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 |
|---|---|---|---|---|
| Body jacket mold to patient HCPCS L1300 | not published | not published | $1,926.48 – $2,455.62 | 9 |
| Bone Age X-ray (hand and wrist) CPT 77072 | $386.40 | $483.00 | $25.96 – $434.70 | 14 |
| Bone biopsy open superficial CPT 20240 | not published | not published | $139.14 – $2,978.09 | 9 |
| Bone Density Scan (DEXA) CPT 77080 | $477.60 | $597.00 | $38.95 – $537.30 | 14 |
| Bone filler cerament 10cc HCPCS C1602 | $25,520.00 | $31,900.00 | $4,999.05 – $17,010.00 | 11 |
| Bone imaging (3d) CPT 78320 | not published | not published | $182.81 – $182.81 | 1 |
| Bone imaging multiple areas CPT 78305 | $1,321.60 | $1,652.00 | $182.81 – $1,486.80 | 14 |
| Bone/joint imaging ltd area CPT 78300 | $794.40 | $993.00 | $182.81 – $893.70 | 14 |
| Bone marrow;aspiration only 38220 CPT 38220 | $1,616.80 | $2,021.00 | $66.24 – $1,818.90 | 14 |
| Bone marrow aspir bone grfg CPT 20939 | not published | not published | $1.00 – $69.24 | 9 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $2,368.00 | $2,960.00 | $69.24 – $2,664.00 | 14 |
| Bone marrow harvest allogen CPT 38230 | not published | not published | $201.06 – $1,688.46 | 9 |
| Bone marrow harvest autolog CPT 38232 | not published | not published | $186.74 – $4,850.27 | 9 |
| Bone marrow imaging body CPT 78104 | $1,644.00 | $2,055.00 | $182.81 – $1,849.50 | 14 |
| Bone marrow imaging ltd CPT 78102 | not published | not published | $160.11 – $421.92 | 9 |
| Bone marrow imaging mult CPT 78103 | not published | not published | $170.76 – $421.92 | 9 |
| Bone marrow interpretation CPT 85097 | not published | not published | $46.94 – $857.75 | 9 |
| Bone mineral dual photon CPT 78351 | not published | not published | $13.14 – $14.65 | 9 |
| Bone mineral single photon CPT 78350 | not published | not published | $29.12 – $32.19 | 9 |
| Bone/skin graft great toe CPT 20973 | not published | not published | $2,988.22 – $7,497.96 | 9 |
| Bone/skin graft iliac crest CPT 20970 | not published | not published | $712.37 – $2,837.76 | 9 |
| Bone/skin graft metatarsal CPT 20972 | not published | not published | $2,829.44 – $7,497.96 | 9 |
| Bone/skin graft microvasc CPT 20969 | not published | not published | $1,434.68 – $2,700.28 | 9 |
| Bone survey-lead poisoning CPT 77074 | $567.20 | $709.00 | $48.73 – $638.10 | 14 |
| Bone tendon board add on HCPCS C9356 | $496.80 | $621.00 | $1.00 – $170.10 | 11 |
| Bone void filler nanoss 10cc HCPCS C9362 | not published | not published | $1.00 – $1.00 | 1 |
| Boot cast sandal rocker med HCPCS L3265 | not published | not published | $14.40 – $14.40 | 1 |
| Boot heel care softcare one sz HCPCS E0191 | not published | not published | $11.97 – $13.96 | 2 |
| Boot j walker l HCPCS L4386 | $170.40 | $213.00 | $18.76 – $202.78 | 14 |
| Boot mlti podous univ xlg HCPCS L4396 | $288.00 | $360.00 | $52.93 – $210.77 | 14 |
| Boot softgait shrt m HCPCS L4387 | $217.60 | $272.00 | $23.79 – $202.78 | 14 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | $191.20 | $239.00 | $23.12 – $353.45 | 14 |
| Boot walker genesis mid-calf full shell s HCPCS L4361 | $360.00 | $450.00 | $22.45 – $353.45 | 14 |
| Borrelia antibody CPT 86619 | not published | not published | $12.71 – $27.40 | 9 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | not published | not published | $16.18 – $34.88 | 9 |
| Borrelia miyamotoi amp prb CPT 87478 | not published | not published | $33.34 – $71.86 | 9 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | $4,688.40 | $5,860.50 | $2.29 – $286.62 | 11 |
| (both sides) donor search management CPT 38204 | not published | not published | $1.00 – $99.53 | 9 |
| (both sides) smear without diff wbc count CPT 85008 | not published | not published | $3.26 – $7.02 | 9 |
| Botulism ig IV CPT 90288 | not published | not published | $48,705.00 – $58,905.00 | 2 |
| Bowel imaging CPT 78290 | $1,892.00 | $2,365.00 | $182.81 – $2,128.50 | 14 |
| Bpg axillary-pop/-tibial CPT 35623 | not published | not published | $1,065.53 – $1,281.90 | 9 |
| Bpg carotid-vertebral CPT 35642 | not published | not published | $806.95 – $966.00 | 9 |
| Bpg ilio-celiac CPT 35632 | not published | not published | $1,459.20 – $1,760.24 | 9 |
| Bpg ilio-mesenteric CPT 35633 | not published | not published | $1,597.98 – $1,930.68 | 9 |
| Bpg iliorenal CPT 35634 | not published | not published | $1,428.28 – $1,722.63 | 9 |
| Bpg pop-tibl/-prnl artery CPT 35671 | not published | not published | $918.63 – $1,105.15 | 9 |
| Bpg splenorenal CPT 35636 | not published | not published | $1,289.93 – $1,554.53 | 9 |
| Bpg subclavian-axillary CPT 35616 | not published | not published | $892.65 – $1,074.52 | 9 |
| Bpg subclavian-vertebral CPT 35645 | not published | not published | $770.39 – $925.39 | 9 |
| Brace adj motion lerman type HCPCS L2186 | not published | not published | $172.19 – $213.24 | 9 |
| Brace afo dbl upright cust HCPCS L1990 | $880.00 | $1,100.00 | $368.50 – $990.00 | 14 |
| Brace afo lg left 6607 HCPCS L1930 | not published | not published | $276.34 – $305.42 | 9 |
| Brace afopos solid ankle cust HCPCS L1960 | not published | not published | $593.24 – $655.68 | 9 |
| Brace afo spiral prefab HCPCS L1951 | not published | not published | $938.72 – $1,074.14 | 9 |
| Brace ank aftr bioskn med lg HCPCS L1906 | $100.00 | $125.00 | $12.06 – $189.68 | 14 |
| Brace ank air stirrup univ HCPCS L4350 | $40.00 | $50.00 | $12.06 – $105.74 | 14 |
| Brace ankle joint dflxn assist HCPCS L2210 | $108.80 | $136.00 | $45.56 – $122.40 | 14 |
| Brace ankle stablizing lg HCPCS L1902 | $93.60 | $117.00 | $10.72 – $94.43 | 14 |
| Brace back epic lo 627 HCPCS L0642 | $296.00 | $370.00 | $68.68 – $320.08 | 14 |
| Brace back epic lso 637 HCPCS L0650 | not published | not published | $836.84 – $924.92 | 9 |
| Brace back epic tslo 456 HCPCS L0457 | not published | not published | $700.54 – $774.28 | 9 |
| Brace back pinnacle lo 627 lumbar HCPCS L0627 | $193.60 | $242.00 | $81.07 – $526.77 | 14 |
| Brace back pinnacle tlso 464 HCPCS L0464 | $564.80 | $706.00 | $236.51 – $1,901.12 | 14 |
| Brace back t-lso custom HCPCS L0486 | not published | not published | $2,287.31 – $2,559.40 | 9 |
| Brace back vista 464 tlso HCPCS L0648 | not published | not published | $723.24 – $799.37 | 9 |
| Brace cust back lso HCPCS L0631 | not published | not published | $1,147.48 – $1,315.60 | 9 |
| Brace fx hum ovr shldr lg HCPCS L3981 | not published | not published | $1,023.97 – $1,174.02 | 9 |
| Brace fx hum ovr shldr sm HCPCS L3980 | $300.80 | $376.00 | $125.96 – $357.85 | 14 |
| Brace halo bremer l2830 HCPCS L2830 | not published | not published | $98.19 – $148.18 | 9 |
| Brace kafo dbl upright cust HCPCS L2036 | not published | not published | $2,072.33 – $2,409.15 | 9 |
| Brace knee 32in univ t-scope short lt/rt HCPCS L1852 | $577.60 | $722.00 | $20.10 – $646.29 | 14 |
| Brace knee extender plus 22-30in HCPCS L1832 | $251.20 | $314.00 | $18.43 – $719.18 | 14 |
| Brace knee hing pat open med HCPCS L1820 | $178.40 | $223.00 | $17.09 – $167.74 | 14 |
| Brace knee playmaker ii x-rom hook and loop xl HCPCS L1833 | $292.80 | $366.00 | $15.08 – $513.26 | 14 |
| Brace knee postop tscope xl HCPCS L1845 | $1,344.00 | $1,680.00 | $61.64 – $998.59 | 14 |
| Brace knee support neoprene padded open patella med HCPCS L1810 | $174.40 | $218.00 | $22.11 – $119.45 | 14 |
| Brace m arm board HCPCS L3809 | $178.40 | $223.00 | $9.05 – $291.02 | 14 |
| Brace or Splint Fitting and Training (each 15 minutes) CPT 97760 | $353.60 | $442.00 | $43.45 – $202.50 | 14 |
| Brace ortho exos 28-50in sm HCPCS L0637 | not published | not published | $1,200.16 – $1,326.50 | 9 |
| Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr HCPCS L0456 | $760.00 | $950.00 | $264.99 – $1,272.05 | 14 |
| Brace oths wrist hnd fngr without HCPCS L3807 | $197.60 | $247.00 | $8.38 – $291.02 | 14 |
| Brace tlso flex cust HCPCS L0450 | $898.40 | $1,123.00 | $131.59 – $1,010.70 | 14 |
| Brace wrist classic lft sm HCPCS L3908 | $2,298.40 | $2,873.00 | $4.36 – $69.35 | 14 |
| Brachioplasty 15836 CPT 15836 | not published | not published | $798.90 – $2,978.09 | 9 |
| Brach/thor cath 1st CPT 36215 | $2,448.00 | $3,060.00 | $1.00 – $2,754.00 | 14 |
| Brach/thor cath 2nd CPT 36216 | $3,140.00 | $3,925.00 | $1.00 – $3,532.50 | 14 |
| Brach/thor cath 3rd CPT 36217 | $3,784.80 | $4,731.00 | $1.00 – $4,257.90 | 14 |
| Brach/thor cath addl CPT 36218 | $1,224.80 | $1,531.00 | $1.00 – $1,377.90 | 14 |
| Brachy linear, non-str,p-103 HCPCS C2636 | not published | not published | $50.26 – $55.56 | 8 |
| Brachy source i-125 injection HCPCS C2638 | not published | not published | $35.19 – $38.89 | 8 |
| Brachy source iodine-125 nonstranded HCPCS C2639 | $128.80 | $161.00 | $33.35 – $144.90 | 14 |
| Brachy source palladium HCPCS C2640 | not published | not published | $66.21 – $73.17 | 8 |
| Brachy source palladium-103 nonstranded HCPCS C2641 | $820.80 | $1,026.00 | $73.93 – $450.00 | 14 |
| Brachy source yttrium-90 HCPCS C2616 | $37,407.20 | $46,759.00 | $12,367.76 – $42,083.10 | 14 |
| Brachy src nonstrand c-131 HCPCS C2643 | not published | not published | $80.42 – $101.39 | 8 |
| Brachy src nonstrand hdr ir-192 HCPCS C1717 | $747.20 | $934.00 | $247.04 – $840.60 | 14 |
| Brachy src stranded c-131 HCPCS C2642 | not published | not published | $97.61 – $113.25 | 8 |
| Brachytx isodose complex CPT 77318 | $2,344.80 | $2,931.00 | $163.77 – $2,637.90 | 14 |
| Brachytx isodose intermed CPT 77317 | $2,007.20 | $2,509.00 | $163.77 – $2,258.10 | 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.