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 |
|---|---|---|---|---|
| Mayo antithrombin iii antigen CPT 85301 | $350.40 | $438.00 | $137.53 – $394.20 | 15 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $64.80 | $81.00 | $15.39 – $44.10 | 15 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $88.80 | $111.00 | $34.85 – $99.90 | 15 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $284.80 | $356.00 | $25.12 – $72.00 | 15 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $74.40 | $93.00 | $29.20 – $83.70 | 15 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $220.00 | $275.00 | $86.35 – $247.50 | 15 |
| Mayo c1 esterase inhibitor CPT 83883 | $197.60 | $247.00 | $13.50 – $38.70 | 15 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $80.80 | $101.00 | $31.71 – $90.90 | 15 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $47.20 | $59.00 | $18.53 – $53.10 | 15 |
| Mayo ceruloplasmin CPT 82390 | $101.60 | $127.00 | $39.88 – $114.30 | 15 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $36.00 | $45.00 | $14.13 – $40.50 | 15 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $36.00 | $45.00 | $14.13 – $40.50 | 15 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $54.40 | $68.00 | $21.35 – $61.20 | 15 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $54.40 | $68.00 | $21.35 – $61.20 | 15 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $296.00 | $370.00 | $116.18 – $333.00 | 15 |
| Mayo coccidioides antibody CPT 86635 | $73.60 | $92.00 | $24.18 – $69.30 | 15 |
| Mayo cocou cortisone urine CPT 82542 | $74.40 | $93.00 | $29.20 – $83.70 | 15 |
| Mayo cortisol free CPT 82530 | $296.80 | $371.00 | $18.53 – $53.10 | 15 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | $356.00 | $445.00 | $139.73 – $400.50 | 15 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $61.60 | $77.00 | $24.18 – $69.30 | 15 |
| Mayo efpo chloride stool CPT 82438 | $48.00 | $60.00 | $18.84 – $54.00 | 15 |
| Mayo estriol CPT 82677 | $174.40 | $218.00 | $68.45 – $196.20 | 15 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $86.40 | $108.00 | $15.39 – $44.10 | 15 |
| Mayo factor v CPT 85220 | $267.20 | $334.00 | $10.99 – $31.50 | 15 |
| Mayo factor viii vw factor antigen CPT 85246 | $208.00 | $260.00 | $81.64 – $234.00 | 15 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $69.60 | $87.00 | $27.32 – $78.30 | 15 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $228.00 | $285.00 | $89.49 – $256.50 | 15 |
| Mayo fat/lipids feces quantitative CPT 82710 | $57.60 | $72.00 | $22.61 – $64.80 | 15 |
| Mayo fbl culture fungi blood CPT 87103 | $96.00 | $120.00 | $37.68 – $108.00 | 15 |
| Mayo ffspg allergen clam igg CPT 86001 | $42.40 | $53.00 | $16.64 – $47.70 | 15 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $71.20 | $89.00 | $27.95 – $80.10 | 15 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $356.00 | $445.00 | $139.73 – $400.50 | 15 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $64.80 | $81.00 | $25.43 – $72.90 | 15 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $200.00 | $250.00 | $72.53 – $207.90 | 15 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $57.60 | $72.00 | $22.61 – $64.80 | 15 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $74.40 | $93.00 | $29.20 – $83.70 | 15 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $30.40 | $38.00 | $11.93 – $34.20 | 15 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $223.20 | $279.00 | $11.62 – $33.30 | 15 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $101.60 | $127.00 | $39.88 – $114.30 | 15 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $52.80 | $66.00 | $20.72 – $59.40 | 15 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $124.80 | $156.00 | $40.82 – $117.00 | 15 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $40.80 | $51.00 | $16.01 – $45.90 | 15 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $487.20 | $609.00 | $191.23 – $548.10 | 15 |
| Mayo inhab inhibin a CPT 86336 | $56.80 | $71.00 | $22.29 – $63.90 | 15 |
| Mayo iodine CPT 83789 | $104.00 | $130.00 | $40.82 – $117.00 | 15 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $104.00 | $130.00 | $40.82 – $117.00 | 15 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $107.20 | $134.00 | $42.08 – $120.60 | 15 |
| Mayo legionella antibody CPT 86713 | $168.80 | $211.00 | $61.54 – $176.40 | 15 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $106.40 | $133.00 | $41.76 – $119.70 | 15 |
| Mayo metanephrines plasma CPT 83835 | $46.40 | $58.00 | $18.21 – $52.20 | 15 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $172.00 | $215.00 | $50.55 – $144.90 | 15 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $277.60 | $347.00 | $27.00 – $77.40 | 15 |
| Mayo muramidase CPT 85549 | $56.80 | $71.00 | $22.29 – $63.90 | 15 |
| Mayo myoglobin CPT 83874 | $217.60 | $272.00 | $70.34 – $201.60 | 15 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $99.20 | $124.00 | $38.94 – $111.60 | 15 |
| Mayo oxalate 24 hour urine CPT 83945 | $143.20 | $179.00 | $22.61 – $64.80 | 15 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $56.80 | $71.00 | $22.29 – $63.90 | 15 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $156.80 | $196.00 | $17.90 – $51.30 | 15 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $126.40 | $158.00 | $49.61 – $142.20 | 15 |
| Mayo psaft prostate specific antigen free CPT 84154 | $142.40 | $178.00 | $55.89 – $160.20 | 15 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $348.00 | $435.00 | $22.61 – $64.80 | 15 |
| Mayo receptor assay transferrin soluble CPT 84238 | $261.60 | $327.00 | $102.68 – $294.30 | 15 |
| Mayo renin CPT 84244 | $51.20 | $64.00 | $20.10 – $57.60 | 15 |
| Mayo repu protein electrophoresis urine CPT 84166 | $85.60 | $107.00 | $33.60 – $96.30 | 15 |
| Mayo serotonin CPT 84260 | $103.20 | $129.00 | $40.51 – $116.10 | 15 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $56.80 | $71.00 | $22.29 – $63.90 | 15 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $95.20 | $119.00 | $37.37 – $107.10 | 15 |
| Mayo tgrp testosterone free CPT 84402 | $60.00 | $75.00 | $23.55 – $67.50 | 15 |
| Mayo tgrp testosterone total CPT 84403 | $188.00 | $235.00 | $23.86 – $68.40 | 15 |
| Mayo thyroglobulin CPT 84432 | $96.00 | $120.00 | $17.90 – $51.30 | 15 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | $120.00 | $150.00 | $47.10 – $135.00 | 15 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $144.00 | $180.00 | $49.61 – $142.20 | 15 |
| Mayo vitamin k CPT 84597 | $76.00 | $95.00 | $29.83 – $85.50 | 15 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $71.20 | $89.00 | $27.95 – $80.10 | 15 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | $78.36 | $97.94 | $26.10 – $74.80 | 15 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $65.20 | $81.50 | $25.59 – $73.35 | 15 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | not published | not published | $31.01 – $31.01 | 1 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $64.87 | $81.08 | $25.46 – $72.97 | 15 |
| Metabolic Blood Panel (Basic) CPT 80048 | $120.80 | $151.00 | $47.41 – $135.90 | 15 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $142.40 | $178.00 | $55.89 – $160.20 | 15 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $367.03 | $458.78 | $144.06 – $412.90 | 15 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | $98.07 | $122.58 | $38.49 – $110.32 | 15 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $94.18 | $117.72 | $25.39 – $72.78 | 15 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $93.92 | $117.39 | $24.10 – $69.07 | 15 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $61.64 | $77.04 | $23.90 – $68.49 | 15 |
| Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) HCPCS J0616 | $60.47 | $75.58 | $23.73 – $68.02 | 15 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $98.80 | $123.50 | $38.78 – $111.15 | 15 |
| Microalbumin urine screen CPT 82044 | $80.80 | $101.00 | $31.71 – $90.90 | 15 |
| Mid and Lower Back (Thoracolumbar Spine) X-ray CPT 72080 | $403.20 | $504.00 | $158.26 – $453.60 | 15 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $60.93 | $76.16 | $23.58 – $67.57 | 15 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $78.40 | $98.00 | $24.01 – $68.83 | 15 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | $61.73 | $77.16 | $24.21 – $69.40 | 15 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $186.40 | $233.00 | $73.16 – $209.70 | 15 |
| MRI chest without contrast CPT 71550 | $2,800.00 | $3,500.00 | $1,099.00 – $3,150.00 | 15 |
| MRI chest without & w/contrast CPT 71552 | $4,276.80 | $5,346.00 | $1,678.64 – $4,811.40 | 15 |
| MRI chest w IV cont CPT 71551 | $3,504.00 | $4,380.00 | $1,375.32 – $3,942.00 | 15 |
| MRI loex nonjt w IV cont CPT 73719 | $3,620.80 | $4,526.00 | $1,421.16 – $4,073.40 | 15 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $2,830.40 | $3,538.00 | $1,110.93 – $3,184.20 | 15 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $3,785.60 | $4,732.00 | $1,485.85 – $4,258.80 | 15 |
| MRI orbit fac&nck w IV cont CPT 70542 | $3,728.00 | $4,660.00 | $1,463.24 – $4,194.00 | 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.