Sanford Worthington Medical Center
1018 6th Ave, Worthington, MN · Sanford Health · · NPI 1396712618
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | not published | not published | $27.82 – $30.74 | 8 |
| 17-hydroxypregnenolone CPT 84143 | not published | not published | $21.67 – $23.95 | 8 |
| 17-ketosteroids CPT 83586 | not published | not published | $12.16 – $13.44 | 8 |
| 1pc ost pch drain hgh output HCPCS A4435 | not published | not published | $1.00 – $8.45 | 8 |
| 1 pc ost pouch w filter HCPCS A5056 | not published | not published | $1.00 – $6.86 | 8 |
| 1 pc ost pou w built-in conv HCPCS A5057 | not published | not published | $1.00 – $14.08 | 8 |
| 1st hosp/birthing center care per day nml nb 99460 CPT 99460 | not published | not published | $97.43 – $132.80 | 8 |
| 1st inpatient critical care pr day age 28 days/less than 99468 CPT 99468 | not published | not published | $788.33 – $871.32 | 8 |
| 1st psyc collab care mgmt CPT 99492 | not published | not published | $65.69 – $95.32 | 8 |
| 1st/sbsq psyc collab care CPT 99494 | not published | not published | $1.00 – $58.55 | 8 |
| 2019-ncov diagnostic p HCPCS U0001 | not published | not published | $34.12 – $37.72 | 8 |
| 24 hr ambulatory b/p monitor CPT 93786 | not published | not published | $94.15 – $132.83 | 8 |
| 2d tee w or without fol w/con,in HCPCS C8925 | not published | not published | $590.11 – $814.13 | 8 |
| 2d tte w or without fol w/con,co HCPCS C8923 | not published | not published | $590.11 – $814.13 | 8 |
| 2nd order venous cath CPT 36012 | not published | not published | $1.00 – $813.23 | 8 |
| 2vhpv vaccine 3 dose im CPT 90650 | not published | not published | $266.31 – $266.31 | 1 |
| 3d anat seg imaging preop HCPCS C8001 | not published | not published | $145.87 – $161.23 | 8 |
| 3d bn img algor drvd fr MRI HCPCS G0566 | not published | not published | $145.87 – $161.23 | 8 |
| 3d ech img cgen car anomal CPT 93319 | not published | not published | $1.00 – $54.64 | 8 |
| 3-d radiotherapy plan CPT 77295 | $7,427.20 | $9,284.00 | $1,021.23 – $8,355.60 | 14 |
| 3d recon without postprocess indpndt CPT 76376 | $916.00 | $1,145.00 | $1.00 – $692.10 | 14 |
| 4-bar link above knee w/swng HCPCS L5614 | not published | not published | $1,889.92 – $2,547.75 | 8 |
| 5% dextrose and 0.45% saline HCPCS S5010 | $75.59 | $94.48 | $8.02 – $85.03 | 11 |
| 5% dextrose with potassium HCPCS S5012 | not published | not published | $7.43 – $7.43 | 1 |
| 5' nucleotidase - sendout CPT 83915 | not published | not published | $10.59 – $11.71 | 8 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $164.00 | $205.00 | $1.00 – $184.50 | 14 |
| 99381 initial comp preventive med less than 1 year new CPT 99381 | not published | not published | $100.38 – $110.94 | 8 |
| 99382 initial comp preventive med 1 to 4 years new CPT 99382 | not published | not published | $104.89 – $115.94 | 8 |
| 99383 initial comp preventive med 5 to 11 years new CPT 99383 | not published | not published | $108.91 – $120.38 | 8 |
| 99391 periodic comp preventive med less than 1 year est CPT 99391 | not published | not published | $89.99 – $99.46 | 8 |
| 99392 periodic comp preventive med 1 to 4 years est CPT 99392 | not published | not published | $95.65 – $105.72 | 8 |
| 99393 periodic comp preventive med 5 to 11 years est CPT 99393 | not published | not published | $95.65 – $105.72 | 8 |
| 99394 periodic comp preventive med 12 to 17 years est CPT 99394 | not published | not published | $104.19 – $115.15 | 8 |
| 99397 periodic comp preventive med 65+ years est CPT 99397 | not published | not published | $122.50 – $135.40 | 8 |
| Aa graft w/bp/aortic root replace 33863 CPT 33863 | not published | not published | $2,557.50 – $2,826.72 | 8 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $2,341.48 | $2,926.84 | $41.90 – $2,634.16 | 14 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | not published | not published | $11.41 – $12.61 | 8 |
| Abciximab injection HCPCS J0130 | not published | not published | $1.00 – $1.00 | 1 |
| Abd aorta w/runoff s&i CPT 75630 | not published | not published | $2,349.25 – $3,243.40 | 8 |
| Abd exp/postop hem/throm/infec 35840 CPT 35840 | not published | not published | $1,022.10 – $1,129.69 | 8 |
| Abd/low ext cath 1st CPT 36245 | not published | not published | $1.00 – $1,206.95 | 8 |
| Abd/low ext cath 2nd CPT 36246 | not published | not published | $1.00 – $798.82 | 8 |
| Abd/low ext cath 3rd CPT 36247 | not published | not published | $1.00 – $1,380.07 | 8 |
| Abd/low ext cath addl CPT 36248 | not published | not published | $1.00 – $113.96 | 8 |
| Abdominal and Pelvic Blood Vessel Ultrasound (complete) CPT 93975 | $916.00 | $1,145.00 | $180.60 – $1,030.50 | 14 |
| Abdominal and Pelvic Blood Vessel Ultrasound (limited) CPT 93976 | $832.80 | $1,041.00 | $81.04 – $936.90 | 14 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $3,484.80 | $4,356.00 | $135.41 – $3,920.40 | 14 |
| Abdominal CT scan (with contrast) CPT 74160 | $2,987.20 | $3,734.00 | $135.41 – $3,360.60 | 14 |
| Abdominal CT scan (without contrast) CPT 74150 | $2,472.80 | $3,091.00 | $81.04 – $2,781.90 | 14 |
| Abdominal MRI (with and without contrast) CPT 74183 | $3,967.92 | $4,959.90 | $283.44 – $4,463.91 | 14 |
| Abdominal MRI (with contrast) CPT 74182 | $3,106.40 | $3,883.00 | $283.44 – $3,494.70 | 14 |
| Abdominal MRI (without contrast) CPT 74181 | $2,619.20 | $3,274.00 | $180.60 – $2,946.60 | 14 |
| Abdominal pad HCPCS L1270 | not published | not published | $92.64 – $122.21 | 8 |
| Abdominal paracentesis w/image guidance CPT 49083 | $1,389.60 | $1,737.00 | $661.03 – $1,534.50 | 14 |
| Abdominal Ultrasound (complete) CPT 76700 | $936.80 | $1,171.00 | $81.04 – $1,053.90 | 14 |
| Abdominal Ultrasound (limited) CPT 76705 | $824.80 | $1,031.00 | $81.04 – $847.44 | 14 |
| Abdominal X-ray (2 views) CPT 74019 | $335.20 | $419.00 | $81.04 – $377.10 | 14 |
| Abdominal X-ray Series (acute, with chest view) CPT 74022 | $330.40 | $413.00 | $81.04 – $371.70 | 14 |
| Abdominal X-ray (single view) CPT 74018 | $272.80 | $341.00 | $66.97 – $306.90 | 14 |
| Abdominoplasty 15830 CPT 15830 | not published | not published | $4,806.17 – $6,720.17 | 8 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $1,080.80 | $1,351.00 | $523.78 – $1,215.90 | 14 |
| Abduct control hip semi-flex HCPCS L1630 | not published | not published | $236.14 – $267.26 | 8 |
| Abduction bar jointed adjust HCPCS L2300 | not published | not published | $281.41 – $424.65 | 8 |
| Abduction bar-straight HCPCS L2310 | not published | not published | $128.58 – $194.03 | 8 |
| Abduction rotation bar shoe HCPCS L3140 | not published | not published | $99.51 – $134.17 | 8 |
| Abduct rotation bar without shoe HCPCS L3150 | not published | not published | $91.00 – $122.66 | 8 |
| Abl1 gene CPT 81170 | not published | not published | $285.00 – $315.00 | 8 |
| Ablat 1/+thyr ndul addl prq rf CPT 60661 | not published | not published | $358.13 – $395.82 | 8 |
| Ablate arrhythmia add on CPT 93655 | not published | not published | $1.00 – $277.17 | 8 |
| Ablate atria lmtd endo 33265 CPT 33265 | not published | not published | $1,127.68 – $1,246.39 | 8 |
| Ablate atria w/bypass exten 33256 CPT 33256 | not published | not published | $1,584.01 – $1,750.75 | 8 |
| Ablate atria without bypass ext CPT 33255 | not published | not published | $1,341.19 – $1,482.37 | 8 |
| Ablate atria x10sv add-on 33258 CPT 33258 | not published | not published | $542.81 – $599.95 | 8 |
| Ablate atria x10sv endo 33266 CPT 33266 | not published | not published | $1,514.23 – $1,673.62 | 8 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | not published | not published | $5,272.69 – $7,361.40 | 8 |
| Ablate bone tumor(s) perq CPT 20982 | not published | not published | $9,700.03 – $13,258.87 | 8 |
| Ablate heart dysrhythm focus CPT 93650 | not published | not published | $5,504.20 – $7,819.31 | 8 |
| Ablate heart dysrhythm focus CPT 33250 | not published | not published | $1,202.69 – $1,329.29 | 8 |
| Ablate heart dysrhythm focus CPT 33251 | not published | not published | $1,338.58 – $1,479.48 | 8 |
| Ablate heart dysrhythm focus CPT 33261 | not published | not published | $1,328.09 – $1,467.89 | 8 |
| Ablate inf turbinate submuc 30802 CPT 30802 | not published | not published | $1,123.99 – $1,526.41 | 8 |
| Ablate inf turbinate superf 30801 CPT 30801 | not published | not published | $1,123.99 – $1,526.41 | 8 |
| Ablate pulm tumor perq crybl CPT 32994 | not published | not published | $7,586.68 – $10,728.45 | 8 |
| Ablate pulm tumor perq rf CPT 32998 | not published | not published | $4,252.59 – $6,012.13 | 8 |
| Ablation cardiac vagal inputs atrium CPT 93799 | not published | not published | $115.12 – $161.23 | 8 |
| Ablation cryo abd perit om CPT 49999 | not published | not published | $668.10 – $966.13 | 8 |
| Ablation cryo adrenal tumor CPT 60699 | not published | not published | $4,252.59 – $6,012.13 | 8 |
| Ablation cryo pq chest wall tumor(s) w/guid CPT 23929 | not published | not published | $173.80 – $247.19 | 8 |
| Ablation cryo pq liver tumor(s) CPT 47383 | not published | not published | $7,586.68 – $10,728.45 | 8 |
| Ablation cryo retro lymph node CPT 38999 | not published | not published | $319.94 – $450.50 | 8 |
| Ablation cryo thigh/knee CPT 27599 | not published | not published | $173.80 – $247.19 | 8 |
| Ablation of upper extremity nerves rf CPT 64999 | $380.00 | $475.00 | $184.16 – $427.50 | 14 |
| Abltj 1/+thyr ndul 1lobe prq CPT 60660 | not published | not published | $1,510.60 – $1,669.61 | 8 |
| Abltj mal prst8 tiss hifu CPT 55880 | not published | not published | $6,789.66 – $9,528.91 | 8 |
| Ablt trurl prst8 tis thrm Ultrasound CPT 55881 | not published | not published | $8,251.80 – $9,120.41 | 8 |
| Ablt trurl prst8 tis trnsdcr CPT 55882 | not published | not published | $12,113.22 – $13,388.30 | 8 |
| Abobotulinumtoxina HCPCS J0586 | not published | not published | $8.22 – $9.19 | 8 |
| Abortion CPT 59850 | not published | not published | $236.44 – $364.94 | 8 |
| Abortion (mpr) CPT 59866 | not published | not published | $236.44 – $313.46 | 8 |
| Above elbow prosth tiss shap HCPCS L6500 | not published | not published | $3,911.26 – $5,184.86 | 8 |
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.