Procedures & surgery prices at Sanford Luverne Medical Center

Luverne, MN · every code in this section with a posted price and a Medicare benchmark.

96 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
Abd paracentesis w/imaging (49083) $1,156.80 $1,446 1.2×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $1,123.20 $1,404 1.2×
Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) $384.80 $481 2.3×
Appl Multlay Comprs Arm/Hand (29584) $271.20 $339 1.6×
Application finger splint static (29130) $186.40 $233 1.4×
Application long arm splint shoulder hand (29105) $270.40 $338 1.6×
Application short arm splint forearm-hand static (29125) $237.60 $297 1.7×
Apply long leg splint (29505) $279.20 $349 1.7×
Apply short leg splint (29515) $257.60 $322 1.5×
Arterial puncture (36600) $156 $195 1.1×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $698.40 $873 2.2×
Aspirate pleura w/ imaging (32555) $1,778.40 $2,223 2.7×
Aspiration bladder insert suprapubic catheter (51102) $2,540 $3,175 1.2×
Avulsion nail plate partial/complete simple 1 (11730) $233.60 $292 1.1×
Bladder instillation anticarcinogenic agent (51720) $942.40 $1,178 1.3×
Bladder Irrigation Simple (51700) $504.80 $631 2.0×
Blood transfusion service (36430) $1,004.80 $1,256 2.2×
Bx breast 1st lesion us imag (19083) $2,393.60 $2,992 1.4×
Catheter Aspiration Nasotracheal Spx (31720) $144.80 $181 0.6×
Change of cystostomy tube simple (51705) $628.80 $786 2.4×
Closed treatment of trimalleolar ankle fracture with manipulation (27818) $1,046.40 $1,308 0.6×
Closed tx ankle dislocation w/o anesthesia (27840) $481.60 $602 1.9×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $1,796.80 $2,246 1.1×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $420.80 $526 1.7×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $506.40 $633 2.0×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,064.80 $1,331 0.6×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $471.20 $589 1.9×
Cltx iphal jt dislc w/manj w/o anes (26770) $427.20 $534 1.7×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $447.20 $559 1.8×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $506.40 $633 2.0×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $1,699.20 $2,124 1.0×
Control Nasal Hemorrhage Anterior Complex (30903) $296 $370 2.2×
Control Nasal Hemorrhage Anterior Simple (30901) $264 $330 1.9×
Drainage External Ear Abscess/Hematoma Simple (69000) $779.20 $974 1.1×
Drainage Finger Abscess Simple (26010) $394.40 $493 1.9×
Drainage of gum lesion (41800) $498.40 $623 3.6×
Drainage of hematoma/fluid (10140) $2,503.20 $3,129 1.5×
Draw blood off venous device (36591) $141.60 $177 1.0×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $314.40 $393 1.5×
Ep Relocate Skin Pocket Implantable Defibrillator (33223) $4,782.40 $5,978 2.2×
Fetal non-stress test (59025) $394.40 $493 1.9×
I&d abscess simple (10060) $414.40 $518 2.0×
I&d vulva/perineal abscess (56405) $484 $605 1.5×
Incision & removal foreign body subq tiss simple (10120) $246.40 $308 0.6×
Initial tx 1st degree burn local tx (16000) $264 $330 1.3×
Injection aa&/strd trigeminal nerve each branch (64400) $505.60 $632 1.6×
Insert Bladder Cath Complex (51703) $392.80 $491 3.0×
Insert Temp Bladder Cath (51702) $196 $245 1.4×
Insert,Non-Indwelling Bladder Catheter (51701) $157.60 $197 1.1×
Insj 1 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33216) $5,779.20 $7,224 0.7×
Intubation endotracheal emergency procedure (31500) $736 $920 3.0×
Irrigation maxillary sinus (31000) $721.60 $902 3.0×
Liver Biopsy (47000) $1,554.40 $1,943 0.9×
Needle insertion w/o injection 1 or 2 muscles (20560) $38.40 $48 1.3×
Needle insertion w/o injection 3 or more muscles (20561) $67.20 $84 2.3×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $1,100 $1,375 2.6×
Perq device breast 1st imag (19281) $1,528.80 $1,911 0.9×
Picc line placement (36569) $1,383.20 $1,729 0.9×
Placement of needle for intraosseous infusion (36680) $332 $415 0.7×
Relocation of skin pocket for pacemaker (33222) $4,496 $5,620 2.1×
Removal foreign body foot subcutaneous (28190) $1,170.40 $1,463 1.6×
Removal foreign body intranasal (30300) $212.80 $266 1.5×
Removal impacted cerumen irrigation/lvg unilat (69209) $176.80 $221 2.9×
Removal of foreign body, external eye; corneal, without slit lamp (65220) $296 $370 0.6×
Remv Ext Canal Foreign Body (69200) $188.80 $236 1.4×
Renal Biopsy Percutaneous (50200) $2,143.20 $2,679 1.3×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $575.20 $719 1.4×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $576.80 $721 1.4×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $508 $635 1.2×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $526.40 $658 1.3×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $801.60 $1,002 1.9×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $642.40 $803 1.5×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $526.40 $658 1.3×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $524.80 $656 1.3×
Repair lead pace-defib one (33218) $5,665.60 $7,082 1.5×
Replace gastrostomy/cecostomy tube percutaneous (49450) $1,016.80 $1,271 1.1×
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) $5,788.80 $7,236 1.5×
Rmvl Transvns Pm Eltrd Dual Lead Sys (33235) $7,230.40 $9,038 1.9×
Rmvl1/Dual Chmbr Impltbl Dfb Eltrd Transvns Xtrj (33244) $8,395.20 $10,494 2.2×
Rpsg prev implted car ven sys l ventr eltrd (33226) $6,020.80 $7,526 1.8×
Rpsg Prev Implted Pm/Dfb R Atr/R Ventr Electrode (33215) $4,190.40 $5,238 1.3×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $321.60 $402 1.6×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $339.20 $424 1.6×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $385.60 $482 1.9×
Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) $424 $530 2.0×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $308.80 $386 1.5×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $356 $445 1.7×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $326.40 $408 1.6×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $456.80 $571 1.1×
Spinal puncture lumbar diagnostic (62270) $1,175.20 $1,469 1.6×
Strapping unna boot (29580) $344 $430 2.1×
Thyroid biopsy (60100) $1,190.40 $1,488 1.6×
Transfusion intrauterine fetal (36460) $1,729.60 $2,162 3.8×
Tx Superficial Wound Dehiscence Simple Closure (12020) $1,141.60 $1,427 1.5×
Us urine capacity measure (51798) $187.20 $234 3.1×
Venipuncture (36415) $19.20 $24 2.1×