Sanford Vermillion Hospital
20 S Plum St, Vermillion, SD · Sanford Health · · NPI 1790721280
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $70.40 | $88.00 | $25.96 – $79.20 | 15 |
| 17-hydroxypregnenolone CPT 84143 | $69.60 | $87.00 | $25.67 – $78.30 | 15 |
| 3d recon without postprocess indpndt CPT 76376 | $795.20 | $994.00 | $293.23 – $894.60 | 15 |
| 5% dextrose and 0.45% saline HCPCS S5010 | $148.40 | $185.50 | $54.72 – $166.95 | 15 |
| 5' nucleotidase - sendout CPT 83915 | $96.80 | $121.00 | $35.70 – $108.90 | 15 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $63.20 | $79.00 | $23.31 – $71.10 | 15 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | not published | not published | $44.25 – $44.25 | 1 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $56.80 | $71.00 | $20.95 – $63.90 | 15 |
| Abdominal and Pelvic Blood Vessel Ultrasound (complete) CPT 93975 | $1,183.20 | $1,479.00 | $436.31 – $1,331.10 | 15 |
| Abdominal and Pelvic Blood Vessel Ultrasound (limited) CPT 93976 | $847.20 | $1,059.00 | $312.41 – $953.10 | 15 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $2,489.60 | $3,112.00 | $918.04 – $2,800.80 | 15 |
| Abdominal CT scan (with contrast) CPT 74160 | $2,431.20 | $3,039.00 | $896.51 – $2,735.10 | 15 |
| Abdominal CT scan (without contrast) CPT 74150 | $1,976.00 | $2,470.00 | $728.65 – $2,223.00 | 15 |
| Abdominal MRI (with and without contrast) CPT 74183 | $3,806.40 | $4,758.00 | $1,403.61 – $4,282.20 | 15 |
| Abdominal MRI (with contrast) CPT 74182 | $3,154.40 | $3,943.00 | $1,163.19 – $3,548.70 | 15 |
| Abdominal MRI (without contrast) CPT 74181 | $2,978.40 | $3,723.00 | $1,098.29 – $3,350.70 | 15 |
| Abdominal Ultrasound (complete) CPT 76700 | $877.60 | $1,097.00 | $323.62 – $987.30 | 15 |
| Abdominal Ultrasound (limited) CPT 76705 | $748.80 | $936.00 | $276.12 – $842.40 | 15 |
| Abdominal X-ray (2 views) CPT 74019 | $308.00 | $385.00 | $113.58 – $346.50 | 15 |
| Abdominal X-ray Series (acute, with chest view) CPT 74022 | $358.40 | $448.00 | $132.16 – $403.20 | 15 |
| Abdominal X-ray (single view) CPT 74018 | $255.20 | $319.00 | $94.11 – $287.10 | 15 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | $181.43 | $226.78 | $66.90 – $204.10 | 15 |
| Acetaminophen level CPT 80143 | $43.20 | $54.00 | $15.93 – $48.60 | 15 |
| Acetone qualitative CPT 82009 | $34.40 | $43.00 | $12.69 – $38.70 | 15 |
| Acetylcholine receptor modulating antibody CPT 86043 | $65.60 | $82.00 | $24.19 – $73.80 | 15 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $90.84 | $113.55 | $28.62 – $87.32 | 15 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $44.80 | $56.00 | $16.52 – $50.40 | 15 |
| Acute hepatitis panel CPT 80074 | $231.20 | $289.00 | $85.26 – $260.10 | 15 |
| Acyclovir 400 mg tablet HCPCS J8499 | $212.11 | $265.13 | $0.44 – $1.35 | 15 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $62.48 | $78.10 | $22.81 – $69.58 | 15 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $61.59 | $76.98 | $22.15 – $67.59 | 15 |
| Adh-sendout CPT 84588 | $164.00 | $205.00 | $60.48 – $184.50 | 15 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $32.31 | $40.38 | $9.14 – $27.89 | 15 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $285.60 | $357.00 | $67.20 – $321.30 | 15 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $386.40 | $483.00 | $142.49 – $434.70 | 15 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $695.20 | $869.00 | $256.36 – $782.10 | 15 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $588.00 | $735.00 | $216.83 – $661.50 | 15 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $256.00 | $320.00 | $85.60 – $288.00 | 15 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $320.00 | $400.00 | $118.00 – $360.00 | 15 |
| Administration immunization each additional component CPT 90461 | $29.60 | $37.00 | $10.92 – $33.30 | 15 |
| Administration immunization each additional vaccine CPT 90472 | $82.40 | $103.00 | $30.39 – $92.70 | 15 |
| Administration immunization first component each vaccine CPT 90460 | $47.20 | $59.00 | $17.41 – $53.10 | 15 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | $60.80 | $76.00 | $22.42 – $68.40 | 15 |
| Administration immunization intranasal/oral route each additional vaccine CPT 90474 | $45.60 | $57.00 | $16.82 – $51.30 | 15 |
| Aep thrshld est mlt freq i&r CPT 92652 | $417.60 | $522.00 | $153.99 – $469.80 | 15 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | not published | not published | $227.74 – $227.74 | 1 |
| Albumin body fluid quantitative each specimen CPT 82042 | $25.60 | $32.00 | $9.44 – $28.80 | 15 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $262.06 | $327.57 | $54.14 – $165.16 | 15 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $43.20 | $54.00 | $15.93 – $48.60 | 15 |
| Albumin serum plasma or whole blood CPT 82040 | $31.20 | $39.00 | $10.92 – $33.30 | 15 |
| Albuterol ipratrop non-comp HCPCS J7620 | $4.00 | $5.00 | $1.25 – $3.83 | 15 |
| Albuterol non-comp con HCPCS J7611 | $22.00 | $27.50 | $5.90 – $18.00 | 15 |
| Albuterol non-comp unit HCPCS J7613 | $3.90 | $4.87 | $1.25 – $3.83 | 15 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $84.00 | $105.00 | $30.98 – $94.50 | 15 |
| Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 | not published | not published | $2,381.81 – $2,381.81 | 1 |
| Alkaline phosphatase CPT 84075 | $32.00 | $40.00 | $9.15 – $27.90 | 15 |
| Allergen alpha lactalbumin ige CPT 86008 | $52.00 | $65.00 | $19.18 – $58.50 | 15 |
| Allergen egg white ige CPT 86003 | $24.80 | $31.00 | $7.97 – $24.30 | 15 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $298.40 | $373.00 | $56.94 – $173.70 | 15 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | not published | not published | $5.03 – $5.03 | 1 |
| Alpha-fetoprotein tumor marker CPT 82105 | $76.00 | $95.00 | $28.03 – $85.50 | 15 |
| Alprostadil for injection HCPCS J0270 | $89.99 | $112.48 | $33.18 – $101.23 | 15 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $12,473.57 | $15,591.96 | $118.30 – $360.90 | 15 |
| Alt/sgpt CPT 84460 | $34.40 | $43.00 | $12.69 – $38.70 | 15 |
| Aminolevulinic acid delta CPT 82135 | $108.80 | $136.00 | $40.12 – $122.40 | 15 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $65.88 | $82.34 | $24.29 – $74.11 | 15 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | $239.98 | $299.97 | $84.45 – $257.64 | 15 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $62.84 | $78.55 | $22.37 – $68.25 | 15 |
| Ammonia CPT 82140 | $82.40 | $103.00 | $30.39 – $92.70 | 15 |
| Amphetamine confirm urine -sendout CPT 80324 | $57.60 | $72.00 | $21.24 – $64.80 | 15 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $61.96 | $77.45 | $22.55 – $68.80 | 15 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $63.92 | $79.90 | $2.47 – $7.54 | 15 |
| Amylase CPT 82150 | $64.00 | $80.00 | $22.72 – $69.30 | 15 |
| Anabolic steroid 1 or 2 CPT 80327 | $136.00 | $170.00 | $50.15 – $153.00 | 15 |
| Analysis gene f2 20210g>a variant CPT 81240 | $192.00 | $240.00 | $70.80 – $216.00 | 15 |
| Analysis gene f5 leiden variant CPT 81241 | $192.00 | $240.00 | $70.80 – $216.00 | 15 |
| Anastrozole 1 mg HCPCS S0170 | $3.76 | $4.69 | $1.38 – $4.22 | 15 |
| Anca screen with reflex to titer -quest CPT 86021 | $120.80 | $151.00 | $44.55 – $135.90 | 15 |
| An fluoro guide for cvp CPT 77001 | $722.40 | $903.00 | $266.39 – $812.70 | 15 |
| Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490 | $202.45 | $253.06 | $0.44 – $1.35 | 15 |
| Ankle X-ray CPT 73610 | $284.00 | $355.00 | $104.73 – $319.50 | 15 |
| Ankle X-ray (2 views, both ankles) CPT 73600 | $271.20 | $339.00 | $100.01 – $305.10 | 15 |
| Anodyne therapy charges pt CPT 97026 | $72.80 | $91.00 | $26.85 – $81.90 | 15 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $32.00 | $40.00 | $11.80 – $36.00 | 15 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $187.20 | $234.00 | $69.03 – $210.60 | 15 |
| Antibody id rbc panel CPT 86870 | $341.60 | $427.00 | $125.97 – $384.30 | 15 |
| Antibody screen rbc CPT 86850 | $68.80 | $86.00 | $25.37 – $77.40 | 15 |
| Antibody tetanus CPT 86774 | $92.80 | $116.00 | $34.22 – $104.40 | 15 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $56.00 | $70.00 | $20.65 – $63.00 | 15 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | $56.00 | $70.00 | $20.65 – $63.00 | 15 |
| Antinuclear antibodies CPT 86038 | $60.00 | $75.00 | $22.13 – $67.50 | 15 |
| Antinuclear antibodies titer CPT 86039 | $68.00 | $85.00 | $25.08 – $76.50 | 15 |
| Antistreptolysin o screen CPT 86063 | $80.00 | $100.00 | $29.50 – $90.00 | 15 |
| Antistreptolysin o titer CPT 86060 | $54.40 | $68.00 | $20.06 – $61.20 | 15 |
| Antithrombin iii activity CPT 85300 | $95.20 | $119.00 | $35.11 – $107.10 | 15 |
| Application finger splntstatic 29130 CPT 29130 | $262.40 | $328.00 | $96.76 – $295.20 | 15 |
| Application long leg splint 29505 CPT 29505 | $303.20 | $379.00 | $111.81 – $341.10 | 15 |
| Application lower leg splint 29515 CPT 29515 | $396.00 | $495.00 | $146.03 – $445.50 | 15 |
| Application multi layer compression below knee (both sides) CPT 29581 | $384.80 | $481.00 | $141.90 – $432.90 | 15 |
| Application of paste boot 29580 CPT 29580 | $304.00 | $380.00 | $112.10 – $342.00 | 15 |
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.