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 |
|---|---|---|---|---|
| Above knee cushion socket HCPCS L5648 | not published | not published | $816.98 – $1,106.29 | 9 |
| Above knee flex cover system HCPCS L5964 | not published | not published | $1,206.60 – $1,333.62 | 9 |
| Above knee hydracadence HCPCS L5610 | not published | not published | $2,816.79 – $3,378.95 | 9 |
| Above knee leather socket HCPCS L5642 | not published | not published | $760.67 – $1,041.09 | 9 |
| Above knee manual lock HCPCS L5925 | not published | not published | $374.15 – $564.61 | 9 |
| Above knee wood socket HCPCS L5644 | not published | not published | $657.69 – $992.48 | 9 |
| Abrasion lesions add-on CPT 15787 | not published | not published | $1.00 – $29.94 | 9 |
| Abrasion lesion single CPT 15786 | not published | not published | $88.73 – $208.64 | 9 |
| Abscess drain retroperitoneal surg code CPT 49406 | $5,676.00 | $7,095.00 | $188.74 – $6,385.50 | 14 |
| Abscess imaging ltd area CPT 78805 | not published | not published | $182.81 – $182.81 | 1 |
| Abscess imaging whole body CPT 78806 | not published | not published | $182.81 – $182.81 | 1 |
| Absorpt drg >16<=48 in w/bdr HCPCS A6255 | not published | not published | $1.00 – $4.46 | 9 |
| Absorpt drg >16 <=48 without bdr HCPCS A6252 | not published | not published | $1.00 – $4.78 | 9 |
| Absorpt drg <=16 sq in w/bdr HCPCS A6254 | not published | not published | $1.00 – $1.75 | 9 |
| Absorpt drg <=16 sq in without b HCPCS A6251 | not published | not published | $1.00 – $2.92 | 9 |
| Absorpt drg > 48 sq in without b HCPCS A6253 | not published | not published | $1.00 – $9.29 | 9 |
| Access & clsr pq fem art endogft dlvry w/img uni CPT 34713 | $4,374.40 | $5,468.00 | $1.00 – $4,921.20 | 14 |
| Access thoracic lymph duct CPT 38794 | not published | not published | $1.00 – $278.28 | 9 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | $329.44 | $411.80 | $1.00 – $177.53 | 11 |
| Acetaminophen level CPT 80143 | not published | not published | $17.71 – $38.17 | 9 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $340.70 | $425.87 | $1.00 – $359.24 | 11 |
| Acetone qualitative CPT 82009 | not published | not published | $4.29 – $9.26 | 9 |
| Acetylcholine receptor modulating antibody CPT 86043 | not published | not published | $11.45 – $24.68 | 9 |
| Acetylcholinesterase assay CPT 82013 | not published | not published | $11.68 – $25.17 | 9 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $659.28 | $824.10 | $1.00 – $298.21 | 11 |
| Acetylcysteine non-comp unit HCPCS J7608 | $10.12 | $12.64 | $0.64 – $9.48 | 11 |
| Acid perfusion of esophagus CPT 91030 | not published | not published | $145.13 – $557.13 | 9 |
| Acne surgery 10040 CPT 10040 | not published | not published | $51.60 – $208.64 | 9 |
| Aco annual medicare visit (awv), initial g0438aco HCPCS G0438 | not published | not published | $149.38 – $165.44 | 9 |
| Aco annual medicare visit (awv), subsq g0439aco HCPCS G0439 | not published | not published | $117.68 – $130.15 | 9 |
| Aco ccm; at least 20 min 99490aco CPT 99490 | not published | not published | $39.51 – $97.13 | 9 |
| Aco ccm; ea addl 20 min 99439aco CPT 99439 | not published | not published | $1.00 – $47.39 | 9 |
| Aco cmplx chron care addl 20 min 99489aco CPT 99489 | not published | not published | $1.00 – $72.78 | 9 |
| Aco cmplx chron care without pt visit, 60 min 99487aco CPT 99487 | not published | not published | $70.67 – $168.70 | 9 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | $273.60 | $342.00 | $58.59 – $307.80 | 14 |
| Aco depression screen annual medicare g0444aco HCPCS G0444 | not published | not published | $8.99 – $31.28 | 9 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $49.60 | $62.00 | $15.31 – $55.80 | 14 |
| Acoustic immitance testing CPT 92570 | $100.00 | $125.00 | $28.63 – $163.71 | 14 |
| Acoustic refl threshold tst CPT 92568 | not published | not published | $14.65 – $41.21 | 9 |
| Acromp/acromionectomy prtl CPT 23130 | not published | not published | $628.80 – $3,392.43 | 9 |
| Acth stimulation panel CPT 80402 | not published | not published | $82.61 – $178.09 | 9 |
| Acth stimulation panel CPT 80406 | not published | not published | $74.35 – $160.27 | 9 |
| Actigraphy testing CPT 95803 | not published | not published | $27.11 – $135.15 | 9 |
| Actinotherapy uv light CPT 96900 | not published | not published | $17.78 – $41.21 | 9 |
| Acup 1/> w/estim 1st 15 min CPT 97813 | not published | not published | $13.20 – $32.95 | 9 |
| Acup 1/> w/estim ea addl 15 CPT 97814 | not published | not published | $26.78 – $29.60 | 9 |
| Acup 1/> without estim ea add 15 CPT 97811 | not published | not published | $23.71 – $26.20 | 9 |
| Acup 1/> wo estim 1st 15 min CPT 97810 | not published | not published | $13.20 – $30.29 | 9 |
| Acute hepatitis panel CPT 80074 | not published | not published | $45.25 – $97.54 | 9 |
| Acute venous thrombus image CPT 78456 | not published | not published | $287.94 – $1,370.75 | 9 |
| Acyclovir 400 mg tablet HCPCS J8499 | $10.74 | $13.42 | $0.27 – $0.91 | 11 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $355.04 | $443.80 | $1.00 – $176.92 | 11 |
| #acylcarnitineprfl CPT 82017 | not published | not published | $16.03 – $34.55 | 9 |
| Acylcarnitines qual CPT 82016 | not published | not published | $15.67 – $33.77 | 9 |
| Adalimumab injection HCPCS J0135 | not published | not published | $1,765.27 – $1,834.49 | 2 |
| Adapt behavior tx phys/qhp CPT 97155 | not published | not published | $70.67 – $167.10 | 8 |
| Adapter b 8 channel 10cm HCPCS C1883 | $6,390.40 | $7,988.00 | $1.00 – $450.00 | 11 |
| Adaptive behavior tx by tech CPT 97153 | not published | not published | $39.51 – $95.28 | 8 |
| Adding walker to prev cast CPT 29440 | not published | not published | $27.96 – $165.14 | 9 |
| Additional switch, ext power HCPCS L6611 | not published | not published | $461.11 – $527.61 | 9 |
| Add le poly knee custom kafo HCPCS L2387 | not published | not published | $177.12 – $195.76 | 9 |
| Add ue prost a/e acrylic HCPCS L7404 | not published | not published | $622.53 – $712.28 | 9 |
| Add ue prost a/e ultlite mat HCPCS L7401 | not published | not published | $384.24 – $439.72 | 9 |
| Add ue prost b/e acrylic HCPCS L7403 | not published | not published | $412.46 – $471.91 | 9 |
| Add ue prost be/wd, ultlite HCPCS L7400 | not published | not published | $343.25 – $392.77 | 9 |
| Add ue prost s/d acrylic HCPCS L7405 | not published | not published | $814.11 – $931.51 | 9 |
| Add ue prost s/d ultlite mat HCPCS L7402 | not published | not published | $415.00 – $474.82 | 9 |
| Add up-ex prosthes lock mech HCPCS L6698 | not published | not published | $553.88 – $835.83 | 9 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $347.66 | $434.57 | $1.00 – $176.83 | 11 |
| Adenovirus ag ia CPT 87301 | not published | not published | $11.38 – $24.53 | 9 |
| Adenovirus antibody,serum - quest CPT 86603 | not published | not published | $12.23 – $26.36 | 9 |
| Adenovirus assay w/optic CPT 87809 | not published | not published | $20.67 – $44.56 | 9 |
| Adenovirus vaccine type 4 CPT 90476 | not published | not published | $166.36 – $166.36 | 1 |
| Adhesiolysis tube ovary 58740 CPT 58740 | not published | not published | $786.11 – $905.42 | 9 |
| Adhesive, liquid or equal HCPCS A4364 | not published | not published | $1.00 – $3.66 | 9 |
| Adh-sendout CPT 84588 | not published | not published | $32.24 – $69.51 | 9 |
| Adj gastric band via subq port CPT 43999 | not published | not published | $401.78 – $965.69 | 8 |
| Adjmt/revj ext fixj sys anes CPT 20693 | not published | not published | $452.04 – $7,497.96 | 9 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | $5,828.00 | $7,285.00 | $760.29 – $6,556.50 | 14 |
| Adjustment gastric band HCPCS S2083 | not published | not published | $139.12 – $139.12 | 1 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $52.96 | $66.19 | $1.00 – $20.86 | 11 |
| Admin ecg contrast agent CPT 93352 | not published | not published | $31.89 – $35.24 | 9 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $393.60 | $492.00 | $27.63 – $442.80 | 14 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $426.40 | $533.00 | $31.22 – $479.70 | 14 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $768.00 | $960.00 | $129.16 – $864.00 | 14 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $496.80 | $621.00 | $99.86 – $558.90 | 14 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $376.00 | $470.00 | $31.22 – $423.00 | 14 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $328.80 | $411.00 | $31.22 – $359.10 | 14 |
| Administration immunization each additional component CPT 90461 | not published | not published | $7.80 – $8.65 | 9 |
| Administration immunization each additional vaccine CPT 90472 | $105.60 | $132.00 | $1.00 – $102.60 | 14 |
| Administration immunization first component each vaccine CPT 90460 | not published | not published | $20.82 – $23.02 | 9 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | $104.00 | $130.00 | $16.64 – $117.00 | 14 |
| Administration immunization intranasal/oral route each additional vaccine CPT 90474 | $88.80 | $111.00 | $1.00 – $99.90 | 14 |
| Administration rsv monoclonal ab seasonal dose im w/counseling CPT 96380 | not published | not published | $21.01 – $23.23 | 9 |
| Administration vaccine hepatitis b HCPCS G0010 | not published | not published | $21.05 – $48.45 | 8 |
| Administration vaccine influenza virus HCPCS G0008 | not published | not published | $21.05 – $48.45 | 8 |
| Administration vaccine pneumococcal HCPCS G0009 | not published | not published | $21.05 – $48.45 | 8 |
| Administration vaccine rsv monoclonal ab seasonal dose im CPT 96381 | not published | not published | $17.94 – $19.83 | 9 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | $8,200.70 | $10,250.87 | $38.34 – $9,225.78 | 14 |
| Adrenal cortex & medulla img CPT 78075 | not published | not published | $405.11 – $1,370.75 | 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.