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 |
|---|---|---|---|---|
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $75.63 | $94.53 | $25.62 – $78.16 | 15 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | $73.99 | $92.48 | $27.28 – $83.23 | 15 |
| Methylphenidate CPT 80360 | $81.60 | $102.00 | $30.09 – $91.80 | 15 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $64.80 | $80.99 | $23.62 – $72.07 | 15 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $91.09 | $113.86 | $22.64 – $69.07 | 15 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $61.64 | $77.04 | $22.35 – $68.18 | 15 |
| Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) HCPCS J0616 | $60.34 | $75.42 | $22.23 – $67.81 | 15 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $180.07 | $225.08 | $66.22 – $202.03 | 15 |
| Microalbumin urine screen CPT 82044 | $48.00 | $60.00 | $17.70 – $54.00 | 15 |
| Mid and Lower Back (Thoracolumbar Spine) X-ray CPT 72080 | $259.20 | $324.00 | $95.58 – $291.60 | 15 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $60.68 | $75.85 | $22.23 – $67.82 | 15 |
| Mnt subs tx for change dx HCPCS G0270 | $48.80 | $61.00 | $18.00 – $54.90 | 15 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | $344.00 | $430.00 | $126.85 – $387.00 | 15 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $118.76 | $148.45 | $22.52 – $68.71 | 15 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | $61.56 | $76.95 | $22.54 – $68.75 | 15 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | $81.52 | $101.90 | $23.97 – $73.12 | 15 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $332.00 | $415.00 | $122.43 – $373.50 | 15 |
| MRI chest without contrast CPT 71550 | $2,758.40 | $3,448.00 | $1,017.16 – $3,103.20 | 15 |
| MRI chest without & w/contrast CPT 71552 | $3,959.20 | $4,949.00 | $1,459.96 – $4,454.10 | 15 |
| MRI chest w IV cont CPT 71551 | $3,200.00 | $4,000.00 | $1,180.00 – $3,600.00 | 15 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $2,798.40 | $3,498.00 | $1,031.91 – $3,148.20 | 15 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $3,972.00 | $4,965.00 | $1,464.68 – $4,468.50 | 15 |
| MRI orbit fac&nck w IV cont CPT 70542 | $3,656.00 | $4,570.00 | $1,348.15 – $4,113.00 | 15 |
| MRI tmj CPT 70336 | $2,748.80 | $3,436.00 | $1,013.62 – $3,092.40 | 15 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $3,068.80 | $3,836.00 | $1,131.62 – $3,452.40 | 15 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $4,216.00 | $5,270.00 | $1,554.65 – $4,743.00 | 15 |
| Multiple sleep latency test CPT 95805 | $3,217.60 | $4,022.00 | $1,186.49 – $3,619.80 | 15 |
| Mumps antibody igg CPT 86735 | $109.60 | $137.00 | $27.44 – $83.70 | 15 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | $1.20 | $1.50 | $0.44 – $1.35 | 15 |
| Mycoplasma antibody igm CPT 86738 | $56.80 | $71.00 | $20.95 – $63.90 | 15 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $105.60 | $132.00 | $20.95 – $63.90 | 15 |
| Nafcillin 2 gram solution for injection HCPCS J2290 | $64.46 | $80.57 | $23.04 – $70.29 | 15 |
| Naloxone 0.4 mg/ml injection (wrapper) HCPCS J2312 | $62.09 | $77.61 | $22.66 – $69.14 | 15 |
| Natalizumab 300 mg/15 ml intravenous solution HCPCS J2323 | $7,996.08 | $9,995.10 | $24.60 – $8,995.59 | 15 |
| Natriuretic peptide CPT 83880 | $140.00 | $175.00 | $29.50 – $90.00 | 15 |
| Natural killer cells total count CPT 86357 | $104.80 | $131.00 | $38.65 – $117.90 | 15 |
| Ndl insj without njx 1 or 2 musc CPT 20560 | $38.40 | $48.00 | $14.16 – $43.20 | 15 |
| Ndl insj without njx 3+ musc CPT 20561 | $64.00 | $80.00 | $23.60 – $72.00 | 15 |
| Nebulizer Breathing Treatment CPT 94640 | $258.40 | $323.00 | $46.02 – $140.40 | 15 |
| Neck Airway (Soft Tissue) X-ray CPT 70360 | $252.00 | $315.00 | $92.93 – $283.50 | 15 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $2,508.80 | $3,136.00 | $925.12 – $2,822.40 | 15 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $2,022.40 | $2,528.00 | $745.76 – $2,275.20 | 15 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $4,052.00 | $5,065.00 | $1,494.18 – $4,558.50 | 15 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $3,216.80 | $4,021.00 | $1,186.20 – $3,618.90 | 15 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $3,374.40 | $4,218.00 | $1,244.31 – $3,796.20 | 15 |
| Neck (Cervical Spine) X-ray (2 to 3 views) CPT 72040 | $275.20 | $344.00 | $101.48 – $309.60 | 15 |
| Neck (Cervical Spine) X-ray (4 to 5 views) CPT 72050 | $364.80 | $456.00 | $134.52 – $410.40 | 15 |
| Neck (Cervical Spine) X-ray (6 or more views) CPT 72052 | $632.80 | $791.00 | $233.35 – $711.90 | 15 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $3,569.60 | $4,462.00 | $1,316.29 – $4,015.80 | 15 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $2,512.80 | $3,141.00 | $926.60 – $2,826.90 | 15 |
| Neck Soft Tissue CT Scan (with and without contrast) CPT 70492 | $2,452.00 | $3,065.00 | $904.18 – $2,758.50 | 15 |
| Neck Soft Tissue CT Scan (with contrast) CPT 70491 | $2,216.00 | $2,770.00 | $817.15 – $2,493.00 | 15 |
| Neck Soft Tissue CT Scan (without contrast) CPT 70490 | $1,791.20 | $2,239.00 | $660.51 – $2,015.10 | 15 |
| Neostigmine methylsulfate 1 mg/ml injection (wrapper) HCPCS J2710 | $62.00 | $77.50 | $22.15 – $67.58 | 15 |
| New Patient Office Visit (level 2) CPT 99202 | $128.80 | $161.00 | $47.50 – $144.90 | 15 |
| Nicardipine 25 mg/10 ml intravenous solution HCPCS J2404 | $423.58 | $529.47 | $104.78 – $319.65 | 15 |
| Nintedanib 150 mg capsule HCPCS J8999 | $3.64 | $4.54 | $0.44 – $1.35 | 15 |
| Nivolumab 10 mg/ml intravenous solution (wrapper) HCPCS J9299 | $6,998.99 | $8,748.73 | $38.06 – $7,873.86 | 15 |
| Nivolumab 240 mg-relatlimab-rmbw 80 mg/20 ml intravenous solution HCPCS J9298 | not published | not published | $228.20 – $228.20 | 1 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | $1,359.20 | $1,699.00 | $501.21 – $1,529.10 | 15 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $1,603.20 | $2,004.00 | $591.18 – $1,803.60 | 15 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $2,091.20 | $2,614.00 | $771.13 – $2,352.60 | 15 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | $1,960.00 | $2,450.00 | $722.75 – $2,205.00 | 15 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $1,452.00 | $1,815.00 | $535.43 – $1,633.50 | 15 |
| Non-card vasc flow imaging CPT 78445 | $1,017.60 | $1,272.00 | $375.24 – $1,144.80 | 15 |
| No pt prsnt train add 15 HCPCS G0542 | $61.60 | $77.00 | $22.72 – $69.30 | 15 |
| No pt prsnt train initial 30 HCPCS G0541 | $124.00 | $155.00 | $45.73 – $139.50 | 15 |
| Nose (Nasal Bone) X-ray (complete) CPT 70160 | $287.20 | $359.00 | $105.91 – $323.10 | 15 |
| Nuclear Stress Test (Heart) CPT 78452 | $3,851.20 | $4,814.00 | $1,420.13 – $4,332.60 | 15 |
| Observation direct referral from physician office for admission HCPCS G0379 | $312.00 | $390.00 | $115.05 – $351.00 | 15 |
| Observation per hour HCPCS G0378 | $65.60 | $82.00 | $24.19 – $73.80 | 15 |
| Obstetrics panel CPT 80055 | $176.00 | $220.00 | $64.90 – $198.00 | 15 |
| Occupational Therapy Evaluation (high complexity) CPT 97167 | $306.40 | $383.00 | $112.99 – $344.70 | 15 |
| Occupational Therapy Evaluation (low complexity) CPT 97165 | $251.20 | $314.00 | $92.63 – $282.60 | 15 |
| Occupational Therapy Evaluation (moderate complexity) CPT 97166 | $272.80 | $341.00 | $100.60 – $306.90 | 15 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | $26,060.16 | $32,575.20 | $60.94 – $29,317.68 | 15 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $61.29 | $76.61 | $22.47 – $68.55 | 15 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $84.16 | $105.19 | $25.72 – $78.48 | 15 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | $4,470.16 | $5,587.70 | $39.04 – $2,603.52 | 15 |
| Ondansetron 4 mg s0119 HCPCS S0119 | $1.20 | $1.50 | $0.44 – $1.35 | 15 |
| Ondansetron 8 mg disintegrating tablet HCPCS Q0162 | $1.20 | $1.50 | $0.44 – $1.35 | 15 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $60.44 | $75.54 | $22.19 – $67.70 | 15 |
| Osmolality blood CPT 83930 | $50.40 | $63.00 | $18.59 – $56.70 | 15 |
| Osmolality urine CPT 83935 | $48.80 | $61.00 | $18.00 – $54.90 | 15 |
| Oth resp proc, group HCPCS G0239 | $160.00 | $200.00 | $59.00 – $180.00 | 15 |
| Oth resp proc, indiv HCPCS G0238 | $105.60 | $132.00 | $38.94 – $118.80 | 15 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $80.80 | $101.00 | $29.80 – $90.90 | 15 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $104.00 | $130.00 | $38.35 – $117.00 | 15 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $80.71 | $100.88 | $29.76 – $90.79 | 15 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $152.58 | $190.72 | $22.39 – $68.32 | 15 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $231.59 | $289.48 | $85.40 – $260.53 | 15 |
| Palonosetron hcl HCPCS J2469 | $121.28 | $151.59 | $23.05 – $70.31 | 15 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $62.52 | $78.14 | $22.44 – $68.45 | 15 |
| Parathormone (pth) intact CPT 83970 | $209.60 | $262.00 | $77.29 – $235.80 | 15 |
| Parathyrd planar w/spect&ct CPT 78072 | $2,072.80 | $2,591.00 | $764.35 – $2,331.90 | 15 |
| Parathyroid planar img w/tomo spect CPT 78071 | $1,688.00 | $2,110.00 | $622.45 – $1,899.00 | 15 |
| Pcv21 vaccine im CPT 90684 | $418.77 | $523.46 | $154.42 – $471.11 | 15 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | not published | not published | $31.73 – $31.73 | 1 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | $3,217.04 | $4,021.30 | $98.36 – $3,619.17 | 15 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $3,294.00 | $4,117.50 | $146.06 – $3,705.75 | 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.