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 |
|---|---|---|---|---|
| Foam stability fetal lung CPT 83662 | not published | not published | $17.96 – $19.86 | 8 |
| Folic acid CPT 82746 | not published | not published | $13.97 – $15.44 | 8 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $60.34 | $75.42 | $29.24 – $67.88 | 11 |
| Follow-up angiography CPT 75898 | not published | not published | $2,349.25 – $3,243.40 | 8 |
| Followup eval of foot pt lop HCPCS G0246 | not published | not published | $97.43 – $132.80 | 8 |
| Follow-up surgery of eye CPT 66250 | not published | not published | $1,722.27 – $2,404.05 | 8 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $1,526.40 | $1,908.00 | $5.96 – $745.20 | 14 |
| Fondaparinux sodium HCPCS J1652 | not published | not published | $1.00 – $1.00 | 1 |
| Fo nontorsion joint cf HCPCS L3935 | not published | not published | $224.72 – $302.98 | 8 |
| Foot arch support remov prem HCPCS L3030 | not published | not published | $85.29 – $115.00 | 8 |
| Foot arch supp premold metat HCPCS L3050 | not published | not published | $52.61 – $70.92 | 8 |
| Foot drp splt w/exp heel lg HCPCS L4398 | not published | not published | $86.34 – $116.21 | 8 |
| Foot external keel sach foot HCPCS L5970 | not published | not published | $243.28 – $341.26 | 8 |
| Foot insert plastazote or eq HCPCS L3002 | not published | not published | $180.53 – $243.36 | 8 |
| Foot insert remov molded spe HCPCS L3001 | not published | not published | $147.85 – $199.31 | 8 |
| Foot insert silicone gel eac HCPCS L3003 | not published | not published | $194.74 – $262.57 | 8 |
| Foot lamin/prepreg composite HCPCS L3031 | not published | not published | $136.89 – $184.99 | 8 |
| Foot longitudinal arch suppo HCPCS L3010 | not published | not published | $194.74 – $262.57 | 8 |
| Foot longitud/metatarsal sup HCPCS L3020 | not published | not published | $221.78 – $298.96 | 8 |
| Foot plas heel stabi pre ots HCPCS L3170 | not published | not published | $56.86 – $76.67 | 8 |
| Foot plate molded stirrup at HCPCS L2250 | not published | not published | $373.37 – $560.43 | 8 |
| Foot single axis ankle/foot HCPCS L5974 | not published | not published | $259.48 – $391.58 | 8 |
| Foot X-ray CPT 73630 | $345.60 | $432.00 | $66.97 – $388.80 | 14 |
| Foot X-ray (2 views, both feet) CPT 73620 | $288.80 | $361.00 | $66.97 – $324.90 | 14 |
| Forearm/arm cuffs ext/flex a HCPCS L3730 | not published | not published | $921.97 – $1,391.29 | 8 |
| Forearm/arm cuffs free motio HCPCS L3720 | not published | not published | $695.10 – $1,009.50 | 8 |
| Forearm X-ray (both sides) CPT 73090 | $323.20 | $404.00 | $66.97 – $363.60 | 14 |
| Forehead flap w/vasc pedicle 15731 CPT 15731 | not published | not published | $2,644.16 – $3,772.52 | 8 |
| Forensic cytopathology CPT 88125 | not published | not published | $39.93 – $55.06 | 8 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | not published | not published | $182.15 – $250.62 | 8 |
| Formoterol comp unit HCPCS J7640 | not published | not published | $5.10 – $5.10 | 1 |
| Formoterol fumarate, inh HCPCS J7606 | not published | not published | $4.10 – $4.10 | 1 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $265.92 | $332.40 | $1.00 – $81.86 | 11 |
| Foscarnet sodium injection HCPCS J1455 | not published | not published | $15.27 – $16.88 | 8 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $72.16 | $90.20 | $5.19 – $81.18 | 11 |
| Fractionation ketosteroids CPT 83593 | not published | not published | $27.08 – $29.93 | 8 |
| Fracture assessment via dxa CPT 77086 | not published | not published | $66.97 – $90.73 | 8 |
| _fragile x methylation-sendout CPT 81244 | not published | not published | $42.65 – $47.13 | 8 |
| Fragmenting of kidney stone CPT 50590 | not published | not published | $2,569.36 – $3,554.06 | 8 |
| Frame typ sock above elb/dis HCPCS L6688 | not published | not published | $710.84 – $890.15 | 8 |
| Frame typ socket bel elbow/w HCPCS L6687 | not published | not published | $642.29 – $969.24 | 8 |
| Frame typ socket shoulder di HCPCS L6689 | not published | not published | $847.19 – $1,132.22 | 8 |
| Frame typ sock interscap-tho HCPCS L6690 | not published | not published | $997.43 – $1,155.43 | 8 |
| Free fascial flap microvasc CPT 15758 | not published | not published | $462.88 – $2,186.05 | 8 |
| Freeing of bowel adhesion 44005 CPT 44005 | not published | not published | $923.30 – $1,020.49 | 8 |
| Free jejunum flap microvasc CPT 43496 | not published | not published | $668.10 – $668.10 | 1 |
| Free myo/skin flap microvasc CPT 15756 | not published | not published | $462.88 – $2,204.18 | 8 |
| Free omental flap microvasc CPT 49906 | not published | not published | $2,349.25 – $2,349.25 | 1 |
| Free/remove chest lining 32320 CPT 32320 | not published | not published | $1,336.70 – $1,477.40 | 8 |
| Free skin flap microvasc CPT 15757 | not published | not published | $462.88 – $2,193.76 | 8 |
| Frenectomy 41115 CPT 41115 | not published | not published | $1,123.99 – $1,526.41 | 8 |
| Frenotomy 40806 CPT 40806 | not published | not published | $405.51 – $524.77 | 8 |
| Frenulotomy of penis CPT 54164 | not published | not published | $1,501.18 – $2,110.93 | 8 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | not published | not published | $67.54 – $74.64 | 8 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $192.00 | $240.00 | $80.05 – $216.00 | 14 |
| Fresh frozen plasma thawing ea un CPT 86927 | not published | not published | $97.98 – $176.58 | 8 |
| Fr frz plasma donor retested HCPCS P9060 | not published | not published | $46.48 – $51.38 | 8 |
| Frozen blood freeze/thaw CPT 86932 | not published | not published | $29.56 – $40.45 | 8 |
| Frozen blood prep CPT 86930 | not published | not published | $125.89 – $176.58 | 8 |
| Frozen blood thaw CPT 86931 | not published | not published | $125.89 – $176.58 | 8 |
| Frozen cell preparation CPT 88241 | not published | not published | $11.49 – $12.69 | 8 |
| Frozen plasma, pooled, sd HCPCS P9023 | not published | not published | $59.19 – $65.43 | 8 |
| Fructosamine glycated protein CPT 82985 | not published | not published | $15.92 – $17.60 | 8 |
| Ft arch suprt premold longit HCPCS L3040 | not published | not published | $52.61 – $70.92 | 8 |
| Fth/gft fr n/e/e/l each addl CPT 15261 | not published | not published | $1.00 – $202.69 | 8 |
| Fth/gft fr trnk each addl CPT 15201 | not published | not published | $1.00 – $137.20 | 8 |
| Ft insert ucb berkeley shell HCPCS L3000 | not published | not published | $351.14 – $473.35 | 8 |
| Ftl cgen abnor 3 proteins CPT 81509 | not published | not published | $1,413.00 – $1,561.74 | 8 |
| Ftl cgen abnor five anal CPT 81512 | not published | not published | $66.04 – $73.00 | 8 |
| Ftl cgen abnor four anal CPT 81511 | not published | not published | $145.83 – $161.18 | 8 |
| Ftl cgen abnor three anal CPT 81510 | not published | not published | $52.76 – $58.32 | 8 |
| Ftl cgen abnor two proteins CPT 81508 | not published | not published | $51.59 – $57.02 | 8 |
| Ft prosth multiaxial ankl/ft HCPCS L5978 | not published | not published | $348.75 – $490.37 | 8 |
| Full field erg w/i&r CPT 92273 | not published | not published | $231.33 – $320.89 | 8 |
| Full mouth x-ray of teeth CPT 70320 | not published | not published | $180.60 – $249.09 | 8 |
| Full sole/heel wedge btween HCPCS L3420 | not published | not published | $61.13 – $82.40 | 8 |
| Full Spine X-ray (Scoliosis Survey) CPT 72082 | $440.80 | $551.00 | $81.04 – $495.90 | 14 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | not published | not published | $1,344.04 – $1,884.97 | 8 |
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | not published | not published | $1,344.04 – $1,884.97 | 8 |
| Full thick gft/scalp/arm/leg/add 20sqcm 15221 CPT 15221 | not published | not published | $1.00 – $126.46 | 8 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | not published | not published | $1,344.04 – $1,884.97 | 8 |
| Functional brain mapping CPT 96020 | not published | not published | $1.00 – $1.00 | 1 |
| Fundus photography with i&r 92250 CPT 92250 | not published | not published | $94.15 – $132.83 | 8 |
| Furnsh initial orthosis only HCPCS L1200 | not published | not published | $2,000.31 – $2,471.23 | 8 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $60.71 | $75.88 | $29.14 – $67.64 | 11 |
| Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr HCPCS J1940 | not published | not published | $1.00 – $1.00 | 1 |
| Fuse bile ducts and bowel 47785 CPT 47785 | not published | not published | $2,699.19 – $2,983.31 | 8 |
| Fuse esophagus & intestine CPT 43340 | not published | not published | $668.10 – $1,285.79 | 8 |
| Fuse esophagus & intestine CPT 43341 | not published | not published | $668.10 – $1,285.80 | 8 |
| Fuse esophagus & stomach CPT 43320 | not published | not published | $668.10 – $1,301.66 | 8 |
| Fuse gallbladder & bowel CPT 47740 | not published | not published | $1,111.00 – $1,227.95 | 8 |
| Fuse gallbladder & bowel CPT 47741 | not published | not published | $1,244.95 – $1,375.99 | 8 |
| Fuse/graft added joint CPT 26863 | not published | not published | $1.00 – $215.35 | 8 |
| Fuse liver duct & intestine CPT 47802 | not published | not published | $518.54 – $518.54 | 1 |
| Fuse liver ducts & bowel CPT 47765 | not published | not published | $2,526.31 – $2,792.23 | 8 |
| Fuse pancreas and bowel CPT 48548 | not published | not published | $518.54 – $1,551.88 | 8 |
| Fuse pancreas cyst and bowel CPT 48540 | not published | not published | $518.54 – $1,215.21 | 8 |
| Fuse pancreas cyst and bowel 48520 CPT 48520 | not published | not published | $518.54 – $1,026.51 | 8 |
| Fuse upper gi structures CPT 47721 | not published | not published | $1,145.20 – $1,265.75 | 8 |
| Fusion/graft of finger joint CPT 26862 | not published | not published | $2,385.62 – $3,343.47 | 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.