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Sanford Wheaton Medical Center

401 12Th Street North, Wheaton, MN 56296 · (320) 563-8226

Critical Access HospitalsVoluntary non-profit - Private

Price file

Prices published

File dated 2026-03-04

1,759 price rows for 53 procedures

Published prices

cash · negotiated range · list
Basic metabolic panel (blood test)

CPT 80048 · lowest of 2 lines

$107
cash
$2,489
cash
CT scan of the head, no contrast

CPT 70450 · lowest of 2 lines

$1,663
cash
CT scan of the pelvis, with contrast

CPT 72193 · lowest of 2 lines

$2,115
cash
—
cash
Chlamydia test (DNA)

CPT 87491 · lowest of 6 lines

$98
cash
—
cash
—
cash
—
cash
Complete blood count (CBC) with differential

CPT 85025 · lowest of 2 lines

$90
cash
Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 2 lines

$123
cash
Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 2 lines

$523
cash
$258
cash
—
cash
—
cash
—
cash
Gonorrhea test (DNA)

CPT 87591 · lowest of 6 lines

$86
cash
—
cash
—
cash
—
cash
—
cash
—
cash
Lipid panel (cholesterol test)

CPT 80061 · lowest of 2 lines

$102
cash
Liver function panel

CPT 80076 · lowest of 2 lines

$114
cash
MRI of the brain, with and without contrast

CPT 70553 · lowest of 2 lines

$3,705
cash
$2,514
cash
$2,810
cash
MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 2 lines

$2,810
cash
—
cash
New patient office visit (about 30 minutes)

CPT 99203 · lowest of 2 lines

$186
cash
PSA test (prostate)

CPT 84153 · lowest of 2 lines

$90
cash
$16
cash
$112
cash
Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 2 lines

$765
cash
—
cash
—
cash
Prothrombin time (blood clotting test)

CPT 85610 · lowest of 6 lines

$12
cash
—
cash
—
cash
—
cash
—
cash
Screening mammogram (both breasts)

CPT 77067 · lowest of 4 lines

$453
cash
Sleep study (overnight, attended)

CPT 95810 · lowest of 2 lines

$3,907
cash
—
cash
—
cash
TSH test (thyroid)

CPT 84443 · lowest of 2 lines

$104
cash
—
cash
Transvaginal ultrasound

CPT 76830 · lowest of 2 lines

$681
cash
Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 2 lines

$898
cash
—
cash
—
cash
Urinalysis with microscope

CPT 81001 · lowest of 2 lines

$62
cash
X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 2 lines

$547
cash

Source files

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