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 |
|---|---|---|---|---|
| Esophagoscopy rigid balloon CPT 43195 | not published | not published | $2,822.60 – $3,920.45 | 8 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | not published | not published | $1,402.42 – $1,954.79 | 8 |
| Esophagoscopy rigid trnso 43180 CPT 43180 | not published | not published | $4,316.11 – $6,095.91 | 8 |
| Esophagoscopy snare les remv CPT 43217 | not published | not published | $1,402.42 – $1,954.79 | 8 |
| Esophagoscopy w/us needle bx CPT 43232 | not published | not published | $1,402.42 – $1,954.79 | 8 |
| Esophagoscp guide wire dilat 43196 CPT 43196 | not published | not published | $1,402.42 – $1,954.79 | 8 |
| Esophagoscp rig trnso biopsy CPT 43193 | not published | not published | $1,402.42 – $1,954.79 | 8 |
| Esophagoscp rig trnso inject CPT 43192 | not published | not published | $1,402.42 – $1,954.79 | 8 |
| Esophagoscp rig trnso rem fb CPT 43194 | not published | not published | $1,402.42 – $1,954.79 | 8 |
| Esophagotomy thrc rmvl fb CPT 43045 | not published | not published | $1,090.92 – $1,205.75 | 8 |
| Esophagus endoscopy/ligation CPT 43205 | not published | not published | $1,402.42 – $1,954.79 | 8 |
| Esophagus motility study CPT 91010 | not published | not published | $395.02 – $546.77 | 8 |
| Esoph balloon distension tst CPT 91040 | not published | not published | $395.02 – $546.77 | 8 |
| Esoph egd dilation <30 mm CPT 43249 | not published | not published | $1,402.42 – $1,954.79 | 8 |
| Esoph endoscopy dilation CPT 43226 | not published | not published | $1,402.42 – $1,954.79 | 8 |
| Esoph fundoplasty lap 43327 CPT 43327 | not published | not published | $708.14 – $782.68 | 8 |
| Esoph fundoplasty thor 43328 CPT 43328 | not published | not published | $926.02 – $1,023.49 | 8 |
| Esophgl motil w/stim/perfus CPT 91013 | not published | not published | $1.00 – $25.71 | 8 |
| Esoph imped function test CPT 91037 | not published | not published | $231.33 – $320.89 | 8 |
| Esoph imped funct test > 1hr CPT 91038 | not published | not published | $395.02 – $546.77 | 8 |
| Esoph optical endomicroscopy CPT 43206 | not published | not published | $1,402.42 – $1,954.79 | 8 |
| Esoph scope w/sclerosis inj CPT 43204 | not published | not published | $1,402.42 – $1,954.79 | 8 |
| Esoph scope w/submucous inj CPT 43201 | not published | not published | $1,402.42 – $1,954.79 | 8 |
| Esphg dstl 2/3 w/laps moblj 43287 CPT 43287 | not published | not published | $668.10 – $3,231.28 | 8 |
| Esphg thrsc moblj CPT 43288 | not published | not published | $668.10 – $3,414.75 | 8 |
| Esphg tot w/laps moblj CPT 43286 | not published | not published | $668.10 – $2,915.32 | 8 |
| Esphg tot w/thrcm CPT 43112 | not published | not published | $668.10 – $3,095.49 | 8 |
| Esrd home pt serv p mo 12-19 CPT 90965 | not published | not published | $446.80 – $493.83 | 8 |
| Esrd home pt serv p mo 20+ CPT 90966 | not published | not published | $265.36 – $293.29 | 8 |
| Esrd home pt serv p mo 2-11 CPT 90964 | not published | not published | $463.96 – $512.80 | 8 |
| Esrd home pt serv p mo <2yrs CPT 90963 | not published | not published | $540.83 – $597.75 | 8 |
| Esrd serv 1 visit p mo 20+ CPT 90962 | not published | not published | $184.08 – $203.46 | 8 |
| Esrd serv 1 visit p mo <2yrs CPT 90953 | not published | not published | $884.99 – $884.99 | 1 |
| Esrd serv 1 vst p mo 12-19 CPT 90959 | not published | not published | $293.03 – $323.87 | 8 |
| Esrd serv 2-3 vsts p mo <2yr CPT 90952 | not published | not published | $884.99 – $884.99 | 1 |
| Esrd serv 4 visits p mo <2yr CPT 90951 | not published | not published | $1,034.90 – $1,143.83 | 8 |
| Esrd serv 4 vsts p mo 2-11 CPT 90954 | not published | not published | $892.84 – $986.82 | 8 |
| Esrd srv 1 visit p mo 2-11 CPT 90956 | not published | not published | $314.41 – $347.51 | 8 |
| Esrd srv 2-3 vsts p mo 12-19 CPT 90958 | not published | not published | $447.69 – $494.82 | 8 |
| Esrd srv 2-3 vsts p mo 20+ CPT 90961 | not published | not published | $265.36 – $293.29 | 8 |
| Esrd srv 2-3 vsts p mo 2-11 CPT 90955 | not published | not published | $468.77 – $518.11 | 8 |
| Esrd srv 4 visits p mo 20+ CPT 90960 | not published | not published | $319.31 – $352.93 | 8 |
| Esrd srv 4 vsts p mo 12-19 CPT 90957 | not published | not published | $686.64 – $758.91 | 8 |
| Esrd svc pr day pt 12-19 CPT 90969 | not published | not published | $15.05 – $16.63 | 8 |
| Esrd svc pr day pt <2 CPT 90967 | not published | not published | $15.66 – $17.31 | 8 |
| Esrd svc pr day pt 20+ CPT 90970 | not published | not published | $8.77 – $9.70 | 8 |
| Esrd svc pr day pt 2-11 CPT 90968 | not published | not published | $15.36 – $16.97 | 8 |
| Essure 58565 CPT 58565 | not published | not published | $3,665.87 – $5,086.86 | 8 |
| Establish access to aorta CPT 36160 | not published | not published | $1.00 – $548.69 | 8 |
| Establish access to artery CPT 36100 | not published | not published | $1.00 – $528.40 | 8 |
| Establish brain cavity shunt CPT 62223 | not published | not published | $870.37 – $961.98 | 8 |
| Establish brain cavity shunt CPT 62180 | not published | not published | $1,320.95 – $1,459.99 | 8 |
| Establish brain cavity shunt CPT 62190 | not published | not published | $783.64 – $866.13 | 8 |
| Establish brain cavity shunt CPT 62192 | not published | not published | $832.84 – $920.50 | 8 |
| Establish brain cavity shunt CPT 62200 | not published | not published | $1,139.59 – $1,259.55 | 8 |
| Establish brain cavity shunt CPT 62220 | not published | not published | $811.77 – $897.22 | 8 |
| Established Patient Office Visit (level 1) CPT 99211 | $167.20 | $209.00 | $15.55 – $73.80 | 14 |
| Established Patient Office Visit (level 2) CPT 99212 | $251.20 | $314.00 | $51.18 – $118.80 | 14 |
| Established Patient Office Visit (level 3) CPT 99213 | $453.60 | $567.00 | $66.30 – $153.90 | 14 |
| Established Patient Office Visit (level 4) CPT 99214 | $680.80 | $851.00 | $88.78 – $206.10 | 14 |
| Established Patient Office Visit (level 5) CPT 99215 | $1,059.20 | $1,324.00 | $100.41 – $233.10 | 14 |
| Estim aid bone healg invasiv CPT 20975 | not published | not published | $1.00 – $168.30 | 8 |
| Estradiol total CPT 82670 | not published | not published | $26.54 – $29.34 | 8 |
| Estradiol valerate 10 mg inj HCPCS J1380 | not published | not published | $1.00 – $1.00 | 1 |
| Estrogens total-sendout CPT 82672 | not published | not published | $20.62 – $22.79 | 8 |
| Etanercept injection HCPCS J1438 | not published | not published | $790.78 – $1,134.93 | 8 |
| Ethanolamine oleate 100 mg HCPCS J1430 | not published | not published | $469.26 – $534.41 | 8 |
| Eth estr and eton monthly HCPCS J7295 | not published | not published | $157.59 – $157.59 | 1 |
| Ethmoidectomy extranasal total 31205 CPT 31205 | not published | not published | $2,372.92 – $3,341.89 | 8 |
| Ethylene glycol -sendout CPT 82693 | not published | not published | $14.16 – $15.65 | 8 |
| Etonogestrel implant system HCPCS J7307 | $914.66 | $1,143.32 | $443.27 – $1,028.99 | 11 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $237.40 | $296.75 | $1.00 – $191.42 | 11 |
| Etoposide 50 mg cap HCPCS J8560 | not published | not published | $76.53 – $76.53 | 1 |
| Euflexxa inj per dose HCPCS J7323 | $373.95 | $467.43 | $106.83 – $420.69 | 14 |
| Euglobulin lysis CPT 85360 | not published | not published | $7.99 – $8.83 | 8 |
| Evacuate mole of uterus CPT 59870 | not published | not published | $2,304.20 – $3,276.41 | 8 |
| Eval aud funcj ea addl 15 CPT 92627 | not published | not published | $1.00 – $20.71 | 8 |
| Eval aud rehab status/first hr 92626 CPT 92626 | not published | not published | $115.12 – $161.23 | 8 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $321.60 | $402.00 | $115.12 – $361.80 | 14 |
| Evaluation cervical mucus CPT 89330 | not published | not published | $9.86 – $10.90 | 8 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | not published | not published | $93.20 – $103.02 | 8 |
| Evaluation heart device CPT 93640 | not published | not published | $1.00 – $1.00 | 1 |
| Evaluation of speech fluency 92521 CPT 92521 | $348.00 | $435.00 | $115.12 – $391.50 | 14 |
| Evaluation psychiatric diagnostic CPT 90791 | not published | not published | $117.51 – $165.57 | 8 |
| Evasc prlng admn rx agnt 1st CPT 61650 | not published | not published | $474.58 – $524.54 | 8 |
| Evasc prlng admn rx agnt add CPT 61651 | not published | not published | $202.63 – $223.96 | 8 |
| Evasc repair of iliac artery; endograft 34718 CPT 34718 | not published | not published | $991.03 – $1,095.35 | 8 |
| Evasc rpr a-ao ndgft 34701 CPT 34701 | not published | not published | $996.13 – $1,100.99 | 8 |
| Evasc rpr a-ao ndgft rpt 34702 CPT 34702 | not published | not published | $1,430.24 – $1,580.79 | 8 |
| Evasc rpr a-biiliac ndgft rptr CPT 34706 | not published | not published | $1,822.34 – $2,014.17 | 8 |
| Evasc rpr a-iliac ndgft 34717 CPT 34717 | not published | not published | $351.28 – $388.26 | 8 |
| Evasc rpr a-unilac ndgft 34703 CPT 34703 | not published | not published | $1,101.63 – $1,217.59 | 8 |
| Evasc rpr a-unilac ndgft rpt CPT 34704 | not published | not published | $1,827.85 – $2,020.25 | 8 |
| Evasc rpr ilio-iliac ndgft CPT 34707 | not published | not published | $937.16 – $1,035.81 | 8 |
| Evasc rpr ilio-iliac rpt CPT 34708 | not published | not published | $1,449.23 – $1,601.78 | 8 |
| Evasc st rpr thrc/aa acrs br CPT 33894 | not published | not published | $798.30 – $882.33 | 8 |
| Evasc st rpr thrc/aa x crsg CPT 33895 | not published | not published | $635.12 – $701.97 | 8 |
| Event monitor CPT 93270 | not published | not published | $27.80 – $38.43 | 8 |
| Evoked auditory tst complete CPT 92588 | not published | not published | $231.33 – $320.89 | 8 |
| Evoked oa emissions ltd CPT 92587 | $199.20 | $249.00 | $96.54 – $320.89 | 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.