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 |
|---|---|---|---|---|
| Ivp w/wo kub w/wo tomography CPT 74400 | $967.20 | $1,209.00 | $356.66 – $1,088.10 | 15 |
| Jaw Joint (TMJ) X-ray (both sides, open and closed) CPT 70330 | $428.00 | $535.00 | $157.83 – $481.50 | 15 |
| Jaw (Mandible) X-ray (complete) CPT 70110 | $431.20 | $539.00 | $159.01 – $485.10 | 15 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $47.20 | $59.00 | $17.41 – $53.10 | 15 |
| Ketorolac (Toradol) Pain Shot, 15 mg HCPCS J1885 | $61.10 | $76.37 | $22.27 – $67.93 | 15 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $1,616.80 | $2,021.00 | $596.20 – $1,818.90 | 15 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $778.40 | $973.00 | $287.04 – $875.70 | 15 |
| Kidney (Retroperitoneal) Ultrasound (limited) CPT 76775 | $567.20 | $709.00 | $209.16 – $638.10 | 15 |
| Knee MRI (with and without contrast) CPT 73723 | $3,893.60 | $4,867.00 | $1,435.77 – $4,380.30 | 15 |
| Knee MRI (without contrast) CPT 73721 | $3,292.00 | $4,115.00 | $1,213.93 – $3,703.50 | 15 |
| Knee X-ray CPT 73564 | $336.80 | $421.00 | $124.20 – $378.90 | 15 |
| Knee X-ray (1 to 2 views, both knees) CPT 73560 | $277.60 | $347.00 | $102.37 – $312.30 | 15 |
| Knee X-ray (3 views, both knees) CPT 73562 | $296.00 | $370.00 | $109.15 – $333.00 | 15 |
| Knee X-ray (standing, both knees) CPT 73565 | $299.20 | $374.00 | $110.33 – $336.60 | 15 |
| Kyleena, 19.5 mg HCPCS J7296 | $769.48 | $961.84 | $283.74 – $865.66 | 15 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $61.65 | $77.06 | $22.20 – $67.72 | 15 |
| Lactate dehydrogenase (ldh) CPT 83615 | $39.20 | $49.00 | $14.46 – $44.10 | 15 |
| Lactated ringers intravenous solution HCPCS J7120 | $148.40 | $185.50 | $54.72 – $166.95 | 15 |
| Lactic acid CPT 83605 | $70.40 | $88.00 | $25.96 – $79.20 | 15 |
| Lactoferrin fecal qualitative CPT 83630 | $106.40 | $133.00 | $39.24 – $119.70 | 15 |
| Large Joint Injection or Fluid Draw (both sides) CPT 20610 | $498.40 | $623.00 | $183.79 – $560.70 | 15 |
| Laronidase injection HCPCS J1931 | not published | not published | $39.41 – $39.41 | 1 |
| Lead capillary CPT 83655 | $67.20 | $84.00 | $11.51 – $35.10 | 15 |
| Leg Artery Ultrasound (complete, both legs) CPT 93925 | $1,158.40 | $1,448.00 | $427.16 – $1,303.20 | 15 |
| Leg CT Scan (with contrast, both legs) CPT 73701 | $2,270.40 | $2,838.00 | $837.21 – $2,554.20 | 15 |
| Leg CT Scan (without contrast, both legs) CPT 73700 | $1,756.80 | $2,196.00 | $647.82 – $1,976.40 | 15 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $1,186.40 | $1,483.00 | $437.49 – $1,334.70 | 15 |
| Leishmania antibody CPT 86717 | $232.80 | $291.00 | $85.85 – $261.90 | 15 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $64.83 | $81.03 | $23.90 – $72.93 | 15 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $896.05 | $1,120.06 | $148.65 – $453.50 | 15 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | $7,335.48 | $9,169.34 | $733.51 – $2,237.84 | 15 |
| Levalbuterol non-comp unit HCPCS J7614 | $4.48 | $5.59 | $1.48 – $4.53 | 15 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $61.52 | $76.90 | $22.48 – $68.60 | 15 |
| Levetiracetam therapeutic drug level CPT 80177 | $75.20 | $94.00 | $27.73 – $84.60 | 15 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $181.03 | $226.28 | $66.34 – $202.39 | 15 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | $109.69 | $137.11 | $40.45 – $123.40 | 15 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | $63.95 | $79.93 | $22.14 – $67.55 | 15 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $278.86 | $348.57 | $66.74 – $203.61 | 15 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $246.10 | $307.62 | $70.14 – $213.98 | 15 |
| Lipase CPT 83690 | $60.80 | $76.00 | $22.42 – $68.40 | 15 |
| Lipoprotein direct measurement hdl CPT 83718 | $34.40 | $43.00 | $9.15 – $27.90 | 15 |
| Lipoprotein direct measurement ldl CPT 83721 | $54.40 | $68.00 | $20.06 – $61.20 | 15 |
| Lithium therapeutic drug level CPT 80178 | $50.40 | $63.00 | $18.59 – $56.70 | 15 |
| Liver Function Test CPT 80076 | $82.40 | $103.00 | $30.39 – $92.70 | 15 |
| Liver imaging CPT 78201 | $1,802.40 | $2,253.00 | $664.64 – $2,027.70 | 15 |
| Liver imag w/vasclr flow CPT 78202 | $1,507.20 | $1,884.00 | $555.78 – $1,695.60 | 15 |
| Liver/spleen imag static only CPT 78215 | $1,557.60 | $1,947.00 | $574.37 – $1,752.30 | 15 |
| Liver/spleen imag w/vasclr flow CPT 78216 | $1,864.80 | $2,331.00 | $687.65 – $2,097.90 | 15 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $61.41 | $76.76 | $22.26 – $67.91 | 15 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $3,000.00 | $3,750.00 | $1,106.25 – $3,375.00 | 15 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $2,474.40 | $3,093.00 | $912.44 – $2,783.70 | 15 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $2,018.40 | $2,523.00 | $744.29 – $2,270.70 | 15 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $4,184.80 | $5,231.00 | $1,543.15 – $4,707.90 | 15 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $3,169.60 | $3,962.00 | $1,168.79 – $3,565.80 | 15 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $3,374.40 | $4,218.00 | $1,244.31 – $3,796.20 | 15 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $344.00 | $430.00 | $126.85 – $387.00 | 15 |
| Lower Back (Lumbar Spine) X-ray (4 or more views) CPT 72110 | $419.20 | $524.00 | $154.58 – $471.60 | 15 |
| Lower Back (Lumbar Spine) X-ray (with bending views) CPT 72114 | $583.20 | $729.00 | $215.06 – $656.10 | 15 |
| Lower Leg (Shin) X-ray (both sides) CPT 73590 | $278.40 | $348.00 | $102.66 – $313.20 | 15 |
| Lumizyme injection HCPCS J0221 | not published | not published | $205.76 – $205.76 | 1 |
| Lung Function Test Before and After an Inhaler CPT 94060 | $650.40 | $813.00 | $239.84 – $731.70 | 15 |
| Lung Function Test (Spirometry) CPT 94010 | $307.20 | $384.00 | $113.28 – $345.60 | 15 |
| Lung perfusion imaging CPT 78580 | $1,388.00 | $1,735.00 | $511.83 – $1,561.50 | 15 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | $18,578.64 | $23,223.30 | $41.40 – $7,007.15 | 15 |
| Macroscopic exam arthropod CPT 87168 | $44.80 | $56.00 | $16.52 – $50.40 | 15 |
| Macroscopic exam parasite CPT 87169 | $25.60 | $32.00 | $9.44 – $28.80 | 15 |
| Magnesium CPT 83735 | $48.00 | $60.00 | $10.92 – $33.30 | 15 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $188.52 | $235.65 | $22.17 – $67.63 | 15 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | $61.40 | $76.75 | $22.64 – $69.08 | 15 |
| Mastoids complete CPT 70130 | $385.60 | $482.00 | $142.19 – $433.80 | 15 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $61.60 | $77.00 | $22.72 – $69.30 | 15 |
| Mayo aathr protein s free CPT 85306 | $120.00 | $150.00 | $44.25 – $135.00 | 15 |
| Mayo activated protein c resistance assay CPT 85307 | $79.20 | $99.00 | $29.21 – $89.10 | 15 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $203.20 | $254.00 | $74.93 – $228.60 | 15 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $104.00 | $130.00 | $38.35 – $117.00 | 15 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $77.60 | $97.00 | $17.41 – $53.10 | 15 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $43.20 | $54.00 | $15.93 – $48.60 | 15 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $88.80 | $111.00 | $32.75 – $99.90 | 15 |
| Mayo alpha 1 antitrypsin CPT 82103 | $92.00 | $115.00 | $24.78 – $75.60 | 15 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | $58.40 | $73.00 | $21.54 – $65.70 | 15 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $73.60 | $92.00 | $27.14 – $82.80 | 15 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $250.40 | $313.00 | $92.04 – $280.80 | 15 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $3,087.20 | $3,859.00 | $169.63 – $517.50 | 15 |
| Mayo androstenedione CPT 82157 | $58.40 | $73.00 | $21.54 – $65.70 | 15 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $97.60 | $122.00 | $16.82 – $51.30 | 15 |
| Mayo antithrombin iii antigen CPT 85301 | $138.40 | $173.00 | $51.04 – $155.70 | 15 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $57.60 | $72.00 | $12.98 – $39.60 | 15 |
| Mayo avwpr vw factor activity CPT 85397 | $150.40 | $188.00 | $41.60 – $126.90 | 15 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $68.80 | $86.00 | $25.37 – $77.40 | 15 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $76.80 | $96.00 | $28.32 – $86.40 | 15 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $353.60 | $442.00 | $130.39 – $397.80 | 15 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | $524.00 | $655.00 | $193.23 – $589.50 | 15 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $69.60 | $87.00 | $25.67 – $78.30 | 15 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | $73.60 | $92.00 | $27.14 – $82.80 | 15 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $91.20 | $114.00 | $33.63 – $102.60 | 15 |
| Mayo brcmg brucella antibody igm CPT 86622 | $56.80 | $71.00 | $20.95 – $63.90 | 15 |
| Mayo c1 esterase inhibitor CPT 83883 | $105.60 | $132.00 | $24.78 – $75.60 | 15 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $76.00 | $95.00 | $24.19 – $73.80 | 15 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $52.00 | $65.00 | $19.18 – $58.50 | 15 |
| Mayo ceruloplasmin CPT 82390 | $52.00 | $65.00 | $19.18 – $58.50 | 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.