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 |
|---|---|---|---|---|
| Dexamethasone 4 mg tablet HCPCS J8540 | $25.60 | $32.00 | $0.51 – $1.35 | 14 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $61.86 | $77.32 | $25.80 – $67.90 | 14 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $60.00 | $75.00 | $25.65 – $67.50 | 14 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $300.00 | $375.00 | $25.65 – $67.50 | 14 |
| Dextrose 5 % IV bolus HCPCS J7070 | $60.00 | $75.00 | $25.65 – $67.50 | 14 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $108.00 | $135.00 | $22.91 – $60.30 | 14 |
| Diabetes (HbA1c) Test CPT 83036 | $45.60 | $57.00 | $19.49 – $51.30 | 14 |
| Diab manage trn ind/group HCPCS G0109 | $41.60 | $52.00 | $17.78 – $46.80 | 14 |
| Diathermy eg microwave CPT 97024 | $69.60 | $87.00 | $29.75 – $78.30 | 14 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $68.84 | $86.05 | $27.90 – $73.42 | 14 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $62.34 | $77.92 | $26.65 – $70.13 | 14 |
| Digoxin total therapeutic drug level CPT 80162 | $64.80 | $81.00 | $27.70 – $72.90 | 14 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | $61.19 | $76.48 | $25.84 – $68.01 | 14 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | $1.20 | $1.50 | $0.51 – $1.35 | 14 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $61.28 | $76.59 | $25.84 – $68.00 | 14 |
| Dna antibody native/double stranded CPT 86225 | $78.40 | $98.00 | $33.52 – $88.20 | 14 |
| Dna probe chlamydia CPT 87490 | $98.40 | $123.00 | $42.07 – $110.70 | 14 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $154.40 | $193.00 | $66.01 – $173.70 | 14 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $124.40 | $155.50 | $53.18 – $139.95 | 14 |
| Doppler echo complete CPT 93320 | $691.20 | $864.00 | $295.49 – $777.60 | 14 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $836.00 | $1,045.00 | $357.39 – $940.50 | 14 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $627.20 | $784.00 | $214.09 – $563.40 | 14 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | not published | not published | $283.24 – $283.24 | 1 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $72.25 | $90.31 | $30.89 – $81.28 | 14 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $796.80 | $996.00 | $340.63 – $896.40 | 14 |
| Drainage external ear simple 69000 CPT 69000 | $812.80 | $1,016.00 | $347.47 – $914.40 | 14 |
| Drain blood from under nail 11740 CPT 11740 | $169.60 | $212.00 | $72.50 – $190.80 | 14 |
| Drain finger abscess;simple 26010 CPT 26010 | $450.40 | $563.00 | $192.55 – $506.70 | 14 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $374.40 | $468.00 | $160.06 – $421.20 | 14 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $322.40 | $403.00 | $137.83 – $362.70 | 14 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $540.80 | $676.00 | $231.19 – $608.40 | 14 |
| Drng of eyelid abscess 67700 CPT 67700 | $494.40 | $618.00 | $211.36 – $556.20 | 14 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $65.79 | $82.23 | $28.12 – $74.01 | 14 |
| Drug assay rufinamide CPT 80210 | $84.00 | $105.00 | $35.91 – $94.50 | 14 |
| Drug assay voriconazole CPT 80285 | $71.20 | $89.00 | $30.44 – $80.10 | 14 |
| Drug of abuse screen urine CPT 80305 | $58.40 | $73.00 | $24.97 – $65.70 | 14 |
| Drug test prsmv instrmnt CPT 80306 | $53.60 | $67.00 | $22.91 – $60.30 | 14 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $211.20 | $264.00 | $64.30 – $169.20 | 14 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $914.40 | $1,143.00 | $390.91 – $1,028.70 | 14 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $1,144.00 | $1,430.00 | $489.06 – $1,287.00 | 14 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | not published | not published | $98.03 – $98.03 | 1 |
| Ecallantide injection HCPCS J1290 | not published | not published | $576.49 – $576.49 | 1 |
| Ecg external < 48 hours recording CPT 93225 | $452.80 | $566.00 | $193.57 – $509.40 | 14 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $627.20 | $784.00 | $268.13 – $705.60 | 14 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $185.60 | $232.00 | $79.34 – $208.80 | 14 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $225.60 | $282.00 | $96.44 – $253.80 | 14 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $2,140.80 | $2,676.00 | $915.19 – $2,408.40 | 14 |
| Echocardiogram (Limited Follow-Up Heart Ultrasound) CPT 93308 | $964.80 | $1,206.00 | $412.45 – $1,085.40 | 14 |
| Echocardiography doppler color flow mapping CPT 93325 | $617.60 | $772.00 | $264.02 – $694.80 | 14 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $495.20 | $619.00 | $211.70 – $557.10 | 14 |
| Echo stress CPT 93350 | $2,113.60 | $2,642.00 | $903.56 – $2,377.80 | 14 |
| Echo transthoracic CPT 93303 | $1,820.00 | $2,275.00 | $778.05 – $2,047.50 | 14 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $1,572.00 | $1,965.00 | $672.03 – $1,768.50 | 14 |
| Eculizumab injection HCPCS J1300 | not published | not published | $228.86 – $228.86 | 1 |
| Efgartigimod alfa-fcab 20 mg/ml intravenous solution HCPCS J9332 | not published | not published | $33.19 – $33.19 | 1 |
| EKG (Tracing Only) CPT 93005 | $243.20 | $304.00 | $103.97 – $273.60 | 14 |
| Elbow X-ray (2 views, both sides) CPT 73070 | $239.20 | $299.00 | $102.26 – $269.10 | 14 |
| Elbow X-ray (3 or more views, both sides) CPT 73080 | $272.00 | $340.00 | $116.28 – $306.00 | 14 |
| Electrical Stimulation Therapy (each 15 minutes) CPT 97032 | $106.40 | $133.00 | $45.49 – $119.70 | 14 |
| Electrical stimulation/unattended 97014 CPT 97014 | $92.00 | $115.00 | $39.33 – $103.50 | 14 |
| Electrolyte panel CPT 80051 | $44.80 | $56.00 | $19.15 – $50.40 | 14 |
| Elosulfase alfa, injection HCPCS J1322 | not published | not published | $299.48 – $299.48 | 1 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $68.17 | $85.21 | $26.41 – $69.49 | 14 |
| Epinephrine 0.1 mg/ml injection syringe HCPCS J0168 | $68.51 | $85.63 | $29.29 – $77.07 | 14 |
| Epinephrine 1 mg/ml im kit - adult HCPCS J0169 | $70.40 | $87.99 | $26.54 – $69.84 | 14 |
| Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution HCPCS J0166 | $61.15 | $76.43 | $26.13 – $68.75 | 14 |
| Epstein barr nuclear antigen antibody CPT 86664 | $80.80 | $101.00 | $34.54 – $90.90 | 14 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $68.80 | $86.00 | $29.41 – $77.40 | 14 |
| Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 | not published | not published | $19.05 – $19.05 | 1 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $79.30 | $99.12 | $33.90 – $89.21 | 14 |
| ER Visit (level 1, minor) CPT 99281 | $251.20 | $314.00 | $107.39 – $282.60 | 14 |
| ER Visit (level 2) CPT 99282 | $494.40 | $618.00 | $211.36 – $556.20 | 14 |
| ER Visit (level 3) CPT 99283 | $840.80 | $1,051.00 | $359.44 – $945.90 | 14 |
| ER Visit (level 4) CPT 99284 | $1,288.80 | $1,611.00 | $550.96 – $1,449.90 | 14 |
| ER Visit (level 5, high severity) CPT 99285 | $1,930.40 | $2,413.00 | $825.25 – $2,171.70 | 14 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $301.28 | $376.60 | $26.36 – $69.38 | 14 |
| Esophageal motility CPT 78258 | $1,008.80 | $1,261.00 | $431.26 – $1,134.90 | 14 |
| Established Patient Office Visit (level 1) CPT 99211 | $160.00 | $200.00 | $38.99 – $102.60 | 14 |
| Established Patient Office Visit (level 2) CPT 99212 | $105.60 | $132.00 | $45.14 – $118.80 | 14 |
| Established Patient Office Visit (level 3) CPT 99213 | $131.20 | $164.00 | $56.09 – $147.60 | 14 |
| Established Patient Office Visit (level 4) CPT 99214 | $158.40 | $198.00 | $67.72 – $178.20 | 14 |
| Estradiol total CPT 82670 | $137.60 | $172.00 | $28.73 – $75.60 | 14 |
| Estrogens total-sendout CPT 82672 | $52.80 | $66.00 | $22.57 – $59.40 | 14 |
| Evaluation of speech fluency 92521 CPT 92521 | $355.20 | $444.00 | $151.85 – $399.60 | 14 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $479.20 | $599.00 | $190.49 – $501.30 | 14 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $100.00 | $125.00 | $24.28 – $63.90 | 14 |
| Eye Socket (Orbit) X-ray CPT 70200 | $363.20 | $454.00 | $155.27 – $408.60 | 14 |
| Eye Socket, Pituitary or Ear CT Scan (with and without contrast) CPT 70482 | $2,475.20 | $3,094.00 | $1,058.15 – $2,784.60 | 14 |
| Eye Socket, Pituitary or Ear CT Scan (with contrast) CPT 70481 | $2,138.40 | $2,673.00 | $914.17 – $2,405.70 | 14 |
| Eye Socket, Pituitary or Ear CT Scan (without contrast) CPT 70480 | $1,682.40 | $2,103.00 | $719.23 – $1,892.70 | 14 |
| Face, Eye Socket and Neck MRI (with and without contrast) CPT 70543 | $4,122.40 | $5,153.00 | $1,762.33 – $4,637.70 | 14 |
| Face, Eye Socket and Neck MRI (without contrast) CPT 70540 | $2,892.80 | $3,616.00 | $1,236.67 – $3,254.40 | 14 |
| Facial Bones X-ray (1 to 2 views) CPT 70140 | $250.40 | $313.00 | $107.05 – $281.70 | 14 |
| Facial Bones X-ray (complete) CPT 70150 | $345.60 | $432.00 | $147.74 – $388.80 | 14 |
| Factor ix CPT 85250 | $133.60 | $167.00 | $57.11 – $150.30 | 14 |
| Factor viii CPT 85240 | $125.60 | $157.00 | $53.69 – $141.30 | 14 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $60.52 | $75.65 | $25.87 – $68.09 | 14 |
| Fat/lipids feces qualitative CPT 82705 | $61.60 | $77.00 | $26.33 – $69.30 | 14 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $62.25 | $77.81 | $26.04 – $68.54 | 14 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $1,420.68 | $1,775.85 | $607.34 – $1,598.27 | 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.