Sanford Medical Center Mayville
42 6th Ave SE, Mayville, ND · Sanford Health · · NPI 1518061803
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 immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $190.40 | $238.00 | $15.49 – $57.60 | 15 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $55.20 | $69.00 | $16.46 – $61.20 | 15 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $131.20 | $164.00 | $30.75 – $114.30 | 15 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $56.80 | $71.00 | $16.46 – $61.20 | 15 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $72.00 | $90.00 | $16.70 – $62.10 | 15 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $82.40 | $103.00 | $12.35 – $45.90 | 15 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $110.40 | $138.00 | $33.41 – $124.20 | 15 |
| Mayo infliximab therapeutic drug level CPT 80230 | $150.40 | $188.00 | $45.51 – $169.20 | 15 |
| Mayo inhab inhibin a CPT 86336 | $56.80 | $71.00 | $17.19 – $63.90 | 15 |
| Mayo insft insulin free CPT 83527 | $65.60 | $82.00 | $19.85 – $73.80 | 15 |
| Mayo iodine CPT 83789 | $141.60 | $177.00 | $17.92 – $66.60 | 15 |
| Mayo itraconazole therapeutic drug level CPT 80189 | $71.20 | $89.00 | $21.55 – $80.10 | 15 |
| Mayo lacosamide therapeutic drug level CPT 80235 | $97.60 | $122.00 | $29.54 – $109.80 | 15 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $39.20 | $49.00 | $11.86 – $44.10 | 15 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $70.40 | $88.00 | $21.30 – $79.20 | 15 |
| Mayo lipoprotein electrophoresis CPT 83700 | $52.80 | $66.00 | $15.98 – $59.40 | 15 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $108.80 | $136.00 | $16.70 – $62.10 | 15 |
| Mayo metanephrines plasma CPT 83835 | $46.40 | $58.00 | $14.04 – $52.20 | 15 |
| Mayo methadone definitive assay confirmation urine CPT 80358 | $60.00 | $75.00 | $18.16 – $67.50 | 15 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | $49.60 | $62.00 | $15.01 – $55.80 | 15 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $101.60 | $127.00 | $16.70 – $62.10 | 15 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $148.00 | $185.00 | $21.55 – $80.10 | 15 |
| Mayo muramidase CPT 85549 | $52.00 | $65.00 | $15.74 – $58.50 | 15 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | $540.80 | $676.00 | $163.66 – $608.40 | 15 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | $71.20 | $89.00 | $21.55 – $80.10 | 15 |
| Mayo myoglobin CPT 83874 | $112.80 | $141.00 | $16.46 – $61.20 | 15 |
| Mayo opatu opiates definitive assay >=1 CPT 80361 | $92.00 | $115.00 | $27.84 – $103.50 | 15 |
| Mayo opatu opioid/analogs definitive assay 1 or 2 CPT 80362 | $92.00 | $115.00 | $27.84 – $103.50 | 15 |
| Mayo opatu oxycodone definitive assay CPT 80365 | $92.00 | $115.00 | $27.84 – $103.50 | 15 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $185.60 | $232.00 | $15.98 – $59.40 | 15 |
| Mayo organic acids qualitative each specimen CPT 83919 | $113.60 | $142.00 | $17.43 – $64.80 | 15 |
| Mayo oxalate 24 hour urine CPT 83945 | $57.60 | $72.00 | $10.89 – $40.50 | 15 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $56.80 | $71.00 | $17.19 – $63.90 | 15 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $328.80 | $411.00 | $16.46 – $61.20 | 15 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $321.60 | $402.00 | $26.87 – $99.90 | 15 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $98.40 | $123.00 | $29.78 – $110.70 | 15 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $71.20 | $89.00 | $21.55 – $80.10 | 15 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $48.00 | $60.00 | $8.72 – $32.40 | 15 |
| Mayo pregnenolone CPT 84140 | $49.60 | $62.00 | $15.01 – $55.80 | 15 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $71.20 | $89.00 | $21.55 – $80.10 | 15 |
| Mayo psaft prostate specific antigen free CPT 84154 | $88.80 | $111.00 | $17.43 – $64.80 | 15 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $227.20 | $284.00 | $15.01 – $55.80 | 15 |
| Mayo renin CPT 84244 | $106.40 | $133.00 | $15.49 – $57.60 | 15 |
| Mayo repu protein electrophoresis urine CPT 84166 | $96.80 | $121.00 | $29.29 – $108.90 | 15 |
| Mayo selenium CPT 84255 | $61.60 | $77.00 | $18.64 – $69.30 | 15 |
| Mayo serotonin CPT 84260 | $103.20 | $129.00 | $31.23 – $116.10 | 15 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $129.60 | $162.00 | $39.22 – $145.80 | 15 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | $156.00 | $195.00 | $16.70 – $62.10 | 15 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $37.60 | $47.00 | $3.39 – $12.60 | 15 |
| Mayo tgrp testosterone free CPT 84402 | $61.60 | $77.00 | $18.16 – $67.50 | 15 |
| Mayo tgrp testosterone total CPT 84403 | $140.00 | $175.00 | $18.40 – $68.40 | 15 |
| Mayo thiopurine s-methyltransferase CPT 84433 | $150.40 | $188.00 | $45.51 – $169.20 | 15 |
| Mayo thyroglobulin CPT 84432 | $102.40 | $128.00 | $14.28 – $53.10 | 15 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $56.80 | $71.00 | $17.19 – $63.90 | 15 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $42.40 | $53.00 | $12.83 – $47.70 | 15 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | $124.00 | $155.00 | $36.32 – $135.00 | 15 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $132.00 | $165.00 | $11.86 – $44.10 | 15 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $160.00 | $200.00 | $17.43 – $64.80 | 15 |
| Mayo vitamin b3 (niacin) CPT 84591 | $177.60 | $222.00 | $53.75 – $199.80 | 15 |
| Mayo vitamin k CPT 84597 | $76.00 | $95.00 | $23.00 – $85.50 | 15 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $71.20 | $89.00 | $21.55 – $80.10 | 15 |
| Measurement post void urine by ultrasound CPT 51798 | $182.40 | $228.00 | $55.20 – $205.20 | 15 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $31.12 | $38.89 | $9.42 – $35.00 | 15 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | not published | not published | $31.01 – $31.01 | 1 |
| Metabolic Blood Panel (Basic) CPT 80048 | $97.60 | $122.00 | $57.75 – $109.80 | 15 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $136.00 | $170.00 | $74.25 – $153.00 | 15 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $5.80 | $7.25 | $1.03 – $3.83 | 15 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $32.52 | $40.65 | $9.84 – $36.59 | 15 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $41.78 | $52.22 | $11.08 – $41.18 | 15 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $33.88 | $42.34 | $3.62 – $13.46 | 15 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $71.59 | $89.48 | $8.31 – $30.91 | 15 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $26.84 | $33.55 | $7.96 – $29.60 | 15 |
| Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) HCPCS J0616 | $16.76 | $20.95 | $4.77 – $17.75 | 15 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $70.56 | $88.20 | $21.16 – $78.66 | 15 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | $126.66 | $158.32 | $38.33 – $142.49 | 15 |
| Mid and Lower Back (Thoracolumbar Spine) X-ray CPT 72080 | $240.00 | $300.00 | $72.63 – $270.00 | 15 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $26.56 | $33.20 | $7.91 – $29.40 | 15 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $27.23 | $34.03 | $8.24 – $30.63 | 15 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | $28.01 | $35.01 | $8.39 – $31.19 | 15 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $284.00 | $355.00 | $85.95 – $319.50 | 15 |
| MRA abdomen post contrast CPT 74185 | $2,104.80 | $2,631.00 | $578.05 – $2,367.90 | 15 |
| MRA aorta thoracic w/wo contrast CPT 71555 | not published | not published | $578.05 – $578.05 | 1 |
| MRA ext low(run-off)pst cntrst CPT 73725 | $2,271.20 | $2,839.00 | $578.05 – $2,555.10 | 15 |
| MRA pelvis CPT 72198 | $2,480.00 | $3,100.00 | $578.05 – $2,790.00 | 15 |
| MRA spinal canal CPT 72159 | not published | not published | $578.05 – $578.05 | 1 |
| MRA upper extremity post contrast-bil CPT 73225 | $1,960.80 | $2,451.00 | $578.05 – $2,205.90 | 15 |
| MRI breast c- unilateral CPT 77046 | not published | not published | $578.05 – $578.05 | 1 |
| MRI breast c-+ w/cad uni CPT 77048 | not published | not published | $446.60 – $446.60 | 1 |
| MRI breast without cont bi CPT 77047 | not published | not published | $578.05 – $578.05 | 1 |
| MRI breast w IV cont bi CPT 77049 | not published | not published | $446.60 – $446.60 | 1 |
| MRI cardiac morph & func wo IV cont CPT 75557 | not published | not published | $578.05 – $578.05 | 1 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | not published | not published | $607.75 – $607.75 | 1 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | not published | not published | $611.05 – $611.05 | 1 |
| MRI chest without contrast CPT 71550 | $2,649.60 | $3,312.00 | $578.05 – $2,980.80 | 15 |
| MRI chest without & w/contrast CPT 71552 | $3,668.00 | $4,585.00 | $607.75 – $4,126.50 | 15 |
| MRI chest w IV cont CPT 71551 | not published | not published | $611.05 – $611.05 | 1 |
| MRI fetal sngl/1st gestation CPT 74712 | not published | not published | $578.05 – $578.05 | 1 |
| MRI loex nonjt w IV cont CPT 73719 | not published | not published | $607.75 – $607.75 | 1 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $2,477.60 | $3,097.00 | $578.05 – $2,787.30 | 15 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $3,304.80 | $4,131.00 | $607.75 – $3,717.90 | 15 |
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.