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 |
|---|---|---|---|---|
| T3 (triiodothyronine) total CPT 84480 | not published | not published | $13.47 – $14.89 | 8 |
| T4 (thyroxine) free CPT 84439 | not published | not published | $8.57 – $9.47 | 8 |
| T4 (thyroxine) total CPT 84436 | not published | not published | $6.53 – $7.21 | 8 |
| Tacrol astagraf ex rel oral HCPCS J7508 | not published | not published | $1.00 – $1.00 | 1 |
| Tacrol envarsus ex rel oral HCPCS J7503 | not published | not published | $1.00 – $1.00 | 1 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $4.79 | $5.98 | $1.00 – $5.15 | 11 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | not published | not published | $248.75 – $276.31 | 8 |
| Tacrolimus therapeutic drug level CPT 80197 | not published | not published | $13.04 – $14.42 | 8 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | not published | not published | $13.29 – $15.03 | 8 |
| Tah rad debulk/lymph remove 58954 CPT 58954 | not published | not published | $1,887.49 – $2,086.18 | 8 |
| Tah rad dissect for debulk 58953 CPT 58953 | not published | not published | $1,745.60 – $1,929.35 | 8 |
| Tah w/mmk 58152 CPT 58152 | not published | not published | $1,073.06 – $1,186.01 | 8 |
| Tailbone (Sacrum and Coccyx) X-ray CPT 72220 | $283.20 | $354.00 | $66.97 – $318.60 | 14 |
| Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325 | not published | not published | $66.30 – $77.63 | 8 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | not published | not published | $68.99 – $76.25 | 8 |
| Talymed HCPCS Q4127 | not published | not published | $1.00 – $1.00 | 1 |
| Tamoxifen 10 mg tabs 60 each bottle HCPCS S0187 | not published | not published | $1.61 – $1.61 | 1 |
| Tap block bilat cont infusion 64489 CPT 64489 | not published | not published | $1.00 – $342.01 | 8 |
| Tap block uni by cont infusion 64487 CPT 64487 | not published | not published | $1.00 – $208.67 | 8 |
| Tape plstc 1inx5yd hosp tb pk HCPCS A4452 | not published | not published | $1.00 – $1.00 | 1 |
| Target gsa panel hmtlmph neop CPT 81450 | not published | not published | $721.55 – $797.51 | 8 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | not published | not published | $2,249.00 – $3,065.58 | 8 |
| Target gsa panel organ neop CPT 81445 | not published | not published | $568.01 – $627.81 | 8 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | not published | not published | $1,486.40 – $1,642.87 | 8 |
| Tas congenital car anomal CPT 33741 | not published | not published | $611.53 – $675.90 | 8 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $462.88 – $630.78 | 8 |
| Tavr perq femoral CPT 33361 | not published | not published | $985.58 – $1,089.33 | 8 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | not published | not published | $0.27 – $0.29 | 8 |
| Tbp gene detc abnor alleles CPT 81344 | not published | not published | $130.15 – $143.85 | 8 |
| Tbs dxa cal w/i&r fx risk CPT 77089 | not published | not published | $36.97 – $40.87 | 8 |
| Tbs i&r fx rsk qhp CPT 77092 | not published | not published | $8.76 – $9.68 | 8 |
| Tbs techl calculation only CPT 77091 | not published | not published | $66.97 – $90.73 | 8 |
| Tbs techl prep&transmis data CPT 77090 | not published | not published | $40.65 – $90.73 | 8 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | not published | not published | $95.00 – $105.00 | 8 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | not published | not published | $58.88 – $65.08 | 8 |
| Tc-99m apcitide diag HCPCS A9504 | not published | not published | $1.00 – $1.00 | 1 |
| Tc-99m arcitumomab HCPCS A9568 | not published | not published | $1.00 – $849.99 | 8 |
| Tc-99m bicisate HCPCS A9557 | not published | not published | $1.00 – $717.99 | 8 |
| Tc-99m depreotide HCPCS A9536 | not published | not published | $1.00 – $1.00 | 1 |
| Tc-99m diag per dose HCPCS A4641 | not published | not published | $1.00 – $1.00 | 1 |
| Tc-99m disofenin HCPCS A9510 | not published | not published | $1.00 – $1.00 | 1 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | not published | not published | $1.00 – $1,092.34 | 8 |
| Tc-99m exametazime diag HCPCS A9521 | not published | not published | $1.00 – $842.46 | 8 |
| Tc-99m fanolesomab diag HCPCS A9566 | not published | not published | $1.00 – $1.00 | 1 |
| Tc-99m gluceptate HCPCS A9550 | not published | not published | $1.00 – $1.00 | 1 |
| Tc-99m graphite crucible HCPCS A9506 | not published | not published | $312.17 – $345.03 | 8 |
| Tc-99m labeled rbc HCPCS A9560 | $428.00 | $535.00 | $1.00 – $481.50 | 11 |
| Tc-99m maa HCPCS A9540 | $936.80 | $1,171.00 | $1.00 – $1,053.90 | 11 |
| Tc-99m mebrofenin HCPCS A9537 | $178.40 | $223.00 | $1.00 – $200.70 | 11 |
| Tc-99m medronate HCPCS A9503 | $133.60 | $167.00 | $1.00 – $150.30 | 11 |
| Tc-99m mertiatide HCPCS A9562 | $756.00 | $945.00 | $1.00 – $850.50 | 11 |
| Tc-99m non-heu per study dose HCPCS Q9969 | not published | not published | $7.73 – $10.50 | 8 |
| Tc-99m oxidronate HCPCS A9561 | $168.00 | $210.00 | $1.00 – $189.00 | 11 |
| Tc-99m pentetate dtpa HCPCS A9539 | $388.80 | $486.00 | $1.00 – $437.40 | 11 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $388.80 | $486.00 | $1.00 – $437.40 | 11 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $108.00 | $135.00 | $1.00 – $121.50 | 11 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | not published | not published | $1.00 – $1.00 | 1 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $352.00 | $440.00 | $1.00 – $396.00 | 11 |
| Tc-99m succimer (dmsa) HCPCS A9551 | not published | not published | $1.00 – $1.00 | 1 |
| Tc-99m sulfur colloid HCPCS A9541 | $308.00 | $385.00 | $1.00 – $346.50 | 11 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | not published | not published | $1.00 – $1.00 | 1 |
| Tc-99m tilmanocept diag HCPCS A9520 | not published | not published | $1.00 – $1.00 | 1 |
| Tca peel dermal 15789 CPT 15789 | not published | not published | $462.88 – $630.78 | 8 |
| Tcd emboli detect w/inj CPT 93893 | not published | not published | $81.04 – $109.58 | 8 |
| Tcd emboli detect without inj CPT 93892 | not published | not published | $81.04 – $109.58 | 8 |
| Tcd vasoreactivity study CPT 93890 | not published | not published | $180.60 – $180.60 | 1 |
| T-cell depletion of harvest CPT 38210 | not published | not published | $319.94 – $450.50 | 8 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | not published | not published | $44.63 – $49.33 | 8 |
| T cells absolute cd 4 count CPT 86361 | not published | not published | $25.44 – $28.12 | 8 |
| T cells total count CPT 86359 | not published | not published | $35.84 – $39.62 | 8 |
| Tcranial magn stim tx deli CPT 90868 | not published | not published | $231.33 – $320.89 | 8 |
| Tcranial magn stim tx plan CPT 90867 | not published | not published | $231.33 – $320.89 | 8 |
| Tcran magn stim redetemine CPT 90869 | not published | not published | $231.33 – $320.89 | 8 |
| Tdh sdrl/ventr pnxr CPT 61105 | not published | not published | $400.10 – $442.22 | 8 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | not published | not published | $463.00 – $912.34 | 8 |
| Team conf without pat by hc pro CPT 99368 | not published | not published | $1.00 – $34.61 | 8 |
| Team conf without pat by phys CPT 99367 | not published | not published | $1.00 – $52.94 | 8 |
| Team conf w/pat by hc prof CPT 99366 | not published | not published | $1.00 – $40.44 | 8 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | not published | not published | $203.83 – $227.94 | 8 |
| Tee w or without fol w/cont,cong HCPCS C8926 | not published | not published | $590.11 – $814.13 | 8 |
| Tee w or without fol w/cont, mon HCPCS C8927 | not published | not published | $590.11 – $814.13 | 8 |
| Teflon or equal cable lining HCPCS L6665 | not published | not published | $51.28 – $77.39 | 8 |
| Telavancin injection HCPCS J3095 | not published | not published | $6.76 – $7.47 | 8 |
| Telehealth original site facility fee HCPCS Q3014 | $48.80 | $61.00 | $23.65 – $54.90 | 11 |
| Telethx isodose plan cplx CPT 77307 | $6,175.20 | $7,719.00 | $272.32 – $6,947.10 | 14 |
| Telethx isodose plan simple CPT 77306 | $3,511.20 | $4,389.00 | $272.32 – $3,950.10 | 14 |
| Temozolomide HCPCS J8700 | not published | not published | $1.00 – $1.00 | 1 |
| Temozolomide 100 mg intravenous solution HCPCS J9328 | not published | not published | $9.87 – $10.91 | 8 |
| Temperature gradient studies CPT 93740 | not published | not published | $115.12 – $161.23 | 8 |
| Temple bne implnt w/stimulat CPT 69715 | not published | not published | $2,372.92 – $2,372.92 | 1 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | $4,840.60 | $6,050.75 | $25.38 – $5,445.68 | 14 |
| Tendon lengthening CPT 26476 | not published | not published | $2,385.62 – $3,343.47 | 8 |
| Tendon lngth upr a/e ea tdn CPT 24305 | not published | not published | $2,385.62 – $3,343.47 | 8 |
| Tendon shortening CPT 26477 | not published | not published | $2,385.62 – $3,343.47 | 8 |
| Tendon transfer with graft CPT 26492 | not published | not published | $2,385.62 – $3,343.47 | 8 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $12,376.10 | $15,470.12 | $153.10 – $10,932.30 | 14 |
| Teniposide, 50 mg HCPCS Q2017 | not published | not published | $2,545.87 – $2,545.87 | 1 |
| Tenodesis biceps tdn at elbw CPT 24340 | not published | not published | $5,272.69 – $7,361.40 | 8 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | not published | not published | $2,385.62 – $3,343.47 | 8 |
| Tenolysis triceps CPT 24332 | not published | not published | $2,385.62 – $3,343.47 | 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.