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 |
|---|---|---|---|---|
| Lso sc r pos/lat pnl pre ots HCPCS L0649 | not published | not published | $202.03 – $223.29 | 9 |
| Lso s/c shell/panel custom HCPCS L0640 | not published | not published | $1,169.64 – $1,338.30 | 9 |
| Lso s/c shell/panel prefab HCPCS L0639 | not published | not published | $1,200.16 – $1,326.50 | 9 |
| L/s ratio fetal lung CPT 83661 | not published | not published | $20.89 – $45.03 | 9 |
| Lubricant per ounce HCPCS A4402 | not published | not published | $1.00 – $2.34 | 9 |
| Lumbar bolster pad HCPCS L1030 | not published | not published | $68.09 – $75.25 | 9 |
| Lumbar derotation pad HCPCS L1240 | not published | not published | $83.11 – $91.85 | 9 |
| Lumbar diskogram s&i CPT 72295 | $4,131.20 | $5,164.00 | $111.18 – $4,647.60 | 14 |
| Lumbar or lumbar rib pad HCPCS L1040 | not published | not published | $83.50 – $92.28 | 9 |
| Lumbar sling HCPCS L1090 | not published | not published | $105.96 – $117.12 | 9 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $1,590.81 – $19,309.55 | 9 |
| Lumizyme injection HCPCS J0221 | $2,473.80 | $3,092.24 | $196.26 – $2,783.02 | 14 |
| Lung Function Test Before and After an Inhaler CPT 94060 | $696.00 | $870.00 | $38.95 – $783.00 | 14 |
| Lung function test (mbc/mvv) CPT 94200 | not published | not published | $14.98 – $62.37 | 9 |
| Lung Function Test (Spirometry) CPT 94010 | $469.60 | $587.00 | $27.30 – $528.30 | 14 |
| Lung perfusion imaging CPT 78580 | $808.00 | $1,010.00 | $182.81 – $909.00 | 14 |
| Lung transplant double CPT 32853 | not published | not published | $3,772.49 – $4,482.49 | 9 |
| Lung transplant single CPT 32851 | not published | not published | $2,699.29 – $3,208.92 | 9 |
| Lung transplant with bypass CPT 32852 | not published | not published | $2,917.31 – $3,452.91 | 9 |
| Lung transplant with bypass CPT 32854 | not published | not published | $3,984.72 – $4,745.47 | 9 |
| Lung volume reduction 32491 CPT 32491 | not published | not published | $1,229.07 – $1,452.33 | 9 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | not published | not published | $196.77 – $226.66 | 9 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | $11,573.46 | $14,466.82 | $39.21 – $13,020.14 | 14 |
| Lutetium lu 177 dotatat ther HCPCS A9513 | $507.20 | $634.00 | $212.39 – $570.60 | 14 |
| Lutetium lu 177 vipivotide HCPCS A9607 | $256.00 | $320.00 | $107.20 – $288.00 | 14 |
| Lvad shower bag heartmate HCPCS Q0501 | not published | not published | $571.96 – $655.77 | 9 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | not published | not published | $13.20 – $31.62 | 9 |
| Lwr ext dynamic prosth pylon HCPCS L5985 | not published | not published | $316.27 – $360.70 | 9 |
| Lyme dis dna dir probe CPT 87475 | not published | not published | $19.05 – $41.06 | 9 |
| Lymphadenect/stage/pelv/paraaortic 38562 CPT 38562 | not published | not published | $621.35 – $708.36 | 9 |
| Lymphatics/lymph node imaging CPT 78195 | $2,459.20 | $3,074.00 | $239.57 – $2,766.60 | 14 |
| Lymphocyte culture mixed CPT 86821 | not published | not published | $34.73 – $74.87 | 9 |
| Lymphocyte transformation mitogen CPT 86353 | not published | not published | $46.58 – $100.41 | 9 |
| Lymphocytotoxicity assay CPT 86805 | not published | not published | $180.03 – $388.10 | 9 |
| Lymphocytotoxicity assay CPT 86806 | not published | not published | $45.21 – $97.46 | 9 |
| Lymph vessel x-ray arm/leg CPT 75801 | not published | not published | $278.44 – $649.17 | 8 |
| Lymph vessel x-ray arms/legs CPT 75803 | not published | not published | $709.86 – $1,631.11 | 8 |
| Lymph vessel x-ray trunk CPT 75805 | not published | not published | $1,412.81 – $3,304.88 | 8 |
| Lymph vessel x-ray trunk CPT 75807 | not published | not published | $1,412.81 – $3,304.88 | 8 |
| Lysis intranasal synechia 30560 CPT 30560 | not published | not published | $152.46 – $534.71 | 9 |
| Lysis of labial adhesions CPT 56441 | $3,547.20 | $4,434.00 | $156.78 – $3,990.60 | 14 |
| Lysis penil circumic lesion CPT 54162 | $5,322.40 | $6,653.00 | $200.39 – $5,987.70 | 14 |
| Lyumjev for insulin pump use HCPCS J1813 | not published | not published | $15.68 – $15.68 | 1 |
| Macro exam dissect molec study ea CPT 88387 | not published | not published | $1.00 – $33.54 | 9 |
| Macroscopic exam arthropod CPT 87168 | not published | not published | $4.06 – $8.74 | 9 |
| Macroscopic exam parasite CPT 87169 | not published | not published | $4.09 – $8.83 | 9 |
| Magnesium CPT 83735 | not published | not published | $6.37 – $13.72 | 9 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $333.44 | $416.80 | $1.00 – $7.23 | 11 |
| Magnetic image bone marrow CPT 77084 | $2,945.60 | $3,682.00 | $108.61 – $3,313.80 | 14 |
| Makena, 10 mg HCPCS J1726 | not published | not published | $13.82 – $20.62 | 2 |
| Malaria antibody CPT 86750 | not published | not published | $12.53 – $27.01 | 9 |
| Male sling procedure CPT 53440 | not published | not published | $748.97 – $13,453.91 | 9 |
| Mammosite ced HCPCS C1728 | $7,144.00 | $8,930.00 | $1.00 – $1,186.20 | 11 |
| Management of liver hemorrhage 47361 CPT 47361 | not published | not published | $2,533.79 – $2,986.22 | 9 |
| Manipulate finger w/anesth CPT 26340 | not published | not published | $367.83 – $1,680.43 | 9 |
| Manipulate wrist w/anesthes CPT 25259 | not published | not published | $444.72 – $1,680.43 | 9 |
| Manipulation of hip joint CPT 27275 | not published | not published | $186.74 – $1,680.43 | 9 |
| Manipulation of spine CPT 22505 | not published | not published | $130.82 – $1,680.43 | 9 |
| Manipulat palm cord post inj CPT 26341 | $381.60 | $477.00 | $79.22 – $429.30 | 14 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | $323.60 | $404.50 | $1.00 – $351.00 | 11 |
| Mannitol for inhaler HCPCS J7665 | not published | not published | $1.00 – $1.00 | 1 |
| Man's shoe oxford brace HCPCS L3225 | not published | not published | $82.50 – $96.53 | 9 |
| Manual diff wbc count b-coat CPT 85009 | not published | not published | $4.82 – $10.38 | 9 |
| Mapping functional cort/subcort ea add'l hr CPT 95962 | not published | not published | $1.00 – $280.57 | 9 |
| Mapping io sentinel lymph node CPT 38900 | not published | not published | $1.00 – $136.15 | 9 |
| Map tachycard site(s) CPT 93609 | $5,136.80 | $6,421.00 | $1.00 – $5,778.90 | 11 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | not published | not published | $45.93 – $57.44 | 9 |
| Marker biop eviva buckle ss HCPCS A4648 | $4,378.40 | $5,473.00 | $1.00 – $483.30 | 11 |
| Marker lymphatic sentimag magtrace 10 vial HCPCS A9697 | $5,136.80 | $6,421.00 | $1.00 – $5,778.90 | 14 |
| Marsupialization liver lesion 47300 CPT 47300 | not published | not published | $966.71 – $1,136.77 | 9 |
| Mask full face lg af531 HCPCS A7030 | not published | not published | $105.23 – $108.38 | 2 |
| Mastectomy form HCPCS L8020 | not published | not published | $228.74 – $252.82 | 9 |
| Mastectomy partial CPT 19301 | not published | not published | $663.42 – $3,994.97 | 9 |
| Mast mod rad CPT 19307 | not published | not published | $1,183.37 – $6,834.56 | 9 |
| Mastoidectomy CPT 69501 | not published | not published | $714.35 – $6,137.68 | 9 |
| Mastoidectomy complete 69502 CPT 69502 | not published | not published | $948.36 – $6,137.68 | 9 |
| Mastoids complete CPT 70130 | $538.40 | $673.00 | $48.73 – $605.70 | 14 |
| Mastoid surgery revision CPT 69603 | not published | not published | $1,286.89 – $6,137.68 | 9 |
| Mastopexy CPT 19316 | not published | not published | $794.24 – $6,834.56 | 9 |
| Mast radical CPT 19305 | not published | not published | $982.82 – $1,152.75 | 9 |
| Mast rad urban type CPT 19306 | not published | not published | $1,049.43 – $1,224.98 | 9 |
| Mast simple complete CPT 19303 | not published | not published | $961.34 – $6,834.56 | 9 |
| Matrion 1 sq cm HCPCS Q4201 | not published | not published | $1.00 – $1.00 | 1 |
| Matrix bone cryomatrix 2.0ml HCPCS Q4162 | not published | not published | $1.00 – $1.00 | 1 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | $229.60 | $287.00 | $1.00 – $25.20 | 11 |
| M.avium-intra dna amp prob CPT 87561 | not published | not published | $33.34 – $71.86 | 9 |
| M.avium-intra dna dir prob CPT 87560 | not published | not published | $25.93 – $55.89 | 9 |
| M.avium-intra dna quant CPT 87562 | not published | not published | $40.70 – $87.73 | 9 |
| Maxillofacial fixation CPT 21100 | not published | not published | $356.84 – $6,137.68 | 9 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | not published | not published | $13.74 – $29.61 | 9 |
| Mayo aathr protein s free CPT 85306 | not published | not published | $14.55 – $31.37 | 9 |
| Mayo activated protein c resistance assay CPT 85307 | not published | not published | $14.55 – $31.37 | 9 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | not published | not published | $36.64 – $78.99 | 9 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | not published | not published | $17.20 – $17.20 | 1 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | not published | not published | $17.20 – $17.20 | 1 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | not published | not published | $14.04 – $30.27 | 9 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | not published | not published | $54.32 – $54.32 | 1 |
| Mayo alpha 1 antitrypsin CPT 82103 | not published | not published | $12.77 – $27.52 | 9 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | not published | not published | $14.33 – $30.88 | 9 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | not published | not published | $27.57 – $27.57 | 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.