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 |
|---|---|---|---|---|
| Endovenous laser vein addon 36479 CPT 36479 | not published | not published | $1.00 – $290.94 | 9 |
| Endovenous mchnchem 1st vein CPT 36473 | $4,596.00 | $5,745.00 | $177.09 – $5,170.50 | 14 |
| Endovenous mchnchem add-on CPT 36474 | $2,448.80 | $3,061.00 | $1.00 – $2,754.90 | 14 |
| Endovenous rf abl vein addl CPT 36476 | $5,092.80 | $6,366.00 | $1.00 – $5,729.40 | 14 |
| Endoven ther chem adhes 1st 36482 CPT 36482 | $8,302.40 | $10,378.00 | $175.09 – $9,340.20 | 14 |
| Endoven ther chem adhes sbsq 36483 CPT 36483 | $4,507.20 | $5,634.00 | $1.00 – $5,070.60 | 14 |
| Energy storing foot HCPCS L5976 | not published | not published | $658.18 – $762.03 | 9 |
| Enfortumab vedotin-ejfv 20 mg intravenous solution HCPCS J9177 | not published | not published | $34.91 – $40.21 | 9 |
| Enfuvirtide injection HCPCS J1324 | not published | not published | $0.68 – $0.68 | 2 |
| Enlarge breast CPT 19324 | not published | not published | $718.61 – $718.61 | 1 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $350.79 | $438.48 | $1.00 – $264.89 | 11 |
| Entamoeba histolytica ag eia - sendout CPT 87337 | not published | not published | $11.38 – $24.53 | 9 |
| Entamoeb hist dispr ag ia CPT 87336 | not published | not published | $15.20 – $32.77 | 9 |
| Enterectomy cong add-on CPT 44128 | not published | not published | $200.95 – $240.34 | 9 |
| Enterectomy small intestine addl 44121 CPT 44121 | not published | not published | $200.58 – $238.01 | 9 |
| Enterectomy small intestine single 44120 CPT 44120 | not published | not published | $1,035.69 – $1,217.99 | 9 |
| Enterectomy without taper cong CPT 44126 | not published | not published | $2,077.11 – $2,458.61 | 9 |
| Enterectomy w/taper cong CPT 44127 | not published | not published | $2,393.12 – $2,837.76 | 9 |
| Enteroenterostomy fusion 44130 CPT 44130 | not published | not published | $401.78 – $1,312.19 | 9 |
| Enterorrhaphy 1perforation 44602 CPT 44602 | not published | not published | $1,184.64 – $1,398.41 | 9 |
| Enterorrhaphy multiple perforations 44603 CPT 44603 | not published | not published | $401.78 – $1,606.79 | 9 |
| Enterostomy/cecostomy tube open 44300 CPT 44300 | not published | not published | $401.78 – $842.17 | 9 |
| Enterovirus antibody dfa CPT 87267 | not published | not published | $12.75 – $27.48 | 9 |
| Envrn ivntj med mgmt psyc pt CPT 90882 | not published | not published | $12.72 – $12.72 | 1 |
| Enzyme cell activity ra CPT 82658 | not published | not published | $41.83 – $90.17 | 9 |
| Enzyme histochemistry CPT 88319 | $284.00 | $355.00 | $118.93 – $857.75 | 14 |
| Eo, adj lock joint prefab ot HCPCS L3761 | $205.60 | $257.00 | $86.10 – $582.10 | 14 |
| Eo elas w/metal jnts pre ots HCPCS L3710 | not published | not published | $129.47 – $143.09 | 9 |
| Ep & ablate supravent arrhyt CPT 93653 | $36,257.60 | $45,322.00 | $812.88 – $40,789.80 | 14 |
| Ep & ablate ventric tachy CPT 93654 | $38,628.80 | $48,286.00 | $979.32 – $43,457.40 | 14 |
| Epcoritamab-bysp 48 mg/0.8 ml subcutaneous solution HCPCS J9321 | not published | not published | $52.27 – $61.11 | 9 |
| Epidrm a-grft face/nck/hf/g 15115 CPT 15115 | $3,426.40 | $4,283.00 | $695.71 – $3,854.70 | 14 |
| Epidrm a-grft f/n/hf/g addl CPT 15116 | $1,904.80 | $2,381.00 | $1.00 – $2,142.90 | 14 |
| Epidrm agrft t/a/l 1st 100 CPT 15110 | $3,595.20 | $4,494.00 | $715.02 – $4,044.60 | 14 |
| Epidrm autogrft t/a/l add-on CPT 15111 | $1,849.60 | $2,312.00 | $1.00 – $2,080.80 | 14 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | $1,572.00 | $1,965.00 | $1.00 – $1,768.50 | 14 |
| Epidural lysis mult sessions CPT 62263 | not published | not published | $323.55 – $934.80 | 9 |
| Epidural lysis on single day 62264 CPT 62264 | not published | not published | $242.67 – $934.80 | 9 |
| Epiglottidectomy CPT 31420 | not published | not published | $835.18 – $6,137.68 | 9 |
| Epikeratoplasty CPT 65767 | not published | not published | $129.12 – $129.12 | 1 |
| Epilepsy gen seq alys panel CPT 81419 | not published | not published | $2,326.13 – $5,014.41 | 9 |
| Ep induct arrhy by elect pacing CPT 93618 | $2,176.00 | $2,720.00 | $527.51 – $2,448.00 | 14 |
| Epinephrine 0.1 mg/ml injection syringe HCPCS J0168 | $311.91 | $389.88 | $103.12 – $350.89 | 11 |
| Epinephrine 1 mg/ml im kit - adult HCPCS J0169 | $321.60 | $402.00 | $21.20 – $72.13 | 11 |
| Epinephrine 1 mg/ml im kit - pediatric HCPCS J0165 | $436.00 | $545.00 | $132.53 – $450.95 | 11 |
| Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution HCPCS J0166 | $95.33 | $119.16 | $31.52 – $107.24 | 11 |
| Epiphysl arrst dstl rds&ulna CPT 25455 | not published | not published | $741.31 – $3,392.43 | 9 |
| Epiphysl arrst dstl rds/ulna CPT 25450 | not published | not published | $628.80 – $3,392.43 | 9 |
| Epirubicin 200 mg/100 ml intravenous solution HCPCS J9178 | $287.79 | $359.73 | $1.00 – $323.76 | 11 |
| Episiotomy/vag rpr oth/thn attending phys 59300 CPT 59300 | $2,280.80 | $2,851.00 | $148.13 – $3,276.65 | 14 |
| Epoetin alfa, 100 units esrd HCPCS Q4081 | $480.00 | $600.00 | $1.00 – $43.20 | 11 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | not published | not published | $7.25 – $8.36 | 9 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $686.14 | $857.67 | $7.09 – $507.48 | 14 |
| Epoetin beta esrd use HCPCS J0887 | $1,520.00 | $1,900.00 | $1.71 – $371.25 | 11 |
| Epoetin beta non esrd HCPCS J0888 | $1,520.00 | $1,900.00 | $1.39 – $371.25 | 14 |
| Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr HCPCS J1325 | $325.95 | $407.43 | $1.00 – $366.69 | 11 |
| Epstein barr early antigen antibody CPT 86663 | not published | not published | $12.46 – $26.87 | 9 |
| Epstein barr nuclear antigen antibody CPT 86664 | not published | not published | $14.53 – $31.31 | 9 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | not published | not published | $17.23 – $37.15 | 9 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | $358.00 | $447.50 | $1.70 – $366.66 | 11 |
| Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 | $4,517.91 | $5,647.38 | $17.43 – $5,082.64 | 14 |
| Ercp biliary & pancreas CPT 74330 | $1,426.40 | $1,783.00 | $1.00 – $1,604.70 | 11 |
| Ercp bil/panc duct; each stent plcmt 43274 CPT 43274 | not published | not published | $453.04 – $6,131.39 | 9 |
| Ercp ea duct/ampulla dilate CPT 43277 | not published | not published | $370.49 – $3,994.76 | 9 |
| Ercp lesion ablate w/dilate 43278 CPT 43278 | not published | not published | $424.08 – $3,994.76 | 9 |
| Ercp lithotripsy calculi CPT 43265 | not published | not published | $424.08 – $6,131.39 | 9 |
| Ercp remove duct calculi 43264 CPT 43264 | not published | not published | $356.51 – $3,994.76 | 9 |
| Ercp remove forgn body duct 43275 CPT 43275 | not published | not published | $368.49 – $1,991.84 | 9 |
| Ercp sphincter pressure meas CPT 43263 | not published | not published | $350.18 – $1,991.84 | 9 |
| Ercp stent exchange w/dilate CPT 43276 | not published | not published | $471.68 – $6,131.39 | 9 |
| Ercp w/specimen collection CPT 43260 | not published | not published | $316.23 – $3,994.76 | 9 |
| Ergonovine 0.2 mg/ml inj HCPCS J1330 | not published | not published | $4.83 – $4.83 | 1 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | $3,140.00 | $3,925.00 | $84.88 – $319.50 | 14 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $392.43 | $490.53 | $1.00 – $376.79 | 11 |
| ER Visit (level 1, minor) CPT 99281 | $296.00 | $370.00 | $11.32 – $333.00 | 14 |
| ER Visit (level 2) CPT 99282 | $508.00 | $635.00 | $41.28 – $571.50 | 14 |
| ER Visit (level 3) CPT 99283 | $864.80 | $1,081.00 | $70.24 – $972.90 | 14 |
| ER Visit (level 4) CPT 99284 | $1,384.00 | $1,730.00 | $119.50 – $1,557.00 | 14 |
| ER Visit (level 5, high severity) CPT 99285 | $2,037.60 | $2,547.00 | $173.10 – $2,292.30 | 14 |
| Erwinaze injection HCPCS J9019 | not published | not published | $427.27 – $427.27 | 1 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $363.35 | $454.18 | $83.64 – $356.81 | 11 |
| Escharotomy ea addl incision CPT 16036 | not published | not published | $34.22 – $81.55 | 9 |
| Esd endoscopy or colonoscopy HCPCS C9779 | not published | not published | $1,697.48 – $3,994.76 | 8 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln HCPCS J1806 | not published | not published | $0.47 – $0.47 | 1 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $488.72 | $610.90 | $0.25 – $352.37 | 11 |
| Esophageal dilat s&i CPT 74360 | $1,388.00 | $1,735.00 | $1.00 – $1,561.50 | 11 |
| Esophageal lengthening add on code 43338 CPT 43338 | not published | not published | $93.30 – $111.85 | 9 |
| Esophageal motility CPT 78258 | not published | not published | $182.81 – $421.92 | 9 |
| Esophageal recording CPT 93615 | $2,413.60 | $3,017.00 | $527.51 – $2,715.30 | 14 |
| Esophageal recording CPT 93616 | $2,032.80 | $2,541.00 | $527.51 – $2,286.90 | 14 |
| Esophag muc integ w/eso egd HCPCS C9777 | not published | not published | $1,697.48 – $3,994.76 | 8 |
| Esophagomyotomy abdominal 43330 CPT 43330 | not published | not published | $1,132.01 – $1,335.16 | 9 |
| Esophagomyotomy thoracic 43331 CPT 43331 | not published | not published | $1,120.03 – $1,323.84 | 9 |
| Esophagoplasty congenital CPT 43313 | not published | not published | $1,590.16 – $2,893.35 | 9 |
| Esophagosc dilate balloon 30 CPT 43214 | not published | not published | $191.40 – $1,991.84 | 9 |
| Esophagosc flex trnsn biopsy CPT 43198 | not published | not published | $96.87 – $965.69 | 9 |
| Esophagoscop mucosal resect CPT 43211 | not published | not published | $230.35 – $1,991.84 | 9 |
| Esophagoscop stent placement CPT 43212 | not published | not published | $185.74 – $6,131.39 | 9 |
| Esophagoscop ultrasound exam CPT 43231 | not published | not published | $154.45 – $1,991.84 | 9 |
| Esophagoscopy balloon <30mm CPT 43220 | not published | not published | $116.51 – $1,991.84 | 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.