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 |
|---|---|---|---|---|
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | $6,611.36 | $8,264.20 | $311.44 – $7,437.78 | 15 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | not published | not published | $138.08 – $138.08 | 1 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | not published | not published | $189.71 – $189.71 | 1 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | not published | not published | $3,547.84 – $3,547.84 | 1 |
| Pegunigalsidase alfa-iwxj HCPCS J2508 | not published | not published | $227.78 – $227.78 | 1 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $2,370.40 | $2,963.00 | $874.09 – $2,666.70 | 15 |
| Pelvic CT scan (with contrast) CPT 72193 | $2,075.20 | $2,594.00 | $765.23 – $2,334.60 | 15 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,829.60 | $2,287.00 | $674.67 – $2,058.30 | 15 |
| Pelvic MRI (with and without contrast) CPT 72197 | $3,835.20 | $4,794.00 | $1,414.23 – $4,314.60 | 15 |
| Pelvic MRI (with contrast) CPT 72196 | $3,472.80 | $4,341.00 | $1,280.60 – $3,906.90 | 15 |
| Pelvic MRI (without contrast) CPT 72195 | $2,995.20 | $3,744.00 | $1,104.48 – $3,369.60 | 15 |
| Pelvic Ultrasound (complete) CPT 76856 | $628.80 | $786.00 | $231.87 – $707.40 | 15 |
| Pelvic Ultrasound (limited) CPT 76857 | $494.40 | $618.00 | $182.31 – $556.20 | 15 |
| Pelvis X-ray (1 to 2 views) CPT 72170 | $287.20 | $359.00 | $105.91 – $323.10 | 15 |
| Pelvis X-ray (complete, 4 or more views) CPT 72190 | $318.40 | $398.00 | $117.41 – $358.20 | 15 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $5,846.10 | $7,307.62 | $69.76 – $6,464.21 | 15 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $241.42 | $301.77 | $78.38 – $239.14 | 15 |
| Pemivibart infusion HCPCS M0224 | $760.00 | $950.00 | $280.25 – $855.00 | 15 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $557.56 | $696.94 | $28.50 – $86.96 | 15 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $77.24 | $96.55 | $23.34 – $71.21 | 15 |
| Pentamidine non-comp unit HCPCS J2545 | $88.56 | $110.69 | $32.65 – $99.62 | 15 |
| Peripheral vascular rehab CPT 93668 | $152.00 | $190.00 | $56.05 – $171.00 | 15 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $5,624.30 | $7,030.37 | $2,073.96 – $6,327.33 | 15 |
| Ph body fluid CPT 83986 | $14.40 | $18.00 | $5.31 – $16.20 | 15 |
| Phenobarbital therapeutic drug level CPT 80184 | $71.20 | $89.00 | $25.96 – $79.20 | 15 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $61.12 | $76.40 | $22.34 – $68.15 | 15 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $60.64 | $75.80 | $22.36 – $68.22 | 15 |
| Phenytoin total therapeutic drug level CPT 80185 | $87.20 | $109.00 | $29.50 – $90.00 | 15 |
| Phlebotomy therapeutic CPT 99195 | $268.80 | $336.00 | $99.12 – $302.40 | 15 |
| Phosphorus CPT 84100 | $34.40 | $43.00 | $12.69 – $38.70 | 15 |
| Phosphorus 24 hour urine CPT 84105 | $20.00 | $25.00 | $7.38 – $22.50 | 15 |
| Physical Therapy Evaluation (high complexity) CPT 97163 | $292.00 | $365.00 | $107.68 – $328.50 | 15 |
| Physical Therapy Evaluation (low complexity) CPT 97161 | $229.60 | $287.00 | $84.67 – $258.30 | 15 |
| Physical Therapy Evaluation (moderate complexity) CPT 97162 | $260.80 | $326.00 | $96.17 – $293.40 | 15 |
| Physical Therapy Re-Evaluation CPT 97164 | $190.40 | $238.00 | $70.21 – $214.20 | 15 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $75.32 | $94.14 | $25.93 – $79.11 | 15 |
| Pinworm exam CPT 87172 | $28.00 | $35.00 | $10.33 – $31.50 | 15 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $63.46 | $79.32 | $22.64 – $69.07 | 15 |
| Placental lactogen CPT 83632 | $132.80 | $166.00 | $48.97 – $149.40 | 15 |
| Platelet aggregation each agent teg CPT 85576 | $84.00 | $105.00 | $30.98 – $94.50 | 15 |
| Platelet automated CPT 85049 | $34.40 | $43.00 | $12.69 – $38.70 | 15 |
| Platelets each unit HCPCS P9019 | $587.20 | $734.00 | $216.53 – $660.60 | 15 |
| Platelets leukocytes reduced each unit HCPCS P9031 | $261.60 | $327.00 | $96.47 – $294.30 | 15 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $1,372.00 | $1,715.00 | $505.93 – $1,543.50 | 15 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $1,849.60 | $2,312.00 | $682.04 – $2,080.80 | 15 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $461.60 | $577.00 | $170.22 – $519.30 | 15 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $136.80 | $171.00 | $50.45 – $153.90 | 15 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $4,468.00 | $5,585.00 | $1,647.58 – $5,026.50 | 15 |
| Potassium 24 hour urine CPT 84133 | $32.00 | $40.00 | $11.80 – $36.00 | 15 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $189.08 | $236.35 | $22.50 – $68.65 | 15 |
| Potassium serum/plasma/whole blood CPT 84132 | $31.20 | $39.00 | $11.51 – $35.10 | 15 |
| Pr application of long arm splint CPT 29105 | $288.80 | $361.00 | $106.50 – $324.90 | 15 |
| Pr application splint static short arm CPT 29125 | $301.60 | $377.00 | $111.22 – $339.30 | 15 |
| Prealbumin CPT 84134 | $64.80 | $81.00 | $23.90 – $72.90 | 15 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $3.40 | $4.25 | $1.25 – $3.83 | 15 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $778.40 | $973.00 | $287.04 – $875.70 | 15 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $629.60 | $787.00 | $232.17 – $708.30 | 15 |
| Pregnancy Ultrasound (limited) CPT 76815 | $496.00 | $620.00 | $182.90 – $558.00 | 15 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $849.60 | $1,062.00 | $313.29 – $955.80 | 15 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $697.60 | $872.00 | $257.24 – $784.80 | 15 |
| Pr incision & drainage abscess simple/single CPT 10060 | $487.20 | $609.00 | $179.66 – $548.10 | 15 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $499.20 | $624.00 | $184.08 – $561.60 | 15 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $619.20 | $774.00 | $228.33 – $696.60 | 15 |
| Procalcitonin CPT 84145 | $198.40 | $248.00 | $73.16 – $223.20 | 15 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $68.99 | $86.23 | $22.79 – $69.53 | 15 |
| Progesterone CPT 84144 | $107.20 | $134.00 | $39.53 – $120.60 | 15 |
| Prolactin CPT 84146 | $92.80 | $116.00 | $18.00 – $54.90 | 15 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $68.32 | $85.40 | $22.13 – $67.50 | 15 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $62.30 | $77.87 | $22.97 – $70.08 | 15 |
| Protein c activity CPT 85303 | $129.60 | $162.00 | $47.79 – $145.80 | 15 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $59.20 | $74.00 | $21.83 – $66.60 | 15 |
| Protein total 24 hour urine CPT 84156 | $35.20 | $44.00 | $12.98 – $39.60 | 15 |
| Protein total body fluid CPT 84157 | $42.40 | $53.00 | $15.64 – $47.70 | 15 |
| Protein total serum plasma whole blood CPT 84155 | $27.20 | $34.00 | $10.03 – $30.60 | 15 |
| Prothrombin complex kcentra HCPCS J7168 | $3,228.00 | $4,035.00 | $579.97 – $1,769.40 | 15 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $211.20 | $264.00 | $77.88 – $237.60 | 15 |
| Pr removal intrauterine device CPT 58301 | $455.20 | $569.00 | $167.86 – $512.10 | 15 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $644.00 | $805.00 | $237.48 – $724.50 | 15 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $441.60 | $552.00 | $162.84 – $496.80 | 15 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $496.00 | $620.00 | $182.90 – $558.00 | 15 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $461.60 | $577.00 | $170.22 – $519.30 | 15 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $460.00 | $575.00 | $169.63 – $517.50 | 15 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $973.60 | $1,217.00 | $359.02 – $1,095.30 | 15 |
| PSA (Prostate) Test CPT 84153 | $89.60 | $112.00 | $33.04 – $100.80 | 15 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | $140.80 | $176.00 | $51.92 – $158.40 | 15 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | $233.60 | $292.00 | $86.14 – $262.80 | 15 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | $243.20 | $304.00 | $89.68 – $273.60 | 15 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $132.00 | $165.00 | $48.68 – $148.50 | 15 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $108.00 | $135.00 | $39.83 – $121.50 | 15 |
| Pt application of modality traction mechanical CPT 97012 | $105.60 | $132.00 | $38.94 – $118.80 | 15 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $144.00 | $180.00 | $53.10 – $162.00 | 15 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $100.80 | $126.00 | $37.17 – $113.40 | 15 |
| Pt wheelchair management each 15 minutes CPT 97542 | $115.20 | $144.00 | $42.48 – $129.60 | 15 |
| Pulse ox continuous overnight monitoring CPT 94762 | $340.00 | $425.00 | $125.38 – $382.50 | 15 |
| Pulse ox multiple CPT 94761 | $203.20 | $254.00 | $65.79 – $200.70 | 15 |
| Pulse ox single CPT 94760 | $85.60 | $107.00 | $31.57 – $96.30 | 15 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $152.00 | $190.00 | $56.05 – $171.00 | 15 |
| Puncture spinal lumbar diagnostic CPT 62270 | $1,217.60 | $1,522.00 | $448.99 – $1,369.80 | 15 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $65.83 | $82.28 | $24.27 – $74.05 | 15 |
| Quest t3 uptake CPT 84479 | $48.80 | $61.00 | $18.00 – $54.90 | 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.