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 |
|---|---|---|---|---|
| Xcapsl ctrc rmvl cplx wo ecp CPT 66982 | $4,160.80 | $5,201.00 | $1,259.16 – $4,680.90 | 15 |
| X-ray bone survey infant CPT 77076 | $242.40 | $303.00 | $73.36 – $272.70 | 15 |
| X-ray exam entire spi 6/> vw CPT 72084 | $416.00 | $520.00 | $125.89 – $468.00 | 15 |
| X-ray exam of arm infant CPT 73092 | $161.60 | $202.00 | $48.90 – $181.80 | 15 |
| X-ray exam of femur 1 CPT 73551 | $271.20 | $339.00 | $82.07 – $305.10 | 15 |
| X-ray exam si joints CPT 72200 | $80.80 | $101.00 | $24.45 – $90.90 | 15 |
| X-ray exam thorac spine4/>vw CPT 72074 | $457.60 | $572.00 | $138.48 – $514.80 | 15 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $276.80 | $346.00 | $83.77 – $311.40 | 15 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $448.80 | $561.00 | $135.82 – $504.90 | 15 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $588.80 | $736.00 | $178.19 – $662.40 | 15 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $256.80 | $321.00 | $77.71 – $288.90 | 15 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $417.60 | $522.00 | $126.38 – $469.80 | 15 |
| X-ray mandible ltd <4 views CPT 70100 | $181.60 | $227.00 | $54.96 – $204.30 | 15 |
| X-ray nose to rectum for foreign body child CPT 76010 | $296.80 | $371.00 | $89.82 – $333.90 | 15 |
| X-ray ribs 2 views left CPT 71100 | $238.40 | $298.00 | $72.15 – $268.20 | 15 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $320.00 | $400.00 | $96.84 – $360.00 | 15 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $462.96 | $578.70 | $22.15 – $82.35 | 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.