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 |
|---|---|---|---|---|
| Ghs pt - work hardening/int 2hrs CPT 97545 | not published | not published | $116.49 – $116.49 | 1 |
| Ghs quinidine CPT 80194 | not published | not published | $13.87 – $29.90 | 9 |
| Ghs refill of implantable pump CPT 95990 | $685.60 | $857.00 | $90.21 – $771.30 | 14 |
| Ghs removal intranasal foreign body CPT 30300 | $423.20 | $529.00 | $56.62 – $476.10 | 14 |
| Ghs removal pharyngeal foreign body CPT 42809 | $512.80 | $641.00 | $127.82 – $576.90 | 14 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | $3,446.40 | $4,308.00 | $609.49 – $3,877.20 | 14 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | $4,585.60 | $5,732.00 | $504.64 – $5,158.80 | 14 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | not published | not published | $15.10 – $32.54 | 9 |
| Ghs reticulocyte count CPT 85044 | not published | not published | $4.09 – $8.83 | 9 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | not published | not published | $13.21 – $28.49 | 9 |
| Ghs sedimentation rate CPT 85651 | not published | not published | $4.06 – $8.74 | 9 |
| Ghs semen analysis fert CPT 89320 | not published | not published | $11.69 – $25.21 | 9 |
| Ghs semen analysis, post-vas CPT 89300 | not published | not published | $9.35 – $20.15 | 9 |
| Ghs sensitivity (per antimicro) CPT 87184 | not published | not published | $7.11 – $15.32 | 9 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $664.80 | $831.00 | $94.20 – $747.90 | 14 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $613.60 | $767.00 | $126.83 – $690.30 | 14 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $625.60 | $782.00 | $115.17 – $703.80 | 14 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | $538.40 | $673.00 | $153.12 – $605.70 | 14 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $580.80 | $726.00 | $74.56 – $653.40 | 14 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $534.40 | $668.00 | $73.23 – $601.20 | 14 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $624.80 | $781.00 | $88.73 – $702.90 | 14 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $616.00 | $770.00 | $88.73 – $693.00 | 14 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | $523.20 | $654.00 | $88.73 – $588.60 | 14 |
| Ghs sleep study unattended CPT 95800 | $650.40 | $813.00 | $69.23 – $731.70 | 14 |
| Ghs somatosensory testing lower extremit CPT 95926 | $1,670.40 | $2,088.00 | $139.12 – $1,376.10 | 14 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | $2,952.00 | $3,690.00 | $237.56 – $3,321.00 | 14 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | $74.40 | $93.00 | $31.16 – $83.70 | 14 |
| Ghs sphenopalatine ganglion block CPT 64505 | $804.80 | $1,006.00 | $105.52 – $905.40 | 14 |
| Ghs spont nystagmus CPT 92541 | not published | not published | $24.97 – $133.88 | 9 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $148.80 | $186.00 | $62.31 – $167.40 | 14 |
| Ghs st - eval for alt comm CPT 92567 | $77.60 | $97.00 | $10.65 – $87.30 | 14 |
| Ghs strapping shoulder - 29240 CPT 29240 | $292.00 | $365.00 | $17.64 – $328.50 | 14 |
| Ghs st - re-eval for alt comm CPT 92597 | $514.40 | $643.00 | $66.84 – $578.70 | 14 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | $127.20 | $159.00 | $15.98 – $143.10 | 14 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | $524.80 | $656.00 | $95.00 – $590.40 | 14 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $951.20 | $1,189.00 | $188.41 – $1,070.10 | 14 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | $866.40 | $1,083.00 | $141.47 – $974.70 | 14 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | $2,482.40 | $3,103.00 | $316.56 – $2,792.70 | 14 |
| Ghs trypsin (fecal) CPT 84488 | not published | not published | $6.94 – $14.95 | 9 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $647.20 | $809.00 | $104.52 – $728.10 | 14 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | $334.40 | $418.00 | $104.52 – $376.20 | 14 |
| Ghs urine, hydroxproline total CPT 83505 | not published | not published | $23.09 – $49.76 | 9 |
| Ghs urine, porphyrins quant CPT 84120 | not published | not published | $13.97 – $30.12 | 9 |
| Ghs vaginal delivery only CPT 59409 | $3,518.40 | $4,398.00 | $799.23 – $3,958.20 | 14 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $5,656.80 | $7,071.00 | $237.56 – $6,363.90 | 14 |
| Ghs windowing of cast CPT 29730 | $241.60 | $302.00 | $44.61 – $271.80 | 14 |
| Giardia ag if CPT 87269 | not published | not published | $12.93 – $27.87 | 9 |
| Giardia lamblia antibody CPT 86674 | not published | not published | $13.98 – $30.15 | 9 |
| Gi endoscopic ultrasound CPT 76975 | not published | not published | $108.61 – $253.81 | 8 |
| Gi inhouse confirmation CPT 87045 | not published | not published | $8.97 – $19.33 | 9 |
| Gingivoplasty each quadrant CPT 41872 | not published | not published | $306.91 – $3,374.38 | 9 |
| Gi protein loss CPT 78282 | not published | not published | $182.81 – $421.92 | 8 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $2,714.40 | $3,393.00 | $401.78 – $3,053.70 | 14 |
| Gi trc img intral colon i&r CPT 91113 | not published | not published | $405.09 – $957.30 | 9 |
| Gi trc img intral esophagus CPT 91111 | not published | not published | $401.78 – $965.69 | 9 |
| Gi wireless capsule measure CPT 91112 | not published | not published | $401.78 – $1,606.79 | 9 |
| Gjb2 gene full sequence CPT 81252 | not published | not published | $96.06 – $207.08 | 9 |
| Gjb2 gene known fam variants CPT 81253 | not published | not published | $58.44 – $125.99 | 9 |
| Gjb6 gene com variants CPT 81254 | not published | not published | $33.25 – $71.68 | 9 |
| Glassia injection HCPCS J0257 | $9,746.24 | $12,182.79 | $5.36 – $2,100.60 | 14 |
| Glaucoma scrn hgh risk direc HCPCS G0117 | not published | not published | $13.20 – $63.58 | 9 |
| Glaucoma scrn hgh risk direc HCPCS G0118 | not published | not published | $17.78 – $41.94 | 9 |
| Glaucoma surgery CPT 66150 | not published | not published | $869.80 – $4,224.00 | 9 |
| Glaucoma surgery CPT 66155 | not published | not published | $869.47 – $4,224.00 | 9 |
| Glaucoma surgery CPT 66160 | not published | not published | $976.66 – $2,394.77 | 9 |
| Glaucoma surgery CPT 66170 | not published | not published | $1,032.90 – $2,394.77 | 9 |
| Glove finger flexion right lg xl HCPCS L3912 | $115.20 | $144.00 | $48.24 – $129.60 | 14 |
| Glucagon 1 mg solution for injection HCPCS J1610 | not published | not published | $173.32 – $199.66 | 9 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $678.52 | $848.15 | $110.76 – $445.58 | 14 |
| Glucagon plasma - sendout CPT 82943 | not published | not published | $13.58 – $29.26 | 9 |
| Glucagon tolerance panel CPT 80422 | not published | not published | $43.77 – $94.35 | 9 |
| Glucagon tolerance panel CPT 80424 | not published | not published | $47.98 – $103.42 | 9 |
| Glucagon tolerance test CPT 82946 | not published | not published | $16.88 – $36.39 | 9 |
| Glucose 1 hr post dose CPT 82950 | not published | not published | $4.51 – $9.73 | 9 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | not published | not published | $5.75 – $12.39 | 9 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | not published | not published | $3.12 – $6.72 | 9 |
| Glucose blood quantitative CPT 82947 | not published | not published | $3.73 – $8.05 | 9 |
| Glucose body fluid CPT 82945 | not published | not published | $3.73 – $8.05 | 9 |
| Glucose monitoring continual min 72hr pt CPT 95249 | $196.00 | $245.00 | $27.11 – $220.50 | 14 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | not published | not published | $12.23 – $26.36 | 9 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | not published | not published | $3.72 – $8.03 | 9 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $313.88 | $392.35 | $0.43 – $175.76 | 14 |
| Gold sodium thiomaleate inj HCPCS J1600 | not published | not published | $23.06 – $23.06 | 1 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $5,575.08 | $6,968.84 | $10.49 – $6,271.96 | 14 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | not published | not published | $17.65 – $38.05 | 9 |
| Gonadotropin hormone panel CPT 80426 | not published | not published | $140.99 – $303.93 | 9 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | not published | not published | $17.59 – $37.93 | 9 |
| Gonioscopy CPT 92020 | not published | not published | $19.97 – $133.88 | 9 |
| Goniotomy CPT 65820 | not published | not published | $816.88 – $4,224.00 | 9 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | not published | not published | $611.35 – $802.88 | 9 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $407.20 | $509.00 | $1.00 – $458.10 | 11 |
| Graft axiofill 1000mg HCPCS J3590 | $5,288.11 | $6,610.13 | $1.00 – $598.26 | 11 |
| Graft bone flex 2.5cm x 5cm grafton-cost per sq cm HCPCS Q4205 | $712.80 | $891.00 | $1.00 – $801.90 | 11 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | $1,760.00 | $2,200.00 | $1.00 – $80.62 | 11 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $930.39 – $3,392.43 | 9 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $492.80 | $616.00 | $1.00 – $78.30 | 11 |
| Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm HCPCS Q4113 | not published | not published | $1.00 – $1.00 | 1 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $22,080.00 | $27,600.00 | $1.00 – $1,707.30 | 11 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $52,725.60 | $65,907.00 | $1.00 – $839.70 | 11 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | $298.08 | $372.60 | $1.00 – $55.80 | 11 |
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.