Sanford Medical Center Hillsboro
12 3rd St SE, Hillsboro, ND · Sanford Health · · NPI 1184725194
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| 17-hydroxypregnenolone CPT 84143 | $69.60 | $87.00 | $21.06 – $78.30 | 15 |
| 3d recon without postprocess indpndt CPT 76376 | $616.00 | $770.00 | $186.42 – $693.00 | 15 |
| 5% dextrose and 0.45% saline HCPCS S5010 | $60.00 | $75.00 | $18.16 – $67.50 | 15 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $53.60 | $67.00 | $16.22 – $60.30 | 15 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $1,564.95 | $1,956.18 | $44.25 – $1,760.56 | 15 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $56.80 | $71.00 | $17.19 – $63.90 | 15 |
| Abdominal and Pelvic Blood Vessel Ultrasound (complete) CPT 93975 | $1,160.80 | $1,451.00 | $351.29 – $1,305.90 | 15 |
| Abdominal and Pelvic Blood Vessel Ultrasound (limited) CPT 93976 | $834.40 | $1,043.00 | $252.51 – $938.70 | 15 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $2,938.40 | $3,673.00 | $446.60 – $3,305.70 | 15 |
| Abdominal CT scan (with contrast) CPT 74160 | $2,397.60 | $2,997.00 | $446.60 – $2,697.30 | 15 |
| Abdominal CT scan (without contrast) CPT 74150 | $1,749.60 | $2,187.00 | $352.55 – $1,968.30 | 15 |
| Abdominal MRI (with and without contrast) CPT 74183 | $3,634.40 | $4,543.00 | $607.75 – $4,088.70 | 15 |
| Abdominal MRI (with contrast) CPT 74182 | not published | not published | $607.75 – $607.75 | 1 |
| Abdominal MRI (without contrast) CPT 74181 | $2,392.00 | $2,990.00 | $578.05 – $2,691.00 | 15 |
| Abdominal Ultrasound (complete) CPT 76700 | $582.40 | $728.00 | $176.25 – $655.20 | 15 |
| Abdominal Ultrasound (limited) CPT 76705 | $489.60 | $612.00 | $148.17 – $550.80 | 15 |
| Abdominal X-ray (2 views) CPT 74019 | $216.80 | $271.00 | $65.61 – $243.90 | 15 |
| Abdominal X-ray Series (acute, with chest view) CPT 74022 | $532.80 | $666.00 | $161.24 – $599.40 | 15 |
| Abdominal X-ray (single view) CPT 74018 | $174.40 | $218.00 | $52.78 – $196.20 | 15 |
| Acetaminophen level CPT 80143 | $51.20 | $64.00 | $15.49 – $57.60 | 15 |
| Acetone qualitative CPT 82009 | $27.20 | $34.00 | $8.23 – $30.60 | 15 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $74.04 | $92.55 | $22.03 – $81.89 | 15 |
| Acetylcysteine non-comp unit HCPCS J7608 | $21.50 | $26.87 | $1.87 – $6.95 | 15 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $45.60 | $57.00 | $13.80 – $51.30 | 15 |
| Acute hepatitis panel CPT 80074 | $217.60 | $272.00 | $65.85 – $244.80 | 15 |
| Acyclovir 400 mg tablet HCPCS J8499 | $17.19 | $21.48 | $0.73 – $2.70 | 15 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $28.09 | $35.11 | $8.50 – $31.60 | 15 |
| #acylcarnitineprfl CPT 82017 | $49.60 | $62.00 | $15.01 – $55.80 | 15 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $30.12 | $37.64 | $8.23 – $30.59 | 15 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $75.49 | $94.36 | $0.36 – $1.35 | 15 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $162.40 | $203.00 | $49.15 – $182.70 | 15 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | not published | not published | $153.60 – $153.60 | 1 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $700.80 | $876.00 | $212.08 – $788.40 | 15 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $384.00 | $480.00 | $116.21 – $432.00 | 15 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | not published | not published | $85.60 – $85.60 | 1 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $280.80 | $351.00 | $84.98 – $315.90 | 15 |
| Administration immunization each additional vaccine CPT 90472 | $36.00 | $45.00 | $10.89 – $40.50 | 15 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | $59.20 | $74.00 | $17.92 – $66.60 | 15 |
| Administration immunization intranasal/oral route each additional vaccine CPT 90474 | $33.60 | $42.00 | $10.17 – $37.80 | 15 |
| _afb id by dna probe rflx ast CPT 87149 | $100.00 | $125.00 | $30.26 – $112.50 | 15 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | not published | not published | $227.74 – $227.74 | 1 |
| Albumin body fluid quantitative each specimen CPT 82042 | $30.40 | $38.00 | $8.72 – $32.40 | 15 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $109.92 | $137.40 | $22.29 – $82.85 | 15 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $57.60 | $72.00 | $17.43 – $64.80 | 15 |
| Albumin serum plasma or whole blood CPT 82040 | $31.20 | $39.00 | $9.20 – $34.20 | 15 |
| Albuterol ipratrop non-comp HCPCS J7620 | $2.90 | $3.62 | $0.73 – $2.70 | 15 |
| Albuterol non-comp con HCPCS J7611 | $20.05 | $25.06 | $6.07 – $22.55 | 15 |
| Albuterol non-comp unit HCPCS J7613 | $3.44 | $4.29 | $0.73 – $2.70 | 15 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $180.80 | $226.00 | $54.71 – $203.40 | 15 |
| Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 | not published | not published | $2,381.81 – $2,381.81 | 1 |
| Alkaline phosphatase CPT 84075 | $48.00 | $60.00 | $8.72 – $32.40 | 15 |
| Allergen alpha lactalbumin ige CPT 86008 | $66.40 | $83.00 | $16.95 – $63.00 | 15 |
| Allergen egg white ige CPT 86003 | $46.40 | $58.00 | $4.36 – $16.20 | 15 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | not published | not published | $5.03 – $5.03 | 1 |
| Alpha-fetoprotein tumor marker CPT 82105 | $89.60 | $112.00 | $27.12 – $100.80 | 15 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $227.50 | $284.37 | $68.85 – $255.93 | 15 |
| Alt/sgpt CPT 84460 | $36.80 | $46.00 | $11.14 – $41.40 | 15 |
| Amantadine (symmetrel)-sendout CPT 80375 | $80.80 | $101.00 | $24.45 – $90.90 | 15 |
| Amino acids quant 2-5 CPT 82136 | $113.60 | $142.00 | $34.38 – $127.80 | 15 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | $155.04 | $193.80 | $43.43 – $161.46 | 15 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $31.28 | $39.09 | $8.14 – $30.27 | 15 |
| Ammonia CPT 82140 | $68.80 | $86.00 | $11.14 – $41.40 | 15 |
| Amphetamine confirm urine -sendout CPT 80324 | $75.20 | $94.00 | $22.76 – $84.60 | 15 |
| Amphetamines 5 or more CPT 80326 | $57.60 | $72.00 | $17.43 – $64.80 | 15 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $27.85 | $34.81 | $8.02 – $29.81 | 15 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $29.55 | $36.93 | $8.16 – $30.34 | 15 |
| Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis CPT 81515 | $496.00 | $620.00 | $150.10 – $558.00 | 15 |
| Amylase CPT 82150 | $76.80 | $96.00 | $23.24 – $86.40 | 15 |
| Analysis gene f2 20210g>a variant CPT 81240 | $192.00 | $240.00 | $58.10 – $216.00 | 15 |
| Analysis gene f5 leiden variant CPT 81241 | $192.00 | $240.00 | $58.10 – $216.00 | 15 |
| Anastrozole 1 mg HCPCS S0170 | $2.98 | $3.72 | $0.73 – $2.70 | 15 |
| Anca screen with reflex to titer -quest CPT 86021 | $105.60 | $132.00 | $24.21 – $90.00 | 15 |
| Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490 | $428.36 | $535.45 | $0.73 – $2.70 | 15 |
| Ankle X-ray CPT 73610 | $220.00 | $275.00 | $66.58 – $247.50 | 15 |
| Ankle X-ray (2 views, both ankles) CPT 73600 | $212.00 | $265.00 | $64.16 – $238.50 | 15 |
| Anora (draw only) CPT 99001 | $15.20 | $19.00 | $4.60 – $17.10 | 15 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $30.40 | $38.00 | $9.20 – $34.20 | 15 |
| Antibody elution rbc reference CPT 86860 | $157.60 | $197.00 | $47.69 – $177.30 | 15 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $123.20 | $154.00 | $30.26 – $112.50 | 15 |
| Antibody id rbc panel CPT 86870 | $304.00 | $380.00 | $92.00 – $342.00 | 15 |
| Antibody screen rbc CPT 86850 | $97.60 | $122.00 | $29.54 – $109.80 | 15 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $52.80 | $66.00 | $15.98 – $59.40 | 15 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | $66.40 | $83.00 | $20.09 – $74.70 | 15 |
| Antinuclear antibodies CPT 86038 | $72.80 | $91.00 | $17.19 – $63.90 | 15 |
| Antinuclear antibodies titer CPT 86039 | $72.80 | $91.00 | $22.03 – $81.90 | 15 |
| Antistreptolysin o titer CPT 86060 | $64.80 | $81.00 | $19.61 – $72.90 | 15 |
| Antithrombin iii activity CPT 85300 | $120.00 | $150.00 | $36.32 – $135.00 | 15 |
| Aortic Aneurysm Screening Ultrasound CPT 76706 | $461.60 | $577.00 | $139.69 – $519.30 | 15 |
| Application finger splntstatic 29130 CPT 29130 | $271.20 | $339.00 | $82.07 – $305.10 | 15 |
| Application long leg splint 29505 CPT 29505 | $405.60 | $507.00 | $122.74 – $456.30 | 15 |
| Application lower leg splint 29515 CPT 29515 | $372.80 | $466.00 | $112.82 – $419.40 | 15 |
| Application multi layer compression below knee (both sides) CPT 29581 | $303.20 | $379.00 | $91.76 – $341.10 | 15 |
| Application of forearm cast 29075 CPT 29075 | $336.00 | $420.00 | $101.68 – $378.00 | 15 |
| Application short leg cast 29405 CPT 29405 | $352.80 | $441.00 | $106.77 – $396.90 | 15 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | $49.60 | $62.00 | $15.01 – $55.80 | 15 |
| Appl modality 1/> areas vasopneumatic devices 97016 CPT 97016 | $88.80 | $111.00 | $26.87 – $99.90 | 15 |
| Appl multlay comprs arm/hand CPT 29584 | $220.00 | $275.00 | $66.58 – $247.50 | 15 |
| Apply hand/wrist cast 29085 CPT 29085 | $262.40 | $328.00 | $79.41 – $295.20 | 15 |
| Aquatic exercise - group charge CPT 97150 | $86.40 | $108.00 | $26.15 – $97.20 | 15 |
| Arm CT Scan (with contrast, both arms) CPT 73201 | $2,022.40 | $2,528.00 | $607.75 – $2,275.20 | 15 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.