Procedures & surgery prices at Sanford Worthington Medical Center

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

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

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ProcedureCash priceGross charge× Medicare
Abd paracentesis w/imaging (49083) $1,376.80 $1,721 1.5×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $1,080.80 $1,351 1.2×
Amniocentesis diagnostic (59000) $632.80 $791 0.7×
Anoscopy diagnostic (46600) $212.80 $266 1.5×
Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) $353.60 $442 2.1×
Appl Multlay Comprs Arm/Hand (29584) $266.40 $333 1.6×
Application cast elbow finger short arm (29075) $212.80 $266 0.7×
Application cast shoulder hand long arm (29065) $256 $320 0.9×
Application finger splint static (29130) $196 $245 1.4×
Application long arm splint shoulder hand (29105) $284 $355 1.7×
Application of long leg cast (29345) $313.60 $392 1.1×
Application of rigid total contact leg cast (29445) $271.20 $339 0.9×
Application Short Arm Splint Dynamic (29126) $279.20 $349 2.0×
Application short arm splint forearm-hand static (29125) $249.60 $312 1.8×
Apply Hand/Wrist Cast (29085) $167.20 $209 1.0×
Apply long leg splint (29505) $292.80 $366 1.7×
Apply short leg cast (29405) $258.40 $323 0.9×
Apply short leg cast (29425) $244.80 $306 0.8×
Apply short leg splint (29515) $270.40 $338 1.6×
Arterial puncture (36600) $132 $165 1.0×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $488.80 $611 1.5×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $740.40 $925.50 2.3×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $457.60 $572 1.4×
Aspirate pleura w/ imaging (32555) $1,162.80 $1,453.50 1.8×
Avulsion nail plate partial/complete simple 1 (11730) $418.40 $523 2.0×
Biopsy Bone Trocar/Needle Superficial (20220) $1,684 $2,105 1.0×
Biopsy muscle percutaneous needle (20206) $2,107.20 $2,634 1.2×
Biopsy soft tissue neck/thorax (21550) $2,651.20 $3,314 1.6×
Bladder instillation anticarcinogenic agent (51720) $460.80 $576 0.6×
Bladder Irrigation Simple (51700) $382 $477.50 1.5×
Blood patch (62273) $1,452.80 $1,816 2.0×
Blood transfusion service (36430) $1,017.60 $1,272 2.2×
Bone Marrow Biopsy (38221) $1,624.40 $2,030.50 1.0×
Bx abdl/retroperitoneal mass prq needle (49180) $939.20 $1,174 0.6×
Bx breast 1st lesion us imag (19083) $2,232.80 $2,791 1.3×
Bx/exc lymph node needle superficial (38505) $2,755.20 $3,444 1.6×
Change of cystostomy tube simple (51705) $540.80 $676 2.1×
Change Ureter Stent, Percut (50382) $2,256.80 $2,821 1.0×
Chemical cautery tissue (17250) $327.20 $409 1.6×
Closed Rx Radial Shaft Fx (25500) $364.80 $456 1.4×
Closed Rx Spontaneous Hip Disloc (27256) $455.20 $569 1.8×
Closed treatment of metacarpal fracture, with manipulation, with external fixation, each bone Facility (26607) $419.20 $524 0.1×
Closed treatment of trimalleolar ankle fracture with manipulation (27818) $1,098.40 $1,373 0.7×
Closed Treatment Ulnar Styloid Fracture (25650) $385.60 $482 1.5×
Closed tx ankle dislocation w/o anesthesia (27840) $505.60 $632 2.0×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $1,013.60 $1,267 0.6×
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $991.20 $1,239 0.6×
Closed tx patellar dislocation w/anesthesia (27562) $398.40 $498 1.6×
Closed tx patellar dislocation w/o anesthesia (27560) $492 $615 1.9×
Closed tx radial head/neck fx w/manipulation (24655) $1,168.80 $1,461 0.7×
Closed tx radial shaft fracture w/manipulation (25505) $1,010.40 $1,263 0.6×
Closed tx radial&ulnar shaft fractures w/manj (25565) $1,183.20 $1,479 0.7×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $442.40 $553 1.7×
Clsd tx shoulder dislc w/manipulation req anes (23655) $1,821.60 $2,277 1.1×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $570.40 $713 2.2×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $914.40 $1,143 0.6×
Cltx dstl fibular fx lat malls w/manj (27788) $600 $750 2.4×
Cltx dstl fibular fx lat malls w/o manj (27786) $442.40 $553 1.7×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $474.40 $593 1.9×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $345.60 $432 1.4×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $411.20 $514 1.6×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $1,117.60 $1,397 0.7×
Cltx fx grt toe phlx/phlg w/manj (28495) $468.80 $586 1.8×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $494.40 $618 1.9×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $1,048.80 $1,311 0.6×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $404 $505 1.6×
Cltx iphal jt dislc w/manj w/o anes (26770) $448 $560 1.8×
Cltx medial malls fx w/manj w/wo skn/skel tracj (27762) $1,402.40 $1,753 0.8×
Cltx metacarpal fx w/manipulation each bone (26605) $518.40 $648 2.0×
Cltx metacarpophalangeal dislc w/manj w/o anes (26700) $450.40 $563 1.8×
Cltx metatarsophlngl jt dislc w/o anes (28630) $390.40 $488 1.5×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $468.80 $586 1.8×
Cltx post hip arthrp dislc req anes (27266) $2,320 $2,900 1.4×
Cltx post hip arthrp dislc w/o anes (27265) $570.40 $713 2.2×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $2,456.80 $3,071 1.5×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $548.80 $686 2.2×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $1,188 $1,485 0.7×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $1,062.40 $1,328 0.6×
Cltx tibial shaft fx w/manj w/wo skel tracj (27752) $1,333.60 $1,667 0.8×
Collect Blood From Catheter Venous Nos (36592) $194.40 $243 1.4×
Control Nasal Hemorrhage Anterior Complex (30903) $310.40 $388 2.3×
Control Nasal Hemorrhage Anterior Simple (30901) $276.80 $346 2.0×
Ctrl Nasopharyngeal Hemrrg Smpl W/Pst Nsl Packs (42970) $413.60 $517 1.7×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $326.40 $408 2.4×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $692 $865 1.6×
Debride Assoc Open Fx/Disloc Skin/Subq (11010) $2,094.40 $2,618 2.9×
Debride nail 1-5 (11720) $112 $140 1.8×
Debride nail 6 or more (11721) $161.60 $202 2.7×
Debride tissue/muscle (11043) $884.80 $1,106 1.2×
Debridement subcutaneous tissue 20 sq cm/< (11042) $463.20 $579 1.1×
Declot vascular device (36593) $207.20 $259 0.6×
Drainage External Ear Abscess/Hematoma Simple (69000) $789.60 $987 1.1×
Drainage Finger Abscess Complicated (26011) $2,142.40 $2,678 1.3×
Drainage Finger Abscess Simple (26010) $415.20 $519 2.0×
Drainage of gum lesion (41800) $351.20 $439 2.6×
Drainage of hematoma/fluid (10140) $2,628.80 $3,286 1.5×
Drainage of perirenal or renal abscess, open Facility (50020) $2,954.40 $3,693 1.4×
Draw blood off venous device (36591) $123.60 $154.50 0.9×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $532.80 $666 1.3×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $383.20 $479 1.9×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $329.60 $412 1.6×
Evacuation of subungual hematoma (11740) $172.80 $216 1.3×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $1,248 $1,560 1.7×
Exchng absc/cst drg cath rad gid spx (49423) $2,448 $3,060 1.2×
Excision of thrombosed hemorrhoid, external (46320) $2,504 $3,130 2.0×
Expl penetrating wound spx abdomen/flank/back (20102) $4,452.80 $5,566 2.1×
Exploration penetrating wound spx extremity (20103) $2,410.40 $3,013 1.4×
External cephalic version (59412) $1,390.40 $1,738 0.4×
Fetal non-stress test (59025) $448 $560 2.1×
Fine needle aspiration bx w/us gdn 1st lesion (10005) $1,100.80 $1,376 1.5×
Fine needle aspiration without imaging guidance (10021) $220 $275 0.5×
Fluoro exam of g/colon tube (49465) $523.20 $654 2.1×
Fna bx w/fluor gdn 1st les (10007) $1,100.80 $1,376 1.5×
Gastric Intubation/Aspiration, Therapeutic (43753) $290.40 $363 1.3×
Guide Cathet Fluid Drainage (10030) $1,984 $2,480 2.7×
I&D Abscess Peritonsillar (42700) $505.60 $632 2.1×
I&d abscess simple (10060) $435.20 $544 2.1×
I&d pilonidal cyst simple (10080) $560 $700 0.8×
I&d vulva/perineal abscess (56405) $528.80 $661 1.7×
Image Cath Fluid Peri/Retro (49406) $834.40 $1,043 0.5×
Incise external hemorrhoid (46083) $444.80 $556 1.7×
Incision & drainage abscess complicated/multiple (10061) $674.40 $843 1.6×
Incision & removal foreign body subq tiss simple (10120) $619.20 $774 1.5×
Incision and drainage of bartholin's gland abscess (56420) $378.40 $473 1.8×
Incision and drainage perianal abscess superficial (46050) $1,469.60 $1,837 1.5×
Initial tx 1st degree burn local tx (16000) $276.80 $346 1.3×
Inject Tendon Origin/Insert (20551) $305.60 $382 1.0×
Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) $914.40 $1,143 1.3×
Injection aa&/strd trigeminal nerve each branch (64400) $531.20 $664 1.7×
Injection for identification of sentinel node (38792) $1,140 $1,425 2.8×
Injection single/mlt trigger point 1/2 muscles (20552) $488 $610 1.5×
Injection(s) spider veins (36468) $320.80 $401 0.8×
Insert Bladder Cath Complex (51703) $306.40 $383 2.3×
Insert cath pleura w/o image (32556) $1,552.80 $1,941 0.8×
Insert cervical dilator (59200) $468.80 $586 1.5×
Insert non-tunnel cv cath (36556) $1,750.40 $2,188 0.5×
Insert Non-Tunnel Cv Cath < 5 Y/O (36555) $2,208.80 $2,761 0.7×
Insert Temp Bladder Cath (51702) $220.80 $276 1.6×
Insert tun ip cath perc (49418) $6,146.40 $7,683 1.7×
Insert,Non-Indwelling Bladder Catheter (51701) $166.40 $208 1.2×
Insj picc rs&i 5 yr+ (36573) $2,355.20 $2,944 1.4×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
likely a partial charge, not the full procedure
$676 $845 0.1×
Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) $3,195.20 $3,994 2.2×
Intro Gastrointestinal Tube (44500) $664 $830 0.7×
Intubation endotracheal emergency procedure (31500) $558.40 $698 2.3×
Laryngoscopy flexible diagnostic (31575) $878.40 $1,098 4.3×
Ligation of hemorrhoid(s) (46221) $600.80 $751 0.6×
Ligation or biopsy temporal artery (37609) $4,458.40 $5,573 2.6×
Liver Biopsy (47000) $1,490 $1,862.50 0.9×
Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) $444.80 $556 1.0×
Needle insertion w/o injection 1 or 2 muscles (20560) $39.20 $49 1.3×
Needle insertion w/o injection 3 or more muscles (20561) $65.60 $82 2.2×
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $644 $805 0.2×
Njx Sclrsnt Mlt Incmptnt Vn (36471) $579.20 $724 1.4×
Occipital Nerve Block (64405) $590.40 $738 1.9×
Perq dev breast 1st us imag (19285) $365.60 $457 0.5×
Perq device breast 1st imag (19281) $1,908 $2,385 1.1×
Perq replacement gtube not req revj gstrst trc (43762) $552 $690 2.1×
Picc line placement (36569) $1,801.20 $2,251.50 1.1×
Placement of needle for intraosseous infusion (36680) $349.60 $437 0.8×
Plmt Access Thru Biliary Tree Into Small Bwl New (47541)
likely a partial charge, not the full procedure
$418.40 $523 0.1×
Plmt urtrl stent prq pre-existing nfros tract (50693) $2,578.40 $3,223 0.7×
Puncture Aspiration Cyst Breast (19000) $710.40 $888 1.0×
Puncture aspiration of abscess hematoma bulla or cyst (10160) $482.80 $603.50 1.2×
Removal foreign body foot subcutaneous (28190) $1,229.60 $1,537 1.7×
Removal foreign body intranasal (30300) $224 $280 1.6×
Removal foreign body muscle/tendon sheath simple (20520) $2,330.40 $2,913 1.4×
Removal impacted cerumen irrigation/lvg unilat (69209) $171.20 $214 2.8×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $134.40 $168 2.2×
Removal implant deep (20680) $4,792 $5,990 1.6×
Removal of foreign body, external eye; corneal, without slit lamp (65220) $310.40 $388 0.7×
Removal of iud (58301) $546.40 $683 1.7×
Removal of nail bed (11750) $835.20 $1,044 2.0×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $277.60 $347 1.3×
Removal/bivalving gauntlet boot/body cast (29700) $405.60 $507 1.4×
Remv Ext Canal Foreign Body (69200) $198.40 $248 1.4×
Remv F.B.,Eye,Superf Conjunc (65205) $252.80 $316 1.8×
Renal Biopsy Percutaneous (50200) $939.20 $1,174 0.6×
Repair Blood Vessel Direct Upper Extremity (35206) $4,818.40 $6,023 1.5×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $1,040.80 $1,301 1.4×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $1,247.20 $1,559 1.6×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $789.60 $987 1.9×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $1,219.20 $1,524 2.9×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $954.40 $1,193 2.3×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $1,444 $1,805 3.4×
Repair complex trunk 1.1-2.5 cm (13100) $1,634.40 $2,043 2.1×
Repair complex trunk 2.6-7.5 cm (13101) $2,456.80 $3,071 3.2×
Repair extensor tendon finger w/o graft each (26418) $2,976.80 $3,721 1.8×
Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) $770.40 $963 1.8×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $603.20 $754 1.4×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $606.40 $758 1.4×
Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) $653.60 $817 1.6×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $640 $800 1.5×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $669.60 $837 1.6×
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $944 $1,180 2.2×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $902.40 $1,128 1.2×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $533.60 $667 1.3×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $635.20 $794 1.5×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $718.40 $898 0.9×
Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) $1,814.40 $2,268 0.9×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $841.60 $1,052 2.0×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $674.40 $843 1.6×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $689.60 $862 1.6×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $1,130.40 $1,413 1.5×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $741.60 $927 1.8×
Repair intermediate s/a/t/e >30.0 cm (12037) $2,344 $2,930 1.1×
Repair of nail bed (11760) $777.60 $972 1.0×
Repair Tongue Laceration (41250) $380.80 $476 0.8×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $272.80 $341 2.0×
Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) $856 $1,070 1.1×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $304 $380 0.5×
Rpr Lip Full Thickness Vermilion Only (40650) $1,566.40 $1,958 2.8×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $478.40 $598 1.1×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $338.40 $423 1.6×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $356 $445 1.7×
Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) $602.40 $753 1.4×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $404.80 $506 2.0×
Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) $444.80 $556 2.1×
Simple repair f/e/e/n/l/m >30.0 cm (12018) $465.60 $582 2.2×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $324.80 $406 1.6×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $505.60 $632 2.4×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $374.40 $468 1.8×
Skin sub graft face/nk/hf/g (15275) $2,909.60 $3,637 3.8×
Skin sub graft trnk/arm/leg (15271) $1,440 $1,800 1.9×
Skn sub grft f/n/hf/g child (15277) $940 $1,175 0.4×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $342.40 $428 1.7×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $480 $600 1.1×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $514.40 $643 1.2×
Spinal puncture lumbar diagnostic (62270) $905.20 $1,131.50 1.2×
Spinal Puncture Therapeutic (62272) $384 $480 0.5×
Strapping unna boot (29580) $252.80 $316 1.5×
Thoracentesis needle/cath pleura w/o imaging (32554) $1,024 $1,280 1.6×
Thyroid biopsy (60100) $1,350.40 $1,688 1.8×
Tracheostomy Emergency Procedure Transtracheal (31603) $2,320.80 $2,901 1.4×
Treat humerus fracture (23600) $408 $510 1.6×
Treat knee fracture (27532) $856 $1,070 0.3×
Treat Metatarsal Fracture (28475) $594.40 $743 2.3×
Treatment closed elbow dislocation req anes (24605) $1,782.40 $2,228 1.1×
Treatment closed elbow dislocation w/o anes (24600) $526.40 $658 2.1×
Trim skin lesion (11055) $241.60 $302 1.2×
Trim skin lesions 2 to 4 (11056) $244 $305 1.2×
Tube thoracostomy includes water seal (32551) $955.60 $1,194.50 0.6×
Tx Incomplete Abortion Any Trimester Surgical (59812) $3,806.40 $4,758 1.1×
Tx Superficial Wound Dehiscence Simple Closure (12020) $1,283.20 $1,604 1.7×
Unlisted procedure dentoalveolar structures (41899) $3,880 $4,850 15.9×
Unlisted procedure nervous system (64999) $380 $475 1.2×
Unlisted Procedure Vascular Surgery (37799) $3,106 $3,882.50 4.8×
Us urine capacity measure (51798) $192.80 $241 3.2×