Sanford Hospital Webster
1401 W 1st St, Webster, SD · Sanford Health · · NPI 1831103449
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 |
|---|---|---|---|---|
| 3d recon without postprocess indpndt CPT 76376 | $735.20 | $919.00 | $288.57 – $827.10 | 15 |
| 5% dextrose and 0.45% saline HCPCS S5010 | $40.00 | $50.00 | $15.70 – $45.00 | 15 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $68.80 | $86.00 | $27.00 – $77.40 | 15 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $2,288.00 | $2,860.00 | $44.25 – $2,574.00 | 15 |
| Abdominal and Pelvic Blood Vessel Ultrasound (complete) CPT 93975 | $1,120.80 | $1,401.00 | $408.20 – $1,170.00 | 15 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $3,036.80 | $3,796.00 | $1,191.94 – $3,416.40 | 15 |
| Abdominal CT scan (with contrast) CPT 74160 | $2,656.00 | $3,320.00 | $1,042.48 – $2,988.00 | 15 |
| Abdominal CT scan (without contrast) CPT 74150 | $2,140.00 | $2,675.00 | $839.95 – $2,407.50 | 15 |
| Abdominal MRI (with and without contrast) CPT 74183 | $4,195.20 | $5,244.00 | $1,646.62 – $4,719.60 | 15 |
| Abdominal MRI (with contrast) CPT 74182 | $3,488.80 | $4,361.00 | $1,369.35 – $3,924.90 | 15 |
| Abdominal MRI (without contrast) CPT 74181 | $3,030.40 | $3,788.00 | $1,189.43 – $3,409.20 | 15 |
| Abdominal Ultrasound (complete) CPT 76700 | $1,000.00 | $1,250.00 | $392.50 – $1,125.00 | 15 |
| Abdominal Ultrasound (limited) CPT 76705 | $750.40 | $938.00 | $294.53 – $844.20 | 15 |
| Abdominal X-ray (2 views) CPT 74019 | $392.00 | $490.00 | $153.86 – $441.00 | 15 |
| Abdominal X-ray Series (acute, with chest view) CPT 74022 | $616.80 | $771.00 | $242.09 – $693.90 | 15 |
| Abdominal X-ray (single view) CPT 74018 | $308.80 | $386.00 | $121.20 – $347.40 | 15 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $1,070.40 | $1,338.00 | $420.13 – $1,204.20 | 15 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | $75.72 | $94.64 | $29.72 – $85.18 | 15 |
| Acetaminophen level CPT 80143 | $50.40 | $63.00 | $19.78 – $56.70 | 15 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $78.55 | $98.18 | $30.83 – $88.36 | 15 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $90.84 | $113.55 | $30.63 – $87.80 | 15 |
| Acetylcysteine non-comp unit HCPCS J7608 | $31.48 | $39.35 | $12.36 – $35.42 | 15 |
| Acute hepatitis panel CPT 80074 | $344.00 | $430.00 | $135.02 – $387.00 | 15 |
| Acyclovir 400 mg tablet HCPCS J8499 | $402.12 | $502.65 | $0.47 – $1.35 | 15 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $61.59 | $76.98 | $24.17 – $69.28 | 15 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $61.59 | $76.98 | $24.10 – $69.07 | 15 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $29.54 | $36.92 | $11.59 – $33.23 | 15 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $310.40 | $388.00 | $67.20 – $349.20 | 15 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | not published | not published | $153.60 – $153.60 | 1 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $988.80 | $1,236.00 | $313.60 – $1,112.40 | 15 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | not published | not published | $242.40 – $242.40 | 1 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $220.80 | $276.00 | $85.60 – $248.40 | 15 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $278.40 | $348.00 | $109.27 – $313.20 | 15 |
| Administration immunization each additional vaccine CPT 90472 | $42.40 | $53.00 | $16.64 – $47.70 | 15 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | $32.80 | $41.00 | $12.87 – $36.90 | 15 |
| Administration immunization intranasal/oral route each additional vaccine CPT 90474 | $31.20 | $39.00 | $12.25 – $35.10 | 15 |
| _afb id by dna probe rflx ast CPT 87149 | $69.60 | $87.00 | $27.32 – $78.30 | 15 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | not published | not published | $227.74 – $227.74 | 1 |
| Albumin body fluid quantitative each specimen CPT 82042 | $36.00 | $45.00 | $14.13 – $40.50 | 15 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $124.15 | $155.18 | $48.73 – $139.66 | 15 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $96.80 | $121.00 | $37.99 – $108.90 | 15 |
| Albumin serum plasma or whole blood CPT 82040 | $83.20 | $104.00 | $26.38 – $75.60 | 15 |
| Albuterol ipratrop non-comp HCPCS J7620 | $4.80 | $6.00 | $1.88 – $5.40 | 15 |
| Albuterol non-comp con HCPCS J7611 | $4.80 | $6.00 | $1.88 – $5.40 | 15 |
| Albuterol non-comp unit HCPCS J7613 | $5.40 | $6.75 | $1.88 – $5.40 | 15 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $98.40 | $123.00 | $38.62 – $110.70 | 15 |
| Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 | not published | not published | $2,381.81 – $2,381.81 | 1 |
| Alkaline phosphatase CPT 84075 | $64.00 | $80.00 | $11.30 – $32.40 | 15 |
| Allergen egg white ige CPT 86003 | $83.20 | $104.00 | $10.68 – $30.60 | 15 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | $796.00 | $995.00 | $5.03 – $895.50 | 15 |
| Alpha-fetoprotein tumor marker CPT 82105 | $133.60 | $167.00 | $52.44 – $150.30 | 15 |
| Alprostadil for injection HCPCS J0270 | $84.80 | $105.99 | $33.28 – $95.39 | 15 |
| Alt/sgpt CPT 84460 | $68.80 | $86.00 | $27.00 – $77.40 | 15 |
| Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr HCPCS J0281 | $64.80 | $81.00 | $23.86 – $68.38 | 15 |
| Aminolevulinic acid delta CPT 82135 | $100.80 | $126.00 | $39.56 – $113.40 | 15 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $68.80 | $85.99 | $27.00 – $77.39 | 15 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | $114.96 | $143.70 | $40.82 – $117.00 | 15 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $61.43 | $76.78 | $24.06 – $68.96 | 15 |
| Ammonia CPT 82140 | $222.40 | $278.00 | $87.29 – $250.20 | 15 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $63.28 | $79.09 | $23.79 – $68.18 | 15 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $62.80 | $78.49 | $23.92 – $68.56 | 15 |
| Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis CPT 81515 | $496.00 | $620.00 | $194.68 – $558.00 | 15 |
| Amylase CPT 82150 | $80.80 | $101.00 | $31.71 – $90.90 | 15 |
| Analysis gene f2 20210g>a variant CPT 81240 | $192.00 | $240.00 | $75.36 – $216.00 | 15 |
| Analysis gene f5 leiden variant CPT 81241 | $236.00 | $295.00 | $75.36 – $216.00 | 15 |
| Anca screen with reflex to titer -quest CPT 86021 | $129.60 | $162.00 | $50.87 – $145.80 | 15 |
| Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490 | $70.88 | $88.60 | $0.55 – $1.58 | 15 |
| Ankle X-ray CPT 73610 | $368.00 | $460.00 | $144.44 – $414.00 | 15 |
| Ankle X-ray (2 views, both ankles) CPT 73600 | $308.80 | $386.00 | $121.20 – $347.40 | 15 |
| Anora (draw only) CPT 99001 | $48.00 | $60.00 | $18.84 – $54.00 | 15 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $30.40 | $38.00 | $11.93 – $34.20 | 15 |
| Antibody htlv/hiv confirm test CPT 86689 | $313.60 | $392.00 | $123.09 – $352.80 | 15 |
| Antibody htlv-i CPT 86687 | $78.40 | $98.00 | $30.77 – $88.20 | 15 |
| Antibody id rbc panel CPT 86870 | $230.40 | $288.00 | $90.43 – $259.20 | 15 |
| Antibody screen rbc CPT 86850 | $72.00 | $90.00 | $28.26 – $81.00 | 15 |
| Antibody tetanus CPT 86774 | $136.80 | $171.00 | $53.69 – $153.90 | 15 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $48.80 | $61.00 | $19.15 – $54.90 | 15 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | $83.20 | $104.00 | $32.66 – $93.60 | 15 |
| Antinuclear antibodies CPT 86038 | $64.80 | $81.00 | $25.43 – $72.90 | 15 |
| Antinuclear antibodies titer CPT 86039 | $60.80 | $76.00 | $23.86 – $68.40 | 15 |
| Antistreptolysin o titer CPT 86060 | $81.60 | $102.00 | $32.03 – $91.80 | 15 |
| Antithrombin iii activity CPT 85300 | $290.40 | $363.00 | $113.98 – $326.70 | 15 |
| Aortic Aneurysm Screening Ultrasound CPT 76706 | $512.80 | $641.00 | $201.27 – $576.90 | 15 |
| Application finger splntstatic 29130 CPT 29130 | $194.40 | $243.00 | $76.30 – $218.70 | 15 |
| Application long leg splint 29505 CPT 29505 | $290.40 | $363.00 | $113.98 – $326.70 | 15 |
| Application lower leg splint 29515 CPT 29515 | $268.00 | $335.00 | $105.19 – $301.50 | 15 |
| Application multi layer compression below knee (both sides) CPT 29581 | $381.60 | $477.00 | $149.78 – $429.30 | 15 |
| Application of forearm cast 29075 CPT 29075 | $211.20 | $264.00 | $82.90 – $237.60 | 15 |
| Application of long arm cast 29065 CPT 29065 | $253.60 | $317.00 | $99.54 – $285.30 | 15 |
| Application of paste boot 29580 CPT 29580 | $251.20 | $314.00 | $98.60 – $282.60 | 15 |
| Application short leg cast 29405 CPT 29405 | $256.00 | $320.00 | $100.48 – $288.00 | 15 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | $107.20 | $134.00 | $42.08 – $120.60 | 15 |
| Appl modality 1/> areas vasopneumatic devices 97016 CPT 97016 | $112.80 | $141.00 | $44.27 – $126.90 | 15 |
| Apply forearm splintdynamic 29126 CPT 29126 | $276.00 | $345.00 | $108.33 – $310.50 | 15 |
| Apply of finger splint 29131 CPT 29131 | $183.20 | $229.00 | $71.91 – $206.10 | 15 |
| Apply short leg castambul type 29425 CPT 29425 | $241.60 | $302.00 | $94.83 – $271.80 | 15 |
| Arm CT Scan (with contrast, both arms) CPT 73201 | $2,285.60 | $2,857.00 | $897.10 – $2,571.30 | 15 |
| Arm CT Scan (without contrast, both arms) CPT 73200 | $1,955.20 | $2,444.00 | $767.42 – $2,199.60 | 15 |
| Arm or Leg Ultrasound (limited, left side) CPT 76882 | $505.60 | $632.00 | $198.45 – $568.80 | 15 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right CPT 20605 | $484.80 | $606.00 | $190.28 – $545.40 | 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.