Visits & medical services prices at Sanford Worthington Medical Center
Worthington, MN · every code in this section with a posted price and a Medicare benchmark.
166 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admn Sarscov2 Vacc 1 Dose (90480) | $71.20 | $89 | 1.7× |
| Airway Inhalation Treatment (94640) range across 11 matching MRF lines |
$64.80–$252 | $81–$315 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $101.60 | $127 | 7.1× |
| Application on-body injector (96377) | $112.80 | $141 | 2.3× |
| Assessment of aphasia per hr (96105) | $196.80 | $246 | 2.0× |
| Behavral qualit analys voice (92524) | $276.80 | $346 | 2.5× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $155.20 | $194 | 1.9× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $347.20 | $434 | 0.9× |
| Canalith repositioning proc (95992) | $139.20 | $174 | 3.4× |
| Car seat/bed test 60 min (94780) | $72.80 | $91 | 1.9× |
| Cardiac Stress Tst,Tracing Only (93017) | $1,184 | $1,480 | 5.3× |
| Cardiopulmonary resuscitation (92950) | $830.40 | $1,038 | 3.7× |
| Cardioversion (92960) range across 2 matching MRF lines |
$1,061.60–$1,652.80 | $1,327–$2,066 | varies |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $63.20 | $79 | 2.4× |
| Cbt 1st hour (94644) | $300 | $375 | 2.2× |
| Chemo Anti-Neopl Sq/Im (96401) | $192.80 | $241 | 2.6× |
| Chemo Hormon Antineopl Sq/Im (96402) | $192.80 | $241 | 2.6× |
| Chemo IV infusion addl hr (96415) | $220 | $275 | 3.0× |
| Chemo IV push addl drug (96411) | $292.80 | $366 | 3.9× |
| Chemother Prolong Infuse W/Pump (96416) | $560 | $700 | 1.6× |
| Chemotherapy Unspecified (96549) | $197.60 | $247 | 4.1× |
| Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) | $493.60 | $617 | 1.4× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $220 | $275 | 3.0× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $473.80 | $592.25 | 1.4× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $292.80 | $366 | 0.9× |
| Chest Wall Manipulation (94668) | $116.80 | $146 | 0.9× |
| Color/duplex Doppler, complete (93975) | $916 | $1,145 | 3.7× |
| Color/duplex Doppler, limited (93976) | $832.80 | $1,041 | 7.7× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $109.60 | $137 | 3.4× |
| Comprehensive Hearing Test (92557) | $184 | $230 | 1.4× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $342.40 | $428 | 2.5× |
| Continuous Pulse Ox (94762) | $372 | $465 | 2.8× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 5 matching MRF lines |
$631.20–$838.40 | $789–$1,048 | varies |
| Cpt initial (94667) | $188.80 | $236 | 1.4× |
| Critical care first hour (99291) | $1,664 | $2,080 | 2.0× |
| Debridement Open Wound 20 Sq Cm< (97597) | $364 | $455 | 1.8× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $864 | $1,080 | 3.5× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $644 | $805 | 6.0× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $1,392.80 | $1,741 | 5.7× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $1,098.40 | $1,373 | 10.2× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,261.60 | $1,577 | 5.1× |
| Dup-scan xtr veins unilateral/limited study (93971) | $928 | $1,160 | 8.6× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $868 | $1,085 | 3.5× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $454.40 | $568 | 4.2× |
| Duplex Scan Hemodialysis Access (93990) | $391.20 | $489 | 3.6× |
| Duplex up extrem art bilat (93930) | $1,127.20 | $1,409 | 4.6× |
| Duplex up extrem art unilat/ltd (93931) | $792 | $990 | 7.3× |
| Echo Congenital Complete (93303) | $2,061.60 | $2,577 | 3.7× |
| Echo Heart Xthoracic,Limited (93308) | $1,071.20 | $1,339 | 4.3× |
| Echo transesophageal (93312) | $2,693.60 | $3,367 | 4.8× |
| Eeg 41-60 Minutes (95812) | $768 | $960 | 3.4× |
| EEG awake and asleep (95819) | $1,161.60 | $1,452 | 5.2× |
| EEG awake drowsy (95816) range across 2 matching MRF lines |
$696.80–$768 | $871–$960 | varies |
| Electrical Stimulation Ea 15 Min (97032) | $104 | $130 | 7.1× |
| Electrocardiogram Tracing (93005) | $123.20 | $154 | 2.0× |
| Emergency Dept Visit Level 2 (99282) | $432.80 | $541 | 2.7× |
| Emergency Dept Visit Level 3 (99283) | $668 | $835 | 2.4× |
| Emergency Dept Visit Level 4 (99284) | $880 | $1,100 | 2.0× |
| Er level 1 (99281) | $256 | $320 | 2.9× |
| Er level v (99285) | $1,335.20 | $1,669 | 2.2× |
| Evaluate pt use of inhaler (94664) range across 3 matching MRF lines |
$128.80–$164 | $161–$205 | varies |
| Evaluate Speech Production (92522) | $267.20 | $334 | 2.4× |
| Evaluate Swallowing Function (92610) | $304.80 | $381 | 3.6× |
| Evaluation of speech fluency (92521) | $348 | $435 | 2.6× |
| Evoked Auditory Test,Limited (92587) | $199.20 | $249 | 0.9× |
| External Ecg Scanning Analysis Report (93226) | $776.80 | $971 | 12.8× |
| Extracranial Bilat Study (93880) | $1,120.80 | $1,401 | 4.6× |
| Extracranial Uni/Ltd Study (93882) | $784.80 | $981 | 7.3× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $1,439.20 | $1,799 | 2.6× |
| Flexible endoscopic eval swallow c/v rec (92612) | $464 | $580 | 2.3× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $1,940.80 | $2,426 | 2.2× |
| Holter monitor recording (93225) | $476 | $595 | 3.5× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $38.40 | $48 | 0.5× |
| Immunization administration (90471) | $94.40 | $118 | 1.3× |
| Iontophoresis 15 min (97033) | $124 | $155 | 6.5× |
| Irrig Drug Delivery Device (96523) | $122.40 | $153 | 2.0× |
| IV infusion hydration each additional hour (96361) range across 2 matching MRF lines |
$83.20–$186.40 | $104–$233 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$265.60–$440.80 | $332–$551 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) | $232.80 | $291 | 3.1× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $198.40 | $248 | 4.1× |
| IV push initial (96374) range across 2 matching MRF lines |
$166.40–$166.52 | $208–$208.15 | varies |
| Lung Function Test (Mbc/Mvv) (94200) | $95.20 | $119 | 1.6× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $1,097.60 | $1,372 | 4.9× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $40 | $50 | 1.3× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $48.80 | $61 | 1.3× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $39.20 | $49 | 2.3× |
| Methacholine challenge (94070) | $1,046.40 | $1,308 | 2.7× |
| Motion Fluoroscopy/Swallow (92611) | $288 | $360 | 3.1× |
| Multiple Sleep Latency Test (95805) | $3,138.40 | $3,923 | 3.5× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $192.80 | $241 | 0.5× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $192.80 | $241 | 0.5× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $122.40 | $153 | 0.6× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $151.20 | $189 | 0.4× |
| Nerve Conduction Studies 1-2 Studies (95907) | $370.40 | $463 | 1.7× |
| Nerve Conduction Studies 11-12 Studies (95912) | $1,861.60 | $2,327 | 4.8× |
| Nerve conduction studies 13 or more studies (95913) | $2,173.60 | $2,717 | 5.6× |
| Nerve Conduction Studies 3-4 Studies (95908) | $680.80 | $851 | 3.1× |
| Nerve conduction studies 5-6 studies (95909) | $981.60 | $1,227 | 4.4× |
| Nerve conduction studies 7-8 studies (95910) | $1,190.40 | $1,488 | 3.1× |
| Nerve Conduction Studies 9-10 Studies (95911) | $1,551.20 | $1,939 | 4.0× |
| Neuromuscular Reeducation (97112) | $113.60 | $142 | 3.5× |
| Oral Function Therapy (92526) | $193.60 | $242 | 2.3× |
| Oral Speech Device Eval (92597) | $264.80 | $331 | 3.7× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $129.60 | $162 | 2.6× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $113.60 | $142 | 2.5× |
| Ot Contrast Bath Ea 15 Min (97034) | $101.60 | $127 | 7.2× |
| Ot eval high complexity (97167) | $266.40 | $333 | 2.6× |
| Ot Eval Low Complex (97165) | $240.80 | $301 | 2.4× |
| Ot Eval Moderate Complexity (97166) | $248 | $310 | 2.5× |
| Ot manual therapy 15 min (97140) | $120.96 | $151.20 | 4.4× |
| Ot paraffin bath (97018) | $97.60 | $122 | 16.2× |
| Ot Prosthetic Training, Each 15 Min (97761) | $113.60 | $142 | 2.8× |
| Ot Re-Eval Est Plan Care (97168) | $135.20 | $169 | 2.0× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $217.60 | $272 | 1.6× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $178.40 | $223 | 1.3× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $348 | $435 | 1.5× |
| Peripheral arterial disease rehab per session (93668) | $112 | $140 | 1.8× |
| Phlebotomy therapeutic (99195) | $216 | $270 | 1.6× |
| Physical Performance Test (97750) | $116.80 | $146 | 3.5× |
| Plethysmography (94726) | $302.40 | $378 | 0.8× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 2 matching MRF lines |
$4,212–$4,364.80 | $5,265–$5,456 | varies |
| Pt Eval High Complex (97163) | $241.60 | $302 | 2.5× |
| Pt eval low complex 20 min (97161) | $219.20 | $274 | 2.2× |
| Pt Eval Mod Complex (97162) | $225.60 | $282 | 2.3× |
| Pt gait training 15 min (97116) | $109.60 | $137 | 3.8× |
| Pt group caregiver training (97552) | $53.60 | $67 | 2.4× |
| Pt mechanical traction (97012) | $100.80 | $126 | 7.0× |
| Pt Re-Eval Est Plan Care (97164) | $135.20 | $169 | 2.0× |
| Pulmonary service/procedure (94799) | $110.40 | $138 | 0.8× |
| Pulmonary Stress Testing (94618) | $325.60 | $407 | 2.4× |
| Refill/Maint Portable Pump (96521) | $365.60 | $457 | 1.7× |
| Respiratory flow volume loop (94375) | $134.40 | $168 | 0.6× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $91.20 | $114 | 1.5× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $148.80 | $186 | 0.7× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $321.60 | $402 | 2.6× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $61.60 | $77 | 1.3× |
| Self Care Mngment Training (97535) | $113.60 | $142 | 3.5× |
| Sensory Integration Ea 15 Min (97533) | $113.60 | $142 | 1.9× |
| Slp caregiver training 1st 30 min (97550) | $127.20 | $159 | 2.4× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $608 | $760 | 2.7× |
| Speech sound lang comprehen (92523) | $477.60 | $597 | 2.1× |
| Spirometry (94010) | $188.80 | $236 | 0.8× |
| Standardized Cognitive Performance Testing (96125) | $319.20 | $399 | 3.1× |
| Stress Tte Only (93350) range across 2 matching MRF lines |
$2,068–$2,179.20 | $2,585–$2,724 | varies |
| Temp transcutaneous pacing (92953) | $731.20 | $914 | 1.1× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $103.20 | $129 | 4.6× |
| Ther Ivntj Ea Addl 15 Min (97130) | $57.60 | $72 | 2.7× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $125.60 | $157 | 3.4× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $266.40 | $333 | 2.6× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 4 matching MRF lines |
$20–$148.80 | $25–$186 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $501.60 | $627 | 2.3× |
| Therapeutic Activities (97530) | $117.04 | $146.30 | 3.3× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $57.60 | $72 | 1.5× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $50.40 | $63 | 1.3× |
| Tte w/doppler, complete (93306) | $2,164.80 | $2,706 | 3.8× |
| Tte W/O Doppler Complete (93307) | $1,672.80 | $2,091 | 6.8× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $297.44 | $371.80 | 3.9× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 4 matching MRF lines |
$20–$166.52 | $25–$208.15 | varies |
| Tympanometry (92567) | $88.80 | $111 | 2.3× |
| Upr/L Xtremity Art 2 Levels (93922) range across 2 matching MRF lines |
$527.20–$1,043.20 | $659–$1,304 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $840.80 | $1,051 | 3.8× |
| Vasopneumatic device (97016) | $68 | $85 | 5.7× |
| Vent Mgmt Inpat Init Day (94002) | $1,500 | $1,875 | 2.4× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $1,348 | $1,685 | 2.1× |
| Wheelchair Mgmt Ea 15 Min (97542) | $110.40 | $138 | 3.6× |
| Whirlpool Therapy (97022) range across 2 matching MRF lines |
$110.40–$112 | $138–$140 | varies |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.