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 |
|---|---|---|---|---|
| Mayo opatu opiates definitive assay >=1 CPT 80361 | not published | not published | $32.97 – $32.97 | 1 |
| Mayo opatu opioid/analogs definitive assay 1 or 2 CPT 80362 | not published | not published | $30.46 – $30.46 | 1 |
| Mayo opatu oxycodone definitive assay CPT 80365 | not published | not published | $21.38 – $21.38 | 1 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | not published | not published | $20.15 – $22.27 | 8 |
| Mayo organic acids qualitative each specimen CPT 83919 | not published | not published | $15.63 – $17.27 | 8 |
| Mayo oxalate 24 hour urine CPT 83945 | not published | not published | $13.73 – $15.17 | 8 |
| Mayo pancreatic elastase fecal qualitative or semi quantitative CPT 82656 | not published | not published | $10.95 – $12.11 | 8 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | not published | not published | $14.28 – $15.78 | 8 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | not published | not published | $11.45 – $12.65 | 8 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | not published | not published | $33.34 – $36.84 | 8 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | not published | not published | $17.08 – $18.88 | 8 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | not published | not published | $13.07 – $14.45 | 8 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | not published | not published | $8.02 – $8.86 | 8 |
| Mayo pregnenolone CPT 84140 | not published | not published | $19.64 – $21.70 | 8 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | not published | not published | $15.76 – $17.42 | 8 |
| Mayo proinsulin CPT 84206 | not published | not published | $25.36 – $28.02 | 8 |
| Mayo psaft prostate specific antigen free CPT 84154 | not published | not published | $17.47 – $19.31 | 8 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | not published | not published | $17.48 – $19.32 | 8 |
| Mayo rbcme osmotic fragility rbc incubated CPT 85557 | not published | not published | $12.69 – $14.03 | 8 |
| Mayo receptor assay transferrin soluble CPT 84238 | not published | not published | $34.74 – $38.40 | 8 |
| Mayo renin CPT 84244 | not published | not published | $20.89 – $23.09 | 8 |
| Mayo repu protein electrophoresis urine CPT 84166 | not published | not published | $16.94 – $18.72 | 8 |
| Mayo selenium CPT 84255 | not published | not published | $24.25 – $26.81 | 8 |
| Mayo semb semen analysis volume/count/motility/differential strict morphologic criteria CPT 89322 | $176.80 | $221.00 | $14.73 – $198.90 | 14 |
| Mayo serotonin CPT 84260 | not published | not published | $29.43 – $32.53 | 8 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | not published | not published | $18.38 – $20.32 | 8 |
| Mayo sirolimus therapeutic drug level CPT 80195 | not published | not published | $13.04 – $14.42 | 8 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | not published | not published | $4.06 – $4.48 | 8 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | not published | not published | $198.47 – $219.37 | 8 |
| Mayo tgrp testosterone free CPT 84402 | not published | not published | $24.20 – $26.74 | 8 |
| Mayo tgrp testosterone total CPT 84403 | not published | not published | $24.52 – $27.10 | 8 |
| Mayo thiopurine s-methyltransferase CPT 84433 | not published | not published | $21.06 – $23.28 | 8 |
| Mayo thyroglobulin CPT 84432 | not published | not published | $15.26 – $16.86 | 8 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | not published | not published | $9.67 – $10.69 | 8 |
| Mayo ticks babesia microti antibody igg CPT 86753 | not published | not published | $11.77 – $13.01 | 8 |
| Mayo tramadol definitive assay w metabolite quantitative urine CPT 80373 | not published | not published | $24.79 – $24.79 | 1 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | not published | not published | $48.72 – $53.84 | 8 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | not published | not published | $13.45 – $14.87 | 8 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | not published | not published | $12.86 – $14.22 | 8 |
| Mayo vasoactive intestinal peptide CPT 84586 | not published | not published | $33.56 – $37.10 | 8 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | not published | not published | $19.23 – $21.25 | 8 |
| Mayo vitamin b3 (niacin) CPT 84591 | not published | not published | $16.21 – $17.91 | 8 |
| Mayo vitamin k CPT 84597 | not published | not published | $13.03 – $14.41 | 8 |
| Mayo zonisamide therapeutic drug level CPT 80203 | not published | not published | $12.59 – $13.91 | 8 |
| Maze/extensive/w/card/pulm bypass 33259 CPT 33259 | not published | not published | $709.13 – $783.77 | 8 |
| Mcoln1 gene CPT 81290 | not published | not published | $37.34 – $41.28 | 8 |
| Mcp joint arthroscopy dx CPT 29900 | not published | not published | $2,385.62 – $3,343.47 | 8 |
| Mcp joint arthroscopy surg CPT 29901 | not published | not published | $2,385.62 – $3,343.47 | 8 |
| Mcp joint arthroscopysurg 29902 CPT 29902 | not published | not published | $1,184.54 – $1,649.17 | 8 |
| Mcrscp xm hair pluck/clipped CPT 96902 | not published | not published | $1.00 – $21.79 | 8 |
| Mdfc flap w/prsrv vasc pedcl CPT 15730 | not published | not published | $2,644.16 – $3,772.52 | 8 |
| Md inr test revie inter mgmt HCPCS G0250 | not published | not published | $7.83 – $8.65 | 8 |
| Md service required for pmd HCPCS G0372 | not published | not published | $7.84 – $8.66 | 8 |
| Meas lung vol thru 2 yrs CPT 94013 | not published | not published | $247.20 – $546.77 | 8 |
| Measure kidney pressure CPT 50396 | not published | not published | $503.47 – $687.81 | 8 |
| Measurement post void urine by ultrasound CPT 51798 | $192.80 | $241.00 | $45.08 – $216.90 | 14 |
| Measure ureter pressure CPT 50686 | not published | not published | $115.12 – $161.23 | 8 |
| Mecasermin injection HCPCS J2170 | not published | not published | $1.00 – $1.00 | 1 |
| Mech hip extension assist HCPCS L5855 | not published | not published | $343.89 – $518.94 | 8 |
| Mechlorethamine hcl inj HCPCS J9230 | not published | not published | $315.90 – $315.90 | 1 |
| #mec-opiates CPT 80356 | not published | not published | $28.42 – $28.42 | 1 |
| Mecp2 gene dup/delet variant CPT 81304 | not published | not published | $142.50 – $157.50 | 8 |
| Mecp2 gene full seq CPT 81302 | not published | not published | $501.48 – $554.26 | 8 |
| Mecp2 gene known variant CPT 81303 | not published | not published | $114.00 – $126.00 | 8 |
| Med genetics&genetic counseling svcs each 30 min CPT 96041 | not published | not published | $47.93 – $52.98 | 8 |
| Medial canthopexy CPT 21280 | not published | not published | $2,372.92 – $3,341.89 | 8 |
| Mediastinoscpy w/lmph nod bx CPT 39402 | not published | not published | $4,252.59 – $6,012.13 | 8 |
| Mediastinoscpy w/medstnl bx 39401 CPT 39401 | not published | not published | $4,252.59 – $6,012.13 | 8 |
| Med physic dos eval rad exps CPT 76145 | not published | not published | $395.02 – $546.77 | 8 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | $94.44 | $118.05 | $1.00 – $106.25 | 11 |
| Megestrol 20 mg tabs 100 each bottle HCPCS S0179 | not published | not published | $0.59 – $0.59 | 1 |
| Meg evoked each addl CPT 95967 | not published | not published | $1.00 – $1.00 | 1 |
| Meg evoked single CPT 95966 | not published | not published | $770.59 – $1,048.39 | 8 |
| Meg spontaneous CPT 95965 | not published | not published | $770.59 – $1,048.39 | 8 |
| Melphalan oral 2 mg HCPCS J8600 | not published | not published | $10.38 – $10.38 | 1 |
| Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm HCPCS Q4159 | not published | not published | $1.00 – $1.00 | 1 |
| Membrane amnioband 2x2cm -cost per sq cm HCPCS Q4151 | not published | not published | $1.00 – $1.00 | 1 |
| Membrane amnio clarix 4x3cm 1k -cost per sq cm HCPCS Q4155 | not published | not published | $1.00 – $1.00 | 1 |
| Membrane amniotic barrier 4x4cm-q4163-cost per sq cm HCPCS Q4163 | not published | not published | $1.00 – $1.00 | 1 |
| Membrane placenta tiss biodfence g3 2x2cm-4sqcm-q4116-cost per sq cm HCPCS Q4140 | not published | not published | $1.00 – $1.00 | 1 |
| Membrane placenta tiss enverse sheet 2x3cm-cost per sq cm HCPCS Q4258 | not published | not published | $1.00 – $1.00 | 1 |
| Memoderm/derma/tranz/integup HCPCS Q4126 | not published | not published | $1.00 – $1.00 | 1 |
| Menacwy-tt menb-fhbp vacc im CPT 90623 | not published | not published | $235.24 – $235.24 | 1 |
| Meniscal trnspl knee w/scpe CPT 29868 | not published | not published | $5,272.69 – $7,361.40 | 8 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $64.36 | $80.44 | $1.00 – $69.18 | 11 |
| Meperidine/promethazine inj HCPCS J2180 | not published | not published | $1.00 – $1.00 | 1 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | $5,932.04 | $7,415.04 | $29.71 – $6,673.54 | 14 |
| Mercaptopurine 50 mg HCPCS S0108 | not published | not published | $6.10 – $6.10 | 1 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $63.36 | $79.20 | $1.00 – $69.80 | 11 |
| Mesh ez derm 7x18 xenograft porcine -cost per sq cm HCPCS Q4136 | not published | not published | $1.00 – $1.00 | 1 |
| Mesh/prosth/ pelvic floor rpr/vag 57267 CPT 57267 | not published | not published | $1.00 – $237.69 | 8 |
| Mesh tiss ovitex lpr 15x15x25cm 6mm oval HCPCS C9364 | not published | not published | $1.00 – $1.00 | 1 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | $70.88 | $88.60 | $1.00 – $74.30 | 11 |
| Metabolic Blood Panel (Basic) CPT 80048 | not published | not published | $8.04 – $8.88 | 8 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | not published | not published | $10.03 – $11.09 | 8 |
| Metabolic panel ionized ca CPT 80047 | not published | not published | $13.04 – $14.42 | 8 |
| Metal frame recipro hip & ca HCPCS L2628 | not published | not published | $1,751.08 – $2,642.46 | 8 |
| Metatarsal joint implant HCPCS L8641 | not published | not published | $1.00 – $588.20 | 8 |
| Methacholine chloride 0.0625 mg/ml nebulization soln HCPCS J7674 | not published | not published | $1.00 – $1.00 | 1 |
| Methadone injection HCPCS J1230 | not published | not published | $1.00 – $1.00 | 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.