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 |
|---|---|---|---|---|
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | $3,217.04 | $4,021.30 | $88.98 – $3,619.17 | 14 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $2,678.00 | $3,347.50 | $101.02 – $3,012.75 | 14 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | $6,616.16 | $8,270.20 | $175.66 – $7,443.18 | 14 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $2,075.76 | $2,594.70 | $94.17 – $2,335.23 | 14 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | not published | not published | $131.07 – $144.86 | 8 |
| Peginesatide injection HCPCS J0890 | not published | not published | $9.70 – $9.70 | 1 |
| Peg interferon alfa-2a/180 HCPCS S0145 | not published | not published | $1,135.69 – $1,135.69 | 1 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | not published | not published | $3,307.05 – $3,843.88 | 8 |
| Pegunigalsidase alfa-iwxj HCPCS J2508 | not published | not published | $216.75 – $239.56 | 8 |
| Pelv band/spread bar thigh c HCPCS L1640 | not published | not published | $529.16 – $727.78 | 8 |
| Pelvic band & belt thigh fla HCPCS L2192 | not published | not published | $372.67 – $562.37 | 8 |
| Pelvic control band & belt b HCPCS L2640 | not published | not published | $351.23 – $530.03 | 8 |
| Pelvic control band & belt u HCPCS L2630 | not published | not published | $258.81 – $390.56 | 8 |
| Pelvic control hip heavy dut HCPCS L2620 | not published | not published | $279.45 – $421.71 | 8 |
| Pelvic control pelvic sling HCPCS L2580 | not published | not published | $485.08 – $732.01 | 8 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $2,484.00 | $3,105.00 | $135.41 – $2,794.50 | 14 |
| Pelvic CT scan (with contrast) CPT 72193 | $2,348.80 | $2,936.00 | $135.41 – $2,642.40 | 14 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,992.80 | $2,491.00 | $81.04 – $2,241.90 | 14 |
| Pelvic exenteration CPT 45126 | not published | not published | $2,349.25 – $2,603.07 | 8 |
| Pelvic & hip control thigh c HCPCS L1680 | not published | not published | $1,273.47 – $1,921.73 | 8 |
| Pelvic MRI (with and without contrast) CPT 72197 | $3,841.73 | $4,802.16 | $283.44 – $4,321.94 | 14 |
| Pelvic MRI (with contrast) CPT 72196 | not published | not published | $283.44 – $368.01 | 8 |
| Pelvic MRI (without contrast) CPT 72195 | $2,604.80 | $3,256.00 | $180.60 – $2,930.40 | 14 |
| Pelvic ring fracture uni/bil HCPCS G0413 | not published | not published | $5,272.69 – $7,361.40 | 8 |
| Pelvic ring fx treat int fix HCPCS G0414 | not published | not published | $885.55 – $978.76 | 8 |
| Pelvic Ultrasound (complete) CPT 76856 | $767.20 | $959.00 | $81.04 – $863.10 | 14 |
| Pelvic Ultrasound (limited) CPT 76857 | $574.40 | $718.00 | $81.04 – $646.20 | 14 |
| Pelvis X-ray (1 to 2 views) CPT 72170 | $280.80 | $351.00 | $81.04 – $315.90 | 14 |
| Pelvis X-ray (complete, 4 or more views) CPT 72190 | $276.80 | $346.00 | $81.04 – $311.40 | 14 |
| Pelv & thor control gluteal HCPCS L2650 | not published | not published | $154.68 – $189.27 | 8 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $9,183.62 | $11,479.52 | $56.41 – $9,942.26 | 14 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $6,467.09 | $8,083.86 | $3.22 – $204.44 | 14 |
| Pemivibart infusion HCPCS M0224 | $783.20 | $979.00 | $379.56 – $881.10 | 14 |
| Peng benzathine/procaine inj HCPCS J0558 | $420.80 | $526.00 | $15.74 – $296.89 | 14 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $321.32 | $401.64 | $20.16 – $361.48 | 14 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $63.56 | $79.44 | $1.00 – $71.14 | 11 |
| Penicillin g procaine inj HCPCS J2510 | not published | not published | $40.94 – $49.55 | 8 |
| Penile injection CPT 54235 | not published | not published | $182.15 – $250.62 | 8 |
| Penile rear tip xtnd 0.5cm HCPCS C2622 | not published | not published | $1.00 – $1.00 | 1 |
| Penile vascular study CPT 93980 | not published | not published | $81.04 – $109.58 | 8 |
| Penile vascular study CPT 93981 | not published | not published | $81.04 – $109.58 | 8 |
| Penile venous occlusion CPT 37790 | not published | not published | $2,569.36 – $3,554.06 | 8 |
| Penis plastic surgery CPT 54360 | not published | not published | $2,569.36 – $3,554.06 | 8 |
| Penis study CPT 54240 | not published | not published | $231.33 – $320.89 | 8 |
| Pentamidine non-comp unit HCPCS J2545 | $125.84 | $157.29 | $43.88 – $101.87 | 11 |
| Pentastarch 10% solution HCPCS J2513 | not published | not published | $13.99 – $13.99 | 1 |
| Pentazocine injection HCPCS J3070 | not published | not published | $1.00 – $1.00 | 1 |
| Pentobarbital sodium inj HCPCS J2515 | not published | not published | $1.00 – $1.00 | 1 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | not published | not published | $2,336.98 – $2,738.56 | 8 |
| Perc cryo ablate renal tum CPT 50593 | not published | not published | $7,586.68 – $10,728.45 | 8 |
| Perc d-e cor revasc chro add HCPCS C9608 | not published | not published | $1.00 – $1.00 | 1 |
| Perc d-e cor revasc chro sin HCPCS C9607 | not published | not published | $12,923.75 – $18,503.86 | 8 |
| Perc d-e cor revasc t cabg b HCPCS C9605 | not published | not published | $1.00 – $1.00 | 1 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | not published | not published | $8,108.08 – $11,686.12 | 8 |
| Perc d-e cor stent ather br HCPCS C9603 | not published | not published | $1.00 – $1.00 | 1 |
| Perc d-e cor stent ather s HCPCS C9602 | not published | not published | $12,923.75 – $18,503.86 | 8 |
| Perc drug-el cor stent bran HCPCS C9601 | not published | not published | $1.00 – $1.00 | 1 |
| Perc drug-el cor stent sing HCPCS C9600 | not published | not published | $8,108.08 – $11,686.12 | 8 |
| Perc rf ablate renal tumor CPT 50592 | not published | not published | $4,252.59 – $6,012.13 | 8 |
| Percut ablate liver rf CPT 47382 | not published | not published | $4,252.59 – $6,012.13 | 8 |
| Percutaneous islet celltrans HCPCS G0341 | not published | not published | $1,454.19 – $1,607.26 | 8 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | not published | not published | $1.00 – $1.00 | 1 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | not published | not published | $179.27 – $198.14 | 8 |
| Pericardiectomy/sub or com/w bypas 33031 CPT 33031 | not published | not published | $2,024.84 – $2,237.98 | 8 |
| Pericardiocentesis wwo imaging CPT 33016 | not published | not published | $1,180.37 – $1,600.77 | 8 |
| Pericardiotomy/clot/for bod remove 33020 CPT 33020 | not published | not published | $689.26 – $761.82 | 8 |
| Peri-implt capslc brst compl CPT 19371 | not published | not published | $2,809.32 – $3,945.96 | 8 |
| Perineoplasty rpr per nonob CPT 56810 | not published | not published | $2,304.20 – $3,276.41 | 8 |
| Peripheral vascular rehab CPT 93668 | $112.00 | $140.00 | $45.08 – $126.00 | 14 |
| Peri-proc device eval icd CPT 93287 | not published | not published | $1.00 – $52.74 | 8 |
| Peri-proc device eval pm CPT 93286 | not published | not published | $1.00 – $45.55 | 8 |
| Peritoneal cath sub q resv per CPT 49419 | not published | not published | $4,050.18 – $5,570.41 | 8 |
| Peritoneogram rs&i CPT 74190 | not published | not published | $330.19 – $565.01 | 8 |
| Perit-vens shunt pat tst CPT 78291 | not published | not published | $303.98 – $414.07 | 8 |
| Permanent tear duct plug HCPCS A4263 | not published | not published | $1.00 – $1.00 | 1 |
| Peroneal straps pair pre ots HCPCS L0980 | not published | not published | $19.09 – $27.54 | 8 |
| Perp bk ptb thermopls direct HCPCS L5520 | not published | not published | $1,767.90 – $2,416.41 | 8 |
| Perphenazine 4mg oral HCPCS Q0175 | not published | not published | $1.00 – $1.00 | 1 |
| Perphenazine injeciton HCPCS J3310 | not published | not published | $1.00 – $1.00 | 1 |
| Perq art m-thrombect &/nfs CPT 61645 | not published | not published | $694.05 – $767.11 | 8 |
| Perq clsr tcat l atr apndge CPT 33340 | not published | not published | $639.64 – $706.97 | 8 |
| Perq dev breast 1st mr guide CPT 19287 | not published | not published | $518.54 – $725.03 | 8 |
| Perq dev breast 1st strtctc CPT 19283 | not published | not published | $518.54 – $725.03 | 8 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | not published | not published | $6,789.66 – $9,528.91 | 8 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | not published | not published | $6,789.66 – $9,528.91 | 8 |
| Perq p-art revsc 1 abnor bi CPT 33903 | not published | not published | $8,108.08 – $11,686.12 | 8 |
| Perq p-art revsc 1 abnor uni CPT 33902 | not published | not published | $12,923.75 – $18,503.86 | 8 |
| Perq p-art revsc 1 nm nt bi CPT 33901 | not published | not published | $8,108.08 – $11,686.12 | 8 |
| Perq p-art revsc 1 nm nt uni CPT 33900 | not published | not published | $8,108.08 – $11,686.12 | 8 |
| Perq p-art revsc each addl CPT 33904 | not published | not published | $1.00 – $266.90 | 8 |
| Perq plmt bile duct stent CPT 47538 | not published | not published | $4,252.59 – $6,012.13 | 8 |
| Perq plmt bile duct stent CPT 47539 | not published | not published | $4,252.59 – $6,012.13 | 8 |
| Perq plmt bile duct stent CPT 47540 | not published | not published | $4,252.59 – $6,012.13 | 8 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | not published | not published | $182.15 – $250.62 | 8 |
| Perq skel fix rad/uln dislc CPT 25671 | not published | not published | $2,385.62 – $3,343.47 | 8 |
| Perq skel fix ulnar styld fx CPT 25651 | not published | not published | $2,385.62 – $3,343.47 | 8 |
| Perqt bx lung/mediastinum 32405 CPT 32405 | not published | not published | $249.61 – $249.61 | 1 |
| Perq transcath closure each CPT 93592 | not published | not published | $1.00 – $373.30 | 8 |
| Perq transcath closure pda CPT 93582 | not published | not published | $12,923.75 – $18,503.86 | 8 |
| Perq transcath cls aortic CPT 93591 | not published | not published | $12,923.75 – $18,503.86 | 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.