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 |
|---|---|---|---|---|
| Clsd tx pelvic ring fx CPT 27197 | not published | not published | $104.52 – $247.16 | 9 |
| Clsd tx pelvic ring fx CPT 27198 | not published | not published | $104.52 – $316.23 | 9 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | $2,370.40 | $2,963.00 | $417.43 – $2,666.70 | 14 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $524.80 | $656.00 | $104.52 – $590.40 | 14 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | $522.40 | $653.00 | $104.52 – $587.70 | 14 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $1,835.20 | $2,294.00 | $421.42 – $2,064.60 | 14 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | $342.40 | $428.00 | $104.52 – $385.20 | 14 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $1,856.00 | $2,320.00 | $414.76 – $2,088.00 | 14 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | $1,784.00 | $2,230.00 | $516.62 – $2,007.00 | 14 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $2,375.20 | $2,969.00 | $419.42 – $2,672.10 | 14 |
| Clsd tx/talotarsal dislocat/anes 28575 CPT 28575 | not published | not published | $350.85 – $3,392.43 | 9 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $506.40 | $633.00 | $30.96 – $569.70 | 14 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $428.00 | $535.00 | $95.87 – $481.50 | 14 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | $430.40 | $538.00 | $104.52 – $484.20 | 14 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $1,997.60 | $2,497.00 | $453.71 – $2,247.30 | 14 |
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | $556.80 | $696.00 | $104.52 – $626.40 | 14 |
| Clsd tx vert body fx without manip req &w/csting/bracing CPT 22310 | not published | not published | $104.52 – $302.92 | 9 |
| Clsd tx wrist carpal fx without manip 25630 CPT 25630 | $439.20 | $549.00 | $104.52 – $494.10 | 14 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | $432.80 | $541.00 | $104.52 – $486.90 | 14 |
| Clsd tx wrist trans-scaph fx w/manip 25680 CPT 25680 | not published | not published | $104.52 – $544.92 | 9 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | $658.40 | $823.00 | $104.52 – $740.70 | 14 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | $476.80 | $596.00 | $104.52 – $536.40 | 14 |
| Clsr 1 vsd w/wo patch w/vlvt CPT 33684 | not published | not published | $1,552.71 – $1,849.79 | 9 |
| Clsr 1vsd w/wo ptch rmvl bnd CPT 33688 | not published | not published | $1,542.09 – $1,841.80 | 9 |
| Cls tx of heel fracture w/manip 28405 CPT 28405 | $1,452.80 | $1,816.00 | $104.52 – $1,634.40 | 14 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | $2,090.40 | $2,613.00 | $461.36 – $2,351.70 | 14 |
| Cltx craniofacial separation CPT 21431 | not published | not published | $629.04 – $695.25 | 9 |
| Cltx gr hmrl tbrs fx w/mnpj CPT 23625 | $2,317.60 | $2,897.00 | $366.50 – $2,607.30 | 14 |
| Cltx hum epcndylr fx wo mnpj CPT 24560 | $413.60 | $517.00 | $104.52 – $465.30 | 14 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | $1,784.00 | $2,230.00 | $523.28 – $2,007.00 | 14 |
| Cltx humrl cndylr fx wo mnpj CPT 24576 | $432.80 | $541.00 | $104.52 – $486.90 | 14 |
| Cltx lunate dislc w/mnpj CPT 25690 | $2,466.40 | $3,083.00 | $506.64 – $2,774.70 | 14 |
| Cltx mndblr fx ntrdntl fixj CPT 21453 | not published | not published | $929.72 – $6,137.68 | 9 |
| Cltx mndblr fx w/mnpj CPT 21451 | $5,202.40 | $6,503.00 | $639.79 – $5,852.70 | 14 |
| Cltx mndblr/max alv ridge fx CPT 21440 | $5,249.60 | $6,562.00 | $606.83 – $5,905.80 | 14 |
| Cltx palatal/max fx wire fix CPT 21421 | not published | not published | $544.25 – $3,374.38 | 9 |
| Cltx post ankle fx CPT 27767 | not published | not published | $104.52 – $301.58 | 9 |
| Cltx post ankle fx w/mnpj CPT 27768 | $2,760.80 | $3,451.00 | $462.03 – $3,105.90 | 14 |
| Cltx scap fx w/mnpj +-tractj CPT 23575 | $1,587.20 | $1,984.00 | $393.46 – $1,785.60 | 14 |
| Cltx strnclav dislc w/mnpj CPT 23525 | $337.60 | $422.00 | $104.52 – $379.80 | 14 |
| Cltx thigh fx CPT 27267 | not published | not published | $452.71 – $3,392.43 | 9 |
| Cltx thigh fx w/mnpj CPT 27268 | not published | not published | $104.52 – $554.57 | 9 |
| Cltx tmprmand dislc comp CPT 21485 | not published | not published | $675.95 – $1,555.34 | 9 |
| Cmbn ant pst colprhy CPT 57260 | not published | not published | $781.26 – $5,183.27 | 9 |
| C motor evoked lwr limbs CPT 95929 | $1,617.60 | $2,022.00 | $237.56 – $1,819.80 | 14 |
| C motor evoked uppr limbs CPT 95928 | $1,591.20 | $1,989.00 | $240.34 – $1,790.10 | 14 |
| C motor evoked upr&lwr limbs CPT 95939 | $3,635.20 | $4,544.00 | $463.42 – $4,089.60 | 14 |
| Cmp rpr tof wo plm atrs ptch CPT 33694 | not published | not published | $1,603.13 – $1,910.70 | 9 |
| Cmptr ophth dx img ant segmt CPT 92132 | not published | not published | $27.11 – $62.37 | 9 |
| Cmptr ophth img optic nerve CPT 92133 | not published | not published | $27.11 – $62.37 | 9 |
| #cms hgb-carboxyhemoglobin CPT 82376 | not published | not published | $13.37 – $28.81 | 9 |
| #cms hgb-sulfhemoglobin CPT 83060 | not published | not published | $8.36 – $18.02 | 9 |
| #cmvcul-virus inoculation shell CPT 87254 | not published | not published | $18.58 – $40.06 | 9 |
| Cmv ig IV CPT 90291 | not published | not published | $1,791.99 – $1,791.99 | 2 |
| Cmv pcr-sendout CPT 87496 | not published | not published | $33.34 – $71.86 | 9 |
| Cnbp gene detc abnor allele CPT 81187 | not published | not published | $130.15 – $280.56 | 9 |
| Cntct lens hydrophil photoch HCPCS V2524 | not published | not published | $137.62 – $152.10 | 9 |
| Co2 monitor per day CPT 94681 | $400.00 | $500.00 | $47.93 – $450.00 | 14 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | $9,880.00 | $12,350.00 | $2.41 – $2,223.00 | 14 |
| Coagulation time activated teg CPT 85347 | not published | not published | $4.07 – $8.77 | 9 |
| Coagulation time lee & white CPT 85345 | not published | not published | $4.46 – $9.60 | 9 |
| Coagulation time otr method CPT 85348 | not published | not published | $4.27 – $9.20 | 9 |
| Cocaine 4 % nasal solution HCPCS C9046 | $284.81 | $356.01 | $1.56 – $172.43 | 11 |
| Cocaine hcl nasal (numbrino) HCPCS C9143 | $172.32 | $215.40 | $1.41 – $193.86 | 11 |
| Coccidioidomycosis skin test CPT 86490 | not published | not published | $27.11 – $76.23 | 2 |
| Coch imp ext proc/contr rplc HCPCS L8619 | not published | not published | $9,413.83 – $10,503.71 | 9 |
| Coch implant headset replace HCPCS L8615 | not published | not published | $505.12 – $579.15 | 9 |
| Coch implant microphone repl HCPCS L8616 | not published | not published | $117.64 – $134.85 | 9 |
| Coch implant tran cable repl HCPCS L8618 | not published | not published | $29.37 – $33.66 | 9 |
| Coch implant trans coil repl HCPCS L8617 | not published | not published | $102.75 – $117.80 | 9 |
| Cochlear implt f/up exam <7 CPT 92601 | not published | not published | $69.23 – $163.71 | 9 |
| Cochlear implt f/up exam 7/> CPT 92603 | not published | not published | $69.23 – $163.71 | 9 |
| Cocm by rhc/fqhc 60 min mo HCPCS G0512 | not published | not published | $12.72 – $143.45 | 9 |
| Codeine 15 mg/ml inj 2 ml HCPCS J0745 | not published | not published | $1.00 – $1.00 | 1 |
| Cogenex amnio memb per sq cm HCPCS Q4229 | not published | not published | $1.00 – $1.00 | 1 |
| Coil axium 3d 14mmx40cm qc HCPCS C1770 | not published | not published | $1.00 – $1.00 | 1 |
| Cold agglutinin screen (arc) CPT 86156 | not published | not published | $7.67 – $16.53 | 9 |
| Cold agglutinin titer CPT 86157 | not published | not published | $7.66 – $16.51 | 9 |
| Colectomy/end colost/close dis seg 44143 CPT 44143 | not published | not published | $1,398.03 – $1,642.41 | 9 |
| Colectomy/ ileostomy without prctect 44150 CPT 44150 | not published | not published | $1,578.96 – $1,840.13 | 9 |
| Colectomy/ ileostomy w/prctect 44155 CPT 44155 | not published | not published | $1,765.13 – $2,050.84 | 9 |
| Colectomy partial w/anastomosis 44140 CPT 44140 | not published | not published | $401.78 – $1,337.49 | 9 |
| Colectomy prtl abdominal + transanal appr 44147 CPT 44147 | not published | not published | $401.78 – $1,918.69 | 9 |
| Colectomy prtl w/coloproctostomy 44145 CPT 44145 | not published | not published | $1,404.08 – $1,638.41 | 9 |
| Colectomy prtl w/coloproctostomy + colostomy 44146 CPT 44146 | not published | not published | $1,783.45 – $2,082.80 | 9 |
| Colectomy prtl w/remove terminal ileum+ileocolos 44160 CPT 44160 | not published | not published | $401.78 – $1,237.30 | 9 |
| Colectomy prtl w/skin level cecost/colostomy 44141 CPT 44141 | not published | not published | $1,536.07 – $1,803.18 | 9 |
| Colectomy/w colostomy or ileostomy 44144 CPT 44144 | not published | not published | $401.78 – $1,752.92 | 9 |
| Colectomy w/ileoanal anast CPT 44157 | not published | not published | $1,842.71 – $2,175.34 | 9 |
| Colectomy w/neo-rectum pouch CPT 44158 | not published | not published | $1,887.94 – $2,229.60 | 9 |
| Colistimethate sodium inj HCPCS J0770 | $332.16 | $415.19 | $1.00 – $359.24 | 11 |
| Collagenase, clost hist inj HCPCS J0775 | $16,403.22 | $20,504.02 | $67.75 – $18,453.62 | 14 |
| Collagen based wound filler HCPCS A6010 | $3,168.00 | $3,960.00 | $1.00 – $2,538.00 | 14 |
| Collagen dressing <=16 sq in HCPCS A6021 | not published | not published | $1.00 – $30.85 | 9 |
| Collagen drsg>16<=48 sq in HCPCS A6022 | not published | not published | $1.00 – $30.85 | 9 |
| Collagen dsg wound filler HCPCS A6024 | not published | not published | $1.00 – $9.07 | 9 |
| Collagen gel/paste wound fil HCPCS A6011 | not published | not published | $1.00 – $3.35 | 9 |
| Collagen imp urinary 2.5 ml HCPCS L8603 | not published | not published | $1.00 – $551.86 | 9 |
| Collarbone (Clavicle) X-ray (both sides) CPT 73000 | $418.40 | $523.00 | $32.62 – $470.70 | 14 |
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | $84.00 | $105.00 | $4.02 – $31.40 | 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.