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 |
|---|---|---|---|---|
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $3,848.39 | $4,810.48 | $294.06 – $897.14 | 15 |
| Racepinephrine hcl soln nebu 2.25% (base equivalent) HCPCS J7699 | $4.32 | $5.39 | $1.41 – $4.30 | 15 |
| Rapid Strep Test CPT 87880 | $46.40 | $58.00 | $17.11 – $52.20 | 15 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | not published | not published | $224.93 – $224.93 | 1 |
| Rbc count only automated CPT 85041 | $16.00 | $20.00 | $5.90 – $18.00 | 15 |
| Rbc irradiated each unit HCPCS P9038 | $588.00 | $735.00 | $216.83 – $661.50 | 15 |
| Red blood cells each unit HCPCS P9021 | $490.40 | $613.00 | $180.84 – $551.70 | 15 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $499.20 | $624.00 | $184.08 – $561.60 | 15 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $711.20 | $889.00 | $262.26 – $800.10 | 15 |
| Refill/maint pump/resvr syst CPT 96522 | not published | not published | $284.80 – $284.80 | 1 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | $95.63 | $119.53 | $35.26 – $107.58 | 15 |
| Remdesivir 100 mg intravenous powder for solution HCPCS J0248 | $892.00 | $1,115.00 | $324.50 – $990.00 | 15 |
| Removal central venous device tunneled w/port/pump central/peripheral insertion CPT 36590 | $2,340.80 | $2,926.00 | $863.17 – $2,633.40 | 15 |
| Removal cerumen impacted (both sides) CPT 69210 | $178.40 | $223.00 | $65.79 – $200.70 | 15 |
| Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602 | $301.60 | $377.00 | $111.22 – $339.30 | 15 |
| Removal foreign body foot subcutaneous right CPT 28190 | $1,465.60 | $1,832.00 | $540.44 – $1,648.80 | 15 |
| Removal skin tags fibrocutaneous any area <= 15 lesions CPT 11200 | $381.60 | $477.00 | $140.72 – $429.30 | 15 |
| Renal function panel CPT 80069 | $79.20 | $99.00 | $29.21 – $89.10 | 15 |
| Repair complex wound scalp/arms/legs 2.6 - 7.5 cm CPT 13121 | $1,018.40 | $1,273.00 | $375.54 – $1,145.70 | 15 |
| Repair lip full thkns =<one-half vert height CPT 40652 | $1,526.40 | $1,908.00 | $562.86 – $1,717.20 | 15 |
| Repair lip full thkns >one-half vert height/cmplx CPT 40654 | $1,628.80 | $2,036.00 | $600.62 – $1,832.40 | 15 |
| Repair rpr lip full thickness vermilion only CPT 40650 | $1,132.80 | $1,416.00 | $417.72 – $1,274.40 | 15 |
| Reslizumab 10 mg/ml intravenous solution HCPCS J2786 | not published | not published | $10.50 – $10.50 | 1 |
| #resp virpnl dfa-adenovirus CPT 87260 | $48.80 | $61.00 | $18.00 – $54.90 | 15 |
| #resp virpnl dfa-parainfluenza CPT 87279 | $67.20 | $84.00 | $24.78 – $75.60 | 15 |
| Reticulocyte automated CPT 85045 | $23.20 | $29.00 | $8.56 – $26.10 | 15 |
| Reticulocyte direct measurement automated CPT 85046 | $35.20 | $44.00 | $12.98 – $39.60 | 15 |
| Retifanlimab-dlwr 500 mg/20 ml intravenous solution HCPCS J9345 | not published | not published | $34.97 – $34.97 | 1 |
| Rheumatoid factor qualitative CPT 86430 | $55.20 | $69.00 | $20.36 – $62.10 | 15 |
| Rheumatoid factor quantitative CPT 86431 | $56.00 | $70.00 | $12.98 – $39.60 | 15 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | $283.24 | $354.04 | $104.44 – $318.64 | 15 |
| Rib and Chest X-ray (3 views, left side) CPT 71101 | $345.60 | $432.00 | $127.44 – $388.80 | 15 |
| Rib and Chest X-ray (4 or more views, both sides) CPT 71111 | $554.40 | $693.00 | $204.44 – $623.70 | 15 |
| Rib X-ray (3 views, both sides) CPT 71110 | $444.00 | $555.00 | $163.73 – $499.50 | 15 |
| Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr HCPCS J2804 | $287.08 | $358.84 | $42.38 – $129.29 | 15 |
| Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327 | $15,666.72 | $19,583.40 | $5,777.10 – $17,625.06 | 15 |
| Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln HCPCS J9311 | $7,151.60 | $8,939.49 | $2,637.15 – $8,045.54 | 15 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | $3,358.36 | $4,197.94 | $350.00 – $1,067.79 | 15 |
| Romiplostim 125 mcg subcutaneous solution HCPCS J2802 | $3,856.87 | $4,821.08 | $686.50 – $2,094.41 | 15 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | $8,031.27 | $10,039.08 | $11.36 – $3,545.10 | 15 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $241.66 | $302.07 | $22.28 – $67.99 | 15 |
| Rozanolixizumab-noli 140 mg/ml subcutaneous solution HCPCS J9333 | not published | not published | $23.21 – $23.21 | 1 |
| Rsv assay w/optic CPT 87807 | $108.00 | $135.00 | $39.83 – $121.50 | 15 |
| Rubella antibody igg CPT 86762 | $70.40 | $88.00 | $14.16 – $43.20 | 15 |
| Rubeola antibody igg CPT 86765 | $68.00 | $85.00 | $25.08 – $76.50 | 15 |
| Russell viper venom diluted CPT 85613 | $52.00 | $65.00 | $19.18 – $58.50 | 15 |
| Rx metab gen seq alys pnl 6 CPT 81418 | $256.00 | $320.00 | $94.40 – $288.00 | 15 |
| Sacroiliac Joint X-ray (3 or more views) CPT 72202 | $287.20 | $359.00 | $105.91 – $323.10 | 15 |
| Sarscov coronavirus ag ia CPT 87426 | $86.40 | $108.00 | $31.86 – $97.20 | 15 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $996.00 | $1,245.00 | $367.28 – $1,120.50 | 15 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $688.00 | $860.00 | $253.70 – $774.00 | 15 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $804.80 | $1,006.00 | $296.77 – $905.40 | 15 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $864.00 | $1,080.00 | $318.60 – $972.00 | 15 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $837.60 | $1,047.00 | $308.87 – $942.30 | 15 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $804.80 | $1,006.00 | $296.77 – $905.40 | 15 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | $164.80 | $206.00 | $60.77 – $185.40 | 15 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | $57.60 | $72.00 | $21.24 – $64.80 | 15 |
| Screening hepatitis c antibody high risk HCPCS G0472 | $122.40 | $153.00 | $45.14 – $137.70 | 15 |
| Screening Mammogram CPT 77067 | $459.20 | $574.00 | $169.33 – $516.60 | 15 |
| Screening prostate cancer PSA HCPCS G0103 | $96.00 | $120.00 | $35.40 – $108.00 | 15 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $2,324.00 | $2,905.00 | $856.98 – $2,614.50 | 15 |
| Scrotal (Testicle) Ultrasound CPT 76870 | $748.80 | $936.00 | $276.12 – $842.40 | 15 |
| Sc ther infusion reset pump CPT 96371 | not published | not published | $148.00 – $148.00 | 1 |
| Sedimentation rate erythrocyte automated CPT 85652 | $31.20 | $39.00 | $11.51 – $35.10 | 15 |
| Self-Care and Home Skills Training (each 15 minutes) CPT 97535 | $124.80 | $156.00 | $46.02 – $140.40 | 15 |
| Semen analysis presence/motility CPT 89321 | $50.40 | $63.00 | $18.59 – $56.70 | 15 |
| Serial casting application 97139app CPT 97139 | $96.00 | $120.00 | $35.40 – $108.00 | 15 |
| Shot (Injection into Muscle or Under the Skin) CPT 96372 | $144.80 | $181.00 | $7.38 – $22.50 | 15 |
| Shoulder AC Joint X-ray (both sides) CPT 73050 | $348.00 | $435.00 | $128.33 – $391.50 | 15 |
| Shoulder Blade (Scapula) X-ray (both sides) CPT 73010 | $260.80 | $326.00 | $96.17 – $293.40 | 15 |
| Shoulder MRI (with and without contrast) CPT 73223 | $3,837.60 | $4,797.00 | $1,415.12 – $4,317.30 | 15 |
| Shoulder MRI (without contrast) CPT 73221 | $3,374.40 | $4,218.00 | $1,244.31 – $3,796.20 | 15 |
| Shoulder X-ray CPT 73030 | $296.00 | $370.00 | $109.15 – $333.00 | 15 |
| Shoulder X-ray (single view, both shoulders) CPT 73020 | $196.00 | $245.00 | $72.28 – $220.50 | 15 |
| Signal avg ecg w or without ecg 93278 CPT 93278 | $584.00 | $730.00 | $215.35 – $657.00 | 15 |
| Sinus CT scan (with and without contrast) CPT 70488 | $2,475.20 | $3,094.00 | $912.73 – $2,784.60 | 15 |
| Sinus CT scan (with contrast) CPT 70487 | $2,216.00 | $2,770.00 | $817.15 – $2,493.00 | 15 |
| Sinus CT scan (without contrast) CPT 70486 | $1,705.60 | $2,132.00 | $628.94 – $1,918.80 | 15 |
| Sinus X-ray (complete) CPT 70220 | $418.40 | $523.00 | $154.29 – $470.70 | 15 |
| Sinus X-ray (limited) CPT 70210 | $280.00 | $350.00 | $103.25 – $315.00 | 15 |
| Skull X-ray (1 to 3 views) CPT 70250 | $287.20 | $359.00 | $105.91 – $323.10 | 15 |
| Skull X-ray (complete) CPT 70260 | $536.00 | $670.00 | $197.65 – $603.00 | 15 |
| Sleep Study (Polysomnography) CPT 95810 | $4,099.20 | $5,124.00 | $1,511.58 – $4,611.60 | 15 |
| Sleep study unattended CPT 95806 | $648.80 | $811.00 | $239.25 – $729.90 | 15 |
| Sling suprapubic suburetheral HCPCS C1771 | $2,000.80 | $2,501.00 | $484.69 – $1,478.70 | 15 |
| Small Bowel Barium X-ray (Follow-Through) CPT 74250 | $761.60 | $952.00 | $280.84 – $856.80 | 15 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $43.20 | $54.00 | $15.93 – $48.60 | 15 |
| Smear gram stain CPT 87205 | $36.00 | $45.00 | $13.28 – $40.50 | 15 |
| Smear nasal eosinophil CPT 89190 | $24.80 | $31.00 | $9.15 – $27.90 | 15 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $48.00 | $60.00 | $17.70 – $54.00 | 15 |
| Smear wet mount CPT 87210 | $36.80 | $46.00 | $13.57 – $41.40 | 15 |
| Sodium 24 hour urine CPT 84300 | $35.20 | $44.00 | $12.98 – $39.60 | 15 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $148.40 | $185.50 | $54.72 – $166.95 | 15 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $148.40 | $185.50 | $31.27 – $95.40 | 15 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $101.76 | $127.20 | $31.27 – $95.40 | 15 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $3.40 | $4.25 | $1.25 – $3.83 | 15 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $83.60 | $104.50 | $30.83 – $94.05 | 15 |
| Sodium serum/plasma/whole blood CPT 84295 | $30.40 | $38.00 | $11.21 – $34.20 | 15 |
| Specific gravity body fluid CPT 84315 | $12.80 | $16.00 | $4.72 – $14.40 | 15 |
| Specimen fat stain CPT 89125 | $44.80 | $56.00 | $16.52 – $50.40 | 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.