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 |
|---|---|---|---|---|
| Suspension of testis CPT 54620 | not published | not published | $297.26 – $3,621.42 | 9 |
| Suspension of uterus CPT 58410 | not published | not published | $710.23 – $818.87 | 9 |
| Suspension of uterus 58400 CPT 58400 | not published | not published | $407.81 – $467.02 | 9 |
| Suspension sleeve lower ext HCPCS L2397 | not published | not published | $136.43 – $152.32 | 9 |
| Sutr lg intestine 1/mult perf without colostomy 44604 CPT 44604 | not published | not published | $894.19 – $1,049.55 | 9 |
| Suture bile duct injury 47900 CPT 47900 | not published | not published | $311.84 – $1,378.10 | 9 |
| Svc venogram s&i CPT 75827 | $2,807.20 | $3,509.00 | $118.50 – $3,158.10 | 14 |
| Swallowing Evaluation (Bedside) CPT 92610 | $380.00 | $475.00 | $69.23 – $427.50 | 14 |
| Swallowing Therapy Session CPT 92526 | $279.20 | $349.00 | $78.10 – $314.10 | 14 |
| Sweat collection by iontophoresis CPT 89230 | not published | not published | $3.00 – $56.10 | 9 |
| Symes ankle without (sach) foot HCPCS L5703 | not published | not published | $2,579.83 – $2,851.39 | 9 |
| Symes met fr leath socket ar HCPCS L5060 | not published | not published | $3,782.94 – $4,252.69 | 9 |
| Symes type medial opening so HCPCS L5636 | not published | not published | $288.25 – $428.15 | 9 |
| Symes type poster opening so HCPCS L5634 | not published | not published | $377.11 – $511.14 | 9 |
| Symes type ptb brim design s HCPCS L5632 | not published | not published | $301.55 – $343.99 | 9 |
| Syme typ expandabl wall sckt HCPCS L5630 | not published | not published | $558.86 – $617.68 | 9 |
| Sympathectomy cervical CPT 64802 | not published | not published | $855.78 – $2,023.59 | 9 |
| Sympathectomy digital artery CPT 64820 | not published | not published | $773.27 – $2,023.59 | 9 |
| Sympathectomy lumbar CPT 64818 | not published | not published | $685.03 – $782.92 | 9 |
| Sympathectomy supfc palmar CPT 64823 | not published | not published | $799.57 – $3,392.43 | 9 |
| Sympathectomy thoracolumbar CPT 64809 | not published | not published | $855.78 – $1,110.47 | 9 |
| Synch audio-only est high 40 CPT 98015 | not published | not published | $121.11 – $133.86 | 8 |
| Synch audio-only est low 20 CPT 98013 | not published | not published | $57.25 – $63.27 | 8 |
| Synch audio-only est mod 30 CPT 98014 | not published | not published | $83.15 – $91.90 | 8 |
| Synch audio-only est sf 10 CPT 98012 | not published | not published | $32.74 – $36.18 | 8 |
| Synch audio-only new high 60 CPT 98011 | not published | not published | $147.15 – $162.64 | 8 |
| Synch audio-only new low 30 CPT 98009 | not published | not published | $72.85 – $80.51 | 8 |
| Synch audio-only new mod 45 CPT 98010 | not published | not published | $112.81 – $124.69 | 8 |
| Synch audio-only new sf 15 CPT 98008 | not published | not published | $44.10 – $48.75 | 8 |
| Synojoynt, inj., 1 mg HCPCS J7331 | not published | not published | $11.83 – $11.83 | 1 |
| Synthetic sentence id test CPT 92576 | not published | not published | $17.78 – $42.61 | 9 |
| Synvisc or synvisc-one HCPCS J7325 | $1,264.28 | $1,580.35 | $7.55 – $617.99 | 14 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | not published | not published | $4.18 – $9.01 | 9 |
| System cardiomems hosp electronics HCPCS C2624 | $41,400.00 | $51,750.00 | $1.00 – $46,575.00 | 11 |
| System pacing micra av HCPCS C1786 | $29,269.60 | $36,587.00 | $1.00 – $7,605.90 | 11 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $20,289.60 | $25,362.00 | $1.00 – $8,429.40 | 11 |
| System recell skin grafting/harvesting HCPCS C1832 | $15,000.00 | $18,750.00 | $4,959.38 – $16,875.00 | 11 |
| System sealant biosentry tract HCPCS C2613 | $2,352.80 | $2,941.00 | $1.00 – $2,646.90 | 11 |
| T3 (triiodothyronine) free CPT 84481 | not published | not published | $16.09 – $34.69 | 9 |
| T3 (triiodothyronine) total CPT 84480 | not published | not published | $13.47 – $29.04 | 9 |
| T4 (thyroxine) free CPT 84439 | not published | not published | $8.57 – $18.47 | 9 |
| T4 (thyroxine) total CPT 84436 | not published | not published | $6.53 – $14.07 | 9 |
| Tacrol astagraf ex rel oral HCPCS J7508 | not published | not published | $1.00 – $1.00 | 1 |
| Tacrol envarsus ex rel oral HCPCS J7503 | $5.16 | $6.44 | $1.00 – $4.57 | 11 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $15.57 | $19.46 | $0.31 – $1.05 | 11 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | $417.06 | $521.32 | $174.64 – $469.19 | 14 |
| Tacrolimus therapeutic drug level CPT 80197 | not published | not published | $13.04 – $28.12 | 9 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | not published | not published | $13.29 – $15.66 | 9 |
| Tah rad debulk/lymph remove 58954 CPT 58954 | not published | not published | $1,886.55 – $2,171.34 | 9 |
| Tah rad dissect for debulk 58953 CPT 58953 | not published | not published | $1,744.39 – $2,006.57 | 9 |
| Tah w/mmk 58152 CPT 58152 | not published | not published | $1,073.31 – $1,239.63 | 9 |
| Tailbone (Sacrum and Coccyx) X-ray CPT 72220 | $440.80 | $551.00 | $32.62 – $495.90 | 14 |
| Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325 | $12,797.28 | $15,996.60 | $66.30 – $277.63 | 14 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | not published | not published | $68.99 – $79.47 | 9 |
| Talymed HCPCS Q4127 | not published | not published | $1.00 – $1.00 | 1 |
| Tamoxifen 10 mg tabs 60 each bottle HCPCS S0187 | not published | not published | $1.61 – $1.61 | 2 |
| Tap block bilat cont infusion 64489 CPT 64489 | not published | not published | $1.00 – $335.60 | 9 |
| Tap block uni by cont infusion 64487 CPT 64487 | not published | not published | $1.00 – $205.13 | 9 |
| Tape plstc 1inx5yd hosp tb pk HCPCS A4452 | not published | not published | $0.49 – $1.00 | 2 |
| Target gsa panel hmtlmph neop CPT 81450 | not published | not published | $721.55 – $1,555.44 | 9 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | not published | not published | $2,249.00 – $5,979.05 | 9 |
| Target gsa panel organ neop CPT 81445 | not published | not published | $568.01 – $1,224.46 | 9 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | not published | not published | $1,486.40 – $1,712.24 | 9 |
| Tas congenital car anomal CPT 33741 | $7,705.60 | $9,632.00 | $615.89 – $8,668.80 | 14 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $130.15 – $642.74 | 9 |
| Tavr perq femoral CPT 33361 | $24,583.20 | $30,729.00 | $992.63 – $27,656.10 | 14 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | not published | not published | $0.27 – $0.30 | 9 |
| Tbp gene detc abnor alleles CPT 81344 | not published | not published | $130.15 – $280.56 | 9 |
| Tbs dxa cal w/i&r fx risk CPT 77089 | not published | not published | $36.31 – $40.28 | 9 |
| Tbs i&r fx rsk qhp CPT 77092 | not published | not published | $8.72 – $9.65 | 9 |
| Tbs techl calculation only CPT 77091 | not published | not published | $27.96 – $92.45 | 9 |
| Tbs techl prep&transmis data CPT 77090 | not published | not published | $2.66 – $92.45 | 9 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | not published | not published | $95.00 – $204.79 | 9 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | not published | not published | $58.88 – $126.93 | 9 |
| Tc-99m apcitide diag HCPCS A9504 | not published | not published | $1.00 – $1.00 | 1 |
| Tc-99m arcitumomab HCPCS A9568 | not published | not published | $1.00 – $849.99 | 8 |
| Tc-99m bicisate HCPCS A9557 | $3,134.40 | $3,918.00 | $1.00 – $3,526.20 | 14 |
| Tc-99m depreotide HCPCS A9536 | not published | not published | $1.00 – $1.00 | 1 |
| Tc-99m diag per dose HCPCS A4641 | not published | not published | $1.00 – $1.00 | 1 |
| Tc-99m disofenin HCPCS A9510 | not published | not published | $1.00 – $1.00 | 1 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | not published | not published | $1.00 – $1,748.25 | 9 |
| Tc-99m exametazime diag HCPCS A9521 | $3,443.20 | $4,304.00 | $1.00 – $3,873.60 | 14 |
| Tc-99m fanolesomab diag HCPCS A9566 | not published | not published | $1.00 – $1.00 | 1 |
| Tc-99m gluceptate HCPCS A9550 | not published | not published | $1.00 – $1.00 | 1 |
| Tc-99m graphite crucible HCPCS A9506 | not published | not published | $312.17 – $345.03 | 9 |
| Tc-99m labeled rbc HCPCS A9560 | $428.00 | $535.00 | $1.00 – $481.50 | 11 |
| Tc-99m maa HCPCS A9540 | $936.80 | $1,171.00 | $1.00 – $1,053.90 | 11 |
| Tc-99m mebrofenin HCPCS A9537 | $178.40 | $223.00 | $1.00 – $200.70 | 11 |
| Tc-99m medronate HCPCS A9503 | not published | not published | $1.00 – $1.00 | 1 |
| Tc-99m mertiatide HCPCS A9562 | $756.00 | $945.00 | $1.00 – $850.50 | 11 |
| Tc-99m non-heu per study dose HCPCS Q9969 | not published | not published | $4.65 – $10.50 | 8 |
| Tc-99m oxidronate HCPCS A9561 | $168.00 | $210.00 | $1.00 – $189.00 | 11 |
| Tc-99m pentetate dtpa HCPCS A9539 | $388.80 | $486.00 | $1.00 – $437.40 | 11 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $388.80 | $486.00 | $1.00 – $437.40 | 11 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $108.00 | $135.00 | $1.00 – $121.50 | 11 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $186.40 | $233.00 | $1.00 – $209.70 | 11 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $352.00 | $440.00 | $1.00 – $396.00 | 11 |
| Tc-99m succimer (dmsa) HCPCS A9551 | $5,364.80 | $6,706.00 | $1.00 – $6,035.40 | 11 |
| Tc-99m sulfur colloid HCPCS A9541 | $308.00 | $385.00 | $1.00 – $346.50 | 11 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $120.00 | $150.00 | $1.00 – $135.00 | 11 |
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.