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 |
|---|---|---|---|---|
| Below knee cushion socket HCPCS L5646 | not published | not published | $691.43 – $894.38 | 9 |
| Below knee flex cover system HCPCS L5962 | not published | not published | $654.50 – $943.68 | 9 |
| Below knee leather socket HCPCS L5638 | not published | not published | $722.53 – $817.75 | 9 |
| Below knee suction socket HCPCS L5647 | not published | not published | $885.75 – $1,224.02 | 9 |
| Below knee sus/seal sleeve HCPCS L5685 | $198.40 | $248.00 | $83.08 – $223.20 | 14 |
| Below knee total contact HCPCS L5637 | not published | not published | $329.40 – $364.08 | 9 |
| Below knee wood socket HCPCS L5639 | not published | not published | $1,248.43 – $1,883.96 | 9 |
| Belt ostomy lg 34-65in HCPCS A4367 | not published | not published | $1.00 – $10.79 | 9 |
| Bendamustine 100 mg intravenous powder for solution HCPCS J9033 | not published | not published | $1.79 – $2.06 | 9 |
| Bendamustine 25 mg/ml intravenous solution (belrapzo) HCPCS J9036 | not published | not published | $11.67 – $23.87 | 9 |
| Bendamustine 25 mg/ml intravenous solution (bendeka) HCPCS J9034 | $6,424.07 | $8,030.08 | $12.81 – $7,227.07 | 14 |
| Bendamustine 25 mg/ml intravenous solution (vivimusta) HCPCS J9056 | $9,319.69 | $11,649.61 | $28.36 – $10,484.65 | 14 |
| Benign lesion paring 2-4 CPT 11056 | $258.40 | $323.00 | $21.64 – $290.70 | 14 |
| Benign lesion paring 4+ CPT 11057 | $282.40 | $353.00 | $28.29 – $317.70 | 14 |
| #_benzodiazconfur CPT 80346 | not published | not published | $35.82 – $35.82 | 1 |
| Benztropine 1 mg/ml injection solution HCPCS J0515 | $172.77 | $215.96 | $1.00 – $182.75 | 11 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | not published | not published | $24.18 – $52.12 | 9 |
| Beta-2 microglobulin CPT 82232 | not published | not published | $15.37 – $33.14 | 9 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | $316.76 | $395.94 | $1.00 – $355.15 | 11 |
| Bethanechol chloride inject HCPCS J0520 | not published | not published | $4.49 – $4.49 | 1 |
| Bevacizumab 25 mg/ml intravenous solution HCPCS J9035 | $8,508.61 | $10,635.76 | $69.54 – $2,735.36 | 14 |
| Bevacizumab-awwb 25 mg/ml intravenous solution HCPCS Q5107 | $7,375.31 | $9,219.13 | $25.91 – $2,243.05 | 14 |
| Bevacizumab-bvzr 25 mg/ml intravenous solution HCPCS Q5118 | not published | not published | $23.48 – $27.05 | 9 |
| Bevacizumab injection HCPCS C9257 | not published | not published | $1.74 – $2.03 | 9 |
| Bfb train 1st 15min cntct 90912 CPT 90912 | not published | not published | $41.94 – $80.67 | 9 |
| Bfb train ea addl 15 min 90913 CPT 90913 | not published | not published | $23.63 – $32.32 | 9 |
| B-hexosaminidase ea assay CPT 83080 | not published | not published | $16.03 – $34.55 | 9 |
| Bhv id assmt by phys/qhp CPT 97151 | not published | not published | $39.51 – $95.28 | 8 |
| Bhv id suprt assmt by 1 tech CPT 97152 | not published | not published | $39.51 – $97.13 | 8 |
| Bilateral laminotomy addl lumbar 63044 CPT 63044 | not published | not published | $1.00 – $1.00 | 1 |
| Bilateral n blobk inj pudendal 64430 CPT 64430 | $2,032.80 | $2,541.00 | $54.26 – $2,286.90 | 14 |
| Bilateral n block inj occipital 64405 CPT 64405 | $822.40 | $1,028.00 | $52.59 – $925.20 | 14 |
| Bilateral n block inj trigeminal 64400 CPT 64400 | $761.60 | $952.00 | $51.60 – $856.80 | 14 |
| Bile acids cholylglycine CPT 82240 | not published | not published | $25.25 – $54.43 | 9 |
| Bile duct endoscopy add-on 47550 CPT 47550 | not published | not published | $1.00 – $161.44 | 9 |
| Bile duct revision CPT 47701 | not published | not published | $311.84 – $1,732.28 | 9 |
| Biliary endo perq dx w/speci CPT 47552 | $4,108.00 | $5,135.00 | $270.96 – $6,551.74 | 14 |
| Biliary endoscopy thru skin CPT 47553 | not published | not published | $271.29 – $6,551.74 | 9 |
| Biliary endoscopy thru skin CPT 47554 | $7,679.20 | $9,599.00 | $437.40 – $10,788.54 | 14 |
| Biliary endoscopy thru skin CPT 47555 | $5,551.20 | $6,939.00 | $323.22 – $6,245.10 | 14 |
| Biliary endoscopy thru skin CPT 47556 | $7,586.40 | $9,483.00 | $366.16 – $10,788.54 | 14 |
| Bilicheck CPT 88720 | not published | not published | $4.77 – $10.28 | 9 |
| Bilirubin direct CPT 82248 | not published | not published | $4.77 – $10.28 | 9 |
| Bilirubin total CPT 82247 | not published | not published | $4.77 – $10.28 | 9 |
| Bilobectomy 32482 CPT 32482 | not published | not published | $1,318.29 – $1,556.19 | 9 |
| Binder abdominal lg 12 x 62-74 HCPCS L0625 | $73.60 | $92.00 | $16.75 – $45.00 | 14 |
| Bio-connekt per square cm HCPCS Q4161 | not published | not published | $1.00 – $1.00 | 1 |
| Biodfence dryflex, 1cm HCPCS Q4138 | not published | not published | $1.00 – $1.00 | 1 |
| Biofeedback, pt CPT 90901 | $192.00 | $240.00 | $18.97 – $216.00 | 14 |
| Biopsy abdominal mass CPT 49180 | $2,465.60 | $3,082.00 | $80.56 – $2,773.80 | 14 |
| Biopsy arm/elbow soft tissue CPT 24066 | not published | not published | $429.74 – $2,978.09 | 9 |
| Biopsy, bone open deep CPT 20245 | $6,042.40 | $7,553.00 | $341.20 – $6,797.70 | 14 |
| Biopsy bone trocar/needle superficial CPT 20220 | $2,346.40 | $2,933.00 | $85.55 – $2,639.70 | 14 |
| Biopsy cervixsingle/multiple 57500 CPT 57500 | $1,013.60 | $1,267.00 | $75.23 – $1,140.30 | 14 |
| Biopsy conjunctiva CPT 68100 | not published | not published | $94.20 – $2,449.13 | 9 |
| Biopsy/excision of lymph node(s); open deep 38530 CPT 38530 | not published | not published | $568.22 – $3,994.97 | 9 |
| Biopsy external ear 69100 CPT 69100 | not published | not published | $45.94 – $243.83 | 9 |
| Biopsy eyelid & lid margin CPT 67810 | not published | not published | $66.91 – $307.90 | 9 |
| Biopsy eye muscle CPT 67346 | not published | not published | $189.74 – $3,959.55 | 9 |
| Biopsy finger joint lining CPT 26105 | not published | not published | $351.18 – $3,392.43 | 9 |
| Biopsy finger joint lining CPT 26110 | not published | not published | $334.21 – $1,680.43 | 9 |
| Biopsy forearm soft tissues CPT 25066 | not published | not published | $375.48 – $2,978.09 | 9 |
| Biopsy hand joint lining CPT 26100 | not published | not published | $349.19 – $3,392.43 | 9 |
| Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) CPT 38222 | $2,624.80 | $3,281.00 | $73.90 – $2,978.09 | 14 |
| Biopsy knee joint lining CPT 27330 | not published | not published | $432.74 – $3,392.43 | 9 |
| Biopsy lower leg soft tissue CPT 27613 | not published | not published | $162.78 – $1,699.23 | 9 |
| Biopsy lower leg soft tissue 27610 CPT 27610 | not published | not published | $651.77 – $3,392.43 | 9 |
| Biopsy muscle percutaneous needle CPT 20206 | $2,107.20 | $2,634.00 | $56.26 – $2,370.60 | 14 |
| Biopsy needle liver percutaneous CPT 47000 | $2,648.80 | $3,311.00 | $85.88 – $2,979.90 | 14 |
| Biopsy needle lymph node superficial CPT 38505 | $2,276.00 | $2,845.00 | $84.22 – $2,560.50 | 14 |
| Biopsy of cornea CPT 65410 | not published | not published | $101.19 – $2,449.13 | 9 |
| Biopsy of epididymis CPT 54800 | not published | not published | $124.16 – $1,699.23 | 9 |
| Biopsy of foot joint lining CPT 28050 | not published | not published | $281.28 – $3,392.43 | 9 |
| Biopsy of foot joint lining CPT 28052 | not published | not published | $257.98 – $3,392.43 | 9 |
| Biopsy of heart lining CPT 93505 | $5,232.00 | $6,540.00 | $636.46 – $5,886.00 | 14 |
| Biopsy of hip joint CPT 27052 | not published | not published | $589.52 – $1,680.43 | 9 |
| Biopsy of inestine 44100 CPT 44100 | not published | not published | $104.86 – $965.69 | 9 |
| Biopsy of lip 40490 CPT 40490 | not published | not published | $68.57 – $243.83 | 9 |
| Biopsy of nail unit 11755 CPT 11755 | $1,164.00 | $1,455.00 | $59.92 – $1,309.50 | 14 |
| Biopsy of nerve CPT 64795 | not published | not published | $195.06 – $2,023.59 | 9 |
| Biopsy of ovary(s) 58900 CPT 58900 | not published | not published | $441.06 – $3,276.65 | 9 |
| Biopsy of pancreas open CPT 48100 | not published | not published | $758.30 – $893.10 | 9 |
| Biopsy of penis CPT 54105 | not published | not published | $212.71 – $2,978.09 | 9 |
| Biopsy of penis 54100 CPT 54100 | not published | not published | $120.83 – $1,699.23 | 9 |
| Biopsy of prostate CPT 55700 | not published | not published | $128.49 – $2,134.73 | 9 |
| Biopsy of prostate CPT 55705 | not published | not published | $263.64 – $3,621.42 | 9 |
| Biopsy of rectum wall anal approach 45100 CPT 45100 | not published | not published | $305.58 – $2,879.51 | 9 |
| Biopsy of sacroiliac joint CPT 27050 | not published | not published | $415.43 – $1,680.43 | 9 |
| Biopsy of salivary gland 42400 CPT 42400 | $1,674.40 | $2,093.00 | $52.59 – $1,883.70 | 14 |
| Biopsy of salivary glnd;incisional 42405 CPT 42405 | not published | not published | $228.35 – $1,555.34 | 9 |
| Biopsy of stomach CPT 43605 | not published | not published | $401.78 – $836.85 | 9 |
| Biopsy of tear gland CPT 68510 | not published | not published | $282.28 – $2,449.13 | 9 |
| Biopsy of tear sac CPT 68525 | not published | not published | $252.98 – $2,449.13 | 9 |
| Biopsy of testis CPT 54500 | not published | not published | $73.90 – $2,978.09 | 9 |
| Biopsy of testis CPT 54505 | not published | not published | $209.05 – $3,621.42 | 9 |
| Biopsy of toe joint lining CPT 28054 | not published | not published | $236.01 – $3,392.43 | 9 |
| Biopsy of upper nose/throat CPT 42804 | not published | not published | $124.50 – $3,374.38 | 9 |
| Biopsy of urethra CPT 53200 | not published | not published | $140.81 – $2,134.73 | 9 |
| Biopsy of wrist joint CPT 25100 | not published | not published | $359.17 – $3,392.43 | 9 |
| Biopsy oocyte polar body CPT 89291 | not published | not published | $75.71 – $179.93 | 8 |
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.