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 |
|---|---|---|---|---|
| Insertion catheter bladder non indwelling CPT 51701 | $173.60 | $217.00 | $74.21 – $195.30 | 14 |
| In situ hybridization per specimen initial single probe stain CPT 88365 | $401.60 | $502.00 | $171.68 – $451.80 | 14 |
| Insulin total CPT 83525 | $68.80 | $86.00 | $29.41 – $77.40 | 14 |
| Intrinsic factor antibody CPT 86340 | $56.80 | $71.00 | $24.28 – $63.90 | 14 |
| Intubation endotracheal emergency procedure CPT 31500 | $506.40 | $633.00 | $216.49 – $569.70 | 14 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $100.00 | $125.00 | $0.34 – $0.90 | 14 |
| Ipratropium bromide non-comp HCPCS J7644 | $3.60 | $4.50 | $1.54 – $4.05 | 14 |
| Iron CPT 83540 | $30.40 | $38.00 | $13.00 – $34.20 | 14 |
| Iron binding capacity CPT 83550 | $41.60 | $52.00 | $17.78 – $46.80 | 14 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $85.08 | $106.35 | $35.39 – $93.13 | 14 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $66.18 | $82.72 | $28.29 – $74.45 | 14 |
| Irradiation of blood product each unit reference CPT 86945 | $168.80 | $211.00 | $72.16 – $189.90 | 14 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $168.80 | $211.00 | $60.80 – $189.90 | 14 |
| IV Fluids (each additional hour) CPT 96361 | $152.80 | $191.00 | $59.17 – $155.70 | 14 |
| IV Fluids (first hour) CPT 96360 | $476.00 | $595.00 | $200.07 – $526.50 | 14 |
| Ivig non-lyophilized, nos HCPCS J1599 | not published | not published | $156.45 – $156.45 | 1 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $194.40 | $243.00 | $47.20 – $218.70 | 14 |
| IV Medicine Infusion (additional drug) CPT 96367 | $288.00 | $360.00 | $68.80 – $225.00 | 14 |
| IV Medicine Infusion (each additional hour) CPT 96366 | $176.00 | $220.00 | $48.80 – $180.00 | 14 |
| IV Medicine Infusion (first hour) CPT 96365 | $500.00 | $625.00 | $151.20 – $562.50 | 14 |
| IV Push Injection (each additional drug) CPT 96375 | $220.00 | $275.00 | $36.80 – $211.50 | 14 |
| IV Push Injection (first drug) CPT 96374 | $384.00 | $480.00 | $88.80 – $292.50 | 14 |
| Jaw Joint (TMJ) X-ray (both sides, open and closed) CPT 70330 | $382.40 | $478.00 | $163.48 – $430.20 | 14 |
| Jaw (Mandible) X-ray (complete) CPT 70110 | $356.80 | $446.00 | $152.53 – $401.40 | 14 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $76.80 | $96.00 | $32.83 – $86.40 | 14 |
| Ketorolac (Toradol) Pain Shot, 15 mg HCPCS J1885 | $60.64 | $75.80 | $25.86 – $68.06 | 14 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $1,692.00 | $2,115.00 | $723.33 – $1,903.50 | 14 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $778.40 | $973.00 | $332.77 – $875.70 | 14 |
| Kidney (Retroperitoneal) Ultrasound (limited) CPT 76775 | $635.20 | $794.00 | $271.55 – $714.60 | 14 |
| Knee MRI (with and without contrast) CPT 73723 | $3,582.40 | $4,478.00 | $1,531.48 – $4,030.20 | 14 |
| Knee MRI (without contrast) CPT 73721 | $2,696.00 | $3,370.00 | $1,152.54 – $3,033.00 | 14 |
| Knee X-ray CPT 73564 | $384.00 | $480.00 | $164.16 – $432.00 | 14 |
| Knee X-ray (1 to 2 views, both knees) CPT 73560 | $291.20 | $364.00 | $124.49 – $327.60 | 14 |
| Knee X-ray (3 views, both knees) CPT 73562 | $331.20 | $414.00 | $141.59 – $372.60 | 14 |
| Knee X-ray (standing, both knees) CPT 73565 | $251.20 | $314.00 | $107.39 – $282.60 | 14 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $63.65 | $79.56 | $26.09 – $68.67 | 14 |
| Lactate dehydrogenase (ldh) CPT 83615 | $29.60 | $37.00 | $12.65 – $33.30 | 14 |
| Lactated ringers intravenous solution HCPCS J7120 | $60.00 | $75.00 | $25.65 – $67.50 | 14 |
| Lactic acid CPT 83605 | $52.00 | $65.00 | $22.23 – $58.50 | 14 |
| Lactoferrin fecal qualitative CPT 83630 | $102.40 | $128.00 | $43.78 – $115.20 | 14 |
| Large Joint Injection or Fluid Draw (both sides) CPT 20610 | $745.60 | $932.00 | $318.74 – $838.80 | 14 |
| Laronidase injection HCPCS J1931 | not published | not published | $39.41 – $39.41 | 1 |
| Lead capillary CPT 83655 | $64.00 | $80.00 | $13.00 – $34.20 | 14 |
| Leg Artery Ultrasound (complete, both legs) CPT 93925 | $1,220.80 | $1,526.00 | $521.89 – $1,373.40 | 14 |
| Leg CT Scan (with contrast, both legs) CPT 73701 | $2,088.00 | $2,610.00 | $892.62 – $2,349.00 | 14 |
| Leg CT Scan (without contrast, both legs) CPT 73700 | $1,941.60 | $2,427.00 | $830.03 – $2,184.30 | 14 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $1,264.80 | $1,581.00 | $540.70 – $1,422.90 | 14 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $174.40 | $218.00 | $74.56 – $196.20 | 14 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $773.23 | $966.53 | $330.55 – $869.88 | 14 |
| Levalbuterol non-comp unit HCPCS J7614 | $5.20 | $6.49 | $2.22 – $5.84 | 14 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $61.23 | $76.53 | $26.07 – $68.60 | 14 |
| Levetiracetam therapeutic drug level CPT 80177 | $91.20 | $114.00 | $38.99 – $102.60 | 14 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $78.61 | $98.26 | $33.37 – $87.80 | 14 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | $122.48 | $153.09 | $52.36 – $137.78 | 14 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | $60.23 | $75.28 | $5.49 – $14.44 | 14 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $100.56 | $125.70 | $42.99 – $113.13 | 14 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $102.16 | $127.70 | $43.67 – $114.93 | 14 |
| Lipase CPT 83690 | $49.60 | $62.00 | $21.20 – $55.80 | 14 |
| Lipoprotein blood quant CPT 83704 | $94.40 | $118.00 | $40.36 – $106.20 | 14 |
| Lipoprotein direct measurement hdl CPT 83718 | $40.00 | $50.00 | $12.31 – $32.40 | 14 |
| Lipoprotein direct measurement ldl CPT 83721 | $60.00 | $75.00 | $25.65 – $67.50 | 14 |
| Lithium therapeutic drug level CPT 80178 | $38.40 | $48.00 | $16.42 – $43.20 | 14 |
| Liver Function Test CPT 80076 | $64.00 | $80.00 | $27.36 – $72.00 | 14 |
| Liver imaging CPT 78201 | $1,578.40 | $1,973.00 | $674.77 – $1,775.70 | 14 |
| Liver/spleen imag static only CPT 78215 | $1,610.40 | $2,013.00 | $688.45 – $1,811.70 | 14 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $60.77 | $75.96 | $25.81 – $67.91 | 14 |
| Low-Dose Lung Cancer Screening CT Scan CPT 71271 | $2,054.40 | $2,568.00 | $878.26 – $2,311.20 | 14 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $2,199.20 | $2,749.00 | $940.16 – $2,474.10 | 14 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $1,950.40 | $2,438.00 | $833.80 – $2,194.20 | 14 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $3,938.40 | $4,923.00 | $1,683.67 – $4,430.70 | 14 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $2,980.80 | $3,726.00 | $1,274.29 – $3,353.40 | 14 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $331.20 | $414.00 | $141.59 – $372.60 | 14 |
| Lower Back (Lumbar Spine) X-ray (4 or more views) CPT 72110 | $458.40 | $573.00 | $195.97 – $515.70 | 14 |
| Lower Back (Lumbar Spine) X-ray (with bending views) CPT 72114 | $364.00 | $455.00 | $155.61 – $409.50 | 14 |
| Lower Leg (Shin) X-ray (both sides) CPT 73590 | $309.60 | $387.00 | $132.35 – $348.30 | 14 |
| Lumizyme injection HCPCS J0221 | not published | not published | $205.76 – $205.76 | 1 |
| Lung Function Test Before and After an Inhaler CPT 94060 | $641.60 | $802.00 | $274.28 – $721.80 | 14 |
| Lung Function Test (Spirometry) CPT 94010 | $427.20 | $534.00 | $182.63 – $480.60 | 14 |
| Lung perfusion imaging CPT 78580 | $1,348.00 | $1,685.00 | $576.27 – $1,516.50 | 14 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | not published | not published | $41.40 – $41.40 | 1 |
| Macroscopic exam parasite CPT 87169 | $57.60 | $72.00 | $24.62 – $64.80 | 14 |
| Magnesium CPT 83735 | $45.60 | $57.00 | $19.49 – $51.30 | 14 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $79.73 | $99.66 | $25.83 – $67.98 | 14 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $86.40 | $108.00 | $21.20 – $55.80 | 14 |
| Mayo aathr protein s free CPT 85306 | $220.00 | $275.00 | $94.05 – $247.50 | 14 |
| Mayo activated protein c resistance assay CPT 85307 | $140.80 | $176.00 | $60.19 – $158.40 | 14 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $305.60 | $382.00 | $130.64 – $343.80 | 14 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $100.00 | $125.00 | $42.75 – $112.50 | 14 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $68.00 | $85.00 | $29.07 – $76.50 | 14 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $50.40 | $63.00 | $21.55 – $56.70 | 14 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $88.80 | $111.00 | $37.96 – $99.90 | 14 |
| Mayo alpha 1 antitrypsin CPT 82103 | $125.60 | $157.00 | $26.68 – $70.20 | 14 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $250.40 | $313.00 | $107.05 – $281.70 | 14 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $460.00 | $575.00 | $196.65 – $517.50 | 14 |
| Mayo androstenedione CPT 82157 | $68.80 | $86.00 | $29.41 – $77.40 | 14 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $100.80 | $126.00 | $34.20 – $90.00 | 14 |
| Mayo antithrombin iii antigen CPT 85301 | $117.60 | $147.00 | $50.27 – $132.30 | 14 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $47.20 | $59.00 | $13.34 – $35.10 | 14 |
| Mayo avwpr vw factor activity CPT 85397 | $81.60 | $102.00 | $34.88 – $91.80 | 14 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $59.20 | $74.00 | $25.31 – $66.60 | 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.