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 |
|---|---|---|---|---|
| Hysterosalpingography s&i CPT 74740 | $1,132.80 | $1,416.00 | $93.54 – $1,274.40 | 14 |
| Hysteroscopy ablation CPT 58563 | not published | not published | $244.66 – $5,183.27 | 9 |
| Hysteroscopy biopsy CPT 58558 | not published | not published | $230.35 – $3,276.65 | 9 |
| Hysteroscopy dx sep proc CPT 58555 | not published | not published | $150.79 – $3,276.65 | 9 |
| Hysteroscopy lysis CPT 58559 | not published | not published | $282.61 – $5,183.27 | 9 |
| Hysteroscopy remove fb CPT 58562 | not published | not published | $220.70 – $3,276.65 | 9 |
| Hysteroscopy remove myoma CPT 58561 | not published | not published | $356.18 – $5,183.27 | 9 |
| Hysteroscopy resect septum CPT 58560 | not published | not published | $311.24 – $5,183.27 | 9 |
| Hysterotomy abdominal 59100 CPT 59100 | not published | not published | $863.81 – $5,183.27 | 9 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | not published | not published | $183.55 – $219.82 | 2 |
| I-123 iobenguane diag HCPCS A9582 | $5,632.80 | $7,041.00 | $1.00 – $7,815.87 | 14 |
| I-123 ioflupane diag HCPCS A9584 | $5,440.80 | $6,801.00 | $1.00 – $6,120.90 | 14 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $224.80 | $281.00 | $1.00 – $252.90 | 11 |
| I125 iothalamate, dx HCPCS A9554 | $2,307.20 | $2,884.00 | $1.00 – $2,595.60 | 11 |
| I125 serum albumin, dx HCPCS A9532 | not published | not published | $1.00 – $1.00 | 1 |
| I-131 iobenguane sulf diag mibg HCPCS A9508 | not published | not published | $1.00 – $1.00 | 1 |
| I131 iodide cap, rx HCPCS A9517 | $140.00 | $175.00 | $21.97 – $157.50 | 14 |
| I131 iodide sol, rx HCPCS A9530 | not published | not published | $19.84 – $21.92 | 8 |
| I131 max 100uci HCPCS A9531 | not published | not published | $1.00 – $1.00 | 1 |
| I131 serum albumin, dx HCPCS A9524 | not published | not published | $1.00 – $1.00 | 1 |
| I-131 sod iodide sol diag per mci HCPCS A9529 | not published | not published | $1.00 – $1.00 | 1 |
| Iaadi respiratory synctial virus CPT 87280 | not published | not published | $12.75 – $27.48 | 9 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | not published | not published | $33.34 – $71.86 | 9 |
| Ia infect ag ab qual/semiquant sgl step CPT 86318 | not published | not published | $17.19 – $37.05 | 9 |
| Ia nfct ab sarscov2 covid19 CPT 86328 | not published | not published | $43.02 – $92.73 | 9 |
| Ibandronate 3 mg/3 ml intravenous syringe HCPCS J1740 | $749.80 | $937.25 | $1.00 – $340.16 | 11 |
| Ibmfs seq alys pnl 30 genes CPT 81441 | not published | not published | $2,326.13 – $5,014.41 | 9 |
| Ibuprofen injection HCPCS J1741 | $1,541.00 | $1,926.25 | $1.00 – $694.50 | 11 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | $768.52 | $960.64 | $163.69 – $864.58 | 14 |
| Icatibant injection HCPCS J1744 | $7,661.86 | $9,577.32 | $93.19 – $3,931.04 | 14 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $52,646.40 | $65,808.00 | $1.00 – $22,381.20 | 11 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $65,757.60 | $82,197.00 | $1.00 – $17,212.50 | 11 |
| Icd crtp serena MRI HCPCS C2621 | $34,408.00 | $43,010.00 | $1.00 – $12,375.00 | 11 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $14,472.00 | $18,090.00 | $1.00 – $5,062.50 | 11 |
| Icg angiography i&r uni/bi CPT 92240 | not published | not published | $139.12 – $326.97 | 9 |
| Icut allergy test-delayed CPT 95028 | not published | not published | $12.65 – $41.21 | 9 |
| Icut allergy test drug/bug CPT 95024 | not published | not published | $1.00 – $62.37 | 9 |
| Icut allergy titrate-airborn CPT 95027 | not published | not published | $4.99 – $25.71 | 9 |
| I&d abscess posterior spine l/s/ls-22015 CPT 22015 | not published | not published | $826.38 – $959.68 | 9 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | not published | not published | $386.14 – $3,374.38 | 9 |
| Idarubicin hcl injection HCPCS J9211 | $2,573.17 | $3,216.46 | $1.00 – $306.90 | 11 |
| I&d/bursa/foot 28001 CPT 28001 | not published | not published | $95.20 – $1,699.23 | 9 |
| Idecabtagene vicleucel car HCPCS Q2055 | not published | not published | $224,666.50 – $609,895.10 | 9 |
| Identify sperm tissue CPT 89264 | not published | not published | $24.02 – $56.10 | 8 |
| Idet 1 or more levels CPT 22527 | not published | not published | $104.52 – $1,548.44 | 9 |
| Idet single level CPT 22526 | not published | not published | $104.52 – $1,883.95 | 9 |
| I&d frarm&/wrst deep absc/hematoma CPT 25028 | $5,554.40 | $6,943.00 | $699.04 – $6,248.70 | 14 |
| Idh1 common variants CPT 81120 | not published | not published | $183.59 – $395.76 | 9 |
| Idh2 common variants CPT 81121 | not published | not published | $281.00 – $605.75 | 9 |
| I&d intramural/intramuscular/submuc abscess transanal anes CPT 46045 | not published | not published | $443.06 – $2,879.51 | 9 |
| I&d lacrimal gland CPT 68400 | not published | not published | $130.15 – $1,016.97 | 9 |
| I&d lacrimal sac CPT 68420 | $2,738.40 | $3,423.00 | $164.77 – $3,080.70 | 14 |
| Iduc valve sply repl HCPCS A4342 | not published | not published | $1.00 – $903.88 | 9 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | $3,345.60 | $4,182.00 | $217.37 – $3,763.80 | 14 |
| Idursulfase injection HCPCS J1743 | not published | not published | $530.53 – $611.15 | 9 |
| I & d vag hematoma non-ob 57023 CPT 57023 | not published | not published | $321.89 – $2,978.09 | 9 |
| I&d vag hemtma obst/postpart CPT 57022 | not published | not published | $182.42 – $2,978.09 | 9 |
| Ifnl3 gene CPT 81283 | not published | not published | $69.70 – $150.25 | 9 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | $474.01 | $592.51 | $1.00 – $301.58 | 11 |
| Igh@/bcl2 translocation alys CPT 81278 | not published | not published | $196.94 – $424.55 | 9 |
| Igh gene rearrang dir probe CPT 81262 | not published | not published | $65.12 – $140.38 | 9 |
| Igh gene rearrange amp meth CPT 81261 | not published | not published | $188.09 – $405.46 | 9 |
| Igh@ var region somatic mutation analy CPT 81263 | not published | not published | $279.79 – $603.15 | 9 |
| Igk rearrangeabn clonal pop CPT 81264 | not published | not published | $164.09 – $353.73 | 9 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $151.20 | $189.00 | $1.00 – $170.10 | 14 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $415.20 | $519.00 | $159.32 – $467.10 | 14 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $169.60 | $212.00 | $71.02 – $190.80 | 14 |
| Iiv3 vacc no prsv 0.25 ml im CPT 90655 | not published | not published | $17.24 – $17.24 | 1 |
| Ikbkap gene CPT 81260 | not published | not published | $37.34 – $80.50 | 9 |
| Ileostomy/jejunostomy non-tube 44310 CPT 44310 | not published | not published | $401.78 – $1,035.24 | 9 |
| Iliac bone graft microvasc CPT 20956 | not published | not published | $712.37 – $2,630.71 | 9 |
| Iliac/fem angio cath insert HCPCS G0278 | $2,199.20 | $2,749.00 | $1.00 – $2,474.10 | 14 |
| Iliac revasc add-on 37222 CPT 37222 | not published | not published | $1.00 – $584.29 | 9 |
| Iloprost non-comp unit dose HCPCS Q4074 | not published | not published | $146.67 – $146.67 | 1 |
| Imatinib 100 mg tab HCPCS S0088 | $237.04 | $296.30 | $6.59 – $85.91 | 11 |
| Imbrication/diaphragm/transthor/transabd 39545 CPT 39545 | not published | not published | $757.85 – $887.78 | 9 |
| Imetelstat 188 mg intravenous solution HCPCS J0870 | $27,653.88 | $34,567.35 | $54.18 – $7,878.91 | 14 |
| Img rta detcj/mntr ds staff CPT 92227 | not published | not published | $17.64 – $62.37 | 9 |
| Img rta detc/mntr ds phy/qhp CPT 92228 | not published | not published | $17.78 – $41.21 | 9 |
| Img rta detc/mntr ds poc aly CPT 92229 | not published | not published | $27.11 – $62.37 | 9 |
| Immntx 1 sting insect CPT 95130 | not published | not published | $13.34 – $13.34 | 1 |
| Immntx 4 sting insects CPT 95133 | not published | not published | $27.76 – $27.76 | 1 |
| Immntx 5 sting insects CPT 95134 | not published | not published | $38.00 – $38.00 | 1 |
| Immob elbow child sm HCPCS L3762 | $108.00 | $135.00 | $30.82 – $125.13 | 14 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $144.80 | $181.00 | $6.70 – $130.89 | 14 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $58.40 | $73.00 | $14.74 – $71.25 | 14 |
| Immobilizer shldr sling med HCPCS L3660 | $64.00 | $80.00 | $10.72 – $155.30 | 14 |
| Immt breast prosthesis 19340 CPT 19340 | not published | not published | $761.29 – $6,834.56 | 9 |
| Immune complex assay CPT 86332 | not published | not published | $23.15 – $49.91 | 9 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | $5,811.84 | $7,264.80 | $43.05 – $1,202.22 | 14 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | $3,429.83 | $4,287.28 | $74.86 – $1,895.07 | 14 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | $1,872.80 | $2,341.00 | $44.79 – $1,254.20 | 14 |
| Immune globulin ig human im use 90281 CPT 90281 | not published | not published | $101.55 – $106.12 | 2 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | not published | not published | $19.77 – $42.62 | 9 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | not published | not published | $19.77 – $42.62 | 9 |
| Immunoassay tumor qual CPT 86294 | not published | not published | $24.29 – $52.36 | 9 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | not published | not published | $11.38 – $24.53 | 9 |
| Immunodiffusion nes CPT 86329 | not published | not published | $13.35 – $28.77 | 9 |
| Immunoelectrophoresis assay CPT 86327 | not published | not published | $28.42 – $61.27 | 9 |
| Immunofixation electrophoresis serum CPT 86334 | not published | not published | $21.22 – $45.75 | 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.