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 |
|---|---|---|---|---|
| Drain penis lesion CPT 54015 | not published | not published | $1,194.92 – $1,669.61 | 8 |
| Drain shoulder bone lesion CPT 23035 | not published | not published | $1,184.54 – $1,649.17 | 8 |
| Drain shoulder bursa 23031 CPT 23031 | not published | not published | $2,094.23 – $2,949.26 | 8 |
| Drain shoulder lesion CPT 23030 | not published | not published | $2,094.23 – $2,949.26 | 8 |
| Drain thigh/knee lesion 27301 CPT 27301 | not published | not published | $2,094.23 – $2,949.26 | 8 |
| Drain thyroid/tongue cyst CPT 60000 | not published | not published | $1,123.99 – $1,526.41 | 8 |
| Drain to peritoneal cavity CPT 49062 | not published | not published | $655.85 – $724.88 | 8 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $383.20 | $479.00 | $147.55 – $431.10 | 14 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $329.60 | $412.00 | $147.55 – $370.80 | 14 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $532.80 | $666.00 | $258.21 – $599.40 | 14 |
| Dressing change not for burn w/anes 15852 CPT 15852 | not published | not published | $462.88 – $630.78 | 8 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | not published | not published | $1.00 – $1.00 | 1 |
| Drill hole evac+/drg subdural hematoma 61108 CPT 61108 | not published | not published | $768.43 – $849.32 | 8 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | not published | not published | $248.50 – $274.66 | 8 |
| Driver pneumatic vad, rep HCPCS Q0480 | not published | not published | $94,999.95 – $136,014.42 | 8 |
| Drm agrft f/s/n/h/f/g/m ea CPT 15136 | not published | not published | $1.00 – $93.14 | 8 |
| Drm agrft t/a/l ea addl CPT 15131 | not published | not published | $1.00 – $94.53 | 8 |
| Drng appendix abscess open 44900 CPT 44900 | not published | not published | $666.80 – $736.99 | 8 |
| Drng hand tendon sheath 26020 CPT 26020 | not published | not published | $2,385.62 – $3,343.47 | 8 |
| Drng of eyelid abscess 67700 CPT 67700 | not published | not published | $214.70 – $308.04 | 8 |
| Drng of finger abscess comp 26011 CPT 26011 | $2,142.40 | $2,678.00 | $1,038.26 – $2,410.20 | 14 |
| Drng of hydrocele 55000 CPT 55000 | not published | not published | $518.54 – $725.03 | 8 |
| Drng of mouth lesion 40801 CPT 40801 | not published | not published | $405.51 – $524.77 | 8 |
| Drng of ovarian cyst(s) 58800 CPT 58800 | not published | not published | $2,304.20 – $3,276.41 | 8 |
| Drng of palm multi bursas 26030 CPT 26030 | not published | not published | $2,385.62 – $3,343.47 | 8 |
| Drng of palm single bursa 26025 CPT 26025 | not published | not published | $2,385.62 – $3,343.47 | 8 |
| Drng of pelvic abscess transrectal 45000 CPT 45000 | not published | not published | $869.74 – $1,215.01 | 8 |
| Drng of salivary cyst 42409 CPT 42409 | not published | not published | $2,372.92 – $3,341.89 | 8 |
| Drng of scrotum abscess 55100 CPT 55100 | not published | not published | $1,194.92 – $1,669.61 | 8 |
| Drng open retroperitoneal abscess 49060 CPT 49060 | $5,463.20 | $6,829.00 | $941.50 – $6,146.10 | 14 |
| Drng open subdiaphragmatic/subphrenic absc 49040 CPT 49040 | not published | not published | $856.78 – $946.96 | 8 |
| Drng ovary abscess perqt 58822 CPT 58822 | not published | not published | $624.64 – $690.39 | 8 |
| Drng peritoneal abscess open 49020 CPT 49020 | not published | not published | $1,353.57 – $1,496.06 | 8 |
| Drng salivary gland simple 42300 CPT 42300 | not published | not published | $1,123.99 – $1,526.41 | 8 |
| Drng salivary gland submax/subling 42310 CPT 42310 | not published | not published | $405.51 – $524.77 | 8 |
| Dronabinol 2.5mg oral HCPCS Q0167 | not published | not published | $1.00 – $1.00 | 1 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $65.66 | $82.07 | $1.00 – $73.09 | 11 |
| Drop lock knee HCPCS L2182 | not published | not published | $127.73 – $144.56 | 8 |
| Drop lock retainer each HCPCS L2785 | not published | not published | $33.13 – $49.98 | 8 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $1,492.00 | $1,865.00 | $1.00 – $1,348.20 | 11 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | not published | not published | $1.00 – $1.00 | 1 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | not published | not published | $1.00 – $1.00 | 1 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | not published | not published | $1.00 – $1.00 | 1 |
| Drsg sht 5.625x4.625in std HCPCS A6025 | not published | not published | $1.00 – $1.00 | 1 |
| Drsg surg adh 11x11 3/4 occl drap wnd 28x30 HCPCS A6259 | not published | not published | $1.00 – $16.04 | 8 |
| Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm HCPCS A2008 | not published | not published | $1.00 – $1.00 | 1 |
| Drsg wnd hyalomatrix 10x10cm -cost per sq cm HCPCS Q4117 | not published | not published | $1.00 – $1.00 | 1 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | not published | not published | $1.00 – $1.00 | 1 |
| Drsg wound/burn 18x10cm suprathel resorb cost per sq cm HCPCS A2012 | not published | not published | $1.00 – $1.00 | 1 |
| Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm HCPCS A2007 | not published | not published | $1.00 – $1.00 | 1 |
| Drug admin & hemodynmic meas CPT 93463 | not published | not published | $1.00 – $94.28 | 8 |
| Drug assay caffeine CPT 80155 | not published | not published | $36.64 – $40.50 | 8 |
| Drug assay posaconazole CPT 80187 | not published | not published | $25.75 – $28.47 | 8 |
| Drug assay rufinamide CPT 80210 | not published | not published | $25.75 – $28.47 | 8 |
| Drug assay vedolizumab CPT 80280 | not published | not published | $36.64 – $40.50 | 8 |
| Drug assay voriconazole CPT 80285 | not published | not published | $25.75 – $28.47 | 8 |
| Drug asy hydroxychloroquine CPT 80220 | not published | not published | $17.71 – $19.57 | 8 |
| Drug of abuse screen urine CPT 80305 | not published | not published | $11.97 – $13.23 | 8 |
| Drug screening tapentadol CPT 80372 | not published | not published | $24.79 – $24.79 | 1 |
| Drug screen quant tiagabine CPT 80199 | not published | not published | $25.75 – $28.47 | 8 |
| Drug/substance nos 4-6 CPT 80376 | not published | not published | $24.30 – $24.30 | 1 |
| Drug test def 15-21 classes HCPCS G0482 | not published | not published | $188.80 – $208.68 | 8 |
| Drug test def 1-7 classes HCPCS G0480 | not published | not published | $108.71 – $120.15 | 8 |
| Drug test def 22+ classes HCPCS G0483 | not published | not published | $234.57 – $259.27 | 8 |
| Drug test def 8-14 classes HCPCS G0481 | not published | not published | $148.76 – $164.42 | 8 |
| Drug test def simple all cl HCPCS G0659 | not published | not published | $59.03 – $65.25 | 8 |
| Drug test prsmv instrmnt CPT 80306 | not published | not published | $16.28 – $18.00 | 8 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | not published | not published | $59.03 – $65.25 | 8 |
| Drvvt confirm - quest CPT 85597 | not published | not published | $17.08 – $18.88 | 8 |
| Dstrj extensive retinopathy CPT 67227 | not published | not published | $2,849.60 – $3,885.90 | 8 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | not published | not published | $1,423.02 – $2,012.27 | 8 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | not published | not published | $293.89 – $411.70 | 8 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | not published | not published | $293.89 – $411.70 | 8 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | not published | not published | $462.88 – $630.78 | 8 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | not published | not published | $462.88 – $630.78 | 8 |
| Dstry eye lesn,fdr vssl tech HCPCS G0186 | not published | not published | $428.40 – $565.32 | 8 |
| Ductogram sgl duct CPT 77053 | not published | not published | $180.60 – $249.09 | 8 |
| Duodenal exclusion CPT 48547 | not published | not published | $518.54 – $1,661.08 | 8 |
| Duodenal motility study CPT 91022 | not published | not published | $395.02 – $546.77 | 8 |
| Duplex scan bilateral study 93985 CPT 93985 | $868.00 | $1,085.00 | $180.60 – $976.50 | 14 |
| Duplex scan unilateral study 93986 CPT 93986 | $454.40 | $568.00 | $81.04 – $511.20 | 14 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $391.20 | $489.00 | $81.04 – $440.10 | 14 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $1,097.60 | $1,372.00 | $115.12 – $1,234.80 | 14 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $1,127.20 | $1,409.00 | $180.60 – $1,268.10 | 14 |
| Duragen 1x1 5ea/bx HCPCS C9354 | $90.40 | $113.00 | $1.00 – $101.70 | 11 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | $6,731.04 | $8,413.80 | $79.74 – $7,572.42 | 14 |
| Dxa bone density axl vrt fx CPT 77085 | not published | not published | $81.04 – $109.58 | 8 |
| Dx aly aud oi snd prcsr 1st CPT 92622 | not published | not published | $115.12 – $161.23 | 8 |
| Dx aly aud oi snd prcsr each CPT 92623 | not published | not published | $18.74 – $20.71 | 8 |
| Dx bronchoscope/brush 31623 CPT 31623 | not published | not published | $1,250.92 – $1,777.01 | 8 |
| Dx bronchoscope/lavage 31624 CPT 31624 | not published | not published | $1,250.92 – $1,777.01 | 8 |
| Dx bronchoscope/wash 31622 CPT 31622 | not published | not published | $1,250.92 – $1,777.01 | 8 |
| Dx dark adaptation exam i&r CPT 92284 | not published | not published | $293.65 – $411.20 | 8 |
| Dx duod intub w/asp spec 43756 CPT 43756 | not published | not published | $668.10 – $966.13 | 8 |
| Dx duod intub w/asp specs CPT 43757 | not published | not published | $668.10 – $966.13 | 8 |
| Dx gastr intub w/asp spec CPT 43754 | not published | not published | $231.33 – $320.89 | 8 |
| Dx gastr intub w/asp specs CPT 43755 | not published | not published | $115.12 – $161.23 | 8 |
| Dx intraop epcar Ultrasound chd i&r CPT 76989 | not published | not published | $69.03 – $69.03 | 1 |
| Dx intraop epicar car Ultrasound chd CPT 76987 | not published | not published | $184.73 – $184.73 | 1 |
| Dx intraop thoracic aorta Ultrasound CPT 76984 | not published | not published | $60.48 – $60.48 | 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.