Sanford Canton Inwood Medical Center
440 N Hiawatha Dr, Canton, SD · Sanford Health · · NPI 1740244540
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 |
|---|---|---|---|---|
| 3d recon without postprocess indpndt CPT 76376 | $593.60 | $742.00 | $253.76 – $667.80 | 14 |
| 5% dextrose and 0.45% saline HCPCS S5010 | $60.00 | $75.00 | $25.65 – $67.50 | 14 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $67.20 | $84.00 | $28.73 – $75.60 | 14 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $2,162.20 | $2,702.74 | $44.25 – $2,432.47 | 14 |
| Abdominal and Pelvic Blood Vessel Ultrasound (complete) CPT 93975 | $1,164.00 | $1,455.00 | $497.61 – $1,309.50 | 14 |
| Abdominal and Pelvic Blood Vessel Ultrasound (limited) CPT 93976 | $820.80 | $1,026.00 | $350.89 – $923.40 | 14 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $2,209.60 | $2,762.00 | $944.60 – $2,485.80 | 14 |
| Abdominal CT scan (with contrast) CPT 74160 | $2,384.00 | $2,980.00 | $1,019.16 – $2,682.00 | 14 |
| Abdominal CT scan (without contrast) CPT 74150 | $1,718.40 | $2,148.00 | $734.62 – $1,933.20 | 14 |
| Abdominal MRI (with and without contrast) CPT 74183 | $3,804.00 | $4,755.00 | $1,626.21 – $4,279.50 | 14 |
| Abdominal MRI (without contrast) CPT 74181 | $2,850.40 | $3,563.00 | $1,218.55 – $3,206.70 | 14 |
| Abdominal Ultrasound (complete) CPT 76700 | $934.40 | $1,168.00 | $399.46 – $1,051.20 | 14 |
| Abdominal Ultrasound (limited) CPT 76705 | $720.80 | $901.00 | $308.14 – $810.90 | 14 |
| Abdominal X-ray (2 views) CPT 74019 | $280.80 | $351.00 | $120.04 – $315.90 | 14 |
| Abdominal X-ray (single view) CPT 74018 | $227.20 | $284.00 | $97.13 – $255.60 | 14 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $1,170.40 | $1,463.00 | $500.35 – $1,316.70 | 14 |
| Ablation cryo thigh/knee CPT 27599 | $3,812.80 | $4,766.00 | $1,629.97 – $4,289.40 | 14 |
| Acetaminophen level CPT 80143 | $78.40 | $98.00 | $33.52 – $88.20 | 14 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $78.55 | $98.18 | $33.58 – $88.36 | 14 |
| Acetone qualitative CPT 82009 | $31.20 | $39.00 | $13.34 – $35.10 | 14 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $90.84 | $113.55 | $38.83 – $102.20 | 14 |
| Acetylcysteine non-comp unit HCPCS J7608 | $23.87 | $29.83 | $10.20 – $26.85 | 14 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | $428.00 | $535.00 | $182.97 – $481.50 | 14 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $43.20 | $54.00 | $18.47 – $48.60 | 14 |
| Acute hepatitis panel CPT 80074 | $248.00 | $310.00 | $106.02 – $279.00 | 14 |
| Acyclovir 400 mg tablet HCPCS J8499 | $302.12 | $377.65 | $0.51 – $1.35 | 14 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $61.85 | $77.31 | $26.44 – $69.58 | 14 |
| #acylcarnitineprfl CPT 82017 | $52.80 | $66.00 | $22.57 – $59.40 | 14 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $61.59 | $76.98 | $26.25 – $69.07 | 14 |
| Adh-sendout CPT 84588 | $120.00 | $150.00 | $51.30 – $135.00 | 14 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $32.48 | $40.60 | $8.39 – $22.07 | 14 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $197.60 | $247.00 | $67.20 – $222.30 | 14 |
| 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 | $673.60 | $842.00 | $287.96 – $757.80 | 14 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | not published | not published | $242.40 – $242.40 | 1 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $224.00 | $280.00 | $85.60 – $252.00 | 14 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $227.20 | $284.00 | $97.13 – $255.60 | 14 |
| _afb id by dna probe rflx ast CPT 87149 | $65.60 | $82.00 | $28.04 – $73.80 | 14 |
| 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 | $40.00 | $50.00 | $17.10 – $45.00 | 14 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $163.34 | $204.17 | $64.85 – $170.66 | 14 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $86.60 | $108.25 | $37.02 – $97.43 | 14 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $49.60 | $62.00 | $21.20 – $55.80 | 14 |
| Albumin serum plasma or whole blood CPT 82040 | $36.80 | $46.00 | $13.34 – $35.10 | 14 |
| Albuterol ipratrop non-comp HCPCS J7620 | $3.60 | $4.50 | $1.54 – $4.05 | 14 |
| Albuterol non-comp con HCPCS J7611 | $3.60 | $4.50 | $1.54 – $4.05 | 14 |
| Albuterol non-comp unit HCPCS J7613 | $4.56 | $5.70 | $1.54 – $4.05 | 14 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $93.60 | $117.00 | $40.01 – $105.30 | 14 |
| 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 | $28.80 | $36.00 | $11.29 – $29.70 | 14 |
| Allergen alpha lactalbumin ige CPT 86008 | $66.40 | $83.00 | $28.39 – $74.70 | 14 |
| Allergen egg white ige CPT 86003 | $31.20 | $39.00 | $9.92 – $26.10 | 14 |
| 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 | $81.60 | $102.00 | $34.88 – $91.80 | 14 |
| Alprostadil for injection HCPCS J0270 | $229.97 | $287.46 | $98.31 – $258.71 | 14 |
| Als1-emergency HCPCS A0427 | $1,412.80 | $1,766.00 | $574.90 – $1,512.90 | 14 |
| Als 2 HCPCS A0433 | $1,836.00 | $2,295.00 | $784.89 – $2,065.50 | 14 |
| Alt/sgpt CPT 84460 | $34.40 | $43.00 | $14.71 – $38.70 | 14 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $68.68 | $85.84 | $29.36 – $77.26 | 14 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | $130.12 | $162.65 | $54.87 – $144.41 | 14 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $61.29 | $76.61 | $25.96 – $68.32 | 14 |
| Ammonia CPT 82140 | $102.40 | $128.00 | $43.78 – $115.20 | 14 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $61.95 | $77.43 | $26.25 – $69.07 | 14 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $62.66 | $78.32 | $26.38 – $69.42 | 14 |
| Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis CPT 81515 | $496.00 | $620.00 | $212.04 – $558.00 | 14 |
| Amylase CPT 82150 | $36.00 | $45.00 | $15.39 – $40.50 | 14 |
| Analysis gene f2 20210g>a variant CPT 81240 | $280.00 | $350.00 | $82.08 – $216.00 | 14 |
| Analysis gene f5 leiden variant CPT 81241 | $252.00 | $315.00 | $82.08 – $216.00 | 14 |
| Anastrozole 1 mg HCPCS S0170 | $1.20 | $1.50 | $0.51 – $1.35 | 14 |
| Anca screen with reflex to titer -quest CPT 86021 | $111.20 | $139.00 | $47.54 – $125.10 | 14 |
| Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490 | $100.96 | $126.20 | $1.54 – $4.05 | 14 |
| Ankle X-ray CPT 73610 | $272.00 | $340.00 | $116.28 – $306.00 | 14 |
| Ankle X-ray (2 views, both ankles) CPT 73600 | $252.00 | $315.00 | $107.73 – $283.50 | 14 |
| Anodyne therapy charges pt CPT 97026 | $64.00 | $80.00 | $27.36 – $72.00 | 14 |
| Anora (draw only) CPT 99001 | $40.80 | $51.00 | $17.44 – $45.90 | 14 |
| Anoscopy remove fb 46608 CPT 46608 | $1,443.20 | $1,804.00 | $616.97 – $1,623.60 | 14 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $31.20 | $39.00 | $13.34 – $35.10 | 14 |
| Antibody htlv/hiv confirm test CPT 86689 | $178.40 | $223.00 | $76.27 – $200.70 | 14 |
| Antibody id rbc panel CPT 86870 | $340.00 | $425.00 | $145.35 – $382.50 | 14 |
| Antibody screen rbc CPT 86850 | $58.40 | $73.00 | $24.97 – $65.70 | 14 |
| Antibody tetanus CPT 86774 | $104.80 | $131.00 | $44.80 – $117.90 | 14 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $54.40 | $68.00 | $23.26 – $61.20 | 14 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | $54.40 | $68.00 | $23.26 – $61.20 | 14 |
| Antinuclear antibodies CPT 86038 | $63.20 | $79.00 | $27.02 – $71.10 | 14 |
| Antinuclear antibodies titer CPT 86039 | $56.00 | $70.00 | $23.94 – $63.00 | 14 |
| Antistreptolysin o titer CPT 86060 | $53.60 | $67.00 | $22.91 – $60.30 | 14 |
| Antithrombin iii activity CPT 85300 | $145.60 | $182.00 | $62.24 – $163.80 | 14 |
| Aortic Aneurysm Screening Ultrasound CPT 76706 | $500.00 | $625.00 | $213.75 – $562.50 | 14 |
| Apheresis platelets CPT 36513 | $3,225.60 | $4,032.00 | $1,378.94 – $3,628.80 | 14 |
| Application finger splntstatic 29130 CPT 29130 | $204.80 | $256.00 | $87.55 – $230.40 | 14 |
| Application long leg splint 29505 CPT 29505 | $286.40 | $358.00 | $122.44 – $322.20 | 14 |
| Application lower leg splint 29515 CPT 29515 | $264.80 | $331.00 | $113.20 – $297.90 | 14 |
| Application of forearm cast 29075 CPT 29075 | $259.20 | $324.00 | $110.81 – $291.60 | 14 |
| Application of long arm cast 29065 CPT 29065 | $310.40 | $388.00 | $132.70 – $349.20 | 14 |
| Application of long leg cast 29345 CPT 29345 | $432.80 | $541.00 | $185.02 – $486.90 | 14 |
| Application of paste boot 29580 CPT 29580 | $247.20 | $309.00 | $105.68 – $278.10 | 14 |
| Application short leg cast 29405 CPT 29405 | $280.80 | $351.00 | $120.04 – $315.90 | 14 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | $74.40 | $93.00 | $31.81 – $83.70 | 14 |
| Appl modality 1+lllt po pain CPT 97037 | $64.80 | $81.00 | $27.70 – $72.90 | 14 |
| Arm CT Scan (with contrast, both arms) CPT 73201 | $2,503.20 | $3,129.00 | $1,070.12 – $2,816.10 | 14 |
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.