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 |
|---|---|---|---|---|
| Cyp2c9 gene com variants CPT 81227 | $256.00 | $320.00 | $94.40 – $288.00 | 15 |
| Cystatin c CPT 82610 | $99.20 | $124.00 | $21.24 – $64.80 | 15 |
| Cystine urine quantitative CPT 82131 | $70.40 | $88.00 | $25.96 – $79.20 | 15 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $536.00 | $670.00 | $197.65 – $603.00 | 15 |
| Cytogenetics 25-99 CPT 88274 | $103.20 | $129.00 | $38.06 – $116.10 | 15 |
| Cytogenetics 3-5 CPT 88272 | $99.20 | $124.00 | $36.58 – $111.60 | 15 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $63.20 | $79.00 | $23.31 – $71.10 | 15 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $66.40 | $83.00 | $24.49 – $74.70 | 15 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $113.60 | $142.00 | $41.89 – $127.80 | 15 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $103.20 | $129.00 | $38.06 – $116.10 | 15 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $160.80 | $201.00 | $59.30 – $180.90 | 15 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $147.20 | $184.00 | $54.28 – $165.60 | 15 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $192.80 | $241.00 | $71.10 – $216.90 | 15 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $215.20 | $269.00 | $79.36 – $242.10 | 15 |
| Cytopath smear other source CPT 88160 | $124.80 | $156.00 | $46.02 – $140.40 | 15 |
| Cytopath smear oth prep screen & interp CPT 88161 | $106.40 | $133.00 | $39.24 – $119.70 | 15 |
| Cytopath tbs c/v manual CPT 88164 | $42.40 | $53.00 | $15.64 – $47.70 | 15 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | $10,207.40 | $12,759.25 | $61.60 – $11,483.33 | 15 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $1,265.88 | $1,582.35 | $203.90 – $622.08 | 15 |
| Dch validity tests CPT 81002 | $17.60 | $22.00 | $6.49 – $19.80 | 15 |
| Deamidated gliadin antibody iga CPT 86258 | $44.00 | $55.00 | $16.23 – $49.50 | 15 |
| Debridement (>20 cm) charge pt CPT 97598 | $323.20 | $404.00 | $119.18 – $363.60 | 15 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $742.40 | $928.00 | $273.76 – $835.20 | 15 |
| Decalcification CPT 88311 | $56.80 | $71.00 | $20.95 – $63.90 | 15 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $596.00 | $745.00 | $219.78 – $670.50 | 15 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $210.40 | $263.00 | $64.02 – $195.30 | 15 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $3,979.88 | $4,974.84 | $999.02 – $3,047.87 | 15 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $450.40 | $563.00 | $166.09 – $506.70 | 15 |
| Developmental screen/score/document 96110 CPT 96110 | $98.40 | $123.00 | $36.29 – $110.70 | 15 |
| Device intraute mirena HCPCS J7298 | $366.21 | $457.76 | $135.04 – $411.98 | 15 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $1.20 | $1.50 | $0.44 – $1.35 | 15 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $63.92 | $79.90 | $1.53 – $4.67 | 15 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $148.40 | $185.50 | $54.72 – $166.95 | 15 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $148.40 | $185.50 | $31.27 – $95.40 | 15 |
| Dextrose 5 % IV bolus HCPCS J7070 | $148.40 | $185.50 | $54.72 – $166.95 | 15 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $112.00 | $140.00 | $19.77 – $60.30 | 15 |
| Diabetes (HbA1c) Test CPT 83036 | $54.40 | $68.00 | $20.06 – $61.20 | 15 |
| Diab manage trn ind/group HCPCS G0109 | $44.80 | $56.00 | $16.52 – $50.40 | 15 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $573.60 | $717.00 | $211.52 – $645.30 | 15 |
| Diagnostic Mammogram (one breast) CPT 77065 | $470.40 | $588.00 | $173.46 – $529.20 | 15 |
| Diagnostic radio unlisted proc CPT 76499 | $808.80 | $1,011.00 | $298.25 – $909.90 | 15 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $69.54 | $86.92 | $24.11 – $73.56 | 15 |
| Diffusing capacity CPT 94729 | $240.00 | $300.00 | $88.50 – $270.00 | 15 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $247.78 | $309.72 | $22.99 – $70.13 | 15 |
| Digoxin total therapeutic drug level CPT 80162 | $75.20 | $94.00 | $27.73 – $84.60 | 15 |
| Dilate esophagus CPT 43453 | $3,169.60 | $3,962.00 | $1,168.79 – $3,565.80 | 15 |
| Dilate esophagus 1/mult pass CPT 43450 | $2,649.60 | $3,312.00 | $977.04 – $2,980.80 | 15 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | $68.48 | $85.59 | $22.29 – $68.01 | 15 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | $1.20 | $1.50 | $0.44 – $1.35 | 15 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $60.58 | $75.72 | $22.34 – $68.15 | 15 |
| Dna antibody native/double stranded CPT 86225 | $80.80 | $101.00 | $29.80 – $90.90 | 15 |
| Dna probe chlamydia CPT 87490 | $82.40 | $103.00 | $30.39 – $92.70 | 15 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $253.06 | $316.32 | $23.45 – $71.53 | 15 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $277.12 | $346.39 | $77.33 – $235.91 | 15 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $188.68 | $235.85 | $69.58 – $212.27 | 15 |
| Doppler echo complete CPT 93320 | $712.80 | $891.00 | $262.85 – $801.90 | 15 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $450.40 | $563.00 | $135.41 – $413.10 | 15 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | not published | not published | $283.24 – $283.24 | 1 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $73.84 | $92.30 | $25.48 – $77.74 | 15 |
| Drainage external ear simple 69000 CPT 69000 | $810.40 | $1,013.00 | $298.84 – $911.70 | 15 |
| Drainage mouth roof lesion CPT 42000 | $439.20 | $549.00 | $161.96 – $494.10 | 15 |
| Drain blood from under nail 11740 CPT 11740 | $215.20 | $269.00 | $79.36 – $242.10 | 15 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $310.40 | $388.00 | $114.46 – $349.20 | 15 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $352.00 | $440.00 | $129.80 – $396.00 | 15 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $440.00 | $550.00 | $162.25 – $495.00 | 15 |
| Drng of eyelid abscess 67700 CPT 67700 | $615.20 | $769.00 | $226.86 – $692.10 | 15 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $65.08 | $81.35 | $24.00 – $73.21 | 15 |
| Drug assay vedolizumab CPT 80280 | $176.80 | $221.00 | $65.20 – $198.90 | 15 |
| Drug of abuse screen urine CPT 80305 | $49.60 | $62.00 | $18.29 – $55.80 | 15 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $269.60 | $337.00 | $54.87 – $167.40 | 15 |
| Drvvt confirm - quest CPT 85597 | $124.00 | $155.00 | $45.73 – $139.50 | 15 |
| Duplex scan bilateral study 93985 CPT 93985 | $858.40 | $1,073.00 | $316.54 – $965.70 | 15 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $676.80 | $846.00 | $249.57 – $761.40 | 15 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $1,112.00 | $1,390.00 | $410.05 – $1,251.00 | 15 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | not published | not published | $98.03 – $98.03 | 1 |
| Ear irrigation 69209 CPT 69209 | $85.60 | $107.00 | $31.57 – $96.30 | 15 |
| Ecallantide injection HCPCS J1290 | not published | not published | $576.49 – $576.49 | 1 |
| Ecg external < 48 hours recording CPT 93225 | $496.80 | $621.00 | $183.20 – $558.90 | 15 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $668.80 | $836.00 | $246.62 – $752.40 | 15 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $200.00 | $250.00 | $73.75 – $225.00 | 15 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $240.80 | $301.00 | $88.80 – $270.90 | 15 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $2,126.40 | $2,658.00 | $784.11 – $2,392.20 | 15 |
| Echocardiogram (Limited Follow-Up Heart Ultrasound) CPT 93308 | $976.80 | $1,221.00 | $360.20 – $1,098.90 | 15 |
| Echocardiography doppler color flow mapping CPT 93325 | $656.80 | $821.00 | $242.20 – $738.90 | 15 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $2,540.80 | $3,176.00 | $936.92 – $2,858.40 | 15 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $467.20 | $584.00 | $172.28 – $525.60 | 15 |
| Echo exam uterus 76831- CPT 76831 | $877.60 | $1,097.00 | $323.62 – $987.30 | 15 |
| Echo guide for transfusion CPT 76941 | $892.80 | $1,116.00 | $329.22 – $1,004.40 | 15 |
| Echo stress CPT 93350 | $2,027.20 | $2,534.00 | $747.53 – $2,280.60 | 15 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $2,965.60 | $3,707.00 | $1,093.57 – $3,336.30 | 15 |
| Echo transthoracic CPT 93303 | $2,040.00 | $2,550.00 | $752.25 – $2,295.00 | 15 |
| Echo transthoracic CPT 93304 | $1,480.00 | $1,850.00 | $545.75 – $1,665.00 | 15 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $1,611.20 | $2,014.00 | $594.13 – $1,812.60 | 15 |
| Eculizumab injection HCPCS J1300 | not published | not published | $228.86 – $228.86 | 1 |
| Eeg 41-60 minutes 95812-26 CPT 95812 | $1,232.80 | $1,541.00 | $454.60 – $1,386.90 | 15 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $987.20 | $1,234.00 | $364.03 – $1,110.60 | 15 |
| Eeg recording awake and asleep CPT 95819 | $1,184.80 | $1,481.00 | $436.90 – $1,332.90 | 15 |
| Efgartigimod alfa-fcab 20 mg/ml intravenous solution HCPCS J9332 | not published | not published | $33.19 – $33.19 | 1 |
| EKG tracing for initial prev HCPCS G0404 | $78.40 | $98.00 | $28.91 – $88.20 | 15 |
| EKG (Tracing Only) CPT 93005 | $261.60 | $327.00 | $96.47 – $294.30 | 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.