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 |
|---|---|---|---|---|
| Fna bx w/mr gdn ea addl CPT 10012 | not published | not published | $1.00 – $1.00 | 1 |
| Foam drg >16<=48 sq in w/bdr HCPCS A6213 | not published | not published | $1.00 – $1.00 | 1 |
| Foam drg >16<=48 sq in without b HCPCS A6210 | not published | not published | $1.00 – $29.23 | 9 |
| Foam drg <=16 sq in w/border HCPCS A6212 | not published | not published | $1.00 – $14.25 | 9 |
| Foam drg > 48 sq in w/border HCPCS A6214 | not published | not published | $1.00 – $15.11 | 9 |
| Foam drg > 48 sq in without brdr HCPCS A6211 | not published | not published | $1.00 – $43.09 | 9 |
| Foam drsg <=16 sq in without bdr HCPCS A6209 | not published | not published | $1.00 – $10.96 | 9 |
| Foam/fabric leg strap HCPCS A5114 | not published | not published | $11.48 – $13.13 | 9 |
| Foam stability fetal lung CPT 83662 | not published | not published | $17.96 – $38.73 | 9 |
| Folic acid CPT 82746 | not published | not published | $13.97 – $30.10 | 9 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $311.38 | $389.22 | $102.92 – $350.20 | 11 |
| Follow-up angiography CPT 75898 | $1,855.20 | $2,319.00 | $613.38 – $3,304.88 | 14 |
| Followup eval of foot pt lop HCPCS G0246 | not published | not published | $19.64 – $135.31 | 9 |
| Follow-up surgery of eye CPT 66250 | not published | not published | $550.91 – $2,449.13 | 9 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $4,047.00 | $5,058.75 | $5.96 – $1,784.03 | 14 |
| Fondaparinux sodium HCPCS J1652 | $388.19 | $485.23 | $1.00 – $357.00 | 11 |
| Fo nontorsion joint cf HCPCS L3935 | not published | not published | $224.72 – $257.22 | 9 |
| Foot arch support remov prem HCPCS L3030 | not published | not published | $85.29 – $97.57 | 9 |
| Foot arch supp premold metat HCPCS L3050 | not published | not published | $52.61 – $60.21 | 9 |
| Foot drp splt w/exp heel lg HCPCS L4398 | not published | not published | $86.34 – $97.07 | 9 |
| Foot external keel sach foot HCPCS L5970 | not published | not published | $243.28 – $286.15 | 9 |
| Foot insert plastazote or eq HCPCS L3002 | not published | not published | $180.53 – $206.54 | 9 |
| Foot insert remov molded spe HCPCS L3001 | not published | not published | $147.85 – $169.17 | 9 |
| Foot insert silicone gel eac HCPCS L3003 | not published | not published | $194.74 – $222.84 | 9 |
| Foot lamin/prepreg composite HCPCS L3031 | $162.40 | $203.00 | $64.66 – $173.70 | 14 |
| Foot longitudinal arch suppo HCPCS L3010 | not published | not published | $194.74 – $222.84 | 9 |
| Foot longitud/metatarsal sup HCPCS L3020 | $312.00 | $390.00 | $113.90 – $306.00 | 14 |
| Foot plas heel stabi pre ots HCPCS L3170 | $21.60 | $27.00 | $8.38 – $65.07 | 14 |
| Foot plate molded stirrup at HCPCS L2250 | not published | not published | $373.37 – $497.58 | 9 |
| Foot single axis ankle/foot HCPCS L5974 | not published | not published | $259.48 – $297.78 | 9 |
| Foot X-ray CPT 73630 | $488.00 | $610.00 | $34.29 – $549.00 | 14 |
| Foot X-ray (2 views, both feet) CPT 73620 | $294.40 | $368.00 | $28.63 – $331.20 | 14 |
| Forearm/arm cuffs ext/flex a HCPCS L3730 | not published | not published | $921.97 – $1,043.47 | 9 |
| Forearm/arm cuffs free motio HCPCS L3720 | not published | not published | $685.02 – $757.12 | 9 |
| Forearm X-ray (both sides) CPT 73090 | $407.20 | $509.00 | $29.29 – $458.10 | 14 |
| Forehead flap w/vasc pedicle 15731 CPT 15731 | not published | not published | $995.96 – $3,770.80 | 9 |
| Forensic cytopathology CPT 88125 | not published | not published | $24.02 – $56.10 | 9 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | $737.60 | $922.00 | $56.26 – $829.80 | 14 |
| Formoterol comp unit HCPCS J7640 | not published | not published | $5.10 – $5.10 | 1 |
| Formoterol fumarate, inh HCPCS J7606 | not published | not published | $2.98 – $4.10 | 2 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $990.13 | $1,237.66 | $1.00 – $363.61 | 11 |
| Foscarnet sodium injection HCPCS J1455 | $1,464.00 | $1,830.00 | $15.27 – $95.48 | 14 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $339.94 | $424.92 | $5.19 – $352.42 | 11 |
| Fractionation ketosteroids CPT 83593 | not published | not published | $27.08 – $58.37 | 9 |
| Fracture assessment via dxa CPT 77086 | not published | not published | $33.62 – $92.45 | 9 |
| _fragile x methylation-sendout CPT 81244 | not published | not published | $42.65 – $91.93 | 9 |
| Fragmenting of kidney stone CPT 50590 | not published | not published | $570.88 – $3,621.42 | 9 |
| Frame typ sock above elb/dis HCPCS L6688 | not published | not published | $604.03 – $667.61 | 9 |
| Frame typ socket bel elbow/w HCPCS L6687 | not published | not published | $642.29 – $969.24 | 9 |
| Frame typ socket shoulder di HCPCS L6689 | not published | not published | $847.19 – $1,132.22 | 9 |
| Frame typ sock interscap-tho HCPCS L6690 | not published | not published | $784.04 – $866.58 | 9 |
| Free fascial flap microvasc CPT 15758 | not published | not published | $278.37 – $2,246.57 | 9 |
| Freeing of bowel adhesion 44005 CPT 44005 | not published | not published | $926.74 – $1,088.83 | 9 |
| Free jejunum flap microvasc CPT 43496 | not published | not published | $401.78 – $401.78 | 1 |
| Free myo/skin flap microvasc CPT 15756 | not published | not published | $278.37 – $2,270.87 | 9 |
| Free omental flap microvasc CPT 49906 | not published | not published | $1,412.81 – $1,412.81 | 1 |
| Free/remove chest lining 32320 CPT 32320 | not published | not published | $1,342.55 – $1,583.15 | 9 |
| Free skin flap microvasc CPT 15757 | not published | not published | $278.37 – $2,255.89 | 9 |
| Frenectomy 41115 CPT 41115 | not published | not published | $147.13 – $1,555.34 | 9 |
| Frenotomy 40806 CPT 40806 | not published | not published | $29.63 – $534.71 | 9 |
| Frenulotomy of penis CPT 54164 | not published | not published | $195.40 – $2,134.73 | 9 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $300.80 | $376.00 | $67.54 – $338.40 | 14 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $324.80 | $406.00 | $15.61 – $88.50 | 14 |
| Fresh frozen plasma thawing ea un CPT 86927 | not published | not published | $58.93 – $179.93 | 8 |
| Fr frz plasma donor retested HCPCS P9060 | not published | not published | $46.48 – $51.38 | 8 |
| Frozen blood freeze/thaw CPT 86932 | not published | not published | $17.78 – $41.21 | 8 |
| Frozen blood prep CPT 86930 | not published | not published | $75.71 – $179.93 | 8 |
| Frozen blood thaw CPT 86931 | not published | not published | $75.71 – $179.93 | 8 |
| Frozen cell preparation CPT 88241 | not published | not published | $11.49 – $24.76 | 9 |
| Frozen plasma, pooled, sd HCPCS P9023 | not published | not published | $59.19 – $65.43 | 8 |
| Fructosamine glycated protein CPT 82985 | not published | not published | $15.92 – $34.32 | 9 |
| Ft arch suprt premold longit HCPCS L3040 | not published | not published | $52.61 – $60.21 | 9 |
| Fth/gft fr n/e/e/l each addl CPT 15261 | not published | not published | $1.00 – $200.59 | 9 |
| Fth/gft fr trnk each addl CPT 15201 | not published | not published | $1.00 – $135.70 | 9 |
| Ft insert ucb berkeley shell HCPCS L3000 | $268.80 | $336.00 | $112.56 – $401.73 | 14 |
| Ftl cgen abnor 3 proteins CPT 81509 | not published | not published | $1,413.00 – $3,045.99 | 9 |
| Ftl cgen abnor five anal CPT 81512 | not published | not published | $66.04 – $142.37 | 9 |
| Ftl cgen abnor four anal CPT 81511 | not published | not published | $145.83 – $314.35 | 9 |
| Ftl cgen abnor three anal CPT 81510 | not published | not published | $52.76 – $113.74 | 9 |
| Ftl cgen abnor two proteins CPT 81508 | not published | not published | $51.59 – $111.20 | 9 |
| Ft prosth multiaxial ankl/ft HCPCS L5978 | not published | not published | $332.75 – $367.77 | 9 |
| Full field erg w/i&r CPT 92273 | not published | not published | $125.83 – $326.97 | 9 |
| Full mouth x-ray of teeth CPT 70320 | $353.60 | $442.00 | $53.26 – $397.80 | 14 |
| Full sole/heel wedge btween HCPCS L3420 | not published | not published | $61.13 – $69.93 | 9 |
| Full Spine X-ray (Scoliosis Survey) CPT 72082 | $634.40 | $793.00 | $48.73 – $713.70 | 14 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | not published | not published | $808.29 – $1,911.28 | 9 |
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | not published | not published | $610.49 – $1,911.28 | 9 |
| Full thick gft/scalp/arm/leg/add 20sqcm 15221 CPT 15221 | not published | not published | $1.00 – $124.99 | 9 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | not published | not published | $796.24 – $1,911.28 | 9 |
| Functional brain mapping CPT 96020 | $652.80 | $816.00 | $1.00 – $734.40 | 11 |
| Fundus photography with i&r 92250 CPT 92250 | not published | not published | $36.95 – $133.88 | 9 |
| Furnsh initial orthosis only HCPCS L1200 | not published | not published | $2,000.31 – $2,222.62 | 9 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $312.69 | $390.86 | $20.63 – $70.19 | 11 |
| Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr HCPCS J1940 | not published | not published | $1.00 – $1.00 | 1 |
| Fuse bile ducts and bowel 47785 CPT 47785 | not published | not published | $2,557.45 – $3,218.90 | 9 |
| Fuse esophagus & intestine CPT 43340 | not published | not published | $401.78 – $1,378.77 | 9 |
| Fuse esophagus & intestine CPT 43341 | not published | not published | $401.78 – $1,384.09 | 9 |
| Fuse esophagus & stomach CPT 43320 | not published | not published | $401.78 – $1,395.74 | 9 |
| Fuse gallbladder & bowel CPT 47740 | not published | not published | $1,114.63 – $1,312.86 | 9 |
| Fuse gallbladder & bowel CPT 47741 | not published | not published | $1,249.66 – $1,473.97 | 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.