Sanford Jackson Hospital
Sanford Jackson Hospital in Jackson, MN publishes cash prices for 32 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.
1430 N Highway, Jackson, MN 56143-1098 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 | $4,629.60 | $5,787.00 | 20% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD PELVIS W CONTRAST | $4,629.60 | $5,787.00 | 20% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WO CONTRAST | $2,173.60 | $2,717.00 | 20% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD WO CONTRAST | $2,173.60 | $2,717.00 | 20% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W CONTRAST | $2,402.40 | $3,003.00 | 20% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W CONTRAST | $2,402.40 | $3,003.00 | 20% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI LOWER EXT JT WO CONTRAST | $2,927.20 | $3,659.00 | 20% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI LOWER EXT JT WO CONTRAST | $2,927.20 | $3,659.00 | 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 | $4,003.20 | $5,004.00 | 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 | $4,003.20 | $5,004.00 | 20% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN WO CONTRAST | $3,124.00 | $3,905.00 | 20% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN WO CONTRAST | $3,124.00 | $3,905.00 | 20% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN WO THEN W CONT | $4,316.00 | $5,395.00 | 20% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN WO THEN W CONT | $4,316.00 | $5,395.00 | 20% |
| MRI of the lower back, no contrast dye CPT 72148 MRI L SPINE WO CONTRAST | $3,192.00 | $3,990.00 | 20% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI L SPINE WO CONTRAST | $3,192.00 | $3,990.00 | 20% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PG UTR 2-3TRI SGL 1ST | $1,016.80 | $1,271.00 | 20% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US PG UTR 2-3TRI SGL 1ST | $1,016.80 | $1,271.00 | 20% |
| Screening mammogram, both breasts both sides CPT 77067 MAMMO SCREEN BILAT INCL CAD | $512.80 | $641.00 | 20% |
| Screening mammogram, both breasts one side CPT 77067 MAMMO SCREEN UNILAT INCL CAD M52 | $512.80 | $641.00 | 20% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 MAMMO SCREEN BILAT INCL CAD | $512.80 | $641.00 | 20% |
| Screening mammogram, both breasts inpatient one side CPT 77067 MAMMO SCREEN UNILAT INCL CAD M52 | $512.80 | $641.00 | 20% |
| Sleep study in a lab (polysomnography) CPT 95810 SLEEP STUDY PARTIAL 95810 M52 | $4,597.60 | $5,747.00 | 20% |
| Sleep study in a lab (polysomnography) CPT 95810 PSG 4+ PARAMETERS | $4,597.60 | $5,747.00 | 20% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 SLEEP STUDY PARTIAL 95810 M52 | $4,597.60 | $5,747.00 | 20% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 PSG 4+ PARAMETERS | $4,597.60 | $5,747.00 | 20% |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL | $900.00 | $1,125.00 | 20% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL | $900.00 | $1,125.00 | 20% |
| Ultrasound of the abdomen, complete CPT 76700 US ABD COMPLETE | $1,082.40 | $1,353.00 | 20% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US ABD COMPLETE | $1,082.40 | $1,353.00 | 20% |
| X-ray of the lower back, 4 or more views CPT 72110 RAD EXAM SPINE LUMB MIN 4 VWS | $771.20 | $964.00 | 20% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 RAD EXAM SPINE LUMB MIN 4 VWS | $771.20 | $964.00 | 20% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL 80048 | $112.80 | $141.00 | 20% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL 80048 | $112.80 | $141.00 | 20% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL 80061 | $147.20 | $184.00 | 20% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL 80061 | $147.20 | $184.00 | 20% |
| Complete blood count (CBC) with differential CPT 85025 COMPLETE CBC W/AUTO DIFF WBC 85025 | $120.00 | $150.00 | 20% |
| Complete blood count (CBC) with differential inpatient CPT 85025 COMPLETE CBC W/AUTO DIFF WBC 85025 | $120.00 | $150.00 | 20% |
| Complete blood count (CBC), no differential CPT 85027 BLOOD COUNT COMPLETE AUTOMATED 85027 | $70.40 | $88.00 | 20% |
| Complete blood count (CBC), no differential inpatient CPT 85027 BLOOD COUNT COMPLETE AUTOMATED 85027 | $70.40 | $88.00 | 20% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL 80053 | $188.80 | $236.00 | 20% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL 80053 | $188.80 | $236.00 | 20% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL 80069 | $144.80 | $181.00 | 20% |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL 80069 | $144.80 | $181.00 | 20% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL 80076 | $101.60 | $127.00 | 20% |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL 80076 | $101.60 | $127.00 | 20% |
| Obstetric blood test panel CPT 80055 OBSTETRIC PANEL 80055 | $418.40 | $523.00 | 20% |
| Obstetric blood test panel inpatient CPT 80055 OBSTETRIC PANEL 80055 | $418.40 | $523.00 | 20% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PROSTATE HEALTH INDEX SERUM 84154.900 | $57.60 | $72.00 | 20% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE 84154 | $106.40 | $133.00 | 20% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PROSTATE HEALTH INDEX SERUM 84154.900 | $57.60 | $72.00 | 20% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE 84154 | $106.40 | $133.00 | 20% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 CDMR ASSAY OF PSA TOTAL 84153 | $89.60 | $112.00 | 20% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE HEALTH INDEX SO 84153.900 | $89.60 | $112.00 | 20% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 CDMR ASSAY OF PSA TOTAL 84153 | $89.60 | $112.00 | 20% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE HEALTH INDEX SO 84153.900 | $89.60 | $112.00 | 20% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTIAL PLASMA WHOLE BLOOD (PTT) 85730 | $82.40 | $103.00 | 20% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME PARTIAL PLASMA WHOLE BLOOD (PTT) 85730 | $82.40 | $103.00 | 20% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PT INR FINGERSTICK-QW 85610 | $25.60 | $32.00 | 20% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME 85610 | $70.40 | $88.00 | 20% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT INR FINGERSTICK-QW 85610 | $25.60 | $32.00 | 20% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTIME 85610 | $70.40 | $88.00 | 20% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE (TSH) 84443 | $124.00 | $155.00 | 20% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIMULATING HORMONE (TSH) 84443 | $124.00 | $155.00 | 20% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO W/SCOPE 81001 | $58.40 | $73.00 | 20% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS AUTO W/SCOPE 81001 | $58.40 | $73.00 | 20% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS-DIPSTICK ONLY 81003 | $40.00 | $50.00 | 20% |
| Urinalysis without microscope exam, automated CPT 81003 URINE AUTO NO MICRO SGL ANALYT | $46.40 | $58.00 | 20% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS-DIPSTICK ONLY 81003 | $40.00 | $50.00 | 20% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINE AUTO NO MICRO SGL ANALYT | $46.40 | $58.00 | 20% |
| Urinalysis without microscope exam, manual CPT 81002 CLINITEST DIPSTICK TABLET81002 | $33.60 | $42.00 | 20% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 CLINITEST DIPSTICK TABLET81002 | $33.60 | $42.00 | 20% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Cataract surgery with lens implant CPT 66984 SURG 66984 EXTRACAP CATARCT RMVL INSERT IO LENS PROSTH W/O ECP | $7,164.00 | $8,955.00 | 20% |
| Cataract surgery with lens implant inpatient CPT 66984 SURG 66984 EXTRACAP CATARCT RMVL INSERT IO LENS PROSTH W/O ECP | $7,164.00 | $8,955.00 | 20% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THER EXERCISE EA 15 MIN 97110 | $117.60 | $147.00 | 20% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THER EXERCISE EA 15 MIN 97110 | $117.60 | $147.00 | 20% |