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.
6 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| Methoxy PEG-Epoetin Beta Soln Prefilled Syr 100 MCG/0.3ML Inpatient | J0887 HCPCS | $572 | $458 | $222 – $547 | — | |
| Methoxy PEG-Epoetin Beta Soln Prefilled Syr 150 MCG/0.3ML Inpatient | J0887 HCPCS | $821 | $657 | $318 – $784 | — | |
| Methoxy PEG-Epoetin Beta Soln Prefilled Syr 200 MCG/0.3ML Inpatient | J0887 HCPCS | $1,229 | $983 | $476 – $1,174 | — | |
| Methoxy PEG-Epoetin Beta Soln Prefilled Syr 30 MCG/0.3ML Inpatient | J0887 HCPCS | $150 | $120 | $58.01 – $143 | — | |
| Methoxy PEG-Epoetin Beta Soln Prefilled Syr 50 MCG/0.3ML Inpatient | J0887 HCPCS | $324 | $259 | $126 – $309 | — | |
| Methoxy PEG-Epoetin Beta Soln Prefilled Syr 75 MCG/0.3ML Inpatient | J0887 HCPCS | $448 | $358 | $174 – $428 | — |