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 |
|---|---|---|---|---|
| Urinalysis (without microscopy) CPT 81003 | $24.00 | $30.00 | $5.33 – $19.80 | 15 |
| Urine Culture Test CPT 87086 | $42.40 | $53.00 | $12.83 – $47.70 | 15 |
| Urine pregnancy test CPT 81025 | $33.60 | $42.00 | $10.17 – $37.80 | 15 |
| Vaccine Administration (one shot) CPT 90471 | $62.40 | $78.00 | $4.76 – $17.71 | 15 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | $61.60 | $77.00 | $18.64 – $69.30 | 15 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $60.25 | $75.31 | $12.51 – $46.52 | 15 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | $49.84 | $62.30 | $15.08 – $56.07 | 15 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | $27.31 | $34.13 | $8.26 – $30.72 | 15 |
| Vaccine tdap >=7 years im CPT 90715 | $70.59 | $88.23 | $20.82 – $77.40 | 15 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $41.24 | $51.55 | $12.48 – $46.40 | 15 |
| Valproic acid total therapeutic drug level CPT 80164 | $88.00 | $110.00 | $11.86 – $44.10 | 15 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | $35.89 | $44.86 | $8.35 – $31.03 | 15 |
| Vancomycin 750 mg intravenous solution HCPCS J3374 | $74.62 | $93.27 | $12.22 – $45.43 | 15 |
| Vancomycin peak therapeutic drug level CPT 80202 | $111.20 | $139.00 | $25.42 – $94.50 | 15 |
| Varicella zoster antibody igg CPT 86787 | $54.40 | $68.00 | $16.46 – $61.20 | 15 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $6.28 | $7.85 | $1.90 – $7.07 | 15 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | $5,554.56 | $6,943.20 | $22.69 – $6,248.88 | 15 |
| Velaglucerase alfa 400 unit intravenous solution HCPCS J3385 | not published | not published | $377.18 – $377.18 | 1 |
| Ventilator Management (first day) CPT 94002 | $1,433.60 | $1,792.00 | $433.84 – $1,612.80 | 15 |
| Viper venom prothrombin time CPT 85612 | $55.20 | $69.00 | $16.70 – $62.10 | 15 |
| Vitamin b-12 CPT 82607 | $80.80 | $101.00 | $24.45 – $90.90 | 15 |
| Vitamin D Test CPT 82306 | $132.00 | $165.00 | $29.29 – $108.90 | 15 |
| Volume measurement urine timed CPT 81050 | $19.20 | $24.00 | $5.33 – $19.80 | 15 |
| Vutrisiran 25 mg/0.5 ml subcutaneous syringe HCPCS J0225 | not published | not published | $5,018.93 – $5,018.93 | 1 |
| Walking (Gait) Training (each 15 minutes) CPT 97116 | $107.20 | $134.00 | $32.44 – $120.60 | 15 |
| Warde 1003990 aldosterone CPT 82088 | $261.60 | $327.00 | $30.26 – $112.50 | 15 |
| Warde 1005020 citrate 24 hour urine CPT 82507 | $72.00 | $90.00 | $21.06 – $78.30 | 15 |
| Warde 1005055 5-hiaa 24 hour urine CPT 83497 | $46.40 | $58.00 | $13.80 – $51.30 | 15 |
| Warde 1006955 catecholamines fractionated 24 hour urine CPT 82384 | $80.80 | $101.00 | $20.82 – $77.40 | 15 |
| Warde 1007138 vanillymandelic acid 24 hour urine CPT 84585 | $48.80 | $61.00 | $14.77 – $54.90 | 15 |
| Warde 1015200 kappa light chain free CPT 83521 | $53.60 | $67.00 | $16.22 – $60.30 | 15 |
| Warde 3004000 immunoglobulin subclass 1 CPT 82787 | $45.60 | $57.00 | $13.80 – $51.30 | 15 |
| Warde 3016000 west nile virus antibody CPT 86788 | $79.20 | $99.00 | $23.97 – $89.10 | 15 |
| Warde 3016000 west nile virus antibody igg CPT 86789 | $83.20 | $104.00 | $25.18 – $93.60 | 15 |
| Warde 3400652 ova & parasites direct smear concentration and id CPT 87177 | $60.00 | $75.00 | $18.16 – $67.50 | 15 |
| Warde 3400652 smear complex special stain ova/parasites CPT 87209 | $89.60 | $112.00 | $27.12 – $100.80 | 15 |
| Warde 3400852 arsenic CPT 82175 | $87.20 | $109.00 | $14.53 – $54.00 | 15 |
| Warde 3708165 mercury urine CPT 83825 | $98.40 | $123.00 | $12.11 – $45.00 | 15 |
| Warde actin (smooth muscle) antibody each CPT 86015 | $68.00 | $85.00 | $16.46 – $61.20 | 15 |
| Warde adenosine deaminase pleural fluid CPT 84311 | $64.80 | $81.00 | $10.17 – $37.80 | 15 |
| Warde adrenocorticotropic hormone (acth) CPT 82024 | $106.40 | $133.00 | $32.20 – $119.70 | 15 |
| Warde aldolase CPT 82085 | $64.00 | $80.00 | $19.37 – $72.00 | 15 |
| Warde amino acids 6 or more quantitative each specimen CPT 82139 | $181.60 | $227.00 | $29.29 – $108.90 | 15 |
| Warde analysis gene hfe common variants CPT 81256 | $172.80 | $216.00 | $48.18 – $179.10 | 15 |
| Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative CPT 81206 | $420.00 | $525.00 | $121.05 – $450.00 | 15 |
| Warde antiepileptics nos definitive assay 1-3 clobazam w metabolites CPT 80339 | $120.80 | $151.00 | $36.56 – $135.90 | 15 |
| Warde anti-mullerian hormone CPT 82166 | $92.80 | $116.00 | $28.08 – $104.40 | 15 |
| Warde apolipoprotein b CPT 82172 | $54.40 | $68.00 | $15.74 – $58.50 | 15 |
| Warde bile acids CPT 82239 | $43.20 | $54.00 | $13.07 – $48.60 | 15 |
| Warde cadmium blood CPT 82300 | $62.40 | $78.00 | $18.16 – $67.50 | 15 |
| Warde calcitonin CPT 82308 | $76.80 | $96.00 | $23.24 – $86.40 | 15 |
| Warde calculus (stone) infrared CPT 82365 | $80.00 | $100.00 | $24.21 – $90.00 | 15 |
| Warde clozapine therapeutic drug level CPT 80159 | $71.20 | $89.00 | $21.55 – $80.10 | 15 |
| Warde cobalt heavy metal quantitative each nes CPT 83018 | $117.60 | $147.00 | $22.03 – $81.90 | 15 |
| Warde collagen cross links c-telopeptide CPT 82523 | $53.60 | $67.00 | $16.22 – $60.30 | 15 |
| Warde complement total hemolytic CPT 86162 | $56.80 | $71.00 | $17.19 – $63.90 | 15 |
| Warde copper CPT 82525 | $82.40 | $103.00 | $14.04 – $52.20 | 15 |
| Warde cryoglobulin CPT 82595 | $31.20 | $39.00 | $9.44 – $35.10 | 15 |
| Warde erythropoietin CPT 82668 | $57.60 | $72.00 | $17.43 – $64.80 | 15 |
| Warde estrogen fractionated CPT 82671 | $103.20 | $129.00 | $31.23 – $116.10 | 15 |
| Warde fluorescent antibody screen endomysial iga CPT 86231 | $54.40 | $68.00 | $16.46 – $61.20 | 15 |
| Warde folic acid rbc CPT 82747 | $124.00 | $155.00 | $37.53 – $139.50 | 15 |
| Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative CPT 82955 | $31.20 | $39.00 | $9.44 – $35.10 | 15 |
| Warde gastrin CPT 82941 | $48.80 | $61.00 | $14.77 – $54.90 | 15 |
| Warde growth hormone (hgh) CPT 83003 | $46.40 | $58.00 | $14.04 – $52.20 | 15 |
| Warde hemoglobin fractionation/quantitation electrophoresis CPT 83020 | $45.60 | $57.00 | $13.80 – $51.30 | 15 |
| Warde hepatitis a antibody CPT 86708 | $90.40 | $113.00 | $27.36 – $101.70 | 15 |
| Warde hepatitis be antibody CPT 86707 | $28.80 | $36.00 | $8.72 – $32.40 | 15 |
| Warde immunofixation electrophoresis urine CPT 86335 | $175.20 | $219.00 | $53.02 – $197.10 | 15 |
| Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn CPT 87350 | $28.80 | $36.00 | $8.72 – $32.40 | 15 |
| Warde infectious agent nucleic acid genotype hepatitis c CPT 87902 | $603.20 | $754.00 | $182.54 – $678.60 | 15 |
| Warde islet cell antibody zinc transporter 8 CPT 86341 | $448.00 | $560.00 | $16.70 – $62.10 | 15 |
| Warde lipoprotein (a) CPT 83695 | $51.20 | $64.00 | $15.49 – $57.60 | 15 |
| Warde mitochondrial antibody each CPT 86381 | $60.80 | $76.00 | $18.40 – $68.40 | 15 |
| Warde neutralization rabies CPT 86382 | $54.40 | $68.00 | $16.46 – $61.20 | 15 |
| Warde oxcarbazepine therapeutic drug level CPT 80183 | $71.20 | $89.00 | $21.55 – $80.10 | 15 |
| Warde pancreatic elastase fecal quantitative CPT 82653 | $56.00 | $70.00 | $16.95 – $63.00 | 15 |
| Warde protein c antigen CPT 85302 | $31.20 | $39.00 | $9.44 – $35.10 | 15 |
| Warde sex hormone binding globulin CPT 84270 | $145.60 | $182.00 | $16.22 – $60.30 | 15 |
| Warde somatomedin CPT 84305 | $166.40 | $208.00 | $16.22 – $60.30 | 15 |
| Warde sugars single qualitative each specimen stool CPT 84376 | $98.40 | $123.00 | $29.78 – $110.70 | 15 |
| Warde t3 (triiodothyronine) reverse CPT 84482 | $48.00 | $60.00 | $14.53 – $54.00 | 15 |
| Warde thyroid stimulating immunoglobulins CPT 84445 | $130.40 | $163.00 | $39.46 – $146.70 | 15 |
| Warde topiramate therapeutic drug level CPT 80201 | $71.20 | $89.00 | $21.55 – $80.10 | 15 |
| Warde virus isolation tissue culture innoculation presumptive id herpes simplex CPT 87252 | $164.80 | $206.00 | $49.87 – $185.40 | 15 |
| Warde viscosity CPT 85810 | $48.80 | $61.00 | $14.77 – $54.90 | 15 |
| Warde vitamin a CPT 84590 | $51.20 | $64.00 | $15.49 – $57.60 | 15 |
| Warde vitamin b-1 (thiamine) CPT 84425 | $54.40 | $68.00 | $16.46 – $61.20 | 15 |
| Warde vitamin b6 (pyridoxine) CPT 84207 | $72.00 | $90.00 | $21.79 – $81.00 | 15 |
| Warde vitamin c (ascorbic acid) CPT 82180 | $29.60 | $37.00 | $8.96 – $33.30 | 15 |
| Warde vitamin d (1 25 dihydroxy) CPT 82652 | $230.40 | $288.00 | $37.04 – $137.70 | 15 |
| Warde vitamin e (alpha-tocopherol) CPT 84446 | $51.20 | $64.00 | $15.49 – $57.60 | 15 |
| Warde zinc CPT 84630 | $40.00 | $50.00 | $7.99 – $29.70 | 15 |
| Wbc automated CPT 85048 | $18.40 | $23.00 | $5.57 – $20.70 | 15 |
| Whole-Body Bone Scan (Nuclear Medicine) CPT 78306 | $1,846.40 | $2,308.00 | $558.77 – $2,077.20 | 15 |
| Whole Skeleton X-ray Survey CPT 77075 | $856.80 | $1,071.00 | $259.29 – $963.90 | 15 |
| Wound Cleaning and Dead Tissue Removal (up to 20 sq cm) CPT 97597 | $348.80 | $436.00 | $105.56 – $392.40 | 15 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | $370.40 | $463.00 | $112.09 – $416.70 | 15 |
| Wrist X-ray CPT 73110 | $241.60 | $302.00 | $73.11 – $271.80 | 15 |
| Wrist X-ray (2 views, both wrists) CPT 73100 | $192.80 | $241.00 | $58.35 – $216.90 | 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.