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 |
|---|---|---|---|---|
| Rib cartilage graft CPT 21230 | not published | not published | $748.64 – $6,137.68 | 9 |
| Rib gusset (elastic) each HCPCS L1280 | not published | not published | $92.33 – $102.05 | 9 |
| Riboflavin 5'phos opth<=3ml HCPCS J2787 | not published | not published | $1.00 – $1.00 | 1 |
| Rib X-ray (3 views, both sides) CPT 71110 | $736.80 | $921.00 | $43.94 – $828.90 | 14 |
| Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr HCPCS J2804 | $520.66 | $650.82 | $121.04 – $411.84 | 11 |
| Right heart cath congenital CPT 93530 | not published | not published | $1,412.81 – $1,412.81 | 1 |
| Right ventric recording CPT 93603 | $3,008.00 | $3,760.00 | $527.51 – $3,384.00 | 14 |
| Rilonacept injection HCPCS J2793 | not published | not published | $26.20 – $27.64 | 2 |
| Ring barrier skin cx 1 9/16 adapt HCPCS A4411 | not published | not published | $1.00 – $7.48 | 9 |
| Ring flange plas/leather mol HCPCS L1110 | not published | not published | $273.34 – $302.12 | 9 |
| Ring flange plastic/leather HCPCS L1100 | not published | not published | $170.20 – $188.12 | 9 |
| Ring fx reform 11-13x17mm HCPCS L8610 | $2,478.40 | $3,098.00 | $1.00 – $2,484.00 | 14 |
| Ring ostmy barr adapt 48mm HCPCS A4385 | not published | not published | $1.00 – $7.48 | 9 |
| Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327 | $27,441.84 | $34,302.30 | $14.19 – $30,872.07 | 14 |
| Risk ascvd tst once pr 12 mo HCPCS G0537 | not published | not published | $28.30 – $31.28 | 8 |
| Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794 | $2,089.00 | $2,611.24 | $10.43 – $2,100.26 | 14 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $13,353.28 | $16,691.60 | $71.46 – $2,855.94 | 14 |
| Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln HCPCS J9311 | not published | not published | $34.86 – $40.16 | 9 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | $7,890.91 | $9,863.63 | $27.49 – $1,955.46 | 14 |
| Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123 | $9,778.88 | $12,223.60 | $24.16 – $11,001.24 | 14 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | $8,026.15 | $10,032.68 | $22.30 – $1,985.89 | 14 |
| R & l heart cath congenital CPT 93531 | not published | not published | $1,412.81 – $1,412.81 | 1 |
| R & l heart cath congenital CPT 93532 | not published | not published | $1,412.81 – $1,412.81 | 1 |
| R & l heart cath congenital CPT 93533 | not published | not published | $1,412.81 – $1,412.81 | 1 |
| R&l hrt cath chd abnl nt cnj CPT 93597 | $11,634.40 | $14,543.00 | $1,444.30 – $13,088.70 | 14 |
| R&l hrt cath chd nml nt cnj CPT 93596 | $11,634.40 | $14,543.00 | $1,444.30 – $13,088.70 | 14 |
| Rmv anterior spine instrumentation 22855 CPT 22855 | not published | not published | $104.52 – $1,119.13 | 9 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | not published | not published | $92.21 – $737.40 | 9 |
| Rmvl esophgl sphnctr dev CPT 43285 | not published | not published | $673.41 – $6,047.35 | 9 |
| Rmvl ext fixj sys under anes CPT 20694 | not published | not published | $346.86 – $1,680.43 | 9 |
| Rmvl fb upr arm/elbow deep CPT 24201 | not published | not published | $408.44 – $2,978.09 | 9 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | $3,634.40 | $4,543.00 | $229.35 – $4,088.70 | 14 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | not published | not published | $143.14 – $1,699.23 | 9 |
| Rmvl hpglsl nstim ary pg CPT 64584 | not published | not published | $728.66 – $6,724.27 | 9 |
| Rmvl i-artic rx delivery dev 20705 CPT 20705 | not published | not published | $1.00 – $122.83 | 9 |
| Rmvl icd by tv extr CPT 33244 | $5,892.80 | $7,366.00 | $846.83 – $6,629.40 | 14 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | $40,118.40 | $50,148.00 | $380.14 – $45,133.20 | 14 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | $55,776.80 | $69,721.00 | $396.45 – $62,748.90 | 14 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | $37,828.00 | $47,285.00 | $365.83 – $42,556.50 | 14 |
| Rmvl icd pulse gen only CPT 33241 | $5,892.80 | $7,366.00 | $212.04 – $6,629.40 | 14 |
| Rmvl imed rx delivery device CPT 20703 | not published | not published | $1.00 – $103.19 | 9 |
| Rmvl left heart vent thor inscn ecmo CPT 33989 | not published | not published | $400.87 – $477.68 | 9 |
| Rmvl lung xcp tot pneumonectomy sleeve lob 32486 CPT 32486 | not published | not published | $1,923.68 – $2,294.84 | 9 |
| Rmvl ndwellg tun pleural cath CPT 32552 | $1,812.00 | $2,265.00 | $155.12 – $2,038.50 | 14 |
| Rmvl ninfct mesh hernia rpr 49623 CPT 49623 | not published | not published | $169.55 – $195.73 | 9 |
| Rmvl perm pm pulse gen CPT 33233 | $13,796.80 | $17,246.00 | $230.35 – $15,521.40 | 14 |
| Rmvl perq right heart vad CPT 33997 | not published | not published | $132.25 – $157.12 | 9 |
| Rmvl phrnc nrv stim pg only CPT 33280 | not published | not published | $205.38 – $3,610.96 | 9 |
| Rmvl phrnc nrv stim sys CPT 33278 | not published | not published | $564.89 – $3,610.96 | 9 |
| Rmvl phrnc nrv stim transvns CPT 33279 | not published | not published | $341.20 – $3,610.96 | 9 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | $30,041.60 | $37,552.00 | $366.50 – $33,796.80 | 14 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | $16,161.60 | $20,202.00 | $333.87 – $18,181.80 | 14 |
| Rmvl pq iabp CPT 33968 | $3,037.60 | $3,797.00 | $27.88 – $3,417.30 | 14 |
| Rmvl pq vad left hrt vein sep session CPT 33992 | $1,969.60 | $2,462.00 | $153.94 – $2,215.80 | 14 |
| Rmvl prosthhumrl&ulnar cmpnt CPT 24160 | not published | not published | $1,260.93 – $3,392.43 | 9 |
| Rmvl sq defib electrode CPT 33272 | $5,301.60 | $6,627.00 | $341.53 – $5,964.30 | 14 |
| Rmvl subq card rhythm mntr CPT 33286 | $2,698.40 | $3,373.00 | $83.88 – $3,035.70 | 14 |
| Rmvl tiss expndr without implant insrtn CPT 11971 | not published | not published | $555.57 – $2,978.09 | 9 |
| Rmvl tongs/halo anthr indiv CPT 20665 | not published | not published | $97.87 – $417.59 | 9 |
| Rmvl tot arthrp 1ntrspc crv CPT 22864 | not published | not published | $1,714.52 – $2,096.45 | 9 |
| Rmvl tot arthrp 1ntrspc lmbr CPT 22865 | not published | not published | $1,878.13 – $2,291.84 | 9 |
| Rmvl transplanted rnl algrft CPT 50370 | not published | not published | $902.79 – $1,220.32 | 9 |
| Rmvl tv pm lead dual CPT 33235 | $5,903.20 | $7,379.00 | $624.81 – $6,641.10 | 14 |
| Rmvl tv pm lead sgl CPT 33234 | $6,294.40 | $7,868.00 | $475.35 – $7,081.20 | 14 |
| Rmv ntr oi implt skl prq esp CPT 69726 | not published | not published | $479.01 – $3,392.43 | 9 |
| Rmv ntr oi imp sk tc>=100 CPT 69728 | not published | not published | $604.17 – $3,392.43 | 9 |
| Rmv ntr oi imp sk tc esp<100 CPT 69727 | not published | not published | $534.26 – $3,392.43 | 9 |
| Rmv prosth mat/mesh/abd wall/infec 11008 CPT 11008 | $2,842.40 | $3,553.00 | $225.86 – $3,197.70 | 14 |
| Rmv&rplcmt phrnc nrv stim ld CPT 33288 | not published | not published | $501.98 – $13,093.83 | 9 |
| Rmv&rplcmt phrnc nrv stim pg CPT 33287 | not published | not published | $380.81 – $31,997.27 | 9 |
| Rmv sk-mnt crnl nstm pg/rcvr CPT 61892 | not published | not published | $826.20 – $3,406.84 | 9 |
| Rmv suture/anesthesia/not local 15850 CPT 15850 | not published | not published | $278.37 – $278.37 | 1 |
| Rnl altrnsplj without rcp nfrct CPT 50360 | not published | not published | $902.79 – $2,433.65 | 9 |
| Rnl altrnsplj w/rcp nfrct CPT 50365 | not published | not published | $2,486.18 – $2,905.67 | 9 |
| Rnl autotrnsplj rimpltj kdn CPT 50380 | not published | not published | $1,760.90 – $2,048.18 | 9 |
| Robot lin-radsurg com, first HCPCS G0339 | $18,594.40 | $23,243.00 | $3,451.58 – $20,918.70 | 11 |
| Robt lin-radsurg fractx 2-5 HCPCS G0340 | $8,750.40 | $10,938.00 | $2,893.10 – $9,844.20 | 11 |
| Rocker bottom, contact afo HCPCS L2232 | not published | not published | $108.59 – $122.89 | 9 |
| Rolapitant, oral, 1mg HCPCS J8670 | not published | not published | $1.73 – $2.03 | 9 |
| Romidepsin 10 mg/2 ml intravenous powder for solution HCPCS J9319 | not published | not published | $29.24 – $33.67 | 9 |
| Romiplostim 125 mcg subcutaneous solution HCPCS J2802 | $7,423.22 | $9,279.02 | $10.46 – $8,351.12 | 14 |
| Romiplostim injection HCPCS J2796 | not published | not published | $95.75 – $110.58 | 2 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | $6,371.03 | $7,963.78 | $10.35 – $7,167.40 | 14 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $339.36 | $424.20 | $1.00 – $47.23 | 11 |
| Rotation wrst with cable lock HCPCS L6625 | not published | not published | $592.22 – $670.27 | 9 |
| Rotavirus antibody CPT 86759 | not published | not published | $17.32 – $37.33 | 9 |
| Round caliper and plate atta HCPCS L2240 | not published | not published | $89.52 – $98.94 | 9 |
| Routine footcare pt w lops HCPCS G0247 | not published | not published | $21.30 – $208.64 | 9 |
| Rozanolixizumab-noli 140 mg/ml subcutaneous solution HCPCS J9333 | not published | not published | $22.01 – $25.35 | 9 |
| Rplcm oi implt sk tc esp<100 CPT 69719 | not published | not published | $645.78 – $13,510.16 | 9 |
| Rplcmt a-valve tlcj autol pv CPT 33440 | not published | not published | $2,789.36 – $3,309.11 | 9 |
| Rplcmt oi implt skl prq esp CPT 69717 | not published | not published | $562.89 – $7,497.96 | 9 |
| Rplc oi implt sk tc esp>=100 CPT 69730 | not published | not published | $699.37 – $13,510.16 | 9 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | $3,291.20 | $4,114.00 | $63.58 – $3,702.60 | 14 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | $2,116.80 | $2,646.00 | $182.81 – $2,381.40 | 14 |
| Rp loclzj tum spect w/ct 1 CPT 78830 | $3,880.80 | $4,851.00 | $434.40 – $4,365.90 | 14 |
| Rp loclzj tum spect w/ct 2 CPT 78832 | $4,759.20 | $5,949.00 | $693.41 – $5,354.10 | 14 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $2,692.00 | $3,365.00 | $56.92 – $3,028.50 | 14 |
| Rpl tun-cvad w subq port CPT 36582 | $7,005.60 | $8,757.00 | $282.28 – $7,881.30 | 14 |
| Rpl tun-cvad w subq pump CPT 36583 | not published | not published | $327.55 – $5,675.99 | 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.