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 |
|---|---|---|---|---|
| Inject for sacroiliac joint HCPCS G0259 | not published | not published | $1.00 – $1.00 | 1 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | $1,743.20 | $2,179.00 | $81.55 – $1,961.10 | 14 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $766.40 | $958.00 | $1.00 – $862.20 | 14 |
| Injection, belinostat, 10mg HCPCS J9032 | not published | not published | $48.39 – $57.42 | 9 |
| Injection, burosumab-twza 1m HCPCS J0584 | not published | not published | $433.52 – $529.81 | 9 |
| Injection, cangrelor HCPCS C9460 | $2,075.24 | $2,594.04 | $18.24 – $2,334.64 | 14 |
| Injection, caplacizumab-yhdp HCPCS C9047 | $20,560.00 | $25,699.99 | $745.65 – $23,129.99 | 11 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | $444.80 | $556.00 | $56.59 – $500.40 | 14 |
| Injection, casimersen, 10 mg HCPCS J1426 | not published | not published | $157.76 – $174.36 | 9 |
| Injection, cimetidine hydroc HCPCS S0023 | not published | not published | $3.38 – $3.38 | 1 |
| Injection, daratumumab 10 mg HCPCS J9145 | $8,083.01 | $10,103.76 | $62.13 – $1,711.17 | 14 |
| Injection, delafloxacin HCPCS C9462 | not published | not published | $0.48 – $0.51 | 2 |
| Injection, doxercalciferol HCPCS J1270 | $320.31 | $400.38 | $1.00 – $351.89 | 11 |
| Injection during cath supravalvular aortography CPT 93567 | $1,648.80 | $2,061.00 | $1.00 – $1,854.90 | 14 |
| Injection, edaravone, 1 mg HCPCS J1301 | $10,458.72 | $13,073.40 | $19.94 – $2,385.36 | 14 |
| Injection epidural blood patch or clot CPT 62273 | $1,887.20 | $2,359.00 | $112.18 – $2,123.10 | 14 |
| Injection estrone per 1 mg HCPCS J1435 | not published | not published | $0.15 – $0.15 | 1 |
| Injection eye drug CPT 67028 | not published | not published | $90.21 – $348.27 | 9 |
| Injection, famotidine, 20 mg HCPCS S0028 | not published | not published | $0.91 – $0.91 | 2 |
| Injection for arthrography wrist (both sides) CPT 25246 | $1,208.00 | $1,510.00 | $1.00 – $1,359.00 | 14 |
| Injection for bladder x-ray CPT 51600 | $1,305.60 | $1,632.00 | $1.00 – $1,468.80 | 14 |
| Injection for hip x-ray CPT 27095 | $266.40 | $333.00 | $1.00 – $300.72 | 14 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $929.60 | $1,162.00 | $1.00 – $1,045.80 | 14 |
| Injection for spleen x-ray CPT 38200 | not published | not published | $1.00 – $127.16 | 9 |
| Injection for tear sac x-ray CPT 68850 | not published | not published | $1.00 – $57.50 | 9 |
| Injection for ureter x-ray CPT 50684 | not published | not published | $1.00 – $125.35 | 9 |
| Injection for ureter x-ray CPT 50690 | $941.60 | $1,177.00 | $1.00 – $1,059.30 | 14 |
| Injection, fosphenytoin sodi HCPCS S0078 | not published | not published | $27.03 – $114.75 | 2 |
| Injection, fulvestrant HCPCS J9395 | $2,656.81 | $3,321.01 | $6.39 – $382.42 | 14 |
| Injection glatiramer acetate HCPCS J1595 | $695.12 | $868.90 | $153.01 – $568.82 | 14 |
| Injection, glucarpidase HCPCS C9293 | $42,003.60 | $52,504.50 | $440.98 – $47,254.05 | 11 |
| Injection, inclisiran, 1 mg HCPCS J1306 | $9,220.28 | $11,525.34 | $11.70 – $10,372.81 | 14 |
| Injection into brain canal CPT 61026 | not published | not published | $110.18 – $724.79 | 9 |
| Injection into brain canal CPT 61055 | $450.40 | $563.00 | $116.17 – $506.70 | 14 |
| Injection into hemorrhoid(s) CPT 46500 | not published | not published | $184.41 – $957.30 | 9 |
| Injection into spinal artery CPT 62294 | not published | not published | $404.00 – $972.33 | 9 |
| Injection into vocal cord CPT 31513 | not published | not published | $130.82 – $407.73 | 9 |
| Injection intraop add-on CPT 48400 | not published | not published | $88.22 – $105.19 | 9 |
| Injection, isavuconazonium HCPCS J1833 | $1,112.65 | $1,390.81 | $0.94 – $1,251.73 | 14 |
| Injection jaw joint x-ray CPT 21116 | $340.00 | $425.00 | $1.00 – $382.50 | 14 |
| Injection jugular CPT 36299 | $1,745.60 | $2,182.00 | $1.00 – $1,963.80 | 11 |
| Injection, khapzory, 0.5 mg HCPCS J0642 | not published | not published | $1.06 – $1.06 | 1 |
| Injection, necitumumab, 1 mg HCPCS J9295 | not published | not published | $5.44 – $6.28 | 9 |
| Injection of HIV prep drug HCPCS G0012 | not published | not published | $14.31 – $74.73 | 9 |
| Injection of sinus tract CPT 20500 | $1,494.40 | $1,868.00 | $89.54 – $1,681.20 | 14 |
| Injection,onabotulinumtoxina HCPCS J0585 | $960.00 | $1,200.00 | $6.17 – $1,080.00 | 14 |
| Injection, pentamidine iseth HCPCS S0080 | $383.03 | $478.78 | $99.65 – $390.97 | 11 |
| Injection, peramivir HCPCS J2547 | not published | not published | $1.59 – $1.76 | 9 |
| Injection, piperacillin sodi HCPCS S0081 | not published | not published | $2.95 – $2.95 | 1 |
| Injection px peyronie ds CPT 54200 | not published | not published | $87.88 – $255.37 | 9 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $1,232.80 | $1,541.00 | $31.62 – $1,386.90 | 14 |
| Injection, renflexis HCPCS Q5104 | $1,211.11 | $1,513.88 | $25.65 – $1,362.49 | 14 |
| Injection, ruconest HCPCS J0596 | not published | not published | $33.70 – $40.23 | 9 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | $1,789.60 | $2,237.00 | $306.51 – $2,013.30 | 14 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $1,665.60 | $2,082.00 | $62.25 – $1,873.80 | 14 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $1,312.80 | $1,641.00 | $41.61 – $1,476.90 | 14 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $2,200.80 | $2,751.00 | $110.51 – $2,475.90 | 14 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $1,270.40 | $1,588.00 | $1.00 – $1,429.20 | 14 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $2,243.20 | $2,804.00 | $104.52 – $2,523.60 | 14 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $1,178.40 | $1,473.00 | $1.00 – $1,325.70 | 14 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $2,035.20 | $2,544.00 | $89.88 – $2,289.60 | 14 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $2,174.40 | $2,718.00 | $106.52 – $2,446.20 | 14 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $2,091.20 | $2,614.00 | $98.53 – $2,352.60 | 14 |
| Injection, siltuximab HCPCS J2860 | not published | not published | $148.96 – $181.47 | 9 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $633.60 | $792.00 | $38.61 – $712.80 | 14 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $674.40 | $843.00 | $36.62 – $758.70 | 14 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $680.80 | $851.00 | $41.61 – $765.90 | 14 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $371.20 | $464.00 | $1.00 – $33.60 | 11 |
| Injection, ticarcillin disod HCPCS S0040 | not published | not published | $13.60 – $13.60 | 1 |
| Injection torsemide 10 mg/ml HCPCS J3265 | not published | not published | $1.09 – $1.09 | 1 |
| Injection treatment of eye CPT 66020 | not published | not published | $130.15 – $2,394.77 | 9 |
| Injection treatment of eye CPT 66030 | not published | not published | $110.51 – $2,394.77 | 9 |
| Injection treatment of nerve CPT 64605 | not published | not published | $430.07 – $2,023.59 | 9 |
| Injection treatment of nerve CPT 64610 | not published | not published | $483.67 – $2,023.59 | 9 |
| Injection treatment of nerve CPT 64681 | not published | not published | $217.03 – $934.80 | 9 |
| Injection treatment of nose CPT 30200 | $1,000.80 | $1,251.00 | $59.92 – $1,125.90 | 14 |
| Inject sacroiliac joint CPT 27096 | $1,096.80 | $1,371.00 | $82.22 – $1,233.90 | 14 |
| Inject/treat eye socket CPT 67500 | not published | not published | $63.58 – $307.90 | 9 |
| Inject/treat eye socket CPT 67505 | not published | not published | $70.90 – $307.90 | 9 |
| Inject/treat eye socket CPT 67515 | not published | not published | $46.27 – $307.90 | 9 |
| Inj, eculizumab-aagh, 2 mg HCPCS Q5151 | not published | not published | $29.79 – $32.92 | 9 |
| Inj, eculizumab-aeeb, 2 mg HCPCS Q5152 | not published | not published | $38.30 – $42.33 | 9 |
| Inj efgart-alfa 2mg hya-qvfc HCPCS J9334 | not published | not published | $32.19 – $37.09 | 9 |
| Inj eflapegrastim-xnst 0.1mg HCPCS J1449 | not published | not published | $19.83 – $22.84 | 9 |
| Inj., emapalumab-lzsg, 1 mg HCPCS J9210 | $40,644.12 | $50,805.15 | $365.61 – $21,176.37 | 14 |
| Inj., emicizumab-kxwh 0.5 mg HCPCS J7170 | not published | not published | $51.22 – $61.40 | 9 |
| Inj epidural sgl cerv-thor without img CPT 62320 | $2,098.40 | $2,623.00 | $99.20 – $2,360.70 | 14 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | not published | not published | $78.56 – $934.80 | 9 |
| Inj, epinephrine (belcher) HCPCS J0173 | not published | not published | $1.71 – $1.71 | 1 |
| Inj., eravacycline, 1 mg HCPCS J0122 | not published | not published | $1.13 – $1.13 | 1 |
| Inj, erzofri, 1 mg HCPCS J2428 | not published | not published | $15.93 – $18.35 | 9 |
| Inj, etelcalcetide, 0.1 mg HCPCS J0606 | $371.96 | $464.94 | $2.61 – $418.45 | 11 |
| Inj, eteplirsen, 10 mg HCPCS J1428 | not published | not published | $158.98 – $175.71 | 9 |
| Inj, evinacumab-dgnb, 5mg HCPCS J1305 | not published | not published | $179.14 – $212.04 | 9 |
| Inj., evomela, 1 mg HCPCS J9246 | not published | not published | $16.08 – $20.24 | 9 |
| Inj, exagamglogene autotem HCPCS J3392 | not published | not published | $2,215,400.00 – $2,448,600.00 | 9 |
| Inj, factor x, (human), 1iu HCPCS J7175 | not published | not published | $9.11 – $10.70 | 9 |
| Inj, faricimab-svoa, 0.1mg HCPCS J2777 | not published | not published | $32.18 – $37.07 | 9 |
| Inj fe-based mr contrast,1ml HCPCS Q9953 | not published | not published | $1.00 – $1.00 | 1 |
| Inj. fe derisomaltose 10 mg HCPCS J1437 | $5,652.67 | $7,065.83 | $20.06 – $6,359.25 | 14 |
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.