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 |
|---|---|---|---|---|
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $60.92 | $76.15 | $25.77 – $67.81 | 14 |
| Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) HCPCS J0616 | $60.26 | $75.32 | $25.76 – $67.79 | 14 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $78.13 | $97.66 | $33.40 – $87.89 | 14 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | $82.70 | $103.37 | $35.35 – $93.03 | 14 |
| Microalbumin urine screen CPT 82044 | $63.20 | $79.00 | $27.02 – $71.10 | 14 |
| Mid and Lower Back (Thoracolumbar Spine) X-ray CPT 72080 | $313.60 | $392.00 | $134.06 – $352.80 | 14 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $61.04 | $76.29 | $26.09 – $68.66 | 14 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $61.08 | $76.34 | $26.11 – $68.71 | 14 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | $61.53 | $76.91 | $26.30 – $69.22 | 14 |
| MRA abdomen post contrast CPT 74185 | $2,388.00 | $2,985.00 | $1,020.87 – $2,686.50 | 14 |
| MRA aorta thoracic w/wo contrast CPT 71555 | $2,345.60 | $2,932.00 | $1,002.74 – $2,638.80 | 14 |
| MRA ext low(run-off)pst cntrst CPT 73725 | $2,756.80 | $3,446.00 | $1,178.53 – $3,101.40 | 14 |
| MRA pelvis CPT 72198 | $2,344.00 | $2,930.00 | $1,002.06 – $2,637.00 | 14 |
| MRA upper extremity post contrast-bil CPT 73225 | $3,126.40 | $3,908.00 | $1,336.54 – $3,517.20 | 14 |
| MRI chest without contrast CPT 71550 | $2,736.00 | $3,420.00 | $1,169.64 – $3,078.00 | 14 |
| MRI chest without & w/contrast CPT 71552 | $3,756.00 | $4,695.00 | $1,605.69 – $4,225.50 | 14 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $2,609.60 | $3,262.00 | $1,115.60 – $2,935.80 | 14 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $3,608.00 | $4,510.00 | $1,542.42 – $4,059.00 | 14 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $2,580.00 | $3,225.00 | $1,102.95 – $2,902.50 | 14 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $3,564.80 | $4,456.00 | $1,523.95 – $4,010.40 | 14 |
| Mucopolysaccharides CPT 83864 | $255.20 | $319.00 | $109.10 – $287.10 | 14 |
| Multiple sleep latency test CPT 95805 | $2,999.20 | $3,749.00 | $1,282.16 – $3,374.10 | 14 |
| Mumps antibody igg CPT 86735 | $72.00 | $90.00 | $30.78 – $81.00 | 14 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | $1.20 | $1.50 | $0.51 – $1.35 | 14 |
| Mycophenolic acid HCPCS J7518 | $1.20 | $1.50 | $0.51 – $1.35 | 14 |
| Mycoplasma antibody igm CPT 86738 | $70.40 | $88.00 | $30.10 – $79.20 | 14 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $116.80 | $146.00 | $20.52 – $54.00 | 14 |
| Naloxone 0.4 mg/ml injection (wrapper) HCPCS J2312 | $63.12 | $78.90 | $26.38 – $69.41 | 14 |
| Natalizumab 300 mg/15 ml intravenous solution HCPCS J2323 | not published | not published | $24.60 – $24.60 | 1 |
| Natriuretic peptide CPT 83880 | $164.80 | $206.00 | $40.36 – $106.20 | 14 |
| Natural killer cells total count CPT 86357 | $139.20 | $174.00 | $59.51 – $156.60 | 14 |
| Nebulizer Breathing Treatment CPT 94640 | $221.60 | $277.00 | $94.73 – $249.30 | 14 |
| Neck Airway (Soft Tissue) X-ray CPT 70360 | $280.80 | $351.00 | $120.04 – $315.90 | 14 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $2,361.60 | $2,952.00 | $1,009.58 – $2,656.80 | 14 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $1,997.60 | $2,497.00 | $853.97 – $2,247.30 | 14 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $4,217.60 | $5,272.00 | $1,803.02 – $4,744.80 | 14 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $2,884.80 | $3,606.00 | $1,233.25 – $3,245.40 | 14 |
| Neck (Cervical Spine) X-ray (2 to 3 views) CPT 72040 | $312.00 | $390.00 | $133.38 – $351.00 | 14 |
| Neck (Cervical Spine) X-ray (4 to 5 views) CPT 72050 | $463.20 | $579.00 | $198.02 – $521.10 | 14 |
| Neck (Cervical Spine) X-ray (6 or more views) CPT 72052 | $463.20 | $579.00 | $198.02 – $521.10 | 14 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $3,511.20 | $4,389.00 | $1,501.04 – $3,950.10 | 14 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $2,823.20 | $3,529.00 | $1,206.92 – $3,176.10 | 14 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $2,470.40 | $3,088.00 | $1,056.10 – $2,779.20 | 14 |
| Neck Soft Tissue CT Scan (with and without contrast) CPT 70492 | $2,654.40 | $3,318.00 | $1,134.76 – $2,986.20 | 14 |
| Neck Soft Tissue CT Scan (with contrast) CPT 70491 | $2,157.60 | $2,697.00 | $922.37 – $2,427.30 | 14 |
| Neck Soft Tissue CT Scan (without contrast) CPT 70490 | $2,102.40 | $2,628.00 | $898.78 – $2,365.20 | 14 |
| Nicardipine 25 mg/10 ml intravenous solution HCPCS J2404 | $296.36 | $370.45 | $126.69 – $333.41 | 14 |
| Nintedanib 150 mg capsule HCPCS J8999 | $1.20 | $1.50 | $0.51 – $1.35 | 14 |
| Nivolumab 10 mg/ml intravenous solution (wrapper) HCPCS J9299 | not published | not published | $38.06 – $38.06 | 1 |
| Nivolumab 240 mg-relatlimab-rmbw 80 mg/20 ml intravenous solution HCPCS J9298 | not published | not published | $228.20 – $228.20 | 1 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | $1,934.40 | $2,418.00 | $826.96 – $2,176.20 | 14 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $1,544.80 | $1,931.00 | $660.40 – $1,737.90 | 14 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $1,824.80 | $2,281.00 | $780.10 – $2,052.90 | 14 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | $1,704.80 | $2,131.00 | $728.80 – $1,917.90 | 14 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $1,368.00 | $1,710.00 | $584.82 – $1,539.00 | 14 |
| No pt prsnt train add 15 HCPCS G0542 | $60.80 | $76.00 | $25.99 – $68.40 | 14 |
| No pt prsnt train initial 30 HCPCS G0541 | $122.40 | $153.00 | $52.33 – $137.70 | 14 |
| Nose (Nasal Bone) X-ray (complete) CPT 70160 | $331.20 | $414.00 | $141.59 – $372.60 | 14 |
| Nuclear Stress Test (Heart) CPT 78452 | $4,260.80 | $5,326.00 | $1,821.49 – $4,793.40 | 14 |
| Observation direct referral from physician office for admission HCPCS G0379 | $222.40 | $278.00 | $95.08 – $250.20 | 14 |
| Observation per hour HCPCS G0378 | $57.60 | $72.00 | $24.62 – $64.80 | 14 |
| Obstetrics panel CPT 80055 | $204.80 | $256.00 | $87.55 – $230.40 | 14 |
| Occupational Therapy Evaluation (high complexity) CPT 97167 | $320.00 | $400.00 | $136.80 – $360.00 | 14 |
| Occupational Therapy Evaluation (low complexity) CPT 97165 | $237.60 | $297.00 | $101.57 – $267.30 | 14 |
| Occupational Therapy Evaluation (moderate complexity) CPT 97166 | $288.00 | $360.00 | $123.12 – $324.00 | 14 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | not published | not published | $60.94 – $60.94 | 1 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $60.94 | $76.17 | $26.03 – $68.51 | 14 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | $9,633.08 | $12,041.34 | $2,707.94 – $7,126.16 | 14 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $69.76 | $87.20 | $29.82 – $78.48 | 14 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | not published | not published | $39.04 – $39.04 | 1 |
| Ondansetron 4 mg s0119 HCPCS S0119 | $1.20 | $1.50 | $0.51 – $1.35 | 14 |
| Ondansetron 8 mg disintegrating tablet HCPCS Q0162 | $23.72 | $29.65 | $10.14 – $26.69 | 14 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $60.30 | $75.37 | $25.73 – $67.70 | 14 |
| Osmolality blood CPT 83930 | $40.80 | $51.00 | $17.44 – $45.90 | 14 |
| Osmolality urine CPT 83935 | $44.80 | $56.00 | $19.15 – $50.40 | 14 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $122.40 | $153.00 | $52.33 – $137.70 | 14 |
| Ot re-evaluation patient/family CPT 97168 | $208.80 | $261.00 | $89.26 – $234.90 | 14 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $97.60 | $122.00 | $41.72 – $109.80 | 14 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $112.80 | $141.00 | $48.22 – $126.90 | 14 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $60.72 | $75.90 | $25.96 – $68.31 | 14 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $60.85 | $76.06 | $26.01 – $68.45 | 14 |
| Parathormone (pth) intact CPT 83970 | $200.80 | $251.00 | $85.84 – $225.90 | 14 |
| Parathyrd planar w/spect&ct CPT 78072 | $1,899.20 | $2,374.00 | $811.91 – $2,136.60 | 14 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | not published | not published | $31.73 – $31.73 | 1 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | $3,217.04 | $4,021.30 | $98.36 – $3,619.17 | 14 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | not published | not published | $146.06 – $146.06 | 1 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | $6,616.16 | $8,270.20 | $311.44 – $7,443.18 | 14 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $2,133.36 | $2,666.70 | $138.08 – $2,400.03 | 14 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | not published | not published | $189.71 – $189.71 | 1 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | not published | not published | $3,547.84 – $3,547.84 | 1 |
| Pegunigalsidase alfa-iwxj HCPCS J2508 | not published | not published | $227.78 – $227.78 | 1 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $2,004.00 | $2,505.00 | $856.71 – $2,254.50 | 14 |
| Pelvic CT scan (with contrast) CPT 72193 | $1,929.60 | $2,412.00 | $824.90 – $2,170.80 | 14 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,815.20 | $2,269.00 | $776.00 – $2,042.10 | 14 |
| Pelvic MRI (with and without contrast) CPT 72197 | $3,956.80 | $4,946.00 | $1,691.53 – $4,451.40 | 14 |
| Pelvic MRI (without contrast) CPT 72195 | $2,768.80 | $3,461.00 | $1,183.66 – $3,114.90 | 14 |
| Pelvic Ultrasound (complete) CPT 76856 | $779.20 | $974.00 | $333.11 – $876.60 | 14 |
| Pelvic Ultrasound (limited) CPT 76857 | $638.40 | $798.00 | $272.92 – $718.20 | 14 |
| Pelvis X-ray (1 to 2 views) CPT 72170 | $275.20 | $344.00 | $117.65 – $309.60 | 14 |
| Pelvis X-ray (complete, 4 or more views) CPT 72190 | $405.60 | $507.00 | $173.39 – $456.30 | 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.