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SANFORD HOSPITAL LUVERNE

Hospital

1600 NORTH KNISS AVENUE

LUVERNE, MN, 56156

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Procedure Prices at SANFORD HOSPITAL LUVERNE

Blood Draw From Vein Using Needle

CPT 36415

$8.75

Lab Test - Complete Blood Cell Count With White Blood Cell Percentage

CPT 85025

$15.24

Chest X-Ray (1 view)

CPT 71045

$27.54

Mechanical Traction

CPT 97012

$32.02

Lab Test - Comprehensive Metabolic Panel

CPT 80053

$36.11

Chest X-Ray (2 views)

CPT 71046

$49.36

Outpatient Clinic Visit Established Patient Level III

CPT 99213

$51.22

Therapeutic Exercises

CPT 97110

$58.24

EKG Tracing

CPT 93005

$62.57

Therapeutic Activities

CPT 97530

$63.24

Thoracic Spine X-Ray

CPT 72072

$79.26

Individual Psychotherapy Session for 60 Minutes

CPT 90837

$112.57

Screening Mammogram (bilateral)

CPT 77067

$133.56

Diagnostic Mammogram (unilateral)

CPT 77065

$216.51

Diagnostic Mammogram (bilateral)

CPT 77066

$265.1

Abdominal Ultrasound — Limited

CPT 76705

$269.51

Retroperitoneal Ultrasound

CPT 76770

$329.45

Abdominal Ultrasound

CPT 76700

$369.35

OB Ultrasound

CPT 76805

$396.55

ER Visit — Low-Moderate Complexity

CPT 99283

$621.31

Colonoscopy w/ Biopsy

CPT 45380

$710.2

ER Visit — Moderate Complexity

CPT 99284

$739.7

ER Visit — High Complexity

CPT 99285

$816.09

Upper GI Endoscopy w/ Biopsy

CPT 43239

$886.51

Colonoscopy

CPT 45378

$1,149.39

Echocardiogram w/ Doppler

CPT 93306

$1,158.6

CT Chest

CPT 71250

$1,170.18

MRI Joint of Lower Extremity

CPT 73721

$1,230.67

MRI Brain w/o Contrast

CPT 70551

$1,330.86

CT Abdomen & Pelvis

CPT 74177

$1,970.16

MRI Brain w/ Contrast

CPT 70553

$2,138.92

Inguinal Hernia Repair

CPT 49505

$2,536.47

Cataract Surgery

CPT 66984

$4,263.31

Laparoscopic Cholecystectomy

CPT 47562

$5,892.28

Recurrent Inguinal Hernia Repair

CPT 49520

$6,054.93

Cataract Surgery — Complex

CPT 66982

$8,665.28

Laparoscopic Hernia Repair

CPT 49650

$8,995.23

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Prices sourced from federally mandated hospital price transparency files. Cash prices reflect self-pay discounted rates. Negotiated rates vary by insurance plan. Data may not reflect current pricing — always confirm with the hospital before scheduling.