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 |
|---|---|---|---|---|
| Thyroid (TSH) Test CPT 84443 | not published | not published | $15.96 – $34.40 | 9 |
| Thyroid Ultrasound CPT 76536 | $892.00 | $1,115.00 | $48.73 – $1,003.50 | 14 |
| Thyroid uptake measurement CPT 78012 | $896.00 | $1,120.00 | $80.89 – $1,008.00 | 14 |
| Thyrotropin alfa 0.9 mg intramuscular solution HCPCS J3240 | $4,539.80 | $5,674.75 | $1,901.04 – $5,107.28 | 14 |
| Thyrotropin releasing hormone CPT 80438 | not published | not published | $47.89 – $103.23 | 9 |
| Thyroxine binding globulin (tbg) CPT 84442 | not published | not published | $14.04 – $30.27 | 9 |
| Tibial arthroscopy/surgery CPT 29855 | not published | not published | $787.58 – $7,497.96 | 9 |
| Tibial arthroscopy/surgery CPT 29856 | not published | not published | $998.96 – $13,510.16 | 9 |
| Tibial length sock fx or equ HCPCS L2840 | not published | not published | $46.76 – $51.68 | 9 |
| Tibial tubercle hgt with toe f HCPCS L5020 | not published | not published | $2,671.96 – $2,953.22 | 9 |
| Tib/per revasc stent & ather 37231 CPT 37231 | not published | not published | $710.69 – $18,495.42 | 9 |
| Tib/per revasc stnt & ather CPT 37235 | not published | not published | $1.00 – $3,796.45 | 9 |
| Tib/per revasc w/ather add-on 37233 CPT 37233 | not published | not published | $1.00 – $1,001.72 | 9 |
| Tic-brn enceph vac 0.25ml im CPT 90626 | not published | not published | $295.22 – $309.98 | 2 |
| Tic-brn enceph vac 0.5ml im CPT 90627 | not published | not published | $295.22 – $309.98 | 2 |
| Tigecycline injection HCPCS J3243 | $513.06 | $641.32 | $1.00 – $358.94 | 11 |
| Tilt table locking hip sing HCPCS L5270 | not published | not published | $6,778.73 – $7,492.28 | 9 |
| Tilt table study CPT 93660 | $2,681.60 | $3,352.00 | $161.78 – $3,016.80 | 14 |
| Tinzaparin sodium injection HCPCS J1655 | not published | not published | $4.94 – $4.94 | 1 |
| Tirofiban 12.5 mg/50 ml HCPCS J3246 | $501.60 | $627.00 | $4.41 – $459.23 | 11 |
| Tisagenlecleucel car-pos t HCPCS Q2042 | not published | not published | $225,210.14 – $647,549.43 | 9 |
| Tis cgen car anomal 1st shnt CPT 33745 | not published | not published | $880.14 – $1,045.89 | 9 |
| Tis cgen car anomal ea addl CPT 33746 | not published | not published | $351.89 – $418.09 | 9 |
| Tis clt agrft f/s/n/h/f/g ad CPT 15156 | not published | not published | $1.00 – $148.80 | 9 |
| Tis clt agrft f/s/n/h/f/g ea CPT 15157 | not published | not published | $1.00 – $165.20 | 9 |
| Tis cltr skn agrft t/a/l add CPT 15151 | not published | not published | $1.00 – $110.55 | 9 |
| Tis cltr skn agrft t/a/l ea CPT 15152 | not published | not published | $1.00 – $146.00 | 9 |
| Tisotumab vedotin-tftv 40 mg intravenous solution HCPCS J9273 | not published | not published | $168.26 – $206.57 | 9 |
| Tiss ex molecul study add-on CPT 88388 | not published | not published | $1.00 – $35.95 | 2 |
| Tissue amnio epifix inj 100mg HCPCS Q4145 | not published | not published | $1.00 – $1.00 | 1 |
| Tissue culture placenta CPT 88235 | not published | not published | $142.79 – $307.80 | 9 |
| Tissue culture skin/biopsy CPT 88233 | not published | not published | $133.69 – $288.20 | 9 |
| Tissue culture tumor CPT 88239 | not published | not published | $140.14 – $302.11 | 9 |
| Tissue exam koh skin/hair/nails CPT 87220 | not published | not published | $4.06 – $8.74 | 9 |
| Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm HCPCS Q4122 | $118.40 | $148.00 | $1.00 – $80.10 | 11 |
| Tissue matrix xcm thk 20x30cm -cost per sq cm HCPCS Q4142 | $98.60 | $123.24 | $1.00 – $47.70 | 11 |
| Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm HCPCS C9358 | not published | not published | $1.00 – $1.00 | 1 |
| Tissue transglutaminase iga CPT 86364 | not published | not published | $10.95 – $23.61 | 9 |
| Tixagev and cilgav inj HCPCS M0220 | not published | not published | $69.94 – $150.50 | 2 |
| Tl-201 thallium diag per mci HCPCS A9505 | $78.40 | $98.00 | $1.00 – $88.20 | 11 |
| Tlh uterus 250 g or less CPT 58570 | not published | not published | $810.88 – $10,788.54 | 9 |
| Tlh uterus over 250 g CPT 58572 | not published | not published | $1,017.27 – $10,788.54 | 9 |
| Tlh w/t/o 250 g or less CPT 58571 | not published | not published | $913.08 – $10,788.54 | 9 |
| Tlh w/t/o uterus over 250 g CPT 58573 | not published | not published | $1,222.32 – $10,788.54 | 9 |
| Tlso 2mod symphis-xipho pre HCPCS L0458 | not published | not published | $996.91 – $1,140.65 | 9 |
| Tlso 2 piece rigid shell HCPCS L0491 | not published | not published | $858.46 – $982.28 | 9 |
| Tlso 2 shl symphys-stern cst HCPCS L0460 | not published | not published | $1,122.08 – $1,283.90 | 9 |
| Tlso 3mod sacro-scap pre HCPCS L0462 | not published | not published | $1,395.66 – $1,596.93 | 9 |
| Tlso 3 piece rigid shell HCPCS L0492 | not published | not published | $559.00 – $619.03 | 9 |
| Tlso corset front HCPCS L0970 | not published | not published | $119.45 – $180.26 | 9 |
| Tlso flex trnk sj-t9 pre ots HCPCS L0455 | not published | not published | $244.28 – $270.00 | 9 |
| Tlso full corset HCPCS L0974 | not published | not published | $191.62 – $211.79 | 9 |
| Tlso r fram soft ant pre cst HCPCS L0466 | not published | not published | $417.79 – $461.77 | 9 |
| Tlso r fram soft pre ots HCPCS L0467 | not published | not published | $273.97 – $302.81 | 9 |
| Tlso rig fram pelvic pre cst HCPCS L0468 | not published | not published | $490.59 – $542.23 | 9 |
| Tlso rig fram pelvic pre ots HCPCS L0469 | not published | not published | $349.09 – $385.83 | 9 |
| Tlso rigid frame pre subclav HCPCS L0470 | not published | not published | $682.35 – $754.17 | 9 |
| Tlso rigid lined custom fab HCPCS L0482 | not published | not published | $1,885.93 – $2,340.46 | 9 |
| Tlso rigid lined pre one pie HCPCS L0488 | not published | not published | $1,122.08 – $1,283.90 | 9 |
| Tlso rigid plastic cust fab HCPCS L0484 | not published | not published | $2,036.71 – $2,526.02 | 9 |
| Tlso rigid plastic custom fa HCPCS L0480 | not published | not published | $1,688.38 – $2,093.10 | 9 |
| Tlso rigid plastic pre one HCPCS L0490 | not published | not published | $316.19 – $361.77 | 9 |
| Tlso trnk sj-t9 pre cst HCPCS L0454 | not published | not published | $387.67 – $443.56 | 9 |
| Tmvr w/prosthetic ring 33426 CPT 33426 | not published | not published | $1,966.08 – $2,332.79 | 9 |
| Tmvr w/rad reconst w or without ring 33427 CPT 33427 | not published | not published | $2,013.33 – $2,385.38 | 9 |
| Tnot opn elbw to sho ea tdn CPT 24310 | not published | not published | $483.67 – $3,392.43 | 9 |
| Tobramycin comp unit HCPCS J7685 | not published | not published | $69.87 – $69.87 | 1 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $312.40 | $390.50 | $1.00 – $65.03 | 11 |
| Tobramycin non-comp unit HCPCS J7682 | $76.63 | $95.78 | $5.61 – $21.79 | 11 |
| Tobramycin peak therapeutic drug level CPT 80200 | not published | not published | $15.32 – $33.03 | 9 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | $5,842.76 | $7,303.44 | $5.42 – $1,422.63 | 14 |
| Tocilizumab for covid-19 HCPCS Q0249 | not published | not published | $6.57 – $7.95 | 9 |
| Toe joint transfer CPT 26556 | not published | not published | $712.37 – $3,399.99 | 9 |
| Toe X-ray (both feet) CPT 73660 | $344.00 | $430.00 | $29.29 – $387.00 | 14 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | not published | not published | $39.99 – $47.27 | 9 |
| Tomosynthesis breast screen bilateral CPT 77063 | not published | not published | $47.68 – $52.69 | 9 |
| Tone decay hearing test CPT 92563 | not published | not published | $17.78 – $41.21 | 9 |
| Tongue and neck surgery CPT 41135 | not published | not published | $1,427.04 – $2,151.04 | 9 |
| Tongue base vol reduction CPT 41530 | not published | not published | $377.48 – $3,374.38 | 9 |
| Tongue biopsy; posterior one-third 41105 CPT 41105 | not published | not published | $110.85 – $3,374.38 | 9 |
| Tongue jaw & neck surgery CPT 41155 | not published | not published | $1,427.04 – $2,958.59 | 9 |
| Tongue mouth jaw surgery CPT 41150 | not published | not published | $1,427.04 – $2,182.66 | 9 |
| Tongue mouth neck surgery CPT 41153 | not published | not published | $1,427.04 – $2,374.40 | 9 |
| Tongue removal neck surgery CPT 41145 | not published | not published | $1,427.04 – $2,727.58 | 9 |
| Tongue suspension CPT 41512 | not published | not published | $666.42 – $6,211.44 | 9 |
| Tongue to lip surgery CPT 41510 | not published | not published | $455.04 – $3,374.38 | 9 |
| Tonsillectomy (age 12+) CPT 42826 | not published | not published | $258.98 – $3,374.38 | 9 |
| Tonsillectomy (child under 12) CPT 42825 | not published | not published | $271.96 – $6,137.68 | 9 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | $546.96 | $683.69 | $1.00 – $336.57 | 11 |
| Topotecan oral HCPCS J8705 | not published | not published | $113.78 – $113.78 | 1 |
| Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution HCPCS J3263 | not published | not published | $37.44 – $43.13 | 9 |
| Torsion ank & half solid sti HCPCS L2375 | not published | not published | $120.93 – $133.65 | 9 |
| Torsion straight knee joint HCPCS L2380 | not published | not published | $144.26 – $194.18 | 9 |
| Tot abd hyst/par vag/pelv node sam 58200 CPT 58200 | not published | not published | $1,178.30 – $1,351.47 | 9 |
| Total hip arthroplasty CPT 27132 | not published | not published | $1,453.85 – $1,669.70 | 9 |
| Total Hip Replacement CPT 27130 | not published | not published | $1,285.90 – $13,510.16 | 9 |
| Total hysterectomy CPT 58150 | not published | not published | $888.31 – $1,019.26 | 9 |
| Total Knee Replacement CPT 27447 | not published | not published | $1,283.90 – $13,510.16 | 9 |
| Total lung lavage CPT 32997 | not published | not published | $292.90 – $328.88 | 9 |
| Total ob care failed vbac 59618 CPT 59618 | not published | not published | $2,273.02 – $2,730.91 | 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.