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 |
|---|---|---|---|---|
| Woman's shoe oxford brace HCPCS L3224 | not published | not published | $65.44 – $72.32 | 9 |
| Wound Cleaning and Dead Tissue Removal (up to 20 sq cm) CPT 97597 | $488.00 | $610.00 | $34.95 – $516.60 | 14 |
| Wound closure by adhesive HCPCS G0168 | not published | not published | $14.65 – $99.48 | 9 |
| Woundfix biowound plus xplus HCPCS Q4217 | not published | not published | $1.00 – $1.00 | 1 |
| Wound pouch each HCPCS A6154 | not published | not published | $1.00 – $21.07 | 9 |
| Wound therapy negative pressure per session <= 50 sq cm CPT 97607 | $719.20 | $899.00 | $20.97 – $651.60 | 14 |
| Wound therapy negative pressure per session > 50 sq cm CPT 97608 | $568.00 | $710.00 | $24.63 – $639.00 | 14 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | $396.00 | $495.00 | $23.97 – $445.50 | 14 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | $561.60 | $702.00 | $26.30 – $631.80 | 14 |
| Wrist arthroscopy CPT 29840 | not published | not published | $458.37 – $3,392.43 | 9 |
| Wrist arthroscopy/surgery CPT 29843 | not published | not published | $495.65 – $3,392.43 | 9 |
| Wrist arthroscopy/surgery CPT 29844 | not published | not published | $506.97 – $3,392.43 | 9 |
| Wrist arthroscopy/surgery CPT 29845 | not published | not published | $595.18 – $3,392.43 | 9 |
| Wrist arthroscopy/surgery CPT 29846 | not published | not published | $530.60 – $3,392.43 | 9 |
| Wrist arthroscopy/surgery CPT 29847 | not published | not published | $552.91 – $7,497.96 | 9 |
| Wrist/elbow bowden cable mol HCPCS L6580 | not published | not published | $2,144.90 – $2,370.68 | 9 |
| Wrist/elbow bowden cbl dir f HCPCS L6582 | not published | not published | $1,899.07 – $2,312.67 | 9 |
| Wrist endoscopy/surgery CPT 29848 | $5,224.80 | $6,531.00 | $521.95 – $5,877.90 | 14 |
| Wrist X-ray CPT 73110 | $440.80 | $551.00 | $40.28 – $495.90 | 14 |
| Wrist X-ray (2 views, both wrists) CPT 73100 | $299.20 | $374.00 | $33.95 – $336.60 | 14 |
| Wrst mld sck flx hng tri pad HCPCS L6050 | not published | not published | $2,330.96 – $2,576.32 | 9 |
| Xcapsl ctrc rmvl cplx w/ecp CPT 66987 | not published | not published | $1,802.12 – $4,224.00 | 8 |
| Xcapsl ctrc rmvl cplx wo ecp CPT 66982 | not published | not published | $735.99 – $2,394.77 | 9 |
| Xcapsl ctrc rmvl insj 1+ CPT 66991 | not published | not published | $675.07 – $5,417.70 | 9 |
| Xcapsl ctrc rmvl w/ecp CPT 66988 | not published | not published | $1,802.12 – $4,224.00 | 8 |
| Xcellistem, 1 mg HCPCS A2004 | not published | not published | $1.00 – $1.00 | 1 |
| Xcpsl ctrc rmvl cplx insj 1+ CPT 66989 | not published | not published | $844.50 – $5,417.70 | 9 |
| Xe133 xenon 10mci HCPCS A9558 | $300.80 | $376.00 | $1.00 – $338.40 | 11 |
| Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/< CPT 14040 | $4,569.60 | $5,712.00 | $623.47 – $5,140.80 | 14 |
| Xfer tis s/a/l 10 sq cm/< CPT 14020 | $5,355.20 | $6,694.00 | $567.88 – $6,024.60 | 14 |
| X-linked intellectual dblt CPT 81470 | not published | not published | $868.30 – $1,871.78 | 9 |
| X-linked intellectual dblt CPT 81471 | not published | not published | $868.30 – $1,871.78 | 9 |
| Xm archive tissue molec anal CPT 88363 | not published | not published | $13.20 – $25.71 | 9 |
| Xpos opn axillary/sbclvn art w/cndt crtn CPT 34716 | $8,024.00 | $10,030.00 | $1.00 – $9,027.00 | 14 |
| Xpos opn fmrl eprst aor uni add-on CPT 34812 | $1,436.80 | $1,796.00 | $165.31 – $1,616.40 | 14 |
| X-ray abdomen >=3 views CPT 74021 | $442.40 | $553.00 | $42.94 – $497.70 | 14 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $1,088.80 | $1,361.00 | $131.49 – $1,224.90 | 14 |
| X-ray assay calculus CPT 82370 | not published | not published | $11.89 – $25.64 | 9 |
| X-ray bone length studies CPT 77073 | $749.60 | $937.00 | $45.27 – $843.30 | 14 |
| X-ray bone survey infant CPT 77076 | $1,063.20 | $1,329.00 | $48.73 – $1,196.10 | 14 |
| X-ray consultation CPT 76140 | not published | not published | $13.97 – $13.97 | 1 |
| Xray endovasc thor ao repr CPT 75956 | not published | not published | $642.94 – $642.94 | 1 |
| Xray endovasc thor ao repr CPT 75957 | not published | not published | $552.22 – $552.22 | 1 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $680.80 | $851.00 | $48.73 – $765.90 | 14 |
| X-ray exam entire spi 6/> vw CPT 72084 | $747.20 | $934.00 | $48.73 – $840.60 | 14 |
| X-ray exam of arm infant CPT 73092 | $404.80 | $506.00 | $31.62 – $455.40 | 14 |
| X-ray exam of femur 1 CPT 73551 | $358.40 | $448.00 | $29.29 – $403.20 | 14 |
| X-ray exam of jaw joint CPT 70328 | not published | not published | $34.62 – $92.45 | 9 |
| X-ray exam of jaw joint CPT 70332 | $1,287.20 | $1,609.00 | $82.55 – $1,448.10 | 14 |
| X-ray exam of mastoids CPT 70120 | not published | not published | $38.28 – $111.66 | 9 |
| X-ray exam of middle ear CPT 70134 | not published | not published | $61.91 – $575.72 | 9 |
| X-ray exam of penis CPT 74445 | $3,080.00 | $3,850.00 | $48.73 – $3,465.00 | 14 |
| X-ray exam of perineum CPT 74775 | $875.20 | $1,094.00 | $108.61 – $984.60 | 14 |
| X-ray exam of salivary gland CPT 70380 | not published | not published | $37.61 – $92.45 | 9 |
| X-ray exam of tear duct CPT 70170 | not published | not published | $108.61 – $253.81 | 8 |
| X-ray exam of teeth CPT 70300 | $159.20 | $199.00 | $12.98 – $179.10 | 14 |
| X-ray exam of teeth CPT 70310 | not published | not published | $40.61 – $253.81 | 9 |
| X-ray exam si joints CPT 72200 | $317.60 | $397.00 | $33.29 – $357.30 | 14 |
| X-ray exam thorac spine4/>vw CPT 72074 | $649.60 | $812.00 | $44.61 – $730.80 | 14 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $273.60 | $342.00 | $32.62 – $307.80 | 14 |
| X-ray fallopian tube CPT 74742 | not published | not published | $1.00 – $1.00 | 1 |
| X-ray head for orthodontia CPT 70350 | not published | not published | $16.64 – $92.45 | 9 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $463.20 | $579.00 | $48.73 – $521.10 | 14 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $632.00 | $790.00 | $48.73 – $711.00 | 14 |
| X-ray joint survey 1 view CPT 77077 | $337.60 | $422.00 | $46.94 – $379.80 | 14 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $327.20 | $409.00 | $31.62 – $368.10 | 14 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $575.20 | $719.00 | $40.61 – $647.10 | 14 |
| X-ray male genital tract CPT 74440 | not published | not published | $97.20 – $253.81 | 9 |
| X-ray mandible ltd <4 views CPT 70100 | $315.20 | $394.00 | $38.95 – $354.60 | 14 |
| X-ray nose to rectum for foreign body child CPT 76010 | $372.80 | $466.00 | $29.29 – $419.40 | 14 |
| X-ray of mammary ducts CPT 77054 | not published | not published | $69.24 – $253.81 | 9 |
| X-ray optic foramina CPT 70190 | not published | not published | $37.61 – $92.45 | 9 |
| Xray place dist ext thor ao CPT 75959 | not published | not published | $321.47 – $321.47 | 1 |
| Xray place prox ext thor ao CPT 75958 | not published | not published | $362.23 – $362.23 | 1 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $1,090.40 | $1,363.00 | $77.89 – $1,226.70 | 14 |
| X-ray ribs 2 views left CPT 71100 | $520.80 | $651.00 | $36.62 – $585.90 | 14 |
| X-ray sella turcica CPT 70240 | not published | not published | $32.95 – $92.45 | 9 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $977.60 | $1,222.00 | $59.58 – $1,099.80 | 14 |
| X-ray slg plne bdy sect without urogr CPT 76100 | $773.60 | $967.00 | $48.73 – $870.30 | 14 |
| X-ray small intestine follow-through study CPT 74248 | $272.80 | $341.00 | $74.03 – $306.90 | 14 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $434.40 | $543.00 | $40.28 – $488.70 | 14 |
| X-ray surgical specimen CPT 76098 | $723.20 | $904.00 | $42.61 – $813.60 | 14 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $557.60 | $697.00 | $40.28 – $627.30 | 14 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | not published | not published | $81.44 – $186.92 | 9 |
| Xtrnl ecg rec>48hr<7d CPT 93241 | not published | not published | $246.00 – $271.89 | 9 |
| Xtrnl ecg rec up to 48 hrs CPT 93224 | not published | not published | $64.27 – $71.90 | 9 |
| Xwrap 1 sq cm HCPCS Q4204 | not published | not published | $1.00 – $1.00 | 1 |
| Xylose absorption test blood &/or urine CPT 84620 | not published | not published | $12.26 – $26.44 | 9 |
| Xyntha inj HCPCS J7185 | not published | not published | $1.31 – $1.83 | 9 |
| Yersinia antibody CPT 86793 | not published | not published | $12.53 – $27.01 | 9 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | not published | not published | $53,983.32 – $69,162.84 | 9 |
| Zenith amniotic membrane psc HCPCS Q4253 | not published | not published | $1.00 – $1.00 | 1 |
| Ziconotide injection HCPCS J2278 | $13,316.63 | $16,645.78 | $9.04 – $3,263.62 | 14 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | $333.97 | $417.46 | $1.00 – $375.71 | 11 |
| Zidovudine, oral, 100 mg HCPCS S0104 | not published | not published | $1.72 – $1.72 | 1 |
| Zika virus dna/rna amp probe CPT 87662 | not published | not published | $48.74 – $105.08 | 9 |
| Zika virus igm antibody CPT 86794 | not published | not published | $16.01 – $34.51 | 9 |
| Zinc paste band w >=3"<5"/yd HCPCS A6456 | not published | not published | $1.00 – $1.84 | 9 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $348.34 | $435.42 | $1.00 – $363.55 | 11 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | $9,160.00 | $11,450.00 | $7.49 – $5,265.00 | 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.