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 |
|---|---|---|---|---|
| Tc-99m maa HCPCS A9540 | $936.80 | $1,171.00 | $400.48 – $1,053.90 | 14 |
| Tc-99m mebrofenin HCPCS A9537 | $178.40 | $223.00 | $76.27 – $200.70 | 14 |
| Tc-99m medronate HCPCS A9503 | $133.60 | $167.00 | $57.11 – $150.30 | 14 |
| Tc-99m oxidronate HCPCS A9561 | $168.00 | $210.00 | $71.82 – $189.00 | 14 |
| Tc-99m pentetate dtpa HCPCS A9539 | $388.80 | $486.00 | $166.21 – $437.40 | 14 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $108.00 | $135.00 | $46.17 – $121.50 | 14 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $352.00 | $440.00 | $150.48 – $396.00 | 14 |
| Tc-99m sulfur colloid HCPCS A9541 | $308.00 | $385.00 | $131.67 – $346.50 | 14 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $120.00 | $150.00 | $51.30 – $135.00 | 14 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $201.60 | $252.00 | $64.98 – $171.00 | 14 |
| T cells absolute cd 4 count CPT 86361 | $117.60 | $147.00 | $50.27 – $132.30 | 14 |
| T cells total count CPT 86359 | $183.20 | $229.00 | $78.32 – $206.10 | 14 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $10,355.48 | $12,944.34 | $4,426.96 – $11,649.91 | 14 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $61.18 | $76.47 | $26.07 – $68.61 | 14 |
| Test stress cardiovascular tracing only CPT 93017 | $1,025.60 | $1,282.00 | $438.44 – $1,153.80 | 14 |
| Tetanus immune globulin inj HCPCS J1670 | $899.08 | $1,123.84 | $384.35 – $1,011.46 | 14 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | not published | not published | $18.45 – $18.45 | 1 |
| Theophylline therapeutic drug level CPT 80198 | $63.20 | $79.00 | $27.02 – $71.10 | 14 |
| Therapy Activity Training (each 15 minutes) CPT 97530 | $114.40 | $143.00 | $48.91 – $128.70 | 14 |
| Therapy Exercise Session (each 15 minutes) CPT 97110 | $117.60 | $147.00 | $50.27 – $132.30 | 14 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $45.60 | $57.00 | $19.49 – $51.30 | 14 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $45.60 | $57.00 | $19.49 – $51.30 | 14 |
| Ther/proph/diag inj ia CPT 96373 | not published | not published | $44.80 – $44.80 | 1 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $62.53 | $78.16 | $26.73 – $70.34 | 14 |
| Thigh Bone (Femur) X-ray (both sides) CPT 73552 | $316.00 | $395.00 | $135.09 – $355.50 | 14 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $1,624.00 | $2,030.00 | $694.26 – $1,827.00 | 14 |
| Three-Phase Bone Scan (Nuclear Medicine) CPT 78315 | $2,034.40 | $2,543.00 | $869.71 – $2,288.70 | 14 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $65.60 | $82.00 | $28.04 – $73.80 | 14 |
| Thyroglobulin antibody CPT 86800 | $87.20 | $109.00 | $22.57 – $59.40 | 14 |
| Thyroid imaging CPT 78013 | $956.80 | $1,196.00 | $409.03 – $1,076.40 | 14 |
| Thyroid (TSH) Test CPT 84443 | $81.60 | $102.00 | $34.88 – $91.80 | 14 |
| Thyroid Ultrasound CPT 76536 | $680.00 | $850.00 | $290.70 – $765.00 | 14 |
| Tirofiban 12.5 mg/50 ml HCPCS J3246 | $196.76 | $245.95 | $84.11 – $221.36 | 14 |
| Tissue exam koh skin/hair/nails CPT 87220 | $44.80 | $56.00 | $19.15 – $50.40 | 14 |
| Tissue transglutaminase iga CPT 86364 | $50.40 | $63.00 | $21.55 – $56.70 | 14 |
| Tl-201 thallium diag per mci HCPCS A9505 | $78.40 | $98.00 | $33.52 – $88.20 | 14 |
| Tobramycin peak therapeutic drug level CPT 80200 | $84.80 | $106.00 | $36.25 – $95.40 | 14 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | not published | not published | $6.08 – $6.08 | 1 |
| Toe X-ray (both feet) CPT 73660 | $231.20 | $289.00 | $98.84 – $260.10 | 14 |
| Tomosynthesis breast screen bilateral CPT 77063 | $68.00 | $85.00 | $29.07 – $76.50 | 14 |
| Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution HCPCS J3263 | not published | not published | $46.57 – $46.57 | 1 |
| Toxoplasma antibody igg CPT 86777 | $82.40 | $103.00 | $35.23 – $92.70 | 14 |
| Toxoplasma antibody igm CPT 86778 | $108.80 | $136.00 | $46.51 – $122.40 | 14 |
| Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108 | $100.00 | $125.00 | $42.75 – $112.50 | 14 |
| Transferrin CPT 84466 | $65.60 | $82.00 | $28.04 – $73.80 | 14 |
| Transvaginal Pelvic Ultrasound (not pregnancy) CPT 76830 | $695.20 | $869.00 | $297.20 – $782.10 | 14 |
| Transvaginal Pregnancy Ultrasound CPT 76817 | $654.40 | $818.00 | $279.76 – $736.20 | 14 |
| Trastuzumab 150 mg intravenous solution HCPCS J9355 | not published | not published | $93.40 – $93.40 | 1 |
| Trastuzumab-anns 150 mg intravenous solution HCPCS Q5117 | not published | not published | $29.15 – $29.15 | 1 |
| Trastuzumab-qyyp 150 mg intravenous solution HCPCS Q5116 | not published | not published | $22.97 – $22.97 | 1 |
| Trauma partial team response w/critical care services level 4 HCPCS G0390 | $1,463.20 | $1,829.00 | $625.52 – $1,646.10 | 14 |
| Treat finger fracture each CPT 26742 | $989.60 | $1,237.00 | $423.05 – $1,113.30 | 14 |
| Treat foot dislocation CPT 28540 | $376.80 | $471.00 | $161.08 – $423.90 | 14 |
| Treat foot dislocation CPT 28570 | $427.20 | $534.00 | $182.63 – $480.60 | 14 |
| Treat foot dislocation CPT 28600 | $361.60 | $452.00 | $154.58 – $406.80 | 14 |
| Treat fracture of ulna CPT 25535 | $1,259.20 | $1,574.00 | $538.31 – $1,416.60 | 14 |
| Treat knee fracture 27530 CPT 27530 | $433.60 | $542.00 | $185.36 – $487.80 | 14 |
| Treat lower leg dislocation CPT 27830 | $977.60 | $1,222.00 | $417.92 – $1,099.80 | 14 |
| Treatment incomplete abortion completed surgically any trimester CPT 59812 | $3,348.80 | $4,186.00 | $1,431.61 – $3,767.40 | 14 |
| Treatment of ankle fracture 27786 CPT 27786 | $421.60 | $527.00 | $180.23 – $474.30 | 14 |
| Treatment of fibula fracture 27780 CPT 27780 | $378.40 | $473.00 | $161.77 – $425.70 | 14 |
| Treatment of heel fracture 28400 CPT 28400 | $380.80 | $476.00 | $162.79 – $428.40 | 14 |
| Treatment of toe fracture 28510 CPT 28510 | $322.40 | $403.00 | $137.83 – $362.70 | 14 |
| Treat midfoot fracture each CPT 28455 | $2,632.00 | $3,290.00 | $1,125.18 – $2,961.00 | 14 |
| Treponema pallidum antibody CPT 86780 | $68.80 | $86.00 | $17.44 – $45.90 | 14 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | $61.42 | $76.77 | $26.26 – $69.09 | 14 |
| Triglycerides CPT 84478 | $28.80 | $36.00 | $11.97 – $31.50 | 14 |
| Trmt of fracture (femoral shaft) 27500 CPT 27500 | $381.60 | $477.00 | $163.13 – $429.30 | 14 |
| Troponin quantitative CPT 84484 | $82.40 | $103.00 | $35.23 – $92.70 | 14 |
| Tx closed tib shaft fx without manip CPT 27750 | $421.60 | $527.00 | $180.23 – $474.30 | 14 |
| Tx tarsal bone fx without manip 28450 CPT 28450 | $387.20 | $484.00 | $165.53 – $435.60 | 14 |
| Ua w/micro/comp poc CPT 81000 | $35.20 | $44.00 | $15.05 – $39.60 | 14 |
| Ublituximab-xiiy 25 mg/ml intravenous solution HCPCS J2329 | not published | not published | $70.76 – $70.76 | 1 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $647.20 | $809.00 | $276.68 – $728.10 | 14 |
| Ultrasound joint complete left CPT 76881 | $623.20 | $779.00 | $266.42 – $701.10 | 14 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $630.40 | $788.00 | $269.50 – $709.20 | 14 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $456.00 | $570.00 | $194.94 – $513.00 | 14 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $496.00 | $620.00 | $212.04 – $558.00 | 14 |
| Ultrasound prostate/transrectal CPT 76872 | $687.20 | $859.00 | $293.78 – $773.10 | 14 |
| Unlisted px foot/toes CPT 28899 | $2,301.60 | $2,877.00 | $983.93 – $2,589.30 | 14 |
| Unlisted px forearm/wrist CPT 25999 | $3,521.60 | $4,402.00 | $1,505.48 – $3,961.80 | 14 |
| Unlisted px hands/fingers CPT 26989 | $336.80 | $421.00 | $143.98 – $378.90 | 14 |
| Unlisted px leg/ankle CPT 27899 | $381.60 | $477.00 | $163.13 – $429.30 | 14 |
| Unlisted px pelvis/hip joint CPT 27299 | $4,119.20 | $5,149.00 | $1,760.96 – $4,634.10 | 14 |
| Upper Arm (Humerus) X-ray (left side) CPT 73060 | $312.00 | $390.00 | $133.38 – $351.00 | 14 |
| Upper Back (Thoracic Spine) CT Scan (with contrast) CPT 72129 | $2,263.20 | $2,829.00 | $967.52 – $2,546.10 | 14 |
| Upper Back (Thoracic Spine) CT Scan (without contrast) CPT 72128 | $1,902.40 | $2,378.00 | $813.28 – $2,140.20 | 14 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $4,056.00 | $5,070.00 | $1,733.94 – $4,563.00 | 14 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $2,735.20 | $3,419.00 | $1,169.30 – $3,077.10 | 14 |
| Upper Back (Thoracic Spine) X-ray (2 views) CPT 72070 | $331.20 | $414.00 | $141.59 – $372.60 | 14 |
| Upper Back (Thoracic Spine) X-ray (3 views) CPT 72072 | $375.20 | $469.00 | $160.40 – $422.10 | 14 |
| Urea nitrogen CPT 84520 | $25.60 | $32.00 | $10.94 – $28.80 | 14 |
| Urea nitrogen 24 hour urine CPT 84540 | $32.00 | $40.00 | $13.68 – $36.00 | 14 |
| Ureteral reflux study CPT 78740 | $1,225.60 | $1,532.00 | $523.94 – $1,378.80 | 14 |
| Uric acid blood CPT 84550 | $36.80 | $46.00 | $15.73 – $41.40 | 14 |
| Uric acid urine CPT 84560 | $36.00 | $45.00 | $15.39 – $40.50 | 14 |
| Urinalysis microscopic only CPT 81015 | $16.00 | $20.00 | $6.84 – $18.00 | 14 |
| Urinalysis (with microscopy) CPT 81001 | $31.20 | $39.00 | $13.34 – $35.10 | 14 |
| Urinalysis (without microscopy) CPT 81003 | $24.80 | $31.00 | $10.60 – $27.90 | 14 |
| Urine Culture Test CPT 87086 | $42.40 | $53.00 | $18.13 – $47.70 | 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.