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 |
|---|---|---|---|---|
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | $328.33 | $410.41 | $1.00 – $369.37 | 11 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $324.44 | $405.54 | $1.00 – $364.99 | 11 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $357.70 | $447.12 | $1.00 – $402.41 | 11 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | $382.20 | $477.75 | $1.00 – $429.98 | 11 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | $330.35 | $412.93 | $1.00 – $371.64 | 11 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 3 dose im CPT 90634 | not published | not published | $38.64 – $38.64 | 1 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | not published | not published | $71.39 – $78.90 | 9 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $352.79 | $440.98 | $66.86 – $377.78 | 14 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | $387.48 | $484.35 | $158.87 – $435.92 | 14 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $25.93 | $32.41 | $10.86 – $33.25 | 14 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | $451.55 | $564.43 | $189.08 – $507.99 | 11 |
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | not published | not published | $163.41 – $163.41 | 1 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | not published | not published | $73.40 – $103.07 | 9 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | $56.05 | $70.06 | $23.47 – $103.07 | 14 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | not published | not published | $12.50 – $23.17 | 9 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $26.40 | $33.00 | $11.06 – $29.70 | 14 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | not published | not published | $20.88 – $20.88 | 2 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | not published | not published | $77.36 – $77.36 | 2 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | $25.60 | $32.00 | $8.46 – $28.80 | 11 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | $26.40 | $33.00 | $11.06 – $29.70 | 11 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | not published | not published | $10.44 – $10.44 | 2 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | not published | not published | $27.79 – $27.79 | 2 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | $86.40 | $108.00 | $36.18 – $97.20 | 11 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | $41.60 | $52.00 | $10.71 – $51.97 | 14 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | not published | not published | $6.02 – $11.59 | 9 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $413.10 | $516.37 | $172.98 – $464.73 | 11 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | $406.05 | $507.56 | $170.03 – $456.80 | 11 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | $396.21 | $495.26 | $165.91 – $445.73 | 11 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $396.86 | $496.07 | $151.60 – $446.46 | 11 |
| Vaccine mmr live subcutaneous CPT 90707 | $359.08 | $448.84 | $1.00 – $403.96 | 11 |
| Vaccine mmrv live subcutaneous CPT 90710 | $456.57 | $570.71 | $74.35 – $513.64 | 11 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $234.59 | $293.23 | $98.23 – $263.91 | 14 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | not published | not published | $230.83 – $270.89 | 9 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | $456.14 | $570.17 | $191.01 – $513.15 | 14 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $527.52 | $659.39 | $220.90 – $593.45 | 14 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | $329.83 | $412.28 | $1.00 – $367.34 | 11 |
| Vaccine rabies im CPT 90675 | $540.48 | $675.60 | $152.68 – $568.84 | 14 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | $370.40 | $463.00 | $155.11 – $416.70 | 11 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | $627.11 | $783.88 | $262.60 – $705.49 | 11 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | $1,225.67 | $1,532.08 | $504.90 – $1,378.87 | 11 |
| Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im CPT 90679 | not published | not published | $312.48 – $312.48 | 1 |
| Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 | not published | not published | $141.39 – $149.83 | 2 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | $58.76 | $73.44 | $24.60 – $104.67 | 11 |
| Vaccine tdap >=7 years im CPT 90715 | $337.72 | $422.15 | $1.00 – $126.00 | 11 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $334.00 | $417.49 | $1.00 – $369.55 | 11 |
| Vaccine typhoid vicps im CPT 90691 | not published | not published | $1.00 – $1.00 | 1 |
| Vaccine varicella live subcutaneous CPT 90716 | $386.44 | $483.05 | $161.82 – $434.75 | 11 |
| Vaccine yellow fever live subcutaneous CPT 90717 | not published | not published | $1.00 – $1.00 | 1 |
| Vaccinia vrs vac 0.3 ml perq CPT 90622 | not published | not published | $0.01 – $0.01 | 8 |
| Vacuum drain bottle/tube kit HCPCS A7048 | not published | not published | $1.00 – $62.85 | 9 |
| Vad battery clip set hmii 14-v li-ion HCPCS Q0497 | not published | not published | $524.30 – $601.15 | 9 |
| Vad cable power module dc input HCPCS Q0478 | not published | not published | $205.81 – $235.96 | 9 |
| Vad univ batt charger hm 1440 HCPCS Q0495 | not published | not published | $4,678.21 – $5,363.52 | 9 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | not published | not published | $997.29 – $5,183.27 | 9 |
| Vag hyst incl t/o complex CPT 58291 | not published | not published | $1,245.29 – $5,183.27 | 9 |
| Vag hyst including t/o CPT 58262 | not published | not published | $930.72 – $5,183.27 | 9 |
| Vag hyst t/o & repair compl CPT 58292 | not published | not published | $1,312.19 – $7,764.55 | 9 |
| Vag hyst w/enterocele compl 58294 CPT 58294 | not published | not published | $1,218.66 – $5,183.27 | 9 |
| Vag hyst w/enterocele repair CPT 58270 | not published | not published | $897.10 – $5,183.27 | 9 |
| Vag hyst w/uro repair compl 58293 CPT 58293 | not published | not published | $1,385.71 – $1,385.71 | 1 |
| Vaginal bx CPT 58999 | $306.40 | $383.00 | $88.32 – $344.70 | 14 |
| Vaginal delivery after cesarean delivery 59612 CPT 59612 | not published | not published | $905.75 – $3,276.65 | 9 |
| Vaginal Delivery (full care) CPT 59400 | not published | not published | $1,385.71 – $2,429.99 | 9 |
| Vaginal hysterectomy CPT 58260 | not published | not published | $842.51 – $5,183.27 | 9 |
| Vaginectomy partial w/nodes CPT 57109 | not published | not published | $1,385.71 – $3,276.65 | 9 |
| Vag inser rectal control sys HCPCS A4563 | not published | not published | $1,528.56 – $1,752.44 | 9 |
| Vagnc compl rmvl paravag tis CPT 57111 | not published | not published | $1,385.71 – $1,739.27 | 9 |
| Vagnc compl rmvl vag wall CPT 57110 | not published | not published | $787.51 – $906.09 | 9 |
| Vagotomy pfrmd w/prtl dstl gstrct 43635 CPT 43635 | not published | not published | $93.37 – $111.18 | 9 |
| Vagotomy & pylorus repair CPT 43641 | not published | not published | $401.78 – $1,205.67 | 9 |
| Vagotomy & pylorus repair 43640 CPT 43640 | not published | not published | $401.78 – $1,192.03 | 9 |
| Valproic acid total therapeutic drug level CPT 80164 | not published | not published | $12.86 – $27.73 | 9 |
| Valrubicin injection HCPCS J9357 | not published | not published | $1,257.18 – $1,448.19 | 9 |
| Valvuloplasty aortic CPT 92986 | $14,605.60 | $18,257.00 | $1,297.55 – $16,431.30 | 14 |
| Valvuloplasty aortic valve CPT 33390 | not published | not published | $1,591.38 – $1,880.08 | 9 |
| Valvuloplasty aortic valve CPT 33391 | not published | not published | $1,884.64 – $2,228.27 | 9 |
| Valvuloplasty mitral CPT 92987 | $16,506.40 | $20,633.00 | $1,337.16 – $18,569.70 | 14 |
| Valvuloplasty pulmonary CPT 92990 | $16,489.60 | $20,612.00 | $1,070.86 – $18,550.80 | 14 |
| Valvuloplasty/tv without ring insert 33463 CPT 33463 | not published | not published | $2,533.63 – $3,005.53 | 9 |
| Valvuloplasty/tv w/ring insertion 33464 CPT 33464 | not published | not published | $2,013.73 – $2,384.38 | 9 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | $366.34 | $457.92 | $103.28 – $351.43 | 11 |
| Vancomycin 750 mg intravenous solution HCPCS J3374 | $329.24 | $411.55 | $105.28 – $358.25 | 11 |
| Vancomycin hcl injection HCPCS J3370 | not published | not published | $1.00 – $1.00 | 1 |
| Vancomycin peak therapeutic drug level CPT 80202 | not published | not published | $12.86 – $27.73 | 9 |
| Vanomycin dna amp probe CPT 87500 | not published | not published | $33.34 – $71.86 | 9 |
| Vantas implant HCPCS J9225 | not published | not published | $5,166.29 – $5,166.29 | 1 |
| Variable concentration mask HCPCS A4620 | not published | not published | $0.85 – $0.93 | 9 |
| Varicella zoster antibody igg CPT 86787 | not published | not published | $12.24 – $26.38 | 9 |
| Varicella-zoster immue globin im CPT 90396 | not published | not published | $2,049.23 – $2,479.91 | 9 |
| Varus/valgus strap padded/li HCPCS L2270 | not published | not published | $63.11 – $69.75 | 9 |
| Vasc emb/occ w/prs cath HCPCS C9797 | not published | not published | $17,058.88 – $18,854.56 | 8 |
| Vasc graft into carpal bone CPT 25430 | not published | not published | $742.98 – $3,392.43 | 9 |
| Vasectomy CPT 55250 | not published | not published | $230.68 – $2,134.73 | 9 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $49.84 | $62.29 | $2.56 – $55.16 | 11 |
| Vbac delivery 59610 CPT 59610 | not published | not published | $1,385.71 – $2,547.49 | 9 |
| Vbac/include postpartum care 59614 CPT 59614 | not published | not published | $961.51 – $1,170.06 | 9 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | $24,267.48 | $30,334.35 | $20.25 – $27,300.92 | 14 |
| Veeg cont 2-12 hrs CPT 95713 | $5,027.20 | $6,284.00 | $237.56 – $5,655.60 | 14 |
| Veeg ea 12-26hr cont mntr CPT 95716 | $6,340.00 | $7,925.00 | $463.42 – $7,132.50 | 14 |
| Veeg intrmnt 2-12 hrs CPT 95712 | $4,493.60 | $5,617.00 | $139.12 – $5,055.30 | 14 |
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.