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 |
|---|---|---|---|---|
| Blood volume CPT 78122 | not published | not published | $398.37 – $554.67 | 8 |
| Bls-emergency HCPCS A0429 | $1,088.00 | $1,360.00 | $527.27 – $1,224.00 | 11 |
| Blue light cysto imag agent HCPCS C9738 | not published | not published | $1.00 – $1.00 | 1 |
| Body jacket mold to patient HCPCS L1300 | not published | not published | $1,926.48 – $2,634.65 | 8 |
| Bone Age X-ray (hand and wrist) CPT 77072 | $184.80 | $231.00 | $81.04 – $207.90 | 14 |
| Bone biopsy open superficial CPT 20240 | not published | not published | $2,094.23 – $2,949.26 | 8 |
| Bone Density Scan (DEXA) CPT 77080 | $481.60 | $602.00 | $81.04 – $541.80 | 14 |
| Bone imaging (3d) CPT 78320 | not published | not published | $303.98 – $303.98 | 1 |
| Bone imaging multiple areas CPT 78305 | not published | not published | $303.98 – $414.07 | 8 |
| Bone/joint imaging ltd area CPT 78300 | $1,328.00 | $1,660.00 | $303.98 – $1,494.00 | 14 |
| Bone marrow;aspiration only 38220 CPT 38220 | not published | not published | $1,194.92 – $1,669.61 | 8 |
| Bone marrow aspir bone grfg CPT 20939 | not published | not published | $1.00 – $63.75 | 8 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $1,639.20 | $2,049.00 | $780.05 – $1,810.80 | 14 |
| Bone marrow harvest allogen CPT 38230 | not published | not published | $1,130.83 – $1,689.23 | 8 |
| Bone marrow harvest autolog CPT 38232 | not published | not published | $3,410.79 – $4,827.93 | 8 |
| Bone marrow imaging body CPT 78104 | not published | not published | $303.98 – $414.07 | 8 |
| Bone marrow imaging ltd CPT 78102 | not published | not published | $303.98 – $414.07 | 8 |
| Bone marrow imaging mult CPT 78103 | not published | not published | $303.98 – $414.07 | 8 |
| Bone marrow interpretation CPT 85097 | not published | not published | $573.29 – $841.79 | 8 |
| Bone mineral dual photon CPT 78351 | not published | not published | $13.18 – $14.57 | 8 |
| Bone mineral single photon CPT 78350 | not published | not published | $29.62 – $32.74 | 8 |
| Bone/skin graft great toe CPT 20973 | not published | not published | $5,272.69 – $7,361.40 | 8 |
| Bone/skin graft iliac crest CPT 20970 | not published | not published | $1,184.54 – $2,727.66 | 8 |
| Bone/skin graft metatarsal CPT 20972 | not published | not published | $5,272.69 – $7,361.40 | 8 |
| Bone/skin graft microvasc CPT 20969 | not published | not published | $2,376.40 – $2,626.55 | 8 |
| Bone survey-lead poisoning CPT 77074 | $465.60 | $582.00 | $81.04 – $523.80 | 14 |
| Bone tendon board add on HCPCS C9356 | not published | not published | $1.00 – $1.00 | 1 |
| Bone void filler nanoss 10cc HCPCS C9362 | not published | not published | $1.00 – $1.00 | 1 |
| Boot cast sandal rocker med HCPCS L3265 | not published | not published | $14.40 – $14.40 | 1 |
| Boot heel care softcare one sz HCPCS E0191 | not published | not published | $11.97 – $11.97 | 1 |
| Boot j walker l HCPCS L4386 | not published | not published | $177.23 – $238.90 | 8 |
| Boot mlti podous univ xlg HCPCS L4396 | not published | not published | $187.58 – $252.42 | 8 |
| Boot softgait shrt m HCPCS L4387 | not published | not published | $177.23 – $238.90 | 8 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | $153.60 | $192.00 | $74.44 – $436.72 | 14 |
| Boot walker genesis mid-calf full shell s HCPCS L4361 | not published | not published | $289.40 – $436.72 | 8 |
| Borrelia antibody CPT 86619 | not published | not published | $12.71 – $14.05 | 8 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | not published | not published | $16.18 – $17.88 | 8 |
| Borrelia miyamotoi amp prb CPT 87478 | not published | not published | $33.34 – $36.84 | 8 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | $4,007.20 | $5,009.00 | $2.29 – $221.30 | 11 |
| (both sides) donor search management CPT 38204 | not published | not published | $1.00 – $97.57 | 8 |
| (both sides) smear without diff wbc count CPT 85008 | not published | not published | $3.26 – $3.60 | 8 |
| Botulism ig IV CPT 90288 | not published | not published | $48,705.00 – $48,705.00 | 1 |
| Bowel imaging CPT 78290 | $1,430.40 | $1,788.00 | $303.98 – $1,609.20 | 14 |
| Bpg axillary-pop/-tibial CPT 35623 | not published | not published | $1,054.25 – $1,165.22 | 8 |
| Bpg carotid-vertebral CPT 35642 | not published | not published | $799.47 – $883.62 | 8 |
| Bpg ilio-celiac CPT 35632 | not published | not published | $1,442.92 – $1,594.81 | 8 |
| Bpg ilio-mesenteric CPT 35633 | not published | not published | $1,580.99 – $1,747.40 | 8 |
| Bpg iliorenal CPT 35634 | not published | not published | $1,412.40 – $1,561.07 | 8 |
| Bpg pop-tibl/-prnl artery CPT 35671 | not published | not published | $911.32 – $1,007.25 | 8 |
| Bpg splenorenal CPT 35636 | not published | not published | $1,275.78 – $1,410.08 | 8 |
| Bpg subclavian-axillary CPT 35616 | not published | not published | $883.04 – $975.99 | 8 |
| Bpg subclavian-vertebral CPT 35645 | not published | not published | $762.75 – $843.04 | 8 |
| Brace adj motion lerman type HCPCS L2186 | not published | not published | $172.19 – $237.45 | 8 |
| Brace afo dbl upright cust HCPCS L1990 | not published | not published | $522.35 – $703.05 | 8 |
| Brace afo lg left 6607 HCPCS L1930 | not published | not published | $281.60 – $373.11 | 8 |
| Brace afopos solid ankle cust HCPCS L1960 | not published | not published | $692.89 – $874.24 | 8 |
| Brace afo spiral prefab HCPCS L1951 | not published | not published | $938.72 – $1,265.51 | 8 |
| Brace ank aftr bioskn med lg HCPCS L1906 | not published | not published | $125.69 – $189.68 | 8 |
| Brace ank air stirrup univ HCPCS L4350 | not published | not published | $108.15 – $140.98 | 8 |
| Brace ankle joint dflxn assist HCPCS L2210 | not published | not published | $70.25 – $106.02 | 8 |
| Brace ankle stablizing lg HCPCS L1902 | not published | not published | $83.44 – $125.91 | 8 |
| Brace back epic lo 627 HCPCS L0642 | not published | not published | $373.11 – $423.23 | 8 |
| Brace back epic lso 637 HCPCS L0650 | not published | not published | $1,138.40 – $1,291.17 | 8 |
| Brace back epic tslo 456 HCPCS L0457 | not published | not published | $902.73 – $1,024.00 | 8 |
| Brace back pinnacle lo 627 lumbar HCPCS L0627 | not published | not published | $459.44 – $619.57 | 8 |
| Brace back pinnacle tlso 464 HCPCS L0464 | not published | not published | $1,661.54 – $2,239.85 | 8 |
| Brace back t-lso custom HCPCS L0486 | not published | not published | $2,287.31 – $2,973.77 | 8 |
| Brace back vista 464 tlso HCPCS L0648 | not published | not published | $931.85 – $1,057.02 | 8 |
| Brace cust back lso HCPCS L0631 | not published | not published | $1,147.48 – $1,547.31 | 8 |
| Brace fx hum ovr shldr lg HCPCS L3981 | not published | not published | $1,023.97 – $1,380.75 | 8 |
| Brace fx hum ovr shldr sm HCPCS L3980 | not published | not published | $393.56 – $477.13 | 8 |
| Brace halo bremer l2830 HCPCS L2830 | not published | not published | $98.19 – $148.18 | 8 |
| Brace kafo dbl upright cust HCPCS L2036 | not published | not published | $2,072.33 – $2,926.27 | 8 |
| Brace knee 32in univ t-scope short lt/rt HCPCS L1852 | not published | not published | $782.71 – $887.96 | 8 |
| Brace knee extender plus 22-30in HCPCS L1832 | $240.00 | $300.00 | $116.31 – $958.90 | 14 |
| Brace knee hing pat open med HCPCS L1820 | not published | not published | $158.86 – $204.50 | 8 |
| Brace knee playmaker ii x-rom hook and loop xl HCPCS L1833 | not published | not published | $634.77 – $720.09 | 8 |
| Brace knee postop tscope xl HCPCS L1845 | not published | not published | $936.35 – $1,289.16 | 8 |
| Brace knee support neoprene padded open patella med HCPCS L1810 | not published | not published | $115.07 – $155.33 | 8 |
| Brace m arm board HCPCS L3809 | not published | not published | $254.37 – $342.91 | 8 |
| Brace or Splint Fitting and Training (each 15 minutes) CPT 97760 | $113.60 | $142.00 | $44.12 – $127.80 | 14 |
| Brace ortho exos 28-50in sm HCPCS L0637 | not published | not published | $1,448.11 – $1,768.66 | 8 |
| Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr HCPCS L0456 | not published | not published | $1,111.74 – $1,498.70 | 8 |
| Brace oths wrist hnd fngr without HCPCS L3807 | $29.60 | $37.00 | $14.34 – $342.91 | 14 |
| Brace tlso flex cust HCPCS L0450 | not published | not published | $155.98 – $176.97 | 8 |
| Brace wrist classic lft sm HCPCS L3908 | $16.00 | $20.00 | $7.37 – $92.46 | 14 |
| Brachioplasty 15836 CPT 15836 | not published | not published | $2,094.23 – $2,949.26 | 8 |
| Brach/thor cath 1st CPT 36215 | not published | not published | $1.00 – $1,018.72 | 8 |
| Brach/thor cath 2nd CPT 36216 | not published | not published | $1.00 – $1,039.43 | 8 |
| Brach/thor cath 3rd CPT 36217 | not published | not published | $1.00 – $1,828.57 | 8 |
| Brach/thor cath addl CPT 36218 | not published | not published | $1.00 – $207.37 | 8 |
| Brachy linear, non-str,p-103 HCPCS C2636 | not published | not published | $50.26 – $55.56 | 8 |
| Brachy source i-125 injection HCPCS C2638 | not published | not published | $35.19 – $38.89 | 8 |
| Brachy source iodine-125 nonstranded HCPCS C2639 | not published | not published | $33.35 – $36.87 | 8 |
| Brachy source palladium HCPCS C2640 | not published | not published | $66.21 – $73.17 | 8 |
| Brachy source palladium-103 nonstranded HCPCS C2641 | not published | not published | $73.93 – $83.76 | 8 |
| Brachy source yttrium-90 HCPCS C2616 | not published | not published | $16,610.85 – $18,359.36 | 8 |
| Brachy src nonstrand c-131 HCPCS C2643 | not published | not published | $80.42 – $101.39 | 8 |
| Brachy src nonstrand hdr ir-192 HCPCS C1717 | not published | not published | $325.27 – $359.51 | 8 |
| Brachy src stranded c-131 HCPCS C2642 | not published | not published | $97.61 – $113.25 | 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.