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 |
|---|---|---|---|---|
| Adrenalectomy expl w/exc retro tumor 60545 CPT 60545 | not published | not published | $1,062.09 – $1,173.89 | 8 |
| Adrenalin epinephrine inject HCPCS J0171 | not published | not published | $1.00 – $1.00 | 1 |
| Advance care planning each additional 30 min 99498 CPT 99498 | not published | not published | $1.00 – $70.50 | 8 |
| Adv prim care mgmt lvl 1 HCPCS G0556 | not published | not published | $27.77 – $30.70 | 8 |
| Adv prim care mgmt lvl 2 HCPCS G0557 | not published | not published | $27.77 – $30.70 | 8 |
| Adv prim care mgmt lvl 3 HCPCS G0558 | not published | not published | $86.24 – $95.32 | 8 |
| Aep hearing status deter i&r CPT 92651 | not published | not published | $231.33 – $320.89 | 8 |
| Aep neurodiagnostic i&r CPT 92653 | not published | not published | $231.33 – $320.89 | 8 |
| Aep thrshld est mlt freq i&r CPT 92652 | not published | not published | $231.33 – $320.89 | 8 |
| Afamelanotide implant, 1 mg HCPCS J7352 | not published | not published | $2,796.25 – $3,090.59 | 8 |
| Afamitresgene autoleucel HCPCS Q2057 | not published | not published | $732,089.00 – $809,151.00 | 8 |
| _afb id by dna probe rflx ast CPT 87149 | not published | not published | $19.05 – $21.05 | 8 |
| #afb mycobacteria suscep. #1 CPT 87190 | not published | not published | $6.94 – $7.68 | 8 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | not published | not published | $109.59 – $121.13 | 8 |
| Aff2 gen aly detc abnl allel CPT 81171 | not published | not published | $130.15 – $143.85 | 8 |
| Aff2 gen alys charac alleles CPT 81172 | not published | not published | $261.09 – $288.57 | 8 |
| Aflibercept injection HCPCS J0178 | not published | not published | $732.98 – $810.14 | 8 |
| Afluria vacc, 3 yrs & >, im HCPCS Q2035 | not published | not published | $19.36 – $19.36 | 1 |
| Afo molded ankle gauntlet HCPCS L1904 | not published | not published | $504.54 – $741.67 | 8 |
| Afo molded plas rig ant tib HCPCS L1945 | not published | not published | $1,254.70 – $1,460.03 | 8 |
| Afo molded to patient plasti HCPCS L1940 | not published | not published | $544.34 – $780.01 | 8 |
| Afo rig ant tib tcf/= custom HCPCS L1932 | not published | not published | $997.44 – $1,344.67 | 8 |
| Afo sing bar clasp attach sh HCPCS L1910 | not published | not published | $313.47 – $421.79 | 8 |
| Afo sing solid stirrup calf HCPCS L1980 | not published | not published | $451.33 – $578.85 | 8 |
| Afo sing upright with adjust s HCPCS L1920 | not published | not published | $459.19 – $551.40 | 8 |
| Afo spiral molded to pt plas HCPCS L1950 | not published | not published | $859.65 – $1,174.79 | 8 |
| Afo sprng wir drsflx calf bd HCPCS L1900 | not published | not published | $318.91 – $425.50 | 8 |
| Afo supramalleolar custom HCPCS L1907 | not published | not published | $629.00 – $847.91 | 8 |
| Afo tib fx cast molded to pt HCPCS L2108 | not published | not published | $1,285.06 – $1,685.19 | 8 |
| Afo tib fx cast plaster mold HCPCS L2106 | not published | not published | $881.06 – $1,072.39 | 8 |
| Afo tib fx semi-rigid l2114 HCPCS L2114 | not published | not published | $706.34 – $915.47 | 8 |
| Afo tibial fracture rigid HCPCS L2116 | not published | not published | $861.53 – $1,122.82 | 8 |
| Afo tibial fracture soft HCPCS L2112 | not published | not published | $563.93 – $735.87 | 8 |
| Afo, walk boot type, cus fab HCPCS L4631 | not published | not published | $1,647.79 – $2,323.97 | 8 |
| Afo w/ankle joint, prefab HCPCS L1971 | not published | not published | $523.98 – $706.31 | 8 |
| After cataract laser surgery CPT 66821 | not published | not published | $428.40 – $565.32 | 8 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | not published | not published | $217.60 – $241.66 | 8 |
| Air conduction bilat CPT 92552 | not published | not published | $94.15 – $132.83 | 8 |
| Air injection into abdomen 49400 CPT 49400 | not published | not published | $1.00 – $147.80 | 8 |
| Airway resistance by impulse oscillometry 94728 CPT 94728 | not published | not published | $115.12 – $161.23 | 8 |
| Ak 4 bar ling w/hydraul swig HCPCS L5613 | not published | not published | $2,728.87 – $4,118.01 | 8 |
| Ak 4 bar link w/fric swing HCPCS L5611 | not published | not published | $1,794.06 – $2,707.32 | 8 |
| Ak/bk self-aligning unit ea HCPCS L5617 | not published | not published | $626.64 – $850.16 | 8 |
| Ak flex inner socket ext fra HCPCS L5651 | not published | not published | $1,592.67 – $2,017.94 | 8 |
| Ak/knee disartic acrylic soc HCPCS L5631 | not published | not published | $489.25 – $738.31 | 8 |
| Ak/knee disartic pelvic band HCPCS L5697 | not published | not published | $104.17 – $134.89 | 8 |
| Ak/knee disartic pelvic join HCPCS L5696 | not published | not published | $219.36 – $310.89 | 8 |
| Ak/knee disartic silesian ba HCPCS L5698 | not published | not published | $133.63 – $175.28 | 8 |
| Ak open end sach HCPCS L5321 | not published | not published | $4,001.20 – $5,522.78 | 8 |
| Ak pelvic control belt light HCPCS L5692 | not published | not published | $147.96 – $223.27 | 8 |
| Ak pelvic control belt pad/l HCPCS L5694 | not published | not published | $202.01 – $304.84 | 8 |
| Ak sleeve susp neoprene/equa HCPCS L5695 | not published | not published | $181.59 – $274.03 | 8 |
| Ak univ multiplex sys frict HCPCS L5616 | not published | not published | $1,645.42 – $2,282.16 | 8 |
| Albumin body fluid quantitative each specimen CPT 82042 | not published | not published | $7.39 – $8.17 | 8 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $111.92 | $139.89 | $49.49 – $125.56 | 14 |
| Albumin, human 25 % intravenous solution HCPCS P9046 | not published | not published | $20.17 – $22.29 | 8 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $190.23 | $237.78 | $43.81 – $101.70 | 14 |
| Albumin, human 5 % intravenous solution HCPCS P9041 | not published | not published | $9.90 – $10.94 | 8 |
| Albumin ischemia modified CPT 82045 | not published | not published | $32.24 – $35.64 | 8 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | not published | not published | $5.49 – $6.07 | 8 |
| Albumin serum plasma or whole blood CPT 82040 | not published | not published | $4.70 – $5.20 | 8 |
| Albuterol comp con HCPCS J7610 | not published | not published | $0.14 – $0.14 | 1 |
| Albuterol comp unit HCPCS J7609 | not published | not published | $0.33 – $0.33 | 1 |
| Albuterol ipratrop non-comp HCPCS J7620 | $3.60 | $4.50 | $0.17 – $4.05 | 11 |
| Albuterol non-comp con HCPCS J7611 | $71.50 | $89.37 | $0.15 – $80.43 | 11 |
| Albuterol non-comp unit HCPCS J7613 | $4.70 | $5.87 | $0.04 – $4.05 | 11 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | not published | not published | $16.41 – $18.13 | 8 |
| Alcohols biomarkers 3/more CPT 80322 | not published | not published | $16.21 – $16.21 | 1 |
| Alcohol/sub misuse assess HCPCS G2011 | not published | not published | $21.95 – $25.24 | 8 |
| Alcohol/subs interv 15-30mn HCPCS G0396 | not published | not published | $21.16 – $30.70 | 8 |
| Alcohol/subs interv >30 min HCPCS G0397 | not published | not published | $117.51 – $165.57 | 8 |
| Aldesleukin injection HCPCS J9015 | not published | not published | $3,628.26 – $5,566.32 | 8 |
| Aldosterone suppression eval CPT 80408 | not published | not published | $119.23 – $131.78 | 8 |
| Alefacept HCPCS J0215 | not published | not published | $41.64 – $41.64 | 1 |
| Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 | not published | not published | $2,292.77 – $2,551.39 | 8 |
| Alginate dressing <=16 sq in HCPCS A6196 | not published | not published | $1.00 – $10.79 | 8 |
| Alginate drsg >16 <=48 sq in HCPCS A6197 | not published | not published | $1.00 – $24.13 | 8 |
| Alginate drsg wound filler HCPCS A6199 | not published | not published | $1.00 – $7.74 | 8 |
| Alglucerase injection HCPCS J0205 | not published | not published | $44.97 – $44.97 | 1 |
| Alglucosidase alfa injection HCPCS J0220 | not published | not published | $122.56 – $122.56 | 1 |
| Alkaline phosphatase CPT 84075 | not published | not published | $4.92 – $5.44 | 8 |
| Allergen alpha lactalbumin ige CPT 86008 | not published | not published | $17.03 – $18.83 | 8 |
| Allergen egg white ige CPT 86003 | not published | not published | $4.96 – $5.48 | 8 |
| Allergen specific ige qual multi scrn ea CPT 86005 | not published | not published | $7.57 – $8.37 | 8 |
| Allergy injections; 2 or more 95117 CPT 95117 | not published | not published | $35.00 – $47.55 | 8 |
| Allergy injection; single 95115 CPT 95115 | not published | not published | $35.00 – $47.55 | 8 |
| Allergy Skin Testing CPT 95004 | not published | not published | $49.45 – $1,048.39 | 8 |
| Allg patch or app # of tests 95044 CPT 95044 | not published | not published | $67.46 – $1,048.39 | 8 |
| Allgrft implnt knee w/scope CPT 29867 | not published | not published | $9,700.03 – $13,258.87 | 8 |
| Allograft 160mg placental salera mini membrane HCPCS Q4168 | not published | not published | $1.00 – $1.00 | 1 |
| Allograft allowrap 4x4cm dry 16sqcm HCPCS Q4150 | not published | not published | $1.00 – $1.00 | 1 |
| Allograft amnioexcel plus 17mm disk HCPCS Q4137 | not published | not published | $1.00 – $1.00 | 1 |
| Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet HCPCS Q4100 | not published | not published | $1.00 – $1.00 | 1 |
| Allograft dermis 20x25x1mm decell w/matracell arthroflex HCPCS Q4125 | $437.60 | $547.00 | $1.00 – $281.70 | 11 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | not published | not published | $1.00 – $1.00 | 1 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $504.80 | $631.00 | $1.00 – $567.90 | 11 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | not published | not published | $1.00 – $1.00 | 1 |
| Allograft membrn amnio 1x2cm hu ambriodry HCPCS V2790 | not published | not published | $1.00 – $1.00 | 1 |
| Allograft umbil cord+amniotic membrane-q4148-cost per sq cm HCPCS Q4148 | not published | not published | $1.00 – $1.00 | 1 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | not published | not published | $1.00 – $1.00 | 1 |
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.