Sanford USD Medical Center
1305 W 18th St, Sioux Falls, SD · Sanford Health · · NPI 1821017880
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 |
|---|---|---|---|---|
| Attach ocular implant CPT 65140 | not published | not published | $924.06 – $3,959.55 | 9 |
| Attn at delivery+ 1 stabilization of newborn 99464 CPT 99464 | not published | not published | $1.00 – $71.57 | 9 |
| Atxn10 gene detc abnor allel CPT 81183 | not published | not published | $130.15 – $280.56 | 9 |
| Atxn1 gene detc abnor allele CPT 81178 | not published | not published | $130.15 – $280.56 | 9 |
| Atxn2 gene detc abnor allele CPT 81179 | not published | not published | $130.15 – $280.56 | 9 |
| Atxn3 gene detc abnor allele CPT 81180 | not published | not published | $130.15 – $280.56 | 9 |
| Atxn7 gene detc abnor allele CPT 81181 | not published | not published | $130.15 – $280.56 | 9 |
| Atxn8os gen detc abnor allel CPT 81182 | not published | not published | $130.15 – $280.56 | 9 |
| Aud brainstem implt programg CPT 92640 | not published | not published | $69.23 – $163.71 | 9 |
| Audiometry air + bone CPT 92553 | $200.00 | $250.00 | $45.94 – $225.00 | 14 |
| Audit/dast 15-30 min CPT 99408 | not published | not published | $30.58 – $33.80 | 9 |
| Audit/dast over 30 min CPT 99409 | not published | not published | $58.90 – $65.10 | 9 |
| Auditory function + 15 min CPT 92621 | not published | not published | $1.00 – $21.87 | 9 |
| Auditory function 60 min CPT 92620 | not published | not published | $69.23 – $163.71 | 9 |
| Aud rehab postling hear loss CPT 92633 | not published | not published | $95.58 – $95.58 | 1 |
| Aud rehab pre-ling hear loss CPT 92630 | not published | not published | $66.47 – $66.47 | 1 |
| Augmentation cheek bone CPT 21270 | not published | not published | $748.64 – $6,137.68 | 9 |
| Augmentation lower jaw bone CPT 21125 | not published | not published | $666.08 – $6,137.68 | 9 |
| Augmentation lower jaw bone CPT 21127 | not published | not published | $771.60 – $6,137.68 | 9 |
| Augmentation of facial bones CPT 21208 | not published | not published | $735.32 – $6,137.68 | 9 |
| Augment injectable kit 3.0cc HCPCS C1734 | $10,055.20 | $12,569.00 | $1.00 – $7,675.20 | 11 |
| Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body CPT 22515 | $6,625.60 | $8,282.00 | $1.00 – $7,453.80 | 14 |
| Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 | $13,374.40 | $16,718.00 | $506.30 – $15,046.20 | 14 |
| Autgrft implnt knee w/scope CPT 29866 | not published | not published | $1,060.87 – $7,497.96 | 9 |
| Autochondrocyte implant knee CPT 27412 | not published | not published | $1,650.06 – $7,497.96 | 9 |
| Autoimmune rheumatoid arthr anl 12 mrk ia CPT 81490 | not published | not published | $798.62 – $1,721.57 | 9 |
| Autologous blood op salvage CPT 86891 | not published | not published | $381.13 – $857.75 | 8 |
| Autologous blood process CPT 86890 | $219.65 | $274.56 | $72.62 – $247.10 | 14 |
| Autolog prp diab wound ulcer HCPCS G0465 | not published | not published | $808.29 – $1,920.69 | 8 |
| Autolog prp not diab ulcer HCPCS G0460 | not published | not published | $808.29 – $1,920.69 | 8 |
| Automated diff wbc count CPT 85004 | not published | not published | $6.15 – $13.25 | 9 |
| Autonomic nrv adrenrg inervj CPT 95922 | not published | not published | $56.62 – $133.88 | 9 |
| Autonomic nrv parasym inervj CPT 95921 | not published | not published | $69.23 – $163.71 | 9 |
| Autonomic nrv syst funj test CPT 95923 | not published | not published | $56.62 – $133.88 | 9 |
| Autopsy (necropsy) gross CPT 88007 | not published | not published | $9.29 – $9.29 | 1 |
| Autopsy (necropsy) gross CPT 88014 | not published | not published | $35.65 – $35.65 | 1 |
| Avelumab 20 mg/ml intravenous solution HCPCS J9023 | not published | not published | $90.89 – $109.53 | 9 |
| Av fistula revision CPT 36833 | $13,840.00 | $17,300.00 | $789.25 – $15,570.00 | 14 |
| Av fuse uppr arm basilic CPT 36819 | not published | not published | $714.02 – $5,675.99 | 9 |
| Av fuse uppr arm cephalic CPT 36818 | not published | not published | $674.40 – $5,675.99 | 9 |
| Av fusion direct any site CPT 36821 | not published | not published | $645.44 – $3,304.88 | 9 |
| Av fusion/forearm vein 36820 CPT 36820 | not published | not published | $710.36 – $5,675.99 | 9 |
| Avul nail plate addl CPT 11732 | $160.00 | $200.00 | $1.00 – $180.00 | 14 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $432.80 | $541.00 | $53.26 – $486.90 | 14 |
| Axatilimab-csfr 22 mg/0.44ml soln 0.44 ml vial HCPCS J9038 | not published | not published | $52.87 – $60.90 | 9 |
| Axicabtagene ciloleucel car+ HCPCS Q2041 | not published | not published | $208,814.35 – $583,534.90 | 9 |
| Axillary crutch extension HCPCS L0978 | not published | not published | $206.02 – $227.70 | 9 |
| Axillary lymphadenect/superficial 38740 CPT 38740 | not published | not published | $705.70 – $6,047.35 | 9 |
| Azacitidine injection HCPCS J9025 | $1,838.68 | $2,298.34 | $0.37 – $310.02 | 11 |
| Azathioprine 50 mg tablet HCPCS J7500 | $1.30 | $1.62 | $0.33 – $1.13 | 11 |
| Azathioprine parenteral HCPCS J7501 | not published | not published | $237.83 – $266.77 | 9 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $316.72 | $395.89 | $1.00 – $352.09 | 11 |
| Azithromycin dihydrate, oral HCPCS Q0144 | $23.49 | $29.36 | $8.89 – $25.19 | 11 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | $355.29 | $444.11 | $2.52 – $368.03 | 11 |
| Baclofen 2,000 mcg/ml intrathecal solution (wrapper) HCPCS J0475 | $1,973.55 | $2,466.93 | $172.16 – $697.28 | 14 |
| Baclofen 50 mcg/ml intrathecal solution (wrapper) HCPCS J0476 | $369.96 | $462.44 | $1.00 – $416.20 | 11 |
| Baclofen eval charges CPT 97750 | $2,068.80 | $2,586.00 | $31.46 – $90.00 | 14 |
| Bacterial meningitis antigen CPT 86403 | not published | not published | $10.96 – $23.63 | 9 |
| Bacterial vaginosis pcr CPT 87801 | not published | not published | $66.69 – $143.76 | 9 |
| Bactericidal level serum CPT 87197 | not published | not published | $14.27 – $30.76 | 9 |
| #bac vag cand-c. albicans naa CPT 87481 | not published | not published | $33.34 – $71.86 | 9 |
| Bag urine leg fbrc strap 32oz flipflo anti-reflux valve HCPCS A4358 | not published | not published | $1.00 – $8.27 | 9 |
| Balance and Coordination Retraining (each 15 minutes) CPT 97112 | $128.80 | $161.00 | $30.23 – $144.90 | 14 |
| Balloon dilate urtrl strix CPT 50706 | $2,140.00 | $2,675.00 | $1.00 – $2,407.50 | 14 |
| Banding pulmonary artery CPT 33690 | not published | not published | $1,006.03 – $1,187.03 | 9 |
| Bard marquee Ultrasound biopsy device HCPCS A4649 | not published | not published | $1.00 – $1.00 | 1 |
| Barium Enema (Colon X-ray, barium and air) CPT 74280 | $1,545.60 | $1,932.00 | $81.44 – $1,738.80 | 14 |
| Barium Enema (Colon X-ray, barium only) CPT 74270 | $1,047.20 | $1,309.00 | $81.44 – $1,178.10 | 14 |
| Barium Swallow (Esophagus X-ray) CPT 74220 | $841.60 | $1,052.00 | $81.44 – $946.80 | 14 |
| Barrier film 1.0ml wipe HCPCS A5120 | not published | not published | $0.34 – $1.00 | 2 |
| Barrier film 28ml spray no stng cavilon HCPCS A4369 | not published | not published | $1.00 – $3.02 | 9 |
| Barrier skin flat ctf 2.75in HCPCS A4408 | not published | not published | $1.00 – $14.48 | 9 |
| Barrier skin flextend 2.25in floating flang new image HCPCS A4409 | not published | not published | $1.00 – $9.10 | 9 |
| Barrier skin flxtnd ctf 3.5in flt flang 4in w/tape cut to ft HCPCS A4414 | not published | not published | $1.00 – $7.21 | 9 |
| Barrier skn ft cx ff red 2.25 ctf new image w/tape HCPCS A4407 | not published | not published | $1.00 – $12.85 | 9 |
| Bartholin gland cyst/marsupializat 56440 CPT 56440 | $3,314.40 | $4,143.00 | $182.75 – $3,728.70 | 14 |
| Bartonella dna pcr-sendout CPT 87471 | not published | not published | $33.34 – $71.86 | 9 |
| Bartonella dna quant CPT 87472 | not published | not published | $40.70 – $87.73 | 9 |
| Basic vestibular evaluation CPT 92540 | not published | not published | $69.23 – $163.71 | 9 |
| Basiliximab HCPCS J0480 | $8,309.16 | $10,386.45 | $3,479.46 – $9,347.81 | 14 |
| Battery chrgr 12 volt utah/e HCPCS L7366 | not published | not published | $612.04 – $676.46 | 9 |
| Battery chrgr six volt otto HCPCS L7362 | not published | not published | $323.67 – $421.01 | 9 |
| Battery elec/combo vad, rep HCPCS Q0496 | not published | not published | $1,679.10 – $1,925.04 | 9 |
| Battery pneum vad replacemnt HCPCS Q0503 | not published | not published | $1,456.36 – $1,669.73 | 9 |
| Bausch health Ultrasound surg HCPCS V2788 | $1,680.00 | $2,100.00 | $138.86 – $871.34 | 11 |
| B cells total count CPT 86355 | not published | not published | $35.84 – $77.27 | 9 |
| Bcg live 50 mg intravesical suspension HCPCS J9030 | not published | not published | $1.00 – $1.00 | 1 |
| Bcg vaccine intravesical CPT 90586 | not published | not published | $144.50 – $178.35 | 2 |
| Bcg vaccine percut CPT 90585 | not published | not published | $160.21 – $185.61 | 2 |
| Bckdhb gene CPT 81205 | not published | not published | $90.24 – $194.53 | 9 |
| Bebtelovimab injection HCPCS M0222 | not published | not published | $162.88 – $350.50 | 2 |
| Becaplermin 0.01% gel 15 gm HCPCS S0157 | not published | not published | $32.21 – $46.23 | 2 |
| Bedside drainage bag HCPCS A4357 | not published | not published | $1.00 – $14.25 | 9 |
| Behavior counsel obesity 15min medicare g0447 HCPCS G0447 | $59.20 | $74.00 | $22.30 – $97.13 | 14 |
| Belatacept 250 mg intravenous solution HCPCS J0485 | $2,599.32 | $3,249.15 | $3.69 – $2,924.24 | 14 |
| Belimumab 120 mg intravenous solution HCPCS J0490 | $1,731.46 | $2,164.32 | $51.97 – $1,947.89 | 14 |
| Below elbow myoelectronic CT HCPCS L6935 | not published | not published | $9,975.95 – $11,532.89 | 9 |
| Below elbow prosth tiss shap HCPCS L6400 | not published | not published | $3,047.58 – $3,899.05 | 9 |
| Below knee acrylic socket HCPCS L5629 | not published | not published | $353.87 – $400.50 | 9 |
| Below knee cuff suspension HCPCS L5666 | not published | not published | $79.81 – $88.21 | 9 |
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.