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 |
|---|---|---|---|---|
| Protector nerve neurawrap 4cm HCPCS C9353 | not published | not published | $1.00 – $1.00 | 1 |
| Protein analysis w/probe CPT 88372 | not published | not published | $1.00 – $27.53 | 8 |
| Protein c activity CPT 85303 | not published | not published | $13.15 – $14.53 | 8 |
| Protein c concentrate HCPCS J2724 | not published | not published | $14.29 – $15.79 | 8 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | not published | not published | $10.20 – $11.28 | 8 |
| Protein s total CPT 85305 | not published | not published | $11.03 – $12.19 | 8 |
| Protein total 24 hour urine CPT 84156 | not published | not published | $3.49 – $3.85 | 8 |
| Protein total body fluid CPT 84157 | not published | not published | $3.80 – $4.20 | 8 |
| Protein total serum plasma whole blood CPT 84155 | not published | not published | $3.49 – $3.85 | 8 |
| Protein western blot tissue CPT 88371 | not published | not published | $1.00 – $23.34 | 8 |
| Prothrombin complex kcentra HCPCS J7168 | $1,572.80 | $1,966.00 | $2.03 – $1,769.40 | 14 |
| Prothrombin time substitution plasma fractions each CPT 85611 | not published | not published | $3.74 – $4.14 | 8 |
| Proton treatment complex CPT 77525 | not published | not published | $1,045.52 – $1,314.37 | 8 |
| Proton trmt intermediate CPT 77523 | not published | not published | $1,045.52 – $1,314.37 | 8 |
| Proton trmt simple w/comp CPT 77522 | not published | not published | $1,045.52 – $1,314.37 | 8 |
| Proton trmt simple without comp CPT 77520 | not published | not published | $433.85 – $596.10 | 8 |
| Protoporphyrin rbc screen CPT 84203 | not published | not published | $9.25 – $10.23 | 8 |
| Provide inr test mater/equip HCPCS G0249 | $313.60 | $392.00 | $97.43 – $352.80 | 14 |
| Prpertl pel pack hemrrg trma 49013 CPT 49013 | not published | not published | $375.13 – $414.61 | 8 |
| Prp i/hern init block >5 yr CPT 49507 | not published | not published | $2,549.84 – $3,636.59 | 8 |
| Pr planning advance care 1st 30 minutes CPT 99497 | not published | not published | $65.69 – $95.32 | 8 |
| Pr prolonged e&m service office outpatient each 15 minutes (g2212) HCPCS G2212 | not published | not published | $28.88 – $31.92 | 8 |
| Prq av fstl crtj uxtr 1 acs CPT 36836 | not published | not published | $12,923.75 – $18,503.86 | 8 |
| Prq av fstl crt uxtr sep acs CPT 36837 | not published | not published | $12,923.75 – $18,503.86 | 8 |
| Prq card angio/athrect addl CPT 92925 | not published | not published | $1.00 – $1.00 | 1 |
| Prq cardiac angio addl art CPT 92921 | not published | not published | $1.00 – $1.00 | 1 |
| Prq card revasc chronic addl CPT 92944 | not published | not published | $1.00 – $1.00 | 1 |
| Prq card revasc mi 1 vsl CPT 92941 | not published | not published | $538.21 – $594.87 | 8 |
| Prq card revasc mi 1 vsl drug-eluting HCPCS C9606 | not published | not published | $4,212.57 – $19,752.39 | 3 |
| Prq card stent/ath/angio CPT 92934 | not published | not published | $1.00 – $1.00 | 1 |
| Prq card stent w/angio addl CPT 92929 | not published | not published | $1.00 – $1.00 | 1 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | not published | not published | $8,108.08 – $11,686.12 | 8 |
| Prq revasc byp graft addl CPT 92938 | not published | not published | $1.00 – $1.00 | 1 |
| Prq skel fix clcnl fx w/mnpj CPT 28406 | not published | not published | $5,272.69 – $7,361.40 | 8 |
| Prq skel fix epcndylr hum fx CPT 24566 | not published | not published | $1,184.54 – $1,649.17 | 8 |
| Prq skel fix sprcndlr hum fx CPT 24538 | not published | not published | $5,272.69 – $7,361.40 | 8 |
| Prq skel fix talus fx w/mnpj CPT 28436 | not published | not published | $5,272.69 – $7,361.40 | 8 |
| Prq skel fix tarsl fx w/mnpj CPT 28456 | not published | not published | $5,272.69 – $7,361.40 | 8 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | not published | not published | $8,108.08 – $11,686.12 | 8 |
| Prq trlml c athrc st angiop1 CPT 92933 | not published | not published | $12,923.75 – $18,503.86 | 8 |
| Prq trluml c angiop 1art&/br CPT 92920 | not published | not published | $4,212.57 – $5,875.25 | 8 |
| Prq trluml c athrc 1 art&/br CPT 92924 | not published | not published | $8,108.08 – $11,686.12 | 8 |
| Prq trluml revsc ch occ ant CPT 92943 | not published | not published | $8,108.08 – $11,686.12 | 8 |
| Pr removal drug delivery implant CPT 11982 | not published | not published | $293.65 – $411.20 | 8 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $198.40 | $248.00 | $94.15 – $223.20 | 14 |
| Pr removal intrauterine device CPT 58301 | $546.40 | $683.00 | $236.44 – $614.70 | 14 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $689.60 | $862.00 | $293.89 – $775.80 | 14 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $338.40 | $423.00 | $147.55 – $380.70 | 14 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $356.00 | $445.00 | $147.55 – $400.50 | 14 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $324.80 | $406.00 | $147.55 – $365.40 | 14 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $342.40 | $428.00 | $147.55 – $385.20 | 14 |
| Pr robotic surgical system HCPCS S2900 | not published | not published | $0.01 – $0.01 | 1 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | not published | not published | $1,344.04 – $1,884.97 | 8 |
| Pr subsequent hospital care e/m normal newborn per day CPT 99462 | not published | not published | $35.72 – $39.48 | 8 |
| Prtl exc bone olecrn process CPT 24147 | not published | not published | $2,385.62 – $3,343.47 | 8 |
| Prtl exc bone radial h/n CPT 24145 | not published | not published | $5,272.69 – $7,361.40 | 8 |
| Prtl exchange transfuse nb CPT 36456 | not published | not published | $319.94 – $450.50 | 8 |
| Prtl excision bone clavicle CPT 23180 | not published | not published | $5,272.69 – $7,361.40 | 8 |
| Prtl excision bone scapula CPT 23182 | not published | not published | $5,272.69 – $7,361.40 | 8 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $1,150.40 | $1,438.00 | $368.70 – $1,600.77 | 14 |
| Pr visit complexity e&m service serious/complex condition HCPCS G2211 | not published | not published | $14.42 – $15.94 | 8 |
| PSA (Prostate) Test CPT 84153 | not published | not published | $17.47 – $19.31 | 8 |
| Psych/neuropsych test admin automated result 96146 CPT 96146 | not published | not published | $21.95 – $25.24 | 8 |
| Psychoanalysis CPT 90845 | not published | not published | $117.51 – $165.57 | 8 |
| Psychoeducation 45 min + HCPCS G0177 | not published | not published | $1.00 – $1.00 | 1 |
| Psychophysiological therapy CPT 90875 | not published | not published | $52.86 – $58.43 | 8 |
| Psychophysiological therapy CPT 90876 | not published | not published | $93.60 – $103.45 | 8 |
| Psychotherapy group therapy CPT 90853 | not published | not published | $65.69 – $95.32 | 8 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | not published | not published | $117.51 – $165.57 | 8 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | not published | not published | $117.51 – $165.57 | 8 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | not published | not published | $117.51 – $165.57 | 8 |
| Psych test eval svc phys/qhp 1st hr CPT 96130 | not published | not published | $231.33 – $320.89 | 8 |
| Psych test eval svc phys/qhp ea addl hr CPT 96131 | not published | not published | $21.95 – $86.47 | 8 |
| Psychthrp grp 45-50min mcr HCPCS G0410 | not published | not published | $21.16 – $21.16 | 1 |
| Psycl/nrpsyc tech 1st CPT 96138 | not published | not published | $293.65 – $411.20 | 8 |
| Psy evaluation of records CPT 90885 | not published | not published | $1.00 – $46.68 | 8 |
| Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 | not published | not published | $94.15 – $132.83 | 8 |
| Psy/npsy phys/qhp 2> tst ea l 30 min CPT 96137 | not published | not published | $21.95 – $38.01 | 8 |
| Psy/npsy tst admin tech 2> ea l 30 min CPT 96139 | not published | not published | $1.00 – $35.96 | 8 |
| Psytx complex interactive CPT 90785 | not published | not published | $1.00 – $14.79 | 8 |
| Psytx pt w/e&m 16-37 min CPT 90833 | not published | not published | $1.00 – $75.46 | 8 |
| Psytx pt w/e&m 38-52 min CPT 90836 | not published | not published | $1.00 – $95.83 | 8 |
| Psytx pt w/e&m 53+ min CPT 90838 | not published | not published | $1.00 – $126.76 | 8 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | not published | not published | $6.03 – $6.67 | 8 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $124.00 | $155.00 | $17.85 – $139.50 | 14 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $101.60 | $127.00 | $13.16 – $114.30 | 14 |
| Pt application of modality traction mechanical CPT 97012 | $100.80 | $126.00 | $13.44 – $113.40 | 14 |
| Pt/caregiver traing home inr CPT 93792 | not published | not published | $64.22 – $70.98 | 8 |
| Pten gene dup/delet variant CPT 81323 | not published | not published | $285.00 – $315.00 | 8 |
| Pten gene full sequence CPT 81321 | not published | not published | $570.00 – $630.00 | 8 |
| Pten gene known fam variant CPT 81322 | not published | not published | $44.27 – $48.93 | 8 |
| Pterygomaxillary fossa surg any appr 31040 CPT 31040 | not published | not published | $4,316.11 – $6,095.91 | 8 |
| Pt-focused hlth risk assmt CPT 96160 | not published | not published | $21.16 – $30.70 | 8 |
| Pt init/spiromet rec/review/interp 94016 CPT 94016 | not published | not published | $21.83 – $24.13 | 8 |
| Pt prgrm for implt neurostim HCPCS L8681 | not published | not published | $1,277.34 – $1,812.75 | 8 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $139.20 | $174.00 | $38.76 – $156.60 | 14 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | not published | not published | $11.61 – $12.83 | 8 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | not published | not published | $28.49 – $31.48 | 8 |
| Pt wheelchair management each 15 minutes CPT 97542 | $110.40 | $138.00 | $29.33 – $124.20 | 14 |
| Pul art balloon repr percut CPT 92997 | not published | not published | $8,108.08 – $11,686.12 | 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.