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 |
|---|---|---|---|---|
| Prep renal graft/ureteral CPT 50329 | not published | not published | $149.82 – $177.42 | 9 |
| Prep renal graft/venous CPT 50327 | not published | not published | $179.55 – $213.71 | 9 |
| Prep skin cell susp, automtd HCPCS C8002 | not published | not published | $6,887.98 – $7,613.03 | 8 |
| Prep skin to 100cm2 other CPT 15004 | $3,065.60 | $3,832.00 | $256.65 – $3,448.80 | 14 |
| Prep skin to 100cm2 trk/ext CPT 15002 | $3,346.40 | $4,183.00 | $217.37 – $3,764.70 | 14 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | not published | not published | $1.00 – $66.40 | 9 |
| Pressure max expiratory/inspiratory CPT 94799 | $1,901.60 | $2,377.00 | $69.23 – $253.80 | 14 |
| Pressure treatment esophagus CPT 43460 | not published | not published | $184.67 – $208.38 | 9 |
| Pressure velocity wire add ves CPT 93572 | $1,892.80 | $2,366.00 | $1.00 – $2,129.40 | 11 |
| Pre-tibial shell molded to p HCPCS L2340 | not published | not published | $467.12 – $528.69 | 9 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | not published | not published | $75.71 – $179.93 | 8 |
| Pretreat rbc absorption reference CPT 86978 | not published | not published | $27.11 – $62.37 | 8 |
| Pretreat rbc density gradient separation reference CPT 86972 | not published | not published | $75.71 – $179.93 | 8 |
| Pretreat rbc w chem/drugs reference CPT 86970 | not published | not published | $27.11 – $62.37 | 8 |
| Pretreat rbc w enzyme reference CPT 86971 | not published | not published | $75.71 – $179.93 | 8 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | $308.00 | $385.00 | $70.67 – $346.50 | 14 |
| Preventive counseling group CPT 99411 | not published | not published | $7.32 – $19.83 | 9 |
| Preventive counseling group CPT 99412 | not published | not published | $12.32 – $24.71 | 9 |
| Prev med cnsl indiv apprx 15 CPT 99401 | not published | not published | $23.30 – $38.43 | 9 |
| Prev med cnsl indiv apprx 30 CPT 99402 | not published | not published | $47.27 – $62.46 | 9 |
| Prev med cnsl indiv apprx 45 CPT 99403 | not published | not published | $70.57 – $85.27 | 9 |
| Prev med cnsl indiv apprx 60 CPT 99404 | not published | not published | $94.20 – $109.35 | 9 |
| Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment HCPCS G0402 | not published | not published | $58.59 – $135.31 | 9 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $1,760.00 | $2,200.00 | $82.55 – $1,980.00 | 14 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | $3,263.20 | $4,079.00 | $165.44 – $3,671.10 | 14 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $1,158.40 | $1,448.00 | $101.86 – $1,303.20 | 14 |
| Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 | not published | not published | $401.78 – $1,358.13 | 9 |
| Prgrmg dev eval impltbl sys CPT 93260 | not published | not published | $16.72 – $75.23 | 9 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | not published | not published | $16.72 – $66.91 | 9 |
| Prgrmg dev eval scrms ip CPT 93285 | not published | not published | $16.72 – $59.58 | 9 |
| Prgrmg eval implantable dfb CPT 93282 | $1,548.80 | $1,936.00 | $16.72 – $1,742.40 | 14 |
| Prgrmg eval implantable dfb CPT 93283 | $1,548.80 | $1,936.00 | $16.72 – $1,742.40 | 14 |
| Prgrmg eval implantable dfb CPT 93284 | not published | not published | $16.72 – $104.52 | 9 |
| Prgr stim/pace a/iv drug CPT 93623 | $3,859.20 | $4,824.00 | $1.00 – $4,341.60 | 11 |
| Pr hospital ip/obs care initial high level per day CPT 99223 | not published | not published | $153.55 – $171.10 | 9 |
| Pr hospital ip/obs care initial moderate level per day CPT 99222 | not published | not published | $115.05 – $129.16 | 9 |
| Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 | not published | not published | $72.37 – $81.89 | 9 |
| Pr hospital ip/obs care subsequent high level per day CPT 99233 | not published | not published | $104.94 – $117.17 | 9 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | not published | not published | $70.05 – $77.89 | 9 |
| Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 | not published | not published | $43.35 – $48.93 | 9 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $10,380.80 | $12,976.00 | $417.76 – $18,495.42 | 14 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | $7,024.80 | $8,781.00 | $1.00 – $7,902.90 | 14 |
| Prin care mgmt staff 1st 30 CPT 99426 | not published | not published | $39.51 – $97.13 | 9 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $752.80 | $941.00 | $176.74 – $846.90 | 14 |
| Pr incision & drainage abscess simple/single CPT 10060 | $536.00 | $670.00 | $88.73 – $603.00 | 14 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $512.80 | $641.00 | $128.16 – $576.90 | 14 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $855.20 | $1,069.00 | $106.19 – $962.10 | 14 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | not published | not published | $58.59 – $188.07 | 9 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | not published | not published | $58.59 – $138.48 | 9 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $264.80 | $331.00 | $1.00 – $288.00 | 14 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | $5,412.80 | $6,766.00 | $612.82 – $6,089.40 | 14 |
| Probe cryo 1150mm endo flex ster disp HCPCS C2618 | $9,503.20 | $11,879.00 | $1.00 – $5,872.50 | 11 |
| Probe nasolacrimal duct CPT 68810 | not published | not published | $126.83 – $307.90 | 9 |
| Probe nasolacrimal duct CPT 68811 | not published | not published | $133.82 – $2,449.13 | 9 |
| Probe nasolacrimal duct CPT 68815 | not published | not published | $220.36 – $2,449.13 | 9 |
| Probe nl duct w/balloon CPT 68816 | not published | not published | $155.45 – $2,449.13 | 9 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $315.63 | $394.53 | $132.15 – $355.04 | 14 |
| Procalcitonin CPT 84145 | not published | not published | $25.86 – $55.74 | 9 |
| Procarbazine 50 mg caps 100 each bottle HCPCS S0182 | not published | not published | $131.85 – $151.49 | 2 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $321.14 | $401.42 | $1.00 – $353.37 | 11 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | not published | not published | $1.00 – $1.00 | 1 |
| Proctectomy combined abd pull-thru px 45112 CPT 45112 | not published | not published | $523.05 – $1,791.87 | 9 |
| Proctectomy complete abd w/clst 45110 CPT 45110 | not published | not published | $523.05 – $1,800.52 | 9 |
| Proctosigmoidoscopy ablate CPT 45320 | not published | not published | $104.52 – $2,879.51 | 9 |
| Proctosigmoidoscopy control bleed 45317 CPT 45317 | not published | not published | $110.18 – $1,236.80 | 9 |
| Proctosigmoidoscopy dilate 45303 CPT 45303 | not published | not published | $85.22 – $1,236.80 | 9 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | $1,224.80 | $1,531.00 | $47.93 – $1,377.90 | 14 |
| Proctosigmoidoscopy removal CPT 45308 | not published | not published | $84.55 – $2,879.51 | 9 |
| Proctosigmoidoscopy removal CPT 45309 | not published | not published | $89.54 – $1,236.80 | 9 |
| Proctosigmoidoscopy tumor removal 45315 CPT 45315 | not published | not published | $105.52 – $1,236.80 | 9 |
| Proctosigmoidoscopy volvul CPT 45321 | not published | not published | $103.19 – $2,879.51 | 9 |
| Proctosigmoidoscopy w/bx 45305 CPT 45305 | not published | not published | $72.57 – $1,236.80 | 9 |
| Proctosigmoidoscopy w/fb remove 45307 CPT 45307 | $5,040.80 | $6,301.00 | $100.20 – $5,670.90 | 14 |
| Proctosigmoidoscopy w/stent CPT 45327 | not published | not published | $116.51 – $6,131.39 | 9 |
| Progenamatrix, per sq cm HCPCS Q4222 | not published | not published | $1.00 – $1.00 | 1 |
| Progesterone CPT 84144 | not published | not published | $19.82 – $42.72 | 9 |
| Prolactin CPT 84146 | not published | not published | $18.41 – $39.69 | 9 |
| Prolng clin staff svc 1st hr CPT 99415 | not published | not published | $18.86 – $20.85 | 9 |
| Prolng clin staff svc ea add CPT 99416 | not published | not published | $8.72 – $9.65 | 9 |
| Prolng ip/obs e/m ea 15 min CPT 99418 | not published | not published | $35.19 – $38.95 | 9 |
| Prolng off/op e/m ea 15 min 99417 CPT 99417 | not published | not published | $27.51 – $30.41 | 9 |
| Prolonged IV inf, req pump HCPCS C8957 | not published | not published | $150.11 – $348.27 | 8 |
| Prolong home eval add 15m HCPCS G0318 | not published | not published | $27.82 – $30.75 | 9 |
| Prolong service without contact CPT 99358 | not published | not published | $1.00 – $88.16 | 9 |
| Prolong serv without contact add CPT 99359 | not published | not published | $1.00 – $37.54 | 9 |
| Promethazine 25 mg tablet HCPCS Q0169 | not published | not published | $1.00 – $1.00 | 1 |
| Promethazine hcl injection HCPCS J2550 | not published | not published | $1.00 – $1.00 | 1 |
| Proph rta dtchmnt crtx dthrm CPT 67141 | not published | not published | $129.12 – $307.90 | 9 |
| Proph rta dtchmnt pc CPT 67145 | not published | not published | $214.70 – $576.03 | 9 |
| Proph tx w/wo mthylmthcrylt CPT 24498 | not published | not published | $875.13 – $13,510.16 | 9 |
| Prophylactic tx radius CPT 25490 | not published | not published | $729.33 – $7,497.96 | 9 |
| Prophylactic tx radius&ulna CPT 25492 | not published | not published | $915.74 – $3,392.43 | 9 |
| Prophylactic tx ulna CPT 25491 | not published | not published | $749.30 – $13,510.16 | 9 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $331.36 | $414.20 | $1.00 – $350.10 | 11 |
| _propoxygc/msur CPT 80367 | not published | not published | $8.79 – $8.79 | 1 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $314.80 | $393.49 | $1.00 – $351.83 | 11 |
| Pros sheath/sock w gel cushn HCPCS L8417 | not published | not published | $84.24 – $96.35 | 9 |
| Pros soc insert gasket/seal HCPCS L7700 | not published | not published | $136.33 – $150.68 | 9 |
| Pros sock multi ply upper lm HCPCS L8435 | not published | not published | $23.98 – $26.50 | 9 |
| Pros sock single ply ak HCPCS L8480 | $29.60 | $37.00 | $10.25 – $33.30 | 14 |
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.