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 |
|---|---|---|---|---|
| Injection, cimetidine hydroc HCPCS S0023 | not published | not published | $3.38 – $3.38 | 1 |
| Injection, daratumumab 10 mg HCPCS J9145 | $6,918.40 | $8,648.00 | $62.13 – $1,969.02 | 14 |
| Injection, delafloxacin HCPCS C9462 | not published | not published | $0.48 – $0.48 | 1 |
| Injection, doxercalciferol HCPCS J1270 | $62.23 | $77.78 | $1.00 – $70.00 | 11 |
| Injection during cath supravalvular aortography CPT 93567 | not published | not published | $1.00 – $33.76 | 8 |
| Injection, edaravone, 1 mg HCPCS J1301 | not published | not published | $19.94 – $22.04 | 8 |
| Injection epidural blood patch or clot CPT 62273 | $1,452.80 | $1,816.00 | $509.68 – $1,634.40 | 14 |
| Injection estrone per 1 mg HCPCS J1435 | not published | not published | $0.15 – $0.15 | 1 |
| Injection eye drug CPT 67028 | not published | not published | $249.61 – $341.80 | 8 |
| Injection, famotidine, 20 mg HCPCS S0028 | not published | not published | $0.91 – $0.91 | 1 |
| Injection for arthrography wrist (both sides) CPT 25246 | not published | not published | $1.00 – $193.16 | 8 |
| Injection for bladder x-ray CPT 51600 | $724.00 | $905.00 | $1.00 – $814.50 | 14 |
| Injection for hip x-ray CPT 27095 | not published | not published | $1.00 – $306.28 | 8 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $424.80 | $531.00 | $1.00 – $477.90 | 14 |
| Injection for spleen x-ray CPT 38200 | not published | not published | $1.00 – $125.78 | 8 |
| Injection for tear sac x-ray CPT 68850 | not published | not published | $1.00 – $58.07 | 8 |
| Injection for ureter x-ray CPT 50684 | not published | not published | $1.00 – $127.59 | 8 |
| Injection for ureter x-ray CPT 50690 | $510.40 | $638.00 | $1.00 – $574.20 | 14 |
| Injection, fosphenytoin sodi HCPCS S0078 | not published | not published | $114.75 – $114.75 | 1 |
| Injection, fulvestrant HCPCS J9395 | $249.68 | $312.10 | $6.39 – $271.23 | 14 |
| Injection glatiramer acetate HCPCS J1595 | not published | not published | $153.01 – $175.68 | 8 |
| Injection, glucarpidase HCPCS C9293 | not published | not published | $25,301.10 – $25,301.10 | 1 |
| Injection, inclisiran, 1 mg HCPCS J1306 | $5,260.16 | $6,575.19 | $11.70 – $5,917.67 | 14 |
| Injection into brain canal CPT 61026 | not published | not published | $509.68 – $713.62 | 8 |
| Injection into brain canal CPT 61055 | not published | not published | $218.29 – $304.18 | 8 |
| Injection into hemorrhoid(s) CPT 46500 | not published | not published | $673.60 – $939.49 | 8 |
| Injection into spinal artery CPT 62294 | not published | not published | $671.78 – $917.42 | 8 |
| Injection into vocal cord CPT 31513 | not published | not published | $300.95 – $400.14 | 8 |
| Injection intraop add-on CPT 48400 | not published | not published | $87.52 – $96.74 | 8 |
| Injection, isavuconazonium HCPCS J1833 | not published | not published | $0.94 – $1.06 | 8 |
| Injection jaw joint x-ray CPT 21116 | not published | not published | $1.00 – $213.08 | 8 |
| Injection jugular CPT 36299 | not published | not published | $1.00 – $1.00 | 1 |
| Injection, khapzory, 0.5 mg HCPCS J0642 | not published | not published | $1.06 – $1.06 | 1 |
| Injection, necitumumab, 1 mg HCPCS J9295 | $7,055.36 | $8,819.20 | $5.44 – $7,937.28 | 14 |
| Injection of HIV prep drug HCPCS G0012 | not published | not published | $25.01 – $73.34 | 8 |
| Injection of sinus tract CPT 20500 | not published | not published | $1,123.99 – $1,526.41 | 8 |
| Injection,onabotulinumtoxina HCPCS J0585 | $1,093.60 | $1,367.00 | $6.17 – $719.10 | 14 |
| Injection, pentamidine iseth HCPCS S0080 | not published | not published | $99.65 – $99.65 | 1 |
| Injection, peramivir HCPCS J2547 | not published | not published | $1.59 – $1.76 | 8 |
| Injection, piperacillin sodi HCPCS S0081 | not published | not published | $2.95 – $2.95 | 1 |
| Injection px peyronie ds CPT 54200 | not published | not published | $182.15 – $250.62 | 8 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $1,140.00 | $1,425.00 | $303.98 – $1,282.50 | 14 |
| Injection, renflexis HCPCS Q5104 | $702.07 | $877.58 | $25.65 – $743.18 | 14 |
| Injection, ruconest HCPCS J0596 | not published | not published | $33.70 – $38.60 | 8 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | not published | not published | $509.68 – $713.62 | 8 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | not published | not published | $509.68 – $713.62 | 8 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $914.40 | $1,143.00 | $443.14 – $1,028.70 | 14 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | not published | not published | $671.78 – $917.42 | 8 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | not published | not published | $1.00 – $97.82 | 8 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | not published | not published | $671.78 – $917.42 | 8 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | not published | not published | $1.00 – $91.38 | 8 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | not published | not published | $671.78 – $917.42 | 8 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | not published | not published | $509.68 – $713.62 | 8 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | not published | not published | $509.68 – $713.62 | 8 |
| Injection, siltuximab HCPCS J2860 | not published | not published | $148.96 – $174.12 | 8 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | not published | not published | $218.29 – $304.18 | 8 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $488.00 | $610.00 | $218.29 – $549.00 | 14 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | not published | not published | $218.29 – $304.18 | 8 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $154.40 | $193.00 | $1.00 – $173.70 | 11 |
| Injection, ticarcillin disod HCPCS S0040 | not published | not published | $13.60 – $13.60 | 1 |
| Injection torsemide 10 mg/ml HCPCS J3265 | not published | not published | $1.09 – $1.09 | 1 |
| Injection treatment of eye CPT 66020 | not published | not published | $1,717.53 – $2,350.22 | 8 |
| Injection treatment of eye CPT 66030 | not published | not published | $1,717.53 – $2,350.22 | 8 |
| Injection treatment of nerve CPT 64605 | not published | not published | $1,423.02 – $2,012.27 | 8 |
| Injection treatment of nerve CPT 64610 | not published | not published | $1,423.02 – $2,012.27 | 8 |
| Injection treatment of nerve CPT 64681 | not published | not published | $671.78 – $917.42 | 8 |
| Injection treatment of nose CPT 30200 | not published | not published | $405.51 – $524.77 | 8 |
| Inject sacroiliac joint CPT 27096 | not published | not published | $150.49 – $166.33 | 8 |
| Inject/treat eye socket CPT 67500 | not published | not published | $214.70 – $308.04 | 8 |
| Inject/treat eye socket CPT 67505 | not published | not published | $214.70 – $308.04 | 8 |
| Inject/treat eye socket CPT 67515 | not published | not published | $214.70 – $308.04 | 8 |
| Inj, eculizumab-aagh, 2 mg HCPCS Q5151 | not published | not published | $29.79 – $32.92 | 8 |
| Inj, eculizumab-aeeb, 2 mg HCPCS Q5152 | not published | not published | $38.30 – $42.33 | 8 |
| Inj efgart-alfa 2mg hya-qvfc HCPCS J9334 | not published | not published | $32.19 – $35.58 | 8 |
| Inj eflapegrastim-xnst 0.1mg HCPCS J1449 | not published | not published | $19.83 – $21.92 | 8 |
| Inj., emapalumab-lzsg, 1 mg HCPCS J9210 | not published | not published | $365.61 – $404.09 | 8 |
| Inj., emicizumab-kxwh 0.5 mg HCPCS J7170 | not published | not published | $51.22 – $58.91 | 8 |
| Inj epidural sgl cerv-thor without img CPT 62320 | not published | not published | $509.68 – $713.62 | 8 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | not published | not published | $671.78 – $917.42 | 8 |
| Inj, epinephrine (belcher) HCPCS J0173 | not published | not published | $1.71 – $1.71 | 1 |
| Inj., eravacycline, 1 mg HCPCS J0122 | not published | not published | $1.13 – $1.13 | 1 |
| Inj, erzofri, 1 mg HCPCS J2428 | not published | not published | $15.93 – $17.60 | 8 |
| Inj, etelcalcetide, 0.1 mg HCPCS J0606 | $347.96 | $434.94 | $2.61 – $229.47 | 11 |
| Inj, eteplirsen, 10 mg HCPCS J1428 | not published | not published | $158.98 – $175.71 | 8 |
| Inj, evinacumab-dgnb, 5mg HCPCS J1305 | not published | not published | $179.14 – $203.45 | 8 |
| Inj., evomela, 1 mg HCPCS J9246 | not published | not published | $16.08 – $19.42 | 8 |
| Inj, exagamglogene autotem HCPCS J3392 | not published | not published | $2,215,400.00 – $2,448,600.00 | 8 |
| Inj, factor x, (human), 1iu HCPCS J7175 | not published | not published | $9.11 – $10.26 | 8 |
| Inj, faricimab-svoa, 0.1mg HCPCS J2777 | not published | not published | $32.18 – $35.57 | 8 |
| Inj fe-based mr contrast,1ml HCPCS Q9953 | not published | not published | $1.00 – $1.00 | 1 |
| Inj. fe derisomaltose 10 mg HCPCS J1437 | $3,221.52 | $4,026.90 | $20.06 – $3,624.21 | 14 |
| Inj fensolvi 0.25 mg HCPCS J1951 | not published | not published | $133.64 – $148.04 | 8 |
| Inj ferric pyrophosphate cit HCPCS J1443 | not published | not published | $0.04 – $0.04 | 1 |
| Inj., fibryga, 1 mg HCPCS J7177 | not published | not published | $1.10 – $1.29 | 8 |
| Inj fluphenazine hcl 1.25 mg HCPCS J2679 | not published | not published | $1.00 – $7.70 | 8 |
| Inj, focinvez, 1mg HCPCS J1434 | not published | not published | $2.70 – $2.98 | 8 |
| Inj follitropin alfa 75 iu HCPCS S0126 | not published | not published | $246.34 – $246.34 | 1 |
| Inj follitropin beta 75 iu HCPCS S0128 | not published | not published | $206.00 – $206.00 | 1 |
| Inj for ext venography CPT 36005 | not published | not published | $1.00 – $246.60 | 8 |
| Inj for mammo ductogram CPT 19030 | not published | not published | $1.00 – $163.85 | 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.