Wheaton, MN
1 known revision on file.
| Revision date | Added | Payer-specific rates |
|---|---|---|
| Mar 4, 2026 | Aug 15, 2026 | Yes |
Search by billing code or procedure name (CPT, HCPCS, MS-DRG and more) to see Sanford Wheaton’s price for it.
The codes Sanford Wheaton has the most pricing samples for.
| Procedure | |||||||
|---|---|---|---|---|---|---|---|
| Lidocaine local anesthetic injection, preservative-free 1%HCPCS J2003 | $27 | $24 | $6 | 24% | 152–1,520 | $7 | $33 |
| Therapeutic exercise sessionCPT 97110 | $122 | $107 | $23 | 22% | 639 | $63 | $132 |
| Blood draw from a veinCPT 36415 | $29 | $26 | $6 | 22% | 543–561 | $17 | $39 |
| Manual therapy, one or more body regionsCPT 97140 | $118 | $105 | $22 | 21% | 518–536 | $63 | $129 |
| Allergy blood test for specific allergensCPT 86003 | $17 | $17 | $8 | 46% | 86–860 | $5 | $49 |
| Outpatient office visit, established patientCPT 99213 | $178 | $156 | $37 | 24% | 302–338 | $50 | $194 |
| Ondansetron injection 4 mgHCPCS J2405 | $26 | $23 | $5 | 24% | 49–490 | $7 | $29 |
| Complete blood count with automated differentialCPT 85025 | $94 | $85 | $19 | 22% | 254–281 | $41 | $106 |
| Immunization administrationCPT 90471 | $62 | $55 | $27 | 49% | 60–420 | $5 | $85 |
| Flumazenil IV injectionHCPCS J3490 | $27 | $26 | $18 | 68% | 35–350 | $1 | $84 |
EIN: 450409348
Last updated: Mar 4, 2026
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Hospital ID: 49237f92ac18090a44f9c5ca4027427e24481e8d47c0fb41223b46ce7de27483