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 |
|---|---|---|---|---|
| Inj non-compmd foam sclrsnt sgl trncl vein CPT 36465 | $3,841.60 | $4,802.00 | $116.17 – $4,321.80 | 14 |
| Inj, nyposi 1 mcg HCPCS Q5148 | not published | not published | $0.52 – $1.02 | 9 |
| Inj ocrelizumab 1mg hya-ocsq HCPCS J2351 | $49,385.84 | $61,732.29 | $44.87 – $55,559.06 | 14 |
| Inj, ocriplasmin, 0.125 mg HCPCS J7316 | not published | not published | $1.00 – $1.00 | 1 |
| Inj octafluoropropane mic,ml HCPCS Q9956 | $374.80 | $468.50 | $1.00 – $412.20 | 11 |
| Inj ogivri 10 mg HCPCS Q5114 | $2,484.97 | $3,106.21 | $38.28 – $1,143.54 | 14 |
| Inj, olaratumab, 10 mg HCPCS J9285 | not published | not published | $50.10 – $50.10 | 1 |
| Inj, oliceridine 0.1 mg HCPCS C9101 | not published | not published | $1.25 – $1.25 | 1 |
| Inj olipudase alfa-rpcp 1mg HCPCS J0218 | not published | not published | $373.98 – $430.80 | 9 |
| Inj, omacetaxine mep, 0.01mg HCPCS J9262 | not published | not published | $3.88 – $3.96 | 2 |
| Inj., omadacycline, 1 mg HCPCS J0121 | not published | not published | $3.60 – $4.40 | 9 |
| Inj onase abepar-xioi treat HCPCS J3399 | $2,104,701.01 | $2,630,876.26 | $783,062.50 – $2,577,866.14 | 14 |
| Inj ontruzant 10 mg HCPCS Q5112 | $5,742.49 | $7,178.11 | $15.47 – $2,423.07 | 14 |
| Inj, pafolacianine, 0.1 mg HCPCS A9603 | not published | not published | $1.00 – $1.00 | 1 |
| Inj, palonosetron (posfrea) HCPCS J2468 | not published | not published | $55.32 – $63.73 | 9 |
| Inj pantoprazole(hikma) 40mg HCPCS J2471 | $313.23 | $391.53 | $103.56 – $352.37 | 11 |
| Inj, panzyga, 500 mg HCPCS J1576 | not published | not published | $65.70 – $79.88 | 9 |
| Inj, pasireotide long acting HCPCS J2502 | not published | not published | $455.82 – $627.01 | 9 |
| Inj., patisiran, 0.1 mg HCPCS J0222 | $26,720.00 | $33,400.00 | $94.97 – $30,060.00 | 14 |
| Inj, pedmark, 100 mg HCPCS J0208 | not published | not published | $90.36 – $99.87 | 9 |
| Inj, pegcetacoplan, 1mg HCPCS J2781 | not published | not published | $132.22 – $152.31 | 9 |
| Inj pegfilgrastim-bmez 0.5mg HCPCS Q5120 | $5,799.86 | $7,249.82 | $27.35 – $6,524.84 | 14 |
| Inj, pegulicianine, 1 mg HCPCS A9615 | not published | not published | $35.63 – $39.38 | 9 |
| Inj. pemetrexed, 10 mg HCPCS J9304 | not published | not published | $44.00 – $50.69 | 9 |
| Inj pemetrexed (accord) 10mg HCPCS J9296 | not published | not published | $9.25 – $10.65 | 9 |
| Inj, pemetrexed (avyxa) 10mg HCPCS J9292 | not published | not published | $78.22 – $90.11 | 9 |
| Inj pemetrexed (bluepoint) HCPCS J9322 | not published | not published | $10.07 – $11.13 | 8 |
| Inj pemetrexed ditromethamin HCPCS J9323 | not published | not published | $0.12 – $0.14 | 9 |
| Inj pemetrexed, hospira 10mg HCPCS J9294 | not published | not published | $3.37 – $3.89 | 9 |
| Inj pemetrexed (sandoz) 10mg HCPCS J9297 | not published | not published | $2.29 – $2.29 | 1 |
| Inj pemetrexed (teva) 10mg HCPCS J9314 | not published | not published | $14.77 – $17.01 | 9 |
| Inj, pemivibart, 4500 mg HCPCS Q0224 | not published | not published | $6,477.00 – $7,600.95 | 9 |
| Inj, pemrydi rtu, 10 mg HCPCS J9324 | not published | not published | $72.02 – $82.96 | 9 |
| Inj perflexane lip micros,ml HCPCS Q9955 | not published | not published | $1.00 – $1.00 | 1 |
| Inj peritoneal venous shunt CPT 49427 | not published | not published | $1.00 – $37.95 | 9 |
| Inj., perseris, 0.5 mg HCPCS J2798 | not published | not published | $11.53 – $13.28 | 9 |
| Inj plasminogen tvmh 1mg HCPCS J2998 | not published | not published | $31.13 – $40.71 | 9 |
| Inj., plazomicin, 5 mg HCPCS J0291 | not published | not published | $3.33 – $3.84 | 9 |
| Inj pozelimab-bbfg, 1 mg HCPCS J9376 | not published | not published | $87.14 – $96.32 | 9 |
| Inj proc ankle arthr CPT 27648 | not published | not published | $1.00 – $205.05 | 9 |
| Inj proc elbow arthro CPT 24220 | $997.60 | $1,247.00 | $1.00 – $1,122.30 | 14 |
| Inj proc for lymphang CPT 38790 | $1,581.60 | $1,977.00 | $1.00 – $1,779.30 | 14 |
| Inj proc lumbr disk ea lvl CPT 62290 | $3,672.80 | $4,591.00 | $1.00 – $4,131.90 | 14 |
| Inj proc myelogram lumbar CPT 62284 | $2,159.20 | $2,699.00 | $1.00 – $2,429.10 | 14 |
| Inj proc sialogram CPT 42550 | $584.00 | $730.00 | $1.00 – $657.00 | 14 |
| Inj progesterone per 50 mg HCPCS J2675 | not published | not published | $1.00 – $1.00 | 1 |
| Inj prohance multipack HCPCS A9576 | not published | not published | $1.00 – $1.00 | 1 |
| Inj protirelin per 250 mcg HCPCS J2725 | not published | not published | $42.12 – $42.12 | 1 |
| Inj recombin esperoct per iu HCPCS J7204 | not published | not published | $2.06 – $2.44 | 9 |
| Inj, releuko 1 mcg HCPCS Q5125 | $805.44 | $1,006.80 | $0.35 – $616.95 | 14 |
| Inj retacrit esrd on dialysi HCPCS Q5105 | not published | not published | $0.73 – $0.84 | 9 |
| Inj retro urethrocysto CPT 51610 | $860.80 | $1,076.00 | $1.00 – $968.40 | 14 |
| Inj, rimabotulinumtoxinb HCPCS J0587 | not published | not published | $12.62 – $14.55 | 9 |
| Inj roctavian ml 2x10^13vc g HCPCS J1412 | not published | not published | $11,926.03 – $13,181.40 | 9 |
| Inj., rolapitant, 0.5 mg HCPCS J2797 | not published | not published | $0.90 – $0.90 | 1 |
| Inj romidepsin non-lyo 0.1mg HCPCS J9318 | not published | not published | $27.09 – $31.20 | 9 |
| Inj, rykindo, 0.5 mg HCPCS J2801 | not published | not published | $12.38 – $13.68 | 9 |
| Inj scleros sol mult veins CPT 36471 | $625.60 | $782.00 | $74.23 – $703.80 | 14 |
| Inj scleros sol sgl vein CPT 36470 | $580.00 | $725.00 | $37.28 – $652.50 | 14 |
| Inj, sculptra, 0.5mg HCPCS Q2028 | not published | not published | $0.47 – $1.05 | 8 |
| Inj sebelipase alfa 1 mg HCPCS J2840 | not published | not published | $510.50 – $566.91 | 9 |
| Inj secretin synthetic human HCPCS J2850 | $1,590.03 | $1,987.53 | $38.49 – $1,788.78 | 14 |
| Inj secukinumab intrav 1mg HCPCS J3247 | not published | not published | $16.95 – $19.52 | 9 |
| Inj, sezaby, 1 mg HCPCS J2561 | $439.24 | $549.04 | $1.00 – $494.14 | 14 |
| Inj, spesolimab-sbzo, 1 mg HCPCS J1747 | not published | not published | $60.22 – $71.93 | 9 |
| Inj(s) sclerosant spider veins limb/trunk CPT 36468 | $773.60 | $967.00 | $176.74 – $870.30 | 14 |
| Inj sulf hexa lipid microsph HCPCS Q9950 | not published | not published | $1.00 – $1.00 | 1 |
| Inj, susvimo 0.1 mg HCPCS J2779 | not published | not published | $74.99 – $86.39 | 9 |
| Inj, sutimlimab-jome, 10 mg HCPCS J1302 | not published | not published | $17.74 – $20.64 | 9 |
| Inj. tagraxofusp-erzs 10 mcg HCPCS J9269 | $58,832.00 | $73,540.00 | $324.48 – $66,186.00 | 14 |
| Inj, taliglucerace alfa 10 u HCPCS J3060 | not published | not published | $39.05 – $44.98 | 9 |
| Inj teclistamab cqyv 0.5 mg HCPCS J9380 | $19,245.07 | $24,056.33 | $30.90 – $4,358.21 | 14 |
| Inj tedizolid phosphate HCPCS J3090 | not published | not published | $1.74 – $2.15 | 9 |
| Inj teplizumab mzwv 5 mcg HCPCS J9381 | $33,360.00 | $41,700.00 | $35.78 – $37,530.00 | 14 |
| Inj. teprotumumab-trbw 10 mg HCPCS J3241 | not published | not published | $328.00 – $393.08 | 9 |
| Inj testostero enanthate 1mg HCPCS J3121 | not published | not published | $1.00 – $1.00 | 1 |
| Inj, testosterone, azmiro HCPCS J1072 | not published | not published | $1.26 – $1.45 | 9 |
| Inj testosterone cypionate HCPCS J1071 | $160.32 | $200.39 | $1.00 – $178.14 | 11 |
| Inj theophylline per 40 mg HCPCS J2810 | not published | not published | $0.40 – $0.40 | 1 |
| Inj thiotepa nos 1 mg HCPCS J9342 | $517.47 | $646.83 | $10.01 – $582.15 | 14 |
| Inj thrc fascial pln blk bi w/wo image CPT 64468 | $1,497.60 | $1,872.00 | $128.48 – $1,684.80 | 14 |
| Inj thrc fascial pln blk uni w/wo image CPT 64466 | $1,497.60 | $1,872.00 | $111.16 – $1,684.80 | 14 |
| Inj. tigecycline (accord) HCPCS J3244 | not published | not published | $2.65 – $2.65 | 1 |
| Inj., tildrakizumab, 1 mg HCPCS J3245 | $31,164.94 | $38,956.17 | $121.08 – $35,060.55 | 14 |
| Inj, tislelizumab-jsgr HCPCS J9329 | not published | not published | $54.57 – $62.86 | 9 |
| Inj tofersen intrathec 1 mg HCPCS J1304 | not published | not published | $146.57 – $174.44 | 9 |
| Inj, tofidence, 1 mg HCPCS Q5133 | not published | not published | $5.26 – $5.93 | 9 |
| Inj travoprost intra impl HCPCS J7355 | not published | not published | $185.93 – $214.18 | 9 |
| Inj triamcinolone ace X-ray 1mg HCPCS J3304 | $1,716.05 | $2,145.06 | $17.13 – $1,930.55 | 14 |
| Inj triferic avnu 0.1mg iron HCPCS J1445 | not published | not published | $0.16 – $0.16 | 2 |
| Inj., triluron, 1 mg HCPCS J7332 | not published | not published | $9.76 – $11.24 | 9 |
| Inj., triptorelin X-ray 3.75 mg HCPCS J3316 | not published | not published | $3,225.08 – $4,177.39 | 9 |
| Inj, trivisc 1 mg HCPCS J7329 | not published | not published | $4.46 – $5.14 | 9 |
| Inj, tyenne, 1 mg HCPCS Q5135 | $2,091.32 | $2,614.14 | $4.19 – $1,022.10 | 14 |
| Inj ustekinumab-aekn, 1 mg HCPCS Q9998 | not published | not published | $38.33 – $45.67 | 9 |
| Inj ustekinumab-kfce, 1 mg HCPCS Q5100 | not published | not published | $23.73 – $27.84 | 9 |
| Inj ustekinumab-stba, 1 mg HCPCS Q5099 | not published | not published | $12.01 – $13.53 | 9 |
| Inj, uzedy, 1 mg HCPCS J2799 | not published | not published | $23.79 – $27.40 | 9 |
| Inj, vancomycin hcl (mylan) HCPCS J3371 | not published | not published | $6.25 – $6.25 | 1 |
| Inj, vancomycin hcl (xellia) HCPCS J3372 | not published | not published | $6.49 – $6.49 | 1 |
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.