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 |
|---|---|---|---|---|
| Rpr hypopl a-arch wo byp CPT 33852 | not published | not published | $1,157.91 – $1,279.79 | 8 |
| Rpr hypspad comp dsj & urtp CPT 54348 | not published | not published | $3,813.61 – $5,238.52 | 8 |
| Rpr hypspad comp simple CPT 54340 | not published | not published | $2,569.36 – $3,554.06 | 8 |
| Rpr ing hernia baby blocked CPT 49496 | not published | not published | $2,549.84 – $3,636.59 | 8 |
| Rpr ing hernia baby reduc CPT 49495 | not published | not published | $2,549.84 – $3,636.59 | 8 |
| Rpr ing hernia init blocked CPT 49501 | not published | not published | $2,549.84 – $3,636.59 | 8 |
| Rpr ing hernia init reduce CPT 49500 | not published | not published | $5,575.98 – $6,429.88 | 8 |
| Rpr ing hern premie blocked CPT 49492 | not published | not published | $2,549.84 – $3,636.59 | 8 |
| Rpr intst excl anrect fist HCPCS C9796 | not published | not published | $2,556.81 – $2,825.95 | 8 |
| Rpr nsl vlv collapse w/implt CPT 30468 | not published | not published | $4,316.11 – $6,095.91 | 8 |
| Rpr nsl vlv collapse w/rmdlg CPT 30469 | not published | not published | $4,316.11 – $6,095.91 | 8 |
| Rpr parastomal hernia rdc 49621 CPT 49621 | not published | not published | $632.18 – $698.72 | 8 |
| Rpr parastomal hrna ncr/strn 49622 CPT 49622 | not published | not published | $782.74 – $865.14 | 8 |
| Rpr pul art unifocal without cpb CPT 33925 | not published | not published | $1,400.64 – $1,548.08 | 8 |
| Rpr&refitg spect xcp aphakia CPT 92370 | not published | not published | $26.76 – $30.92 | 8 |
| Rpr&refit spct prsth aphakia CPT 92371 | not published | not published | $45.08 – $61.21 | 8 |
| Rpr rem hernia init reduce CPT 49550 | not published | not published | $2,549.84 – $3,636.59 | 8 |
| Rpr tga aortic pulm art rcns CPT 33778 | not published | not published | $1,919.64 – $2,121.70 | 8 |
| Rpr tga atr bfl clsr vsd CPT 33776 | not published | not published | $1,613.84 – $1,783.72 | 8 |
| Rpr tga atr bfl rmvl plm bnd CPT 33775 | not published | not published | $1,524.93 – $1,685.45 | 8 |
| Rpr tga atrial baffle px CPT 33774 | not published | not published | $1,484.39 – $1,640.64 | 8 |
| Rpr tga bfl rpr sbpulm obstr CPT 33777 | not published | not published | $1,547.58 – $1,710.48 | 8 |
| Rpr tga rcnstj clsr vsd CPT 33780 | not published | not published | $1,922.37 – $2,124.73 | 8 |
| Rpr tga rcnstj rmvl plm bnd CPT 33779 | not published | not published | $1,884.47 – $2,082.83 | 8 |
| Rpr tga rcnstj rpr sbpl obst CPT 33781 | not published | not published | $1,871.25 – $2,068.23 | 8 |
| Rpr tga without surg enlgmnt vsd CPT 33770 | not published | not published | $1,720.37 – $1,901.46 | 8 |
| Rpr tga w/surg enlgmnt vsd CPT 33771 | not published | not published | $1,763.58 – $1,949.22 | 8 |
| Rpr umbil hern block < 5 yr CPT 49582 | not published | not published | $2,549.84 – $2,549.84 | 1 |
| Rpr xtnsr tndn leg prim without grft ea tndn CPT 27664 | not published | not published | $5,272.69 – $7,361.40 | 8 |
| Rp therapy unlisted px CPT 79999 | not published | not published | $183.36 – $230.96 | 8 |
| Rrp hypspad comp moblj&urtp CPT 54344 | not published | not published | $6,789.66 – $9,528.91 | 8 |
| Rsect hip tum incl femur CPT 27078 | not published | not published | $1,184.54 – $1,968.19 | 8 |
| Rsv assay w/optic CPT 87807 | not published | not published | $12.45 – $13.76 | 8 |
| Rtm 1st set-up&pt educaj eqp CPT 98975 | not published | not published | $97.43 – $132.80 | 8 |
| Rtm dev sply cbt 16-30 d CPT 98978 | not published | not published | $27.80 – $38.43 | 8 |
| Rtm dev sply mscskl 16-30 d CPT 98977 | not published | not published | $27.80 – $38.43 | 8 |
| Rtm dev sply resp sys 16-30d CPT 98976 | not published | not published | $27.80 – $38.43 | 8 |
| Rtm tx mgmt 1st 20 min CPT 98980 | not published | not published | $47.45 – $52.45 | 8 |
| Rtm tx mgmt ea addl 20 min CPT 98981 | not published | not published | $36.75 – $40.62 | 8 |
| Rubella antibody igg CPT 86762 | not published | not published | $13.67 – $15.11 | 8 |
| Rubeola ag if CPT 87283 | not published | not published | $57.76 – $63.84 | 8 |
| Rubeola antibody igg CPT 86765 | not published | not published | $12.24 – $13.52 | 8 |
| Runx1 gene targeted seq alys CPT 81334 | not published | not published | $313.03 – $345.99 | 8 |
| Russell viper venom diluted CPT 85613 | not published | not published | $9.10 – $10.06 | 8 |
| Rx metab gen seq alys pnl 6 CPT 81418 | not published | not published | $871.23 – $962.93 | 8 |
| Sach foot, replacement HCPCS L5971 | not published | not published | $243.28 – $341.26 | 8 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | $6,043.84 | $7,554.80 | $33.26 – $6,799.32 | 14 |
| Sacroiliac Joint X-ray (3 or more views) CPT 72202 | $314.40 | $393.00 | $81.04 – $353.70 | 14 |
| Safety plan interven HCPCS G0560 | not published | not published | $38.81 – $42.90 | 8 |
| Salivary gland function exam CPT 78232 | not published | not published | $303.98 – $414.07 | 8 |
| Salivary gland imaging CPT 78230 | not published | not published | $303.98 – $414.07 | 8 |
| Salivary glnd img serial img CPT 78231 | not published | not published | $303.98 – $414.07 | 8 |
| Salmonella antibody CPT 86768 | not published | not published | $12.53 – $13.85 | 8 |
| Salpingostomy 58770 CPT 58770 | not published | not published | $2,304.20 – $3,276.41 | 8 |
| Same day nb discharge 99463 CPT 99463 | not published | not published | $97.43 – $132.80 | 8 |
| Saquinavir, 200 mg HCPCS S0140 | not published | not published | $4.09 – $4.09 | 1 |
| Sargramostim injection HCPCS J2820 | not published | not published | $47.85 – $52.88 | 8 |
| Sars-cov-2 antb quantitative CPT 86413 | not published | not published | $42.13 – $54.00 | 8 |
| Sarscov2 vac 5mcg/0.5ml im CPT 91304 | not published | not published | $148.20 – $169.61 | 8 |
| Sarscov coronavirus ag ia CPT 87426 | not published | not published | $33.56 – $37.10 | 8 |
| Sarscov & inf vir a&b ag ia CPT 87428 | not published | not published | $66.78 – $73.80 | 8 |
| S bowel endoscope w/stent CPT 44379 | not published | not published | $4,200.45 – $6,134.19 | 8 |
| Sbrt management CPT 77435 | not published | not published | $1.00 – $644.73 | 8 |
| Sbrt w/positron emission del HCPCS G0563 | not published | not published | $3,496.70 – $3,864.78 | 8 |
| Sbsq ic vlbw inf<1,500 gm CPT 99478 | not published | not published | $117.35 – $129.70 | 8 |
| Sbsq nurs facil care/day unstabl/new prob 35 min 99310 CPT 99310 | not published | not published | $137.97 – $152.49 | 8 |
| Sbsq nursing facil care/day minor complj 15 min CPT 99308 | not published | not published | $67.14 – $74.21 | 8 |
| Sbsq nursing facil care/day new problem 25 min CPT 99309 | not published | not published | $97.05 – $107.27 | 8 |
| Sbsq nursing facility care/day e/m stable 10 min CPT 99307 | not published | not published | $36.05 – $39.85 | 8 |
| Sbsq psyc collab care mgmt CPT 99493 | not published | not published | $86.24 – $95.32 | 8 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $864.00 | $1,080.00 | $180.60 – $972.00 | 14 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $644.00 | $805.00 | $81.04 – $724.50 | 14 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $784.80 | $981.00 | $81.04 – $882.90 | 14 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $928.00 | $1,160.00 | $81.04 – $1,044.00 | 14 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $1,098.40 | $1,373.00 | $81.04 – $1,235.70 | 14 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $792.00 | $990.00 | $81.04 – $891.00 | 14 |
| Scan proc cranial extra CPT 61782 | not published | not published | $1.00 – $165.22 | 8 |
| Scan proc cranial intra 61781 CPT 61781 | not published | not published | $1.00 – $206.66 | 8 |
| Scan proc spinal CPT 61783 | not published | not published | $1.00 – $206.47 | 8 |
| Scap thorac prosth tiss shap HCPCS L6570 | not published | not published | $5,655.41 – $7,354.63 | 8 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | not published | not published | $1,194.92 – $1,669.61 | 8 |
| Scope plantar fasciotomy CPT 29893 | not published | not published | $2,385.62 – $3,343.47 | 8 |
| Scr c/v cyto, automated sys HCPCS G0147 | not published | not published | $17.28 – $19.10 | 8 |
| Scr c/v cyto,autosys and md HCPCS G0141 | not published | not published | $23.20 – $25.64 | 8 |
| Scr c/v cyto, autosys, rescr HCPCS G0148 | not published | not published | $30.34 – $33.54 | 8 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0144 | not published | not published | $41.77 – $46.17 | 8 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | $299.20 | $374.00 | $25.17 – $154.80 | 14 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0143 | not published | not published | $25.70 – $28.40 | 8 |
| Screen cerv/vag thin layer HCPCS G0123 | not published | not published | $19.25 – $21.27 | 8 |
| Screen c/v thin layer by md HCPCS G0124 | not published | not published | $23.20 – $25.64 | 8 |
| Screening Colonoscopy (average risk) HCPCS G0121 | not published | not published | $673.60 – $939.49 | 8 |
| Screening Colonoscopy (high risk) HCPCS G0105 | not published | not published | $673.60 – $939.49 | 8 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | not published | not published | $17.15 – $18.95 | 8 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | not published | not published | $26.86 – $29.68 | 8 |
| Screening hepatitis c antibody high risk HCPCS G0472 | not published | not published | $44.03 – $48.67 | 8 |
| Screening HIV antigen/antibody combination assay HCPCS G0475 | not published | not published | $22.88 – $25.28 | 8 |
| Screening Mammogram CPT 77067 | $482.40 | $603.00 | $119.57 – $542.70 | 14 |
| Screening pap smear by phys HCPCS P3001 | not published | not published | $23.20 – $25.64 | 8 |
| Screening prostate cancer PSA HCPCS G0103 | not published | not published | $18.34 – $20.28 | 8 |
| Screen pap by tech w md supv HCPCS P3000 | $85.60 | $107.00 | $17.28 – $96.30 | 14 |
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.