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SANFORD MEDICAL CENTER WHEATON

Hospital

401 12TH STREET NORTH

WHEATON, MN, 56296

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Procedure Prices at SANFORD MEDICAL CENTER WHEATON

Blood Draw From Vein Using Needle

CPT 36415

$14.33

EKG Tracing

CPT 93005

$24

Therapeutic Activities

CPT 97530

$38.92

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

CPT 85025

$40.96

Outpatient Clinic Visit Established Patient Level III

CPT 99213

$52.84

Therapeutic Exercises

CPT 97110

$52.97

Lab Test - Comprehensive Metabolic Panel

CPT 80053

$56.26

Chest X-Ray (2 views)

CPT 71046

$70.6

Individual Psychotherapy Session for 60 Minutes

CPT 90837

$82.88

Chest X-Ray (1 view)

CPT 71045

$94.6

Mechanical Traction

CPT 97012

$98.64

Screening Mammogram (bilateral)

CPT 77067

$121.38

ER Visit — Low-Moderate Complexity

CPT 99283

$155.69

ER Visit — Moderate Complexity

CPT 99284

$164.04

Thoracic Spine X-Ray

CPT 72072

$171.36

Diagnostic Mammogram (unilateral)

CPT 77065

$210.53

Diagnostic Mammogram (bilateral)

CPT 77066

$254.16

ER Visit — High Complexity

CPT 99285

$280.72

Abdominal Ultrasound — Limited

CPT 76705

$299.18

Colonoscopy w/ Biopsy

CPT 45380

$370.9

Retroperitoneal Ultrasound

CPT 76770

$406.37

Colonoscopy

CPT 45378

$529.87

Abdominal Ultrasound

CPT 76700

$679.14

OB Ultrasound

CPT 76805

$755.87

Upper GI Endoscopy w/ Biopsy

CPT 43239

$760.3

Echocardiogram w/ Doppler

CPT 93306

$787.31

CT Chest

CPT 71250

$908.37

CT Abdomen & Pelvis

CPT 74177

$1,190.69

MRI Brain w/o Contrast

CPT 70551

$1,381.82

MRI Brain w/ Contrast

CPT 70553

$1,521.65

MRI Joint of Lower Extremity

CPT 73721

$1,833.2

Repair of Shoulder Rotator Cuff Using Arthroscope

CPT 29827

$2,506.32

Cataract Surgery

CPT 66984

$2,523.33

Inguinal Hernia Repair

CPT 49505

$2,805.78

Laparoscopic Hernia Repair

CPT 49650

$3,886.43

Laparoscopic Cholecystectomy

CPT 47562

$14,067.51

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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.