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 |
|---|---|---|---|---|
| Intra-atrial recording CPT 93602 | not published | not published | $5,504.20 – $7,819.31 | 8 |
| Intracard echo interv w/s&i CPT 93662 | not published | not published | $1.00 – $1.00 | 1 |
| Intracran angioplsty w/stent CPT 61635 | not published | not published | $1,235.97 – $1,366.07 | 8 |
| Intracranial angioplasty CPT 61630 | not published | not published | $1,131.05 – $1,250.11 | 8 |
| Intracranial complete study CPT 93886 | not published | not published | $180.60 – $249.09 | 8 |
| Intracranial limited study CPT 93888 | not published | not published | $81.04 – $109.58 | 8 |
| Intracranial vessel surgery CPT 61680 | not published | not published | $1,854.04 – $2,049.20 | 8 |
| Intracranial vessel surgery CPT 61682 | not published | not published | $2,349.25 – $3,692.96 | 8 |
| Intracranial vessel surgery CPT 61684 | not published | not published | $2,316.26 – $2,560.07 | 8 |
| Intracranial vessel surgery CPT 61686 | not published | not published | $2,349.25 – $4,007.37 | 8 |
| Intracranial vessel surgery CPT 61690 | not published | not published | $1,790.44 – $1,978.91 | 8 |
| Intracranial vessel surgery CPT 61692 | not published | not published | $2,349.25 – $3,262.89 | 8 |
| Intranasal biopsy 30100 CPT 30100 | not published | not published | $1,123.99 – $1,526.41 | 8 |
| Intranasal reconstruction CPT 30620 | not published | not published | $4,316.11 – $6,095.91 | 8 |
| Intraop colon lavage add-on CPT 44701 | not published | not published | $1.00 – $154.17 | 8 |
| Intraop epicard/endocard/pace/map/ 93631 CPT 93631 | not published | not published | $1.00 – $1.00 | 1 |
| Intraop hipec px 1st 60 min CPT 96547 | not published | not published | $304.20 – $336.22 | 8 |
| Intraoral i+d tongue/floor lingual 41000 CPT 41000 | not published | not published | $405.51 – $524.77 | 8 |
| Intrapul surf admin endo tube CPT 94610 | not published | not published | $157.20 – $209.59 | 8 |
| Intrauterine transfusion ftl CPT 36460 | not published | not published | $319.94 – $450.50 | 8 |
| Intraventricular pacing CPT 93612 | not published | not published | $5,504.20 – $7,819.31 | 8 |
| Intrinsic factor antibody CPT 86340 | not published | not published | $14.33 – $15.83 | 8 |
| Intrm oph exam est patient CPT 92012 | not published | not published | $97.43 – $132.80 | 8 |
| Intro cath dialysis circuit CPT 36901 | not published | not published | $1,180.37 – $1,600.77 | 8 |
| Intro cath dialysis circuit w/pta CPT 36902 | not published | not published | $4,212.57 – $5,875.25 | 8 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | not published | not published | $8,108.08 – $11,686.12 | 8 |
| Intro catheter aorta CPT 36200 | not published | not published | $1.00 – $568.73 | 8 |
| Intro cath svc/ivc CPT 36010 | not published | not published | $1.00 – $517.70 | 8 |
| Intro long gi tube CPT 44500 | $664.00 | $830.00 | $321.79 – $966.13 | 14 |
| Intro long gi tube w/mult fluo CPT 74340 | $676.80 | $846.00 | $1.00 – $761.40 | 11 |
| Intro windpipe wire/tube CPT 31730 | not published | not published | $1,250.92 – $1,777.01 | 8 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | not published | not published | $1.00 – $915.63 | 8 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | not published | not published | $1.00 – $168.73 | 8 |
| Intubation endotracheal emergency procedure CPT 31500 | $558.40 | $698.00 | $180.03 – $628.20 | 14 |
| Io anal gast n-stim init CPT 95980 | not published | not published | $1.00 – $41.54 | 8 |
| Io anal gast n-stim subsq CPT 95981 | not published | not published | $45.08 – $61.21 | 8 |
| Iodine i-123 sod iodide mil HCPCS A9509 | not published | not published | $1.00 – $1.00 | 1 |
| Iodine i-125 sodium iodide HCPCS A9527 | not published | not published | $60.21 – $219.01 | 8 |
| Iodine i-131 iobenguane 1mci HCPCS A9590 | not published | not published | $261.23 – $261.23 | 1 |
| Io ga n-stim subsq w/reprog CPT 95982 | not published | not published | $27.80 – $38.43 | 8 |
| Ionm in operatng room 15 min CPT 95940 | not published | not published | $1.00 – $31.93 | 8 |
| Ionm remote/>1 pt or per hr CPT 95941 | not published | not published | $1.00 – $1.00 | 1 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $200.00 | $250.00 | $1.00 – $22.50 | 11 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $100.00 | $125.00 | $1.00 – $22.50 | 11 |
| Io radiation tx management CPT 77469 | not published | not published | $291.36 – $322.03 | 8 |
| Io rad tx deliver by elctrns CPT 77425 | not published | not published | $5,739.38 – $7,877.42 | 8 |
| Io rad tx delivery by x-ray CPT 77424 | not published | not published | $5,739.38 – $7,877.42 | 8 |
| Ioxaglate 39.3%-19.6% inj 200 ml HCPCS Q9964 | not published | not published | $1.00 – $1.00 | 1 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | $14,014.08 | $17,517.60 | $168.56 – $15,765.84 | 14 |
| Ip/obs cnsltj new/est low 45 CPT 99253 | not published | not published | $89.11 – $98.50 | 8 |
| Ip/obs cnsltj new/est mod 60 CPT 99254 | not published | not published | $123.80 – $136.83 | 8 |
| Ip/obs consltj new/est hi 80 CPT 99255 | not published | not published | $166.00 – $183.47 | 8 |
| Ip/obs consltj new/est sf 35 CPT 99252 | not published | not published | $63.21 – $69.86 | 8 |
| Ipratropium bromide comp HCPCS J7645 | not published | not published | $0.23 – $0.23 | 1 |
| Ipratropium bromide non-comp HCPCS J7644 | $3.60 | $4.50 | $0.32 – $4.05 | 11 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | $418.12 | $522.65 | $1.00 – $78.76 | 11 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | not published | not published | $62.49 – $69.30 | 8 |
| Iron CPT 83540 | not published | not published | $6.15 – $6.79 | 8 |
| Iron binding capacity CPT 83550 | not published | not published | $8.30 – $9.18 | 8 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $86.34 | $107.92 | $17.20 – $91.91 | 14 |
| Iron stain peripheral blood CPT 85536 | not published | not published | $6.54 – $7.22 | 8 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $66.61 | $83.26 | $1.00 – $74.39 | 11 |
| Irradiation of blood product each unit reference CPT 86945 | not published | not published | $29.56 – $40.45 | 8 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $122.40 | $153.00 | $45.08 – $137.70 | 14 |
| Irrigation sphenoid sinus CPT 31002 | not published | not published | $1,123.99 – $1,526.41 | 8 |
| Irrigation syringe HCPCS A4322 | not published | not published | $1.00 – $4.47 | 8 |
| Irrigation tray HCPCS A4320 | not published | not published | $1.00 – $7.83 | 8 |
| Irrigation vagina and/or appl medicament tx disease CPT 57150 | not published | not published | $45.08 – $61.21 | 8 |
| Isatuximab-irfc 20 mg/ml intravenous solution HCPCS J9227 | not published | not published | $74.64 – $86.00 | 8 |
| Island pedicle flap graft CPT 15740 | not published | not published | $1,344.04 – $1,884.97 | 8 |
| IV cipaglucosidase alfa-atga HCPCS G0138 | not published | not published | $606.48 – $670.32 | 8 |
| Ivc venogram s&i CPT 75825 | not published | not published | $2,349.25 – $3,243.40 | 8 |
| IV Fluids (each additional hour) CPT 96361 | $186.40 | $233.00 | $35.00 – $93.60 | 14 |
| IV Fluids (first hour) CPT 96360 | $440.80 | $551.00 | $128.72 – $298.80 | 14 |
| Ivig non-lyophilized, nos HCPCS J1599 | not published | not published | $1.00 – $156.45 | 2 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $180.80 | $226.00 | $1.00 – $203.40 | 14 |
| IV inj ra drug dx study CPT 78808 | not published | not published | $303.98 – $414.07 | 8 |
| IV Medicine Infusion (additional drug) CPT 96367 | $232.80 | $291.00 | $51.92 – $261.90 | 14 |
| IV Medicine Infusion (each additional hour) CPT 96366 | $198.40 | $248.00 | $35.00 – $223.20 | 14 |
| IV Medicine Infusion (first hour) CPT 96365 | $501.60 | $627.00 | $151.20 – $564.30 | 14 |
| IV njx tst vasc flo flap/grf CPT 15860 | not published | not published | $293.65 – $411.20 | 8 |
| IV Push Injection (each additional drug) CPT 96375 | $166.52 | $208.15 | $9.69 – $47.55 | 14 |
| IV Push Injection (first drug) CPT 96374 | $166.52 | $208.15 | $80.64 – $217.11 | 14 |
| Ivp w/nephrotomography CPT 74415 | $1,168.80 | $1,461.00 | $135.41 – $1,314.90 | 14 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $981.60 | $1,227.00 | $135.41 – $1,104.30 | 14 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | not published | not published | $127.57 – $146.17 | 8 |
| Jak2 targeted sequence analysis CPT 81279 | not published | not published | $175.94 – $194.46 | 8 |
| Jaw arthroscopy/surgery CPT 29800 | not published | not published | $2,385.62 – $3,343.47 | 8 |
| Jaw arthroscopy/surgery CPT 29804 | not published | not published | $2,385.62 – $3,343.47 | 8 |
| Jaw Joint (TMJ) X-ray (both sides, open and closed) CPT 70330 | $394.40 | $493.00 | $66.97 – $443.70 | 14 |
| Jaw (Mandible) X-ray (complete) CPT 70110 | $392.00 | $490.00 | $81.04 – $441.00 | 14 |
| Jejunstmy tube plcmt CPT 44372 | not published | not published | $1,402.42 – $1,954.79 | 8 |
| John cunningham antibody CPT 86711 | not published | not published | $16.05 – $17.73 | 8 |
| J-tube placement CPT 44015 | not published | not published | $116.24 – $128.48 | 8 |
| Kafo dbl solid stirrup band/ HCPCS L2020 | not published | not published | $1,231.82 – $1,841.65 | 8 |
| Kafo dbl solid stirrup without j HCPCS L2030 | not published | not published | $1,210.77 – $1,597.80 | 8 |
| Kafo fem fx cast molded to p HCPCS L2128 | not published | not published | $1,792.20 – $2,704.53 | 8 |
| Kafo fem fx cast semi-rigid HCPCS L2134 | not published | not published | $1,288.13 – $1,525.46 | 8 |
| Kafo fem fx cast thermoplas HCPCS L2126 | not published | not published | $1,427.29 – $1,888.67 | 8 |
| Kafo femoral fx cast rigid HCPCS L2136 | not published | not published | $1,409.67 – $1,865.23 | 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.