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 |
|---|---|---|---|---|
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | not published | not published | $17.03 – $36.72 | 9 |
| Extraction of lens CPT 66930 | not published | not published | $846.83 – $4,224.00 | 9 |
| Extraction of lens CPT 66940 | not published | not published | $775.60 – $2,394.77 | 9 |
| Extraction of lens 66920 CPT 66920 | not published | not published | $739.65 – $2,394.77 | 9 |
| Extrnl counterpulse, per tx HCPCS G0166 | $635.20 | $794.00 | $56.62 – $714.60 | 14 |
| Eye allergy tests CPT 95060 | not published | not published | $39.28 – $133.88 | 9 |
| Eye implant band 40 HCPCS C1784 | not published | not published | $1.00 – $1.00 | 1 |
| Eye photodynamic ther add-on CPT 67225 | not published | not published | $1.00 – $28.71 | 9 |
| Eye Socket (Orbit) X-ray CPT 70200 | $477.60 | $597.00 | $47.93 – $537.30 | 14 |
| Eye Socket, Pituitary or Ear CT Scan (with and without contrast) CPT 70482 | $3,222.40 | $4,028.00 | $81.44 – $3,625.20 | 14 |
| Eye Socket, Pituitary or Ear CT Scan (with contrast) CPT 70481 | $2,951.20 | $3,689.00 | $81.44 – $3,320.10 | 14 |
| Eye Socket, Pituitary or Ear CT Scan (without contrast) CPT 70480 | $2,098.40 | $2,623.00 | $48.73 – $2,360.70 | 14 |
| Eye surgery follow-up add-on CPT 67331 | not published | not published | $1.00 – $153.46 | 9 |
| Eye suture during surgery CPT 67335 | not published | not published | $1.00 – $183.08 | 9 |
| Ezh2 gene common variants CPT 81237 | not published | not published | $166.63 – $359.20 | 9 |
| Ezh2 gene full gene sequence CPT 81236 | not published | not published | $268.74 – $579.31 | 9 |
| F-18 fdg pet diag HCPCS A9552 | $371.20 | $464.00 | $1.00 – $417.60 | 11 |
| F-18 florbetapir less than or equal to 10 mci HCPCS A9586 | $3,076.00 | $3,845.00 | $1.00 – $3,460.50 | 14 |
| F-18 fluciclovine per mci HCPCS A9588 | $548.80 | $686.00 | $1.00 – $617.40 | 14 |
| F-18 sodium fluoride HCPCS A9580 | not published | not published | $1.00 – $1.00 | 1 |
| F9 full gene sequence CPT 81238 | not published | not published | $570.00 – $1,228.74 | 9 |
| Fabrication & fitting HCPCS V2628 | not published | not published | $351.25 – $511.25 | 9 |
| Face bone graft CPT 21210 | not published | not published | $756.96 – $6,137.68 | 9 |
| Face, Eye Socket and Neck MRI (with and without contrast) CPT 70543 | $4,780.00 | $5,975.00 | $170.46 – $5,377.50 | 14 |
| Face, Eye Socket and Neck MRI (without contrast) CPT 70540 | $3,367.20 | $4,209.00 | $108.61 – $3,788.10 | 14 |
| Facial Bones X-ray (1 to 2 views) CPT 70140 | $313.60 | $392.00 | $31.96 – $352.80 | 14 |
| Facial Bones X-ray (complete) CPT 70150 | $621.60 | $777.00 | $47.27 – $699.30 | 14 |
| Facial nerve function test CPT 92516 | not published | not published | $22.30 – $326.97 | 9 |
| Facility svs dental rehab HCPCS G0330 | not published | not published | $1,427.04 – $3,374.38 | 8 |
| Factor ix CPT 85250 | not published | not published | $18.09 – $38.99 | 9 |
| Factor ix alprolix recomb HCPCS J7201 | not published | not published | $3.41 – $3.93 | 9 |
| Factor ix complex HCPCS J7194 | $1.08 | $1.34 | $0.45 – $1.86 | 14 |
| Factor ix idelvion inj HCPCS J7202 | not published | not published | $4.93 – $5.82 | 9 |
| Factor ix non-recombinant HCPCS J7193 | $0.93 | $1.16 | $0.37 – $1.53 | 14 |
| Factor ix recomb gly rebinyn HCPCS J7203 | not published | not published | $4.24 – $4.88 | 9 |
| Factor ix recombinan rixubis HCPCS J7200 | not published | not published | $1.60 – $1.60 | 1 |
| Factor ix recombinant nos HCPCS J7195 | $1.08 | $1.35 | $0.45 – $2.02 | 14 |
| Factor viia recomb sevenfact HCPCS J7212 | $3,319.80 | $4,149.75 | $2.02 – $1,905.76 | 11 |
| Factor viii CPT 85240 | not published | not published | $17.01 – $36.66 | 9 |
| Factor viii HCPCS J7190 | not published | not published | $1.03 – $1.18 | 9 |
| Factor viii fc fusion recomb HCPCS J7205 | not published | not published | $2.18 – $2.66 | 9 |
| Factor viii nuwiq recomb 1iu HCPCS J7209 | not published | not published | $1.06 – $1.22 | 9 |
| Factor viii pegylated recomb HCPCS J7207 | $690.56 | $863.20 | $0.65 – $2.30 | 14 |
| Factor viii recombinant nos HCPCS J7192 | $1,104.16 | $1,380.20 | $1.50 – $287.51 | 14 |
| Factor viii recomb novoeight HCPCS J7182 | not published | not published | $1.31 – $1.68 | 9 |
| Factor viii recomb obizur HCPCS J7188 | not published | not published | $3.07 – $3.53 | 9 |
| Factor xiii anti-hem factor HCPCS J7180 | $10,101.18 | $12,626.47 | $9.67 – $11,363.82 | 14 |
| Factor xiii recomb a-subunit HCPCS J7181 | not published | not published | $17.10 – $19.87 | 9 |
| Fallopian tube recnl CPT 58345 | not published | not published | $290.60 – $3,276.65 | 9 |
| Fam adapt bhv tx gdn phy/qhp CPT 97156 | not published | not published | $12.72 – $30.68 | 8 |
| Family therapy without pt 50min 90846 CPT 90846 | $248.00 | $310.00 | $70.67 – $279.00 | 14 |
| Family therapy with patient 50 min 90847 CPT 90847 | $286.40 | $358.00 | $70.67 – $322.20 | 14 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $311.87 | $389.83 | $102.99 – $350.42 | 11 |
| Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358 | $6,628.72 | $8,285.90 | $26.38 – $7,457.31 | 14 |
| Fancc gene CPT 81242 | not published | not published | $34.79 – $74.99 | 9 |
| Fasciotomy hip/thigh any typ CPT 27025 | not published | not published | $712.37 – $936.04 | 9 |
| Fat/lipids feces qualitative CPT 82705 | not published | not published | $4.85 – $10.44 | 9 |
| Fatty acids nonesterified CPT 82725 | not published | not published | $17.83 – $38.44 | 9 |
| Fda ide #g240020 carry bag HCPCS Q0499 | not published | not published | $186.92 – $214.28 | 9 |
| Fecal bilirubin test CPT 82252 | not published | not published | $4.33 – $9.34 | 9 |
| Fecal microbiota, live-jslm 150 ml rectal suspension enema HCPCS J1440 | not published | not published | $60.65 – $69.87 | 9 |
| Fecal microbiota prep instil HCPCS G0455 | not published | not published | $69.57 – $957.30 | 9 |
| #fecal-sodium CPT 84302 | not published | not published | $4.62 – $9.95 | 9 |
| Feeding tube reposition CPT 74355 | not published | not published | $1.00 – $1.00 | 1 |
| Fees w/laryngeal sense i&r CPT 92617 | not published | not published | $36.42 – $40.28 | 9 |
| Fees w/laryngeal sense test CPT 92616 | not published | not published | $98.20 – $233.61 | 9 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | not published | not published | $17.71 – $38.17 | 9 |
| Fem focal defic constant fri HCPCS L5230 | not published | not published | $5,340.62 – $6,392.30 | 9 |
| Femoral endovas graft add-on 34813 CPT 34813 | not published | not published | $188.47 – $228.02 | 9 |
| Femoral lgth sock fx or equa HCPCS L2850 | not published | not published | $67.61 – $94.06 | 9 |
| Fem/popl revasc w/stent CPT 37226 | not published | not published | $502.31 – $11,680.79 | 9 |
| Fem urinary collect pouch HCPCS A4328 | not published | not published | $1.00 – $15.31 | 9 |
| Feno poc CPT 95012 | $149.60 | $187.00 | $17.78 – $168.30 | 14 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $343.41 | $429.26 | $1.00 – $7.07 | 11 |
| Fern test HCPCS Q0114 | not published | not published | $9.25 – $19.95 | 9 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $1,670.06 | $2,087.57 | $1.05 – $1,878.81 | 14 |
| Ferritin CPT 82728 | not published | not published | $12.95 – $27.91 | 9 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | $1,906.44 | $2,383.04 | $0.31 – $924.31 | 14 |
| Ferumoxytol, esrd use HCPCS Q0139 | $1,906.44 | $2,383.04 | $0.31 – $2,144.74 | 14 |
| Fetal aneuploidy trisom risk CPT 81507 | not published | not published | $755.25 – $1,628.08 | 9 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $1,010.40 | $1,263.00 | $48.73 – $773.10 | 14 |
| Fetal chrmoml microdeltj CPT 81422 | not published | not published | $721.10 – $1,554.46 | 9 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | not published | not published | $584.00 – $1,554.46 | 9 |
| Fetal contract stress test 59020 - 26 CPT 59020 | not published | not published | $71.57 – $208.85 | 9 |
| Fetal cord puncture prenatal CPT 59012 | $437.60 | $547.00 | $142.19 – $492.30 | 14 |
| Fetal fibronectin CPT 82731 | not published | not published | $61.19 – $131.91 | 9 |
| Fetal fluid drainage w/us CPT 59074 | $1,053.60 | $1,317.00 | $142.19 – $1,185.30 | 14 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | not published | not published | $7.34 – $15.83 | 9 |
| Fetal hemoglobin rosette CPT 85461 | not published | not published | $8.89 – $19.17 | 9 |
| Fetal lung maturity assess lam body dnst CPT 83664 | not published | not published | $18.35 – $39.57 | 9 |
| Fetal monitor/interpret only CPT 59051 | not published | not published | $34.23 – $41.94 | 9 |
| Fetal monitor w/report CPT 59050 | not published | not published | $40.97 – $49.60 | 9 |
| Fetal non stress test CPT 59025 | $492.00 | $615.00 | $49.27 – $553.50 | 14 |
| Fetal scalp blood sampling 59030 CPT 59030 | not published | not published | $111.85 – $319.40 | 9 |
| Fetal shunt placement w/us CPT 59076 | $2,664.00 | $3,330.00 | $142.19 – $2,997.00 | 14 |
| #_fet/norfentcnfrmur CPT 80354 | not published | not published | $24.79 – $24.79 | 1 |
| Fiasp for insulin pump use HCPCS J1811 | not published | not published | $6.67 – $9.04 | 9 |
| Fibrin degradation d dimer quantitative CPT 85379 | not published | not published | $9.67 – $20.85 | 9 |
| Fibrin degradation products CPT 85362 | not published | not published | $6.55 – $14.11 | 9 |
| Fibrin degrade semiquant CPT 85378 | not published | not published | $9.23 – $19.91 | 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.