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 |
|---|---|---|---|---|
| Inc&subq plmt crnl bone grf CPT 61316 | not published | not published | $69.48 – $76.79 | 8 |
| Indigotindisulfonate 8 mg/ml soln 5 ml ampule HCPCS J9220 | not published | not published | $9.46 – $10.45 | 8 |
| Induced ab 1+vag supp d&c CPT 59856 | not published | not published | $236.44 – $459.90 | 8 |
| Induced ab 1+vag supp hyst CPT 59857 | not published | not published | $236.44 – $533.61 | 8 |
| Induced ab 1+ vag sup w/dlv fetus CPT 59855 | not published | not published | $236.44 – $394.57 | 8 |
| Induced abortion 1+njx d&c CPT 59851 | not published | not published | $236.44 – $402.87 | 8 |
| Induced abortion 1+njx hyst CPT 59852 | not published | not published | $236.44 – $551.61 | 8 |
| Induced abortion d&c CPT 59840 | not published | not published | $2,304.20 – $3,276.41 | 8 |
| Induced abortion dilat&evac CPT 59841 | not published | not published | $2,304.20 – $3,276.41 | 8 |
| Induction of vomiting CPT 99175 | not published | not published | $1.00 – $31.09 | 8 |
| Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s) CPT 87626 | not published | not published | $66.69 – $73.71 | 8 |
| Infec agen detec ampli probe HCPCS U0005 | not published | not published | $25.00 – $25.00 | 1 |
| Infect ag drug suscept pheno predict CPT 87900 | not published | not published | $123.83 – $136.87 | 8 |
| Infect ag eia chlamydia trachomatis CPT 87320 | not published | not published | $14.25 – $15.75 | 8 |
| Infect ag eia influenza a or b ea CPT 87400 | not published | not published | $13.42 – $14.84 | 8 |
| Infect ag genotype na cytomegalovirus CPT 87910 | not published | not published | $244.58 – $270.32 | 8 |
| Infect ag genotype na dna hepatitis b CPT 87912 | not published | not published | $244.58 – $270.32 | 8 |
| Infect ag genotype na hiv-1 other region CPT 87906 | not published | not published | $122.29 – $135.17 | 8 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | not published | not published | $244.58 – $270.32 | 8 |
| Infect ag ia direct hiv-1 antgn CPT 87806 | not published | not published | $31.13 – $34.41 | 8 |
| Infect ag ia optc obs chlamydia trach CPT 87810 | not published | not published | $33.53 – $37.05 | 8 |
| Infect ag ia optc obs influenza CPT 87804 | not published | not published | $15.72 – $17.38 | 8 |
| Infect ag if ea plyvlnt antsrm CPT 87300 | not published | not published | $11.38 – $12.58 | 8 |
| Infect ag if hep delta agent CPT 87380 | not published | not published | $17.44 – $19.28 | 8 |
| Infect ag if influenza a CPT 87276 | not published | not published | $15.27 – $16.87 | 8 |
| Infect ag if influenza b CPT 87275 | not published | not published | $11.64 – $12.86 | 8 |
| Infect ag if legionella pneumophila CPT 87278 | not published | not published | $14.82 – $16.38 | 8 |
| Infect ag if nos ea CPT 87299 | not published | not published | $15.30 – $16.91 | 8 |
| Infect ag if pneumocystis carinii CPT 87281 | not published | not published | $11.38 – $12.58 | 8 |
| Infect ag if varicella zoster CPT 87290 | not published | not published | $12.75 – $14.09 | 8 |
| Infect ag na chlamydia trachomatis qnt CPT 87492 | not published | not published | $50.80 – $56.14 | 8 |
| Infect ag na hep b amp CPT 87516 | not published | not published | $33.34 – $36.84 | 8 |
| Infect ag na herpes simplex quant CPT 87530 | not published | not published | $40.70 – $44.98 | 8 |
| Infect ag na hpv high-risk types CPT 87624 | not published | not published | $33.34 – $36.84 | 8 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | not published | not published | $91.01 – $100.59 | 8 |
| Infect ag na influenza revr/amp ea type CPT 87501 | not published | not published | $48.74 – $53.88 | 8 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | not published | not published | $48.74 – $53.88 | 8 |
| Infect ag na resp virus 12-25 targets CPT 87633 | not published | not published | $395.94 – $437.62 | 8 |
| Infect ag phenotype na hiv-1 1-10 drugs CPT 87903 | not published | not published | $464.23 – $513.09 | 8 |
| Infect ag phenotype na hiv-1 ea addl drg CPT 87904 | not published | not published | $24.77 – $27.37 | 8 |
| Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 | not published | not published | $39.31 – $43.45 | 8 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | not published | not published | $11.38 – $12.58 | 8 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | not published | not published | $12.75 – $14.09 | 8 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | not published | not published | $13.13 – $14.51 | 8 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | not published | not published | $11.38 – $12.58 | 8 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | not published | not published | $13.66 – $15.10 | 8 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | not published | not published | $9.81 – $10.85 | 8 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | not published | not published | $9.81 – $10.85 | 8 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | not published | not published | $22.88 – $25.28 | 8 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | not published | not published | $11.38 – $12.58 | 8 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | not published | not published | $11.38 – $12.58 | 8 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | not published | not published | $11.38 – $12.58 | 8 |
| Infectious agent nucleic acid amplified probe CPT 87798 | not published | not published | $33.34 – $36.84 | 8 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | not published | not published | $33.34 – $36.84 | 8 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | not published | not published | $35.41 – $39.13 | 8 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | not published | not published | $395.94 – $437.62 | 8 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | not published | not published | $33.34 – $36.84 | 8 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | not published | not published | $33.34 – $36.84 | 8 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | not published | not published | $39.60 – $43.76 | 8 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | not published | not published | $33.34 – $36.84 | 8 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | not published | not published | $48.74 – $53.88 | 8 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | not published | not published | $135.50 – $149.76 | 8 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | not published | not published | $135.50 – $149.76 | 8 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | not published | not published | $33.34 – $36.84 | 8 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | not published | not published | $33.34 – $36.84 | 8 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | not published | not published | $72.93 – $80.61 | 8 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | not published | not published | $395.94 – $437.62 | 8 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | not published | not published | $121.88 – $134.70 | 8 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | not published | not published | $249.84 – $276.14 | 8 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | not published | not published | $40.70 – $44.98 | 8 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | not published | not published | $40.70 – $44.98 | 8 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | not published | not published | $40.70 – $44.98 | 8 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | not published | not published | $80.85 – $89.36 | 8 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | not published | not published | $135.50 – $149.76 | 8 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $800.63 | $1,000.78 | $29.54 – $900.70 | 14 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | not published | not published | $19.38 – $21.43 | 8 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | $791.51 | $989.38 | $13.88 – $890.44 | 14 |
| Influenza dna amp prob addl CPT 87503 | not published | not published | $27.76 – $30.68 | 8 |
| Influenza virus vaccine, inact hemagglutinin tiv pf inj CPT 90673 | not published | not published | $40.61 – $103.07 | 8 |
| Influenza virus vaccine, live trivalent intranasal CPT 90660 | not published | not published | $20.99 – $31.20 | 8 |
| Inf lwr xtr fscl pln blk uni w/wo image CPT 64474 | not published | not published | $208.70 – $230.67 | 8 |
| Infratemporal approach/skull CPT 61591 | not published | not published | $2,372.92 – $2,926.28 | 8 |
| Infratemporal approach/skull CPT 61590 | not published | not published | $2,372.92 – $2,889.98 | 8 |
| Inf thrc fascial pln blk bi w/wo image CPT 64469 | not published | not published | $324.81 – $359.00 | 8 |
| Inf thrc fascial pln blk uni w/wo image CPT 64467 | not published | not published | $211.17 – $233.40 | 8 |
| Infuse radioactive materials CPT 77750 | not published | not published | $198.07 – $270.99 | 8 |
| Ingest challenge ea addl 60 min CPT 95079 | not published | not published | $1.00 – $87.41 | 8 |
| Ingest challenge ini 120 min CPT 95076 | not published | not published | $395.02 – $546.77 | 8 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $348.00 | $435.00 | $157.20 – $391.50 | 14 |
| Init ak ischal plstr direct HCPCS L5505 | not published | not published | $2,323.32 – $2,922.63 | 8 |
| Init bk ptb plaster direct HCPCS L5500 | not published | not published | $1,651.58 – $2,158.10 | 8 |
| Initial care training 30 m HCPCS G0539 | not published | not published | $49.27 – $54.46 | 8 |
| Initial custom socket insert HCPCS L5683 | not published | not published | $1,473.22 – $1,986.50 | 8 |
| Initial foot exam pt lops HCPCS G0245 | not published | not published | $97.43 – $132.80 | 8 |
| Initial hosp neonate 28 d/less than not critically ill 99477 CPT 99477 | not published | not published | $298.99 – $330.47 | 8 |
| Initial nursing facility care/day 35 minutes CPT 99305 | not published | not published | $119.56 – $132.14 | 8 |
| Initial nursing facility care/day 45 minutes CPT 99306 | not published | not published | $163.13 – $180.30 | 8 |
| Initial nursing facility care/day low severity 99304 CPT 99304 | not published | not published | $71.77 – $79.32 | 8 |
| Init nb em per day non-fac CPT 99461 | not published | not published | $83.55 – $92.35 | 8 |
| Init pm e/m new pat 65+ yrs CPT 99387 | not published | not published | $148.22 – $163.82 | 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.