Sanford Luverne Medical Center

1600 N Kniss Avenue P O Box 1019, Luverne, MN 56156 · (507) 283-2321

Critical Access HospitalsVoluntary non-profit - PrivateSioux Falls, SD-MN metro

Price file

Prices published

File dated 2026-03-04

2,059 price rows for 52 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048 · lowest of 2 lines · metro median $67

$61

cash

$27 to $116

45 negotiated rates

$76

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 2 lines · metro median $3,592

$4,336

cash

$375 to $5,127

46 negotiated rates

$5,420

list

CT scan of the head, no contrast

CPT 70450 · lowest of 2 lines · metro median $1,777

$1,883

cash

$112 to $2,227

46 negotiated rates

$2,354

list

CT scan of the pelvis, with contrast

CPT 72193 · lowest of 2 lines · metro median $1,930

$2,607

cash

$187 to $3,083

46 negotiated rates

$3,259

list

Cataract surgery with lens implant

CPT 66984

—

cash

$2,395 to $2,395

1 negotiated rates

—

list

Chlamydia test (DNA)

CPT 87491 · lowest of 6 lines · metro median $114

$114

cash

$35 to $223

135 negotiated rates

$143

list

Colonoscopy (diagnostic)

CPT 45378

—

cash

$957 to $2,742

4 negotiated rates

—

list

Colonoscopy with biopsy

CPT 45380

—

cash

$1,191 to $2,383

4 negotiated rates

—

list

Colonoscopy with polyp removal

CPT 45385

—

cash

$1,191 to $2,383

4 negotiated rates

—

list

Complete blood count (CBC) with differential

CPT 85025 · lowest of 2 lines · metro median $50

$50

cash

$22 to $83

45 negotiated rates

$62

list

Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 2 lines · metro median $79

$72

cash

$32 to $149

45 negotiated rates

$90

list

Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 2 lines · metro median $550

$550

cash

$167 to $651

45 negotiated rates

$688

list

Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 2 lines · metro median $350

$350

cash

$106 to $414

45 negotiated rates

$438

list

Family psychotherapy with the patient

CPT 90847

—

cash

$169 to $169

1 negotiated rates

—

list

Family psychotherapy without the patient

CPT 90846

—

cash

$169 to $169

1 negotiated rates

—

list

Gallbladder removal (laparoscopic)

CPT 47562

—

cash

$6,126 to $6,126

1 negotiated rates

—

list

Gonorrhea test (DNA)

CPT 87591 · lowest of 6 lines · metro median $86

$86

cash

$26 to $179

135 negotiated rates

$108

list

Group psychotherapy

CPT 90853 · lowest of 4 lines · metro median $86

$86

cash

$26 to $256

92 negotiated rates

$107

list

Inguinal hernia repair (age 5 and up)

CPT 49505

—

cash

$3,706 to $3,706

1 negotiated rates

—

list

Knee arthroscopy with meniscus repair

CPT 29881

—

cash

$3,407 to $3,407

1 negotiated rates

—

list

Laser treatment after cataract surgery (YAG)

CPT 66821

—

cash

$576 to $576

1 negotiated rates

—

list

Left heart catheterization

CPT 93452

—

cash

$3,377 to $3,377

1 negotiated rates

—

list

Lipid panel (cholesterol test)

CPT 80061 · lowest of 2 lines · metro median $75

$78

cash

$34 to $94

45 negotiated rates

$97

list

Liver function panel

CPT 80076 · lowest of 2 lines · metro median $51

$48

cash

$15 to $57

45 negotiated rates

$60

list

MRI of the brain, with and without contrast

CPT 70553 · lowest of 2 lines · metro median $3,768

$4,024

cash

$375 to $4,758

46 negotiated rates

$5,030

list

MRI of the knee or other lower joint, no contrast

CPT 73721 · lowest of 2 lines · metro median $2,696

$2,682

cash

$254 to $3,172

46 negotiated rates

$3,353

list

MRI of the lower back (lumbar spine), no contrast

CPT 72148 · lowest of 2 lines · metro median $2,981

$2,875

cash

$254 to $3,400

46 negotiated rates

$3,594

list

MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 2 lines · metro median $2,950

$2,950

cash

$254 to $3,489

46 negotiated rates

$3,688

list

Nerve block injection, lower back, with imaging guidance

CPT 64483

—

cash

$935 to $935

1 negotiated rates

—

list

PSA test (prostate)

CPT 84153 · lowest of 2 lines · metro median $90

$90

cash

$27 to $106

45 negotiated rates

$112

list

Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 2 lines · metro median $42

$34

cash

$10 to $41

45 negotiated rates

$43

list

Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 2 lines · metro median $118

$110

cash

$49 to $131

45 negotiated rates

$138

list

Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 2 lines · metro median $853

$853

cash

$112 to $1,008

46 negotiated rates

$1,066

list

Prostate biopsy

CPT 55700

—

cash

$2,151 to $2,151

1 negotiated rates

—

list

Prostate removal (laparoscopic)

CPT 55866

—

cash

$10,932 to $10,932

1 negotiated rates

—

list

Prothrombin time (blood clotting test)

CPT 85610 · lowest of 6 lines · metro median $33

$30

cash

$9 to $38

135 negotiated rates

$37

list

Psychotherapy, 30 minutes

CPT 90832

—

cash

$169 to $169

1 negotiated rates

—

list

Psychotherapy, 45 minutes

CPT 90834

—

cash

$169 to $169

1 negotiated rates

—

list

Psychotherapy, 60 minutes

CPT 90837

—

cash

$169 to $169

1 negotiated rates

—

list

Removal of a breast lump (biopsy by excision)

CPT 19120

—

cash

$4,021 to $4,021

1 negotiated rates

—

list

Screening mammogram (both breasts)

CPT 77067 · lowest of 4 lines · metro median $323

$454

cash

$165 to $575

90 negotiated rates

$568

list

Sleep study (overnight, attended)

CPT 95810 · lowest of 2 lines · metro median $3,947

$4,214

cash

$1,068 to $4,984

46 negotiated rates

$5,268

list

Spinal injection, lower back, no imaging guidance

CPT 62322

—

cash

$935 to $935

1 negotiated rates

—

list

Spinal injection, lower back, with imaging guidance

CPT 62323

—

cash

$727 to $727

1 negotiated rates

—

list

TSH test (thyroid)

CPT 84443 · lowest of 2 lines · metro median $86

$90

cash

$40 to $107

45 negotiated rates

$113

list

Tonsils and adenoids removal (under age 12)

CPT 42820

—

cash

$6,211 to $6,211

1 negotiated rates

—

list

Transvaginal ultrasound

CPT 76830 · lowest of 2 lines · metro median $695

$762

cash

$112 to $901

46 negotiated rates

$952

list

Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 2 lines · metro median $803

$803

cash

$112 to $950

46 negotiated rates

$1,004

list

Upper endoscopy (EGD)

CPT 43235

—

cash

$984 to $2,270

4 negotiated rates

—

list

Upper endoscopy with biopsy

CPT 43239

—

cash

$984 to $2,270

4 negotiated rates

—

list

Urinalysis with microscope

CPT 81001 · lowest of 2 lines · metro median $32

$32

cash

$10 to $38

45 negotiated rates

$40

list

X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 2 lines · metro median $458

$321

cash

$97 to $379

46 negotiated rates

$401

list

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.

https://sthpiprd.blob.core.windows.net/machine-readable-files/8367/460388596_sanford-luverne-medical-center_standardcharges.csv
Sanford Luverne Medical Center · parsed · tall v3.0.0 · file dated 2026-03-04 · 79.5 MB · 2059 price rows read · read Nov 2026