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 |
|---|---|---|---|---|
| Ghs dislocation elbow closed treatment CPT 24600 | $618.40 | $773.00 | $187.14 – $695.70 | 15 |
| Ghs fb removal - incisional CPT 10121 | $2,289.60 | $2,862.00 | $692.89 – $2,575.80 | 15 |
| Ghs fb removal - non-incisional CPT 20520 | $1,870.40 | $2,338.00 | $566.03 – $2,104.20 | 15 |
| Ghs fish cytogen CPT 88271 | $118.40 | $148.00 | $17.67 – $65.70 | 15 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $124.80 | $156.00 | $37.77 – $140.40 | 15 |
| Ghs hgb stability-thal CPT 83068 | $120.80 | $151.00 | $36.56 – $135.90 | 15 |
| Ghs HIV antibody CPT 86703 | $67.20 | $84.00 | $20.34 – $75.60 | 15 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $701.60 | $877.00 | $212.32 – $789.30 | 15 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $565.60 | $707.00 | $171.16 – $636.30 | 15 |
| Ghs indirect laryngoscopy/w fb removal CPT 31511 | $696.80 | $871.00 | $210.87 – $783.90 | 15 |
| Ghs init tx 1st degree burn CPT 16000 | $258.40 | $323.00 | $78.20 – $290.70 | 15 |
| Ghs insertion of needle - bone CPT 36680 | $556.00 | $695.00 | $168.26 – $625.50 | 15 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $862.40 | $1,078.00 | $260.98 – $970.20 | 15 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $986.40 | $1,233.00 | $298.51 – $1,109.70 | 15 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | $3,070.40 | $3,838.00 | $929.18 – $3,454.20 | 15 |
| Ghs IV infusion casirivimab/imdevimab HCPCS M0243 | not published | not published | $495.55 – $495.55 | 1 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $505.60 | $632.00 | $153.01 – $568.80 | 15 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $862.40 | $1,078.00 | $260.98 – $970.20 | 15 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $525.60 | $657.00 | $159.06 – $591.30 | 15 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $616.80 | $771.00 | $186.66 – $693.90 | 15 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $846.40 | $1,058.00 | $256.14 – $952.20 | 15 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $782.40 | $978.00 | $236.77 – $880.20 | 15 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $876.00 | $1,095.00 | $265.10 – $985.50 | 15 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $655.20 | $819.00 | $198.28 – $737.10 | 15 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $862.40 | $1,078.00 | $260.98 – $970.20 | 15 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $862.40 | $1,078.00 | $260.98 – $970.20 | 15 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | $862.40 | $1,078.00 | $260.98 – $970.20 | 15 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $970.40 | $1,213.00 | $293.67 – $1,091.70 | 15 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | $1,126.40 | $1,408.00 | $340.88 – $1,267.20 | 15 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | $1,248.00 | $1,560.00 | $377.68 – $1,404.00 | 15 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | $1,821.60 | $2,277.00 | $551.26 – $2,049.30 | 15 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | $1,231.20 | $1,539.00 | $372.59 – $1,385.10 | 15 |
| Ghs nailbed repair/nail removal CPT 11760 | $952.80 | $1,191.00 | $288.34 – $1,071.90 | 15 |
| Ghs ot group caregiver training CPT 97552 | $56.80 | $71.00 | $17.19 – $63.90 | 15 |
| Ghs ot prosthetic training/15 min CPT 97761 | $118.40 | $148.00 | $35.83 – $133.20 | 15 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $80.80 | $101.00 | $24.45 – $90.90 | 15 |
| Ghs phenylketonurid CPT 84030 | $71.20 | $89.00 | $21.55 – $80.10 | 15 |
| Ghs plngl fx pm cl CPT 26725 | $949.60 | $1,187.00 | $287.37 – $1,068.30 | 15 |
| Ghs ppd (tb intradermal) CPT 86580 | $24.00 | $30.00 | $7.26 – $27.00 | 15 |
| Ghs removal intranasal foreign body CPT 30300 | $276.00 | $345.00 | $83.52 – $310.50 | 15 |
| Ghs removal pharyngeal foreign body CPT 42809 | $370.40 | $463.00 | $112.09 – $416.70 | 15 |
| Ghs reticulocyte count CPT 85044 | $33.60 | $42.00 | $10.17 – $37.80 | 15 |
| Ghs sedimentation rate CPT 85651 | $22.40 | $28.00 | $6.78 – $25.20 | 15 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $460.00 | $575.00 | $139.21 – $517.50 | 15 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $652.80 | $816.00 | $197.55 – $734.40 | 15 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $757.60 | $947.00 | $229.27 – $852.30 | 15 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | $664.80 | $831.00 | $201.19 – $747.90 | 15 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $448.80 | $561.00 | $135.82 – $504.90 | 15 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $441.60 | $552.00 | $133.64 – $496.80 | 15 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $504.80 | $631.00 | $152.77 – $567.90 | 15 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $743.20 | $929.00 | $224.91 – $836.10 | 15 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | $667.20 | $834.00 | $201.91 – $750.60 | 15 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | $146.40 | $183.00 | $44.30 – $164.70 | 15 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $326.40 | $408.00 | $98.78 – $367.20 | 15 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | not published | not published | $38.40 – $38.40 | 1 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | not published | not published | $345.60 – $345.60 | 1 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $1,399.20 | $1,749.00 | $423.43 – $1,574.10 | 15 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | $768.80 | $961.00 | $232.66 – $864.90 | 15 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $624.00 | $780.00 | $188.84 – $702.00 | 15 |
| Ghs urine, porphyrins quant CPT 84120 | $50.40 | $63.00 | $15.25 – $56.70 | 15 |
| Ghs vaginal delivery only CPT 59409 | $3,338.40 | $4,173.00 | $1,010.28 – $3,755.70 | 15 |
| Ghs windowing of cast CPT 29730 | $299.20 | $374.00 | $90.55 – $336.60 | 15 |
| Giardia lamblia antibody CPT 86674 | $72.80 | $91.00 | $22.03 – $81.90 | 15 |
| Gi inhouse confirmation CPT 87045 | $69.60 | $87.00 | $20.09 – $74.70 | 15 |
| Glassia injection HCPCS J0257 | not published | not published | $5.66 – $5.66 | 1 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $302.72 | $378.40 | $91.61 – $340.56 | 15 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $289.36 | $361.69 | $65.07 – $241.91 | 15 |
| Glucose 1 hr post dose CPT 82950 | $37.60 | $47.00 | $11.38 – $42.30 | 15 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $28.80 | $36.00 | $8.72 – $32.40 | 15 |
| Glucose blood quantitative CPT 82947 | $35.20 | $44.00 | $10.65 – $39.60 | 15 |
| Glucose body fluid CPT 82945 | $60.80 | $76.00 | $17.43 – $64.80 | 15 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $85.60 | $107.00 | $25.90 – $96.30 | 15 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $25.60 | $32.00 | $7.75 – $28.80 | 15 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $13.60 | $17.00 | $2.06 – $7.66 | 15 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $2,221.83 | $2,777.28 | $11.33 – $2,499.55 | 15 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $97.60 | $122.00 | $29.54 – $109.80 | 15 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $103.20 | $129.00 | $31.23 – $116.10 | 15 |
| Group train without patient HCPCS G0543 | $56.80 | $71.00 | $17.19 – $63.90 | 15 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $36.84 | $46.04 | $9.48 – $35.24 | 15 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $27.79 | $34.73 | $7.97 – $29.63 | 15 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | $31.20 | $39.00 | $7.26 – $27.00 | 15 |
| Hands-On Manual Therapy (each 15 minutes) CPT 97140 | $104.80 | $131.00 | $63.25 – $117.90 | 15 |
| Hand X-ray CPT 73130 | $216.80 | $271.00 | $65.61 – $243.90 | 15 |
| Hand X-ray (2 views, both hands) CPT 73120 | $193.60 | $242.00 | $58.59 – $217.80 | 15 |
| Haptoglobin quantitative CPT 83010 | $76.80 | $96.00 | $23.24 – $86.40 | 15 |
| Hcg qualitative CPT 84703 | $49.60 | $62.00 | $15.01 – $55.80 | 15 |
| Hcg quantitative CPT 84702 | $72.80 | $91.00 | $22.03 – $81.90 | 15 |
| Head CT scan (with and without contrast) CPT 70470 | $2,292.00 | $2,865.00 | $446.60 – $2,578.50 | 15 |
| Head CT scan (with contrast) CPT 70460 | $1,760.80 | $2,201.00 | $446.60 – $1,980.90 | 15 |
| Head CT scan (without contrast) CPT 70450 | $1,468.80 | $1,836.00 | $470.25 – $1,652.40 | 15 |
| Heel (Calcaneus) X-ray (both feet) CPT 73650 | $168.00 | $210.00 | $50.84 – $189.00 | 15 |
| Helicobacter pylori antibody igm CPT 86677 | $84.80 | $106.00 | $25.66 – $95.40 | 15 |
| Hematocrit CPT 85014 | $16.80 | $21.00 | $5.08 – $18.90 | 15 |
| Hemoglobin CPT 85018 | $21.60 | $27.00 | $6.54 – $24.30 | 15 |
| Hemoglobin plasma CPT 83051 | $28.80 | $36.00 | $8.72 – $32.40 | 15 |
| Hemophilus influenza antibdy CPT 86684 | $56.80 | $71.00 | $17.19 – $63.90 | 15 |
| Hemorrhoidectomy intrnl lig rbbr band ligations CPT 46221 | $1,683.20 | $2,104.00 | $509.38 – $1,893.60 | 15 |
| Heparin assay CPT 85520 | $88.80 | $111.00 | $26.87 – $99.90 | 15 |
| Heparin bolus from bag HCPCS J1644 | $94.00 | $117.50 | $8.04 – $29.89 | 15 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | $1.52 | $1.90 | $0.46 – $1.71 | 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.