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 |
|---|---|---|---|---|
| MRI tmj CPT 70336 | $2,968.80 | $3,711.00 | $1,165.25 – $3,339.90 | 15 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $2,815.20 | $3,519.00 | $1,104.97 – $3,167.10 | 15 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $3,932.80 | $4,916.00 | $1,543.62 – $4,424.40 | 15 |
| MRI upper extremity w/dye CPT 73219 | $3,563.20 | $4,454.00 | $1,398.56 – $4,008.60 | 15 |
| Multiple sleep latency test CPT 95805 | $3,324.80 | $4,156.00 | $1,304.98 – $3,740.40 | 15 |
| Mumps antibody igg CPT 86735 | $149.60 | $187.00 | $58.72 – $168.30 | 15 |
| Mycoplasma antibody igm CPT 86738 | $98.40 | $123.00 | $38.62 – $110.70 | 15 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $188.00 | $235.00 | $19.15 – $54.90 | 15 |
| Nafcillin 2 gram solution for injection HCPCS J2290 | $63.87 | $79.83 | $25.07 – $71.85 | 15 |
| Naloxone 0.4 mg/ml injection (wrapper) HCPCS J2312 | $63.12 | $78.90 | $23.60 – $67.65 | 15 |
| Natalizumab 300 mg/15 ml intravenous solution HCPCS J2323 | not published | not published | $24.60 – $24.60 | 1 |
| Natriuretic peptide CPT 83880 | $202.40 | $253.00 | $37.05 – $106.20 | 15 |
| Natural killer cells total count CPT 86357 | $146.40 | $183.00 | $57.46 – $164.70 | 15 |
| Ndl insj without njx 1 or 2 musc CPT 20560 | $41.60 | $52.00 | $16.33 – $46.80 | 15 |
| Ndl insj without njx 3+ musc CPT 20561 | $68.00 | $85.00 | $26.69 – $76.50 | 15 |
| Nebulizer Breathing Treatment CPT 94640 | $263.20 | $329.00 | $85.41 – $244.80 | 15 |
| Neck Airway (Soft Tissue) X-ray CPT 70360 | $268.80 | $336.00 | $105.50 – $302.40 | 15 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $3,067.20 | $3,834.00 | $1,203.88 – $3,450.60 | 15 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $2,708.80 | $3,386.00 | $1,063.20 – $3,047.40 | 15 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $2,253.60 | $2,817.00 | $884.54 – $2,535.30 | 15 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $4,566.40 | $5,708.00 | $1,792.31 – $5,137.20 | 15 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $3,585.60 | $4,482.00 | $1,407.35 – $4,033.80 | 15 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $3,250.40 | $4,063.00 | $1,275.78 – $3,656.70 | 15 |
| Neck (Cervical Spine) X-ray (2 to 3 views) CPT 72040 | $444.00 | $555.00 | $174.27 – $499.50 | 15 |
| Neck (Cervical Spine) X-ray (4 to 5 views) CPT 72050 | $597.60 | $747.00 | $234.56 – $672.30 | 15 |
| Neck (Cervical Spine) X-ray (6 or more views) CPT 72052 | $816.80 | $1,021.00 | $320.59 – $918.90 | 15 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $4,024.80 | $5,031.00 | $1,579.73 – $4,527.90 | 15 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $3,220.00 | $4,025.00 | $1,263.85 – $3,622.50 | 15 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $2,756.00 | $3,445.00 | $1,081.73 – $3,100.50 | 15 |
| Neck Soft Tissue CT Scan (with and without contrast) CPT 70492 | $2,992.80 | $3,741.00 | $1,174.67 – $3,366.90 | 15 |
| Neck Soft Tissue CT Scan (with contrast) CPT 70491 | $2,501.60 | $3,127.00 | $981.88 – $2,814.30 | 15 |
| Neck Soft Tissue CT Scan (without contrast) CPT 70490 | $2,064.80 | $2,581.00 | $810.43 – $2,322.90 | 15 |
| Neostigmine methylsulfate 1 mg/ml injection (wrapper) HCPCS J2710 | $60.08 | $75.09 | $23.58 – $67.58 | 15 |
| Nicardipine 25 mg/10 ml intravenous solution HCPCS J2404 | $173.76 | $217.20 | $68.20 – $195.48 | 15 |
| Nintedanib 150 mg capsule HCPCS J8999 | $1.20 | $1.50 | $0.47 – $1.35 | 15 |
| Nivolumab 10 mg/ml intravenous solution (wrapper) HCPCS J9299 | not published | not published | $38.06 – $38.06 | 1 |
| Nivolumab 240 mg-relatlimab-rmbw 80 mg/20 ml intravenous solution HCPCS J9298 | not published | not published | $228.20 – $228.20 | 1 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | $2,072.80 | $2,591.00 | $813.57 – $2,331.90 | 15 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $1,736.00 | $2,170.00 | $681.38 – $1,953.00 | 15 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $2,226.40 | $2,783.00 | $873.86 – $2,504.70 | 15 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $1,464.00 | $1,830.00 | $574.62 – $1,647.00 | 15 |
| No pt prsnt train add 15 HCPCS G0542 | $63.20 | $79.00 | $24.81 – $71.10 | 15 |
| No pt prsnt train initial 30 HCPCS G0541 | $127.20 | $159.00 | $49.93 – $143.10 | 15 |
| Nose (Nasal Bone) X-ray (complete) CPT 70160 | $372.00 | $465.00 | $146.01 – $418.50 | 15 |
| Nuclear Stress Test (Heart) CPT 78452 | $4,810.40 | $6,013.00 | $1,888.08 – $5,411.70 | 15 |
| Observation direct referral from physician office for admission HCPCS G0379 | $212.00 | $265.00 | $83.21 – $238.50 | 15 |
| Observation per hour HCPCS G0378 | $56.80 | $71.00 | $22.29 – $63.90 | 15 |
| Obstetrics panel CPT 80055 | $147.20 | $184.00 | $57.78 – $165.60 | 15 |
| Occupational Therapy Evaluation (high complexity) CPT 97167 | $327.20 | $409.00 | $128.43 – $368.10 | 15 |
| Occupational Therapy Evaluation (low complexity) CPT 97165 | $268.00 | $335.00 | $105.19 – $301.50 | 15 |
| Occupational Therapy Evaluation (moderate complexity) CPT 97166 | $295.20 | $369.00 | $115.87 – $332.10 | 15 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | $32,904.00 | $41,130.00 | $60.94 – $37,017.00 | 15 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $61.75 | $77.18 | $24.23 – $69.46 | 15 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | $6,838.44 | $8,548.04 | $2,684.08 – $7,693.24 | 15 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $69.76 | $87.20 | $27.38 – $78.48 | 15 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | $2,102.10 | $2,627.62 | $39.04 – $2,364.86 | 15 |
| Ondansetron 4 mg s0119 HCPCS S0119 | $5.64 | $7.05 | $2.07 – $5.92 | 15 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $60.31 | $75.38 | $23.67 – $67.83 | 15 |
| Osmolality blood CPT 83930 | $65.60 | $82.00 | $25.75 – $73.80 | 15 |
| Osmolality urine CPT 83935 | $68.00 | $85.00 | $26.69 – $76.50 | 15 |
| Oth resp proc, group HCPCS G0239 | $176.00 | $220.00 | $69.08 – $198.00 | 15 |
| Oth resp proc, indiv HCPCS G0238 | $138.40 | $173.00 | $54.32 – $155.70 | 15 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $130.40 | $163.00 | $51.18 – $146.70 | 15 |
| Ot re-evaluation patient/family CPT 97168 | $225.60 | $282.00 | $88.55 – $253.80 | 15 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $128.80 | $161.00 | $50.55 – $144.90 | 15 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $233.60 | $292.00 | $91.69 – $262.80 | 15 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | $62.24 | $77.79 | $24.43 – $70.01 | 15 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $60.75 | $75.93 | $23.84 – $68.34 | 15 |
| Palivizumab 50 mg/0.5 ml inj CPT 90378 | $5,533.72 | $6,917.14 | $2,171.98 – $6,225.43 | 15 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $60.85 | $76.06 | $23.88 – $68.45 | 15 |
| Parathormone (pth) intact CPT 83970 | $153.60 | $192.00 | $60.29 – $172.80 | 15 |
| Parathyrd planar w/spect&ct CPT 78072 | $1,774.40 | $2,218.00 | $696.45 – $1,996.20 | 15 |
| Parathyroid planar img w/tomo spect CPT 78071 | $2,033.60 | $2,542.00 | $798.19 – $2,287.80 | 15 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | not published | not published | $31.73 – $31.73 | 1 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | not published | not published | $98.36 – $98.36 | 1 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | not published | not published | $146.06 – $146.06 | 1 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | $6,616.16 | $8,270.20 | $311.44 – $7,443.18 | 15 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | not published | not published | $138.08 – $138.08 | 1 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | not published | not published | $189.71 – $189.71 | 1 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | not published | not published | $3,547.84 – $3,547.84 | 1 |
| Pegunigalsidase alfa-iwxj HCPCS J2508 | not published | not published | $227.78 – $227.78 | 1 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $2,809.60 | $3,512.00 | $1,102.77 – $3,160.80 | 15 |
| Pelvic CT scan (with contrast) CPT 72193 | $2,428.80 | $3,036.00 | $953.30 – $2,732.40 | 15 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,926.40 | $2,408.00 | $756.11 – $2,167.20 | 15 |
| Pelvic MRI (with and without contrast) CPT 72197 | $4,349.60 | $5,437.00 | $1,707.22 – $4,893.30 | 15 |
| Pelvic MRI (with contrast) CPT 72196 | $3,974.40 | $4,968.00 | $1,559.95 – $4,471.20 | 15 |
| Pelvic MRI (without contrast) CPT 72195 | $3,053.60 | $3,817.00 | $1,198.54 – $3,435.30 | 15 |
| Pelvic Ultrasound (complete) CPT 76856 | $720.00 | $900.00 | $282.60 – $810.00 | 15 |
| Pelvic Ultrasound (limited) CPT 76857 | $548.80 | $686.00 | $215.40 – $617.40 | 15 |
| Pelvis X-ray (1 to 2 views) CPT 72170 | $360.80 | $451.00 | $141.61 – $405.90 | 15 |
| Pelvis X-ray (complete, 4 or more views) CPT 72190 | $428.80 | $536.00 | $168.30 – $482.40 | 15 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | not published | not published | $69.76 – $69.76 | 1 |
| Pemivibart infusion HCPCS M0224 | $790.40 | $988.00 | $310.23 – $889.20 | 15 |
| Peng benzathine/procaine inj HCPCS J0558 | $94.58 | $118.22 | $37.12 – $106.40 | 15 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $89.96 | $112.45 | $35.31 – $101.21 | 15 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $64.80 | $80.99 | $24.84 – $71.20 | 15 |
| Peripheral vascular rehab CPT 93668 | $135.20 | $169.00 | $53.07 – $152.10 | 15 |
| Ph body fluid CPT 83986 | $48.00 | $60.00 | $18.84 – $54.00 | 15 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $77.82 | $97.27 | $26.75 – $76.68 | 15 |
| Phenobarbital therapeutic drug level CPT 80184 | $80.80 | $101.00 | $31.71 – $90.90 | 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.