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 |
|---|---|---|---|---|
| Post d/c phone follow up HCPCS G0544 | not published | not published | $87.88 – $97.13 | 8 |
| Post non-seg/spine instrumentation 22840 CPT 22840 | not published | not published | $1.00 – $752.30 | 9 |
| Postop applicat rigid dsg on HCPCS L6388 | not published | not published | $576.46 – $637.14 | 9 |
| Postop app non-wgt bear dsg HCPCS L5450 | not published | not published | $529.67 – $617.47 | 9 |
| Postop app non-wgt bear dsg HCPCS L5460 | not published | not published | $654.33 – $723.21 | 9 |
| Postop dress & 1 cast chg bk HCPCS L5400 | not published | not published | $1,399.33 – $1,546.63 | 9 |
| Postop dsg & 1 cast chg ak/d HCPCS L5420 | not published | not published | $1,949.22 – $2,154.40 | 9 |
| Postop dsg ak ea add cast ch HCPCS L5430 | not published | not published | $573.78 – $634.18 | 9 |
| Postop dsg bk ea add cast ch HCPCS L5410 | not published | not published | $476.41 – $526.55 | 9 |
| Postop dsg cast chg elb dis/ HCPCS L6382 | not published | not published | $1,804.61 – $1,994.57 | 9 |
| Postop dsg cast chg wrst/elb HCPCS L6380 | not published | not published | $1,327.76 – $1,467.52 | 9 |
| Postop ea cast chg & realign HCPCS L6386 | not published | not published | $457.90 – $506.10 | 9 |
| Post-operative body jacket HCPCS L1310 | not published | not published | $2,006.59 – $2,600.34 | 9 |
| Post-op hip abduct custom fa HCPCS L1685 | not published | not published | $1,243.23 – $1,407.06 | 9 |
| Post op service lvrs min 6 HCPCS G0305 | not published | not published | $237.56 – $557.13 | 8 |
| Postpartum Care Only CPT 59430 | not published | not published | $179.42 – $250.26 | 9 |
| Post seg spine instrument/3-6 seg 22842 CPT 22842 | not published | not published | $1.00 – $759.29 | 9 |
| Potassium 24 hour urine CPT 84133 | not published | not published | $4.49 – $9.69 | 9 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $337.20 | $421.50 | $1.00 – $144.18 | 11 |
| Potassium hydroxide preps HCPCS Q0112 | not published | not published | $5.54 – $11.94 | 9 |
| Potassium serum/plasma/whole blood CPT 84132 | not published | not published | $4.52 – $9.75 | 9 |
| Pouch clsd w barr attached HCPCS A5051 | not published | not published | $1.00 – $3.02 | 9 |
| Pouch drainable w barrier at HCPCS A5061 | not published | not published | $1.00 – $5.19 | 9 |
| Pouch high output 2pc 50mm red HCPCS A4413 | not published | not published | $1.00 – $8.09 | 9 |
| Pouch ostmy flat lk n 2.5in roll premier 1pc trnsp HCPCS A4388 | not published | not published | $1.00 – $6.39 | 9 |
| Pouch ostmy nb pouchkin ctf HCPCS A5062 | not published | not published | $1.00 – $3.05 | 9 |
| Pouch uros new (both sides) 2.75in clr HCPCS A4432 | not published | not published | $1.00 – $5.26 | 9 |
| Powder prem protct 1oz HCPCS A4371 | not published | not published | $1.00 – $5.27 | 9 |
| Ppp2r2b gen detc abnor allel CPT 81343 | not published | not published | $130.15 – $280.56 | 9 |
| Pq biliary strict dil s&i CPT 74363 | $1,772.80 | $2,216.00 | $1.00 – $1,994.40 | 11 |
| Pq dr cath chg w cont s&i CPT 75984 | $1,034.40 | $1,293.00 | $1.00 – $1,163.70 | 14 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $12,624.00 | $15,780.00 | $472.02 – $14,202.00 | 14 |
| Pq thr inj ext pse CPT 36002 | $1,127.20 | $1,409.00 | $101.86 – $1,268.10 | 14 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | $4,439.20 | $5,549.00 | $1.00 – $4,994.10 | 14 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | $7,684.00 | $9,605.00 | $427.08 – $8,644.50 | 14 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | $7,352.00 | $9,190.00 | $402.11 – $8,271.00 | 14 |
| Pralatrexate injection HCPCS J9307 | not published | not published | $298.18 – $429.66 | 9 |
| Pralidoxime 1 gram solution for injection HCPCS J2730 | $376.04 | $470.05 | $1.00 – $423.05 | 11 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $3,582.40 | $4,478.00 | $712.35 – $4,030.20 | 14 |
| Pr application of long arm splint CPT 29105 | $405.60 | $507.00 | $41.61 – $456.30 | 14 |
| Pr application splint static short arm CPT 29125 | $360.00 | $450.00 | $40.61 – $405.00 | 14 |
| Pr assessment emotional/behavioral per instrument brief CPT 96127 | not published | not published | $4.66 – $41.21 | 9 |
| Pr biopsy skin punch single lesion CPT 11104 | $520.80 | $651.00 | $46.27 – $585.90 | 14 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | not published | not published | $605.50 – $13,252.82 | 9 |
| Pr correction hammertoe CPT 28285 | not published | not published | $390.46 – $3,392.43 | 9 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $53.60 | $67.00 | $11.65 – $60.30 | 14 |
| Prcrd drg 0-5yr or w/anomly CPT 33018 | $3,245.60 | $4,057.00 | $150.11 – $3,651.30 | 14 |
| Prcrd drg 6+yr without anomly CPT 33017 | $3,475.20 | $4,344.00 | $150.11 – $3,909.60 | 14 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | not published | not published | $153.12 – $3,621.42 | 9 |
| Pr discharge day management hospital ip/obs <=30 min on ecounter date CPT 99238 | not published | not published | $72.09 – $80.22 | 9 |
| Pr discharge day management hospital ip/obs > 30 min on encounter date CPT 99239 | not published | not published | $102.06 – $113.18 | 9 |
| Prealbumin CPT 84134 | not published | not published | $13.86 – $29.88 | 9 |
| Pr ecg 12 lead report only CPT 93010 | not published | not published | $7.19 – $7.99 | 9 |
| Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp CPT 93227 | not published | not published | $16.40 – $18.13 | 9 |
| Prednisolone acetate inj HCPCS J2650 | not published | not published | $0.19 – $0.19 | 1 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $20.08 | $25.10 | $0.45 – $1.52 | 11 |
| Prednisone 1 mg tablet HCPCS J7512 | not published | not published | $1.00 – $1.00 | 1 |
| Prefab glove for term device HCPCS L6890 | not published | not published | $207.22 – $229.04 | 9 |
| Pregabalin - sendout CPT 80366 | not published | not published | $26.59 – $26.59 | 1 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | not published | not published | $197.06 – $1,991.84 | 9 |
| Pregnancy associated plasma protein-a CPT 84163 | not published | not published | $14.30 – $30.82 | 9 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $960.00 | $1,200.00 | $48.73 – $1,080.00 | 14 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $984.80 | $1,231.00 | $48.73 – $1,107.90 | 14 |
| Pregnancy Ultrasound (limited) CPT 76815 | $548.00 | $685.00 | $48.73 – $616.50 | 14 |
| Pr e&m preventive medicine initial comprehensive new patient 12-17 years CPT 99384 | not published | not published | $96.53 – $133.47 | 9 |
| Prenatal Care Only (4-6 visits) CPT 59425 | not published | not published | $433.40 – $531.53 | 9 |
| Prenatal Care Only (7+ visits) CPT 59426 | not published | not published | $795.90 – $971.25 | 9 |
| Pre-op service lvrs 10-15dos HCPCS G0303 | not published | not published | $139.12 – $326.97 | 8 |
| Pre-op service lvrs 1-9 dos HCPCS G0304 | not published | not published | $237.56 – $557.13 | 8 |
| Pre-op service lvrs complete HCPCS G0302 | not published | not published | $237.56 – $557.13 | 8 |
| Prep ak ischial direct form HCPCS L5570 | not published | not published | $2,537.55 – $3,238.77 | 9 |
| Prep ak ischial laminated HCPCS L5590 | not published | not published | $3,283.64 – $3,869.13 | 9 |
| Prep ak ischial plast molded HCPCS L5560 | not published | not published | $2,614.59 – $2,992.84 | 9 |
| Prep ak ischial thermo mold HCPCS L5580 | not published | not published | $3,149.48 – $3,637.95 | 9 |
| Preparation for bladder xray CPT 51605 | not published | not published | $1.00 – $38.28 | 9 |
| Preparation palate mold CPT 42280 | not published | not published | $108.52 – $534.71 | 9 |
| Prepare donor lung double CPT 32856 | not published | not published | $6.50 – $6.50 | 1 |
| Prepare donor lung single CPT 32855 | not published | not published | $879.25 – $879.25 | 1 |
| Prepare embryo for transfer CPT 89255 | not published | not published | $24.02 – $56.10 | 8 |
| Prepare fecal microbiota CPT 44705 | not published | not published | $69.23 – $111.78 | 9 |
| Prepare heart-aorta conduit CPT 33404 | not published | not published | $1,448.85 – $1,708.65 | 9 |
| Prepare penis study CPT 54230 | $628.80 | $786.00 | $1.00 – $707.40 | 14 |
| Prepare sperm duct x-ray CPT 55300 | not published | not published | $1.00 – $183.41 | 9 |
| Prep bk ptb laminated socket HCPCS L5540 | not published | not published | $2,294.61 – $2,559.96 | 9 |
| Prep bk ptb open end socket HCPCS L5535 | not published | not published | $1,933.61 – $2,137.15 | 9 |
| Prep bk ptb plaster molded HCPCS L5510 | not published | not published | $1,922.12 – $2,124.44 | 9 |
| Prep bk ptb thermopls molded HCPCS L5530 | not published | not published | $2,157.90 – $2,385.04 | 9 |
| Prep cadaver renal allograft CPT 50323 | not published | not published | $146.74 – $146.74 | 1 |
| Prep corneal endo allograft CPT 65757 | not published | not published | $1.00 – $1.00 | 1 |
| Prep donor intestine/artery CPT 44721 | not published | not published | $316.93 – $377.81 | 9 |
| Prep donor intestine/venous CPT 44720 | not published | not published | $226.13 – $269.96 | 9 |
| Prep donor liver/arterial CPT 47147 | not published | not published | $316.51 – $377.48 | 9 |
| Prep donor liver/venous CPT 47146 | not published | not published | $271.12 – $323.22 | 9 |
| Prep donor liver whole CPT 47143 | not published | not published | $1,574.77 – $1,574.77 | 1 |
| Prep donor pancreas/venous CPT 48552 | not published | not published | $194.52 – $232.68 | 9 |
| Prep donor renal graft CPT 50325 | not published | not published | $140.16 – $140.16 | 1 |
| Prepj skn cll ssp agrft 1st CPT 15013 | not published | not published | $6,887.98 – $7,613.03 | 8 |
| Prepj tum cav iort prtl mast CPT 19294 | not published | not published | $1.00 – $162.78 | 9 |
| Pre-plan 3d model w/ccta HCPCS C9793 | not published | not published | $463.42 – $1,068.26 | 8 |
| Prep renal graft/arterial CPT 50328 | not published | not published | $157.67 – $187.41 | 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.