Sanford Worthington Medical Center
Sanford Worthington Medical Center in Worthington, MN publishes cash prices for 20 common procedures listed here, from its own machine-readable price file updated Mar 4, 2026. Click a procedure to compare it with other hospitals nearby.
1018 6th Ave, Worthington, MN 56187-2202 Collected Sep 23, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD PELVIS W CONTRAST | $4,127.64 | $5,159.54 | 20% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD PELVIS W CONTRAST | $4,127.64 | $5,159.54 | 20% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WO CONTRAST | $1,795.20 | $2,244.00 | 20% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD WO CONTRAST | $1,795.20 | $2,244.00 | 20% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W CONTRAST | $2,348.80 | $2,936.00 | 20% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W CONTRAST | $2,348.80 | $2,936.00 | 20% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MAMMO DX BILAT INCL CAD | $424.00 | $530.00 | 20% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MAMMO DX BILAT INCL CAD | $424.00 | $530.00 | 20% |
| Diagnostic mammogram, one breast one side CPT 77065 MAMMO DX UNILAT INCL CAD | $382.40 | $478.00 | 20% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMO DX UNILAT INCL CAD | $382.40 | $478.00 | 20% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI LOWER EXT JT WO CONTRAST | $2,912.28 | $3,640.35 | 20% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI LOWER EXT JT WO CONTRAST | $2,912.28 | $3,640.35 | 20% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI LOWER EXT JT WO THEN W CONT | $3,600.80 | $4,501.00 | 20% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI LOWER EXT JT WO THEN W CONT | $3,600.80 | $4,501.00 | 20% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN WO CONTRAST | $3,092.80 | $3,866.00 | 20% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN WO CONTRAST | $3,092.80 | $3,866.00 | 20% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN WO THEN W CONT | $3,875.12 | $4,843.89 | 20% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN WO THEN W CONT | $3,875.12 | $4,843.89 | 20% |
| MRI of the lower back, no contrast dye CPT 72148 MRI L SPINE WO CONTRAST | $3,168.80 | $3,961.00 | 20% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI L SPINE WO CONTRAST | $3,168.80 | $3,961.00 | 20% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PG UTR 2-3TRI SGL 1ST | $929.60 | $1,162.00 | 20% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US PG UTR 2-3TRI SGL 1ST | $929.60 | $1,162.00 | 20% |
| Screening mammogram, both breasts both sides CPT 77067 MAMMO SCREEN BILAT INCL CAD | $482.40 | $603.00 | 20% |
| Screening mammogram, both breasts one side CPT 77067 MAMMO SCREEN UNILAT INCL CAD M52 | $482.40 | $603.00 | 20% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 MAMMO SCREEN BILAT INCL CAD | $482.40 | $603.00 | 20% |
| Screening mammogram, both breasts inpatient one side CPT 77067 MAMMO SCREEN UNILAT INCL CAD M52 | $482.40 | $603.00 | 20% |
| Sleep study in a lab (polysomnography) CPT 95810 SLEEP STUDY PARTIAL 95810 M52 | $3,066.40 | $3,833.00 | 20% |
| Sleep study in a lab (polysomnography) CPT 95810 PSG 4+ PARAMETERS | $4,378.40 | $5,473.00 | 20% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 SLEEP STUDY PARTIAL 95810 M52 | $3,066.40 | $3,833.00 | 20% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 PSG 4+ PARAMETERS | $4,378.40 | $5,473.00 | 20% |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL | $718.40 | $898.00 | 20% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL | $718.40 | $898.00 | 20% |
| Ultrasound of the abdomen, complete CPT 76700 US ABD COMPLETE | $936.80 | $1,171.00 | 20% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US ABD COMPLETE | $936.80 | $1,171.00 | 20% |
| X-ray of the lower back, 4 or more views CPT 72110 RAD EXAM SPINE LUMB MIN 4 VWS | $392.00 | $490.00 | 20% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 RAD EXAM SPINE LUMB MIN 4 VWS | $392.00 | $490.00 | 20% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| New patient office visit, about 30 minutes CPT 99203 NEW AMS OR CONSULT PATIENT LVL 3 | $154.40 | $193.00 | 20% |
| New patient office visit, about 30 minutes CPT 99203 NEW OB CHECK LVL3 | $565.60 | $707.00 | 20% |
| New patient office visit, about 30 minutes CPT 99203 NEW OB CHECK LVL 3 W MOD 25 | $565.60 | $707.00 | 20% |
| New patient office visit, about 30 minutes inpatient CPT 99203 NEW AMS OR CONSULT PATIENT LVL 3 | $154.40 | $193.00 | 20% |
| New patient office visit, about 30 minutes inpatient CPT 99203 NEW OB CHECK LVL 3 W MOD 25 | $565.60 | $707.00 | 20% |
| New patient office visit, about 30 minutes inpatient CPT 99203 NEW OB CHECK LVL3 | $565.60 | $707.00 | 20% |
| New patient office visit, about 45 minutes CPT 99204 NEW AMS OR CONSULT PATIENT LVL 4 | $180.80 | $226.00 | 20% |
| New patient office visit, about 45 minutes CPT 99204 NEW OB CHECK LVL4 | $792.80 | $991.00 | 20% |
| New patient office visit, about 45 minutes CPT 99204 NEW OB CHECK LVL 4 W MOD 25 | $792.80 | $991.00 | 20% |
| New patient office visit, about 45 minutes inpatient CPT 99204 NEW AMS OR CONSULT PATIENT LVL 4 | $180.80 | $226.00 | 20% |
| New patient office visit, about 45 minutes inpatient CPT 99204 NEW OB CHECK LVL 4 W MOD 25 | $792.80 | $991.00 | 20% |
| New patient office visit, about 45 minutes inpatient CPT 99204 NEW OB CHECK LVL4 | $792.80 | $991.00 | 20% |
| New patient office visit, about 60 minutes CPT 99205 NEW AMS OR CONSULT PATIENT LVL 5 | $235.20 | $294.00 | 20% |
| New patient office visit, about 60 minutes CPT 99205 NEW OB CHECK LVL 5 W MOD 25 | $1,170.40 | $1,463.00 | 20% |
| New patient office visit, about 60 minutes CPT 99205 NEW OB CHECK LVL5 | $1,170.40 | $1,463.00 | 20% |
| New patient office visit, about 60 minutes inpatient CPT 99205 NEW AMS OR CONSULT PATIENT LVL 5 | $235.20 | $294.00 | 20% |
| New patient office visit, about 60 minutes inpatient CPT 99205 NEW OB CHECK LVL5 | $1,170.40 | $1,463.00 | 20% |
| New patient office visit, about 60 minutes inpatient CPT 99205 NEW OB CHECK LVL 5 W MOD 25 | $1,170.40 | $1,463.00 | 20% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THER EXERCISE EA 15 MIN 97110 | $124.32 | $155.40 | 20% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THER EXERCISE EA 15 MIN 97110 | $124.32 | $155.40 | 20% |