40 | 15 |
| Warde vitamin c (ascorbic acid) CPT 82180 | $28.00 | $35.00 | $8.47 – $31.50 | 15 |
| Warde vitamin d (1 25 dihydroxy) CPT 82652 | $231.20 | $289.00 | $37.04 – $137.70 | 15 |
| Warde vitamin e (alpha-tocopherol) CPT 84446 | $142.40 | $178.00 | $14.77 – $54.90 | 15 |
| Warde zinc CPT 84630 | $40.00 | $50.00 | $7.99 – $29.70 | 15 |
| Wash harvest stem cells CPT 38209 | not published | not published | $459.04 – $459.04 | 1 |
| Wbc automated CPT 85048 | $35.20 | $44.00 | $10.65 – $39.60 | 15 |
| Wcd device interrogate CPT 93292 | not published | not published | $39.15 – $39.15 | 1 |
| Wedge rescj/bisctj ovary uni/bi 58920 CPT 58920 | not published | not published | $7,764.55 – $7,764.55 | 1 |
| Wedging of cast CPT 29740 | not published | not published | $278.86 – $278.86 | 1 |
| Wedging of clubfoot cast CPT 29750 | not published | not published | $278.86 – $278.86 | 1 |
| Whole-Body Bone Scan (Nuclear Medicine) CPT 78306 | $1,789.60 | $2,237.00 | $421.92 – $2,013.30 | 15 |
| Whole Skeleton X-ray Survey CPT 77075 | $968.00 | $1,210.00 | $111.66 – $1,089.00 | 15 |
| Wound Cleaning and Dead Tissue Removal (up to 20 sq cm) CPT 97597 | $358.40 | $448.00 | $108.46 – $403.20 | 15 |
| Wound therapy negative pressure per session <= 50 sq cm CPT 97607 | not published | not published | $419.51 – $419.51 | 1 |
| Wound therapy negative pressure per session > 50 sq cm CPT 97608 | not published | not published | $419.51 – $419.51 | 1 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | not published | not published | $208.64 – $208.64 | 1 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | not published | not published | $419.51 – $419.51 | 1 |
| Wrist arthroscopy CPT 29840 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Wrist arthroscopy/surgery CPT 29843 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Wrist arthroscopy/surgery CPT 29844 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Wrist arthroscopy/surgery CPT 29845 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Wrist arthroscopy/surgery CPT 29846 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Wrist arthroscopy/surgery CPT 29847 | not published | not published | $7,500.92 – $7,500.92 | 1 |
| Wrist endoscopy/surgery CPT 29848 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Wrist X-ray CPT 73110 | $311.20 | $389.00 | $92.45 – $350.10 | 15 |
| Wrist X-ray (2 views, both wrists) CPT 73100 | $321.60 | $402.00 | $92.45 – $361.80 | 15 |
| Xcapsl ctrc rmvl cplx w/ecp CPT 66987 | not published | not published | $4,224.00 – $4,224.00 | 1 |
| Xcapsl ctrc rmvl cplx wo ecp CPT 66982 | not published | not published | $2,394.77 – $2,394.77 | 1 |
| Xcapsl ctrc rmvl insj 1+ CPT 66991 | not published | not published | $5,417.70 – $5,417.70 | 1 |
| Xcapsl ctrc rmvl w/ecp CPT 66988 | not published | not published | $4,224.00 – $4,224.00 | 1 |
| Xcpsl ctrc rmvl cplx insj 1+ CPT 66989 | not published | not published | $5,417.70 – $5,417.70 | 1 |
| Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/< CPT 14040 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| Xfer tis s/a/l 10 sq cm/< CPT 14020 | not published | not published | $1,920.69 – $1,920.69 | 1 |
| X-ray abdomen >=3 views CPT 74021 | not published | not published | $111.66 – $111.66 | 1 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $1,074.40 | $1,343.00 | $325.14 – $1,208.70 | 15 |
| X-ray bone length studies CPT 77073 | not published | not published | $111.66 – $111.66 | 1 |
| X-ray bone survey infant CPT 77076 | not published | not published | $111.66 – $111.66 | 1 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $579.20 | $724.00 | $111.66 – $651.60 | 15 |
| X-ray exam entire spi 6/> vw CPT 72084 | not published | not published | $111.66 – $111.66 | 1 |
| X-ray exam of arm infant CPT 73092 | $277.60 | $347.00 | $84.01 – $312.30 | 15 |
| X-ray exam of femur 1 CPT 73551 | $280.00 | $350.00 | $84.74 – $315.00 | 15 |
| X-ray exam of jaw joint CPT 70328 | not published | not published | $92.45 – $92.45 | 1 |
| X-ray exam of jaw joint CPT 70332 | not published | not published | $253.81 – $253.81 | 1 |
| X-ray exam of mastoids CPT 70120 | not published | not published | $111.66 – $111.66 | 1 |
| X-ray exam of middle ear CPT 70134 | not published | not published | $575.70 – $575.70 | 1 |
| X-ray exam of penis CPT 74445 | not published | not published | $111.66 – $111.66 | 1 |
| X-ray exam of perineum CPT 74775 | not published | not published | $253.81 – $253.81 | 1 |
| X-ray exam of salivary gland CPT 70380 | not published | not published | $92.45 – $92.45 | 1 |
| X-ray exam of tear duct CPT 70170 | not published | not published | $253.81 – $253.81 | 1 |
| X-ray exam of teeth CPT 70300 | not published | not published | $92.45 – $92.45 | 1 |
| X-ray exam of teeth CPT 70310 | not published | not published | $253.81 – $253.81 | 1 |
| X-ray exam si joints CPT 72200 | not published | not published | $111.66 – $111.66 | 1 |
| X-ray exam thorac spine4/>vw CPT 72074 | $548.80 | $686.00 | $111.66 – $617.40 | 15 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $258.40 | $323.00 | $78.20 – $290.70 | 15 |
| X-ray head for orthodontia CPT 70350 | not published | not published | $92.45 – $92.45 | 1 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $352.80 | $441.00 | $106.77 – $396.90 | 15 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $634.40 | $793.00 | $111.66 – $713.70 | 15 |
| X-ray joint survey 1 view CPT 77077 | not published | not published | $111.66 – $111.66 | 1 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $292.00 | $365.00 | $88.37 – $328.50 | 15 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $280.00 | $350.00 | $84.74 – $315.00 | 15 |
| X-ray male genital tract CPT 74440 | not published | not published | $253.81 – $253.81 | 1 |
| X-ray mandible ltd <4 views CPT 70100 | $318.40 | $398.00 | $92.45 – $358.20 | 15 |
| X-ray nose to rectum for foreign body child CPT 76010 | $297.60 | $372.00 | $90.06 – $334.80 | 15 |
| X-ray of mammary ducts CPT 77054 | not published | not published | $253.81 – $253.81 | 1 |
| X-ray optic foramina CPT 70190 | $86.40 | $108.00 | $26.15 – $97.20 | 15 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $1,073.60 | $1,342.00 | $324.90 – $1,207.80 | 15 |
| X-ray ribs 2 views left CPT 71100 | $282.40 | $353.00 | $85.46 – $317.70 | 15 |
| X-ray sella turcica CPT 70240 | not published | not published | $92.45 – $92.45 | 1 |
| X-ray sinus tract/fistula/abscess CPT 76080 | not published | not published | $575.70 – $575.70 | 1 |
| X-ray slg plne bdy sect without urogr CPT 76100 | not published | not published | $111.66 – $111.66 | 1 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | not published | not published | $92.45 – $92.45 | 1 |
| X-ray surgical specimen CPT 76098 | not published | not published | $575.70 – $575.70 | 1 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $312.00 | $390.00 | $92.45 – $351.00 | 15 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | not published | not published | $186.92 – $186.92 | 1 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $65.92 | $82.39 | $19.95 – $74.15 | 15 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $1,639.80 | $2,049.75 | $8.70 – $32.36 | 15 |
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.