Sanford Canby Medical Center — price list
← Hospital overviewVerified from Sanford Canby Medical Center’s published price file
Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Showing the first 1,500 prices from a large file. Search a procedure or code below to narrow the list.
How to read these columns
- List
- The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
- Cash
- The discounted self-pay price for paying directly, without insurance.
- Negotiated
- Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.
These are the hospital’s published reference prices, not a personalized estimate of your bill.
1,500 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| 11 deoxycortisol 82634.900 Inpatient | 82634 CPT | $88.00 | $70.40 | $48.40 – $83.25 | — | |
| Acetaminophen 80307 Inpatient | 80307 CPT | $146 | $117 | $80.30 – $138 | — | |
| Actin smooth muscle antibody asma each so 86015.901 Inpatient | 86015 CPT | $68.00 | $54.40 | $37.40 – $64.33 | — | |
| Activated protein c apc resistance assay 85307 Inpatient | 85307 CPT | $250 | $200 | $138 – $237 | — | |
| Acute dialysis in esrd unit Inpatient | G0491 HCPCS | $1,985 | $1,588 | $608 – $1,878 | — | |
| Acute hepatitis panel 80074 Inpatient | 80074 CPT | $428 | $342 | $235 – $405 | — | |
| Adalimumab ab so 83520.052 Inpatient | 83520 CPT | $221 | $177 | $122 – $209 | — | |
| Adalimumab quantitative with reflex to antibody 80145.900 Inpatient | 80145 CPT | $213 | $170 | $117 – $202 | — | |
| Admin hepatitis b vaccine Inpatient | 90471 CPT | $50.00 | $40.00 | $27.50 – $47.30 | — | |
| Admin influenza vir vac Inpatient | 90471 CPT | $92.00 | $73.60 | $50.60 – $87.03 | — | |
| Admin pneumococcal vac Inpatient | 90471 CPT | $92.00 | $73.60 | $50.60 – $87.03 | — | |
| Adptr feedbolusmi*vat 6322567* Inpatient | 0272 RC | $43.00 | $34.40 | $23.65 – $40.68 | — | |
| Adrenocorticotropic hormone acth so 82024.900 Inpatient | 82024 CPT | $239 | $191 | $131 – $226 | — | |
| Aerobic definitive id 87077 Inpatient | 87077 CPT | $125 | $100 | $68.75 – $118 | — | |
| Aid toilet tongs lng 15in Inpatient | 0271 RC | $36.00 | $28.80 | $19.80 – $34.06 | — | |
| Airw supragl*disc 6284005* Inpatient | 0272 RC | $68.00 | $54.40 | $37.40 – $64.33 | — | |
| Albumin serum 82040 Inpatient | 82040 CPT | $59.00 | $47.20 | $32.45 – $55.81 | — | |
| Albumin urin other source 82042 Inpatient | 82042 CPT | $46.00 | $36.80 | $25.30 – $43.52 | — | |
| Albumin urine microalbumin quant 82043 Inpatient | 82043 CPT | $84.00 | $67.20 | $46.20 – $79.46 | — | |
| Alcohol biomarkers 1 or 2 so 80321.901 Inpatient | 80321 CPT | $88.00 | $70.40 | $48.40 – $83.25 | — | |
| Aldolase so 82085.900 Inpatient | 82085 CPT | $110 | $88.00 | $60.50 – $104 | — | |
| Aldosterone 24 hr urine 82088.900 Inpatient | 82088 CPT | $367 | $294 | $202 – $347 | — | |
| Aldosterone act ratio 82088.903 Inpatient | 82088 CPT | $131 | $105 | $72.05 – $124 | — | |
| Aldosterone serum so 82088.902 Inpatient | 82088 CPT | $367 | $294 | $202 – $347 | — | |
| Aldosterone so 82088.901 Inpatient | 82088 CPT | $244 | $195 | $134 – $231 | — | |
| Alkaline phos isoenzyme 84080 Inpatient | 84080 CPT | $69.00 | $55.20 | $37.95 – $65.27 | — | |
| Alkaline phosphatase for isoenzymes 84075.900 Inpatient | 84075 CPT | $40.00 | $32.00 | $22.00 – $37.84 | — | |
| Allerg basil so 86003.948 Inpatientapprox. match | 86003 CPT | $19.00 | $15.20 | $10.45 – $17.97 | — | |
| Allerg green bean so 86003.913 Inpatientapprox. match | 86003 CPT | $19.00 | $15.20 | $10.45 – $17.97 | — | |
| Allerg macadamia nut so 86003.926 Inpatientapprox. match | 86003 CPT | $19.00 | $15.20 | $10.45 – $17.97 | — |