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 |
|---|---|---|---|---|
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $67.92 | $84.90 | $26.66 – $76.41 | 15 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $60.63 | $75.78 | $23.68 – $67.88 | 15 |
| Phenytoin total therapeutic drug level CPT 80185 | $109.60 | $137.00 | $43.02 – $123.30 | 15 |
| Phlebotomy therapeutic CPT 99195 | $260.00 | $325.00 | $102.05 – $292.50 | 15 |
| Phosphorus CPT 84100 | $58.40 | $73.00 | $22.92 – $65.70 | 15 |
| Phosphorus 24 hour urine CPT 84105 | $37.60 | $47.00 | $14.76 – $42.30 | 15 |
| Physical Therapy Evaluation (high complexity) CPT 97163 | $360.80 | $451.00 | $141.61 – $405.90 | 15 |
| Physical Therapy Evaluation (low complexity) CPT 97161 | $263.20 | $329.00 | $103.31 – $296.10 | 15 |
| Physical Therapy Evaluation (moderate complexity) CPT 97162 | $289.60 | $362.00 | $113.67 – $325.80 | 15 |
| Physical Therapy Re-Evaluation CPT 97164 | $190.40 | $238.00 | $74.73 – $214.20 | 15 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $79.04 | $98.79 | $29.60 – $84.85 | 15 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $64.04 | $80.04 | $24.05 – $68.94 | 15 |
| Platelet automated CPT 85049 | $48.00 | $60.00 | $18.84 – $54.00 | 15 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $216.00 | $270.00 | $84.78 – $243.00 | 15 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $4,889.60 | $6,112.00 | $1,919.17 – $5,500.80 | 15 |
| Potassium 24 hour urine CPT 84133 | $44.00 | $55.00 | $15.07 – $43.20 | 15 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $137.04 | $171.30 | $21.91 – $62.80 | 15 |
| Potassium serum/plasma/whole blood CPT 84132 | $58.40 | $73.00 | $22.92 – $65.70 | 15 |
| Pralidoxime 1 gram solution for injection HCPCS J2730 | $189.83 | $237.28 | $74.51 – $213.55 | 15 |
| Pr application of long arm splint CPT 29105 | $281.60 | $352.00 | $110.53 – $316.80 | 15 |
| Pr application splint static short arm CPT 29125 | $248.80 | $311.00 | $97.65 – $279.90 | 15 |
| Prealbumin CPT 84134 | $108.80 | $136.00 | $42.70 – $122.40 | 15 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $3.40 | $4.25 | $1.33 – $3.83 | 15 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $932.00 | $1,165.00 | $365.81 – $1,048.50 | 15 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $783.20 | $979.00 | $307.41 – $881.10 | 15 |
| Pregnancy Ultrasound (limited) CPT 76815 | $604.00 | $755.00 | $237.07 – $679.50 | 15 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $828.00 | $1,035.00 | $324.99 – $931.50 | 15 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $668.00 | $835.00 | $262.19 – $751.50 | 15 |
| Pr incision & drainage abscess simple/single CPT 10060 | $430.40 | $538.00 | $168.93 – $484.20 | 15 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $524.00 | $655.00 | $205.67 – $589.50 | 15 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $613.60 | $767.00 | $240.84 – $690.30 | 15 |
| Procalcitonin CPT 84145 | $204.80 | $256.00 | $80.38 – $230.40 | 15 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $68.99 | $86.23 | $24.04 – $68.91 | 15 |
| Progesterone CPT 84144 | $124.80 | $156.00 | $48.98 – $140.40 | 15 |
| Prolactin CPT 84146 | $177.60 | $222.00 | $69.71 – $199.80 | 15 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $68.64 | $85.80 | $23.55 – $67.50 | 15 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $61.52 | $76.90 | $24.01 – $68.82 | 15 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $60.98 | $76.22 | $23.93 – $68.60 | 15 |
| Protein c activity CPT 85303 | $304.00 | $380.00 | $119.32 – $342.00 | 15 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $84.00 | $105.00 | $32.97 – $94.50 | 15 |
| Protein total 24 hour urine CPT 84156 | $68.80 | $86.00 | $19.78 – $56.70 | 15 |
| Protein total body fluid CPT 84157 | $61.60 | $77.00 | $19.15 – $54.90 | 15 |
| Protein total serum plasma whole blood CPT 84155 | $58.40 | $73.00 | $22.92 – $65.70 | 15 |
| Prothrombin complex kcentra HCPCS J7168 | $1,572.80 | $1,966.00 | $617.32 – $1,769.40 | 15 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $252.80 | $316.00 | $99.22 – $284.40 | 15 |
| Pr removal intrauterine device CPT 58301 | $540.80 | $676.00 | $212.26 – $608.40 | 15 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $683.20 | $854.00 | $268.16 – $768.60 | 15 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $334.40 | $418.00 | $131.25 – $376.20 | 15 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $352.80 | $441.00 | $138.47 – $396.90 | 15 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $320.80 | $401.00 | $125.91 – $360.90 | 15 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $339.20 | $424.00 | $133.14 – $381.60 | 15 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $1,140.00 | $1,425.00 | $447.45 – $1,282.50 | 15 |
| PSA (Prostate) Test CPT 84153 | $89.60 | $112.00 | $35.17 – $100.80 | 15 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $94.40 | $118.00 | $37.05 – $106.20 | 15 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $113.60 | $142.00 | $44.59 – $127.80 | 15 |
| Pt application of modality traction mechanical CPT 97012 | $128.00 | $160.00 | $50.24 – $144.00 | 15 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $147.20 | $184.00 | $57.78 – $165.60 | 15 |
| Pt wheelchair management each 15 minutes CPT 97542 | $124.00 | $155.00 | $48.67 – $139.50 | 15 |
| Pulse ox continuous overnight monitoring CPT 94762 | $405.60 | $507.00 | $159.20 – $456.30 | 15 |
| Pulse ox multiple CPT 94761 | $183.20 | $229.00 | $71.91 – $206.10 | 15 |
| Pulse ox single CPT 94760 | $99.20 | $124.00 | $38.94 – $111.60 | 15 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $156.00 | $195.00 | $61.23 – $175.50 | 15 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $474.40 | $593.00 | $186.20 – $533.70 | 15 |
| Puncture spinal lumbar diagnostic CPT 62270 | $888.00 | $1,110.00 | $348.54 – $999.00 | 15 |
| Quest t3 uptake CPT 84479 | $48.80 | $61.00 | $19.15 – $54.90 | 15 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $3,848.39 | $4,810.48 | $320.94 – $919.89 | 15 |
| Racepinephrine hcl soln nebu 2.25% (base equivalent) HCPCS J7699 | $5.92 | $7.40 | $2.32 – $6.66 | 15 |
| Radphm lcl tumor plr sgl day CPT 78800 | $1,584.00 | $1,980.00 | $621.72 – $1,782.00 | 15 |
| Rapid Strep Test CPT 87880 | $72.00 | $90.00 | $28.26 – $81.00 | 15 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | not published | not published | $224.93 – $224.93 | 1 |
| Rbc count only automated CPT 85041 | $47.20 | $59.00 | $18.53 – $53.10 | 15 |
| Rbc irradiated each unit HCPCS P9038 | $595.20 | $744.00 | $233.62 – $669.60 | 15 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $531.20 | $664.00 | $208.50 – $597.60 | 15 |
| Refill/maint pump/resvr syst CPT 96522 | not published | not published | $284.80 – $284.80 | 1 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | $71.14 | $88.92 | $27.92 – $80.03 | 15 |
| Remdesivir 100 mg intravenous powder for solution HCPCS J0248 | $416.00 | $520.00 | $163.28 – $468.00 | 15 |
| Removal central venous device tunneled w/port/pump central/peripheral insertion CPT 36590 | $2,336.80 | $2,921.00 | $917.19 – $2,628.90 | 15 |
| Removal cerumen impacted (both sides) CPT 69210 | $147.20 | $184.00 | $57.78 – $165.60 | 15 |
| Removal foreign body foot subcutaneous right CPT 28190 | $1,217.60 | $1,522.00 | $477.91 – $1,369.80 | 15 |
| Renal function panel CPT 80069 | $124.80 | $156.00 | $48.98 – $140.40 | 15 |
| Repair complex wound scalp/arms/legs 2.6 - 7.5 cm CPT 13121 | $1,431.20 | $1,789.00 | $561.75 – $1,610.10 | 15 |
| Repair rpr lac tongue floor mouth > 2.6 cm/cmplx CPT 41252 | $774.40 | $968.00 | $303.95 – $871.20 | 15 |
| Reslizumab 10 mg/ml intravenous solution HCPCS J2786 | not published | not published | $10.50 – $10.50 | 1 |
| #resp virpnl dfa-adenovirus CPT 87260 | $48.00 | $60.00 | $18.84 – $54.00 | 15 |
| #resp virpnl dfa-parainfluenza CPT 87279 | $45.60 | $57.00 | $17.90 – $51.30 | 15 |
| Reticulocyte automated CPT 85045 | $52.80 | $66.00 | $20.72 – $59.40 | 15 |
| Reticulocyte direct measurement automated CPT 85046 | $52.80 | $66.00 | $20.72 – $59.40 | 15 |
| Retifanlimab-dlwr 500 mg/20 ml intravenous solution HCPCS J9345 | not published | not published | $34.97 – $34.97 | 1 |
| Rheumatoid factor qualitative CPT 86430 | $97.60 | $122.00 | $38.31 – $109.80 | 15 |
| Rheumatoid factor quantitative CPT 86431 | $54.40 | $68.00 | $14.76 – $42.30 | 15 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | $132.00 | $165.00 | $51.81 – $148.50 | 15 |
| Rho(d) immune globulin (rhig) human full dose im CPT 90384 | $267.20 | $334.00 | $104.88 – $300.60 | 15 |
| Rib and Chest X-ray (3 views, left side) CPT 71101 | $444.00 | $555.00 | $174.27 – $499.50 | 15 |
| Rib and Chest X-ray (4 or more views, both sides) CPT 71111 | $653.60 | $817.00 | $256.54 – $735.30 | 15 |
| Rib X-ray (3 views, both sides) CPT 71110 | $437.60 | $547.00 | $171.76 – $492.30 | 15 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $4,710.35 | $5,887.93 | $578.45 – $1,657.98 | 15 |
| Romiplostim 125 mcg subcutaneous solution HCPCS J2802 | $4,441.92 | $5,552.40 | $1,743.45 – $4,997.16 | 15 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | not published | not published | $11.36 – $11.36 | 1 |
| Rozanolixizumab-noli 140 mg/ml subcutaneous solution HCPCS J9333 | not published | not published | $23.21 – $23.21 | 1 |
| Rsv assay w/optic CPT 87807 | $91.20 | $114.00 | $35.80 – $102.60 | 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.