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 |
|---|---|---|---|---|
| Drain lower leg lesion 27603 CPT 27603 | not published | not published | $393.46 – $2,978.09 | 9 |
| Drain neck/chest lesion 21501 CPT 21501 | $5,098.40 | $6,373.00 | $341.20 – $5,735.70 | 14 |
| Drain open lung lesion 32200 CPT 32200 | not published | not published | $960.04 – $1,128.11 | 9 |
| Drain ostomy pouch w/flange HCPCS A5063 | not published | not published | $1.00 – $3.97 | 9 |
| Drain ovarn cyst abd CPT 58805 | not published | not published | $432.07 – $3,276.65 | 9 |
| Drain ovary abscess open CPT 58820 | not published | not published | $342.53 – $3,276.65 | 9 |
| Drain pancreatic pseudocyst 48510 CPT 48510 | not published | not published | $935.30 – $1,097.82 | 9 |
| Drain penis lesion CPT 54015 | not published | not published | $303.58 – $1,699.23 | 9 |
| Drain shoulder bone lesion CPT 23035 | not published | not published | $686.06 – $1,680.43 | 9 |
| Drain shoulder bursa 23031 CPT 23031 | not published | not published | $225.36 – $2,978.09 | 9 |
| Drain shoulder lesion CPT 23030 | not published | not published | $257.31 – $2,978.09 | 9 |
| Drain thigh/knee lesion 27301 CPT 27301 | not published | not published | $515.62 – $2,978.09 | 9 |
| Drain thyroid/tongue cyst CPT 60000 | not published | not published | $159.78 – $1,555.34 | 9 |
| Drain to peritoneal cavity CPT 49062 | not published | not published | $657.54 – $771.60 | 9 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $375.20 | $469.00 | $88.73 – $422.10 | 14 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $454.40 | $568.00 | $55.92 – $511.20 | 14 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $588.80 | $736.00 | $131.49 – $662.40 | 14 |
| Dressing change not for burn w/anes 15852 CPT 15852 | $1,956.00 | $2,445.00 | $44.27 – $2,200.50 | 14 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | $382.40 | $478.00 | $1.00 – $144.00 | 11 |
| Drill hole evac+/drg subdural hematoma 61108 CPT 61108 | not published | not published | $770.98 – $923.40 | 9 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | $8,888.00 | $11,110.00 | $251.72 – $9,999.00 | 14 |
| Driver pneumatic vad, rep HCPCS Q0480 | not published | not published | $94,999.95 – $115,646.15 | 9 |
| Drm agrft f/s/n/h/f/g/m ea CPT 15136 | not published | not published | $1.00 – $92.96 | 9 |
| Drm agrft t/a/l ea addl CPT 15131 | not published | not published | $1.00 – $94.32 | 9 |
| Drng appendix abscess open 44900 CPT 44900 | not published | not published | $401.78 – $785.92 | 9 |
| Drng hand tendon sheath 26020 CPT 26020 | $5,048.80 | $6,311.00 | $566.22 – $5,679.90 | 14 |
| Drng of eyelid abscess 67700 CPT 67700 | $662.40 | $828.00 | $115.51 – $745.20 | 14 |
| Drng of finger abscess comp 26011 CPT 26011 | $1,860.80 | $2,326.00 | $187.41 – $2,093.40 | 14 |
| Drng of hydrocele 55000 CPT 55000 | $918.40 | $1,148.00 | $84.22 – $1,033.20 | 14 |
| Drng of mouth lesion 40801 CPT 40801 | not published | not published | $199.06 – $534.71 | 9 |
| Drng of ovarian cyst(s) 58800 CPT 58800 | not published | not published | $318.56 – $3,276.65 | 9 |
| Drng of palm multi bursas 26030 CPT 26030 | not published | not published | $500.64 – $3,392.43 | 9 |
| Drng of palm single bursa 26025 CPT 26025 | not published | not published | $427.41 – $3,392.43 | 9 |
| Drng of pelvic abscess transrectal 45000 CPT 45000 | not published | not published | $431.07 – $1,236.80 | 9 |
| Drng of salivary cyst 42409 CPT 42409 | not published | not published | $235.01 – $3,374.38 | 9 |
| Drng of scrotum abscess 55100 CPT 55100 | $2,069.60 | $2,587.00 | $168.77 – $2,328.30 | 14 |
| Drng open retroperitoneal abscess 49060 CPT 49060 | not published | not published | $943.90 – $1,092.16 | 9 |
| Drng open subdiaphragmatic/subphrenic absc 49040 CPT 49040 | not published | not published | $858.99 – $1,002.29 | 9 |
| Drng ovary abscess perqt 58822 CPT 58822 | not published | not published | $623.69 – $718.34 | 9 |
| Drng peritoneal abscess open 49020 CPT 49020 | not published | not published | $1,357.57 – $1,590.81 | 9 |
| Drng salivary gland simple 42300 CPT 42300 | not published | not published | $157.78 – $1,555.34 | 9 |
| Drng salivary gland submax/subling 42310 CPT 42310 | not published | not published | $135.48 – $534.71 | 9 |
| Dronabinol 2.5mg oral HCPCS Q0167 | not published | not published | $1.00 – $1.00 | 1 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $316.15 | $395.18 | $1.00 – $354.02 | 11 |
| Drop lock knee HCPCS L2182 | not published | not published | $104.45 – $115.45 | 9 |
| Drop lock retainer each HCPCS L2785 | not published | not published | $33.13 – $37.49 | 9 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $4,511.20 | $5,639.00 | $1.00 – $2,876.40 | 11 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | $108.80 | $136.00 | $1.00 – $55.80 | 11 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $416.80 | $521.00 | $1.00 – $31.50 | 11 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | $242.40 | $303.00 | $1.00 – $52.20 | 11 |
| Drsg sht 5.625x4.625in std HCPCS A6025 | not published | not published | $1.00 – $1.00 | 1 |
| Drsg surg adh 11x11 3/4 occl drap wnd 28x30 HCPCS A6259 | not published | not published | $1.00 – $16.04 | 9 |
| Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm HCPCS A2008 | not published | not published | $1.00 – $1.00 | 1 |
| Drsg wnd hyalomatrix 10x10cm -cost per sq cm HCPCS Q4117 | $68.00 | $85.00 | $1.00 – $76.50 | 11 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $414.40 | $518.00 | $1.00 – $59.40 | 11 |
| Drsg wound/burn 18x10cm suprathel resorb cost per sq cm HCPCS A2012 | not published | not published | $1.00 – $1.00 | 1 |
| Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm HCPCS A2007 | not published | not published | $1.00 – $1.00 | 1 |
| Drug admin & hemodynmic meas CPT 93463 | $1,431.20 | $1,789.00 | $1.00 – $1,610.10 | 14 |
| Drug assay caffeine CPT 80155 | not published | not published | $36.64 – $78.99 | 9 |
| Drug assay posaconazole CPT 80187 | not published | not published | $25.75 – $55.52 | 9 |
| Drug assay rufinamide CPT 80210 | not published | not published | $25.75 – $55.52 | 9 |
| Drug assay vedolizumab CPT 80280 | not published | not published | $36.64 – $78.99 | 9 |
| Drug assay voriconazole CPT 80285 | not published | not published | $25.75 – $55.52 | 9 |
| Drug asy hydroxychloroquine CPT 80220 | not published | not published | $17.71 – $38.17 | 9 |
| Drug of abuse screen urine CPT 80305 | not published | not published | $11.97 – $25.80 | 9 |
| Drug screening tapentadol CPT 80372 | not published | not published | $24.79 – $24.79 | 1 |
| Drug screen quant tiagabine CPT 80199 | not published | not published | $25.75 – $55.52 | 9 |
| Drug/substance nos 4-6 CPT 80376 | not published | not published | $24.30 – $24.30 | 1 |
| Drug test def 15-21 classes HCPCS G0482 | not published | not published | $188.80 – $407.00 | 9 |
| Drug test def 1-7 classes HCPCS G0480 | not published | not published | $108.71 – $234.34 | 9 |
| Drug test def 22+ classes HCPCS G0483 | not published | not published | $234.57 – $505.67 | 9 |
| Drug test def 8-14 classes HCPCS G0481 | not published | not published | $148.76 – $320.68 | 9 |
| Drug test def simple all cl HCPCS G0659 | not published | not published | $59.03 – $127.26 | 9 |
| Drug test prsmv instrmnt CPT 80306 | not published | not published | $16.28 – $35.10 | 9 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | not published | not published | $59.03 – $127.26 | 9 |
| Drvvt confirm - quest CPT 85597 | not published | not published | $17.08 – $36.82 | 9 |
| Dstrj extensive retinopathy CPT 67227 | not published | not published | $251.32 – $3,959.55 | 9 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | $3,841.60 | $4,802.00 | $145.13 – $4,321.80 | 14 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | not published | not published | $176.74 – $417.91 | 9 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | not published | not published | $169.77 – $417.91 | 9 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | not published | not published | $197.39 – $642.74 | 9 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | not published | not published | $267.96 – $642.74 | 9 |
| Dstry eye lesn,fdr vssl tech HCPCS G0186 | not published | not published | $257.64 – $576.03 | 8 |
| Ductogram sgl duct CPT 77053 | not published | not published | $53.93 – $253.81 | 9 |
| Duodenal exclusion CPT 48547 | not published | not published | $311.84 – $1,786.21 | 9 |
| Duodenal motility study CPT 91022 | not published | not published | $173.43 – $557.13 | 9 |
| Duplex scan bilateral study 93985 CPT 93985 | $860.00 | $1,075.00 | $108.61 – $967.50 | 14 |
| Duplex scan unilateral study 93986 CPT 93986 | $556.80 | $696.00 | $48.73 – $626.40 | 14 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $705.60 | $882.00 | $48.73 – $793.80 | 14 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $976.00 | $1,220.00 | $69.23 – $1,098.00 | 14 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $1,427.20 | $1,784.00 | $108.61 – $1,605.60 | 14 |
| Duragen 1x1 5ea/bx HCPCS C9354 | $100.80 | $126.00 | $1.00 – $113.40 | 11 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | not published | not published | $79.74 – $93.15 | 9 |
| Dxa bone density axl vrt fx CPT 77085 | not published | not published | $48.73 – $111.66 | 9 |
| Dx aly aud oi snd prcsr 1st CPT 92622 | not published | not published | $65.24 – $163.71 | 9 |
| Dx aly aud oi snd prcsr each CPT 92623 | not published | not published | $17.31 – $20.51 | 9 |
| Dx bronchoscope/brush 31623 CPT 31623 | not published | not published | $128.82 – $1,778.85 | 9 |
| Dx bronchoscope/lavage 31624 CPT 31624 | not published | not published | $130.49 – $1,778.85 | 9 |
| Dx bronchoscope/wash 31622 CPT 31622 | $3,754.40 | $4,693.00 | $129.82 – $4,223.70 | 14 |
| Dx dark adaptation exam i&r CPT 92284 | not published | not published | $37.28 – $417.59 | 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.