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 |
|---|---|---|---|---|
| Lung Function Test Before and After an Inhaler CPT 94060 | $347.20 | $434.00 | $168.26 – $390.60 | 14 |
| Lung function test (mbc/mvv) CPT 94200 | $95.20 | $119.00 | $45.08 – $107.10 | 14 |
| Lung Function Test (Spirometry) CPT 94010 | $188.80 | $236.00 | $91.50 – $212.40 | 14 |
| Lung perfusion imaging CPT 78580 | $1,185.60 | $1,482.00 | $303.98 – $1,333.80 | 14 |
| Lung transplant double CPT 32853 | not published | not published | $3,744.34 – $4,138.48 | 8 |
| Lung transplant single CPT 32851 | not published | not published | $2,680.22 – $2,962.35 | 8 |
| Lung transplant with bypass CPT 32852 | not published | not published | $2,897.75 – $3,202.78 | 8 |
| Lung transplant with bypass CPT 32854 | not published | not published | $3,953.98 – $4,370.19 | 8 |
| Lung volume reduction 32491 CPT 32491 | not published | not published | $1,223.05 – $1,351.79 | 8 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | $12,942.48 | $16,178.10 | $196.77 – $14,560.29 | 14 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | $6,353.22 | $7,941.52 | $39.21 – $7,147.37 | 14 |
| Lutetium lu 177 dotatat ther HCPCS A9513 | not published | not published | $290.44 – $332.84 | 8 |
| Lutetium lu 177 vipivotide HCPCS A9607 | not published | not published | $229.76 – $268.63 | 8 |
| Lvad shower bag heartmate HCPCS Q0501 | not published | not published | $571.96 – $771.24 | 8 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | not published | not published | $21.95 – $25.24 | 8 |
| Lwr ext dynamic prosth pylon HCPCS L5985 | not published | not published | $316.27 – $429.07 | 8 |
| Lyme dis dna dir probe CPT 87475 | not published | not published | $19.05 – $21.05 | 8 |
| Lymphadenect/stage/pelv/paraaortic 38562 CPT 38562 | not published | not published | $622.79 – $688.34 | 8 |
| Lymphatics/lymph node imaging CPT 78195 | $1,213.60 | $1,517.00 | $398.37 – $1,365.30 | 14 |
| Lymphocyte culture mixed CPT 86821 | not published | not published | $34.73 – $38.39 | 8 |
| Lymphocyte transformation mitogen CPT 86353 | not published | not published | $46.58 – $51.48 | 8 |
| Lymphocytotoxicity assay CPT 86805 | not published | not published | $180.03 – $198.99 | 8 |
| Lymphocytotoxicity assay CPT 86806 | not published | not published | $45.21 – $49.97 | 8 |
| Lymph vessel x-ray arm/leg CPT 75801 | not published | not published | $463.00 – $637.10 | 8 |
| Lymph vessel x-ray arms/legs CPT 75803 | not published | not published | $1,180.37 – $1,600.77 | 8 |
| Lymph vessel x-ray trunk CPT 75805 | not published | not published | $2,349.25 – $3,243.40 | 8 |
| Lymph vessel x-ray trunk CPT 75807 | not published | not published | $2,349.25 – $3,243.40 | 8 |
| Lysis intranasal synechia 30560 CPT 30560 | not published | not published | $405.51 – $524.77 | 8 |
| Lysis of labial adhesions CPT 56441 | not published | not published | $2,304.20 – $3,276.41 | 8 |
| Lysis penil circumic lesion CPT 54162 | not published | not published | $1,501.18 – $2,110.93 | 8 |
| Lyumjev for insulin pump use HCPCS J1813 | not published | not published | $15.68 – $15.68 | 1 |
| Macro exam dissect molec study ea CPT 88387 | not published | not published | $1.00 – $33.79 | 8 |
| Macroscopic exam arthropod CPT 87168 | not published | not published | $4.06 – $4.48 | 8 |
| Macroscopic exam parasite CPT 87169 | not published | not published | $4.09 – $4.53 | 8 |
| Magnesium CPT 83735 | not published | not published | $6.37 – $7.04 | 8 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $130.26 | $162.82 | $1.00 – $67.96 | 11 |
| Magnetic image bone marrow CPT 77084 | not published | not published | $180.60 – $249.09 | 8 |
| Makena, 10 mg HCPCS J1726 | not published | not published | $13.82 – $13.82 | 1 |
| Malaria antibody CPT 86750 | not published | not published | $12.53 – $13.85 | 8 |
| Male sling procedure CPT 53440 | not published | not published | $9,461.02 – $13,388.30 | 8 |
| Mammosite ced HCPCS C1728 | not published | not published | $1.00 – $1.00 | 1 |
| Management of liver hemorrhage 47361 CPT 47361 | not published | not published | $2,521.34 – $2,786.74 | 8 |
| Manipulate finger w/anesth CPT 26340 | not published | not published | $1,184.54 – $1,649.17 | 8 |
| Manipulate wrist w/anesthes CPT 25259 | not published | not published | $1,184.54 – $1,649.17 | 8 |
| Manipulation of hip joint CPT 27275 | not published | not published | $1,184.54 – $1,649.17 | 8 |
| Manipulation of spine CPT 22505 | not published | not published | $1,184.54 – $1,649.17 | 8 |
| Manipulat palm cord post inj CPT 26341 | not published | not published | $173.80 – $247.19 | 8 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | not published | not published | $1.00 – $1.00 | 1 |
| Mannitol for inhaler HCPCS J7665 | not published | not published | $1.00 – $1.00 | 1 |
| Man's shoe oxford brace HCPCS L3225 | not published | not published | $82.50 – $106.69 | 8 |
| Manual diff wbc count b-coat CPT 85009 | not published | not published | $4.82 – $5.32 | 8 |
| Mapping functional cort/subcort ea add'l hr CPT 95962 | not published | not published | $1.00 – $283.95 | 8 |
| Mapping io sentinel lymph node CPT 38900 | not published | not published | $1.00 – $126.43 | 8 |
| Map tachycard site(s) CPT 93609 | not published | not published | $1.00 – $1.00 | 1 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | not published | not published | $45.93 – $55.11 | 8 |
| Marker biop eviva buckle ss HCPCS A4648 | $198.40 | $248.00 | $1.00 – $223.20 | 11 |
| Marker lymphatic sentimag magtrace 10 vial HCPCS A9697 | not published | not published | $1.00 – $1,316.70 | 8 |
| Marsupialization liver lesion 47300 CPT 47300 | not published | not published | $964.28 – $1,065.78 | 8 |
| Mask full face lg af531 HCPCS A7030 | not published | not published | $105.23 – $105.23 | 1 |
| Mastectomy form HCPCS L8020 | not published | not published | $253.21 – $337.09 | 8 |
| Mastectomy partial CPT 19301 | not published | not published | $2,809.32 – $3,945.96 | 8 |
| Mast mod rad CPT 19307 | not published | not published | $4,806.17 – $6,720.17 | 8 |
| Mastoidectomy CPT 69501 | not published | not published | $4,316.11 – $6,095.91 | 8 |
| Mastoidectomy complete 69502 CPT 69502 | not published | not published | $4,316.11 – $6,095.91 | 8 |
| Mastoids complete CPT 70130 | $369.60 | $462.00 | $81.04 – $415.80 | 14 |
| Mastoid surgery revision CPT 69603 | not published | not published | $4,316.11 – $6,095.91 | 8 |
| Mastopexy CPT 19316 | not published | not published | $4,806.17 – $6,720.17 | 8 |
| Mast radical CPT 19305 | not published | not published | $981.65 – $1,084.98 | 8 |
| Mast rad urban type CPT 19306 | not published | not published | $1,048.77 – $1,159.17 | 8 |
| Mast simple complete CPT 19303 | not published | not published | $4,806.17 – $6,720.17 | 8 |
| Matrion 1 sq cm HCPCS Q4201 | not published | not published | $1.00 – $1.00 | 1 |
| Matrix bone cryomatrix 2.0ml HCPCS Q4162 | not published | not published | $1.00 – $1.00 | 1 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | $29.60 | $37.00 | $1.00 – $22.50 | 11 |
| M.avium-intra dna amp prob CPT 87561 | not published | not published | $33.34 – $36.84 | 8 |
| M.avium-intra dna dir prob CPT 87560 | not published | not published | $25.93 – $28.65 | 8 |
| M.avium-intra dna quant CPT 87562 | not published | not published | $40.70 – $44.98 | 8 |
| Maxillofacial fixation CPT 21100 | not published | not published | $4,316.11 – $6,095.91 | 8 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | not published | not published | $13.74 – $15.18 | 8 |
| Mayo aathr protein s free CPT 85306 | not published | not published | $14.55 – $16.09 | 8 |
| Mayo activated protein c resistance assay CPT 85307 | not published | not published | $14.55 – $16.09 | 8 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | not published | not published | $36.64 – $40.50 | 8 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | not published | not published | $17.20 – $17.20 | 1 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | not published | not published | $17.20 – $17.20 | 1 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | not published | not published | $14.04 – $15.52 | 8 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | not published | not published | $54.32 – $54.32 | 1 |
| Mayo alpha 1 antitrypsin CPT 82103 | not published | not published | $12.77 – $14.11 | 8 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | not published | not published | $14.33 – $15.83 | 8 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | not published | not published | $27.57 – $27.57 | 1 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | not published | not published | $28.12 – $28.12 | 1 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | not published | not published | $115.55 – $127.71 | 8 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | not published | not published | $87.08 – $96.24 | 8 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | not published | not published | $130.15 – $143.85 | 8 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | not published | not published | $1,102.00 – $1,218.00 | 8 |
| Mayo androstenedione CPT 82157 | not published | not published | $27.82 – $30.74 | 8 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | not published | not published | $13.87 – $15.33 | 8 |
| Mayo antithrombin iii antigen CPT 85301 | not published | not published | $10.27 – $11.35 | 8 |
| Mayo aspergillus fumigatus antibody CPT 86606 | not published | not published | $14.30 – $15.80 | 8 |
| Mayo avwpr vw factor activity CPT 85397 | not published | not published | $29.32 – $32.40 | 8 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | not published | not published | $33.34 – $36.84 | 8 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | not published | not published | $20.32 – $20.32 | 1 |
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.