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 |
|---|---|---|---|---|
| Speech and Language Evaluation (comprehensive) CPT 92523 | $340.80 | $426.00 | $125.67 – $383.40 | 15 |
| Speech Therapy Session (one-on-one) CPT 92507 | $267.20 | $334.00 | $98.53 – $300.60 | 15 |
| Spine X-ray (single view, one level) CPT 72020 | $261.60 | $327.00 | $96.47 – $294.30 | 15 |
| Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 | $44.80 | $56.00 | $16.52 – $50.40 | 15 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $354.40 | $443.00 | $130.69 – $398.70 | 15 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $280.00 | $350.00 | $103.25 – $315.00 | 15 |
| Sterile water/saline, 10 ml HCPCS A4216 | $3.40 | $4.25 | $1.25 – $3.83 | 15 |
| Sterile water/saline, 500 ml HCPCS A4217 | $1.40 | $1.75 | $0.52 – $1.58 | 15 |
| St evaluate speech sound production CPT 92522 | $340.00 | $425.00 | $125.38 – $382.50 | 15 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $406.40 | $508.00 | $149.86 – $457.20 | 15 |
| Stomach Emptying Scan (Nuclear Medicine) CPT 78264 | $1,629.60 | $2,037.00 | $600.92 – $1,833.30 | 15 |
| Strep b dna amp probe CPT 87653 | $163.20 | $204.00 | $60.18 – $183.60 | 15 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $67.99 | $84.98 | $23.39 – $71.35 | 15 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $65.54 | $81.92 | $23.23 – $70.87 | 15 |
| Support clav 29.6-40.5in med HCPCS L3650 | $30.40 | $38.00 | $10.92 – $33.30 | 15 |
| Surgical pathology level 1 gross examination only CPT 88300 | $35.20 | $44.00 | $12.98 – $39.60 | 15 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $85.60 | $107.00 | $31.57 – $96.30 | 15 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $114.40 | $143.00 | $42.19 – $128.70 | 15 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $119.20 | $149.00 | $43.96 – $134.10 | 15 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $677.60 | $847.00 | $249.87 – $762.30 | 15 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $963.20 | $1,204.00 | $355.18 – $1,083.60 | 15 |
| Susceptibility agar dilution per agent CPT 87181 | $29.60 | $37.00 | $10.92 – $33.30 | 15 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $27.20 | $34.00 | $10.03 – $30.60 | 15 |
| Susceptibility mic per plate CPT 87186 | $147.20 | $184.00 | $14.75 – $45.00 | 15 |
| Swallowing Evaluation (Bedside) CPT 92610 | $316.80 | $396.00 | $116.82 – $356.40 | 15 |
| Swallowing Therapy Session CPT 92526 | $254.40 | $318.00 | $93.81 – $286.20 | 15 |
| T3 (triiodothyronine) free CPT 84481 | $99.20 | $124.00 | $36.58 – $111.60 | 15 |
| T3 (triiodothyronine) total CPT 84480 | $69.60 | $87.00 | $25.67 – $78.30 | 15 |
| T4 (thyroxine) free CPT 84439 | $63.20 | $79.00 | $23.31 – $71.10 | 15 |
| T4 (thyroxine) total CPT 84436 | $28.80 | $36.00 | $10.62 – $32.40 | 15 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $1.20 | $1.50 | $0.44 – $1.35 | 15 |
| Tacrolimus therapeutic drug level CPT 80197 | $101.60 | $127.00 | $37.47 – $114.30 | 15 |
| Tailbone (Sacrum and Coccyx) X-ray CPT 72220 | $248.00 | $310.00 | $91.45 – $279.00 | 15 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $301.60 | $377.00 | $111.22 – $339.30 | 15 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $140.80 | $176.00 | $51.92 – $158.40 | 15 |
| Tc-99m labeled rbc HCPCS A9560 | $428.00 | $535.00 | $157.83 – $481.50 | 15 |
| Tc-99m maa HCPCS A9540 | $936.80 | $1,171.00 | $345.45 – $1,053.90 | 15 |
| Tc-99m mebrofenin HCPCS A9537 | $178.40 | $223.00 | $65.79 – $200.70 | 15 |
| Tc-99m medronate HCPCS A9503 | $133.60 | $167.00 | $49.27 – $150.30 | 15 |
| Tc-99m mertiatide HCPCS A9562 | $756.00 | $945.00 | $278.78 – $850.50 | 15 |
| Tc-99m oxidronate HCPCS A9561 | $168.00 | $210.00 | $61.95 – $189.00 | 15 |
| Tc-99m pentetate dtpa HCPCS A9539 | $388.80 | $486.00 | $143.37 – $437.40 | 15 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $388.80 | $486.00 | $143.37 – $437.40 | 15 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $352.00 | $440.00 | $129.80 – $396.00 | 15 |
| Tc-99m sulfur colloid HCPCS A9541 | $308.00 | $385.00 | $113.58 – $346.50 | 15 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $120.00 | $150.00 | $44.25 – $135.00 | 15 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $131.20 | $164.00 | $48.38 – $147.60 | 15 |
| T cells absolute cd 4 count CPT 86361 | $88.80 | $111.00 | $32.75 – $99.90 | 15 |
| T cells total count CPT 86359 | $104.80 | $131.00 | $38.65 – $117.90 | 15 |
| Telehealth original site facility fee HCPCS Q3014 | $66.40 | $83.00 | $24.49 – $74.70 | 15 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $12,366.50 | $15,458.12 | $3,583.37 – $10,932.30 | 15 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $74.61 | $93.26 | $27.51 – $83.93 | 15 |
| Testicular imaging w/vasc flow CPT 78761 | $1,150.40 | $1,438.00 | $424.21 – $1,294.20 | 15 |
| Test stress cardiovascular tracing only CPT 93017 | $1,103.20 | $1,379.00 | $406.81 – $1,241.10 | 15 |
| Test urine for porphyrins CPT 84119 | $104.00 | $130.00 | $38.35 – $117.00 | 15 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | $11,759.93 | $14,699.91 | $18.45 – $13,229.92 | 15 |
| Theophylline therapeutic drug level CPT 80198 | $73.60 | $92.00 | $27.14 – $82.80 | 15 |
| Therapeutic procd strg endur HCPCS G0237 | $123.20 | $154.00 | $45.43 – $138.60 | 15 |
| Therapy Activity Training (each 15 minutes) CPT 97530 | $127.20 | $159.00 | $46.91 – $143.10 | 15 |
| Therapy Exercise Session (each 15 minutes) CPT 97110 | $129.60 | $162.00 | $47.79 – $145.80 | 15 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $52.80 | $66.00 | $19.47 – $59.40 | 15 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $60.00 | $75.00 | $22.13 – $67.50 | 15 |
| Ther/proph/diag inj ia CPT 96373 | not published | not published | $44.80 – $44.80 | 1 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $64.00 | $79.99 | $22.64 – $69.08 | 15 |
| Thigh Bone (Femur) X-ray (both sides) CPT 73552 | $284.00 | $355.00 | $104.73 – $319.50 | 15 |
| Three-Phase Bone Scan (Nuclear Medicine) CPT 78315 | $1,726.40 | $2,158.00 | $636.61 – $1,942.20 | 15 |
| Thrombin time CPT 85670 | $39.20 | $49.00 | $14.46 – $44.10 | 15 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $22.40 | $28.00 | $8.26 – $25.20 | 15 |
| Thyroglobulin antibody CPT 86800 | $81.60 | $102.00 | $19.47 – $59.40 | 15 |
| Thyroid imaging CPT 78013 | $1,004.00 | $1,255.00 | $370.23 – $1,129.50 | 15 |
| Thyroid (TSH) Test CPT 84443 | $84.00 | $105.00 | $30.98 – $94.50 | 15 |
| Thyroid Ultrasound CPT 76536 | $708.80 | $886.00 | $261.37 – $797.40 | 15 |
| Thyroid uptake measurement CPT 78012 | $857.60 | $1,072.00 | $316.24 – $964.80 | 15 |
| Thyrotropin alfa 0.9 mg intramuscular solution HCPCS J3240 | $2,764.81 | $3,456.01 | $1,019.52 – $3,110.41 | 15 |
| Thyroxine binding globulin (tbg) CPT 84442 | $48.80 | $61.00 | $18.00 – $54.90 | 15 |
| Tirofiban 12.5 mg/50 ml HCPCS J3246 | $313.30 | $391.62 | $105.62 – $322.22 | 15 |
| Tissue exam koh skin/hair/nails CPT 87220 | $40.80 | $51.00 | $15.05 – $45.90 | 15 |
| Tissue transglutaminase iga CPT 86364 | $47.20 | $59.00 | $17.41 – $53.10 | 15 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $60.62 | $75.77 | $22.35 – $68.19 | 15 |
| Tobramycin peak therapeutic drug level CPT 80200 | $87.20 | $109.00 | $32.16 – $98.10 | 15 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | not published | not published | $6.08 – $6.08 | 1 |
| Toe X-ray (both feet) CPT 73660 | $264.00 | $330.00 | $97.35 – $297.00 | 15 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $95.20 | $119.00 | $35.11 – $107.10 | 15 |
| Tomosynthesis breast screen bilateral CPT 77063 | $125.60 | $157.00 | $46.32 – $141.30 | 15 |
| Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution HCPCS J3263 | not published | not published | $46.57 – $46.57 | 1 |
| Toxoplasma antibody igg CPT 86777 | $76.00 | $95.00 | $28.03 – $85.50 | 15 |
| Toxoplasma antibody igm CPT 86778 | $75.20 | $94.00 | $27.73 – $84.60 | 15 |
| Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108 | $100.00 | $125.00 | $36.88 – $112.50 | 15 |
| Transferrin CPT 84466 | $53.60 | $67.00 | $19.77 – $60.30 | 15 |
| Transvaginal Pelvic Ultrasound (not pregnancy) CPT 76830 | $461.60 | $577.00 | $170.22 – $519.30 | 15 |
| Transvaginal Pregnancy Ultrasound CPT 76817 | $450.40 | $563.00 | $166.09 – $506.70 | 15 |
| Trastuzumab 150 mg intravenous solution HCPCS J9355 | not published | not published | $93.40 – $93.40 | 1 |
| Trastuzumab-anns 150 mg intravenous solution HCPCS Q5117 | not published | not published | $29.15 – $29.15 | 1 |
| Trastuzumab-qyyp 150 mg intravenous solution HCPCS Q5116 | not published | not published | $22.97 – $22.97 | 1 |
| Trauma partial team response w/critical care services level 4 HCPCS G0390 | $3,074.40 | $3,843.00 | $1,133.69 – $3,458.70 | 15 |
| Treat ankle dislocation CPT 27842 | $1,972.80 | $2,466.00 | $727.47 – $2,219.40 | 15 |
| Treat elbow dislocation CPT 24605 | $2,223.20 | $2,779.00 | $819.81 – $2,501.10 | 15 |
| Treat fracture of radius CPT 25505 | $1,155.20 | $1,444.00 | $425.98 – $1,299.60 | 15 |
| Treat kneecap dislocation CPT 27562 | $569.60 | $712.00 | $210.04 – $640.80 | 15 |
| Treat ulnar fracture CPT 24675 | $1,492.00 | $1,865.00 | $550.18 – $1,678.50 | 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.