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 |
|---|---|---|---|---|
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $338.20 | $422.75 | $2.18 – $351.50 | 11 |
| Clip ligating vesolock lg HCPCS C1760 | $4,296.00 | $5,370.00 | $1.00 – $450.00 | 11 |
| Clip phn wireless f/baha4 proc HCPCS L9900 | not published | not published | $1.00 – $1.00 | 1 |
| Clitoroplasty intersex state CPT 56805 | not published | not published | $1,168.72 – $3,276.65 | 9 |
| Cllr miami j sm HCPCS L0174 | $212.00 | $265.00 | $78.39 – $380.08 | 14 |
| Cl mult vsd w/rem pul band CPT 33677 | not published | not published | $1,725.59 – $2,057.83 | 9 |
| Clofarabine 1 mg/ml intravenous solution HCPCS J9027 | $6,220.00 | $7,775.00 | $3.98 – $1,524.56 | 14 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | $342.68 | $428.35 | $1.00 – $364.49 | 11 |
| Close bladder-uterus fistula CPT 51920 | not published | not published | $675.51 – $759.62 | 9 |
| Close bronchial fistula 32815 CPT 32815 | not published | not published | $2,313.96 – $2,750.55 | 9 |
| Close chest after drainage CPT 32810 | not published | not published | $757.61 – $892.10 | 9 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | $437.60 | $547.00 | $104.52 – $492.30 | 14 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | $1,880.00 | $2,350.00 | $409.10 – $2,115.00 | 14 |
| Closed treatment of femoral fracture proximal end neck; wi CPT 27232 | $2,497.60 | $3,122.00 | $104.52 – $2,809.80 | 14 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | $576.00 | $720.00 | $104.52 – $648.00 | 14 |
| Closed tx humerus fx with manip 23605 CPT 23605 | $2,433.60 | $3,042.00 | $441.39 – $2,737.80 | 14 |
| Closed tx humerus fx without manip 23600 CPT 23600 | $472.80 | $591.00 | $104.52 – $531.90 | 14 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $1,855.20 | $2,319.00 | $467.02 – $2,087.10 | 14 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $543.20 | $679.00 | $104.52 – $611.10 | 14 |
| Closed tx nose/jaw fx CPT 21345 | not published | not published | $645.78 – $1,555.34 | 9 |
| Closed tx orbit without manipulj CPT 21400 | $1,198.40 | $1,498.00 | $172.43 – $1,348.20 | 14 |
| Closed tx orbit w/manipulj CPT 21401 | not published | not published | $333.54 – $1,555.34 | 9 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | $3,159.20 | $3,949.00 | $592.18 – $3,554.10 | 14 |
| Closed tx septal&nose fx CPT 21337 | $4,240.00 | $5,300.00 | $304.25 – $4,770.00 | 14 |
| Closed tx sesamoid fx 28530 CPT 28530 | $304.00 | $380.00 | $104.52 – $342.00 | 14 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | $450.40 | $563.00 | $104.52 – $506.70 | 14 |
| Closed tx vert fx w/manj CPT 22315 | not published | not published | $788.91 – $3,392.43 | 9 |
| Close kidney-skin fistula CPT 50520 | not published | not published | $986.82 – $1,160.74 | 9 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $680.80 | $851.00 | $108.27 – $765.90 | 14 |
| Close mastoid fistula CPT 69700 | not published | not published | $669.74 – $1,555.34 | 9 |
| Close median sternotomy separation 21750 CPT 21750 | not published | not published | $572.91 – $672.07 | 9 |
| Close mult vsd CPT 33675 | not published | not published | $1,619.55 – $1,930.68 | 9 |
| Close mult vsd w/resection CPT 33676 | not published | not published | $1,661.93 – $1,981.94 | 9 |
| Close nephrovisceral fistula CPT 50525 | not published | not published | $1,246.68 – $1,469.98 | 9 |
| Close nephrovisceral fistula CPT 50526 | not published | not published | $1,333.75 – $1,573.50 | 9 |
| Close tear duct opening CPT 68760 | not published | not published | $129.12 – $307.90 | 9 |
| Close tear duct opening CPT 68761 | not published | not published | $116.17 – $307.90 | 9 |
| Close tear system fistula CPT 68770 | not published | not published | $619.48 – $2,449.13 | 9 |
| Clostridium toxin a w/optic CPT 87803 | not published | not published | $15.20 – $32.77 | 9 |
| Clos txnose fx without stablz 21315 CPT 21315 | $2,424.80 | $3,031.00 | $59.58 – $2,727.90 | 14 |
| Closure enterostomy lg/sm intestine 44620 CPT 44620 | not published | not published | $401.78 – $860.81 | 9 |
| Closure enterostomy lg/sm intestine anast 44626 CPT 44626 | not published | not published | $1,346.06 – $1,577.83 | 9 |
| Closure enterostomy lg/sm intestine oth/thn 44625 CPT 44625 | not published | not published | $401.78 – $1,004.62 | 9 |
| Closure intestinal cutaneous fistula 44640 CPT 44640 | not published | not published | $1,183.61 – $1,386.42 | 9 |
| Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 | $1,303.20 | $1,629.00 | $200.72 – $1,466.10 | 14 |
| Closure of eyelid by suture CPT 67875 | not published | not published | $94.54 – $1,016.97 | 9 |
| Closure of salivary fistula CPT 42600 | not published | not published | $360.17 – $3,374.38 | 9 |
| Closure of valve CPT 33600 | not published | not published | $1,425.62 – $1,691.67 | 9 |
| Closure of valve CPT 33602 | not published | not published | $1,384.93 – $1,642.41 | 9 |
| Closure of windpipe lesion 31820 CPT 31820 | not published | not published | $334.87 – $3,374.38 | 9 |
| Closure paravalvlr leak pq CPT 33999 | $22,400.00 | $28,000.00 | $278.44 – $2,200.50 | 14 |
| Closure ureter/bowel fistula CPT 50930 | not published | not published | $966.38 – $1,089.83 | 9 |
| Closure ureter/skin fistula CPT 50920 | not published | not published | $777.44 – $875.46 | 9 |
| Clot factor fletcher fact CPT 85292 | not published | not published | $17.98 – $38.77 | 9 |
| Clot factor viii reltd antgn CPT 85244 | not published | not published | $19.40 – $41.82 | 9 |
| Clot factor wght kininogen CPT 85293 | not published | not published | $17.98 – $38.77 | 9 |
| Clot factor xii hageman CPT 85280 | not published | not published | $18.38 – $39.63 | 9 |
| Clot factor xiii fibrin scrn CPT 85291 | not published | not published | $8.65 – $18.66 | 9 |
| Clot factor xiii fibrin stab CPT 85290 | not published | not published | $15.52 – $33.46 | 9 |
| Clotting assay whole blood CPT 85396 | not published | not published | $1.00 – $18.97 | 9 |
| Clozapine, 25 mg HCPCS S0136 | not published | not published | $1.12 – $1.12 | 2 |
| Clsd ostomy pouch w/flange HCPCS A5054 | not published | not published | $1.00 – $2.64 | 9 |
| Clsd ostomy pouch without barr HCPCS A5052 | not published | not published | $1.00 – $2.18 | 9 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $477.60 | $597.00 | $104.52 – $537.30 | 14 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | $638.40 | $798.00 | $104.52 – $718.20 | 14 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $413.60 | $517.00 | $104.52 – $465.30 | 14 |
| Clsd tx clav dislc without manip 23520 CPT 23520 | $1,994.40 | $2,493.00 | $249.66 – $2,243.70 | 14 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | $452.00 | $565.00 | $104.52 – $508.50 | 14 |
| Clsd tx clavicle fracture w/manip 23505 CPT 23505 | $1,977.60 | $2,472.00 | $347.19 – $2,224.80 | 14 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | $458.40 | $573.00 | $104.52 – $515.70 | 14 |
| Clsd tx coccygeal fracture 27200 CPT 27200 | $318.40 | $398.00 | $104.52 – $358.20 | 14 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $509.60 | $637.00 | $104.52 – $573.30 | 14 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $800.80 | $1,001.00 | $104.52 – $900.90 | 14 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | $461.60 | $577.00 | $104.52 – $519.30 | 14 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $401.60 | $502.00 | $80.56 – $451.80 | 14 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | $2,275.20 | $2,844.00 | $712.37 – $2,559.60 | 14 |
| Clsd tx finger tendon w/wo perq pin 26432 CPT 26432 | $2,975.20 | $3,719.00 | $551.57 – $3,347.10 | 14 |
| Clsd tx fracture of radius 25500 CPT 25500 | $377.60 | $472.00 | $104.52 – $424.80 | 14 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | $422.40 | $528.00 | $104.52 – $475.20 | 14 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $477.60 | $597.00 | $104.52 – $537.30 | 14 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $448.00 | $560.00 | $104.52 – $504.00 | 14 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $1,738.40 | $2,173.00 | $526.61 – $1,955.70 | 14 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | $542.40 | $678.00 | $104.52 – $610.20 | 14 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $1,738.40 | $2,173.00 | $479.67 – $1,955.70 | 14 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | $452.00 | $565.00 | $104.52 – $508.50 | 14 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $432.00 | $540.00 | $104.52 – $486.00 | 14 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | $468.80 | $586.00 | $104.52 – $527.40 | 14 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | $480.80 | $601.00 | $104.52 – $540.90 | 14 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | $1,059.20 | $1,324.00 | $119.04 – $1,191.60 | 14 |
| Clsd tx mandibular fx without manip 21450 CPT 21450 | $621.60 | $777.00 | $243.87 – $699.30 | 14 |
| Clsd tx/metacar/interphal artic fx 26740 CPT 26740 | $437.60 | $547.00 | $104.52 – $492.30 | 14 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $492.80 | $616.00 | $104.52 – $554.40 | 14 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $827.20 | $1,034.00 | $104.52 – $930.60 | 14 |
| Clsd tx metacarp fx w/manip&ext fix ea bone 26607 CPT 26607 | not published | not published | $518.62 – $3,392.43 | 9 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | $535.20 | $669.00 | $104.52 – $602.10 | 14 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | $636.80 | $796.00 | $104.52 – $716.40 | 14 |
| Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 | $2,992.00 | $3,740.00 | $94.87 – $3,374.38 | 14 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | $2,196.00 | $2,745.00 | $339.53 – $2,470.50 | 14 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $492.00 | $615.00 | $104.52 – $553.50 | 14 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | $444.00 | $555.00 | $104.52 – $499.50 | 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.