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 |
|---|---|---|---|---|
| Revision of iris CPT 66761 | not published | not published | $234.01 – $576.03 | 9 |
| Revision of iris CPT 66762 | not published | not published | $257.64 – $576.03 | 9 |
| Revision of jaw muscle/bone CPT 21295 | not published | not published | $200.06 – $1,555.34 | 9 |
| Revision of jaw muscle/bone CPT 21296 | not published | not published | $411.43 – $3,374.38 | 9 |
| Revision of kidney/ureter CPT 50400 | not published | not published | $902.79 – $1,143.43 | 9 |
| Revision of kidney/ureter CPT 50405 | not published | not published | $902.79 – $1,379.10 | 9 |
| Revision of knee joint CPT 27440 | not published | not published | $806.56 – $13,510.16 | 9 |
| Revision of knee joint CPT 27441 | not published | not published | $832.19 – $13,510.16 | 9 |
| Revision of knee joint CPT 27442 | not published | not published | $876.13 – $13,510.16 | 9 |
| Revision of knee joint CPT 27443 | not published | not published | $825.20 – $13,510.16 | 9 |
| Revision of knee joint CPT 27446 | not published | not published | $1,151.41 – $13,510.16 | 9 |
| Revision of knee joint CPT 27445 | not published | not published | $1,098.12 – $1,257.93 | 9 |
| Revision of larynx CPT 31400 | not published | not published | $1,014.94 – $6,137.68 | 9 |
| Revision of leg vein 37780 CPT 37780 | $4,879.20 | $6,099.00 | $233.35 – $5,489.10 | 14 |
| Revision of lung CPT 32940 | not published | not published | $1,027.40 – $1,214.99 | 9 |
| Revision of mitral valve CPT 33420 | not published | not published | $1,204.70 – $1,419.05 | 9 |
| Revision of mitral valve CPT 33422 | not published | not published | $1,380.59 – $1,626.09 | 9 |
| Revision of neck muscle CPT 21700 | not published | not published | $353.85 – $7,497.96 | 9 |
| Revision of neck muscle CPT 21720 | not published | not published | $544.25 – $3,392.43 | 9 |
| Revision of neck muscle CPT 21725 | not published | not published | $311.84 – $737.40 | 9 |
| Revision of neck muscle/rib CPT 21705 | not published | not published | $104.52 – $527.61 | 9 |
| Revision of nose CPT 30120 | not published | not published | $422.09 – $3,374.38 | 9 |
| Revision of nose CPT 30430 | not published | not published | $1,078.52 – $6,137.68 | 9 |
| Revision of nose CPT 30435 | not published | not published | $1,342.82 – $6,137.68 | 9 |
| Revision of nose CPT 30450 | not published | not published | $1,751.59 – $6,137.68 | 9 |
| Revision of nose CPT 30460 | not published | not published | $830.52 – $6,137.68 | 9 |
| Revision of nose CPT 30462 | not published | not published | $1,594.80 – $6,137.68 | 9 |
| Revision of pelvis CPT 27158 | not published | not published | $712.37 – $1,401.40 | 9 |
| Revision of penis CPT 54300 | not published | not published | $643.11 – $3,621.42 | 9 |
| Revision of penis CPT 54304 | not published | not published | $743.64 – $3,621.42 | 9 |
| Revision of penis CPT 54420 | $5,033.60 | $6,292.00 | $699.70 – $5,662.80 | 14 |
| Revision of penis CPT 54430 | not published | not published | $109.54 – $637.12 | 9 |
| Revision of penis CPT 54435 | not published | not published | $415.10 – $3,621.42 | 9 |
| Revision of pharyngeal walls CPT 42892 | not published | not published | $1,855.45 – $6,137.68 | 9 |
| Revision of pharyngeal walls CPT 42894 | not published | not published | $1,427.04 – $2,352.43 | 9 |
| Revision of pulmonary artery CPT 33788 | not published | not published | $1,266.14 – $1,505.26 | 9 |
| Revision of pulmonary valve CPT 33474 | not published | not published | $1,796.20 – $2,137.72 | 9 |
| Revision of radius CPT 25350 | not published | not published | $684.39 – $7,497.96 | 9 |
| Revision of radius CPT 25355 | not published | not published | $774.93 – $3,392.43 | 9 |
| Revision of sciatic nerve CPT 64712 | not published | not published | $601.17 – $2,023.59 | 9 |
| Revision of scrotum CPT 55175 | not published | not published | $366.16 – $3,621.42 | 9 |
| Revision of scrotum CPT 55180 | not published | not published | $687.05 – $5,337.80 | 9 |
| Revision of spinal shunt CPT 63744 | not published | not published | $698.04 – $6,724.27 | 9 |
| Revision of testis CPT 54660 | not published | not published | $359.84 – $5,337.80 | 9 |
| Revision of thigh muscles CPT 27430 | not published | not published | $751.96 – $7,497.96 | 9 |
| Revision of toe CPT 28312 | not published | not published | $348.85 – $3,392.43 | 9 |
| Revision of tricuspid valve CPT 33468 | not published | not published | $2,009.49 – $2,399.03 | 9 |
| Revision of tricuspid valve w/bypass 33460 CPT 33460 | not published | not published | $1,970.67 – $2,335.78 | 9 |
| Revision of ulna CPT 25360 | not published | not published | $666.75 – $7,497.96 | 9 |
| Revision of unstable kneecap CPT 27420 | not published | not published | $759.62 – $7,497.96 | 9 |
| Revision of unstable kneecap CPT 27422 | not published | not published | $750.97 – $7,497.96 | 9 |
| Revision of upper arm CPT 24940 | not published | not published | $1,004.90 – $13,793.80 | 3 |
| Revision of ureter CPT 50700 | not published | not published | $815.60 – $919.07 | 9 |
| Revision of urethra CPT 53450 | not published | not published | $409.44 – $3,621.42 | 9 |
| Revision of urethra CPT 53460 | not published | not published | $458.04 – $3,621.42 | 9 |
| Revision of urethra CPT 57220 | not published | not published | $349.19 – $5,183.27 | 9 |
| Revision of urinary tract CPT 51820 | not published | not published | $954.61 – $1,075.52 | 9 |
| Revision open av fistula without thromb CPT 36832 | $9,961.60 | $12,452.00 | $739.98 – $11,206.80 | 14 |
| Revision orbitofacial bones CPT 21275 | not published | not published | $844.50 – $6,137.68 | 9 |
| Revision/removal of kneecap CPT 27424 | not published | not published | $758.29 – $7,497.96 | 9 |
| Revision tips CPT 37183 | $16,815.20 | $21,019.00 | $361.17 – $18,917.10 | 14 |
| Revis reconst shoulder joint CPT 23473 | not published | not published | $1,607.45 – $13,510.16 | 9 |
| Revis reconst shoulder joint CPT 23474 | not published | not published | $1,511.33 – $1,734.94 | 9 |
| Revitalon 1 square cm HCPCS Q4157 | not published | not published | $1.00 – $1.00 | 1 |
| Revita, per sq cm HCPCS Q4180 | not published | not published | $1.00 – $1.00 | 1 |
| Revj fem anast autog vn grf CPT 35884 | not published | not published | $1,208.00 – $5,675.99 | 9 |
| Revj fem anast nonautog grf CPT 35883 | not published | not published | $1,165.06 – $5,675.99 | 9 |
| Revj mstdc rsltg compl mstdc CPT 69601 | not published | not published | $1,021.93 – $6,137.68 | 9 |
| Revj mstdc rsltg tympanplsty CPT 69604 | not published | not published | $1,116.80 – $6,137.68 | 9 |
| Revj open gstr rstcv px CPT 43848 | not published | not published | $1,590.16 – $1,933.01 | 9 |
| Revj prior hypspad repair CPT 54352 | not published | not published | $1,398.41 – $5,337.80 | 9 |
| Revj/rmvl nea pn w/int nstim CPT 64598 | not published | not published | $1,508.11 – $3,610.96 | 8 |
| Rev mastoidectomy rsltg modf rad mstdc 69602 CPT 69602 | not published | not published | $1,093.49 – $6,137.68 | 9 |
| Rev-rem impl neurostim gen-rec CPT 63688 | not published | not published | $302.58 – $3,566.09 | 9 |
| Rev/rmvl gstr nstim eltrd CPT 43882 | not published | not published | $401.78 – $401.78 | 1 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | not published | not published | $144.13 – $3,566.09 | 9 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | not published | not published | $229.35 – $3,566.09 | 9 |
| Rev rplcm arthrp 1ntrspc crv CPT 22861 | not published | not published | $1,915.50 – $2,346.44 | 9 |
| Rev rplcm rthrp 1ntrspc lmbr CPT 22862 | not published | not published | $1,922.50 – $2,348.10 | 9 |
| Rev/rplcmt sk-mnt crnl nstm CPT 61891 | not published | not published | $598.84 – $22,516.61 | 9 |
| Rev rplc/rmv thrc vrt tethrg CPT 22838 | not published | not published | $1,697.00 – $1,908.04 | 9 |
| Rev/rplct hpglsl nstm ary pg CPT 64583 | not published | not published | $863.48 – $13,093.83 | 9 |
| Revsc opn/prq tib/pero stent CPT 37234 | not published | not published | $1.00 – $3,423.32 | 9 |
| Rezafungin 200 mg intravenous solution HCPCS J0349 | $5,538.23 | $6,922.78 | $10.04 – $6,230.50 | 14 |
| Rf abltj nrv nrvtg si jt CPT 64625 | not published | not published | $194.40 – $2,023.59 | 9 |
| Rheumatoid factor qualitative CPT 86430 | not published | not published | $5.83 – $12.57 | 9 |
| Rheumatoid factor quantitative CPT 86431 | not published | not published | $5.39 – $11.61 | 9 |
| Rh ig IV CPT 90386 | not published | not published | $36.94 – $36.94 | 2 |
| Rh ig minidose im CPT 90385 | not published | not published | $1.00 – $1.00 | 1 |
| Rhinp prim lat&alr crtlge&/elvtn nsl tip CPT 30400 | not published | not published | $1,232.97 – $6,137.68 | 9 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | $370.20 | $462.74 | $1.00 – $27.91 | 11 |
| Rho d immune globulin 50 mcg HCPCS J2788 | not published | not published | $1.00 – $1.00 | 1 |
| Rho(d) immune globulin h, sd HCPCS J2792 | not published | not published | $24.18 – $27.86 | 9 |
| Rho d immune globulin inj HCPCS J2790 | $365.09 | $456.36 | $1.00 – $242.10 | 11 |
| Rho(d) immune globulin (rhig) human full dose im CPT 90384 | $259.20 | $324.00 | $84.49 – $291.60 | 11 |
| R hrt cath chd abnl nt cnj CPT 93594 | $8,576.80 | $10,721.00 | $1,444.30 – $9,648.90 | 14 |
| R hrt cath chd nml nt cnj CPT 93593 | $8,576.80 | $10,721.00 | $1,444.30 – $9,648.90 | 14 |
| Rhythm ecg with report CPT 93040 | not published | not published | $11.91 – $13.17 | 9 |
| Rib and Chest X-ray (3 views, left side) CPT 71101 | $616.00 | $770.00 | $42.28 – $693.00 | 14 |
| Rib and Chest X-ray (4 or more views, both sides) CPT 71111 | $828.80 | $1,036.00 | $48.73 – $932.40 | 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.