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 |
|---|---|---|---|---|
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | not published | not published | $69.76 – $69.76 | 1 |
| Pemivibart infusion HCPCS M0224 | $760.00 | $950.00 | $324.90 – $855.00 | 14 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $903.20 | $1,129.00 | $386.12 – $1,016.10 | 14 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $64.66 | $80.82 | $27.64 – $72.74 | 14 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $819.20 | $1,024.00 | $350.21 – $921.60 | 14 |
| Ph body fluid CPT 83986 | $22.40 | $28.00 | $9.58 – $25.20 | 14 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $76.04 | $95.04 | $31.28 – $82.31 | 14 |
| Phenobarbital therapeutic drug level CPT 80184 | $71.20 | $89.00 | $20.52 – $54.00 | 14 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $60.92 | $76.15 | $26.04 – $68.54 | 14 |
| Phenytoin total therapeutic drug level CPT 80185 | $76.80 | $96.00 | $30.10 – $79.20 | 14 |
| Phlebotomy therapeutic CPT 99195 | $258.40 | $323.00 | $110.47 – $290.70 | 14 |
| Phosphorus CPT 84100 | $36.80 | $46.00 | $15.73 – $41.40 | 14 |
| Phosphorus 24 hour urine CPT 84105 | $32.00 | $40.00 | $13.68 – $36.00 | 14 |
| Physical Therapy Evaluation (high complexity) CPT 97163 | $320.00 | $400.00 | $136.80 – $360.00 | 14 |
| Physical Therapy Evaluation (low complexity) CPT 97161 | $237.60 | $297.00 | $101.57 – $267.30 | 14 |
| Physical Therapy Evaluation (moderate complexity) CPT 97162 | $267.20 | $334.00 | $114.23 – $300.60 | 14 |
| Physical Therapy Re-Evaluation CPT 97164 | $182.40 | $228.00 | $77.98 – $205.20 | 14 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $79.04 | $98.79 | $33.20 – $87.36 | 14 |
| Pinworm exam CPT 87172 | $33.60 | $42.00 | $14.36 – $37.80 | 14 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $62.74 | $78.42 | $26.48 – $69.69 | 14 |
| Platelet aggregation each agent teg CPT 85576 | $97.60 | $122.00 | $41.72 – $109.80 | 14 |
| Platelet automated CPT 85049 | $24.00 | $30.00 | $10.26 – $27.00 | 14 |
| Platelets each unit HCPCS P9019 | $592.00 | $740.00 | $253.08 – $666.00 | 14 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $164.80 | $206.00 | $70.45 – $185.40 | 14 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $4,224.80 | $5,281.00 | $1,806.10 – $4,752.90 | 14 |
| Potassium 24 hour urine CPT 84133 | $30.40 | $38.00 | $13.00 – $34.20 | 14 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $102.56 | $128.20 | $26.09 – $68.65 | 14 |
| Potassium serum/plasma/whole blood CPT 84132 | $29.60 | $37.00 | $12.65 – $33.30 | 14 |
| Pr application of long arm splint CPT 29105 | $242.40 | $303.00 | $103.63 – $272.70 | 14 |
| Pr application splint static short arm CPT 29125 | $260.00 | $325.00 | $111.15 – $292.50 | 14 |
| Prealbumin CPT 84134 | $68.80 | $86.00 | $29.41 – $77.40 | 14 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $3.60 | $4.50 | $1.54 – $4.05 | 14 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $794.40 | $993.00 | $339.61 – $893.70 | 14 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $721.60 | $902.00 | $308.48 – $811.80 | 14 |
| Pregnancy Ultrasound (limited) CPT 76815 | $538.40 | $673.00 | $230.17 – $605.70 | 14 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $816.00 | $1,020.00 | $348.84 – $918.00 | 14 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $716.80 | $896.00 | $306.43 – $806.40 | 14 |
| Pr incision & drainage abscess simple/single CPT 10060 | $452.80 | $566.00 | $193.57 – $509.40 | 14 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $480.00 | $600.00 | $205.20 – $540.00 | 14 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $644.00 | $805.00 | $275.31 – $724.50 | 14 |
| Procalcitonin CPT 84145 | $187.20 | $234.00 | $80.03 – $210.60 | 14 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $61.26 | $76.57 | $26.19 – $68.91 | 14 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | $1,402.40 | $1,753.00 | $599.53 – $1,577.70 | 14 |
| Progesterone CPT 84144 | $99.20 | $124.00 | $42.41 – $111.60 | 14 |
| Prolactin CPT 84146 | $94.40 | $118.00 | $20.86 – $54.90 | 14 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $60.00 | $75.00 | $25.65 – $67.50 | 14 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $64.85 | $81.06 | $27.72 – $72.95 | 14 |
| Protein c activity CPT 85303 | $208.80 | $261.00 | $89.26 – $234.90 | 14 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $52.00 | $65.00 | $22.23 – $58.50 | 14 |
| Protein s total CPT 85305 | $176.80 | $221.00 | $75.58 – $198.90 | 14 |
| Protein total 24 hour urine CPT 84156 | $60.80 | $76.00 | $14.36 – $37.80 | 14 |
| Protein total body fluid CPT 84157 | $26.40 | $33.00 | $11.29 – $29.70 | 14 |
| Protein total serum plasma whole blood CPT 84155 | $25.60 | $32.00 | $10.94 – $28.80 | 14 |
| Prothrombin complex kcentra HCPCS J7168 | $1,724.00 | $2,155.00 | $737.01 – $1,939.50 | 14 |
| Provide inr test mater/equip HCPCS G0249 | $255.20 | $319.00 | $109.10 – $287.10 | 14 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $196.00 | $245.00 | $83.79 – $220.50 | 14 |
| Pr removal intrauterine device CPT 58301 | $496.00 | $620.00 | $212.04 – $558.00 | 14 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $672.80 | $841.00 | $287.62 – $756.90 | 14 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $365.60 | $457.00 | $156.29 – $411.30 | 14 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $396.80 | $496.00 | $169.63 – $446.40 | 14 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $352.00 | $440.00 | $150.48 – $396.00 | 14 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $372.00 | $465.00 | $159.03 – $418.50 | 14 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $1,042.40 | $1,303.00 | $445.63 – $1,172.70 | 14 |
| PSA (Prostate) Test CPT 84153 | $89.60 | $112.00 | $38.30 – $100.80 | 14 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $128.00 | $160.00 | $54.72 – $144.00 | 14 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $98.40 | $123.00 | $42.07 – $110.70 | 14 |
| Pt application of modality traction mechanical CPT 97012 | $103.20 | $129.00 | $44.12 – $116.10 | 14 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $140.80 | $176.00 | $60.19 – $158.40 | 14 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $96.80 | $121.00 | $41.38 – $108.90 | 14 |
| Pt wheelchair management each 15 minutes CPT 97542 | $112.80 | $141.00 | $48.22 – $126.90 | 14 |
| Pulse ox continuous overnight monitoring CPT 94762 | $359.20 | $449.00 | $153.56 – $404.10 | 14 |
| Pulse ox multiple CPT 94761 | $175.20 | $219.00 | $74.90 – $197.10 | 14 |
| Pulse ox single CPT 94760 | $82.40 | $103.00 | $35.23 – $92.70 | 14 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $151.20 | $189.00 | $64.64 – $170.10 | 14 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $497.60 | $622.00 | $212.72 – $559.80 | 14 |
| Puncture spinal lumbar diagnostic CPT 62270 | $932.00 | $1,165.00 | $398.43 – $1,048.50 | 14 |
| Pyruvate CPT 84210 | $57.60 | $72.00 | $24.62 – $64.80 | 14 |
| Quest t3 uptake CPT 84479 | $48.80 | $61.00 | $20.86 – $54.90 | 14 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $2,379.65 | $2,974.56 | $963.01 – $2,534.24 | 14 |
| Racepinephrine hcl soln nebu 2.25% (base equivalent) HCPCS J7699 | $5.12 | $6.39 | $2.19 – $5.75 | 14 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $2,688.80 | $3,361.00 | $1,149.46 – $3,024.90 | 14 |
| Rapid Strep Test CPT 87880 | $48.00 | $60.00 | $20.52 – $54.00 | 14 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | not published | not published | $224.93 – $224.93 | 1 |
| Rbc count only automated CPT 85041 | $28.00 | $35.00 | $11.97 – $31.50 | 14 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $492.80 | $616.00 | $210.67 – $554.40 | 14 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $715.20 | $894.00 | $305.75 – $804.60 | 14 |
| Refill/maint pump/resvr syst CPT 96522 | not published | not published | $284.80 – $284.80 | 1 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | $68.21 | $85.26 | $28.28 – $74.41 | 14 |
| Remdesivir 100 mg intravenous powder for solution HCPCS J0248 | $880.00 | $1,100.00 | $376.20 – $990.00 | 14 |
| Removal cerumen impacted (both sides) CPT 69210 | $147.20 | $184.00 | $62.93 – $165.60 | 14 |
| Removal foreign body foot subcutaneous right CPT 28190 | $1,277.60 | $1,597.00 | $546.17 – $1,437.30 | 14 |
| Removal skin tags fibrocutaneous any area <= 15 lesions CPT 11200 | $394.40 | $493.00 | $168.61 – $443.70 | 14 |
| Renal function panel CPT 80069 | $77.60 | $97.00 | $33.17 – $87.30 | 14 |
| Repair complex wound scalp/arms/legs 2.6 - 7.5 cm CPT 13121 | $1,153.60 | $1,442.00 | $493.16 – $1,297.80 | 14 |
| Repair rpr lac tongue floor mouth > 2.6 cm/cmplx CPT 41252 | $811.20 | $1,014.00 | $346.79 – $912.60 | 14 |
| Replantation digit complete CPT 20822 | $240.00 | $300.00 | $102.60 – $270.00 | 14 |
| Reslizumab 10 mg/ml intravenous solution HCPCS J2786 | not published | not published | $10.50 – $10.50 | 1 |
| #resp virpnl dfa-adenovirus CPT 87260 | $44.80 | $56.00 | $19.15 – $50.40 | 14 |
| #resp virpnl dfa-parainfluenza CPT 87279 | $61.60 | $77.00 | $26.33 – $69.30 | 14 |
| Reticulated platelet assay CPT 85055 | $94.40 | $118.00 | $40.36 – $106.20 | 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.