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 |
|---|---|---|---|---|
| #resp virpnl dfa-adenovirus CPT 87260 | not published | not published | $13.71 – $29.55 | 9 |
| #resp virpnl dfa-parainfluenza CPT 87279 | not published | not published | $15.61 – $33.65 | 9 |
| Resp virus 6-11 targets CPT 87632 | not published | not published | $207.16 – $446.57 | 9 |
| Restore/remodelventricle 33548 CPT 33548 | not published | not published | $2,430.04 – $2,874.71 | 9 |
| Restorigin 1 sq cm HCPCS Q4191 | not published | not published | $1.00 – $1.00 | 1 |
| Resuscitation delivery/birthing room CPT 99465 | not published | not published | $140.14 – $682.11 | 9 |
| Reteplase injection HCPCS J2993 | not published | not published | $2,759.35 – $3,081.45 | 9 |
| Reticulated platelet assay CPT 85055 | not published | not published | $33.95 – $73.19 | 9 |
| Reticulocyte automated CPT 85045 | not published | not published | $3.79 – $8.17 | 9 |
| Reticulocyte direct measurement automated CPT 85046 | not published | not published | $5.29 – $11.41 | 9 |
| Retifanlimab-dlwr 500 mg/20 ml intravenous solution HCPCS J9345 | not published | not published | $29.03 – $33.44 | 9 |
| Retr bone flap to fix skull CPT 62148 | not published | not published | $101.20 – $125.83 | 9 |
| Retrieval of oocyte CPT 58970 | not published | not published | $195.40 – $914.28 | 9 |
| Retrograde ejaculation anal CPT 89331 | $185.60 | $232.00 | $18.61 – $56.70 | 14 |
| Reusable nipple prosthesis HCPCS L8032 | not published | not published | $43.86 – $50.18 | 9 |
| Revasc evasc fpvt angio cplx 1st CPT 37265 | $16,468.00 | $20,585.00 | $5,444.73 – $18,526.50 | 11 |
| Revasc evasc fpvt angio sf 1st CPT 37263 | $13,268.00 | $16,585.00 | $4,386.73 – $14,926.50 | 11 |
| Revasc evasc fpvt athrec cplx 1st CPT 37273 | $25,651.20 | $32,064.00 | $8,480.93 – $28,857.60 | 11 |
| Revasc evasc fpvt athrec sf 1st CPT 37271 | $22,451.20 | $28,064.00 | $7,422.93 – $25,257.60 | 11 |
| Revasc evasc fpvt st athrec sf 1st CPT 37275 | $32,351.20 | $40,439.00 | $10,696.12 – $36,395.10 | 11 |
| Revasc evasc fpvt stent cplx 1st CPT 37269 | $25,180.80 | $31,476.00 | $8,325.40 – $28,328.40 | 11 |
| Revasc evasc fpvt stent sf 1st CPT 37267 | $21,980.80 | $27,476.00 | $7,267.40 – $24,728.40 | 11 |
| Revasc evasc imvt angio cplx 1st CPT 37298 | $20,282.40 | $25,353.00 | $6,705.87 – $22,817.70 | 11 |
| Revasc evasc imvt angio sf 1st CPT 37296 | $17,082.40 | $21,353.00 | $5,647.87 – $19,217.70 | 11 |
| Revasc evasc ivt angio cplx 1st CPT 37256 | $16,241.60 | $20,302.00 | $5,369.88 – $18,271.80 | 11 |
| Revasc evasc ivt stent cplx 1st CPT 37260 | $23,391.20 | $29,239.00 | $7,733.72 – $26,315.10 | 11 |
| Revasc evasc ivt stent sf 1st CPT 37258 | $20,191.20 | $25,239.00 | $6,675.72 – $22,715.10 | 11 |
| Revasc evasc tpvt angio cplx 1st CPT 37282 | $20,282.40 | $25,353.00 | $6,705.87 – $22,817.70 | 11 |
| Revasc evasc tpvt angio sf 1st CPT 37280 | $17,082.40 | $21,353.00 | $5,647.87 – $19,217.70 | 11 |
| Revasc evasc tpvt athrec cplx 1st CPT 37290 | $31,840.80 | $39,801.00 | $10,527.36 – $35,820.90 | 11 |
| Revasc evasc tpvt athrec sf 1st CPT 37288 | $28,640.80 | $35,801.00 | $9,469.36 – $32,220.90 | 11 |
| Revasc intra lithotrip-ather HCPCS C9766 | $26,580.80 | $33,226.00 | $7,772.16 – $29,903.40 | 14 |
| Revasc intra lithotrip-stent HCPCS C9765 | $26,736.00 | $33,420.00 | $7,772.16 – $30,078.00 | 14 |
| Revasc intravasc lithotripsy HCPCS C9764 | $14,639.20 | $18,299.00 | $4,840.09 – $16,469.10 | 14 |
| Revasc lithotr-ather tib/per HCPCS C9774 | $27,004.00 | $33,755.00 | $7,772.16 – $30,379.50 | 14 |
| Revasc lithotrip-stent-ather HCPCS C9767 | $36,671.20 | $45,839.00 | $7,772.16 – $41,255.10 | 14 |
| Revasc lithotrip tibi/perone HCPCS C9772 | $20,178.40 | $25,223.00 | $4,876.09 – $22,700.70 | 14 |
| Revasc lithotr-stent tib/per HCPCS C9773 | $29,769.60 | $37,212.00 | $7,772.16 – $33,490.80 | 14 |
| Revasc lith-sten-ath tib/per HCPCS C9775 | $32,720.80 | $40,901.00 | $7,772.16 – $36,810.90 | 14 |
| Revascularization penis CPT 37788 | not published | not published | $1,105.93 – $1,248.28 | 9 |
| Revefenacin inh non-com 1mcg HCPCS J7677 | $14.81 | $18.51 | $0.19 – $16.66 | 11 |
| Revise abdomen-venous shunt CPT 49426 | not published | not published | $673.41 – $3,634.93 | 9 |
| Revise additional leg tendon CPT 27692 | not published | not published | $1.00 – $100.86 | 9 |
| Revise aqueous shunt eye CPT 66185 | not published | not published | $842.51 – $2,394.77 | 9 |
| Revise arm/leg nerve CPT 64708 | $5,822.40 | $7,278.00 | $514.96 – $6,550.20 | 14 |
| Revise bladder & ureter(s) CPT 51565 | not published | not published | $1,129.99 – $1,274.58 | 9 |
| Revise breast reconst 19380 CPT 19380 | not published | not published | $809.22 – $6,834.56 | 9 |
| Revise circulation to head CPT 61708 | not published | not published | $1,412.81 – $2,575.12 | 9 |
| Revise circulation to head CPT 61705 | not published | not published | $1,412.81 – $2,631.04 | 9 |
| Revise circulation to head CPT 61710 | not published | not published | $1,412.81 – $2,172.68 | 9 |
| Revise esophagus & stomach 43325 CPT 43325 | not published | not published | $1,150.70 – $1,356.80 | 9 |
| Revise eye CPT 65091 | not published | not published | $739.98 – $3,959.55 | 9 |
| Revise eyelashes CPT 67825 | not published | not published | $121.17 – $307.90 | 9 |
| Revise eyelashes CPT 67835 | not published | not published | $436.73 – $2,449.13 | 9 |
| Revise eyelid defect CPT 67909 | not published | not published | $433.07 – $2,449.13 | 9 |
| Revise eyelid defect CPT 67911 | not published | not published | $553.24 – $2,449.13 | 9 |
| Revise eyelid lining CPT 68330 | not published | not published | $455.71 – $2,394.77 | 9 |
| Revise eyelid lining CPT 68360 | not published | not published | $406.44 – $3,959.55 | 9 |
| Revise eyelid lining CPT 68362 | not published | not published | $647.44 – $2,449.13 | 9 |
| Revise eye muscle CPT 67311 | not published | not published | $451.05 – $2,449.13 | 9 |
| Revise eye muscle CPT 67314 | not published | not published | $451.05 – $2,449.13 | 9 |
| Revise eye muscle add-on CPT 67340 | not published | not published | $1.00 – $286.27 | 9 |
| Revise eye muscle(s) CPT 67318 | not published | not published | $680.40 – $2,449.13 | 9 |
| Revise eye muscle(s) add-on CPT 67320 | not published | not published | $1.00 – $171.43 | 9 |
| Revise eye muscle w/suture CPT 67334 | not published | not published | $1.00 – $151.13 | 9 |
| Revise eye socket implant CPT 67560 | not published | not published | $1,101.48 – $3,959.55 | 9 |
| Revise eye sockets CPT 21260 | not published | not published | $1,364.45 – $6,137.68 | 9 |
| Revise eye sockets CPT 21261 | not published | not published | $2,414.68 – $6,137.68 | 9 |
| Revise eye sockets CPT 21263 | not published | not published | $2,234.26 – $6,137.68 | 9 |
| Revise eye sockets CPT 21267 | not published | not published | $1,595.47 – $6,137.68 | 9 |
| Revise eye sockets CPT 21268 | not published | not published | $1,427.04 – $2,001.91 | 9 |
| Revise eye with implant CPT 65093 | not published | not published | $733.99 – $3,959.55 | 9 |
| Revise finger joint each CPT 26135 | not published | not published | $563.89 – $3,392.43 | 9 |
| Revise finger joint each CPT 26140 | $3,376.00 | $4,220.00 | $518.95 – $3,798.00 | 14 |
| Revise gastric port open 43886 CPT 43886 | not published | not published | $372.82 – $3,770.80 | 9 |
| Revise/graft eyelid lining CPT 68320 | not published | not published | $534.93 – $2,449.13 | 9 |
| Revise/graft eyelid lining CPT 68325 | not published | not published | $648.44 – $3,959.55 | 9 |
| Revise/graft eyelid lining CPT 68326 | not published | not published | $637.12 – $3,959.55 | 9 |
| Revise/graft eyelid lining CPT 68328 | not published | not published | $695.38 – $2,449.13 | 9 |
| Revise/graft eyelid lining CPT 68335 | not published | not published | $638.79 – $3,959.55 | 9 |
| Revise graft w/vein CPT 35879 | not published | not published | $898.43 – $5,675.99 | 9 |
| Revise graft w/vein 35881 CPT 35881 | not published | not published | $1,004.28 – $5,675.99 | 9 |
| Revise hand/finger tendon CPT 26390 | not published | not published | $886.78 – $7,497.96 | 9 |
| Revise head/neck of femur CPT 27179 | not published | not published | $985.31 – $7,497.96 | 9 |
| Revise hernia & sperm veins CPT 55540 | not published | not published | $558.90 – $3,634.93 | 9 |
| Revise hip joint replacement CPT 27134 | not published | not published | $1,648.53 – $1,898.72 | 9 |
| Revise hip joint replacement CPT 27138 | not published | not published | $1,323.35 – $1,520.57 | 9 |
| Revise hip joint replacement CPT 27137 | not published | not published | $1,274.61 – $1,464.32 | 9 |
| Revise/implant finger joint CPT 26536 | not published | not published | $758.62 – $7,497.96 | 9 |
| Revise kneecap CPT 27437 | not published | not published | $671.08 – $7,497.96 | 9 |
| Revise kneecap with implant CPT 27438 | not published | not published | $848.83 – $13,510.16 | 9 |
| Revise knuckle joint CPT 26530 | not published | not published | $552.91 – $7,497.96 | 9 |
| Revise knuckle with implant CPT 26531 | not published | not published | $642.45 – $7,497.96 | 9 |
| Revise low back nerve(s) CPT 64714 | not published | not published | $772.94 – $2,023.59 | 9 |
| Revise lower leg tendon CPT 27690 | not published | not published | $643.78 – $7,497.96 | 9 |
| Revise lower leg tendon CPT 27691 | not published | not published | $749.63 – $7,497.96 | 9 |
| Revise lower leg tendons CPT 27686 | not published | not published | $537.93 – $3,392.43 | 9 |
| Revise middle ear bone CPT 69660 | not published | not published | $928.06 – $6,137.68 | 9 |
| Revise middle ear bone CPT 69661 | not published | not published | $1,208.67 – $6,137.68 | 9 |
| Revise middle ear bone CPT 69662 | not published | not published | $1,161.07 – $6,137.68 | 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.