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 |
|---|---|---|---|---|
| Esophagoscopy control bleed CPT 43227 | not published | not published | $162.44 – $1,991.84 | 9 |
| Esophagoscopy flex biopsy CPT 43202 | not published | not published | $101.86 – $1,991.84 | 9 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | not published | not published | $87.21 – $965.69 | 9 |
| Esophagoscopy flex dx brush CPT 43197 | not published | not published | $81.22 – $965.69 | 9 |
| Esophagoscopy flex remove fb CPT 43215 | $2,360.00 | $2,950.00 | $139.47 – $2,655.00 | 14 |
| Esophagoscopy lesion ablate CPT 43229 | not published | not published | $193.40 – $3,994.76 | 9 |
| Esophagoscopy lesion removal CPT 43216 | not published | not published | $131.49 – $1,991.84 | 9 |
| Esophagoscopy retro balloon CPT 43213 | not published | not published | $255.65 – $1,991.84 | 9 |
| Esophagoscopy rigid balloon CPT 43195 | not published | not published | $184.41 – $3,994.76 | 9 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | not published | not published | $155.12 – $1,991.84 | 9 |
| Esophagoscopy rigid trnso 43180 CPT 43180 | not published | not published | $547.58 – $6,137.68 | 9 |
| Esophagoscopy snare les remv CPT 43217 | not published | not published | $157.45 – $1,991.84 | 9 |
| Esophagoscopy w/us needle bx CPT 43232 | not published | not published | $195.40 – $1,991.84 | 9 |
| Esophagoscp guide wire dilat 43196 CPT 43196 | not published | not published | $195.06 – $1,991.84 | 9 |
| Esophagoscp rig trnso biopsy CPT 43193 | not published | not published | $168.77 – $1,991.84 | 9 |
| Esophagoscp rig trnso inject CPT 43192 | not published | not published | $169.43 – $1,991.84 | 9 |
| Esophagoscp rig trnso rem fb CPT 43194 | not published | not published | $189.07 – $1,991.84 | 9 |
| Esophagotomy thrc rmvl fb CPT 43045 | not published | not published | $1,095.42 – $1,291.56 | 9 |
| Esophagus endoscopy/ligation CPT 43205 | not published | not published | $138.81 – $1,991.84 | 9 |
| Esophagus motility study CPT 91010 | $1,911.20 | $2,389.00 | $220.70 – $2,150.10 | 14 |
| Esoph balloon distension tst CPT 91040 | $1,657.60 | $2,072.00 | $237.56 – $1,864.80 | 14 |
| Esoph egd dilation <30 mm CPT 43249 | not published | not published | $151.13 – $1,991.84 | 9 |
| Esoph endoscopy dilation CPT 43226 | not published | not published | $128.82 – $1,991.84 | 9 |
| Esoph fundoplasty lap 43327 CPT 43327 | not published | not published | $710.23 – $815.54 | 9 |
| Esoph fundoplasty thor 43328 CPT 43328 | not published | not published | $931.72 – $1,106.14 | 9 |
| Esophgl motil w/stim/perfus CPT 91013 | not published | not published | $1.00 – $25.30 | 9 |
| Esoph imped function test CPT 91037 | not published | not published | $139.12 – $326.97 | 9 |
| Esoph imped funct test > 1hr CPT 91038 | $2,640.00 | $3,300.00 | $237.56 – $2,970.00 | 14 |
| Esoph optical endomicroscopy CPT 43206 | not published | not published | $130.49 – $1,991.84 | 9 |
| Esoph scope w/sclerosis inj CPT 43204 | not published | not published | $132.82 – $1,991.84 | 9 |
| Esoph scope w/submucous inj CPT 43201 | not published | not published | $102.53 – $1,991.84 | 9 |
| Esphg dstl 2/3 w/laps moblj 43287 CPT 43287 | not published | not published | $401.78 – $3,498.52 | 9 |
| Esphg thrsc moblj CPT 43288 | not published | not published | $401.78 – $3,689.59 | 9 |
| Esphg tot w/laps moblj CPT 43286 | not published | not published | $401.78 – $3,130.69 | 9 |
| Esphg tot w/thrcm CPT 43112 | not published | not published | $401.78 – $3,400.65 | 9 |
| Esrd home pt serv p mo 12-19 CPT 90965 | not published | not published | $444.98 – $492.99 | 9 |
| Esrd home pt serv p mo 20+ CPT 90966 | not published | not published | $263.96 – $291.75 | 9 |
| Esrd home pt serv p mo 2-11 CPT 90964 | not published | not published | $462.11 – $513.63 | 9 |
| Esrd home pt serv p mo <2yrs CPT 90963 | not published | not published | $538.81 – $599.18 | 9 |
| Esrd serv 1 visit p mo 20+ CPT 90962 | not published | not published | $182.85 – $202.09 | 9 |
| Esrd serv 1 visit p mo <2yrs CPT 90953 | not published | not published | $884.99 – $884.99 | 1 |
| Esrd serv 1 vst p mo 12-19 CPT 90959 | not published | not published | $291.59 – $322.28 | 9 |
| Esrd serv 2-3 vsts p mo <2yr CPT 90952 | not published | not published | $884.99 – $884.99 | 1 |
| Esrd serv 4 visits p mo <2yr CPT 90951 | not published | not published | $1,032.08 – $1,156.41 | 9 |
| Esrd serv 4 vsts p mo 2-11 CPT 90954 | not published | not published | $890.40 – $991.30 | 9 |
| Esrd srv 1 visit p mo 2-11 CPT 90956 | not published | not published | $312.79 – $345.72 | 9 |
| Esrd srv 2-3 vsts p mo 12-19 CPT 90958 | not published | not published | $445.90 – $493.99 | 9 |
| Esrd srv 2-3 vsts p mo 20+ CPT 90961 | not published | not published | $263.96 – $291.75 | 9 |
| Esrd srv 2-3 vsts p mo 2-11 CPT 90955 | not published | not published | $466.80 – $515.93 | 9 |
| Esrd srv 4 visits p mo 20+ CPT 90960 | not published | not published | $317.75 – $351.20 | 9 |
| Esrd srv 4 vsts p mo 12-19 CPT 90957 | not published | not published | $684.17 – $758.96 | 9 |
| Esrd svc pr day pt 12-19 CPT 90969 | not published | not published | $14.98 – $16.64 | 9 |
| Esrd svc pr day pt <2 CPT 90967 | not published | not published | $15.60 – $17.31 | 9 |
| Esrd svc pr day pt 20+ CPT 90970 | not published | not published | $8.72 – $9.64 | 9 |
| Esrd svc pr day pt 2-11 CPT 90968 | not published | not published | $15.29 – $16.98 | 9 |
| Essure 58565 CPT 58565 | not published | not published | $460.70 – $5,183.27 | 9 |
| Establish access to aorta CPT 36160 | $2,838.40 | $3,548.00 | $1.00 – $3,193.20 | 14 |
| Establish access to artery CPT 36100 | not published | not published | $1.00 – $520.11 | 9 |
| Establish brain cavity shunt CPT 62223 | not published | not published | $873.69 – $1,050.55 | 9 |
| Establish brain cavity shunt CPT 62180 | not published | not published | $1,331.15 – $1,625.43 | 9 |
| Establish brain cavity shunt CPT 62190 | not published | not published | $787.40 – $950.03 | 9 |
| Establish brain cavity shunt CPT 62192 | not published | not published | $837.13 – $1,013.60 | 9 |
| Establish brain cavity shunt CPT 62200 | not published | not published | $1,148.02 – $1,399.74 | 9 |
| Establish brain cavity shunt CPT 62220 | not published | not published | $816.95 – $989.97 | 9 |
| Established Patient Office Visit (level 1) CPT 99211 | $364.00 | $455.00 | $15.55 – $119.70 | 14 |
| Established Patient Office Visit (level 2) CPT 99212 | $335.20 | $419.00 | $51.29 – $198.00 | 14 |
| Established Patient Office Visit (level 3) CPT 99213 | $704.00 | $880.00 | $46.55 – $158.40 | 14 |
| Established Patient Office Visit (level 4) CPT 99214 | $997.60 | $1,247.00 | $62.42 – $212.40 | 14 |
| Established Patient Office Visit (level 5) CPT 99215 | $1,095.20 | $1,369.00 | $66.92 – $227.70 | 14 |
| Estim aid bone healg invasiv CPT 20975 | not published | not published | $1.00 – $176.09 | 9 |
| Estradiol total CPT 82670 | not published | not published | $26.54 – $57.22 | 9 |
| Estradiol valerate 10 mg inj HCPCS J1380 | $331.35 | $414.18 | $1.00 – $356.28 | 11 |
| Estrogens total-sendout CPT 82672 | not published | not published | $20.62 – $44.44 | 9 |
| Etanercept injection HCPCS J1438 | not published | not published | $790.78 – $1,134.93 | 9 |
| Ethanolamine oleate 100 mg HCPCS J1430 | not published | not published | $469.26 – $556.97 | 9 |
| Eth estr and eton monthly HCPCS J7295 | not published | not published | $157.59 – $157.59 | 2 |
| Ethmoidectomy extranasal total 31205 CPT 31205 | not published | not published | $943.03 – $3,374.38 | 9 |
| Ethylene glycol -sendout CPT 82693 | not published | not published | $14.16 – $30.51 | 9 |
| Etonogestrel implant system HCPCS J7307 | $844.52 | $1,055.64 | $353.64 – $1,238.93 | 11 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $267.76 | $334.70 | $1.00 – $238.36 | 11 |
| Etoposide 50 mg cap HCPCS J8560 | not published | not published | $76.53 – $76.53 | 1 |
| Euflexxa inj per dose HCPCS J7323 | not published | not published | $106.83 – $123.06 | 9 |
| Euglobulin lysis CPT 85360 | not published | not published | $7.99 – $17.22 | 9 |
| Evacuate mole of uterus CPT 59870 | not published | not published | $543.25 – $3,276.65 | 9 |
| Eval aud funcj ea addl 15 CPT 92627 | not published | not published | $1.00 – $20.51 | 9 |
| Eval aud rehab status/first hr 92626 CPT 92626 | $386.40 | $483.00 | $69.23 – $434.70 | 14 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $376.00 | $470.00 | $69.23 – $423.00 | 14 |
| Evaluation cervical mucus CPT 89330 | not published | not published | $9.86 – $21.26 | 9 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | not published | not published | $93.20 – $200.92 | 9 |
| Evaluation heart device CPT 93640 | $2,942.40 | $3,678.00 | $1.00 – $3,310.20 | 11 |
| Evaluation of speech fluency 92521 CPT 92521 | $387.20 | $484.00 | $69.23 – $435.60 | 14 |
| Evaluation psychiatric diagnostic CPT 90791 | $327.20 | $409.00 | $70.67 – $368.10 | 14 |
| Evasc prlng admn rx agnt 1st CPT 61650 | $11,591.20 | $14,489.00 | $479.42 – $13,040.10 | 14 |
| Evasc prlng admn rx agnt add CPT 61651 | $12,959.20 | $16,199.00 | $204.69 – $14,579.10 | 14 |
| Evasc repair of iliac artery; endograft 34718 CPT 34718 | $10,212.80 | $12,766.00 | $1,000.88 – $11,489.40 | 14 |
| Evasc rpr a-ao ndgft 34701 CPT 34701 | $13,264.80 | $16,581.00 | $1,005.31 – $14,922.90 | 14 |
| Evasc rpr a-ao ndgft rpt 34702 CPT 34702 | $16,578.40 | $20,723.00 | $1,446.68 – $18,650.70 | 14 |
| Evasc rpr a-biiliac ndgft rptr CPT 34706 | $23,296.00 | $29,120.00 | $1,841.48 – $26,208.00 | 14 |
| Evasc rpr a-iliac ndgft 34717 CPT 34717 | $10,212.80 | $12,766.00 | $355.39 – $11,489.40 | 14 |
| Evasc rpr a-unilac ndgft 34703 CPT 34703 | not published | not published | $1,112.28 – $1,335.16 | 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.