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 |
|---|---|---|---|---|
| Above knee cushion socket HCPCS L5648 | not published | not published | $816.98 – $1,106.29 | 8 |
| Above knee flex cover system HCPCS L5964 | not published | not published | $1,255.47 – $1,573.68 | 8 |
| Above knee hydracadence HCPCS L5610 | not published | not published | $2,816.79 – $3,478.95 | 8 |
| Above knee leather socket HCPCS L5642 | not published | not published | $760.67 – $1,041.09 | 8 |
| Above knee manual lock HCPCS L5925 | not published | not published | $374.15 – $564.61 | 8 |
| Above knee wood socket HCPCS L5644 | not published | not published | $657.69 – $992.48 | 8 |
| Abrasion lesions add-on CPT 15787 | not published | not published | $1.00 – $30.31 | 8 |
| Abrasion lesion single CPT 15786 | not published | not published | $147.55 – $204.75 | 8 |
| Abscess drain retroperitoneal surg code CPT 49406 | $834.40 | $1,043.00 | $404.37 – $1,669.61 | 14 |
| Abscess imaging ltd area CPT 78805 | not published | not published | $303.98 – $303.98 | 1 |
| Abscess imaging whole body CPT 78806 | not published | not published | $303.98 – $303.98 | 1 |
| Absorpt drg >16<=48 in w/bdr HCPCS A6255 | not published | not published | $1.00 – $4.46 | 8 |
| Absorpt drg >16 <=48 without bdr HCPCS A6252 | not published | not published | $1.00 – $4.78 | 8 |
| Absorpt drg <=16 sq in w/bdr HCPCS A6254 | not published | not published | $1.00 – $1.75 | 8 |
| Absorpt drg <=16 sq in without b HCPCS A6251 | not published | not published | $1.00 – $2.92 | 8 |
| Absorpt drg > 48 sq in without b HCPCS A6253 | not published | not published | $1.00 – $9.29 | 8 |
| Access & clsr pq fem art endogft dlvry w/img uni CPT 34713 | not published | not published | $1.00 – $108.43 | 8 |
| Access thoracic lymph duct CPT 38794 | not published | not published | $1.00 – $278.98 | 8 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | not published | not published | $1.00 – $1.00 | 1 |
| Acetaminophen level CPT 80143 | not published | not published | $17.71 – $19.57 | 8 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $89.72 | $112.14 | $1.00 – $91.92 | 11 |
| Acetone qualitative CPT 82009 | not published | not published | $4.29 – $4.75 | 8 |
| Acetylcholine receptor modulating antibody CPT 86043 | not published | not published | $11.45 – $12.65 | 8 |
| Acetylcholinesterase assay CPT 82013 | not published | not published | $11.68 – $12.90 | 8 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $91.20 | $114.00 | $1.00 – $102.06 | 11 |
| Acetylcysteine non-comp unit HCPCS J7608 | $34.92 | $43.65 | $5.42 – $12.58 | 11 |
| Acid perfusion of esophagus CPT 91030 | not published | not published | $395.02 – $546.77 | 8 |
| Acne surgery 10040 CPT 10040 | not published | not published | $147.55 – $204.75 | 8 |
| Aco annual medicare visit (awv), initial g0438aco HCPCS G0438 | not published | not published | $150.67 – $166.52 | 8 |
| Aco annual medicare visit (awv), subsq g0439aco HCPCS G0439 | not published | not published | $118.78 – $131.29 | 8 |
| Aco ccm; at least 20 min 99490aco CPT 99490 | not published | not published | $65.69 – $95.32 | 8 |
| Aco ccm; ea addl 20 min 99439aco CPT 99439 | not published | not published | $1.00 – $47.86 | 8 |
| Aco cmplx chron care addl 20 min 99489aco CPT 99489 | not published | not published | $1.00 – $73.57 | 8 |
| Aco cmplx chron care without pt visit, 60 min 99487aco CPT 99487 | not published | not published | $117.51 – $165.57 | 8 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | $342.40 | $428.00 | $97.43 – $385.20 | 14 |
| Aco depression screen annual medicare g0444aco HCPCS G0444 | not published | not published | $21.16 – $30.70 | 8 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $39.20 | $49.00 | $15.65 – $44.10 | 14 |
| Acoustic immitance testing CPT 92570 | not published | not published | $115.12 – $161.23 | 8 |
| Acoustic refl threshold tst CPT 92568 | not published | not published | $29.56 – $40.45 | 8 |
| Acromp/acromionectomy prtl CPT 23130 | not published | not published | $2,385.62 – $3,343.47 | 8 |
| Acth stimulation panel CPT 80402 | not published | not published | $82.61 – $91.31 | 8 |
| Acth stimulation panel CPT 80406 | not published | not published | $74.35 – $82.17 | 8 |
| Actigraphy testing CPT 95803 | not published | not published | $45.08 – $61.21 | 8 |
| Actinotherapy uv light CPT 96900 | not published | not published | $29.56 – $40.45 | 8 |
| Acup 1/> w/estim 1st 15 min CPT 97813 | not published | not published | $21.95 – $25.24 | 8 |
| Acup 1/> w/estim ea addl 15 CPT 97814 | not published | not published | $27.00 – $29.85 | 8 |
| Acup 1/> without estim ea add 15 CPT 97811 | not published | not published | $23.86 – $26.37 | 8 |
| Acup 1/> wo estim 1st 15 min CPT 97810 | not published | not published | $21.95 – $25.24 | 8 |
| Acute hepatitis panel CPT 80074 | not published | not published | $45.25 – $50.01 | 8 |
| Acute venous thrombus image CPT 78456 | not published | not published | $1,046.54 – $1,345.26 | 8 |
| Acyclovir 400 mg tablet HCPCS J8499 | $5.20 | $6.49 | $0.58 – $1.35 | 11 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $62.16 | $77.70 | $1.00 – $69.37 | 11 |
| #acylcarnitineprfl CPT 82017 | not published | not published | $16.03 – $17.71 | 8 |
| Acylcarnitines qual CPT 82016 | not published | not published | $15.67 – $17.31 | 8 |
| Adalimumab injection HCPCS J0135 | not published | not published | $1,834.49 – $1,834.49 | 1 |
| Adapt behavior tx phys/qhp CPT 97155 | not published | not published | $117.51 – $165.57 | 8 |
| Adapter b 8 channel 10cm HCPCS C1883 | not published | not published | $1.00 – $1.00 | 1 |
| Adaptive behavior tx by tech CPT 97153 | not published | not published | $65.69 – $95.32 | 8 |
| Adding walker to prev cast CPT 29440 | not published | not published | $116.13 – $162.60 | 8 |
| Additional switch, ext power HCPCS L6611 | not published | not published | $461.11 – $621.63 | 8 |
| Add le poly knee custom kafo HCPCS L2387 | not published | not published | $213.38 – $261.02 | 8 |
| Add ue prost a/e acrylic HCPCS L7404 | not published | not published | $622.53 – $839.18 | 8 |
| Add ue prost a/e ultlite mat HCPCS L7401 | not published | not published | $384.24 – $518.05 | 8 |
| Add ue prost b/e acrylic HCPCS L7403 | not published | not published | $412.46 – $556.01 | 8 |
| Add ue prost be/wd, ultlite HCPCS L7400 | not published | not published | $343.25 – $462.75 | 8 |
| Add ue prost s/d acrylic HCPCS L7405 | not published | not published | $814.11 – $1,097.51 | 8 |
| Add ue prost s/d ultlite mat HCPCS L7402 | not published | not published | $415.00 – $559.44 | 8 |
| Add up-ex prosthes lock mech HCPCS L6698 | not published | not published | $553.88 – $835.83 | 8 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $61.86 | $77.32 | $1.00 – $69.07 | 11 |
| Adenovirus ag ia CPT 87301 | not published | not published | $11.38 – $12.58 | 8 |
| Adenovirus antibody,serum - quest CPT 86603 | not published | not published | $12.23 – $13.51 | 8 |
| Adenovirus assay w/optic CPT 87809 | not published | not published | $20.67 – $22.85 | 8 |
| Adenovirus vaccine type 4 CPT 90476 | not published | not published | $276.62 – $276.62 | 1 |
| Adhesiolysis tube ovary 58740 CPT 58740 | not published | not published | $786.50 – $869.29 | 8 |
| Adhesive, liquid or equal HCPCS A4364 | not published | not published | $1.00 – $4.32 | 8 |
| Adh-sendout CPT 84588 | not published | not published | $32.24 – $35.64 | 8 |
| Adj gastric band via subq port CPT 43999 | not published | not published | $668.10 – $966.13 | 8 |
| Adjmt/revj ext fixj sys anes CPT 20693 | not published | not published | $5,272.69 – $7,361.40 | 8 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | not published | not published | $1,344.04 – $1,884.97 | 8 |
| Adjustment gastric band HCPCS S2083 | not published | not published | $139.12 – $139.12 | 1 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $46.08 | $57.60 | $1.00 – $51.84 | 11 |
| Admin ecg contrast agent CPT 93352 | not published | not published | $32.48 – $35.90 | 8 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $220.00 | $275.00 | $51.92 – $247.50 | 14 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $220.00 | $275.00 | $51.92 – $247.50 | 14 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $473.80 | $592.25 | $229.62 – $533.03 | 14 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $292.80 | $366.00 | $141.90 – $341.80 | 14 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $192.80 | $241.00 | $51.92 – $216.90 | 14 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $192.80 | $241.00 | $51.92 – $216.90 | 14 |
| Administration immunization each additional component CPT 90461 | not published | not published | $7.83 – $8.65 | 8 |
| Administration immunization each additional vaccine CPT 90472 | $59.20 | $74.00 | $1.00 – $35.10 | 14 |
| Administration immunization first component each vaccine CPT 90460 | not published | not published | $21.10 – $23.32 | 8 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | $38.40 | $48.00 | $18.61 – $73.34 | 14 |
| Administration immunization intranasal/oral route each additional vaccine CPT 90474 | $29.60 | $37.00 | $1.00 – $33.30 | 14 |
| Administration rsv monoclonal ab seasonal dose im w/counseling CPT 96380 | not published | not published | $21.33 – $23.57 | 8 |
| Administration vaccine hepatitis b HCPCS G0010 | not published | not published | $35.00 – $47.55 | 8 |
| Administration vaccine influenza virus HCPCS G0008 | not published | not published | $35.00 – $47.55 | 8 |
| Administration vaccine pneumococcal HCPCS G0009 | not published | not published | $35.00 – $47.55 | 8 |
| Administration vaccine rsv monoclonal ab seasonal dose im CPT 96381 | not published | not published | $18.23 – $20.15 | 8 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | $10,172.16 | $12,715.20 | $38.34 – $7,219.12 | 14 |
| Adrenal cortex & medulla img CPT 78075 | not published | not published | $1,046.54 – $1,345.26 | 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.