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 |
|---|---|---|---|---|
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $1,037.60 | $1,297.00 | $314.00 – $1,167.30 | 15 |
| Ca screen;flexi sigmoidscope HCPCS G0104 | $1,494.40 | $1,868.00 | $452.24 – $1,681.20 | 15 |
| Cataract Surgery CPT 66984 | $4,160.80 | $5,201.00 | $1,259.16 – $4,680.90 | 15 |
| Cauterization chemical granulation tissue CPT 17250 | $440.00 | $550.00 | $133.16 – $495.00 | 15 |
| Cdna analysis for variants CPT 81403 | $452.00 | $565.00 | $136.79 – $508.50 | 15 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | $92.11 | $115.13 | $8.01 – $29.76 | 15 |
| Cefepime 1 gram solution for injection HCPCS J0692 | $29.44 | $36.79 | $8.42 – $31.31 | 15 |
| Cefoxitin 1 gram intravenous solution HCPCS J0694 | $30.20 | $37.75 | $8.50 – $31.58 | 15 |
| Ceftaroline fosamil 600 mg intravenous solution HCPCS J0712 | $244.32 | $305.40 | $7.90 – $29.38 | 15 |
| Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr HCPCS J0713 | $114.90 | $143.62 | $8.50 – $31.60 | 15 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | $112.57 | $140.71 | $8.12 – $30.18 | 15 |
| Cell count body fluid CPT 89050 | $25.60 | $32.00 | $7.75 – $28.80 | 15 |
| Cell count w differential body fluid CPT 89051 | $36.80 | $46.00 | $11.14 – $41.40 | 15 |
| Cell function assay w/stim CPT 86352 | $331.20 | $414.00 | $100.23 – $372.60 | 15 |
| Cell marker study CPT 88182 | $247.20 | $309.00 | $74.81 – $278.10 | 15 |
| Cemiplimab-rwlc 50 mg/ml intravenous solution HCPCS J9119 | not published | not published | $33.82 – $33.82 | 1 |
| Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit HCPCS J0717 | $5,013.25 | $6,266.56 | $4.73 – $5,639.90 | 15 |
| #cf-97variants CPT 81220 | $1,336.00 | $1,670.00 | $404.31 – $1,503.00 | 15 |
| Cftr gene dup/delet variants CPT 81222 | $1,061.60 | $1,327.00 | $321.27 – $1,194.30 | 15 |
| Change cystostomy tube simple CPT 51705 | $577.60 | $722.00 | $174.80 – $649.80 | 15 |
| Chemo adm cns w/lmbr punct CPT 96450 | not published | not published | $386.40 – $386.40 | 1 |
| Chemo ia infuse each addl hr CPT 96423 | not published | not published | $176.00 – $176.00 | 1 |
| Chemo ia infusion up to 1 hr CPT 96422 | not published | not published | $378.40 – $378.40 | 1 |
| Chemo ia push tecnique CPT 96420 | not published | not published | $247.20 – $247.20 | 1 |
| Chemo intralesional over 7 CPT 96406 | not published | not published | $314.40 – $314.40 | 1 |
| Chemo intralesional up to 7 96405 CPT 96405 | not published | not published | $201.60 – $201.60 | 1 |
| Chemotherapy injection 96542 CPT 96542 | not published | not published | $316.80 – $316.80 | 1 |
| Chemotx admn pertl cav impl CPT 96446 | not published | not published | $387.20 – $387.20 | 1 |
| Chest CT scan (with and without contrast) CPT 71270 | $2,607.20 | $3,259.00 | $446.60 – $2,933.10 | 15 |
| Chest CT scan (with contrast) CPT 71260 | $1,701.60 | $2,127.00 | $446.60 – $1,914.30 | 15 |
| Chest CT scan (without contrast) CPT 71250 | $1,423.20 | $1,779.00 | $352.55 – $1,601.10 | 15 |
| Chest Physiotherapy (first session) CPT 94667 | $154.40 | $193.00 | $46.73 – $173.70 | 15 |
| Chest Physiotherapy (follow-up session) CPT 94668 | $127.20 | $159.00 | $38.49 – $143.10 | 15 |
| Chest Ultrasound CPT 76604 | $517.60 | $647.00 | $156.64 – $582.30 | 15 |
| Chest X-ray CPT 71046 | $219.20 | $274.00 | $118.25 – $246.60 | 15 |
| Chest X-ray (single view) CPT 71045 | $183.20 | $229.00 | $55.44 – $206.10 | 15 |
| Chg pr pul rehab for copd patients CPT 94626 | $156.80 | $196.00 | $47.45 – $176.40 | 15 |
| Chloride CPT 82435 | $27.20 | $34.00 | $8.23 – $30.60 | 15 |
| Chloride 24 hour urine CPT 82436 | $27.20 | $34.00 | $4.36 – $16.20 | 15 |
| Chmotx admn plrl cav thrcnts CPT 96440 | not published | not published | $1,822.40 – $1,822.40 | 1 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $769.60 | $962.00 | $232.90 – $865.80 | 15 |
| Cholesterol CPT 82465 | $30.40 | $38.00 | $8.47 – $31.50 | 15 |
| Cholesterol (Lipid) Test CPT 80061 | $112.80 | $141.00 | $46.75 – $126.90 | 15 |
| Chrom analysis CPT 88273 | $288.80 | $361.00 | $25.66 – $95.40 | 15 |
| Chromo high res and frag x - sendout CPT 81243 | $405.60 | $507.00 | $42.13 – $156.60 | 15 |
| Chromosome analysis 15-20 cell count CPT 88262 | $306.40 | $383.00 | $92.72 – $344.70 | 15 |
| Chromosome analysis 45 CPT 88263 | $366.40 | $458.00 | $110.88 – $412.20 | 15 |
| Chromosome analysis 5 CPT 88261 | $644.80 | $806.00 | $195.13 – $725.40 | 15 |
| Chylomicron screen, bf - sendout CPT 82664 | $172.80 | $216.00 | $52.29 – $194.40 | 15 |
| Cilastatin sodium injection HCPCS J0743 | $33.86 | $42.32 | $10.25 – $38.09 | 15 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $71.52 | $89.40 | $21.26 – $79.02 | 15 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $91.44 | $114.30 | $21.58 – $80.24 | 15 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | $722.40 | $903.00 | $218.62 – $812.70 | 15 |
| Closed tx humerus fx with manip 23605 CPT 23605 | $2,037.60 | $2,547.00 | $616.63 – $2,292.30 | 15 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $496.80 | $621.00 | $150.34 – $558.90 | 15 |
| Closed tx orbit w/manipulj CPT 21401 | $996.80 | $1,246.00 | $301.66 – $1,121.40 | 15 |
| Closed tx septal&nose fx CPT 21337 | $2,754.40 | $3,443.00 | $833.55 – $3,098.70 | 15 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | $462.40 | $578.00 | $139.93 – $520.20 | 15 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $511.20 | $639.00 | $154.70 – $575.10 | 15 |
| Clos txnose fx without stablz 21315 CPT 21315 | $2,392.80 | $2,991.00 | $724.12 – $2,691.90 | 15 |
| Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 | $1,122.40 | $1,403.00 | $339.67 – $1,262.70 | 15 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $440.80 | $551.00 | $133.40 – $495.90 | 15 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | $460.80 | $576.00 | $139.45 – $518.40 | 15 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $568.00 | $710.00 | $171.89 – $639.00 | 15 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | $462.40 | $578.00 | $139.93 – $520.20 | 15 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $456.00 | $570.00 | $138.00 – $513.00 | 15 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $765.60 | $957.00 | $231.69 – $861.30 | 15 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | $536.80 | $671.00 | $162.45 – $603.90 | 15 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $412.00 | $515.00 | $124.68 – $463.50 | 15 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | $2,184.00 | $2,730.00 | $660.93 – $2,457.00 | 15 |
| Clsd tx fracture of radius 25500 CPT 25500 | $419.20 | $524.00 | $126.86 – $471.60 | 15 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | $359.20 | $449.00 | $108.70 – $404.10 | 15 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $618.40 | $773.00 | $187.14 – $695.70 | 15 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $551.20 | $689.00 | $166.81 – $620.10 | 15 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $1,421.60 | $1,777.00 | $430.21 – $1,599.30 | 15 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | $537.60 | $672.00 | $162.69 – $604.80 | 15 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $1,547.20 | $1,934.00 | $468.22 – $1,740.60 | 15 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | $536.00 | $670.00 | $162.21 – $603.00 | 15 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | $374.40 | $468.00 | $113.30 – $421.20 | 15 |
| Clsd tx/metacar/interphal artic fx 26740 CPT 26740 | $451.20 | $564.00 | $136.54 – $507.60 | 15 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $464.80 | $581.00 | $140.66 – $522.90 | 15 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $900.00 | $1,125.00 | $272.36 – $1,012.50 | 15 |
| Clsd tx metacarp fx w/manip&ext fix ea bone 26607 CPT 26607 | $3,164.00 | $3,955.00 | $957.51 – $3,559.50 | 15 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | $446.40 | $558.00 | $135.09 – $502.20 | 15 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $560.00 | $700.00 | $169.47 – $630.00 | 15 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | $507.20 | $634.00 | $153.49 – $570.60 | 15 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $412.80 | $516.00 | $124.92 – $464.40 | 15 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | $476.80 | $596.00 | $144.29 – $536.40 | 15 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $1,594.40 | $1,993.00 | $482.51 – $1,793.70 | 15 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $2,422.40 | $3,028.00 | $733.08 – $2,725.20 | 15 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $483.20 | $604.00 | $146.23 – $543.60 | 15 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $357.60 | $447.00 | $108.22 – $402.30 | 15 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $1,329.60 | $1,662.00 | $402.37 – $1,495.80 | 15 |
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | $450.40 | $563.00 | $136.30 – $506.70 | 15 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | $560.80 | $701.00 | $169.71 – $630.90 | 15 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | $518.40 | $648.00 | $156.88 – $583.20 | 15 |
| Cltx hum epcndylr fx wo mnpj CPT 24560 | $491.20 | $614.00 | $148.65 – $552.60 | 15 |
| Cmv pcr-sendout CPT 87496 | $295.20 | $369.00 | $26.15 – $97.20 | 15 |
| Cold agglutinin screen (arc) CPT 86156 | $39.20 | $49.00 | $11.86 – $44.10 | 15 |
| Cold agglutinin titer CPT 86157 | $33.60 | $42.00 | $10.17 – $37.80 | 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.