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 |
|---|---|---|---|---|
| Ped critical care subsq CPT 99472 | not published | not published | $349.26 – $391.13 | 9 |
| Ped home apnea mntr att only CPT 94775 | not published | not published | $69.23 – $164.28 | 8 |
| Ped home apnea mntr dl&alys CPT 94776 | $487.20 | $609.00 | $69.23 – $548.10 | 14 |
| Pediatric electric hand HCPCS L7008 | not published | not published | $6,343.47 – $7,297.77 | 9 |
| Pediatric electric hook HCPCS L7045 | not published | not published | $1,799.79 – $2,036.99 | 9 |
| Pedicle enel/ntroral 15576 CPT 15576 | not published | not published | $646.44 – $1,911.28 | 9 |
| Ped term dev, hand, vol clos HCPCS L6714 | not published | not published | $1,482.01 – $1,695.72 | 9 |
| Ped term dev, hand, vol open HCPCS L6713 | not published | not published | $1,749.73 – $2,002.08 | 9 |
| Ped term dev, hook, vol clos HCPCS L6712 | not published | not published | $1,386.40 – $1,586.30 | 9 |
| Ped term dev, hook, vol open HCPCS L6711 | not published | not published | $752.97 – $861.60 | 9 |
| Pegademase bovine, 25 iu HCPCS J2504 | not published | not published | $354.08 – $354.08 | 1 |
| Pegaptanib sodium injection HCPCS J2503 | not published | not published | $755.86 – $755.86 | 1 |
| Pegaspargase injection HCPCS J9266 | $44,843.32 | $56,054.14 | $18,778.14 – $50,448.73 | 14 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $13,745.25 | $17,181.56 | $31.73 – $14,931.72 | 14 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | $5,644.82 | $7,056.02 | $88.98 – $6,350.42 | 14 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $9,673.66 | $12,092.07 | $101.02 – $10,440.35 | 14 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | $1,871.77 | $2,339.71 | $175.66 – $2,105.74 | 14 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $3,647.59 | $4,559.48 | $94.17 – $4,103.53 | 14 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | not published | not published | $131.07 – $154.18 | 9 |
| Peginesatide injection HCPCS J0890 | not published | not published | $9.70 – $9.70 | 1 |
| Peg interferon alfa-2a/180 HCPCS S0145 | not published | not published | $1,135.69 – $1,135.69 | 2 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | $49,135.11 | $61,418.88 | $3,307.05 – $55,276.99 | 14 |
| Pegunigalsidase alfa-iwxj HCPCS J2508 | not published | not published | $216.75 – $249.68 | 9 |
| Pelv band/spread bar thigh c HCPCS L1640 | not published | not published | $529.16 – $669.70 | 9 |
| Pelvic band & belt thigh fla HCPCS L2192 | not published | not published | $372.67 – $421.77 | 9 |
| Pelvic control band & belt b HCPCS L2640 | not published | not published | $351.23 – $397.52 | 9 |
| Pelvic control band & belt u HCPCS L2630 | not published | not published | $258.81 – $390.56 | 9 |
| Pelvic control hip heavy dut HCPCS L2620 | not published | not published | $279.45 – $316.28 | 9 |
| Pelvic control pelvic sling HCPCS L2580 | not published | not published | $485.08 – $718.08 | 9 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $2,727.20 | $3,409.00 | $81.44 – $3,068.10 | 14 |
| Pelvic CT scan (with contrast) CPT 72193 | $2,283.20 | $2,854.00 | $81.44 – $2,568.60 | 14 |
| Pelvic CT scan (without contrast) CPT 72192 | $2,350.40 | $2,938.00 | $48.73 – $2,644.20 | 14 |
| Pelvic exenteration CPT 45126 | not published | not published | $1,412.81 – $2,715.93 | 9 |
| Pelvic & hip control thigh c HCPCS L1680 | not published | not published | $1,273.47 – $1,441.29 | 9 |
| Pelvic MRI (with and without contrast) CPT 72197 | $4,811.20 | $6,014.00 | $170.46 – $5,412.60 | 14 |
| Pelvic MRI (with contrast) CPT 72196 | not published | not published | $170.46 – $374.99 | 9 |
| Pelvic MRI (without contrast) CPT 72195 | $3,602.40 | $4,503.00 | $108.61 – $4,052.70 | 14 |
| Pelvic ring fracture uni/bil HCPCS G0413 | not published | not published | $1,069.19 – $7,497.96 | 9 |
| Pelvic ring fx treat int fix HCPCS G0414 | not published | not published | $712.37 – $1,008.94 | 9 |
| Pelvic Ultrasound (complete) CPT 76856 | $996.00 | $1,245.00 | $48.73 – $1,120.50 | 14 |
| Pelvic Ultrasound (limited) CPT 76857 | $508.80 | $636.00 | $48.73 – $572.40 | 14 |
| Pelvis X-ray (1 to 2 views) CPT 72170 | $392.00 | $490.00 | $27.96 – $441.00 | 14 |
| Pelvis X-ray (complete, 4 or more views) CPT 72190 | $562.40 | $703.00 | $42.28 – $632.70 | 14 |
| Pelv & thor control gluteal HCPCS L2650 | not published | not published | $128.44 – $141.96 | 9 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $13,414.32 | $16,767.90 | $56.41 – $15,091.11 | 14 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $2,407.50 | $3,009.37 | $3.22 – $258.26 | 14 |
| Pemivibart infusion HCPCS M0224 | $790.40 | $988.00 | $261.33 – $889.20 | 14 |
| Peng benzathine/procaine inj HCPCS J0558 | $404.40 | $505.49 | $15.74 – $454.94 | 14 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $379.20 | $473.99 | $20.16 – $423.50 | 14 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $338.32 | $422.90 | $1.00 – $288.29 | 11 |
| Penicillin g procaine inj HCPCS J2510 | $182.85 | $228.56 | $39.40 – $205.70 | 14 |
| Penile injection CPT 54235 | $403.20 | $504.00 | $73.57 – $453.60 | 14 |
| Penile rear tip xtnd 0.5cm HCPCS C2622 | $22,508.80 | $28,136.00 | $1.00 – $25,322.40 | 11 |
| Penile vascular study CPT 93980 | $822.40 | $1,028.00 | $48.73 – $925.20 | 14 |
| Penile vascular study CPT 93981 | not published | not published | $48.73 – $111.66 | 9 |
| Penile venous occlusion CPT 37790 | not published | not published | $484.00 – $3,621.42 | 9 |
| Penis plastic surgery CPT 54360 | not published | not published | $717.68 – $3,621.42 | 9 |
| Penis study CPT 54240 | not published | not published | $107.19 – $326.97 | 9 |
| Pentamidine non-comp unit HCPCS J2545 | $163.88 | $204.84 | $40.35 – $108.41 | 11 |
| Pentastarch 10% solution HCPCS J2513 | not published | not published | $13.99 – $13.99 | 1 |
| Pentazocine injection HCPCS J3070 | not published | not published | $1.00 – $1.00 | 1 |
| Pentobarbital sodium inj HCPCS J2515 | $249.72 | $312.15 | $1.00 – $221.60 | 11 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | $5,152.76 | $6,440.94 | $2,157.71 – $5,796.85 | 14 |
| Perc cryo ablate renal tum CPT 50593 | $12,634.40 | $15,793.00 | $445.72 – $14,213.70 | 14 |
| Perc d-e cor revasc chro add HCPCS C9608 | $16,333.60 | $20,417.00 | $1.00 – $18,375.30 | 11 |
| Perc d-e cor revasc chro sin HCPCS C9607 | $31,221.60 | $39,027.00 | $7,772.16 – $35,124.30 | 14 |
| Perc d-e cor revasc t cabg b HCPCS C9605 | $16,303.20 | $20,379.00 | $1.00 – $18,341.10 | 11 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | $26,716.00 | $33,395.00 | $4,876.09 – $30,055.50 | 14 |
| Perc d-e cor stent ather br HCPCS C9603 | $16,847.20 | $21,059.00 | $1.00 – $18,953.10 | 11 |
| Perc d-e cor stent ather s HCPCS C9602 | $29,534.40 | $36,918.00 | $7,772.16 – $33,226.20 | 14 |
| Perc drug-el cor stent bran HCPCS C9601 | $16,454.40 | $20,568.00 | $1.00 – $18,511.20 | 11 |
| Perc drug-el cor stent sing HCPCS C9600 | $23,747.20 | $29,684.00 | $4,876.09 – $26,715.60 | 14 |
| Perc rf ablate renal tumor CPT 50592 | $10,048.80 | $12,561.00 | $334.21 – $11,304.90 | 14 |
| Percut ablate liver rf CPT 47382 | $10,048.80 | $12,561.00 | $716.01 – $11,304.90 | 14 |
| Percutaneous islet celltrans HCPCS G0341 | not published | not published | $304.25 – $1,576.42 | 9 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $560.56 | $700.69 | $1.00 – $545.76 | 11 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | not published | not published | $150.11 – $204.72 | 9 |
| Pericardiectomy/sub or com/w bypas 33031 CPT 33031 | not published | not published | $2,038.66 – $2,421.67 | 9 |
| Pericardiocentesis wwo imaging CPT 33016 | $2,934.40 | $3,668.00 | $228.69 – $3,301.20 | 14 |
| Pericardiotomy/clot/for bod remove 33020 CPT 33020 | not published | not published | $692.48 – $811.22 | 9 |
| Peri-implt capslc brst compl CPT 19371 | not published | not published | $713.35 – $3,994.97 | 9 |
| Perineoplasty rpr per nonob CPT 56810 | not published | not published | $274.95 – $3,276.65 | 9 |
| Peripheral vascular rehab CPT 93668 | $136.80 | $171.00 | $14.65 – $153.90 | 14 |
| Peri-proc device eval icd CPT 93287 | $223.20 | $279.00 | $1.00 – $251.10 | 14 |
| Peri-proc device eval pm CPT 93286 | $165.60 | $207.00 | $1.00 – $186.30 | 14 |
| Peritoneal cath sub q resv per CPT 49419 | $5,248.00 | $6,560.00 | $415.43 – $5,904.00 | 14 |
| Peritoneogram rs&i CPT 74190 | $1,080.00 | $1,350.00 | $198.57 – $1,215.00 | 14 |
| Perit-vens shunt pat tst CPT 78291 | $1,248.80 | $1,561.00 | $182.81 – $1,404.90 | 14 |
| Permanent tear duct plug HCPCS A4263 | $912.00 | $1,140.00 | $1.00 – $470.70 | 11 |
| Peroneal straps pair pre ots HCPCS L0980 | not published | not published | $18.69 – $20.65 | 9 |
| Perp bk ptb thermopls direct HCPCS L5520 | not published | not published | $1,639.71 – $1,812.31 | 9 |
| Perphenazine 4mg oral HCPCS Q0175 | not published | not published | $1.00 – $1.00 | 1 |
| Perphenazine injeciton HCPCS J3310 | not published | not published | $1.00 – $1.00 | 1 |
| Perq art m-thrombect &/nfs CPT 61645 | $14,144.00 | $17,680.00 | $700.00 – $15,912.00 | 14 |
| Perq clsr tcat l atr apndge CPT 33340 | $20,190.40 | $25,238.00 | $643.15 – $22,714.20 | 14 |
| Perq dev breast 1st mr guide CPT 19287 | not published | not published | $122.83 – $737.40 | 9 |
| Perq dev breast 1st strtctc CPT 19283 | not published | not published | $97.20 – $737.40 | 9 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | not published | not published | $1,113.13 – $9,655.15 | 9 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | not published | not published | $692.05 – $9,655.15 | 9 |
| Perq p-art revsc 1 abnor bi CPT 33903 | not published | not published | $844.17 – $11,907.60 | 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.