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 |
|---|---|---|---|---|
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | $472.00 | $590.00 | $142.84 – $531.00 | 15 |
| Clsd tx coccygeal fracture 27200 CPT 27200 | not published | not published | $251.87 – $251.87 | 1 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $468.80 | $586.00 | $141.87 – $527.40 | 15 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $788.80 | $986.00 | $238.71 – $887.40 | 15 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | $552.80 | $691.00 | $167.29 – $621.90 | 15 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $424.00 | $530.00 | $128.31 – $477.00 | 15 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | $2,225.60 | $2,782.00 | $673.52 – $2,503.80 | 15 |
| Clsd tx finger tendon w/wo perq pin 26432 CPT 26432 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Clsd tx fracture of radius 25500 CPT 25500 | $423.20 | $529.00 | $128.07 – $476.10 | 15 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | $370.40 | $463.00 | $112.09 – $416.70 | 15 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $636.00 | $795.00 | $192.47 – $715.50 | 15 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $567.20 | $709.00 | $171.65 – $638.10 | 15 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $1,461.60 | $1,827.00 | $442.32 – $1,644.30 | 15 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | $547.20 | $684.00 | $165.60 – $615.60 | 15 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $1,576.80 | $1,971.00 | $477.18 – $1,773.90 | 15 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | not published | not published | $251.87 – $251.87 | 1 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | not published | not published | $251.87 – $251.87 | 1 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | not published | not published | $251.87 – $251.87 | 1 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | $544.80 | $681.00 | $164.87 – $612.90 | 15 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | not published | not published | $278.86 – $278.86 | 1 |
| Clsd tx mandibular fx without manip 21450 CPT 21450 | not published | not published | $534.71 – $534.71 | 1 |
| Clsd tx/metacar/interphal artic fx 26740 CPT 26740 | $464.00 | $580.00 | $140.42 – $522.00 | 15 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $478.40 | $598.00 | $144.78 – $538.20 | 15 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $733.60 | $917.00 | $222.01 – $825.30 | 15 |
| Clsd tx metacarp fx w/manip&ext fix ea bone 26607 CPT 26607 | $3,193.60 | $3,992.00 | $966.46 – $3,592.80 | 15 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | not published | not published | $251.87 – $251.87 | 1 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | $460.00 | $575.00 | $139.21 – $517.50 | 15 |
| Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $576.00 | $720.00 | $174.31 – $648.00 | 15 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | $522.40 | $653.00 | $158.09 – $587.70 | 15 |
| Clsd tx pelvic ring fx CPT 27197 | not published | not published | $251.87 – $251.87 | 1 |
| Clsd tx pelvic ring fx CPT 27198 | not published | not published | $251.87 – $251.87 | 1 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $424.80 | $531.00 | $128.56 – $477.90 | 15 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | $491.20 | $614.00 | $148.65 – $552.60 | 15 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $1,607.20 | $2,009.00 | $486.38 – $1,808.10 | 15 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | not published | not published | $251.87 – $251.87 | 1 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $2,422.40 | $3,028.00 | $733.08 – $2,725.20 | 15 |
| Clsd tx/talotarsal dislocat/anes 28575 CPT 28575 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | not published | not published | $251.87 – $251.87 | 1 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $368.80 | $461.00 | $111.61 – $414.90 | 15 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | not published | not published | $251.87 – $251.87 | 1 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $1,368.00 | $1,710.00 | $413.99 – $1,539.00 | 15 |
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | $463.20 | $579.00 | $140.18 – $521.10 | 15 |
| Clsd tx vert body fx without manip req &w/csting/bracing CPT 22310 | not published | not published | $251.87 – $251.87 | 1 |
| Clsd tx wrist carpal fx without manip 25630 CPT 25630 | not published | not published | $251.87 – $251.87 | 1 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | not published | not published | $251.87 – $251.87 | 1 |
| Clsd tx wrist trans-scaph fx w/manip 25680 CPT 25680 | not published | not published | $251.87 – $251.87 | 1 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | $577.60 | $722.00 | $174.80 – $649.80 | 15 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | $529.60 | $662.00 | $160.27 – $595.80 | 15 |
| Cls tx of heel fracture w/manip 28405 CPT 28405 | not published | not published | $251.87 – $251.87 | 1 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Cltx gr hmrl tbrs fx w/mnpj CPT 23625 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Cltx hum epcndylr fx wo mnpj CPT 24560 | $530.40 | $663.00 | $160.51 – $596.70 | 15 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Cltx humrl cndylr fx wo mnpj CPT 24576 | not published | not published | $251.87 – $251.87 | 1 |
| Cltx lunate dislc w/mnpj CPT 25690 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Cltx mndblr fx ntrdntl fixj CPT 21453 | not published | not published | $6,211.44 – $6,211.44 | 1 |
| Cltx mndblr fx w/mnpj CPT 21451 | not published | not published | $1,555.34 – $1,555.34 | 1 |
| Cltx mndblr/max alv ridge fx CPT 21440 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Cltx palatal/max fx wire fix CPT 21421 | not published | not published | $3,405.22 – $3,405.22 | 1 |
| Cltx post ankle fx CPT 27767 | not published | not published | $251.87 – $251.87 | 1 |
| Cltx post ankle fx w/mnpj CPT 27768 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Cltx scap fx w/mnpj +-tractj CPT 23575 | not published | not published | $1,680.43 – $1,680.43 | 1 |
| Cltx strnclav dislc w/mnpj CPT 23525 | not published | not published | $251.87 – $251.87 | 1 |
| Cltx thigh fx CPT 27267 | not published | not published | $3,406.84 – $3,406.84 | 1 |
| Cltx tmprmand dislc comp CPT 21485 | not published | not published | $1,555.34 – $1,555.34 | 1 |
| Cmbn ant pst colprhy CPT 57260 | not published | not published | $5,183.27 – $5,183.27 | 1 |
| C motor evoked lwr limbs CPT 95929 | not published | not published | $557.13 – $557.13 | 1 |
| C motor evoked uppr limbs CPT 95928 | not published | not published | $1,068.26 – $1,068.26 | 1 |
| C motor evoked upr&lwr limbs CPT 95939 | not published | not published | $1,068.26 – $1,068.26 | 1 |
| Cmptr ophth dx img ant segmt CPT 92132 | not published | not published | $62.37 – $62.37 | 1 |
| Cmptr ophth img optic nerve CPT 92133 | not published | not published | $62.37 – $62.37 | 1 |
| Cmv pcr-sendout CPT 87496 | $123.20 | $154.00 | $26.15 – $97.20 | 15 |
| Co2 monitor per day CPT 94681 | not published | not published | $326.96 – $326.96 | 1 |
| Cochlear implt f/up exam <7 CPT 92601 | not published | not published | $164.28 – $164.28 | 1 |
| Cochlear implt f/up exam 7/> CPT 92603 | not published | not published | $164.28 – $164.28 | 1 |
| Cold agglutinin titer CPT 86157 | $46.40 | $58.00 | $14.04 – $52.20 | 15 |
| Collarbone (Clavicle) X-ray (both sides) CPT 73000 | $237.60 | $297.00 | $71.90 – $267.30 | 15 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $60.80 | $76.00 | $18.40 – $68.40 | 15 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $161.60 | $202.00 | $48.90 – $181.80 | 15 |
| Colon motility 6 hr study CPT 91117 | not published | not published | $326.96 – $326.96 | 1 |
| Colonoscopy (diagnostic) CPT 45378 | not published | not published | $957.30 – $1,371.15 | 2 |
| Colonoscopy flex with decompression 45393 CPT 45393 | not published | not published | $1,238.03 – $1,238.03 | 1 |
| Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah) CPT 45384 | not published | not published | $1,191.30 – $1,238.03 | 2 |
| Colonoscopy for bleeding 44391 CPT 44391 | not published | not published | $1,238.03 – $1,238.03 | 1 |
| Colonoscopy for foreign body CPT 44390 | not published | not published | $957.30 – $957.30 | 1 |
| Colonoscopy & polypectomy 44392 CPT 44392 | not published | not published | $1,238.03 – $1,238.03 | 1 |
| Colonoscopy stoma w/endo mucosal rescj 44403 CPT 44403 | not published | not published | $1,238.03 – $1,238.03 | 1 |
| Colonoscopy stoma w/snare 44394 CPT 44394 | not published | not published | $1,238.03 – $1,238.03 | 1 |
| Colonoscopy submucous njx CPT 45381 | not published | not published | $1,238.03 – $1,238.03 | 1 |
| Colonoscopy thru stoma spx CPT 44388 | not published | not published | $957.30 – $957.30 | 1 |
| Colonoscopy w/ablation CPT 45388 | not published | not published | $1,238.03 – $1,238.03 | 1 |
| Colonoscopy w/balloon dilat CPT 45386 | not published | not published | $1,238.03 – $1,238.03 | 1 |
| Colonoscopy w/band ligation CPT 45398 | not published | not published | $1,238.03 – $1,238.03 | 1 |
| Colonoscopy w/control bleed CPT 45382 | not published | not published | $1,238.03 – $1,238.03 | 1 |
| Colonoscopy w/decompression CPT 44408 | not published | not published | $957.30 – $957.30 | 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.