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 |
|---|---|---|---|---|
| Arm CT Scan (without contrast, both arms) CPT 73200 | $1,943.20 | $2,429.00 | $830.72 – $2,186.10 | 14 |
| Arm or Leg Ultrasound (limited, left side) CPT 76882 | $544.00 | $680.00 | $232.56 – $612.00 | 14 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right CPT 20605 | $477.60 | $597.00 | $204.17 – $537.30 | 14 |
| Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance CPT 20600 | $446.40 | $558.00 | $190.84 – $502.20 | 14 |
| Aspirate pleura without imaging 32554 CPT 32554 | $749.60 | $937.00 | $320.45 – $843.30 | 14 |
| Assay of breath ethanol CPT 82075 | $25.60 | $32.00 | $10.94 – $28.80 | 14 |
| Assay of feces porphyrins CPT 84126 | $122.40 | $153.00 | $52.33 – $137.70 | 14 |
| Assay of salicylate CPT 80179 | $93.60 | $117.00 | $40.01 – $105.30 | 14 |
| Assay of sialic acid CPT 84275 | $120.00 | $150.00 | $51.30 – $135.00 | 14 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | $37.60 | $47.00 | $16.07 – $42.30 | 14 |
| Ast/sgot CPT 84450 | $25.60 | $32.00 | $10.94 – $28.80 | 14 |
| Atezolizumab 60 mg/ml intravenous solution (wrapper) HCPCS J9022 | not published | not published | $103.32 – $103.32 | 1 |
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | $60.72 | $75.89 | $25.95 – $68.30 | 14 |
| Automated diff wbc count CPT 85004 | $28.80 | $36.00 | $12.31 – $32.40 | 14 |
| Avelumab 20 mg/ml intravenous solution HCPCS J9023 | not published | not published | $114.04 – $114.04 | 1 |
| Avul nail plate addl CPT 11732 | $144.80 | $181.00 | $61.90 – $162.90 | 14 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $305.60 | $382.00 | $130.64 – $343.80 | 14 |
| Azathioprine 50 mg tablet HCPCS J7500 | $1.20 | $1.50 | $0.51 – $1.35 | 14 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $62.22 | $77.77 | $26.60 – $69.99 | 14 |
| Azithromycin dihydrate, oral HCPCS Q0144 | $24.50 | $30.62 | $10.47 – $27.56 | 14 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | $93.44 | $116.79 | $39.94 – $105.11 | 14 |
| Bacterial meningitis antigen CPT 86403 | $72.80 | $91.00 | $31.12 – $81.90 | 14 |
| Bacterial vaginosis pcr CPT 87801 | $237.60 | $297.00 | $101.57 – $267.30 | 14 |
| Balance and Coordination Retraining (each 15 minutes) CPT 97112 | $124.00 | $155.00 | $53.01 – $139.50 | 14 |
| Bausch health Ultrasound surg HCPCS V2788 | $895.20 | $1,119.00 | $382.70 – $1,007.10 | 14 |
| B cells total count CPT 86355 | $145.60 | $182.00 | $47.54 – $125.10 | 14 |
| Belimumab 120 mg intravenous solution HCPCS J0490 | not published | not published | $55.16 – $55.16 | 1 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $80.80 | $101.00 | $34.54 – $90.90 | 14 |
| Beta-2 microglobulin CPT 82232 | $123.20 | $154.00 | $46.51 – $122.40 | 14 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | $65.20 | $81.50 | $27.87 – $73.35 | 14 |
| Bilateral n block inj occipital 64405 CPT 64405 | $736.80 | $921.00 | $314.98 – $828.90 | 14 |
| Bilateral n block inj trigeminal 64400 CPT 64400 | $420.80 | $526.00 | $179.89 – $473.40 | 14 |
| Bilirubin direct CPT 82248 | $38.40 | $48.00 | $16.42 – $43.20 | 14 |
| Bilirubin total CPT 82247 | $26.40 | $33.00 | $11.29 – $29.70 | 14 |
| Biotinidase - quest CPT 82261 | $67.20 | $84.00 | $24.28 – $63.90 | 14 |
| Bladder Catheter Insertion (simple) CPT 51702 | $289.60 | $362.00 | $123.80 – $325.80 | 14 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | $395.20 | $494.00 | $168.95 – $444.60 | 14 |
| Bln 30frx10mmx12cm renal nephromax HCPCS C1726 | $218.40 | $273.00 | $70.11 – $184.50 | 14 |
| Bln dil 900ml preperitnl HCPCS C1727 | $1,029.60 | $1,287.00 | $440.15 – $1,158.30 | 14 |
| Blood Clotting (PT/INR) Test CPT 85610 | $33.60 | $42.00 | $14.02 – $36.90 | 14 |
| Blood Clotting (PTT) Test CPT 85730 | $41.60 | $52.00 | $17.78 – $46.80 | 14 |
| Blood Count (CBC) Test CPT 85025 | $42.40 | $53.00 | $13.68 – $36.00 | 14 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $32.00 | $40.00 | $13.68 – $36.00 | 14 |
| Blood Culture Test CPT 87040 | $65.60 | $82.00 | $28.04 – $73.80 | 14 |
| Blood draw capillary 36416 CPT 36416 | $13.60 | $17.00 | $5.81 – $15.30 | 14 |
| Blood Draw (Venipuncture) CPT 36415 | $27.20 | $34.00 | $7.52 – $19.80 | 14 |
| Blood gases ph venous CPT 82800 | $49.60 | $62.00 | $21.20 – $55.80 | 14 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $57.60 | $72.00 | $24.62 – $64.80 | 14 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $17.60 | $22.00 | $7.52 – $19.80 | 14 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $43.20 | $54.00 | $18.47 – $48.60 | 14 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $24.00 | $30.00 | $10.26 – $27.00 | 14 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $39.20 | $49.00 | $16.76 – $44.10 | 14 |
| Blood Transfusion CPT 36430 | $824.80 | $1,031.00 | $352.60 – $927.90 | 14 |
| Blood typing abo CPT 86900 | $17.60 | $22.00 | $7.52 – $19.80 | 14 |
| Blood typing ag donor ea ag CPT 86902 | $104.00 | $130.00 | $44.46 – $117.00 | 14 |
| Blood typing patient serum CPT 86904 | $76.00 | $95.00 | $32.49 – $85.50 | 14 |
| Blood typing rh (d) CPT 86901 | $17.60 | $22.00 | $7.52 – $19.80 | 14 |
| Bls-emergency HCPCS A0429 | $978.40 | $1,223.00 | $418.27 – $1,100.70 | 14 |
| Bone Age X-ray (hand and wrist) CPT 77072 | $232.80 | $291.00 | $99.52 – $261.90 | 14 |
| Bone Density Scan (DEXA) CPT 77080 | $472.80 | $591.00 | $202.12 – $531.90 | 14 |
| Bone/joint imaging ltd area CPT 78300 | $1,254.40 | $1,568.00 | $536.26 – $1,411.20 | 14 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $1,321.60 | $1,652.00 | $564.98 – $1,486.80 | 14 |
| Bone survey-lead poisoning CPT 77074 | $532.80 | $666.00 | $227.77 – $599.40 | 14 |
| Boot softgait shrt m HCPCS L4387 | $113.60 | $142.00 | $48.56 – $127.80 | 14 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | $110.40 | $138.00 | $47.20 – $124.20 | 14 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $113.60 | $142.00 | $41.38 – $108.90 | 14 |
| (both sides) smear without diff wbc count CPT 85008 | $18.40 | $23.00 | $7.87 – $20.70 | 14 |
| Bowel imaging CPT 78290 | $1,444.80 | $1,806.00 | $617.65 – $1,625.40 | 14 |
| Brace ank aftr bioskn med lg HCPCS L1906 | $96.00 | $120.00 | $41.04 – $108.00 | 14 |
| Brace ank air stirrup univ HCPCS L4350 | $62.40 | $78.00 | $26.68 – $70.20 | 14 |
| Brace ankle stablizing lg HCPCS L1902 | $59.20 | $74.00 | $22.23 – $58.50 | 14 |
| Brace back pinnacle tlso 464 HCPCS L0464 | $848.80 | $1,061.00 | $362.86 – $954.90 | 14 |
| Brace or Splint Fitting and Training (each 15 minutes) CPT 97760 | $142.40 | $178.00 | $58.14 – $153.00 | 14 |
| Brace wrist classic lft sm HCPCS L3908 | $62.40 | $78.00 | $8.89 – $23.40 | 14 |
| Brain image w/flow 4 + views CPT 78606 | $1,376.80 | $1,721.00 | $588.58 – $1,548.90 | 14 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $3,671.20 | $4,589.00 | $1,569.44 – $4,130.10 | 14 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $2,993.60 | $3,742.00 | $1,279.76 – $3,367.80 | 14 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $2,637.60 | $3,297.00 | $1,127.57 – $2,967.30 | 14 |
| Brain MRI (with and without contrast) CPT 70553 | $3,768.00 | $4,710.00 | $1,610.82 – $4,239.00 | 14 |
| Brain MRI (without contrast) CPT 70551 | $2,649.60 | $3,312.00 | $1,132.70 – $2,980.80 | 14 |
| Breastbone (Sternum) X-ray CPT 71120 | $296.00 | $370.00 | $126.54 – $333.00 | 14 |
| Budesonide non-comp unit HCPCS J7626 | $7.41 | $9.26 | $3.17 – $8.33 | 14 |
| Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr HCPCS J1939 | $60.32 | $75.39 | $25.78 – $67.85 | 14 |
| Bundled special stain group 1 microorganisms CPT 88312 | $213.60 | $267.00 | $91.31 – $240.30 | 14 |
| Bundled special stain group 2 CPT 88313 | $175.20 | $219.00 | $73.19 – $192.60 | 14 |
| Buprenorphine and metabolite - sendout CPT 80348 | $76.80 | $96.00 | $32.83 – $86.40 | 14 |
| C-1 esterase, berinert HCPCS J0597 | not published | not published | $69.64 – $69.64 | 1 |
| C-1 esterase, cinryze HCPCS J0598 | not published | not published | $65.44 – $65.44 | 1 |
| Cadd pump refill CPT 96521 | not published | not published | $300.80 – $300.80 | 1 |
| Caffeine citrate 20 mg/ml inj for po HCPCS J0706 | $63.35 | $79.18 | $27.08 – $71.26 | 14 |
| Calcium 24 hour urine CPT 82340 | $40.80 | $51.00 | $17.44 – $45.90 | 14 |
| Calcium chloride 100 mg/ml (10 %) intravenous syringe HCPCS J0618 | $66.36 | $82.94 | $28.37 – $74.65 | 14 |
| Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612 | $66.73 | $83.41 | $28.53 – $75.07 | 14 |
| Calcium ionized CPT 82330 | $88.80 | $111.00 | $37.96 – $99.90 | 14 |
| Calcium total CPT 82310 | $26.40 | $33.00 | $11.29 – $29.70 | 14 |
| Calprotectin fecal CPT 83993 | $184.80 | $231.00 | $79.00 – $207.90 | 14 |
| Canakinumab injection HCPCS J0638 | not published | not published | $130.24 – $130.24 | 1 |
| Carbamazepine total therapeutic drug level CPT 80156 | $78.40 | $98.00 | $33.52 – $88.20 | 14 |
| Carbohydrate urine - sendout CPT 84377 | $49.60 | $62.00 | $21.20 – $55.80 | 14 |
| Carbon dioxide CPT 82374 | $33.60 | $42.00 | $14.36 – $37.80 | 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.