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 |
|---|---|---|---|---|
| Ferritin CPT 82728 | $66.40 | $83.00 | $28.39 – $74.70 | 14 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | $489.22 | $611.52 | $142.09 – $373.93 | 14 |
| Fetal fibronectin CPT 82731 | $337.60 | $422.00 | $144.32 – $379.80 | 14 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $91.20 | $114.00 | $38.99 – $102.60 | 14 |
| Fetal non stress test CPT 59025 | $508.80 | $636.00 | $217.51 – $572.40 | 14 |
| Fibrin degradation d dimer quantitative CPT 85379 | $80.00 | $100.00 | $34.20 – $90.00 | 14 |
| Fibrin degrade semiquant CPT 85378 | $119.20 | $149.00 | $50.96 – $134.10 | 14 |
| Fibrinogen activity CPT 85384 | $48.00 | $60.00 | $20.52 – $54.00 | 14 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | $374.79 | $468.48 | $160.22 – $421.63 | 14 |
| Finger X-ray (both hands) CPT 73140 | $231.20 | $289.00 | $98.84 – $260.10 | 14 |
| Flebogamma injection HCPCS J1572 | not published | not published | $52.94 – $52.94 | 1 |
| Flow cytometry marker each additional CPT 88185 | $141.60 | $177.00 | $60.53 – $159.30 | 14 |
| Flow cytometry one marker technical component CPT 88184 | $224.80 | $281.00 | $96.10 – $252.90 | 14 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $79.89 | $99.86 | $34.15 – $89.87 | 14 |
| Fluidotherapy charges pt CPT 97022 | $111.20 | $139.00 | $47.54 – $125.10 | 14 |
| Folic acid CPT 82746 | $71.20 | $89.00 | $30.44 – $80.10 | 14 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $60.13 | $75.16 | $25.70 – $67.64 | 14 |
| Fondaparinux sodium HCPCS J1652 | $66.33 | $82.91 | $28.36 – $74.62 | 14 |
| Foot X-ray CPT 73630 | $252.00 | $315.00 | $107.73 – $283.50 | 14 |
| Foot X-ray (2 views, both feet) CPT 73620 | $231.20 | $289.00 | $98.84 – $260.10 | 14 |
| Forearm X-ray (both sides) CPT 73090 | $279.20 | $349.00 | $119.36 – $314.10 | 14 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $71.24 | $89.05 | $29.72 – $78.22 | 14 |
| _fragile x methylation-sendout CPT 81244 | $120.80 | $151.00 | $51.64 – $135.90 | 14 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $304.00 | $380.00 | $129.96 – $342.00 | 14 |
| Fructosamine glycated protein CPT 82985 | $51.20 | $64.00 | $21.89 – $57.60 | 14 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $60.27 | $75.33 | $25.70 – $67.64 | 14 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | $60.00 | $75.00 | $25.65 – $67.50 | 14 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $120.00 | $150.00 | $17.10 – $45.00 | 14 |
| Galactose transferase test CPT 82776 | $36.00 | $45.00 | $15.39 – $40.50 | 14 |
| Gallbladder and Bile Duct Scan (HIDA Scan) CPT 78226 | $1,780.80 | $2,226.00 | $761.29 – $2,003.40 | 14 |
| Gallbladder Function Scan (HIDA with Medication) CPT 78227 | $2,037.60 | $2,547.00 | $871.07 – $2,292.30 | 14 |
| Galsulfase injection HCPCS J1458 | not published | not published | $493.88 – $493.88 | 1 |
| Gamma globulin > 10 cc inj HCPCS J1560 | not published | not published | $507.94 – $507.94 | 1 |
| Gamma globulin 1 cc inj HCPCS J1460 | not published | not published | $50.78 – $50.78 | 1 |
| Gammaglobulin iga CPT 82784 | $45.60 | $57.00 | $19.49 – $51.30 | 14 |
| Gammaglobulin ige CPT 82785 | $80.00 | $100.00 | $34.20 – $90.00 | 14 |
| Gamma glutamyltransferase CPT 82977 | $37.60 | $47.00 | $16.07 – $42.30 | 14 |
| Gammaplex injection HCPCS J1557 | not published | not published | $59.03 – $59.03 | 1 |
| Gamunex-c/gammaked HCPCS J1561 | not published | not published | $49.73 – $49.73 | 1 |
| General health panel CPT 80050 | $161.60 | $202.00 | $69.08 – $181.80 | 14 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $61.31 | $76.63 | $26.21 – $68.97 | 14 |
| Gentamicin peak therapeutic drug level CPT 80170 | $77.60 | $97.00 | $33.17 – $87.30 | 14 |
| Ghs abscess perianal iandd CPT 46050 | $1,528.00 | $1,910.00 | $653.22 – $1,719.00 | 14 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $35.20 | $44.00 | $15.05 – $39.60 | 14 |
| Ghs bladder cath - complex-foley CPT 51703 | $278.40 | $348.00 | $119.02 – $313.20 | 14 |
| Ghs chemo >8 hrs CPT 96416 | not published | not published | $308.80 – $308.80 | 1 |
| Ghs chemo infusion >8 hrs CPT 96425 | not published | not published | $407.20 – $407.20 | 1 |
| Ghs chemo IV push, ea addtl CPT 96411 | not published | not published | $132.00 – $132.00 | 1 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $466.40 | $583.00 | $199.39 – $524.70 | 14 |
| Ghs closed reduction ankle dislocation CPT 27840 | $526.40 | $658.00 | $225.04 – $592.20 | 14 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $1,666.40 | $2,083.00 | $712.39 – $1,874.70 | 14 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | $425.60 | $532.00 | $181.94 – $478.80 | 14 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $488.80 | $611.00 | $208.96 – $549.90 | 14 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | $326.40 | $408.00 | $139.54 – $367.20 | 14 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $204.00 | $255.00 | $87.21 – $229.50 | 14 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $379.20 | $474.00 | $162.11 – $426.60 | 14 |
| Ghs dislocation elbow closed treatment CPT 24600 | $478.40 | $598.00 | $204.52 – $538.20 | 14 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | $585.60 | $732.00 | $250.34 – $658.80 | 14 |
| Ghs fb removal foot - deep - left CPT 28192 | $3,139.20 | $3,924.00 | $1,342.01 – $3,531.60 | 14 |
| Ghs fb removal - incisional CPT 10121 | $2,262.40 | $2,828.00 | $967.18 – $2,545.20 | 14 |
| Ghs fish cytogen CPT 88271 | $58.40 | $73.00 | $24.97 – $65.70 | 14 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $124.80 | $156.00 | $53.35 – $140.40 | 14 |
| Ghs gastric intub aspiration lavage CPT 43753 | $375.20 | $469.00 | $160.40 – $422.10 | 14 |
| Ghs hcv amplificaiton CPT 87521 | $92.80 | $116.00 | $39.67 – $104.40 | 14 |
| Ghs HIV antibody CPT 86703 | $75.20 | $94.00 | $32.15 – $84.60 | 14 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $3,583.20 | $4,479.00 | $1,531.82 – $4,031.10 | 14 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $584.80 | $731.00 | $250.00 – $657.90 | 14 |
| Ghs indirect laryngoscopy/w fb removal CPT 31511 | $228.00 | $285.00 | $97.47 – $256.50 | 14 |
| Ghs init tx 1st degree burn CPT 16000 | $288.80 | $361.00 | $123.46 – $324.90 | 14 |
| Ghs insertion of needle - bone CPT 36680 | $363.20 | $454.00 | $155.27 – $408.60 | 14 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $874.40 | $1,093.00 | $373.81 – $983.70 | 14 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $1,025.60 | $1,282.00 | $438.44 – $1,153.80 | 14 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | $2,434.40 | $3,043.00 | $1,040.71 – $2,738.70 | 14 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $704.80 | $881.00 | $301.30 – $792.90 | 14 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $658.40 | $823.00 | $281.47 – $740.70 | 14 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $555.20 | $694.00 | $237.35 – $624.60 | 14 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $629.60 | $787.00 | $269.15 – $708.30 | 14 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $638.40 | $798.00 | $272.92 – $718.20 | 14 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $660.00 | $825.00 | $282.15 – $742.50 | 14 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $654.40 | $818.00 | $279.76 – $736.20 | 14 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $672.00 | $840.00 | $287.28 – $756.00 | 14 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $747.20 | $934.00 | $319.43 – $840.60 | 14 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $972.00 | $1,215.00 | $415.53 – $1,093.50 | 14 |
| Ghs mbp CPT 83873 | $57.60 | $72.00 | $24.62 – $64.80 | 14 |
| Ghs myocardial strain img spckl track CPT 93356 | $536.00 | $670.00 | $229.14 – $603.00 | 14 |
| Ghs nailbed repair/nail removal CPT 11760 | $808.80 | $1,011.00 | $345.76 – $909.90 | 14 |
| Ghs ng placement w fluoro guidance CPT 43752 | $544.00 | $680.00 | $232.56 – $612.00 | 14 |
| Ghs ot group caregiver training CPT 97552 | $52.00 | $65.00 | $22.23 – $58.50 | 14 |
| Ghs ot prosthetic training/15 min CPT 97761 | $127.20 | $159.00 | $54.38 – $143.10 | 14 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $124.80 | $156.00 | $53.35 – $140.40 | 14 |
| Ghs pacing - transcutaneous CPT 92953 | $775.20 | $969.00 | $331.40 – $872.10 | 14 |
| Ghs peritonsillar abscess i andd CPT 42700 | $489.60 | $612.00 | $209.30 – $550.80 | 14 |
| Ghs phenylketonurid CPT 84030 | $20.80 | $26.00 | $8.89 – $23.40 | 14 |
| Ghs plngl fx pm cl CPT 26725 | $488.00 | $610.00 | $208.62 – $549.00 | 14 |
| Ghs ppd (tb intradermal) CPT 86580 | $28.80 | $36.00 | $12.31 – $32.40 | 14 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $63.20 | $79.00 | $27.02 – $71.10 | 14 |
| Ghs removal intranasal foreign body CPT 30300 | $272.00 | $340.00 | $116.28 – $306.00 | 14 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | $85.60 | $107.00 | $36.59 – $96.30 | 14 |
| Ghs sedimentation rate CPT 85651 | $25.60 | $32.00 | $10.94 – $28.80 | 14 |
| Ghs sensitivity (per antimicro) CPT 87184 | $40.80 | $51.00 | $17.44 – $45.90 | 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.