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 |
|---|---|---|---|---|
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $499.20 | $624.00 | $213.41 – $561.60 | 14 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $497.60 | $622.00 | $212.72 – $559.80 | 14 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $535.20 | $669.00 | $228.80 – $602.10 | 14 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $421.60 | $527.00 | $180.23 – $474.30 | 14 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $389.60 | $487.00 | $166.55 – $438.30 | 14 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $452.80 | $566.00 | $193.57 – $509.40 | 14 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $563.20 | $704.00 | $240.77 – $633.60 | 14 |
| Ghs sleep study unattended CPT 95800 | $608.00 | $760.00 | $259.92 – $684.00 | 14 |
| Ghs strapping shoulder - 29240 CPT 29240 | $188.80 | $236.00 | $80.71 – $212.40 | 14 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | not published | not published | $38.40 – $38.40 | 1 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | not published | not published | $345.60 – $345.60 | 1 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $1,164.00 | $1,455.00 | $497.61 – $1,309.50 | 14 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | $2,410.40 | $3,013.00 | $1,030.45 – $2,711.70 | 14 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $494.40 | $618.00 | $211.36 – $556.20 | 14 |
| Ghs urine, porphyrins quant CPT 84120 | $50.40 | $63.00 | $21.55 – $56.70 | 14 |
| Ghs vaginal delivery only CPT 59409 | $3,371.20 | $4,214.00 | $1,441.19 – $3,792.60 | 14 |
| Ghs windowing of cast CPT 29730 | $204.00 | $255.00 | $87.21 – $229.50 | 14 |
| Gi inhouse confirmation CPT 87045 | $44.80 | $56.00 | $19.15 – $50.40 | 14 |
| Glassia injection HCPCS J0257 | not published | not published | $5.66 – $5.66 | 1 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $315.01 | $393.76 | $134.67 – $354.38 | 14 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $243.14 | $303.92 | $103.94 – $273.53 | 14 |
| Glucose 1 hr post dose CPT 82950 | $34.40 | $43.00 | $14.71 – $38.70 | 14 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $28.80 | $36.00 | $12.31 – $32.40 | 14 |
| Glucose blood quantitative CPT 82947 | $40.80 | $51.00 | $17.44 – $45.90 | 14 |
| Glucose body fluid CPT 82945 | $29.60 | $37.00 | $12.65 – $33.30 | 14 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $64.80 | $81.00 | $27.70 – $72.90 | 14 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $28.00 | $35.00 | $11.97 – $31.50 | 14 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $60.35 | $75.43 | $25.79 – $67.87 | 14 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $3,177.19 | $3,971.48 | $11.33 – $3,574.33 | 14 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $88.00 | $110.00 | $22.91 – $60.30 | 14 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $88.00 | $110.00 | $22.57 – $59.40 | 14 |
| Graft axiofill 1000mg HCPCS J3590 | $2,518.90 | $3,148.62 | $1,076.83 – $2,833.76 | 14 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $3,360.00 | $4,200.00 | $48.91 – $128.70 | 14 |
| Great toe with reduction 28495 CPT 28495 | $457.60 | $572.00 | $195.62 – $514.80 | 14 |
| Ground mileage HCPCS A0425 | $23.20 | $29.00 | $9.92 – $26.10 | 14 |
| Group train without patient HCPCS G0543 | $52.00 | $65.00 | $22.23 – $58.50 | 14 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $673.60 | $842.00 | $89.95 – $236.70 | 14 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $60.59 | $75.73 | $25.90 – $68.16 | 14 |
| Hands-On Manual Therapy (each 15 minutes) CPT 97140 | $114.40 | $143.00 | $48.91 – $128.70 | 14 |
| Hand X-ray CPT 73130 | $252.00 | $315.00 | $107.73 – $283.50 | 14 |
| Hand X-ray (2 views, both hands) CPT 73120 | $227.20 | $284.00 | $97.13 – $255.60 | 14 |
| Haptoglobin quantitative CPT 83010 | $71.20 | $89.00 | $30.44 – $80.10 | 14 |
| Hcg qualitative CPT 84703 | $47.20 | $59.00 | $20.18 – $53.10 | 14 |
| Hcg quantitative CPT 84702 | $102.40 | $128.00 | $19.49 – $51.30 | 14 |
| Head CT scan (with and without contrast) CPT 70470 | $2,231.20 | $2,789.00 | $953.84 – $2,510.10 | 14 |
| Head CT scan (with contrast) CPT 70460 | $2,008.00 | $2,510.00 | $858.42 – $2,259.00 | 14 |
| Head CT scan (without contrast) CPT 70450 | $1,776.80 | $2,221.00 | $759.58 – $1,998.90 | 14 |
| Heel (Calcaneus) X-ray (both feet) CPT 73650 | $231.20 | $289.00 | $98.84 – $260.10 | 14 |
| Helicobacter pylori antibody igm CPT 86677 | $100.80 | $126.00 | $43.09 – $113.40 | 14 |
| Hematocrit CPT 85014 | $18.40 | $23.00 | $7.87 – $20.70 | 14 |
| Hemoglobin CPT 85018 | $24.00 | $30.00 | $10.26 – $27.00 | 14 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $53.60 | $67.00 | $22.91 – $60.30 | 14 |
| Hemophilus influenza antibdy CPT 86684 | $56.80 | $71.00 | $24.28 – $63.90 | 14 |
| Heparin assay CPT 85520 | $149.60 | $187.00 | $63.95 – $168.30 | 14 |
| Heparin bolus from bag HCPCS J1644 | $125.40 | $156.75 | $25.72 – $67.68 | 14 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | $10.00 | $12.50 | $4.28 – $11.25 | 14 |
| Hepatitis a antibody igm CPT 86709 | $59.20 | $74.00 | $25.31 – $66.60 | 14 |
| Hepatitis b core antibody igm CPT 86705 | $99.20 | $124.00 | $42.41 – $111.60 | 14 |
| Hepatitis b core antibody total CPT 86704 | $64.00 | $80.00 | $27.36 – $72.00 | 14 |
| Hepatitis b surface antibody CPT 86706 | $56.00 | $70.00 | $23.94 – $63.00 | 14 |
| Hepatitis c antibody CPT 86803 | $88.00 | $110.00 | $37.62 – $99.00 | 14 |
| Herpes simplex type 1 antibody igg CPT 86695 | $88.00 | $110.00 | $37.62 – $99.00 | 14 |
| Herpes simplex type 2 antibody igg CPT 86696 | $88.00 | $110.00 | $37.62 – $99.00 | 14 |
| Heterophile antibodies screening CPT 86308 | $32.80 | $41.00 | $14.02 – $36.90 | 14 |
| Hip and Pelvis X-ray (2 views, both hips) CPT 73521 | $320.00 | $400.00 | $136.80 – $360.00 | 14 |
| Hip and Pelvis X-ray (3 to 4 views, both hips) CPT 73522 | $495.20 | $619.00 | $211.70 – $557.10 | 14 |
| Hip and Pelvis X-ray (single view, left side) CPT 73501 | $239.20 | $299.00 | $102.26 – $269.10 | 14 |
| Hip X-ray CPT 73502 | $289.60 | $362.00 | $123.80 – $325.80 | 14 |
| Histamine CPT 83088 | $130.40 | $163.00 | $32.15 – $84.60 | 14 |
| Hizentra injection HCPCS J1559 | not published | not published | $13.46 – $13.46 | 1 |
| Home sleep test/type 3 porta HCPCS G0399 | $686.40 | $858.00 | $293.44 – $772.20 | 14 |
| Homocysteine CPT 83090 | $96.00 | $120.00 | $41.04 – $108.00 | 14 |
| Homovanillic acid (hva) CPT 83150 | $68.80 | $86.00 | $29.41 – $77.40 | 14 |
| H pylori (c-13) breath CPT 83013 | $268.00 | $335.00 | $114.57 – $301.50 | 14 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | $98.15 | $122.68 | $41.96 – $110.41 | 14 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $62.40 | $78.00 | $26.68 – $70.20 | 14 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $71.68 | $89.60 | $29.02 – $76.37 | 14 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $60.32 | $75.39 | $25.78 – $67.85 | 14 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $66.15 | $82.68 | $28.28 – $74.41 | 14 |
| Hyqvia 100mg immuneglobulin HCPCS J1575 | not published | not published | $17.81 – $17.81 | 1 |
| Iaadi respiratory synctial virus CPT 87280 | $64.00 | $80.00 | $27.36 – $72.00 | 14 |
| Icatibant injection HCPCS J1744 | not published | not published | $93.19 – $93.19 | 1 |
| Idursulfase injection HCPCS J1743 | not published | not published | $548.06 – $548.06 | 1 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $193.60 | $242.00 | $82.76 – $217.80 | 14 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $168.00 | $210.00 | $71.82 – $189.00 | 14 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $60.00 | $75.00 | $9.23 – $24.30 | 14 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $71.20 | $89.00 | $30.44 – $80.10 | 14 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | not published | not published | $50.63 – $50.63 | 1 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | not published | not published | $83.74 – $83.74 | 1 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | not published | not published | $49.91 – $49.91 | 1 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $101.60 | $127.00 | $43.43 – $114.30 | 14 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $101.60 | $127.00 | $43.43 – $114.30 | 14 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $45.60 | $57.00 | $13.34 – $35.10 | 14 |
| Immunofixation electrophoresis serum CPT 86334 | $117.60 | $147.00 | $50.27 – $132.30 | 14 |
| Imuglucerase injection HCPCS J1786 | not published | not published | $44.44 – $44.44 | 1 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $2,383.20 | $2,979.00 | $1,018.82 – $2,681.10 | 14 |
| Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s) CPT 87626 | $124.80 | $156.00 | $53.35 – $140.40 | 14 |
| Infect ag ia optc obs influenza CPT 87804 | $48.00 | $60.00 | $20.52 – $54.00 | 14 |
| Infect ag if influenza a CPT 87276 | $70.40 | $88.00 | $21.55 – $56.70 | 14 |
| Infect ag if influenza b CPT 87275 | $70.40 | $88.00 | $18.47 – $48.60 | 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.