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 |
|---|---|---|---|---|
| Orthopantogram CPT 70355 | $432.80 | $541.00 | $18.31 – $486.90 | 14 |
| Orthopedic shoe add rub insl HCPCS L3510 | not published | not published | $32.68 – $37.38 | 9 |
| Orthop traing pfrmd phys/qhp CPT 92065 | not published | not published | $32.95 – $40.21 | 9 |
| Orthop traing supvj phys/qhp CPT 92066 | not published | not published | $26.30 – $62.37 | 9 |
| Ortho shoe add full sole HCPCS L3540 | not published | not published | $56.86 – $65.07 | 9 |
| Ortho shoe add half sole HCPCS L3530 | not published | not published | $35.54 – $40.67 | 9 |
| Ortho shoe add leather insol HCPCS L3500 | not published | not published | $32.68 – $37.38 | 9 |
| Ortho shoe add march bar HCPCS L3595 | not published | not published | $46.88 – $53.64 | 9 |
| Ortho sidebar disconnect HCPCS L2768 | not published | not published | $145.63 – $166.65 | 9 |
| Orthosis lso rigd frm hyperex HCPCS L0472 | $325.60 | $407.00 | $136.35 – $478.31 | 14 |
| Orthovisc inj per dose HCPCS J7324 | not published | not published | $108.81 – $125.34 | 9 |
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | $384.00 | $480.00 | $160.80 – $432.00 | 14 |
| Ortho wrst/hnd w/jnt cstm w/fit&adj HCPCS L3905 | $1,016.80 | $1,271.00 | $425.79 – $1,154.34 | 14 |
| Oscillation chest wall mechanical per session CPT 94669 | not published | not published | $20.64 – $213.56 | 9 |
| O shoe add felt w leath insl HCPCS L3520 | not published | not published | $35.54 – $40.67 | 9 |
| O shoe add horseshoe toe tap HCPCS L3560 | not published | not published | $25.56 – $29.23 | 9 |
| O shoe add instep extension HCPCS L3570 | not published | not published | $95.27 – $108.97 | 9 |
| O shoe add instep velcro clo HCPCS L3580 | not published | not published | $72.49 – $82.94 | 9 |
| O shoe add standard toe tap HCPCS L3550 | not published | not published | $9.99 – $11.41 | 9 |
| O shoe convert to sof counte HCPCS L3590 | not published | not published | $59.72 – $68.31 | 9 |
| Osmolality blood CPT 83930 | not published | not published | $6.28 – $13.54 | 9 |
| Osmolality urine CPT 83935 | not published | not published | $6.48 – $13.97 | 9 |
| Ostectomy complete 1st metatarsal head 28111 CPT 28111 | not published | not published | $320.89 – $3,392.43 | 9 |
| Ostectomy scapula partial CPT 23190 | not published | not published | $585.53 – $3,392.43 | 9 |
| Osteoart algrft w/surf & b1 CPT 20932 | not published | not published | $1.00 – $746.64 | 9 |
| Osteochondral knee allograft CPT 27415 | not published | not published | $1,378.10 – $13,510.16 | 9 |
| Osteochondral knee autograft CPT 27416 | not published | not published | $986.97 – $7,497.96 | 9 |
| Osteochondral talus autogrft CPT 28446 | not published | not published | $1,230.97 – $7,497.96 | 9 |
| Osteopath manip tx/5-6 body region 98927 CPT 98927 | not published | not published | $11.50 – $45.60 | 9 |
| Osteopath manip tx/7-8 body region 98928 CPT 98928 | not published | not published | $11.50 – $57.59 | 9 |
| Osteopath manip tx/9-10 body region98929 CPT 98929 | not published | not published | $11.50 – $68.91 | 9 |
| Osteoplasty humerus CPT 24420 | not published | not published | $1,072.19 – $7,497.96 | 9 |
| Osteot dsc ant 1 vrt sgm crv CPT 22220 | not published | not published | $104.52 – $1,633.42 | 9 |
| Osteot dsc ant 1vrt sgm ea CPT 22226 | not published | not published | $104.52 – $356.18 | 9 |
| Osteot dsc ant 1vrt sgm lmbr CPT 22224 | not published | not published | $104.52 – $1,592.47 | 9 |
| Osteot dsc ant 1vrt sgm thrc CPT 22222 | not published | not published | $104.52 – $1,790.87 | 9 |
| Osteot humerus w/wo int fixj CPT 24400 | not published | not published | $836.51 – $7,497.96 | 9 |
| Osteot mlt relignmt imed rod CPT 27712 | not published | not published | $970.85 – $1,109.14 | 9 |
| Osteotomy/graft tarsal/calcaneus/talus 28305 CPT 28305 | not published | not published | $679.06 – $7,497.96 | 9 |
| Ostomy clamp, replacement HCPCS A4363 | not published | not published | $2.67 – $2.95 | 9 |
| Ostomy irrigation set HCPCS A4400 | not published | not published | $1.00 – $71.69 | 9 |
| Ost pch drain 2 piece system HCPCS A4426 | not published | not published | $1.00 – $4.00 | 9 |
| Ost pch drain for barrier fl HCPCS A4425 | not published | not published | $1.00 – $5.25 | 9 |
| Ost pch drain w bar & filter HCPCS A4424 | not published | not published | $1.00 – $6.98 | 9 |
| Ost pch for bar w flange/flt HCPCS A4419 | not published | not published | $1.00 – $2.53 | 9 |
| Ost skn barr extnd >4 sq HCPCS A4410 | not published | not published | $1.00 – $13.26 | 9 |
| Ost urine pch w b/bltin conv HCPCS A4430 | not published | not published | $1.00 – $12.50 | 9 |
| Other bone graft microvasc CPT 20962 | not published | not published | $1,434.68 – $2,667.33 | 9 |
| Other immunoelectrophoresis CPT 86325 | not published | not published | $21.97 – $47.37 | 9 |
| Oth resp proc, group HCPCS G0239 | $177.60 | $222.00 | $12.98 – $199.80 | 14 |
| Oth resp proc, indiv HCPCS G0238 | $132.80 | $166.00 | $10.32 – $148.50 | 14 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $128.00 | $160.00 | $47.44 – $144.00 | 14 |
| Otolaryngo binocular microscopy 92504 CPT 92504 | not published | not published | $1.00 – $29.00 | 9 |
| Otoplasty 69300 CPT 69300 | not published | not published | $473.35 – $3,374.38 | 9 |
| Ot re-evaluation patient/family CPT 97168 | $256.00 | $320.00 | $65.50 – $288.00 | 14 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $54.40 | $68.00 | $19.48 – $61.20 | 14 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $112.00 | $140.00 | $20.40 – $126.00 | 14 |
| Outflow tarct agmntj heart chamber 33478 CPT 33478 | not published | not published | $1,308.28 – $1,549.53 | 9 |
| Outrigger HCPCS L1080 | not published | not published | $58.48 – $84.11 | 9 |
| Outrigger bil with vert extens HCPCS L1085 | not published | not published | $164.74 – $182.08 | 9 |
| Ovarian cystectomy 58925 CPT 58925 | not published | not published | $770.94 – $5,183.27 | 9 |
| Ovine, 1000 usp units HCPCS J3472 | not published | not published | $1.00 – $1.00 | 1 |
| Ovulation tests CPT 84830 | not published | not published | $12.07 – $26.01 | 9 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | $319.62 | $399.52 | $1.00 – $354.34 | 11 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $460.40 | $575.50 | $1.00 – $247.84 | 11 |
| Oxymorphone hcl injection HCPCS J2410 | not published | not published | $2.91 – $2.91 | 1 |
| Oxytetracycline injection HCPCS J2460 | not published | not published | $0.53 – $0.53 | 1 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $311.92 | $389.90 | $1.00 – $238.80 | 11 |
| P-32 chromic phos ther per mci HCPCS A9564 | not published | not published | $290.47 – $290.47 | 1 |
| P-32 sod phosphate ther per mci HCPCS A9563 | not published | not published | $1.00 – $188.08 | 8 |
| Pabpn1 gene detc abnor allel CPT 81312 | not published | not published | $130.15 – $280.56 | 9 |
| Packing strips, non-impreg HCPCS A6407 | not published | not published | $1.00 – $2.74 | 9 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $351.76 | $439.70 | $1.00 – $239.46 | 11 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $3,386.68 | $4,233.35 | $10.02 – $3,810.02 | 14 |
| Palb2 gene full gene seq CPT 81307 | not published | not published | $642.68 – $1,385.40 | 9 |
| Palb2 gene known famil vrnt CPT 81308 | not published | not published | $286.28 – $617.13 | 9 |
| Palifermin injection HCPCS J2425 | not published | not published | $26.51 – $38.91 | 9 |
| Palingen or palingen xplus HCPCS Q4173 | not published | not published | $1.00 – $1.00 | 1 |
| Palingen or promatrx HCPCS Q4174 | not published | not published | $1.00 – $1.00 | 1 |
| Paliperidone 117 mg/0.75 ml inj HCPCS J2426 | $5,529.99 | $6,912.48 | $14.34 – $4,192.49 | 14 |
| Palivizumab 50 mg/0.5 ml inj CPT 90378 | $9,331.67 | $11,664.58 | $339.68 – $5,623.12 | 14 |
| Palonosetron hcl HCPCS J2469 | $322.16 | $402.69 | $1.00 – $354.59 | 11 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $334.96 | $418.70 | $1.00 – $357.94 | 11 |
| Pancreas removal/transplant CPT 48160 | not published | not published | $2,557.45 – $2,557.45 | 1 |
| Pancreatectomy CPT 48146 | not published | not published | $1,593.91 – $1,879.75 | 9 |
| Pancreatectomy CPT 48152 | not published | not published | $2,424.01 – $2,871.71 | 9 |
| Pancreatectomy CPT 48154 | not published | not published | $2,434.55 – $2,884.36 | 9 |
| Pancreatectomy 48153 CPT 48153 | not published | not published | $2,557.45 – $3,089.41 | 9 |
| Pancreatectomy dist subtot w/wo splenecto 48140 CPT 48140 | not published | not published | $1,328.04 – $1,563.85 | 9 |
| Pancreatorrhaphy CPT 48545 | not published | not published | $311.84 – $1,345.81 | 9 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | not published | not published | $149.72 – $189.36 | 9 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $314.94 | $393.67 | $103.16 – $351.03 | 11 |
| Papaverin hcl injection HCPCS J2440 | $332.92 | $416.15 | $1.00 – $363.97 | 11 |
| Parathormone (pth) intact CPT 83970 | not published | not published | $39.22 – $84.54 | 9 |
| Parathyrdec/expl parathyr medstnl sternal/tthrc 60505 CPT 60505 | not published | not published | $1,228.50 – $1,401.40 | 9 |
| Parathyrd planar w/spect&ct CPT 78072 | $2,536.00 | $3,170.00 | $239.57 – $2,853.00 | 14 |
| Parathyroid autotransplantation 60512 CPT 60512 | not published | not published | $1.00 – $239.34 | 9 |
| Parathyroid planar imaging CPT 78070 | $2,087.20 | $2,609.00 | $182.81 – $2,348.10 | 14 |
| Parathyroid planar img w/tomo spect CPT 78071 | $2,280.80 | $2,851.00 | $182.81 – $2,565.90 | 14 |
| Paravaginal defect repair 57284 CPT 57284 | not published | not published | $834.18 – $5,183.27 | 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.