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 |
|---|---|---|---|---|
| Obtaining screen pap smear HCPCS Q0091 | not published | not published | $13.20 – $25.71 | 9 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | $512.00 | $640.00 | $48.73 – $576.00 | 14 |
| Ob Ultrasound nuchal meas add-on CPT 76814 | not published | not published | $1.00 – $74.23 | 9 |
| Occlude fallopian tube(s) device 58615 CPT 58615 | not published | not published | $255.32 – $3,276.65 | 9 |
| Occupational Therapy Evaluation (high complexity) CPT 97167 | $375.20 | $469.00 | $94.81 – $422.10 | 14 |
| Occupational Therapy Evaluation (low complexity) CPT 97165 | $279.20 | $349.00 | $94.81 – $314.10 | 14 |
| Occupational Therapy Evaluation (moderate complexity) CPT 97166 | $336.80 | $421.00 | $94.81 – $378.90 | 14 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | $47,202.96 | $59,003.70 | $56.44 – $53,103.33 | 14 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $313.48 | $391.84 | $1.00 – $351.11 | 11 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | $16,134.36 | $20,167.94 | $193.40 – $9,316.12 | 14 |
| Ocular function screen CPT 99172 | not published | not published | $13.08 – $13.08 | 1 |
| Ocular instrumnt screen bil CPT 99174 | not published | not published | $5.65 – $6.32 | 9 |
| Ocular instrumnt screen bil CPT 99177 | not published | not published | $4.42 – $4.99 | 9 |
| Ocular photodynamic ther CPT 67221 | not published | not published | $204.39 – $576.03 | 9 |
| Ocular reconst transplant CPT 65780 | not published | not published | $586.19 – $3,959.55 | 9 |
| Ocular reconst transplant CPT 65781 | not published | not published | $1,309.20 – $5,417.70 | 9 |
| Ocular reconst transplant CPT 65782 | not published | not published | $1,131.11 – $3,959.55 | 9 |
| Ofatumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9302 | not published | not published | $59.12 – $65.35 | 9 |
| Off base opioid tx, 60 m HCPCS G2087 | not published | not published | $70.67 – $385.14 | 9 |
| Off base opioid tx 70min HCPCS G2086 | not published | not published | $70.67 – $399.12 | 9 |
| Off/op cnsltj new/est low 30 CPT 99243 | $277.60 | $347.00 | $87.21 – $312.30 | 14 |
| Off/op cnsltj new/est mod 40 CPT 99244 | $447.20 | $559.00 | $132.82 – $503.10 | 14 |
| Off/op consltj new/est hi 55 CPT 99245 | $493.60 | $617.00 | $178.42 – $555.30 | 14 |
| Off/op consltj new/est sf 20 CPT 99242 | not published | not published | $55.26 – $74.82 | 9 |
| Offset knee joint each HCPCS L2390 | not published | not published | $114.41 – $172.65 | 9 |
| Offset knee joint heavy duty HCPCS L2395 | not published | not published | $163.53 – $219.90 | 9 |
| Oil silicone ophth 8.5ml silikon 1000 HCPCS C1814 | $3,583.20 | $4,479.00 | $1.00 – $4,031.10 | 11 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $340.43 | $425.53 | $0.89 – $360.97 | 11 |
| Olanzapine long-acting inj HCPCS J2358 | not published | not published | $2.77 – $3.19 | 9 |
| Ol dig e/m svc 11-20 min CPT 99422 | not published | not published | $26.28 – $29.05 | 8 |
| Ol dig e/m svc 21+ min CPT 99423 | not published | not published | $41.95 – $46.37 | 8 |
| Ol dig e/m svc 5-10 min CPT 99421 | not published | not published | $13.45 – $14.86 | 8 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | $3,978.96 | $4,973.70 | $39.04 – $4,476.33 | 14 |
| Omental flap extra-abdom 49904 CPT 49904 | not published | not published | $1,185.88 – $1,388.09 | 9 |
| Omental flap intra-abdom 49905 CPT 49905 | not published | not published | $294.43 – $348.52 | 9 |
| Onc breast mrna 12 genes CPT 81522 | not published | not published | $3,679.35 – $7,931.52 | 9 |
| Onc breast mrna 58 genes CPT 81520 | not published | not published | $2,384.70 – $5,140.66 | 9 |
| Onc breast mrna 70 genes CPT 81521 | not published | not published | $3,679.35 – $7,931.52 | 9 |
| Onc brst mrna 11 genes CPT 81518 | not published | not published | $3,679.35 – $7,931.52 | 9 |
| Onc brst mrna 70 cnt 31 gene CPT 81523 | not published | not published | $3,679.35 – $7,931.52 | 9 |
| Onc cutan mlnma mrna 31 gene CPT 81529 | not published | not published | $6,833.35 – $14,730.54 | 9 |
| Oncology colon mrna CPT 81525 | not published | not published | $2,960.20 – $6,381.26 | 9 |
| Oncology colorectal scr CPT 81528 | not published | not published | $483.43 – $1,042.11 | 9 |
| Oncology gynecologic CPT 81535 | not published | not published | $550.49 – $1,186.68 | 9 |
| Oncology gynecologic CPT 81536 | not published | not published | $168.68 – $363.63 | 9 |
| Oncology lung CPT 81538 | not published | not published | $2,727.45 – $5,879.52 | 9 |
| Oncology prostate prob score CPT 81539 | not published | not published | $722.00 – $1,556.40 | 9 |
| Oncology tissue of origin CPT 81504 | not published | not published | $494.00 – $1,064.91 | 9 |
| Oncology tum unknown origin CPT 81540 | not published | not published | $3,562.50 – $7,679.63 | 9 |
| Onco (ovar) five proteins CPT 81503 | not published | not published | $852.15 – $1,836.97 | 9 |
| Onco (ovar) two proteins CPT 81500 | not published | not published | $247.48 – $533.48 | 9 |
| Oncoprotein dcp CPT 83951 | not published | not published | $61.19 – $131.91 | 9 |
| Oncoprotein her-2/neu CPT 83950 | not published | not published | $61.19 – $131.91 | 9 |
| Onc prostate 3 genes CPT 81551 | not published | not published | $1,928.50 – $4,157.24 | 9 |
| Onc prostate mrna 22 cnt gen CPT 81542 | not published | not published | $3,679.35 – $7,931.52 | 9 |
| Onc prostate mrna 46 genes CPT 81541 | not published | not published | $3,679.35 – $7,931.52 | 9 |
| Onc thyr mrna 10,196 gen alg CPT 81546 | not published | not published | $3,240.00 – $7,372.44 | 9 |
| Onc uveal mlnma mrna 15 gene CPT 81552 | not published | not published | $7,387.20 – $15,924.47 | 9 |
| Ondansetron 4 mg s0119 HCPCS S0119 | $1.60 | $2.00 | $0.40 – $21.06 | 11 |
| Ondansetron 8 mg disintegrating tablet HCPCS Q0162 | $20.64 | $25.79 | $1.00 – $9.60 | 11 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $312.04 | $390.04 | $1.00 – $350.21 | 11 |
| One way chest drain valve HCPCS A7040 | not published | not published | $1.00 – $60.12 | 9 |
| Oocyte identification CPT 89254 | not published | not published | $75.71 – $179.93 | 8 |
| Oophorectomy partial or total 58943 CPT 58943 | not published | not published | $1,052.14 – $1,206.01 | 9 |
| Open ablate liver tumor cryo CPT 47381 | not published | not published | $311.84 – $1,478.96 | 9 |
| Open ablate liver tumor rf CPT 47380 | not published | not published | $1,227.51 – $1,444.01 | 9 |
| Open aortic tube prosth repair 34830 CPT 34830 | not published | not published | $1,424.05 – $1,717.64 | 9 |
| Open aortofemor prosth repr CPT 34832 | not published | not published | $1,530.29 – $1,846.46 | 9 |
| Open aortoiliac prosth repr 34831 CPT 34831 | not published | not published | $1,565.32 – $1,878.41 | 9 |
| Open bx/exc inguinofem nodes CPT 38531 | not published | not published | $450.05 – $3,994.97 | 9 |
| Open bx of lung pleura 32098 CPT 32098 | not published | not published | $634.71 – $747.97 | 9 |
| Open cor endarterect w cabg/ea ves 33572 CPT 33572 | not published | not published | $187.06 – $224.69 | 9 |
| Open nasoethmoid fx with fixj CPT 21339 | not published | not published | $760.62 – $6,137.68 | 9 |
| Open nasoethmoid fx without fixj CPT 21338 | not published | not published | $673.74 – $6,137.68 | 9 |
| Open periprosthetic breast capsule 19370 CPT 19370 | not published | not published | $674.07 – $3,994.97 | 9 |
| Open skull for drainage 61312 CPT 61312 | not published | not published | $1,427.04 – $2,096.78 | 9 |
| Open tenotomy tendon flexor foot single or multiple 28230 CPT 28230 | not published | not published | $287.27 – $1,680.43 | 9 |
| Open thrombectomy of av fistula without revision 36831 CPT 36831 | $11,643.20 | $14,554.00 | $603.84 – $13,098.60 | 14 |
| Open tx compl front sinus fx CPT 21344 | not published | not published | $1,229.41 – $1,392.75 | 9 |
| Open tx iliac spine uni/bil HCPCS G0412 | not published | not published | $638.36 – $729.99 | 9 |
| Open tx nose fx w/skele fixj CPT 21330 | not published | not published | $537.93 – $6,137.68 | 9 |
| Open tx nose & septal fx CPT 21335 | not published | not published | $720.34 – $3,374.38 | 9 |
| Open tx post pelvic fxcture HCPCS G0415 | not published | not published | $712.37 – $1,370.78 | 9 |
| Open tx rib 1-3 fx w/fix 21811 CPT 21811 | not published | not published | $587.86 – $7,497.96 | 9 |
| Open tx rib 4-6 fx w/fix 21812 CPT 21812 | not published | not published | $709.36 – $7,497.96 | 9 |
| Open tx rib 7+ fx w/fix 21813 CPT 21813 | not published | not published | $712.37 – $1,680.43 | 9 |
| Open tx/sternum fracture 21825 CPT 21825 | not published | not published | $482.37 – $555.24 | 9 |
| Open wedge/bx lung infiltr CPT 32096 | not published | not published | $673.63 – $789.58 | 9 |
| Open wedge bx lung nodule 32097 CPT 32097 | not published | not published | $672.99 – $790.91 | 9 |
| Ophthalmic biometry CPT 92136 | not published | not published | $46.94 – $133.88 | 9 |
| Ophthalmic endoscope add-on CPT 66990 | not published | not published | $1.00 – $86.55 | 9 |
| Ophthalmic mitomycin HCPCS J7315 | $1,404.00 | $1,755.00 | $1.00 – $1,579.50 | 11 |
| Ophthalmodynamometry CPT 92260 | not published | not published | $10.65 – $41.21 | 9 |
| Ophth Ultrasound b & quant a CPT 76510 | not published | not published | $56.62 – $133.88 | 9 |
| Oph Ultrasound dx ant sgm Ultrasound uni/bi CPT 76513 | not published | not published | $48.73 – $111.66 | 9 |
| Oph Ultrasound dx quan a-scan only CPT 76511 | not published | not published | $48.73 – $111.66 | 9 |
| Opioids & opiate analogs 3/4 CPT 80363 | not published | not published | $29.86 – $29.86 | 1 |
| Opn abltj 1/> rnl mas crysrg CPT 50250 | not published | not published | $902.79 – $1,204.34 | 9 |
| Opn ax/subcla art expos CPT 34715 | $2,507.20 | $3,134.00 | $1.00 – $2,820.60 | 14 |
| Opn exc/dst ntra-abd CPT 49189 | not published | not published | $1,989.15 – $2,198.53 | 8 |
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.