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 |
|---|---|---|---|---|
| Eye Socket (Orbit) X-ray CPT 70200 | $389.60 | $487.00 | $81.04 – $438.30 | 14 |
| Eye Socket, Pituitary or Ear CT Scan (with and without contrast) CPT 70482 | $2,745.60 | $3,432.00 | $135.41 – $3,088.80 | 14 |
| Eye Socket, Pituitary or Ear CT Scan (with contrast) CPT 70481 | $2,497.60 | $3,122.00 | $135.41 – $2,809.80 | 14 |
| Eye Socket, Pituitary or Ear CT Scan (without contrast) CPT 70480 | $2,448.80 | $3,061.00 | $81.04 – $2,754.90 | 14 |
| Eye surgery follow-up add-on CPT 67331 | not published | not published | $1.00 – $124.21 | 8 |
| Eye suture during surgery CPT 67335 | not published | not published | $1.00 – $183.62 | 8 |
| Ezh2 gene common variants CPT 81237 | not published | not published | $166.63 – $184.17 | 8 |
| Ezh2 gene full gene sequence CPT 81236 | not published | not published | $268.74 – $297.02 | 8 |
| F-18 fdg pet diag HCPCS A9552 | $371.20 | $464.00 | $1.00 – $417.60 | 11 |
| F-18 florbetapir less than or equal to 10 mci HCPCS A9586 | not published | not published | $1.00 – $2,304.35 | 8 |
| F-18 fluciclovine per mci HCPCS A9588 | not published | not published | $1.00 – $281.84 | 8 |
| F-18 sodium fluoride HCPCS A9580 | not published | not published | $1.00 – $1.00 | 1 |
| F9 full gene sequence CPT 81238 | not published | not published | $570.00 – $630.00 | 8 |
| Fabrication & fitting HCPCS V2628 | not published | not published | $351.25 – $511.25 | 8 |
| Face bone graft CPT 21210 | not published | not published | $4,316.11 – $6,095.91 | 8 |
| Face, Eye Socket and Neck MRI (with and without contrast) CPT 70543 | $3,860.00 | $4,825.00 | $283.44 – $4,342.50 | 14 |
| Face, Eye Socket and Neck MRI (without contrast) CPT 70540 | $3,362.40 | $4,203.00 | $180.60 – $3,782.70 | 14 |
| Facial Bones X-ray (1 to 2 views) CPT 70140 | $270.40 | $338.00 | $66.97 – $304.20 | 14 |
| Facial Bones X-ray (complete) CPT 70150 | $412.80 | $516.00 | $81.04 – $464.40 | 14 |
| Facial nerve function test CPT 92516 | not published | not published | $231.33 – $320.89 | 8 |
| Facility svs dental rehab HCPCS G0330 | not published | not published | $2,372.92 – $3,341.89 | 8 |
| Factor ix CPT 85250 | not published | not published | $18.09 – $19.99 | 8 |
| Factor ix alprolix recomb HCPCS J7201 | not published | not published | $3.41 – $3.77 | 8 |
| Factor ix complex HCPCS J7194 | not published | not published | $1.61 – $1.78 | 8 |
| Factor ix idelvion inj HCPCS J7202 | not published | not published | $4.93 – $5.59 | 8 |
| Factor ix non-recombinant HCPCS J7193 | not published | not published | $1.32 – $1.47 | 8 |
| Factor ix recomb gly rebinyn HCPCS J7203 | not published | not published | $4.24 – $4.69 | 8 |
| Factor ix recombinan rixubis HCPCS J7200 | not published | not published | $1.60 – $1.60 | 1 |
| Factor ix recombinant nos HCPCS J7195 | not published | not published | $1.74 – $1.94 | 8 |
| Factor viia recomb sevenfact HCPCS J7212 | not published | not published | $2.02 – $2.02 | 1 |
| Factor viii CPT 85240 | not published | not published | $17.01 – $18.80 | 8 |
| Factor viii HCPCS J7190 | not published | not published | $1.03 – $1.14 | 8 |
| Factor viii fc fusion recomb HCPCS J7205 | not published | not published | $2.18 – $2.55 | 8 |
| Factor viii nuwiq recomb 1iu HCPCS J7209 | not published | not published | $1.06 – $1.17 | 8 |
| Factor viii pegylated recomb HCPCS J7207 | not published | not published | $1.99 – $2.20 | 8 |
| Factor viii recombinant nos HCPCS J7192 | not published | not published | $1.50 – $1.69 | 8 |
| Factor viii recomb novoeight HCPCS J7182 | not published | not published | $1.31 – $1.62 | 8 |
| Factor viii recomb obizur HCPCS J7188 | not published | not published | $3.07 – $3.39 | 8 |
| Factor xiii anti-hem factor HCPCS J7180 | not published | not published | $9.67 – $11.29 | 8 |
| Factor xiii recomb a-subunit HCPCS J7181 | not published | not published | $17.10 – $19.06 | 8 |
| Fallopian tube recnl CPT 58345 | not published | not published | $2,304.20 – $3,276.41 | 8 |
| Fam adapt bhv tx gdn phy/qhp CPT 97156 | not published | not published | $21.16 – $30.70 | 8 |
| Family therapy without pt 50min 90846 CPT 90846 | not published | not published | $117.51 – $165.57 | 8 |
| Family therapy with patient 50 min 90847 CPT 90847 | not published | not published | $117.51 – $165.57 | 8 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $104.82 | $131.02 | $29.26 – $67.93 | 11 |
| Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358 | $6,865.72 | $8,582.15 | $26.38 – $7,723.94 | 14 |
| Fancc gene CPT 81242 | not published | not published | $34.79 – $38.45 | 8 |
| Fasciotomy hip/thigh any typ CPT 27025 | not published | not published | $833.41 – $921.13 | 8 |
| Fat/lipids feces qualitative CPT 82705 | not published | not published | $4.85 – $5.36 | 8 |
| Fatty acids nonesterified CPT 82725 | not published | not published | $17.83 – $19.71 | 8 |
| Fda ide #g240020 carry bag HCPCS Q0499 | not published | not published | $186.92 – $252.04 | 8 |
| Fecal bilirubin test CPT 82252 | not published | not published | $4.33 – $4.79 | 8 |
| Fecal microbiota, live-jslm 150 ml rectal suspension enema HCPCS J1440 | not published | not published | $60.65 – $67.03 | 8 |
| Fecal microbiota prep instil HCPCS G0455 | not published | not published | $673.60 – $939.49 | 8 |
| #fecal-sodium CPT 84302 | not published | not published | $4.62 – $5.10 | 8 |
| Feeding tube reposition CPT 74355 | not published | not published | $1.00 – $1.00 | 1 |
| Fees w/laryngeal sense i&r CPT 92617 | not published | not published | $36.61 – $40.47 | 8 |
| Fees w/laryngeal sense test CPT 92616 | not published | not published | $171.60 – $237.54 | 8 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | not published | not published | $17.71 – $19.57 | 8 |
| Fem focal defic constant fri HCPCS L5230 | not published | not published | $5,340.62 – $6,392.30 | 8 |
| Femoral endovas graft add-on 34813 CPT 34813 | not published | not published | $186.23 – $205.84 | 8 |
| Femoral lgth sock fx or equa HCPCS L2850 | not published | not published | $67.61 – $97.65 | 8 |
| Fem/popl revasc w/stent CPT 37226 | not published | not published | $8,108.08 – $11,686.12 | 8 |
| Fem urinary collect pouch HCPCS A4328 | not published | not published | $1.00 – $15.31 | 8 |
| Feno poc CPT 95012 | not published | not published | $29.56 – $40.45 | 8 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $61.40 | $76.74 | $1.00 – $67.69 | 11 |
| Fern test HCPCS Q0114 | not published | not published | $9.25 – $10.23 | 8 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $920.88 | $1,151.10 | $1.05 – $1,035.99 | 14 |
| Ferritin CPT 82728 | not published | not published | $12.95 – $14.31 | 8 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | $489.22 | $611.52 | $0.31 – $550.37 | 14 |
| Ferumoxytol, esrd use HCPCS Q0139 | not published | not published | $0.31 – $0.33 | 8 |
| Fetal aneuploidy trisom risk CPT 81507 | not published | not published | $755.25 – $834.75 | 8 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $811.20 | $1,014.00 | $81.04 – $912.60 | 14 |
| Fetal chrmoml microdeltj CPT 81422 | not published | not published | $721.10 – $797.00 | 8 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | not published | not published | $584.00 – $797.00 | 8 |
| Fetal contract stress test 59020 - 26 CPT 59020 | not published | not published | $146.87 – $207.30 | 8 |
| Fetal cord puncture prenatal CPT 59012 | not published | not published | $236.44 – $313.46 | 8 |
| Fetal fibronectin CPT 82731 | not published | not published | $61.19 – $67.63 | 8 |
| Fetal fluid drainage w/us CPT 59074 | not published | not published | $236.44 – $313.46 | 8 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | not published | not published | $7.34 – $8.12 | 8 |
| Fetal hemoglobin rosette CPT 85461 | not published | not published | $8.89 – $9.83 | 8 |
| Fetal lung maturity assess lam body dnst CPT 83664 | not published | not published | $18.35 – $20.29 | 8 |
| Fetal monitor/interpret only CPT 59051 | not published | not published | $33.90 – $37.47 | 8 |
| Fetal monitor w/report CPT 59050 | not published | not published | $40.55 – $44.82 | 8 |
| Fetal non stress test CPT 59025 | $448.00 | $560.00 | $146.87 – $504.00 | 14 |
| Fetal scalp blood sampling 59030 CPT 59030 | not published | not published | $236.44 – $313.46 | 8 |
| Fetal shunt placement w/us CPT 59076 | not published | not published | $236.44 – $313.46 | 8 |
| #_fet/norfentcnfrmur CPT 80354 | not published | not published | $24.79 – $24.79 | 1 |
| Fiasp for insulin pump use HCPCS J1811 | not published | not published | $6.67 – $8.67 | 8 |
| Fibrin degradation d dimer quantitative CPT 85379 | not published | not published | $9.67 – $10.69 | 8 |
| Fibrin degradation products CPT 85362 | not published | not published | $6.55 – $7.23 | 8 |
| Fibrin degrade semiquant CPT 85378 | not published | not published | $9.23 – $10.21 | 8 |
| Fibrin degradj d-dimer CPT 85380 | not published | not published | $9.67 – $10.69 | 8 |
| Fibrinogen activity CPT 85384 | not published | not published | $9.23 – $10.21 | 8 |
| Fibrinogen test CPT 85370 | not published | not published | $11.81 – $13.05 | 8 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | not published | not published | $14.71 – $16.25 | 8 |
| Fibrinolytic antiplasmin CPT 85410 | not published | not published | $7.32 – $8.10 | 8 |
| Fibrinolytic plasmin CPT 85400 | not published | not published | $7.32 – $8.10 | 8 |
| Fibrinolytic plasminogen CPT 85415 | not published | not published | $16.33 – $18.05 | 8 |
| Fibrinolytic plasminogen CPT 85421 | not published | not published | $9.67 – $10.69 | 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.