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 |
|---|---|---|---|---|
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $1,168.80 | $1,461.00 | $566.43 – $1,649.17 | 14 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | not published | not published | $173.80 – $247.19 | 8 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $1,188.00 | $1,485.00 | $575.73 – $1,649.17 | 14 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | not published | not published | $1,184.54 – $1,649.17 | 8 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $1,821.60 | $2,277.00 | $882.79 – $2,049.30 | 14 |
| Clsd tx/talotarsal dislocat/anes 28575 CPT 28575 | not published | not published | $2,385.62 – $3,343.47 | 8 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $442.40 | $553.00 | $173.80 – $497.70 | 14 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $404.00 | $505.00 | $173.80 – $454.50 | 14 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | not published | not published | $173.80 – $247.19 | 8 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $1,098.40 | $1,373.00 | $532.31 – $1,649.17 | 14 |
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | not published | not published | $173.80 – $247.19 | 8 |
| Clsd tx vert body fx without manip req &w/csting/bracing CPT 22310 | not published | not published | $173.80 – $247.19 | 8 |
| Clsd tx wrist carpal fx without manip 25630 CPT 25630 | not published | not published | $173.80 – $247.19 | 8 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | not published | not published | $173.80 – $247.19 | 8 |
| Clsd tx wrist trans-scaph fx w/manip 25680 CPT 25680 | not published | not published | $173.80 – $247.19 | 8 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | $385.60 | $482.00 | $173.80 – $433.80 | 14 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | not published | not published | $173.80 – $247.19 | 8 |
| Clsr 1 vsd w/wo patch w/vlvt CPT 33684 | not published | not published | $1,541.49 – $1,703.75 | 8 |
| Clsr 1vsd w/wo ptch rmvl bnd CPT 33688 | not published | not published | $1,530.06 – $1,691.12 | 8 |
| Cls tx of heel fracture w/manip 28405 CPT 28405 | not published | not published | $173.80 – $247.19 | 8 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | not published | not published | $1,184.54 – $1,649.17 | 8 |
| Cltx craniofacial separation CPT 21431 | not published | not published | $636.55 – $703.56 | 8 |
| Cltx gr hmrl tbrs fx w/mnpj CPT 23625 | not published | not published | $1,184.54 – $1,649.17 | 8 |
| Cltx hum epcndylr fx wo mnpj CPT 24560 | not published | not published | $173.80 – $247.19 | 8 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | not published | not published | $1,184.54 – $1,649.17 | 8 |
| Cltx humrl cndylr fx wo mnpj CPT 24576 | not published | not published | $173.80 – $247.19 | 8 |
| Cltx lunate dislc w/mnpj CPT 25690 | not published | not published | $1,184.54 – $1,649.17 | 8 |
| Cltx mndblr fx ntrdntl fixj CPT 21453 | not published | not published | $4,316.11 – $6,095.91 | 8 |
| Cltx mndblr fx w/mnpj CPT 21451 | not published | not published | $1,123.99 – $1,526.41 | 8 |
| Cltx mndblr/max alv ridge fx CPT 21440 | not published | not published | $2,372.92 – $3,341.89 | 8 |
| Cltx palatal/max fx wire fix CPT 21421 | not published | not published | $2,372.92 – $3,341.89 | 8 |
| Cltx post ankle fx CPT 27767 | not published | not published | $173.80 – $247.19 | 8 |
| Cltx post ankle fx w/mnpj CPT 27768 | not published | not published | $1,184.54 – $1,649.17 | 8 |
| Cltx scap fx w/mnpj +-tractj CPT 23575 | not published | not published | $1,184.54 – $1,649.17 | 8 |
| Cltx strnclav dislc w/mnpj CPT 23525 | not published | not published | $173.80 – $247.19 | 8 |
| Cltx thigh fx CPT 27267 | not published | not published | $2,385.62 – $3,343.47 | 8 |
| Cltx thigh fx w/mnpj CPT 27268 | not published | not published | $173.80 – $543.31 | 8 |
| Cltx tmprmand dislc comp CPT 21485 | not published | not published | $1,123.99 – $1,526.41 | 8 |
| Cmbn ant pst colprhy CPT 57260 | not published | not published | $3,665.87 – $5,086.86 | 8 |
| C motor evoked lwr limbs CPT 95929 | not published | not published | $395.02 – $546.77 | 8 |
| C motor evoked uppr limbs CPT 95928 | not published | not published | $770.59 – $1,048.39 | 8 |
| C motor evoked upr&lwr limbs CPT 95939 | not published | not published | $770.59 – $1,048.39 | 8 |
| Cmp rpr tof wo plm atrs ptch CPT 33694 | not published | not published | $1,591.43 – $1,758.95 | 8 |
| Cmptr ophth dx img ant segmt CPT 92132 | not published | not published | $45.08 – $61.21 | 8 |
| Cmptr ophth img optic nerve CPT 92133 | not published | not published | $45.08 – $61.21 | 8 |
| #cms hgb-carboxyhemoglobin CPT 82376 | not published | not published | $13.37 – $14.77 | 8 |
| #cms hgb-sulfhemoglobin CPT 83060 | not published | not published | $8.36 – $9.24 | 8 |
| #cmvcul-virus inoculation shell CPT 87254 | not published | not published | $18.58 – $20.54 | 8 |
| Cmv ig IV CPT 90291 | not published | not published | $1,791.99 – $1,791.99 | 1 |
| Cmv pcr-sendout CPT 87496 | not published | not published | $33.34 – $36.84 | 8 |
| Cnbp gene detc abnor allele CPT 81187 | not published | not published | $130.15 – $143.85 | 8 |
| Cntct lens hydrophil photoch HCPCS V2524 | not published | not published | $155.98 – $155.98 | 1 |
| Co2 monitor per day CPT 94681 | not published | not published | $231.33 – $320.89 | 8 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | not published | not published | $2.41 – $2.79 | 8 |
| Coagulation time activated teg CPT 85347 | not published | not published | $4.07 – $4.49 | 8 |
| Coagulation time lee & white CPT 85345 | not published | not published | $4.46 – $4.92 | 8 |
| Coagulation time otr method CPT 85348 | not published | not published | $4.27 – $4.71 | 8 |
| Cocaine 4 % nasal solution HCPCS C9046 | $281.84 | $352.30 | $1.56 – $317.07 | 11 |
| Cocaine hcl nasal (numbrino) HCPCS C9143 | not published | not published | $1.41 – $1.41 | 1 |
| Coccidioidomycosis skin test CPT 86490 | not published | not published | $45.08 – $45.08 | 1 |
| Coch imp ext proc/contr rplc HCPCS L8619 | not published | not published | $9,413.83 – $12,535.18 | 8 |
| Coch implant headset replace HCPCS L8615 | not published | not published | $505.12 – $681.12 | 8 |
| Coch implant microphone repl HCPCS L8616 | not published | not published | $117.64 – $158.64 | 8 |
| Coch implant tran cable repl HCPCS L8618 | not published | not published | $29.37 – $39.59 | 8 |
| Coch implant trans coil repl HCPCS L8617 | not published | not published | $102.75 – $138.57 | 8 |
| Cochlear implt f/up exam <7 CPT 92601 | not published | not published | $115.12 – $161.23 | 8 |
| Cochlear implt f/up exam 7/> CPT 92603 | not published | not published | $115.12 – $161.23 | 8 |
| Cocm by rhc/fqhc 60 min mo HCPCS G0512 | not published | not published | $21.16 – $144.92 | 8 |
| Codeine 15 mg/ml inj 2 ml HCPCS J0745 | not published | not published | $1.00 – $1.00 | 1 |
| Cogenex amnio memb per sq cm HCPCS Q4229 | not published | not published | $1.00 – $1.00 | 1 |
| Coil axium 3d 14mmx40cm qc HCPCS C1770 | not published | not published | $1.00 – $1.00 | 1 |
| Cold agglutinin screen (arc) CPT 86156 | not published | not published | $7.67 – $8.47 | 8 |
| Cold agglutinin titer CPT 86157 | not published | not published | $7.66 – $8.46 | 8 |
| Colectomy/end colost/close dis seg 44143 CPT 44143 | not published | not published | $1,393.41 – $1,540.08 | 8 |
| Colectomy/ ileostomy without prctect 44150 CPT 44150 | not published | not published | $1,576.38 – $1,742.31 | 8 |
| Colectomy/ ileostomy w/prctect 44155 CPT 44155 | not published | not published | $1,763.07 – $1,948.66 | 8 |
| Colectomy partial w/anastomosis 44140 CPT 44140 | not published | not published | $668.10 – $1,256.80 | 8 |
| Colectomy prtl abdominal + transanal appr 44147 CPT 44147 | not published | not published | $668.10 – $1,801.53 | 8 |
| Colectomy prtl w/coloproctostomy 44145 CPT 44145 | not published | not published | $1,400.34 – $1,547.75 | 8 |
| Colectomy prtl w/coloproctostomy + colostomy 44146 CPT 44146 | not published | not published | $1,779.28 – $1,966.57 | 8 |
| Colectomy prtl w/remove terminal ileum+ileocolos 44160 CPT 44160 | not published | not published | $668.10 – $1,165.27 | 8 |
| Colectomy prtl w/skin level cecost/colostomy 44141 CPT 44141 | not published | not published | $1,532.00 – $1,693.26 | 8 |
| Colectomy/w colostomy or ileostomy 44144 CPT 44144 | not published | not published | $668.10 – $1,646.49 | 8 |
| Colectomy w/ileoanal anast CPT 44157 | not published | not published | $1,835.75 – $2,028.99 | 8 |
| Colectomy w/neo-rectum pouch CPT 44158 | not published | not published | $1,880.66 – $2,078.63 | 8 |
| Colistimethate sodium inj HCPCS J0770 | not published | not published | $1.00 – $1.00 | 1 |
| Collagenase, clost hist inj HCPCS J0775 | not published | not published | $67.75 – $79.70 | 8 |
| Collagen based wound filler HCPCS A6010 | not published | not published | $1.00 – $45.43 | 8 |
| Collagen dressing <=16 sq in HCPCS A6021 | not published | not published | $1.00 – $30.85 | 8 |
| Collagen drsg>16<=48 sq in HCPCS A6022 | not published | not published | $1.00 – $30.85 | 8 |
| Collagen dsg wound filler HCPCS A6024 | not published | not published | $1.00 – $9.07 | 8 |
| Collagen gel/paste wound fil HCPCS A6011 | not published | not published | $1.00 – $3.35 | 8 |
| Collagen imp urinary 2.5 ml HCPCS L8603 | not published | not published | $1.00 – $662.61 | 8 |
| Collarbone (Clavicle) X-ray (both sides) CPT 73000 | $328.80 | $411.00 | $66.97 – $369.90 | 14 |
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | $18.40 | $23.00 | $7.37 – $41.86 | 14 |
| Collar cerv adlt perfit ace extric HCPCS L0140 | not published | not published | $66.91 – $100.97 | 8 |
| Collar cerv ascend 172 reg HCPCS L0172 | $212.00 | $265.00 | $23.65 – $200.24 | 14 |
| Collar cerv patriot adlt HCPCS L0150 | not published | not published | $119.64 – $170.44 | 8 |
| Collar extrication adult univ HCPCS L0200 | not published | not published | $689.88 – $814.50 | 8 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $188.00 | $235.00 | $28.69 – $132.83 | 14 |
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.