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 |
|---|---|---|---|---|
| Trnspl rej kdn mrna qpcr 139 CPT 81558 | not published | not published | $3,078.00 – $3,402.00 | 8 |
| Trnsxj/repos abrrnt rnl vsls CPT 50100 | not published | not published | $919.03 – $1,015.77 | 8 |
| Troponin quantitative CPT 84484 | not published | not published | $11.85 – $13.09 | 8 |
| Tr retinal les preterm inf CPT 67229 | not published | not published | $428.40 – $565.32 | 8 |
| Trurl dstrj prst8 tiss rf wv CPT 53854 | not published | not published | $2,569.36 – $3,554.06 | 8 |
| Truskin, per sq centimeter HCPCS Q4167 | not published | not published | $1.00 – $1.00 | 1 |
| Truss addition to std pad wa HCPCS L8320 | not published | not published | $69.04 – $89.82 | 8 |
| Truss add to std pad scrotal HCPCS L8330 | not published | not published | $54.97 – $82.95 | 8 |
| Truss double with standard pad HCPCS L8310 | not published | not published | $166.40 – $223.80 | 8 |
| Truss single with standard pad HCPCS L8300 | not published | not published | $93.93 – $141.75 | 8 |
| Tte w or without contr, cont ecg HCPCS C8930 | not published | not published | $590.11 – $814.13 | 8 |
| Tte w or without fol w/con,stres HCPCS C8928 | not published | not published | $590.11 – $814.13 | 8 |
| Tte w or without fol w/cont, com HCPCS C8921 | not published | not published | $590.11 – $814.13 | 8 |
| Tte w or without fol w/cont, f/u HCPCS C8922 | not published | not published | $590.11 – $814.13 | 8 |
| Tubal Ligation (Laparoscopic) CPT 58670 | not published | not published | $4,252.59 – $6,012.13 | 8 |
| Tube drain vert dev st 5-40f HCPCS A5200 | not published | not published | $1.00 – $16.59 | 8 |
| Tube trach disp innr can 5 xlt HCPCS A7521 | not published | not published | $1.00 – $69.02 | 8 |
| Tube trach disp innr can 6 xlt HCPCS A4623 | not published | not published | $1.00 – $9.62 | 8 |
| Tube trach fen sz 6 uncuffed HCPCS A7520 | not published | not published | $1.00 – $69.65 | 8 |
| Tubing (oxygen) per foot HCPCS A4616 | not published | not published | $0.08 – $0.08 | 8 |
| Tubular dressing HCPCS A6457 | not published | not published | $1.00 – $1.67 | 8 |
| Tumor cell deplete of harvst CPT 38211 | not published | not published | $319.94 – $450.50 | 8 |
| Tvh >250 gms 58290 CPT 58290 | not published | not published | $5,569.31 – $7,620.13 | 8 |
| Tvh w/mmk 58267 CPT 58267 | not published | not published | $930.23 – $1,028.15 | 8 |
| Twelve volt battery utah/equ HCPCS L7364 | not published | not published | $572.73 – $669.57 | 8 |
| Tx atrial fib pulm vein isol CPT 93656 | not published | not published | $17,504.54 – $25,279.80 | 8 |
| Tx closed distal humerus fx CPT 24999 | not published | not published | $173.80 – $247.19 | 8 |
| Tx closed hip disl traumatic without anes CPT 27250 | not published | not published | $173.80 – $247.19 | 8 |
| Tx closed tib fx proximal w/w/o manip w/skel trac CPT 27532 | $856.00 | $1,070.00 | $414.84 – $3,343.47 | 14 |
| Tx closed tib shaft fx without manip CPT 27750 | not published | not published | $173.80 – $247.19 | 8 |
| Tx contour defects >10.0 cc CPT 11954 | not published | not published | $462.88 – $630.78 | 8 |
| Tx contour defects 1.1-5.0cc 11951 CPT 11951 | not published | not published | $462.88 – $630.78 | 8 |
| Tx ectopic pregnancy abdl pregnancy 59130 CPT 59130 | not published | not published | $788.91 – $871.95 | 8 |
| Tx ectopic pregnancy ntrstl prtl rescj uter 59136 CPT 59136 | not published | not published | $748.78 – $827.60 | 8 |
| Tx l/r atrial fib addl CPT 93657 | not published | not published | $1.00 – $277.52 | 8 |
| Tx open art fx mcp/iphlngl jnt incl int fixtn ea CPT 26746 | not published | not published | $2,385.62 – $3,343.47 | 8 |
| Tx open dstl phlngl fx f/t internal fixation ea CPT 26765 | not published | not published | $2,385.62 – $3,343.47 | 8 |
| Tx open iphlngl jt disl internal fixation sngl CPT 26785 | not published | not published | $2,385.62 – $3,343.47 | 8 |
| Tx open nsl fx uncomp CPT 21325 | not published | not published | $2,372.92 – $3,341.89 | 8 |
| Tx open nsl sptl fx CPT 21336 | not published | not published | $2,385.62 – $3,343.47 | 8 |
| Tx phalangeal shaft fx open prox/middle ea CPT 26735 | not published | not published | $2,385.62 – $3,343.47 | 8 |
| Tx septic abortion surgical 59830 CPT 59830 | not published | not published | $236.44 – $433.83 | 8 |
| Tx tarsal bone fx without manip 28450 CPT 28450 | not published | not published | $173.80 – $247.19 | 8 |
| Tympanic membrane repair CPT 69610 | not published | not published | $1,123.99 – $1,526.41 | 8 |
| Tympanolysis transcanal 69450 CPT 69450 | not published | not published | $2,372.92 – $3,341.89 | 8 |
| Tympanometry & reflex thresh CPT 92550 | not published | not published | $115.12 – $161.23 | 8 |
| Tympanostomy/ven tube/loc/top anes 69433 CPT 69433 | not published | not published | $405.51 – $524.77 | 8 |
| Tympp antrt/mastoidotomy prosthesis torp 69637 CPT 69637 | not published | not published | $4,316.11 – $6,095.91 | 8 |
| Tympp antrt/mastoid without ossic chain recnst 69635 CPT 69635 | not published | not published | $4,316.11 – $6,095.91 | 8 |
| Tyms gene com variants CPT 81346 | not published | not published | $166.07 – $183.55 | 8 |
| Typhoid vaccine oral CPT 90690 | not published | not published | $27.20 – $27.20 | 1 |
| U2af1 gene common variants CPT 81357 | not published | not published | $183.59 – $202.91 | 8 |
| Ua w/micro/comp poc CPT 81000 | not published | not published | $3.82 – $4.22 | 8 |
| Ublituximab-xiiy 25 mg/ml intravenous solution HCPCS J2329 | not published | not published | $67.08 – $74.29 | 8 |
| Ue triple control harness HCPCS L6677 | not published | not published | $332.22 – $447.89 | 8 |
| Ugt1a1 gene analy common variants CPT 81350 | not published | not published | $222.30 – $245.70 | 8 |
| Ultrasound bone density measure CPT 76977 | not published | not published | $81.04 – $109.58 | 8 |
| Ultrasound breast complete CPT 76641 | $704.80 | $881.00 | $81.04 – $792.90 | 14 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $516.00 | $645.00 | $66.97 – $580.50 | 14 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $516.00 | $645.00 | $81.04 – $415.80 | 14 |
| Ultrasound dx ophth b-scan CPT 76512 | not published | not published | $81.04 – $109.58 | 8 |
| Ultrasound elastography ea l target les CPT 76983 | not published | not published | $55.04 – $60.83 | 8 |
| Ultrasound elastography parenchyma CPT 76981 | not published | not published | $81.04 – $109.58 | 8 |
| Ultrasound encephalogram CPT 76506 | $533.60 | $667.00 | $81.04 – $600.30 | 14 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $746.40 | $933.00 | $81.04 – $839.70 | 14 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $676.24 | $845.30 | $81.04 – $352.80 | 14 |
| Ultrasound Guidance for a Needle Procedure CPT 76942 | $824.80 | $1,031.00 | $1.00 – $927.90 | 14 |
| Ultrasound guidance for vascular access CPT 76937 | $519.20 | $649.00 | $1.00 – $584.10 | 14 |
| Ultrasound guide intraoperative CPT 76998 | $814.40 | $1,018.00 | $1.00 – $916.20 | 11 |
| Ultrasound guide tissue ablation CPT 76940 | not published | not published | $1.00 – $1.00 | 1 |
| Ultrasound hips infant dynamic CPT 76885 | not published | not published | $66.97 – $90.73 | 8 |
| Ultrasound infant hips ltd without stress CPT 76886 | not published | not published | $66.97 – $90.73 | 8 |
| Ultrasound joint complete left CPT 76881 | $662.40 | $828.00 | $81.04 – $745.20 | 14 |
| Ultrasound nrv&acc strux 1xtr compre CPT 76883 | not published | not published | $81.04 – $109.58 | 8 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $636.80 | $796.00 | $1.00 – $716.40 | 14 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $319.20 | $399.00 | $1.00 – $359.10 | 14 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $916.00 | $1,145.00 | $180.60 – $1,030.50 | 14 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $500.00 | $625.00 | $81.04 – $349.20 | 14 |
| Ultrasound prostate/transrectal CPT 76872 | not published | not published | $81.04 – $109.58 | 8 |
| Ultrasound spinal canal and contents CPT 76800 | $604.00 | $755.00 | $81.04 – $679.50 | 14 |
| Ultrasound transabd ea addl gest CPT 76812 | $597.60 | $747.00 | $1.00 – $672.30 | 14 |
| Ultrasound trgt dyn mbubb 1st les CPT 76978 | not published | not published | $135.41 – $183.44 | 8 |
| Ultrasound trgt dyn mbubb ea addl CPT 76979 | not published | not published | $114.77 – $126.85 | 8 |
| Ultraviolet therapy CPT 97028 | not published | not published | $7.59 – $8.39 | 8 |
| Umbilical artery cath newborn 36660 CPT 36660 | not published | not published | $60.01 – $66.32 | 8 |
| Umbilical cord occlud w/us CPT 59072 | not published | not published | $236.44 – $313.46 | 8 |
| Umbilicoplasty 15847 CPT 15847 | not published | not published | $1.00 – $1.00 | 1 |
| Unit mobile power mpu HCPCS Q0479 | not published | not published | $13,443.87 – $18,098.18 | 8 |
| Unlistd noninvas vasc dx std CPT 93998 | not published | not published | $21.95 – $25.24 | 8 |
| Unlisted all/immlg svc/px CPT 95199 | not published | not published | $21.95 – $25.24 | 8 |
| Unlisted chemotherapy px CPT 96549 | $197.60 | $247.00 | $35.00 – $222.30 | 14 |
| Unlisted cranfcl&maxlfcl px CPT 21299 | not published | not published | $180.03 – $239.30 | 8 |
| Unlisted CT procedure CPT 76497 | $147.20 | $184.00 | $66.97 – $165.60 | 14 |
| Unlisted cv px dx nuc med CPT 78499 | not published | not published | $303.98 – $414.07 | 8 |
| Unlisted cytogenetic study CPT 88299 | not published | not published | $39.93 – $55.06 | 8 |
| Unlisted cytopathology px CPT 88199 | not published | not published | $39.93 – $55.06 | 8 |
| Unlisted dialysis procedure CPT 90999 | $1,588.00 | $1,985.00 | $326.43 – $1,786.50 | 11 |
| Unlisted dx gi procedure CPT 91299 | not published | not published | $115.12 – $161.23 | 8 |
| Unlisted endocrine px dx nuc CPT 78099 | not published | not published | $303.98 – $414.07 | 8 |
| Unlisted fetal invas px w/us CPT 59897 | not published | not published | $146.87 – $207.30 | 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.