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 |
|---|---|---|---|---|
| Xray endovasc thor ao repr CPT 75957 | not published | not published | $552.22 – $552.22 | 1 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $417.60 | $522.00 | $81.04 – $469.80 | 14 |
| X-ray exam entire spi 6/> vw CPT 72084 | $537.60 | $672.00 | $81.04 – $604.80 | 14 |
| X-ray exam of arm infant CPT 73092 | $258.40 | $323.00 | $81.04 – $290.70 | 14 |
| X-ray exam of femur 1 CPT 73551 | $281.60 | $352.00 | $66.97 – $316.80 | 14 |
| X-ray exam of jaw joint CPT 70328 | $252.00 | $315.00 | $66.97 – $283.50 | 14 |
| X-ray exam of jaw joint CPT 70332 | $572.00 | $715.00 | $180.60 – $643.50 | 14 |
| X-ray exam of mastoids CPT 70120 | $148.00 | $185.00 | $71.72 – $166.50 | 14 |
| X-ray exam of middle ear CPT 70134 | $343.20 | $429.00 | $166.32 – $565.01 | 14 |
| X-ray exam of penis CPT 74445 | not published | not published | $81.04 – $109.58 | 8 |
| X-ray exam of perineum CPT 74775 | not published | not published | $180.60 – $249.09 | 8 |
| X-ray exam of salivary gland CPT 70380 | not published | not published | $66.97 – $90.73 | 8 |
| X-ray exam of tear duct CPT 70170 | not published | not published | $180.60 – $249.09 | 8 |
| X-ray exam of teeth CPT 70300 | not published | not published | $66.97 – $90.73 | 8 |
| X-ray exam of teeth CPT 70310 | not published | not published | $180.60 – $249.09 | 8 |
| X-ray exam si joints CPT 72200 | not published | not published | $81.04 – $109.58 | 8 |
| X-ray exam thorac spine4/>vw CPT 72074 | $649.60 | $812.00 | $81.04 – $730.80 | 14 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $262.40 | $328.00 | $66.97 – $295.20 | 14 |
| X-ray fallopian tube CPT 74742 | not published | not published | $1.00 – $1.00 | 1 |
| X-ray head for orthodontia CPT 70350 | not published | not published | $66.97 – $90.73 | 8 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $407.20 | $509.00 | $81.04 – $458.10 | 14 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $505.60 | $632.00 | $81.04 – $568.80 | 14 |
| X-ray joint survey 1 view CPT 77077 | $198.40 | $248.00 | $81.04 – $223.20 | 14 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $264.00 | $330.00 | $66.97 – $297.00 | 14 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $171.20 | $214.00 | $81.04 – $192.60 | 14 |
| X-ray male genital tract CPT 74440 | not published | not published | $180.60 – $249.09 | 8 |
| X-ray mandible ltd <4 views CPT 70100 | $264.80 | $331.00 | $66.97 – $297.90 | 14 |
| X-ray nose to rectum for foreign body child CPT 76010 | $272.80 | $341.00 | $66.97 – $306.90 | 14 |
| X-ray of mammary ducts CPT 77054 | not published | not published | $180.60 – $249.09 | 8 |
| X-ray optic foramina CPT 70190 | $254.40 | $318.00 | $66.97 – $286.20 | 14 |
| Xray place dist ext thor ao CPT 75959 | not published | not published | $321.47 – $321.47 | 1 |
| Xray place prox ext thor ao CPT 75958 | not published | not published | $362.23 – $362.23 | 1 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $851.20 | $1,064.00 | $283.44 – $957.60 | 14 |
| X-ray ribs 2 views left CPT 71100 | $333.60 | $417.00 | $66.97 – $375.30 | 14 |
| X-ray sella turcica CPT 70240 | $188.80 | $236.00 | $66.97 – $212.40 | 14 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $598.40 | $748.00 | $290.00 – $673.20 | 14 |
| X-ray slg plne bdy sect without urogr CPT 76100 | $562.40 | $703.00 | $81.04 – $632.70 | 14 |
| X-ray small intestine follow-through study CPT 74248 | $220.00 | $275.00 | $75.20 – $247.50 | 14 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $321.60 | $402.00 | $66.97 – $361.80 | 14 |
| X-ray surgical specimen CPT 76098 | $335.20 | $419.00 | $162.45 – $565.01 | 14 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $306.40 | $383.00 | $66.97 – $344.70 | 14 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | not published | not published | $135.41 – $183.44 | 8 |
| Xtrnl ecg rec>48hr<7d CPT 93241 | not published | not published | $251.65 – $278.14 | 8 |
| Xtrnl ecg rec up to 48 hrs CPT 93224 | not published | not published | $65.49 – $72.39 | 8 |
| Xwrap 1 sq cm HCPCS Q4204 | not published | not published | $1.00 – $1.00 | 1 |
| Xylose absorption test blood &/or urine CPT 84620 | not published | not published | $12.26 – $13.56 | 8 |
| Xyntha inj HCPCS J7185 | not published | not published | $1.31 – $1.76 | 8 |
| Yersinia antibody CPT 86793 | not published | not published | $12.53 – $13.85 | 8 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | not published | not published | $53,983.32 – $59,665.78 | 8 |
| Zenith amniotic membrane psc HCPCS Q4253 | not published | not published | $1.00 – $1.00 | 1 |
| Ziconotide injection HCPCS J2278 | not published | not published | $9.04 – $10.65 | 8 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | $82.72 | $103.40 | $1.00 – $93.06 | 11 |
| Zika virus dna/rna amp probe CPT 87662 | not published | not published | $48.74 – $53.88 | 8 |
| Zika virus igm antibody CPT 86794 | not published | not published | $16.01 – $17.69 | 8 |
| Zinc paste band w >=3"<5"/yd HCPCS A6456 | not published | not published | $1.00 – $1.84 | 8 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | not published | not published | $1.00 – $1.00 | 1 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | $3,904.00 | $4,880.00 | $7.49 – $2,286.00 | 14 |
| Zolbetuximab-clzb 100 mg intravenous solution HCPCS J1326 | not published | not published | $32.02 – $35.39 | 8 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $108.24 | $135.30 | $1.00 – $72.60 | 11 |
| Zoster vaccine-live inj CPT 90736 | not published | not published | $196.36 – $196.36 | 1 |
| Zrsr2 gene common variants CPT 81360 | not published | not published | $183.59 – $202.91 | 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.