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 |
|---|---|---|---|---|
| Spirometry up to 2 yrs old CPT 94011 | not published | not published | $115.12 – $161.23 | 8 |
| Spleen imaging CPT 78185 | not published | not published | $303.98 – $414.07 | 8 |
| Splenectomy total open 38100 CPT 38100 | not published | not published | $972.23 – $1,074.57 | 8 |
| Splice spleen/kidney veins CPT 37181 | not published | not published | $1,934.79 – $2,138.45 | 8 |
| Splicing of ureters CPT 50770 | not published | not published | $1,013.01 – $1,119.64 | 8 |
| Splint arm vnyl coated padded lft med HCPCS Q4051 | not published | not published | $14.86 – $14.86 | 1 |
| Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 | not published | not published | $515.53 – $609.85 | 8 |
| Splint extn xsm w sof-stretch rolyan HCPCS L3925 | not published | not published | $66.82 – $76.19 | 8 |
| Splint finger 4 prong foam sm HCPCS A4570 | not published | not published | $15.27 – $15.27 | 1 |
| Splint finger fold over sm HCPCS L3924 | not published | not published | $98.27 – $134.25 | 8 |
| Splint finger frog med HCPCS L3927 | not published | not published | $35.61 – $47.96 | 8 |
| Splint fing stax assort 1-7in HCPCS Q4049 | not published | not published | $2.44 – $2.76 | 8 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | not published | not published | $98.27 – $134.25 | 8 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | not published | not published | $2,644.16 – $3,772.52 | 8 |
| Split blood or products CPT 86985 | not published | not published | $125.89 – $176.58 | 8 |
| Split flat caliper stirr & p HCPCS L2230 | not published | not published | $106.92 – $121.02 | 8 |
| Splt agrft f/s/n/h/f/g/m ea CPT 15121 | not published | not published | $1.00 – $202.06 | 8 |
| Spontaneous nystagmus study CPT 92531 | not published | not published | $1.00 – $1.00 | 1 |
| Sprchoroidal spc njx rx agt CPT 67516 | not published | not published | $249.61 – $341.80 | 8 |
| Spring-ass rot wrst with latch HCPCS L6623 | not published | not published | $799.05 – $1,077.88 | 8 |
| Sputum specimen collection CPT 89220 | not published | not published | $125.89 – $176.58 | 8 |
| Sr-89 stront chlor ther / mci HCPCS A9600 | not published | not published | $3,939.02 – $4,353.65 | 8 |
| Srs cranial lesion complex CPT 61798 | not published | not published | $1,139.88 – $1,259.87 | 8 |
| Srs cranial lesion simple CPT 61796 | not published | not published | $850.29 – $939.80 | 8 |
| Srs cran les complex addl CPT 61799 | not published | not published | $239.89 – $265.15 | 8 |
| Srs cran les simple addl CPT 61797 | not published | not published | $173.67 – $191.95 | 8 |
| Srsf2 gene common variants CPT 81348 | not published | not published | $166.63 – $184.17 | 8 |
| Srs linear based CPT 77372 | $26,032.00 | $32,540.00 | $5,739.38 – $29,286.00 | 14 |
| Srs multisource CPT 77371 | not published | not published | $5,739.38 – $7,877.42 | 8 |
| Srs spinal lesion CPT 63620 | not published | not published | $935.43 – $1,033.89 | 8 |
| Srs spinal lesion addl CPT 63621 | not published | not published | $199.77 – $220.80 | 8 |
| Staggered spondaic word test CPT 92572 | not published | not published | $115.12 – $161.23 | 8 |
| Staging lapro hodgkins disease/lymphoma 49220 CPT 49220 | not published | not published | $2,349.25 – $2,349.25 | 1 |
| Stainless steel any wrist HCPCS L6630 | not published | not published | $319.98 – $362.15 | 8 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $276.80 | $346.00 | $101.35 – $311.40 | 14 |
| Stance phase only HCPCS L5858 | not published | not published | $20,814.95 – $28,060.16 | 8 |
| Standard control cable extra HCPCS L6655 | not published | not published | $85.80 – $126.22 | 8 |
| Staph a dna amp probe CPT 87640 | not published | not published | $33.34 – $36.84 | 8 |
| Static or dynami afo pre ots HCPCS L4397 | not published | not published | $187.58 – $252.42 | 8 |
| Stationary o2 contents, gas HCPCS E0441 | not published | not published | $70.12 – $78.61 | 8 |
| Stationary o2 contents, liq HCPCS E0442 | not published | not published | $70.12 – $78.61 | 8 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $319.20 | $399.00 | $21.95 – $359.10 | 14 |
| Stem cells total count CPT 86367 | not published | not published | $73.89 – $81.67 | 8 |
| Stenger test pure tone CPT 92565 | not published | not published | $45.08 – $61.21 | 8 |
| Stenger test speech CPT 92577 | not published | not published | $296.65 – $546.77 | 8 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | not published | not published | $12,923.75 – $18,503.86 | 8 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | not published | not published | $1.00 – $1.00 | 1 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $255.20 | $319.00 | $1.00 – $200.70 | 11 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | not published | not published | $1.00 – $1.00 | 1 |
| Stent bronch dumon sil 10x40mm HCPCS C1875 | not published | not published | $1.00 – $1.00 | 1 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | not published | not published | $8,108.08 – $11,686.12 | 8 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | not published | not published | $1.00 – $1,216.13 | 8 |
| Stent placemt retro carotid CPT 37217 | not published | not published | $875.90 – $968.10 | 8 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | not published | not published | $12,923.75 – $18,503.86 | 8 |
| Stereoscopic x-ray guidance HCPCS G6002 | not published | not published | $70.53 – $77.96 | 8 |
| Stereotactic bx aspir/exc burr intracranial les 61750 CPT 61750 | not published | not published | $1,165.59 – $1,288.28 | 8 |
| Stereotactic radiation trmt CPT 77432 | not published | not published | $385.57 – $426.15 | 8 |
| Sterile gauze <= 16 sq in HCPCS A6402 | not published | not published | $0.14 – $0.16 | 8 |
| Sterile needle HCPCS A4215 | not published | not published | $1.00 – $1.00 | 1 |
| Sterile water/saline, 10 ml HCPCS A4216 | $3.60 | $4.50 | $0.59 – $4.05 | 14 |
| Sterile water/saline, 500 ml HCPCS A4217 | $75.59 | $94.48 | $1.00 – $85.03 | 14 |
| Sternal debridement CPT 21627 | not published | not published | $180.03 – $532.77 | 8 |
| Sternal pad HCPCS L1050 | not published | not published | $112.16 – $131.32 | 8 |
| St evaluate speech sound production CPT 92522 | $267.20 | $334.00 | $103.02 – $300.60 | 14 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $288.00 | $360.00 | $84.47 – $324.00 | 14 |
| Stimulants synthetic CPT 80371 | not published | not published | $21.87 – $21.87 | 1 |
| Stimulation of spinal cord CPT 63610 | not published | not published | $1,423.02 – $2,012.27 | 8 |
| Stocking sup grips 4 pre ots HCPCS L0982 | not published | not published | $17.49 – $25.68 | 8 |
| Stoma absorptive cover HCPCS A5083 | not published | not published | $0.86 – $0.95 | 8 |
| Stomach Emptying Scan (Nuclear Medicine) CPT 78264 | $1,775.20 | $2,219.00 | $303.98 – $1,997.10 | 14 |
| Storage/year embryo(s) CPT 89342 | not published | not published | $125.89 – $176.58 | 8 |
| Storage/year oocyte(s) CPT 89346 | not published | not published | $125.89 – $176.58 | 8 |
| Storage/year reprod tissue CPT 89344 | not published | not published | $125.89 – $176.58 | 8 |
| Storage/year sperm/semen CPT 89343 | not published | not published | $125.89 – $176.58 | 8 |
| Stot/tot hysterectomy after cesaren delivery 59525 CPT 59525 | not published | not published | $389.62 – $430.64 | 8 |
| Straight knee joint heavy du HCPCS L2385 | not published | not published | $164.25 – $211.26 | 8 |
| Strap chin dlx f/cpap HCPCS A7036 | not published | not published | $12.26 – $12.26 | 1 |
| Strap montgmry ns 8 hl sht 7.25 x 11.25in HCPCS A4461 | not published | not published | $1.00 – $4.84 | 8 |
| Strapping of ankle and/or ft 29540 CPT 29540 | not published | not published | $116.13 – $162.60 | 8 |
| Strapping of chest CPT 29200 | not published | not published | $116.13 – $162.60 | 8 |
| Strapping of elbow or wrist 29260 CPT 29260 | not published | not published | $45.08 – $61.21 | 8 |
| Strapping of hand or finger CPT 29280 | not published | not published | $45.08 – $61.21 | 8 |
| Strapping of hip CPT 29520 | not published | not published | $94.15 – $132.83 | 8 |
| Strapping of knee CPT 29530 | not published | not published | $94.15 – $132.83 | 8 |
| Strapping of toes 29550 CPT 29550 | not published | not published | $45.08 – $61.21 | 8 |
| Strep a ag ia CPT 87430 | not published | not published | $15.97 – $17.65 | 8 |
| Strep a dna dir probe CPT 87650 | not published | not published | $19.05 – $21.05 | 8 |
| Strep a dna quant CPT 87652 | not published | not published | $39.67 – $43.85 | 8 |
| Strep b assay w/optic CPT 87802 | not published | not published | $12.09 – $13.37 | 8 |
| Strep b dna amp probe CPT 87653 | not published | not published | $33.34 – $36.84 | 8 |
| Streptokinase 1.5 m-units inj HCPCS J2995 | not published | not published | $87.45 – $87.45 | 1 |
| Streptokinase antibody CPT 86590 | not published | not published | $12.03 – $13.29 | 8 |
| Streptomycin injection HCPCS J3000 | not published | not published | $1.00 – $1.00 | 1 |
| Streptozocin injection HCPCS J9320 | not published | not published | $370.18 – $370.18 | 1 |
| Stress test pulmonary CPT 94618 | $325.60 | $407.00 | $94.15 – $366.30 | 14 |
| Stress tte complete CPT 93351 | not published | not published | $406.59 – $565.01 | 8 |
| Str markers spec anal addl CPT 81266 | not published | not published | $289.57 – $320.05 | 8 |
| Str markers specimen anal CPT 81265 | not published | not published | $221.42 – $244.72 | 8 |
| Subdural tap fontanelle/sutur infant init 61000 CPT 61000 | not published | not published | $509.68 – $713.62 | 8 |
| Subq i/p critical care pr day age 28 days/less than 99469 CPT 99469 | not published | not published | $341.22 – $377.13 | 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.