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 |
|---|---|---|---|---|
| Unlisted px mediastinum CPT 39499 | not published | not published | $150.11 – $150.11 | 1 |
| Unlisted px med radj physics CPT 77399 | $640.80 | $801.00 | $60.14 – $720.90 | 14 |
| Unlisted px middle ear CPT 69799 | not published | not published | $108.27 – $243.83 | 8 |
| Unlisted px neck/thorax CPT 21899 | $2,385.60 | $2,982.00 | $108.27 – $2,683.80 | 14 |
| Unlisted px palate uvula CPT 42299 | not published | not published | $108.27 – $243.83 | 8 |
| Unlisted px pelvis/hip joint CPT 27299 | $8,036.80 | $10,046.00 | $104.52 – $466.20 | 14 |
| Unlisted px posterior segmnt CPT 67299 | not published | not published | $1,032.90 – $2,394.77 | 8 |
| Unlisted px salivry glnd/dux CPT 42699 | not published | not published | $108.27 – $243.83 | 8 |
| Unlisted px small intestine CPT 44799 | $3,053.60 | $3,817.00 | $167.16 – $965.69 | 14 |
| Unlisted px temporal bone CPT 69979 | not published | not published | $108.27 – $243.83 | 8 |
| Unlisted px ther rad tx plng CPT 77299 | not published | not published | $60.14 – $139.41 | 8 |
| Unlisted px tongue flr mouth CPT 41599 | not published | not published | $108.27 – $243.83 | 8 |
| Unlisted px vestibule mouth CPT 40899 | not published | not published | $108.27 – $243.83 | 8 |
| Unlisted reprod med lab proc CPT 89398 | $61.60 | $77.00 | $20.37 – $69.30 | 14 |
| Unlisted resp px dx nuc med CPT 78599 | not published | not published | $182.81 – $421.92 | 8 |
| Unlisted spec derm svc/px CPT 96999 | not published | not published | $88.73 – $208.64 | 8 |
| Unlisted surgical path px CPT 88399 | not published | not published | $24.02 – $56.10 | 8 |
| Unlisted transfusion med px CPT 86999 | not published | not published | $13.20 – $25.71 | 8 |
| Unlisted ultrasound procedure CPT 76999 | $619.20 | $774.00 | $40.28 – $696.60 | 14 |
| Unlisted vasc endoscopy px CPT 37501 | not published | not published | $278.44 – $649.17 | 8 |
| Unlstd hematop ret/endo lymp CPT 78199 | not published | not published | $182.81 – $421.92 | 8 |
| Unlstd laps px mat care&dlvr CPT 59898 | not published | not published | $2,557.45 – $6,047.35 | 8 |
| Unlstd laps px sprmatic cord CPT 55559 | not published | not published | $2,557.45 – $6,047.35 | 8 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $1,640.00 | $2,050.00 | $309.73 – $1,845.00 | 14 |
| Upgrade pm system CPT 33214 | $19,753.60 | $24,692.00 | $470.35 – $22,222.80 | 14 |
| Upper Arm (Humerus) X-ray (left side) CPT 73060 | $404.00 | $505.00 | $31.96 – $454.50 | 14 |
| Upper Back (Thoracic Spine) CT Scan (with contrast) CPT 72129 | $2,824.80 | $3,531.00 | $81.44 – $3,177.90 | 14 |
| Upper Back (Thoracic Spine) CT Scan (without contrast) CPT 72128 | $2,585.60 | $3,232.00 | $48.73 – $2,908.80 | 14 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $5,039.20 | $6,299.00 | $170.46 – $5,669.10 | 14 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $3,152.80 | $3,941.00 | $170.46 – $3,546.90 | 14 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $3,687.20 | $4,609.00 | $108.61 – $4,148.10 | 14 |
| Upper Back (Thoracic Spine) X-ray (2 views) CPT 72070 | $502.40 | $628.00 | $32.95 – $565.20 | 14 |
| Upper Back (Thoracic Spine) X-ray (3 views) CPT 72072 | $613.60 | $767.00 | $39.61 – $690.30 | 14 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $2,539.20 | $3,174.00 | $120.83 – $2,856.60 | 14 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $2,540.00 | $3,175.00 | $136.48 – $2,857.50 | 14 |
| Upper ext fx orthosis rad/ul HCPCS L3982 | $206.40 | $258.00 | $72.70 – $442.47 | 14 |
| Upper ext harvest for cabg1 seg 35600 CPT 35600 | not published | not published | $151.33 – $181.08 | 9 |
| Upper GI Barium X-ray (barium and gas) CPT 74246 | $1,072.80 | $1,341.00 | $81.44 – $1,206.90 | 14 |
| Upper GI Barium X-ray (barium only) CPT 74240 | $1,040.00 | $1,300.00 | $81.44 – $1,170.00 | 14 |
| Uppr gi scope w/submuc inj CPT 43236 | not published | not published | $136.48 – $965.69 | 9 |
| Urachal cyst/sinus excision 51500 CPT 51500 | not published | not published | $635.46 – $6,047.35 | 9 |
| Urea nitrogen CPT 84520 | not published | not published | $3.75 – $8.09 | 9 |
| Urea nitrogen 24 hour urine CPT 84540 | not published | not published | $5.28 – $11.39 | 9 |
| Urea nitrogen clearance CPT 84545 | not published | not published | $6.84 – $14.74 | 9 |
| Urea nitrogen semi-quant CPT 84525 | not published | not published | $4.87 – $10.51 | 9 |
| Ureteral embolization/occl CPT 50705 | $1,822.40 | $2,278.00 | $1.00 – $2,050.20 | 14 |
| Ureteral reflux study CPT 78740 | $1,284.00 | $1,605.00 | $182.81 – $1,444.50 | 14 |
| Ureter endoscopy CPT 50970 | not published | not published | $363.17 – $3,621.42 | 9 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | $345.52 – $5,337.80 | 9 |
| Ureter endoscopy & biopsy CPT 50974 | not published | not published | $463.36 – $5,337.80 | 9 |
| Ureter endoscopy & catheter CPT 50972 | not published | not published | $350.52 – $3,621.42 | 9 |
| Ureter endoscopy & treatment CPT 50957 | not published | not published | $347.19 – $5,337.80 | 9 |
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $311.24 – $5,337.80 | 9 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $457.04 – $5,337.80 | 9 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $348.85 – $5,337.80 | 9 |
| Ureteroneocystostomy 50780 CPT 50780 | not published | not published | $970.40 – $1,104.48 | 9 |
| Ureteroureterostomy 50760 CPT 50760 | not published | not published | $902.79 – $1,122.45 | 9 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $846.40 | $1,058.00 | $108.61 – $952.20 | 14 |
| Urethrlys transvag with scope CPT 53500 | not published | not published | $746.31 – $3,621.42 | 9 |
| Urethrocystography void s&i CPT 74455 | $1,463.20 | $1,829.00 | $103.86 – $1,646.10 | 14 |
| Uric acid blood CPT 84550 | not published | not published | $4.29 – $9.26 | 9 |
| Uric acid urine CPT 84560 | not published | not published | $4.83 – $10.40 | 9 |
| Urinalysis glass test CPT 81020 | not published | not published | $4.47 – $9.63 | 9 |
| Urinalysis microscopic only CPT 81015 | not published | not published | $2.90 – $6.25 | 9 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | not published | not published | $2.06 – $4.44 | 9 |
| Urinalysis (with microscopy) CPT 81001 | not published | not published | $3.01 – $6.49 | 9 |
| Urinalysis (without microscopy) CPT 81003 | not published | not published | $2.14 – $4.61 | 9 |
| Urinary bldr retent nuc study CPT 78730 | $229.60 | $287.00 | $1.00 – $258.30 | 14 |
| Urinary pouch on barr w/flng HCPCS A5073 | not published | not published | $1.00 – $4.60 | 9 |
| Urinary pouch w/barrier HCPCS A5071 | not published | not published | $1.00 – $8.82 | 9 |
| Urinary reflex study CPT 51792 | not published | not published | $27.11 – $273.62 | 9 |
| Urinary suspensory HCPCS A5105 | not published | not published | $1.00 – $56.96 | 9 |
| Urine Culture Test CPT 87086 | not published | not published | $7.67 – $16.53 | 9 |
| Urine flow measurement 51736 CPT 51736 | not published | not published | $13.65 – $133.88 | 9 |
| Urine ost pouch w faucet/tap HCPCS A4428 | not published | not published | $1.00 – $9.57 | 9 |
| Urine pregnancy test CPT 81025 | not published | not published | $8.18 – $17.63 | 9 |
| Urine screen for bacteria CPT 81007 | not published | not published | $28.48 – $61.40 | 9 |
| Urine shunt to intestine CPT 50815 | not published | not published | $1,075.94 – $1,213.00 | 9 |
| Urine specimen collect mult HCPCS P9615 | not published | not published | $1.00 – $18.62 | 9 |
| Urofollitropin, 75 iu HCPCS J3355 | not published | not published | $127.66 – $127.66 | 1 |
| Urography, antegrade CPT 74425 | $939.20 | $1,174.00 | $135.48 – $1,056.60 | 14 |
| Urography inf drip &/or bolus CPT 74410 | not published | not published | $81.44 – $186.92 | 9 |
| Urokinase 250,000 iu inj HCPCS J3365 | not published | not published | $489.77 – $489.77 | 1 |
| Urokinase 5000 iu injection HCPCS J3364 | not published | not published | $10.07 – $10.07 | 1 |
| Use 1st target lesion CPT 76982 | not published | not published | $48.73 – $111.66 | 9 |
| User adjustable heel height HCPCS L5990 | not published | not published | $2,031.80 – $2,324.84 | 9 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $5,184.34 | $6,480.42 | $12.34 – $5,832.38 | 14 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | $49,434.96 | $61,793.70 | $82.59 – $30,444.70 | 14 |
| U/s trtmt, not leiomyomata HCPCS C9734 | not published | not published | $5,833.46 – $13,510.16 | 8 |
| Vaccine Administration (one shot) CPT 90471 | $128.00 | $160.00 | $8.04 – $74.73 | 14 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | not published | not published | $144.64 – $169.73 | 9 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | not published | not published | $131.58 – $154.41 | 9 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | $396.10 | $495.12 | $131.10 – $445.61 | 14 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | not published | not published | $84.82 – $99.54 | 9 |
| Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 | not published | not published | $58.65 – $68.83 | 9 |
| Vaccine dtap < 7 years im CPT 90700 | $325.92 | $407.39 | $1.00 – $366.65 | 11 |
| Vaccine dtap-hep b-ipv im CPT 90723 | $378.20 | $472.74 | $99.29 – $425.47 | 11 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | $345.46 | $431.82 | $1.00 – $388.64 | 11 |
| Vaccine dtap-ipv-hib-hepb im CPT 90697 | $403.48 | $504.34 | $149.28 – $453.91 | 11 |
| Vaccine dtap-ipv/hib im CPT 90698 | $362.63 | $453.28 | $1.00 – $407.95 | 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.