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 |
|---|---|---|---|---|
| Urea nitrogen CPT 84520 | not published | not published | $3.75 – $4.15 | 8 |
| Urea nitrogen 24 hour urine CPT 84540 | not published | not published | $5.28 – $5.84 | 8 |
| Urea nitrogen clearance CPT 84545 | not published | not published | $6.84 – $7.56 | 8 |
| Urea nitrogen semi-quant CPT 84525 | not published | not published | $4.87 – $5.39 | 8 |
| Ureteral embolization/occl CPT 50705 | not published | not published | $1.00 – $1,822.39 | 8 |
| Ureteral reflux study CPT 78740 | not published | not published | $303.98 – $414.07 | 8 |
| Ureter endoscopy CPT 50970 | not published | not published | $2,569.36 – $3,554.06 | 8 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | $3,813.61 – $5,238.52 | 8 |
| Ureter endoscopy & biopsy CPT 50974 | not published | not published | $3,813.61 – $5,238.52 | 8 |
| Ureter endoscopy & catheter CPT 50972 | not published | not published | $2,569.36 – $3,554.06 | 8 |
| Ureter endoscopy & treatment CPT 50957 | not published | not published | $3,813.61 – $5,238.52 | 8 |
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $3,813.61 – $5,238.52 | 8 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $3,813.61 – $5,238.52 | 8 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $3,813.61 – $5,238.52 | 8 |
| Ureteroneocystostomy 50780 CPT 50780 | not published | not published | $971.10 – $1,073.32 | 8 |
| Ureteroureterostomy 50760 CPT 50760 | not published | not published | $981.39 – $1,084.69 | 8 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $832.00 | $1,040.00 | $180.60 – $936.00 | 14 |
| Urethrlys transvag with scope CPT 53500 | not published | not published | $2,569.36 – $3,554.06 | 8 |
| Urethrocystography void s&i CPT 74455 | $908.00 | $1,135.00 | $180.60 – $1,021.50 | 14 |
| Uric acid blood CPT 84550 | not published | not published | $4.29 – $4.75 | 8 |
| Uric acid urine CPT 84560 | not published | not published | $4.83 – $5.33 | 8 |
| Urinalysis glass test CPT 81020 | not published | not published | $4.47 – $4.94 | 8 |
| Urinalysis microscopic only CPT 81015 | not published | not published | $2.90 – $3.20 | 8 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | not published | not published | $2.06 – $2.28 | 8 |
| Urinalysis (with microscopy) CPT 81001 | not published | not published | $3.01 – $3.33 | 8 |
| Urinalysis (without microscopy) CPT 81003 | not published | not published | $2.14 – $2.36 | 8 |
| Urinary bldr retent nuc study CPT 78730 | not published | not published | $1.00 – $68.56 | 8 |
| Urinary pouch on barr w/flng HCPCS A5073 | not published | not published | $1.00 – $4.66 | 8 |
| Urinary pouch w/barrier HCPCS A5071 | not published | not published | $1.00 – $8.82 | 8 |
| Urinary reflex study CPT 51792 | not published | not published | $45.08 – $61.21 | 8 |
| Urinary suspensory HCPCS A5105 | not published | not published | $1.00 – $59.82 | 8 |
| Urine Culture Test CPT 87086 | not published | not published | $7.67 – $8.47 | 8 |
| Urine flow measurement 51736 CPT 51736 | not published | not published | $94.15 – $132.83 | 8 |
| Urine ost pouch w faucet/tap HCPCS A4428 | not published | not published | $1.00 – $9.57 | 8 |
| Urine pregnancy test CPT 81025 | not published | not published | $8.18 – $9.04 | 8 |
| Urine screen for bacteria CPT 81007 | not published | not published | $28.48 – $31.48 | 8 |
| Urine shunt to intestine CPT 50815 | not published | not published | $1,078.20 – $1,191.70 | 8 |
| Urine specimen collect mult HCPCS P9615 | not published | not published | $1.00 – $9.54 | 8 |
| Urofollitropin, 75 iu HCPCS J3355 | not published | not published | $127.66 – $127.66 | 1 |
| Urography, antegrade CPT 74425 | $804.00 | $1,005.00 | $283.44 – $904.50 | 14 |
| Urography inf drip &/or bolus CPT 74410 | $863.20 | $1,079.00 | $135.41 – $971.10 | 14 |
| Urokinase 250,000 iu inj HCPCS J3365 | not published | not published | $489.77 – $489.77 | 1 |
| Urokinase 5000 iu injection HCPCS J3364 | not published | not published | $10.07 – $10.07 | 1 |
| Use 1st target lesion CPT 76982 | not published | not published | $81.04 – $109.58 | 8 |
| User adjustable heel height HCPCS L5990 | not published | not published | $2,031.80 – $2,739.10 | 8 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $3,281.09 | $4,101.36 | $12.34 – $3,691.22 | 14 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | $31,052.44 | $38,815.55 | $141.93 – $34,934.00 | 14 |
| U/s trtmt, not leiomyomata HCPCS C9734 | not published | not published | $9,700.03 – $13,258.87 | 8 |
| Vaccine Administration (one shot) CPT 90471 | $94.40 | $118.00 | $45.75 – $106.20 | 14 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | $256.68 | $320.84 | $124.39 – $288.76 | 14 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | $238.92 | $298.64 | $115.78 – $268.78 | 14 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | not published | not published | $131.10 – $176.79 | 8 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | not published | not published | $87.78 – $99.54 | 8 |
| Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 | not published | not published | $62.27 – $68.83 | 8 |
| Vaccine dtap < 7 years im CPT 90700 | $78.13 | $97.66 | $1.00 – $84.46 | 11 |
| Vaccine dtap-hep b-ipv im CPT 90723 | not published | not published | $99.29 – $99.29 | 1 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | not published | not published | $1.00 – $1.00 | 1 |
| Vaccine dtap-ipv-hib-hepb im CPT 90697 | $214.68 | $268.35 | $101.97 – $236.72 | 11 |
| Vaccine dtap-ipv/hib im CPT 90698 | $108.20 | $135.25 | $1.00 – $121.73 | 11 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | $78.60 | $98.24 | $1.00 – $88.42 | 11 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $68.21 | $85.26 | $1.00 – $76.73 | 11 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $111.10 | $138.87 | $1.00 – $118.22 | 11 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | $245.62 | $307.02 | $1.00 – $276.32 | 11 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | $80.92 | $101.14 | $1.00 – $88.34 | 11 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 3 dose im CPT 90634 | not published | not published | $38.64 – $38.64 | 1 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | not published | not published | $71.39 – $78.90 | 8 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $111.11 | $138.88 | $50.27 – $116.70 | 14 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | $254.02 | $317.52 | $106.03 – $246.13 | 14 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $75.87 | $94.83 | $30.09 – $85.35 | 14 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | $469.81 | $587.26 | $186.73 – $433.47 | 11 |
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | not published | not published | $163.41 – $163.41 | 1 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | not published | not published | $73.40 – $103.07 | 8 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | $51.71 | $64.63 | $25.06 – $103.07 | 14 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | not published | not published | $12.50 – $23.17 | 8 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | not published | not published | $19.77 – $24.38 | 8 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | not published | not published | $20.88 – $20.88 | 1 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | not published | not published | $77.36 – $77.36 | 1 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | not published | not published | $19.36 – $19.36 | 1 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | not published | not published | $22.35 – $22.35 | 1 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | not published | not published | $10.44 – $10.44 | 1 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | not published | not published | $27.79 – $27.79 | 1 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | not published | not published | $73.40 – $73.40 | 1 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | $29.17 | $36.46 | $14.14 – $51.97 | 14 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | not published | not published | $6.02 – $11.59 | 8 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $375.62 | $469.52 | $160.34 – $372.22 | 11 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | $289.03 | $361.28 | $116.66 – $270.82 | 11 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | $220.52 | $275.64 | $106.87 – $248.08 | 11 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | not published | not published | $151.60 – $151.60 | 1 |
| Vaccine mmr live subcutaneous CPT 90707 | $190.84 | $238.55 | $1.00 – $214.70 | 11 |
| Vaccine mmrv live subcutaneous CPT 90710 | not published | not published | $123.64 – $123.64 | 1 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $216.40 | $270.49 | $104.65 – $242.93 | 14 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | not published | not published | $245.09 – $270.89 | 8 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | $367.34 | $459.17 | $178.02 – $413.25 | 14 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | not published | not published | $288.66 – $328.55 | 8 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | $79.53 | $99.41 | $1.00 – $89.47 | 11 |
| Vaccine rabies im CPT 90675 | $663.38 | $829.22 | $249.11 – $578.29 | 14 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | $449.67 | $562.08 | $217.92 – $505.87 | 11 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | $794.82 | $993.52 | $350.58 – $813.83 | 11 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | $794.82 | $993.52 | $350.57 – $813.82 | 11 |
| Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 | not published | not published | $141.39 – $141.39 | 1 |
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.