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 |
|---|---|---|---|---|
| Perq p-art revsc 1 abnor uni CPT 33902 | not published | not published | $716.35 – $18,854.56 | 9 |
| Perq p-art revsc 1 nm nt bi CPT 33901 | not published | not published | $741.98 – $11,907.60 | 9 |
| Perq p-art revsc 1 nm nt uni CPT 33900 | not published | not published | $564.56 – $11,907.60 | 9 |
| Perq p-art revsc each addl CPT 33904 | not published | not published | $1.00 – $283.61 | 9 |
| Perq plmt bile duct stent CPT 47538 | $9,707.20 | $12,134.00 | $226.36 – $10,920.60 | 14 |
| Perq plmt bile duct stent CPT 47539 | $6,473.60 | $8,092.00 | $411.10 – $7,282.80 | 14 |
| Perq plmt bile duct stent CPT 47540 | $8,377.60 | $10,472.00 | $423.42 – $9,424.80 | 14 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $505.60 | $632.00 | $86.88 – $568.80 | 14 |
| Perq skel fix rad/uln dislc CPT 25671 | not published | not published | $547.91 – $3,392.43 | 9 |
| Perq skel fix ulnar styld fx CPT 25651 | not published | not published | $502.97 – $3,392.43 | 9 |
| Perqt bx lung/mediastinum 32405 CPT 32405 | not published | not published | $150.11 – $150.11 | 1 |
| Perq transcath closure each CPT 93592 | not published | not published | $1.00 – $374.82 | 9 |
| Perq transcath closure pda CPT 93582 | $31,640.00 | $39,550.00 | $643.11 – $35,595.00 | 14 |
| Perq transcath cls aortic CPT 93591 | not published | not published | $855.49 – $18,495.42 | 9 |
| Perq transcath cls mitral CPT 93590 | not published | not published | $1,040.57 – $18,495.42 | 9 |
| Perq transcath septal reduxn CPT 93583 | not published | not published | $608.07 – $721.67 | 9 |
| Perq trluml angp nt/recr coa CPT 33897 | $11,460.80 | $14,326.00 | $475.68 – $12,893.40 | 14 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | not published | not published | $280.61 – $3,392.43 | 9 |
| Perq tx malar fracture CPT 21355 | not published | not published | $331.88 – $3,374.38 | 9 |
| Perq tx mndblr fx xtrnl fixj CPT 21452 | not published | not published | $457.37 – $6,137.68 | 9 |
| Perq tx nasoethmoid fx CPT 21340 | not published | not published | $756.96 – $3,374.38 | 9 |
| Pertussis ag if CPT 87265 | not published | not published | $11.38 – $24.53 | 9 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $13,044.28 | $16,305.34 | $15.42 – $14,674.81 | 14 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | not published | not published | $58.99 – $67.95 | 9 |
| Pessary 3.5 in 7 vag sil rng fold HCPCS A4562 | not published | not published | $1.00 – $75.50 | 9 |
| Pessary reusable rub anytype HCPCS A4561 | not published | not published | $1.00 – $30.31 | 9 |
| Pet CT skull-mid thgh initial CPT 78815 | $7,500.00 | $9,375.00 | $693.41 – $8,437.50 | 14 |
| Pet CT whole body initial CPT 78816 | $7,892.00 | $9,865.00 | $693.41 – $8,878.50 | 14 |
| Pet fdg brain metoblic eval sb CPT 78608 | $6,936.80 | $8,671.00 | $693.41 – $7,803.90 | 14 |
| Pet image full body CPT 78813 | not published | not published | $693.41 – $1,531.52 | 8 |
| Pet image ltd area CPT 78811 | not published | not published | $629.38 – $1,370.75 | 8 |
| Pet image skull-thigh CPT 78812 | $6,027.20 | $7,534.00 | $693.41 – $6,780.60 | 14 |
| Pet image w/ct lmtd CPT 78814 | $6,559.20 | $8,199.00 | $693.41 – $7,379.10 | 14 |
| Pet not otherwise specified HCPCS G0235 | not published | not published | $182.81 – $421.92 | 8 |
| Pet scan brain perf study CPT 78609 | not published | not published | $64.58 – $71.37 | 9 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $95,520.00 | $119,400.00 | $1.00 – $145.80 | 11 |
| Ph1 assmt&mgmt nqhp 11-20 CPT 98967 | $51.20 | $64.00 | $21.44 – $57.60 | 14 |
| Ph1 assmt&mgmt nqhp 21-30 CPT 98968 | $76.80 | $96.00 | $30.62 – $86.40 | 14 |
| Ph1 assmt&mgmt nqhp 5-10 CPT 98966 | $25.60 | $32.00 | $10.72 – $28.80 | 14 |
| Phalangectomy ea toe 28150 CPT 28150 | not published | not published | $281.95 – $3,392.43 | 9 |
| Pharmacologic management w/psytx CPT 90863 | not published | not published | $22.48 – $24.84 | 9 |
| Ph body fluid CPT 83986 | not published | not published | $3.40 – $7.33 | 9 |
| Phencyclidine (pcp) CPT 83992 | not published | not published | $16.80 – $16.80 | 1 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $348.75 | $435.93 | $1.00 – $364.98 | 11 |
| Phenobarbital therapeutic drug level CPT 80184 | not published | not published | $14.54 – $31.33 | 9 |
| Phentolaine mesylate inj HCPCS J2760 | $1,106.51 | $1,383.13 | $410.42 – $1,244.82 | 14 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $313.96 | $392.45 | $0.01 – $350.81 | 11 |
| Phenylep ketorolac opth soln HCPCS J1097 | not published | not published | $1.00 – $120.36 | 9 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $311.80 | $389.75 | $1.00 – $140.41 | 11 |
| Phenytoin total therapeutic drug level CPT 80185 | not published | not published | $12.59 – $27.13 | 9 |
| Phlebotomy therapeutic CPT 99195 | $256.00 | $320.00 | $56.62 – $286.20 | 14 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | $6,344.80 | $7,931.00 | $265.63 – $7,137.90 | 14 |
| Phleb veins 1 extrm >20 stab CPT 37766 | not published | not published | $325.55 – $3,304.88 | 9 |
| Phone e/m phys/qhp 11-20 min CPT 99442 | not published | not published | $64.91 – $116.61 | 2 |
| Phone e/m phys/qhp 21-30 min CPT 99443 | not published | not published | $96.20 – $172.82 | 2 |
| Phone e/m phys/qhp 5-10 min CPT 99441 | not published | not published | $34.62 – $62.19 | 2 |
| Phosphorus CPT 84100 | not published | not published | $4.50 – $9.71 | 9 |
| Phosphorus 24 hour urine CPT 84105 | not published | not published | $5.49 – $11.84 | 9 |
| Photchmtx tar&uvb/ptrltm&uvb CPT 96910 | not published | not published | $27.11 – $118.50 | 9 |
| Photochemotherapy puva CPT 96912 | not published | not published | $27.11 – $100.86 | 9 |
| Photochemotherapy uv-a or b CPT 96913 | not published | not published | $152.79 – $417.91 | 9 |
| Photodynamic tx addl 15 min CPT 96571 | not published | not published | $1.00 – $24.63 | 9 |
| Photodynmc tx 30 min add-on CPT 96570 | not published | not published | $1.00 – $51.32 | 9 |
| Photo patch test CPT 95052 | not published | not published | $6.32 – $62.37 | 9 |
| Photopheresis CPT 36522 | not published | not published | $93.87 – $4,850.27 | 9 |
| Photosensitivity tests CPT 95056 | not published | not published | $52.26 – $133.88 | 9 |
| Phys blood bank serv authrj CPT 86079 | not published | not published | $24.02 – $56.10 | 9 |
| Phys blood bank serv reactj CPT 86078 | not published | not published | $47.93 – $179.93 | 9 |
| Phys blood bank serv xmatch CPT 86077 | not published | not published | $13.20 – $47.93 | 9 |
| Physical Therapy Evaluation (high complexity) CPT 97163 | $367.20 | $459.00 | $92.35 – $413.10 | 14 |
| Physical Therapy Evaluation (low complexity) CPT 97161 | $272.00 | $340.00 | $92.35 – $306.00 | 14 |
| Physical Therapy Evaluation (moderate complexity) CPT 97162 | $297.60 | $372.00 | $92.35 – $334.80 | 14 |
| Physical Therapy Re-Evaluation CPT 97164 | $241.60 | $302.00 | $63.84 – $271.80 | 14 |
| Physician standby services CPT 99360 | not published | not published | $52.02 – $57.92 | 9 |
| Phys review of motion tests CPT 96004 | not published | not published | $94.37 – $106.19 | 9 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $343.72 | $429.64 | $1.00 – $353.15 | 11 |
| Piflu f-18, dia 1 millicurie HCPCS A9595 | $880.00 | $1,100.00 | $269.70 – $990.00 | 14 |
| Pik3ca gene trgt seq alys CPT 81309 | not published | not published | $261.09 – $562.82 | 9 |
| Pild/placebo control clin tr HCPCS G0276 | not published | not published | $364.50 – $7,500.92 | 9 |
| Pillow shldr abduc inflat univ HCPCS L3960 | $293.60 | $367.00 | $122.95 – $850.71 | 14 |
| Pin caspar distraction 12mm HCPCS C1821 | $36,726.40 | $45,908.00 | $1.00 – $440.10 | 11 |
| Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050 CPT 15050 | $896.00 | $1,120.00 | $278.37 – $1,008.00 | 14 |
| Pin finger dislocation CPT 26776 | not published | not published | $461.70 – $3,392.43 | 9 |
| Pin finger fracture each CPT 26756 | $4,594.40 | $5,743.00 | $436.07 – $5,168.70 | 14 |
| Pin hand dislocation CPT 26676 | not published | not published | $522.95 – $3,392.43 | 9 |
| Pin knuckle dislocation CPT 26706 | not published | not published | $458.70 – $3,392.43 | 9 |
| Pin service 60m per month HCPCS G0023 | not published | not published | $39.51 – $95.28 | 9 |
| Pinworm exam CPT 87172 | not published | not published | $4.06 – $8.74 | 9 |
| Pinworm examinations HCPCS Q0113 | not published | not published | $4.06 – $8.74 | 9 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $322.18 | $402.72 | $1.00 – $350.42 | 11 |
| Pituitary evaluation panel CPT 80418 | not published | not published | $550.51 – $1,186.72 | 9 |
| Place breast cath for rad CPT 19297 | not published | not published | $1.00 – $92.87 | 9 |
| Place breast rad tube/caths CPT 19298 | not published | not published | $314.57 – $6,834.56 | 9 |
| Place cath intracranial art CPT 36228 | $4,590.40 | $5,738.00 | $1.00 – $5,164.20 | 14 |
| Place cath xtrnl carotid CPT 36227 | $7,365.60 | $9,207.00 | $1.00 – $8,286.30 | 14 |
| Place cecostomy tube perc CPT 49442 | $3,240.00 | $4,050.00 | $201.72 – $3,645.00 | 14 |
| Place device/marker, non pro HCPCS C9728 | not published | not published | $614.15 – $1,436.67 | 8 |
| Place duod/jej tube perc CPT 49441 | $3,613.60 | $4,517.00 | $235.34 – $4,065.30 | 14 |
| Place endorectal app HCPCS C9725 | not published | not published | $405.09 – $957.30 | 8 |
| Place gastrostomy tube open 43832 CPT 43832 | not published | not published | $401.78 – $1,047.22 | 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.