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 |
|---|---|---|---|---|
| Laser surgery of prostate CPT 52648 | not published | not published | $689.72 – $5,337.80 | 9 |
| Laser surg penis lesion(s) CPT 54057 | not published | not published | $98.53 – $1,911.28 | 9 |
| Laser treatment of retina CPT 67039 | not published | not published | $946.70 – $4,224.00 | 9 |
| Laser treatment of retina CPT 67040 | not published | not published | $1,021.26 – $4,224.00 | 9 |
| Lateral canthopexy CPT 21282 | not published | not published | $401.45 – $3,374.38 | 9 |
| Lateral thoracic extension HCPCS L1210 | not published | not published | $273.48 – $412.69 | 9 |
| Lateral trochanteric pad HCPCS L1290 | not published | not published | $84.12 – $92.98 | 9 |
| Latex suspension sleeve each HCPCS L6632 | not published | not published | $72.34 – $109.17 | 9 |
| Lat retinacular release open CPT 27425 | not published | not published | $464.69 – $3,392.43 | 9 |
| Lavage cannulation maxillary sinus CPT 31000 | not published | not published | $108.27 – $243.83 | 9 |
| Lavh >250 gms 58553 CPT 58553 | not published | not published | $1,121.46 – $10,788.54 | 9 |
| Lb with mastopexy 15839 CPT 15839 | not published | not published | $740.98 – $2,978.09 | 9 |
| Lead acuity x4 spiral l 86cm HCPCS C1900 | $13,669.60 | $17,087.00 | $1.00 – $6,176.70 | 11 |
| Lead capillary CPT 83655 | not published | not published | $11.50 – $24.80 | 9 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $3,693.60 | $4,617.00 | $1.00 – $149.40 | 11 |
| Leads any type vad, rep only HCPCS Q0487 | not published | not published | $382.29 – $438.28 | 9 |
| Lead tachy durata sj4 58cm HCPCS C1777 | $14,472.00 | $18,090.00 | $1.00 – $9,765.00 | 11 |
| Lefort i-1 piece without graft CPT 21141 | not published | not published | $1,323.18 – $6,137.68 | 9 |
| Lefort i-2 piece without graft CPT 21142 | not published | not published | $1,357.80 – $6,137.68 | 9 |
| Lefort i-3/> piece with graft CPT 21147 | not published | not published | $1,427.04 – $1,688.34 | 9 |
| Lefort i-3/> piece without graft CPT 21143 | not published | not published | $1,399.41 – $6,137.68 | 9 |
| Lefort ii anterior intrusion CPT 21150 | not published | not published | $1,639.74 – $6,137.68 | 9 |
| Left compres band >=3" <5"/yd HCPCS A6449 | not published | not published | $1.00 – $2.57 | 9 |
| Left compres band <3"/yd HCPCS A6448 | not published | not published | $1.00 – $1.69 | 9 |
| Left compres band >=5"/yd HCPCS A6450 | not published | not published | $1.00 – $2.57 | 9 |
| Leg Artery Ultrasound (complete, both legs) CPT 93925 | $1,427.20 | $1,784.00 | $108.61 – $1,605.60 | 14 |
| Leg CT Scan (with contrast, both legs) CPT 73701 | $2,743.20 | $3,429.00 | $81.44 – $3,086.10 | 14 |
| Leg CT Scan (without contrast, both legs) CPT 73700 | $2,452.00 | $3,065.00 | $48.73 – $2,758.50 | 14 |
| Legg perthes orth newington HCPCS L1710 | not published | not published | $1,913.25 – $2,114.65 | 9 |
| Legg perthes orthosis trilat HCPCS L1720 | not published | not published | $1,410.29 – $1,558.75 | 9 |
| Legg perthes orth scottish r HCPCS L1730 | not published | not published | $1,213.33 – $1,341.05 | 9 |
| Legg perthes patten bottom t HCPCS L1755 | not published | not published | $1,694.49 – $1,872.85 | 9 |
| Legion pneumo dna dir prob CPT 87540 | not published | not published | $19.05 – $41.06 | 9 |
| Legion pneumo dna quant CPT 87542 | not published | not published | $39.67 – $85.52 | 9 |
| Leg perthes orth toronto typ HCPCS L1700 | not published | not published | $1,634.41 – $1,806.45 | 9 |
| Leg vein fusion 34530 CPT 34530 | not published | not published | $920.73 – $3,304.88 | 9 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $1,436.80 | $1,796.00 | $108.61 – $1,616.40 | 14 |
| Leishmania antibody CPT 86717 | not published | not published | $11.64 – $25.09 | 9 |
| Lengthening of hand tendon CPT 26478 | not published | not published | $666.75 – $3,392.43 | 9 |
| Lengthening of palate CPT 42227 | not published | not published | $845.84 – $6,137.68 | 9 |
| Lengthening of palate+pharyngeal flap 42226 CPT 42226 | not published | not published | $907.75 – $6,137.68 | 9 |
| Lengthening of thigh bone CPT 27466 | not published | not published | $712.37 – $1,190.36 | 9 |
| Lengthening of thigh tendon CPT 27393 | not published | not published | $510.30 – $7,497.96 | 9 |
| Lengthening of thigh tendons CPT 27394 | not published | not published | $665.08 – $7,497.96 | 9 |
| Lengthening of thigh tendons CPT 27395 | not published | not published | $891.44 – $3,392.43 | 9 |
| Lengthening or shortening - tibia and fibula 27715 CPT 27715 | not published | not published | $942.87 – $1,078.52 | 9 |
| Lengthen metacarpal/finger CPT 26568 | not published | not published | $939.37 – $7,497.96 | 9 |
| Lengthen radius or ulna CPT 25391 | not published | not published | $1,003.29 – $13,510.16 | 9 |
| Lengthen radius & ulna CPT 25393 | not published | not published | $1,135.10 – $7,497.96 | 9 |
| Lens, intraocular (new tech) HCPCS C1780 | not published | not published | $1.00 – $1.00 | 1 |
| Lens iol 23.0 d 1.5 cyl eyhance toric HCPCS V2787 | $1,680.00 | $2,100.00 | $208.96 – $711.00 | 11 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $4,776.00 | $5,970.00 | $1.00 – $641.70 | 14 |
| Lens iol ant chamb 10.5 HCPCS V2630 | $1,020.00 | $1,275.00 | $1.00 – $688.50 | 14 |
| Lepirudin HCPCS J1945 | not published | not published | $610.48 – $610.48 | 1 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $353.72 | $442.14 | $1.00 – $354.58 | 11 |
| Leukacyte transfusion CPT 86950 | not published | not published | $75.71 – $179.93 | 8 |
| Leukocyte phagocytosis CPT 86344 | not published | not published | $9.87 – $21.28 | 9 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $2,348.11 | $2,935.13 | $116.19 – $312.16 | 14 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | $28,001.09 | $35,001.36 | $459.23 – $1,893.56 | 14 |
| Leuprolide acetate implant HCPCS J9219 | not published | not published | $5,398.20 – $5,398.20 | 1 |
| Leuprolide acetate injeciton HCPCS J9218 | $818.04 | $1,022.55 | $7.88 – $920.30 | 11 |
| Leuprolide depot cipla 7.5mg HCPCS J1954 | not published | not published | $362.05 – $773.34 | 9 |
| Leuprolide inj, camcevi, 1mg HCPCS J1952 | not published | not published | $74.35 – $86.36 | 9 |
| Lev 1 hosp type b ed visit HCPCS G0380 | not published | not published | $33.25 – $86.59 | 8 |
| Lev 2 hosp type b ed visit HCPCS G0381 | not published | not published | $53.99 – $116.19 | 8 |
| Lev 3 hosp type b ed visit HCPCS G0382 | not published | not published | $88.66 – $195.92 | 8 |
| Lev 4 hosp type b ed visit HCPCS G0383 | not published | not published | $130.56 – $299.83 | 8 |
| Lev 5 hosp type b ed visit HCPCS G0384 | not published | not published | $168.95 – $416.01 | 8 |
| Levalbuterol comp unit HCPCS J7615 | not published | not published | $0.14 – $0.14 | 1 |
| Levalbuterol non-comp con HCPCS J7612 | not published | not published | $0.30 – $0.31 | 2 |
| Levalbuterol non-comp unit HCPCS J7614 | $143.48 | $179.34 | $0.05 – $1.62 | 11 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $330.40 | $413.00 | $1.00 – $350.64 | 11 |
| Levetiracetam therapeutic drug level CPT 80177 | not published | not published | $12.59 – $27.13 | 9 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $321.04 | $401.30 | $1.00 – $12.49 | 11 |
| Levonorgestrel implant sys HCPCS J7306 | not published | not published | $507.50 – $507.50 | 1 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | $699.17 | $873.96 | $124.66 – $424.16 | 11 |
| L hrt cath chd nm/abn nt cnj CPT 93595 | $8,334.40 | $10,418.00 | $1,444.30 – $9,376.20 | 14 |
| Liberta rc ipg HCPCS C1820 | $55,413.60 | $69,267.00 | $1.00 – $21,115.80 | 11 |
| Lidocaine injection HCPCS J2001 | not published | not published | $1.00 – $1.00 | 1 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | $316.76 | $395.95 | $1.55 – $5.28 | 11 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $316.20 | $395.25 | $0.01 – $353.25 | 14 |
| Lidocaine therapeutic drug level CPT 80176 | not published | not published | $13.96 – $30.08 | 9 |
| Lifileucel til/dose 7.5b-72b snij HCPCS J9999 | not published | not published | $1.00 – $1.00 | 1 |
| Lift assist for elbow HCPCS L6635 | not published | not published | $231.26 – $261.06 | 9 |
| Lift heel adj small gl60404sm HCPCS L3332 | $11.20 | $14.00 | $4.69 – $94.35 | 14 |
| Lift heel adjustable med HCPCS L3334 | not published | not published | $42.63 – $48.83 | 9 |
| Lifts elevation metal extens HCPCS L3330 | not published | not published | $632.60 – $723.81 | 9 |
| Ligate esophagus veins CPT 43400 | not published | not published | $401.78 – $1,519.91 | 9 |
| Ligate leg veins open CPT 37761 | not published | not published | $529.27 – $3,304.88 | 9 |
| Ligate leg veins radical 37760 CPT 37760 | $4,502.40 | $5,628.00 | $565.89 – $5,065.20 | 14 |
| Ligate oviduct(s) add-on 58611 CPT 58611 | not published | not published | $64.58 – $74.90 | 9 |
| Ligate/staple esophagus CPT 43405 | not published | not published | $401.78 – $1,442.68 | 9 |
| Ligate/strip long leg vein CPT 37722 | not published | not published | $453.71 – $3,304.88 | 9 |
| Ligate/strip short leg vein CPT 37718 | not published | not published | $386.47 – $3,304.88 | 9 |
| Ligate/transect fallopian tubes 58600 CPT 58600 | not published | not published | $373.82 – $3,276.65 | 9 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | not published | not published | $203.39 – $1,699.23 | 9 |
| Ligation common iliac vein CPT 37660 | not published | not published | $1,106.93 – $1,308.86 | 9 |
| Ligation/divis of long saph vein 37700 CPT 37700 | $5,842.40 | $7,303.00 | $241.67 – $6,572.70 | 14 |
| Ligation external carotid artery 37600 CPT 37600 | not published | not published | $743.98 – $3,304.88 | 9 |
| Ligation internal/common carotid artery 37605 CPT 37605 | not published | not published | $722.67 – $3,304.88 | 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.