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 |
|---|---|---|---|---|
| Reticulocyte automated CPT 85045 | $27.20 | $34.00 | $11.63 – $30.60 | 14 |
| Reticulocyte direct measurement automated CPT 85046 | $29.60 | $37.00 | $12.65 – $33.30 | 14 |
| Retifanlimab-dlwr 500 mg/20 ml intravenous solution HCPCS J9345 | not published | not published | $34.97 – $34.97 | 1 |
| Rheumatoid factor qualitative CPT 86430 | $34.40 | $43.00 | $14.71 – $38.70 | 14 |
| Rheumatoid factor quantitative CPT 86431 | $50.40 | $63.00 | $14.02 – $36.90 | 14 |
| Rib and Chest X-ray (3 views, left side) CPT 71101 | $398.40 | $498.00 | $170.32 – $448.20 | 14 |
| Rib and Chest X-ray (4 or more views, both sides) CPT 71111 | $510.40 | $638.00 | $218.20 – $574.20 | 14 |
| Rib X-ray (3 views, both sides) CPT 71110 | $400.00 | $500.00 | $171.00 – $450.00 | 14 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | $2,218.40 | $2,773.00 | $948.37 – $2,495.70 | 14 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | not published | not published | $11.36 – $11.36 | 1 |
| Rozanolixizumab-noli 140 mg/ml subcutaneous solution HCPCS J9333 | not published | not published | $23.21 – $23.21 | 1 |
| Rsv assay w/optic CPT 87807 | $137.60 | $172.00 | $57.46 – $151.20 | 14 |
| Rubella antibody igg CPT 86762 | $78.40 | $98.00 | $33.52 – $88.20 | 14 |
| Rubeola antibody igg CPT 86765 | $71.20 | $89.00 | $30.44 – $80.10 | 14 |
| Russell viper venom diluted CPT 85613 | $65.60 | $82.00 | $28.04 – $73.80 | 14 |
| Rx metab gen seq alys pnl 6 CPT 81418 | $256.00 | $320.00 | $109.44 – $288.00 | 14 |
| Sacroiliac Joint X-ray (3 or more views) CPT 72202 | $296.00 | $370.00 | $126.54 – $333.00 | 14 |
| Sarscov coronavirus ag ia CPT 87426 | $86.40 | $108.00 | $36.94 – $97.20 | 14 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $1,028.00 | $1,285.00 | $439.47 – $1,156.50 | 14 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $704.80 | $881.00 | $301.30 – $792.90 | 14 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $836.00 | $1,045.00 | $357.39 – $940.50 | 14 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $888.80 | $1,111.00 | $379.96 – $999.90 | 14 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $797.60 | $997.00 | $340.97 – $897.30 | 14 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $775.20 | $969.00 | $331.40 – $872.10 | 14 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | $100.00 | $125.00 | $42.75 – $112.50 | 14 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | $57.60 | $72.00 | $24.62 – $64.80 | 14 |
| Screening hepatitis c antibody high risk HCPCS G0472 | $122.40 | $153.00 | $52.33 – $137.70 | 14 |
| Screening Mammogram CPT 77067 | $416.80 | $521.00 | $138.17 – $363.60 | 14 |
| Screening prostate cancer PSA HCPCS G0103 | $89.60 | $112.00 | $38.30 – $100.80 | 14 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $1,536.00 | $1,920.00 | $350.55 – $922.50 | 14 |
| Scrotal (Testicle) Ultrasound CPT 76870 | $715.20 | $894.00 | $305.75 – $804.60 | 14 |
| Sc ther infusion reset pump CPT 96371 | not published | not published | $148.00 – $148.00 | 1 |
| Self-Care and Home Skills Training (each 15 minutes) CPT 97535 | $114.40 | $143.00 | $48.91 – $128.70 | 14 |
| Shot (Injection into Muscle or Under the Skin) CPT 96372 | $124.00 | $155.00 | $8.55 – $22.50 | 14 |
| Shoulder AC Joint X-ray (both sides) CPT 73050 | $337.60 | $422.00 | $144.32 – $379.80 | 14 |
| Shoulder Blade (Scapula) X-ray (both sides) CPT 73010 | $276.80 | $346.00 | $118.33 – $311.40 | 14 |
| Shoulder MRI (with and without contrast) CPT 73223 | $3,819.20 | $4,774.00 | $1,632.71 – $4,296.60 | 14 |
| Shoulder MRI (without contrast) CPT 73221 | $2,675.20 | $3,344.00 | $1,143.65 – $3,009.60 | 14 |
| Shoulder X-ray CPT 73030 | $320.80 | $401.00 | $137.14 – $360.90 | 14 |
| Shoulder X-ray (single view, both shoulders) CPT 73020 | $227.20 | $284.00 | $97.13 – $255.60 | 14 |
| Sinus CT scan (with and without contrast) CPT 70488 | $2,388.00 | $2,985.00 | $1,020.87 – $2,686.50 | 14 |
| Sinus CT scan (with contrast) CPT 70487 | $2,045.60 | $2,557.00 | $874.49 – $2,301.30 | 14 |
| Sinus CT scan (without contrast) CPT 70486 | $1,618.40 | $2,023.00 | $691.87 – $1,820.70 | 14 |
| Sinus X-ray (complete) CPT 70220 | $404.00 | $505.00 | $172.71 – $454.50 | 14 |
| Sinus X-ray (limited) CPT 70210 | $227.20 | $284.00 | $97.13 – $255.60 | 14 |
| Skull X-ray (1 to 3 views) CPT 70250 | $377.60 | $472.00 | $161.42 – $424.80 | 14 |
| Skull X-ray (complete) CPT 70260 | $492.80 | $616.00 | $210.67 – $554.40 | 14 |
| Sleep Study (Polysomnography) CPT 95810 | $3,947.20 | $4,934.00 | $1,687.43 – $4,440.60 | 14 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $44.00 | $55.00 | $18.81 – $49.50 | 14 |
| Smear gram stain CPT 87205 | $27.20 | $34.00 | $11.63 – $30.60 | 14 |
| Smear nasal eosinophil CPT 89190 | $25.60 | $32.00 | $10.94 – $28.80 | 14 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $53.60 | $67.00 | $22.91 – $60.30 | 14 |
| Smear wet mount CPT 87210 | $35.20 | $44.00 | $15.05 – $39.60 | 14 |
| Sodium 24 hour urine CPT 84300 | $28.80 | $36.00 | $12.31 – $32.40 | 14 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $60.00 | $75.00 | $25.65 – $67.50 | 14 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $60.00 | $75.00 | $25.65 – $67.50 | 14 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $72.00 | $90.00 | $25.65 – $67.50 | 14 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $3.60 | $4.50 | $1.54 – $4.05 | 14 |
| Sodium serum/plasma/whole blood CPT 84295 | $29.60 | $37.00 | $12.65 – $33.30 | 14 |
| Specimen fat stain CPT 89125 | $52.00 | $65.00 | $22.23 – $58.50 | 14 |
| Speech and Language Evaluation (comprehensive) CPT 92523 | $452.00 | $565.00 | $193.23 – $508.50 | 14 |
| Speech Therapy Session (one-on-one) CPT 92507 | $282.40 | $353.00 | $120.73 – $317.70 | 14 |
| Spine X-ray (single view, one level) CPT 72020 | $240.80 | $301.00 | $102.94 – $270.90 | 14 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $297.60 | $372.00 | $127.22 – $334.80 | 14 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $1,150.40 | $1,438.00 | $491.80 – $1,294.20 | 14 |
| Sterile water/saline, 10 ml HCPCS A4216 | $3.60 | $4.50 | $1.54 – $4.05 | 14 |
| St evaluate speech sound production CPT 92522 | $331.20 | $414.00 | $141.59 – $372.60 | 14 |
| Stomach Emptying Scan (Nuclear Medicine) CPT 78264 | $1,649.60 | $2,062.00 | $705.20 – $1,855.80 | 14 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $161.60 | $202.00 | $69.08 – $181.80 | 14 |
| Strapping of chest CPT 29200 | $168.00 | $210.00 | $71.82 – $189.00 | 14 |
| Strapping of elbow or wrist 29260 CPT 29260 | $188.00 | $235.00 | $80.37 – $211.50 | 14 |
| Strapping of hand or finger CPT 29280 | $163.20 | $204.00 | $69.77 – $183.60 | 14 |
| Strapping of hip CPT 29520 | $189.60 | $237.00 | $81.05 – $213.30 | 14 |
| Strapping of knee CPT 29530 | $178.40 | $223.00 | $76.27 – $200.70 | 14 |
| Strapping of toes 29550 CPT 29550 | $127.20 | $159.00 | $54.38 – $143.10 | 14 |
| Stress test pulmonary CPT 94618 | $319.20 | $399.00 | $136.46 – $359.10 | 14 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $63.72 | $79.65 | $27.24 – $71.69 | 14 |
| Sulfonylurea screen qn-sendout CPT 80377 | $104.00 | $130.00 | $44.46 – $117.00 | 14 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $64.46 | $80.57 | $27.55 – $72.51 | 14 |
| Surgical pathology level 1 gross examination only CPT 88300 | $32.80 | $41.00 | $14.02 – $36.90 | 14 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $77.60 | $97.00 | $33.17 – $87.30 | 14 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $104.00 | $130.00 | $44.46 – $117.00 | 14 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $107.20 | $134.00 | $45.83 – $120.60 | 14 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $680.00 | $850.00 | $290.70 – $765.00 | 14 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $968.00 | $1,210.00 | $413.82 – $1,089.00 | 14 |
| Susceptibility agar dilution per agent CPT 87181 | $34.40 | $43.00 | $10.94 – $28.80 | 14 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $36.80 | $46.00 | $15.73 – $41.40 | 14 |
| Susceptibility mic per plate CPT 87186 | $158.40 | $198.00 | $17.44 – $45.90 | 14 |
| Swallowing Evaluation (Bedside) CPT 92610 | $362.40 | $453.00 | $154.93 – $407.70 | 14 |
| Swallowing Therapy Session CPT 92526 | $244.00 | $305.00 | $104.31 – $274.50 | 14 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $11.20 | $14.00 | $4.79 – $12.60 | 14 |
| T3 (triiodothyronine) free CPT 84481 | $108.80 | $136.00 | $46.51 – $122.40 | 14 |
| T3 (triiodothyronine) total CPT 84480 | $68.80 | $86.00 | $29.41 – $77.40 | 14 |
| T4 (thyroxine) free CPT 84439 | $60.80 | $76.00 | $25.99 – $68.40 | 14 |
| T4 (thyroxine) total CPT 84436 | $30.40 | $38.00 | $13.00 – $34.20 | 14 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $1.20 | $1.50 | $0.51 – $1.35 | 14 |
| Tacrolimus therapeutic drug level CPT 80197 | $147.20 | $184.00 | $62.93 – $165.60 | 14 |
| Tailbone (Sacrum and Coccyx) X-ray CPT 72220 | $291.20 | $364.00 | $124.49 – $327.60 | 14 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $304.80 | $381.00 | $130.30 – $342.90 | 14 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $178.40 | $223.00 | $76.27 – $200.70 | 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.