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 |
|---|---|---|---|---|
| Ligation internal jugular vein 37565 CPT 37565 | not published | not published | $723.34 – $3,304.88 | 9 |
| Ligation major artery chest CPT 37616 | not published | not published | $961.47 – $1,115.13 | 9 |
| Ligation/major artery/extremity 37618 CPT 37618 | $4,899.20 | $6,124.00 | $278.44 – $5,511.60 | 14 |
| Ligation major artery neck CPT 37615 | not published | not published | $514.29 – $3,304.88 | 9 |
| Ligation nasal sinus artery CPT 30915 | not published | not published | $607.83 – $3,304.88 | 9 |
| Ligation of abdomen artery 37617 CPT 37617 | not published | not published | $1,106.54 – $1,308.53 | 9 |
| Ligation of femoral vein CPT 37650 | $5,084.00 | $6,355.00 | $451.38 – $5,719.50 | 14 |
| Ligation of inf vena cava CPT 37619 | not published | not published | $1,714.64 – $5,675.99 | 9 |
| Ligation of neck artery CPT 37606 | not published | not published | $744.97 – $3,304.88 | 9 |
| Ligation of salivary duct CPT 42665 | not published | not published | $220.36 – $3,374.38 | 9 |
| Ligation of shunt CPT 49428 | not published | not published | $367.78 – $431.74 | 9 |
| Ligation upper jaw artery CPT 30920 | not published | not published | $876.79 – $3,304.88 | 9 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | $5,324.00 | $6,655.00 | $252.32 – $5,989.50 | 14 |
| Lig/band angioaccess av fistula CPT 37607 | $8,584.80 | $10,731.00 | $368.49 – $9,657.90 | 14 |
| Lig&div&compl strpg saph vn CPT 37735 | not published | not published | $571.55 – $3,304.88 | 9 |
| Liletta, 52 mg HCPCS J7297 | $696.08 | $870.10 | $291.48 – $950.37 | 11 |
| Limb exercise test CPT 95875 | not published | not published | $69.23 – $163.71 | 9 |
| Limb nerve surgery add-on CPT 64783 | not published | not published | $1.00 – $212.37 | 9 |
| Limited ankle motion ea jnt HCPCS L2200 | $102.40 | $128.00 | $42.88 – $115.20 | 14 |
| Limited motion knee joint HCPCS L2184 | not published | not published | $129.48 – $160.51 | 9 |
| Limited visual field xm CPT 92081 | not published | not published | $27.11 – $62.37 | 9 |
| Lincomycin injection HCPCS J2010 | not published | not published | $1.00 – $1.00 | 1 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $364.19 | $455.23 | $1.00 – $356.85 | 11 |
| Lipase CPT 83690 | not published | not published | $6.55 – $14.11 | 9 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | not published | not published | $351.85 – $3,374.38 | 9 |
| Lipoprotein blood high res frac & quant CPT 83701 | not published | not published | $32.17 – $69.34 | 9 |
| Lipoprotein blood quant CPT 83704 | not published | not published | $32.48 – $70.02 | 9 |
| Lipoprotein direct measurement hdl CPT 83718 | not published | not published | $7.78 – $16.77 | 9 |
| Lipoprotein direct measurement ldl CPT 83721 | not published | not published | $9.98 – $21.50 | 9 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | not published | not published | $32.48 – $70.02 | 9 |
| Lip surgery procedure CPT 40799 | not published | not published | $108.27 – $243.83 | 8 |
| Lisocabtagene mara car pos t HCPCS Q2054 | not published | not published | $220,021.60 – $615,607.82 | 9 |
| Listeria monocytogenes CPT 86723 | not published | not published | $12.53 – $27.01 | 9 |
| Lith ion batt cid, ear level HCPCS L8624 | not published | not published | $180.61 – $207.03 | 9 |
| Lith ion batt cid,non-earlvl HCPCS L8623 | not published | not published | $72.45 – $83.08 | 9 |
| Lithium ion battery charger HCPCS L7368 | not published | not published | $565.24 – $646.75 | 9 |
| Lithium therapeutic drug level CPT 80178 | not published | not published | $6.28 – $13.54 | 9 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $4,904.00 | $6,130.00 | $127.13 – $5,517.00 | 14 |
| Litt icr 1 traj 1 smpl les CPT 61736 | not published | not published | $992.23 – $1,214.00 | 9 |
| Litt icr mlt trj mlt/cplx ls CPT 61737 | not published | not published | $1,176.63 – $1,462.65 | 9 |
| Liver abs/cyst dr opn 1-2 stge CPT 47010 | not published | not published | $1,034.38 – $1,212.33 | 9 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | not published | not published | $167.38 – $360.82 | 9 |
| Liver elastography 91200 CPT 91200 | not published | not published | $30.62 – $163.71 | 9 |
| Liver Function Test CPT 80076 | not published | not published | $7.76 – $16.73 | 9 |
| Liver hem/re-expl wnd/remove pack 47362 CPT 47362 | not published | not published | $311.84 – $1,447.67 | 9 |
| Liver image (3d) with flow CPT 78206 | not published | not published | $182.81 – $182.81 | 1 |
| Liver imaging CPT 78201 | $1,817.60 | $2,272.00 | $176.42 – $2,044.80 | 14 |
| Liver imaging (3d) CPT 78205 | not published | not published | $182.81 – $182.81 | 1 |
| Liver imag w/vasclr flow CPT 78202 | not published | not published | $194.07 – $565.18 | 9 |
| Liver/spleen imag static only CPT 78215 | $1,614.40 | $2,018.00 | $181.75 – $1,816.20 | 14 |
| Liver/spleen imag w/vasclr flow CPT 78216 | $767.20 | $959.00 | $127.49 – $863.10 | 14 |
| Lmtd oph exam general anes CPT 92019 | not published | not published | $71.57 – $2,449.13 | 9 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | $4,931.20 | $6,164.00 | $471.68 – $5,547.60 | 14 |
| Lockingelbow forearm cntrbal HCPCS L6693 | not published | not published | $3,179.62 – $3,638.10 | 9 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | $18.00 | $22.50 | $1.00 – $18.00 | 11 |
| Lomustine 10 mg HCPCS S0178 | not published | not published | $114.74 – $123.92 | 2 |
| Loncastuximab tesirine-lpyl 10 mg intravenous solution HCPCS J9359 | not published | not published | $195.94 – $237.37 | 9 |
| Long tongue stirrup HCPCS L2265 | not published | not published | $126.05 – $139.31 | 9 |
| Loop ostmy bridg ster HCPCS A4421 | not published | not published | $1.00 – $1.00 | 1 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $323.56 | $404.45 | $1.00 – $350.52 | 11 |
| Lo rig pos pnl l1-l5 pre ots HCPCS L0641 | not published | not published | $54.91 – $60.69 | 9 |
| Lo sag rig pnl stays pre cst HCPCS L0626 | $76.00 | $95.00 | $31.83 – $99.88 | 14 |
| Loudness balance test CPT 92562 | not published | not published | $48.27 – $326.97 | 9 |
| Low back disk surgery CPT 63030 | not published | not published | $927.06 – $7,497.96 | 9 |
| Low cost skin substitute app HCPCS C5271 | not published | not published | $278.37 – $642.74 | 8 |
| Low cost skin substitute app HCPCS C5273 | not published | not published | $808.29 – $1,920.69 | 8 |
| Low cost skin substitute app HCPCS C5275 | not published | not published | $278.37 – $642.74 | 8 |
| Low cost skin substitute app HCPCS C5277 | not published | not published | $278.37 – $642.74 | 8 |
| Low cost skin substitute app HCPCS C5272 | not published | not published | $1.00 – $1.00 | 1 |
| Low cost skin substitute app HCPCS C5274 | not published | not published | $1.00 – $1.00 | 1 |
| Low cost skin substitute app HCPCS C5276 | not published | not published | $1.00 – $1.00 | 1 |
| Low cost skin substitute app HCPCS C5278 | not published | not published | $1.00 – $1.00 | 1 |
| Low-Dose Lung Cancer Screening CT Scan CPT 71271 | $3,050.40 | $3,813.00 | $48.73 – $3,431.70 | 14 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $3,156.00 | $3,945.00 | $81.44 – $3,550.50 | 14 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $2,603.20 | $3,254.00 | $170.46 – $2,928.60 | 14 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $2,652.00 | $3,315.00 | $48.73 – $2,983.50 | 14 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $4,865.60 | $6,082.00 | $170.46 – $5,473.80 | 14 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $3,289.60 | $4,112.00 | $170.46 – $3,700.80 | 14 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $3,555.20 | $4,444.00 | $108.61 – $3,999.60 | 14 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $585.60 | $732.00 | $39.94 – $658.80 | 14 |
| Lower Back (Lumbar Spine) X-ray (4 or more views) CPT 72110 | $776.00 | $970.00 | $48.73 – $873.00 | 14 |
| Lower Back (Lumbar Spine) X-ray (with bending views) CPT 72114 | $738.40 | $923.00 | $48.73 – $830.70 | 14 |
| Lower jaw bone graft CPT 21215 | not published | not published | $786.58 – $6,137.68 | 9 |
| Lower Leg (Shin) X-ray (both sides) CPT 73590 | $445.60 | $557.00 | $31.62 – $501.30 | 14 |
| Low frequency non-thermal Ultrasound CPT 97610 | not published | not published | $17.64 – $208.64 | 9 |
| Loxapine for inhalation 1 mg HCPCS J2062 | not published | not published | $15.11 – $16.70 | 9 |
| Lsh uterus 250 g or less CPT 58541 | not published | not published | $733.66 – $10,788.54 | 9 |
| Lsh uterus above 250 g CPT 58543 | not published | not published | $845.84 – $10,788.54 | 9 |
| Lsh w/t/o ut 250 g or less CPT 58542 | not published | not published | $832.85 – $10,788.54 | 9 |
| Lsh w/t/o uterus above 250 g CPT 58544 | not published | not published | $908.75 – $10,788.54 | 9 |
| Lso corset front HCPCS L0972 | not published | not published | $108.73 – $130.95 | 9 |
| Lso flex no ri stays pre ots HCPCS L0628 | not published | not published | $59.10 – $65.32 | 9 |
| Lso full corset HCPCS L0976 | not published | not published | $167.12 – $239.99 | 9 |
| Lso r post pnl sj-t9 pre cst HCPCS L0630 | not published | not published | $181.05 – $207.52 | 9 |
| Lso sag-coronal panel custom HCPCS L0638 | not published | not published | $1,474.29 – $1,686.89 | 9 |
| Lso sag-co shell pnl pre ots HCPCS L0651 | not published | not published | $836.84 – $924.92 | 9 |
| Lso sag ctr rigi pos pre ots HCPCS L0643 | not published | not published | $114.10 – $126.11 | 9 |
| Lso sagit rigid panel prefab HCPCS L0635 | not published | not published | $1,024.45 – $1,132.29 | 9 |
| Lso sagittal rigid panel cus HCPCS L0636 | not published | not published | $1,515.50 – $1,970.39 | 9 |
| Lso sc r pos/lat pnl pre cst HCPCS L0633 | not published | not published | $320.53 – $367.48 | 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.