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 |
|---|---|---|---|---|
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | $379.32 | $474.15 | $145.64 – $338.09 | 11 |
| I-123 iobenguane diag HCPCS A9582 | not published | not published | $1.00 – $2,178.55 | 8 |
| I-123 ioflupane diag HCPCS A9584 | not published | not published | $1.00 – $1,457.42 | 8 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $224.80 | $281.00 | $1.00 – $252.90 | 11 |
| I125 iothalamate, dx HCPCS A9554 | not published | not published | $1.00 – $1.00 | 1 |
| I125 serum albumin, dx HCPCS A9532 | not published | not published | $1.00 – $1.00 | 1 |
| I-131 iobenguane sulf diag mibg HCPCS A9508 | not published | not published | $1.00 – $1.00 | 1 |
| I131 iodide cap, rx HCPCS A9517 | not published | not published | $21.97 – $24.29 | 8 |
| I131 iodide sol, rx HCPCS A9530 | not published | not published | $19.84 – $21.92 | 8 |
| I131 max 100uci HCPCS A9531 | not published | not published | $1.00 – $1.00 | 1 |
| I131 serum albumin, dx HCPCS A9524 | not published | not published | $1.00 – $1.00 | 1 |
| I-131 sod iodide sol diag per mci HCPCS A9529 | not published | not published | $1.00 – $1.00 | 1 |
| Iaadi respiratory synctial virus CPT 87280 | not published | not published | $12.75 – $14.09 | 8 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | not published | not published | $33.34 – $36.84 | 8 |
| Ia infect ag ab qual/semiquant sgl step CPT 86318 | not published | not published | $17.19 – $18.99 | 8 |
| Ia nfct ab sarscov2 covid19 CPT 86328 | not published | not published | $43.02 – $47.54 | 8 |
| Ibandronate 3 mg/3 ml intravenous syringe HCPCS J1740 | $843.75 | $1,054.68 | $1.00 – $949.21 | 11 |
| Ibmfs seq alys pnl 30 genes CPT 81441 | not published | not published | $2,326.13 – $2,570.99 | 8 |
| Ibuprofen injection HCPCS J1741 | not published | not published | $1.00 – $1.00 | 1 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | $193.60 | $242.00 | $93.82 – $217.80 | 14 |
| Icatibant injection HCPCS J1744 | not published | not published | $93.19 – $136.91 | 8 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | not published | not published | $1.00 – $1.00 | 1 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | not published | not published | $1.00 – $1.00 | 1 |
| Icd crtp serena MRI HCPCS C2621 | not published | not published | $1.00 – $1.00 | 1 |
| Icd reliance df4 ib 64cm HCPCS C1895 | not published | not published | $1.00 – $1.00 | 1 |
| Icg angiography i&r uni/bi CPT 92240 | not published | not published | $231.33 – $320.89 | 8 |
| Icut allergy test-delayed CPT 95028 | not published | not published | $29.56 – $40.45 | 8 |
| Icut allergy test drug/bug CPT 95024 | not published | not published | $13.52 – $61.21 | 8 |
| Icut allergy titrate-airborn CPT 95027 | not published | not published | $21.95 – $25.24 | 8 |
| I&d abscess posterior spine l/s/ls-22015 CPT 22015 | not published | not published | $827.37 – $914.46 | 8 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | not published | not published | $2,372.92 – $3,341.89 | 8 |
| Idarubicin hcl injection HCPCS J9211 | not published | not published | $1.00 – $1.00 | 1 |
| I&d/bursa/foot 28001 CPT 28001 | not published | not published | $1,194.92 – $1,669.61 | 8 |
| Idecabtagene vicleucel car HCPCS Q2055 | not published | not published | $373,581.13 – $585,183.83 | 8 |
| Identify sperm tissue CPT 89264 | not published | not published | $39.93 – $55.06 | 8 |
| Idet 1 or more levels CPT 22527 | not published | not published | $173.80 – $1,583.67 | 8 |
| Idet single level CPT 22526 | not published | not published | $173.80 – $1,924.21 | 8 |
| I&d frarm&/wrst deep absc/hematoma CPT 25028 | not published | not published | $2,385.62 – $3,343.47 | 8 |
| Idh1 common variants CPT 81120 | not published | not published | $183.59 – $202.91 | 8 |
| Idh2 common variants CPT 81121 | not published | not published | $281.00 – $310.58 | 8 |
| I&d intramural/intramuscular/submuc abscess transanal anes CPT 46045 | not published | not published | $2,069.40 – $2,825.95 | 8 |
| I&d lacrimal gland CPT 68400 | not published | not published | $746.18 – $998.05 | 8 |
| I&d lacrimal sac CPT 68420 | not published | not published | $1,722.27 – $2,404.05 | 8 |
| Iduc valve sply repl HCPCS A4342 | not published | not published | $1.00 – $903.88 | 8 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | not published | not published | $2,094.23 – $2,949.26 | 8 |
| Idursulfase injection HCPCS J1743 | not published | not published | $530.53 – $586.38 | 8 |
| I & d vag hematoma non-ob 57023 CPT 57023 | not published | not published | $2,094.23 – $2,949.26 | 8 |
| I&d vag hemtma obst/postpart CPT 57022 | not published | not published | $2,094.23 – $2,949.26 | 8 |
| Ifnl3 gene CPT 81283 | not published | not published | $69.70 – $77.04 | 8 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | $358.92 | $448.64 | $1.00 – $403.78 | 11 |
| Igh@/bcl2 translocation alys CPT 81278 | not published | not published | $196.94 – $217.68 | 8 |
| Igh gene rearrang dir probe CPT 81262 | not published | not published | $65.12 – $71.98 | 8 |
| Igh gene rearrange amp meth CPT 81261 | not published | not published | $188.09 – $207.89 | 8 |
| Igh@ var region somatic mutation analy CPT 81263 | not published | not published | $279.79 – $309.25 | 8 |
| Igk rearrangeabn clonal pop CPT 81264 | not published | not published | $164.09 – $181.37 | 8 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $248.80 | $311.00 | $1.00 – $279.90 | 14 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $558.40 | $698.00 | $264.92 – $628.20 | 14 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $296.80 | $371.00 | $125.89 – $333.90 | 14 |
| Iiv3 vacc no prsv 0.25 ml im CPT 90655 | not published | not published | $17.24 – $17.24 | 1 |
| Ikbkap gene CPT 81260 | not published | not published | $37.34 – $41.28 | 8 |
| Ileostomy/jejunostomy non-tube 44310 CPT 44310 | not published | not published | $668.10 – $980.73 | 8 |
| Iliac bone graft microvasc CPT 20956 | not published | not published | $1,184.54 – $2,528.71 | 8 |
| Iliac/fem angio cath insert HCPCS G0278 | not published | not published | $1.00 – $12.13 | 8 |
| Iliac revasc add-on 37222 CPT 37222 | not published | not published | $1.00 – $593.18 | 8 |
| Iloprost non-comp unit dose HCPCS Q4074 | not published | not published | $146.67 – $146.67 | 1 |
| Imatinib 100 mg tab HCPCS S0088 | not published | not published | $85.86 – $85.86 | 1 |
| Imbrication/diaphragm/transthor/transabd 39545 CPT 39545 | not published | not published | $755.57 – $835.10 | 8 |
| Imetelstat 188 mg intravenous solution HCPCS J0870 | $16,265.91 | $20,332.38 | $54.18 – $18,299.14 | 14 |
| Img rta detcj/mntr ds staff CPT 92227 | not published | not published | $45.08 – $61.21 | 8 |
| Img rta detc/mntr ds phy/qhp CPT 92228 | not published | not published | $29.56 – $40.45 | 8 |
| Img rta detc/mntr ds poc aly CPT 92229 | not published | not published | $45.08 – $61.21 | 8 |
| Immntx 1 sting insect CPT 95130 | not published | not published | $13.34 – $13.34 | 1 |
| Immntx 4 sting insects CPT 95133 | not published | not published | $27.76 – $27.76 | 1 |
| Immntx 5 sting insects CPT 95134 | not published | not published | $38.00 – $38.00 | 1 |
| Immob elbow child sm HCPCS L3762 | not published | not published | $109.37 – $147.46 | 8 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $167.20 | $209.00 | $7.75 – $174.52 | 14 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $84.00 | $105.00 | $25.98 – $92.10 | 14 |
| Immobilizer shldr sling med HCPCS L3660 | not published | not published | $105.12 – $158.63 | 8 |
| Immt breast prosthesis 19340 CPT 19340 | not published | not published | $4,806.17 – $6,720.17 | 8 |
| Immune complex assay CPT 86332 | not published | not published | $23.15 – $25.59 | 8 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | $3,359.52 | $4,199.40 | $43.05 – $686.16 | 14 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | not published | not published | $74.86 – $82.73 | 8 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | not published | not published | $44.79 – $49.90 | 8 |
| Immune globulin ig human im use 90281 CPT 90281 | not published | not published | $101.55 – $101.55 | 1 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | not published | not published | $19.77 – $21.85 | 8 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | not published | not published | $19.77 – $21.85 | 8 |
| Immunoassay tumor qual CPT 86294 | not published | not published | $24.29 – $26.85 | 8 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | not published | not published | $11.38 – $12.58 | 8 |
| Immunodiffusion nes CPT 86329 | not published | not published | $13.35 – $14.75 | 8 |
| Immunoelectrophoresis assay CPT 86327 | not published | not published | $28.42 – $31.42 | 8 |
| Immunofixation electrophoresis serum CPT 86334 | not published | not published | $21.22 – $23.46 | 8 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | not published | not published | $1.00 – $114.24 | 8 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | not published | not published | $125.89 – $176.58 | 8 |
| Immunoglobulin assay CPT 86023 | not published | not published | $11.84 – $13.08 | 8 |
| Immunology procedure CPT 86849 | not published | not published | $1.00 – $1.00 | 1 |
| Immunotherapy 2/> injections CPT 95125 | not published | not published | $10.90 – $10.90 | 1 |
| Impedence cardiogram CPT 93701 | not published | not published | $94.15 – $132.83 | 8 |
| Imp extar knee shck absrb HCPCS C8003 | not published | not published | $17,145.60 – $18,950.39 | 8 |
| Impl absrb msh/prsth dly cls CPT 15778 | not published | not published | $326.67 – $361.06 | 8 |
| Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster HCPCS L8612 | not published | not published | $1.00 – $1,021.70 | 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.