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 |
|---|---|---|---|---|
| Devise bowel pouch CPT 44316 | not published | not published | $668.10 – $1,318.04 | 8 |
| Devlopment test interpt&rep HCPCS G0451 | not published | not published | $65.69 – $95.32 | 8 |
| Dev tst admin phys/qhp ea addl 30 min CPT 96113 | not published | not published | $21.95 – $55.47 | 8 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | not published | not published | $66.97 – $90.73 | 8 |
| Dexametha opth insert 0.1 mg HCPCS J1096 | not published | not published | $1.00 – $106.07 | 8 |
| Dexamethasone 0.4 mg/0.1 ml intraocular injection - cnr HCPCS J1095 | not published | not published | $1.00 – $1.00 | 1 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $53.86 | $67.32 | $0.58 – $1.35 | 11 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $61.75 | $77.18 | $1.00 – $67.58 | 11 |
| Dexamethasone intra implant HCPCS J7312 | not published | not published | $194.38 – $214.84 | 8 |
| Dexamethasone panel CPT 80420 | not published | not published | $153.79 – $169.97 | 8 |
| Dexmedetomidine film, 1 mcg HCPCS J1105 | not published | not published | $0.67 – $0.74 | 8 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $875.14 | $1,093.92 | $56.98 – $132.28 | 14 |
| Dextran 40 infusion HCPCS J7100 | not published | not published | $1.00 – $1.00 | 1 |
| Dextran 75 infusion HCPCS J7110 | not published | not published | $1.00 – $1.00 | 1 |
| Dextroamphetamine HCPCS S0160 | not published | not published | $3.44 – $3.44 | 1 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $75.59 | $94.48 | $1.00 – $85.03 | 11 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | not published | not published | $1.00 – $1.00 | 1 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $75.59 | $94.48 | $1.00 – $39.89 | 11 |
| Dextrose 5 % IV bolus HCPCS J7070 | $75.59 | $94.48 | $1.00 – $85.03 | 11 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | not published | not published | $21.12 – $23.34 | 8 |
| Diabetes (HbA1c) Test CPT 83036 | not published | not published | $9.22 – $10.20 | 8 |
| Diabetes training group per 30 min g0109 HCPCS G0136 | not published | not published | $21.16 – $30.70 | 8 |
| Diabetic custom molded shoe HCPCS A5501 | not published | not published | $247.21 – $335.75 | 8 |
| Diabetic shoe with wedge HCPCS A5504 | not published | not published | $42.04 – $57.03 | 8 |
| Diabetic shoe w/off set heel HCPCS A5506 | not published | not published | $42.04 – $57.03 | 8 |
| Diabetic shoe w/roller/rockr HCPCS A5503 | not published | not published | $42.04 – $57.03 | 8 |
| Diab manage trn ind/group HCPCS G0109 | $32.00 | $40.00 | $14.39 – $36.00 | 14 |
| Diab shoe for density insert HCPCS A5500 | not published | not published | $82.43 – $111.95 | 8 |
| Diab shoe w/metatarsal bar HCPCS A5505 | not published | not published | $42.04 – $57.03 | 8 |
| Diag bronchoscope/catheter CPT 31643 | not published | not published | $1,250.92 – $1,777.01 | 8 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $4,252.59 – $6,012.13 | 8 |
| Diagnostic anoscopy CPT 46601 | not published | not published | $94.15 – $411.20 | 8 |
| Diagnostic anoscopy & biopsy CPT 46607 | not published | not published | $869.74 – $1,215.01 | 8 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $212.80 | $266.00 | $94.15 – $239.40 | 14 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | not published | not published | $31.81 – $31.81 | 1 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | not published | not published | $15.52 – $15.52 | 1 |
| Diagnostic laryngoscopy 31505 CPT 31505 | not published | not published | $145.98 – $200.06 | 8 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $878.40 | $1,098.00 | $145.98 – $988.20 | 14 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $424.00 | $530.00 | $147.51 – $477.00 | 14 |
| Diagnostic Mammogram (one breast) CPT 77065 | $382.40 | $478.00 | $116.79 – $430.20 | 14 |
| Diagnostic radio unlisted proc CPT 76499 | $951.20 | $1,189.00 | $66.97 – $1,070.10 | 14 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | not published | not published | $1.00 – $1,830.21 | 8 |
| Dialysis one evaluation CPT 90945 | not published | not published | $326.43 – $438.79 | 8 |
| Dialysis repeated eval CPT 90947 | not published | not published | $108.61 – $120.05 | 8 |
| Dialysis training complete CPT 90989 | not published | not published | $305.66 – $305.66 | 1 |
| Dialysis training incompl CPT 90993 | not published | not published | $61.55 – $61.55 | 1 |
| Diathermy eg microwave CPT 97024 | not published | not published | $6.66 – $7.36 | 8 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | not published | not published | $1.00 – $1.00 | 1 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $68.84 | $86.05 | $1.00 – $77.45 | 11 |
| Dicyclomine injection HCPCS J0500 | not published | not published | $1.00 – $1.00 | 1 |
| Difelikefalin, esrd on dialy HCPCS J0879 | not published | not published | $0.06 – $0.07 | 8 |
| Diffusing capacity CPT 94729 | $308.00 | $385.00 | $1.00 – $346.50 | 14 |
| Digital analysis of eeg CPT 95957 | not published | not published | $1.00 – $298.83 | 8 |
| Digit nerve surgery add-on CPT 64778 | not published | not published | $1.00 – $169.14 | 8 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $62.28 | $77.85 | $1.00 – $69.54 | 11 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $7,158.74 | $8,948.42 | $3,469.30 – $8,053.58 | 14 |
| Digoxin total therapeutic drug level CPT 80162 | not published | not published | $12.62 – $13.94 | 8 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | not published | not published | $1.00 – $1.00 | 1 |
| Dilate biliary duct/ampulla CPT 47542 | not published | not published | $1.00 – $490.00 | 8 |
| Dilate esophagus CPT 43453 | not published | not published | $1,402.42 – $1,954.79 | 8 |
| Dilate esophagus 1/mult pass CPT 43450 | not published | not published | $668.10 – $966.13 | 8 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | not published | not published | $276.99 – $306.15 | 8 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | not published | not published | $138.50 – $153.07 | 8 |
| Dilate ic vasospasm init CPT 61640 | not published | not published | $394.16 – $435.65 | 8 |
| Dilate tear duct opening CPT 68801 | not published | not published | $293.65 – $411.20 | 8 |
| Dilate urethra stricture CPT 53600 | not published | not published | $182.15 – $250.62 | 8 |
| Dilate urethra stricture CPT 53601 | not published | not published | $94.15 – $132.83 | 8 |
| Dilate urethra stricture CPT 53605 | not published | not published | $2,569.36 – $3,554.06 | 8 |
| Dilate urethra stricture CPT 53621 | not published | not published | $182.15 – $250.62 | 8 |
| Dilation/female urethra/initial 53660 CPT 53660 | not published | not published | $115.12 – $161.23 | 8 |
| Dilation of anal sphincter CPT 45905 | not published | not published | $869.74 – $1,215.01 | 8 |
| Dilation of cervical canal 57800 CPT 57800 | not published | not published | $2,304.20 – $3,276.41 | 8 |
| Dilation of rectal stricture 45910 CPT 45910 | not published | not published | $869.74 – $1,215.01 | 8 |
| Dilation of salivary duct CPT 42660 | not published | not published | $405.51 – $524.77 | 8 |
| Dilation of urethra CPT 53661 | not published | not published | $94.15 – $132.83 | 8 |
| Dilation of urethra CPT 53665 | not published | not published | $1,501.18 – $2,110.93 | 8 |
| Dilation of vagina CPT 57400 | not published | not published | $2,304.20 – $3,276.41 | 8 |
| Dilation salivary duct 42650 CPT 42650 | not published | not published | $1,123.99 – $1,526.41 | 8 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | not published | not published | $503.47 – $687.81 | 8 |
| Dilator fascial 10fx20cm HCPCS C2627 | not published | not published | $1.00 – $1.00 | 1 |
| Dilat xst trc ndurlgc px CPT 50436 | not published | not published | $2,569.36 – $3,554.06 | 8 |
| Dilat xst trc new access rcs CPT 50437 | not published | not published | $2,569.36 – $3,554.06 | 8 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | $61.23 | $76.53 | $29.29 – $68.00 | 11 |
| Dimecaprol injection HCPCS J0470 | $293.38 | $366.72 | $59.81 – $330.05 | 11 |
| Dimenhydrinate injection HCPCS J1240 | not published | not published | $1.00 – $1.00 | 1 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | not published | not published | $681.74 – $786.29 | 8 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | $1.20 | $1.50 | $0.58 – $1.35 | 11 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $60.44 | $75.54 | $1.00 – $67.99 | 11 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | not published | not published | $1.00 – $1.00 | 1 |
| Dipyridamole injection HCPCS J1245 | not published | not published | $1.00 – $1.00 | 1 |
| Direct advanced life support CPT 99288 | not published | not published | $91.77 – $91.77 | 1 |
| Dir nsl mucous membrane test CPT 95065 | not published | not published | $29.56 – $40.45 | 8 |
| Disability dlco CPT 94727 | not published | not published | $115.12 – $161.23 | 8 |
| Disaccharidases CPT 82657 | not published | not published | $21.06 – $23.28 | 8 |
| Disarticulation sho sec clsr CPT 23921 | not published | not published | $1,344.04 – $1,884.97 | 8 |
| Disarticulation shoulder CPT 23920 | not published | not published | $991.63 – $1,096.01 | 8 |
| Discectomy ant dcmprn cord thoracic 1 ntrspc 63077 CPT 63077 | not published | not published | $173.80 – $1,406.05 | 8 |
| Discectomy ant dcmprn cord thoracic ea ntrsp 63078 CPT 63078 | not published | not published | $163.73 – $180.96 | 8 |
| Discography cerv/thor spine CPT 72285 | not published | not published | $1,423.02 – $2,012.27 | 8 |
| Disconnect insert locking wr HCPCS L6616 | not published | not published | $72.23 – $108.99 | 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.