Sanford Worthington Medical Center — price list
← Hospital overviewVerified from Sanford Worthington 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.
691 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| ,Insulin Aspart Soln Pen-injector 100 Unit/ML,Insulin Aspart Soln Cartridge 100 Unit/ML Inpatient | 0250 RC | $69.90 | $55.92 | $27.10 – $66.75 | — | |
| Acetaminophen Soln 160 MG/5ML Inpatient | 0250 RC | $6.62 | $5.30 | $2.57 – $6.32 | — | |
| Acetaminophen Suppos 120 MG Inpatient | 0250 RC | $1.50 | $1.20 | $0.58 – $1.43 | — | |
| Acetaminophen Suppos 325 MG Inpatient | 0250 RC | $5.65 | $4.52 | $2.19 – $5.40 | — | |
| Acetaminophen Suppos 650 MG Inpatient | 0250 RC | $1.50 | $1.20 | $0.58 – $1.43 | — | |
| Acetaminophen Susp 160 MG/5ML Inpatient | 0250 RC | $4.86 | $3.89 | $1.88 – $4.64 | — | |
| Acetaminophen Tab ER 650 MG Inpatient | 0250 RC | $1.50 | $1.20 | $0.58 – $1.43 | — | |
| Acetaminophen w/ Codeine Tab 300-30 MG Inpatient | 0250 RC | $1.50 | $1.20 | $0.58 – $1.43 | — | |
| Acetazolamide Tab 250 MG Inpatient | 0250 RC | $5.76 | $4.61 | $2.23 – $5.50 | — | |
| Acetic Acid Irrigation Soln 0.25% Inpatient | 0250 RC | $28.40 | $22.72 | $11.01 – $27.12 | — | |
| Acetic Acid Otic Soln 2% Inpatient | 0250 RC | $68.81 | $55.05 | $26.68 – $65.71 | — | |
| Acetic Acid Soln 3% Inpatient | 0250 RC | $47.60 | $38.08 | $18.45 – $45.46 | — | |
| Acetic Acid Soln 5% Inpatient | 0250 RC | $26.95 | $21.56 | $10.45 – $25.74 | — | |
| Acetylcysteine Inhal Soln 20% Inpatient | 0250 RC | $13.98 | $11.19 | $5.42 – $13.35 | — | |
| Acyclovir Oint 5% Inpatient | 0250 RC | $43.67 | $34.94 | $16.93 – $41.70 | — | |
| Acyclovir Tab 400 MG Inpatient | 0250 RC | $1.50 | $1.20 | $0.58 – $1.43 | — | |
| Albuterol Sulfate Inhal Aero 108 MCG/ACT (90MCG Base Equiv) Inpatient | 0250 RC | $63.66 | $50.93 | $24.68 – $60.80 | — | |
| Albuterol Sulfate Soln Nebu 0.083% (2.5 MG/3ML) Inpatient | 0250 RC | $12.43 | $9.95 | $4.82 – $11.87 | — | |
| Alendronate Sodium Tab 35 MG Inpatient | 0250 RC | $1.50 | $1.20 | $0.58 – $1.43 | — | |
| Alendronate Sodium Tab 70 MG Inpatient | 0250 RC | $5.53 | $4.43 | $2.14 – $5.28 | — | |
| Alfuzosin HCl Tab ER 24HR 10 MG Inpatient | 0250 RC | $1.50 | $1.20 | $0.58 – $1.43 | — | |
| Allopurinol Tab 100 MG Inpatient | 0250 RC | $1.50 | $1.20 | $0.58 – $1.43 | — | |
| Allopurinol Tab 300 MG Inpatient | 0250 RC | $1.50 | $1.20 | $0.58 – $1.43 | — | |
| Alprazolam Tab 0.5 MG Inpatient | 0250 RC | $1.50 | $1.20 | $0.58 – $1.43 | — | |
| Alum & Mag Hydroxide-Simethicone Susp 200-200-20 MG/5ML Inpatient | 0250 RC | $9.42 | $7.54 | $3.65 – $9.00 | — | |
| Aluminum Chloride Soln 20% Inpatient | 0250 RC | $28.64 | $22.92 | $11.10 – $27.35 | — | |
| Aluminum Sulfate & Calcium Acetate Powd Pack Inpatient | 0250 RC | $5.59 | $4.48 | $2.17 – $5.34 | — | |
| Amantadine HCl Cap 100 MG Inpatient | 0250 RC | $5.94 | $4.76 | $2.30 – $5.67 | — | |
| Amantadine HCl Soln 50 MG/5ML Inpatient | 0250 RC | $4.86 | $3.89 | $1.88 – $4.64 | — | |
| Amino Acid Electrolyte withCal Infusion 5% in D20W Inpatient | 0250 RC | $437 | $350 | $169 – $417 | — |