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 |
|---|---|---|---|---|
| Revision of penis CPT 54430 | not published | not published | $182.15 – $628.56 | 8 |
| Revision of penis CPT 54435 | not published | not published | $2,569.36 – $3,554.06 | 8 |
| Revision of pharyngeal walls CPT 42892 | not published | not published | $4,316.11 – $6,095.91 | 8 |
| Revision of pharyngeal walls CPT 42894 | not published | not published | $2,089.18 – $2,309.09 | 8 |
| Revision of pulmonary artery CPT 33788 | not published | not published | $1,257.85 – $1,390.26 | 8 |
| Revision of pulmonary valve CPT 33474 | not published | not published | $1,783.71 – $1,971.47 | 8 |
| Revision of radius CPT 25350 | not published | not published | $5,272.69 – $7,361.40 | 8 |
| Revision of radius CPT 25355 | not published | not published | $2,385.62 – $3,343.47 | 8 |
| Revision of sciatic nerve CPT 64712 | not published | not published | $1,423.02 – $2,012.27 | 8 |
| Revision of scrotum CPT 55175 | not published | not published | $2,569.36 – $3,554.06 | 8 |
| Revision of scrotum CPT 55180 | not published | not published | $3,813.61 – $5,238.52 | 8 |
| Revision of spinal shunt CPT 63744 | not published | not published | $4,909.62 – $6,599.20 | 8 |
| Revision of testis CPT 54660 | not published | not published | $3,813.61 – $5,238.52 | 8 |
| Revision of thigh muscles CPT 27430 | not published | not published | $5,272.69 – $7,361.40 | 8 |
| Revision of toe CPT 28312 | not published | not published | $2,385.62 – $3,343.47 | 8 |
| Revision of tricuspid valve CPT 33468 | not published | not published | $1,994.02 – $2,203.92 | 8 |
| Revision of tricuspid valve w/bypass 33460 CPT 33460 | not published | not published | $1,956.87 – $2,162.86 | 8 |
| Revision of ulna CPT 25360 | not published | not published | $5,272.69 – $7,361.40 | 8 |
| Revision of unstable kneecap CPT 27420 | not published | not published | $5,272.69 – $7,361.40 | 8 |
| Revision of unstable kneecap CPT 27422 | not published | not published | $5,272.69 – $7,361.40 | 8 |
| Revision of upper arm CPT 24940 | not published | not published | $1,004.90 – $1,004.90 | 1 |
| Revision of ureter CPT 50700 | not published | not published | $817.49 – $903.54 | 8 |
| Revision of urethra CPT 53450 | not published | not published | $2,569.36 – $3,554.06 | 8 |
| Revision of urethra CPT 53460 | not published | not published | $2,569.36 – $3,554.06 | 8 |
| Revision of urethra CPT 57220 | not published | not published | $3,665.87 – $5,086.86 | 8 |
| Revision of urinary tract CPT 51820 | not published | not published | $956.76 – $1,057.47 | 8 |
| Revision open av fistula without thromb CPT 36832 | not published | not published | $4,050.18 – $5,570.41 | 8 |
| Revision orbitofacial bones CPT 21275 | not published | not published | $4,316.11 – $6,095.91 | 8 |
| Revision/removal of kneecap CPT 27424 | not published | not published | $5,272.69 – $7,361.40 | 8 |
| Revision tips CPT 37183 | not published | not published | $4,212.57 – $5,875.25 | 8 |
| Revis reconst shoulder joint CPT 23473 | not published | not published | $9,700.03 – $13,258.87 | 8 |
| Revis reconst shoulder joint CPT 23474 | not published | not published | $1,513.24 – $1,672.53 | 8 |
| Revitalon 1 square cm HCPCS Q4157 | not published | not published | $1.00 – $1.00 | 1 |
| Revita, per sq cm HCPCS Q4180 | not published | not published | $1.00 – $1.00 | 1 |
| Revj fem anast autog vn grf CPT 35884 | not published | not published | $4,050.18 – $5,570.41 | 8 |
| Revj fem anast nonautog grf CPT 35883 | not published | not published | $4,050.18 – $5,570.41 | 8 |
| Revj mstdc rsltg compl mstdc CPT 69601 | not published | not published | $4,316.11 – $6,095.91 | 8 |
| Revj mstdc rsltg tympanplsty CPT 69604 | not published | not published | $4,316.11 – $6,095.91 | 8 |
| Revj open gstr rstcv px CPT 43848 | not published | not published | $1,631.30 – $1,803.01 | 8 |
| Revj prior hypspad repair CPT 54352 | not published | not published | $3,813.61 – $5,238.52 | 8 |
| Revj/rmvl nea pn w/int nstim CPT 64598 | not published | not published | $2,507.73 – $3,543.80 | 8 |
| Rev mastoidectomy rsltg modf rad mstdc 69602 CPT 69602 | not published | not published | $4,316.11 – $6,095.91 | 8 |
| Rev-rem impl neurostim gen-rec CPT 63688 | not published | not published | $2,507.73 – $3,543.80 | 8 |
| Rev/rmvl gstr nstim eltrd CPT 43882 | not published | not published | $668.10 – $668.10 | 1 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | not published | not published | $2,507.73 – $3,543.80 | 8 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | not published | not published | $2,507.73 – $3,543.80 | 8 |
| Rev rplcm arthrp 1ntrspc crv CPT 22861 | not published | not published | $1,899.13 – $2,099.04 | 8 |
| Rev rplcm rthrp 1ntrspc lmbr CPT 22862 | not published | not published | $1,907.77 – $2,108.58 | 8 |
| Rev/rplcmt sk-mnt crnl nstm CPT 61891 | not published | not published | $16,122.73 – $22,097.80 | 8 |
| Rev rplc/rmv thrc vrt tethrg CPT 22838 | not published | not published | $1,701.50 – $1,880.60 | 8 |
| Rev/rplct hpglsl nstm ary pg CPT 64583 | not published | not published | $10,039.72 – $12,850.28 | 8 |
| Revsc opn/prq tib/pero stent CPT 37234 | not published | not published | $1.00 – $3,500.63 | 8 |
| Rezafungin 200 mg intravenous solution HCPCS J0349 | not published | not published | $10.04 – $11.16 | 8 |
| Rf abltj nrv nrvtg si jt CPT 64625 | not published | not published | $1,423.02 – $2,012.27 | 8 |
| Rheumatoid factor qualitative CPT 86430 | not published | not published | $5.83 – $6.45 | 8 |
| Rheumatoid factor quantitative CPT 86431 | not published | not published | $5.39 – $5.95 | 8 |
| Rh ig IV CPT 90386 | not published | not published | $36.94 – $36.94 | 1 |
| Rh ig minidose im CPT 90385 | not published | not published | $1.00 – $1.00 | 1 |
| Rhinp prim lat&alr crtlge&/elvtn nsl tip CPT 30400 | not published | not published | $4,316.11 – $6,095.91 | 8 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | $172.26 | $215.32 | $1.00 – $192.04 | 11 |
| Rho d immune globulin 50 mcg HCPCS J2788 | not published | not published | $1.00 – $1.00 | 1 |
| Rho(d) immune globulin h, sd HCPCS J2792 | $456.00 | $570.00 | $24.18 – $513.00 | 14 |
| Rho d immune globulin inj HCPCS J2790 | not published | not published | $1.00 – $1.00 | 1 |
| Rho(d) immune globulin (rhig) human full dose im CPT 90384 | $292.00 | $365.00 | $107.22 – $328.50 | 11 |
| R hrt cath chd abnl nt cnj CPT 93594 | not published | not published | $2,401.63 – $3,314.41 | 8 |
| R hrt cath chd nml nt cnj CPT 93593 | not published | not published | $2,401.63 – $3,314.41 | 8 |
| Rhythm ecg with report CPT 93040 | not published | not published | $12.04 – $13.31 | 8 |
| Rib and Chest X-ray (3 views, left side) CPT 71101 | $298.40 | $373.00 | $81.04 – $335.70 | 14 |
| Rib and Chest X-ray (4 or more views, both sides) CPT 71111 | $591.20 | $739.00 | $81.04 – $665.10 | 14 |
| Rib cartilage graft CPT 21230 | not published | not published | $4,316.11 – $6,095.91 | 8 |
| Rib gusset (elastic) each HCPCS L1280 | not published | not published | $97.67 – $136.07 | 8 |
| Riboflavin 5'phos opth<=3ml HCPCS J2787 | not published | not published | $1.00 – $1.00 | 1 |
| Rib X-ray (3 views, both sides) CPT 71110 | $478.40 | $598.00 | $81.04 – $538.20 | 14 |
| Right heart cath congenital CPT 93530 | not published | not published | $2,349.25 – $2,349.25 | 1 |
| Right ventric recording CPT 93603 | not published | not published | $877.15 – $1,250.98 | 8 |
| Rilonacept injection HCPCS J2793 | not published | not published | $26.20 – $26.20 | 1 |
| Ring barrier skin cx 1 9/16 adapt HCPCS A4411 | not published | not published | $1.00 – $7.48 | 8 |
| Ring flange plas/leather mol HCPCS L1110 | not published | not published | $355.92 – $402.82 | 8 |
| Ring flange plastic/leather HCPCS L1100 | not published | not published | $212.28 – $250.82 | 8 |
| Ring fx reform 11-13x17mm HCPCS L8610 | not published | not published | $1.00 – $983.52 | 8 |
| Ring ostmy barr adapt 48mm HCPCS A4385 | not published | not published | $1.00 – $7.48 | 8 |
| Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327 | $16,172.64 | $20,215.80 | $14.19 – $18,194.22 | 14 |
| Risk ascvd tst once pr 12 mo HCPCS G0537 | not published | not published | $27.77 – $30.70 | 8 |
| Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794 | not published | not published | $10.43 – $11.53 | 8 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $7,637.60 | $9,547.00 | $71.46 – $2,703.69 | 14 |
| Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln HCPCS J9311 | $12,119.60 | $15,149.50 | $34.86 – $13,634.55 | 14 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | $6,508.00 | $8,135.00 | $27.91 – $1,608.30 | 14 |
| Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123 | not published | not published | $25.18 – $27.83 | 8 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | $5,285.20 | $6,606.50 | $22.30 – $1,333.17 | 14 |
| R & l heart cath congenital CPT 93531 | not published | not published | $2,349.25 – $2,349.25 | 1 |
| R & l heart cath congenital CPT 93532 | not published | not published | $2,349.25 – $2,349.25 | 1 |
| R & l heart cath congenital CPT 93533 | not published | not published | $2,349.25 – $2,349.25 | 1 |
| R&l hrt cath chd abnl nt cnj CPT 93597 | not published | not published | $2,401.63 – $3,314.41 | 8 |
| R&l hrt cath chd nml nt cnj CPT 93596 | not published | not published | $2,401.63 – $3,314.41 | 8 |
| Rmv anterior spine instrumentation 22855 CPT 22855 | not published | not published | $173.80 – $1,041.47 | 8 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | not published | not published | $518.54 – $725.03 | 8 |
| Rmvl esophgl sphnctr dev CPT 43285 | not published | not published | $4,252.59 – $6,012.13 | 8 |
| Rmvl ext fixj sys under anes CPT 20694 | not published | not published | $1,184.54 – $1,649.17 | 8 |
| Rmvl fb upr arm/elbow deep CPT 24201 | not published | not published | $2,094.23 – $2,949.26 | 8 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | not published | not published | $869.74 – $1,215.01 | 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.