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 |
|---|---|---|---|---|
| Rubella antibody igg CPT 86762 | $75.20 | $94.00 | $29.52 – $84.60 | 15 |
| Rubeola antibody igg CPT 86765 | $149.60 | $187.00 | $58.72 – $168.30 | 15 |
| Russell viper venom diluted CPT 85613 | $105.60 | $132.00 | $41.45 – $118.80 | 15 |
| Rx metab gen seq alys pnl 6 CPT 81418 | $256.00 | $320.00 | $100.48 – $288.00 | 15 |
| Sacroiliac Joint X-ray (3 or more views) CPT 72202 | $420.00 | $525.00 | $164.85 – $472.50 | 15 |
| Salivary glnd img serial img CPT 78231 | $1,137.60 | $1,422.00 | $446.51 – $1,279.80 | 15 |
| Sarscov coronavirus ag ia CPT 87426 | $86.40 | $108.00 | $33.91 – $97.20 | 15 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $1,097.60 | $1,372.00 | $430.81 – $1,234.80 | 15 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $764.00 | $955.00 | $299.87 – $859.50 | 15 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $720.00 | $900.00 | $282.60 – $810.00 | 15 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $848.00 | $1,060.00 | $332.84 – $954.00 | 15 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $805.60 | $1,007.00 | $316.20 – $906.30 | 15 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $832.80 | $1,041.00 | $326.87 – $936.90 | 15 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | $78.40 | $98.00 | $30.77 – $88.20 | 15 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | $57.60 | $72.00 | $22.61 – $64.80 | 15 |
| Screening hepatitis c antibody high risk HCPCS G0472 | $122.40 | $153.00 | $48.04 – $137.70 | 15 |
| Screening Mammogram CPT 77067 | $434.40 | $543.00 | $118.69 – $340.20 | 15 |
| Screening prostate cancer PSA HCPCS G0103 | $117.60 | $147.00 | $46.16 – $132.30 | 15 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $351.20 | $439.00 | $137.85 – $395.10 | 15 |
| Scrotal (Testicle) Ultrasound CPT 76870 | $693.60 | $867.00 | $272.24 – $780.30 | 15 |
| Sc ther infusion reset pump CPT 96371 | not published | not published | $148.00 – $148.00 | 1 |
| Sedimentation rate erythrocyte automated CPT 85652 | $59.20 | $74.00 | $23.24 – $66.60 | 15 |
| Self-Care and Home Skills Training (each 15 minutes) CPT 97535 | $131.20 | $164.00 | $51.50 – $147.60 | 15 |
| Semen analysis presence/motility CPT 89321 | $81.60 | $102.00 | $32.03 – $91.80 | 15 |
| Serial casting application 97139app CPT 97139 | $255.20 | $319.00 | $100.17 – $287.10 | 15 |
| Shot (Injection into Muscle or Under the Skin) CPT 96372 | $118.40 | $148.00 | $7.85 – $22.50 | 15 |
| Shoulder AC Joint X-ray (both sides) CPT 73050 | $380.80 | $476.00 | $149.46 – $428.40 | 15 |
| Shoulder Blade (Scapula) X-ray (both sides) CPT 73010 | $308.80 | $386.00 | $121.20 – $347.40 | 15 |
| Shoulder MRI (with and without contrast) CPT 73223 | $3,925.60 | $4,907.00 | $1,540.80 – $4,416.30 | 15 |
| Shoulder MRI (with contrast) CPT 73222 | $3,516.00 | $4,395.00 | $1,380.03 – $3,955.50 | 15 |
| Shoulder MRI (without contrast) CPT 73221 | $2,931.20 | $3,664.00 | $1,150.50 – $3,297.60 | 15 |
| Shoulder X-ray CPT 73030 | $382.40 | $478.00 | $150.09 – $430.20 | 15 |
| Shoulder X-ray (single view, both shoulders) CPT 73020 | $316.00 | $395.00 | $124.03 – $355.50 | 15 |
| Sickling rbc CPT 85660 | $80.80 | $101.00 | $31.71 – $90.90 | 15 |
| Sinus CT scan (with and without contrast) CPT 70488 | $3,063.20 | $3,829.00 | $1,202.31 – $3,446.10 | 15 |
| Sinus CT scan (with contrast) CPT 70487 | $2,598.40 | $3,248.00 | $1,019.87 – $2,923.20 | 15 |
| Sinus CT scan (without contrast) CPT 70486 | $2,034.40 | $2,543.00 | $798.50 – $2,288.70 | 15 |
| Sinus X-ray (complete) CPT 70220 | $525.60 | $657.00 | $206.30 – $591.30 | 15 |
| Sinus X-ray (limited) CPT 70210 | $364.80 | $456.00 | $143.18 – $410.40 | 15 |
| Skull X-ray (1 to 3 views) CPT 70250 | $417.60 | $522.00 | $163.91 – $469.80 | 15 |
| Skull X-ray (complete) CPT 70260 | $618.40 | $773.00 | $242.72 – $695.70 | 15 |
| Sleep Study (Polysomnography) CPT 95810 | $4,370.40 | $5,463.00 | $1,715.38 – $4,916.70 | 15 |
| Sleep study unattended CPT 95806 | $740.00 | $925.00 | $290.45 – $832.50 | 15 |
| Slp eval non-spch gen comm dev CPT 92605 | $388.00 | $485.00 | $152.29 – $436.50 | 15 |
| Slp ther svc non-spch gen CPT 92606 | $307.20 | $384.00 | $120.58 – $345.60 | 15 |
| Small Bowel Barium X-ray (Follow-Through) CPT 74250 | $836.00 | $1,045.00 | $328.13 – $940.50 | 15 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $52.00 | $65.00 | $20.41 – $58.50 | 15 |
| Smear gram stain CPT 87205 | $38.40 | $48.00 | $15.07 – $43.20 | 15 |
| Smear nasal eosinophil CPT 89190 | $43.20 | $54.00 | $16.96 – $48.60 | 15 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $78.40 | $98.00 | $30.77 – $88.20 | 15 |
| Smear wet mount CPT 87210 | $60.00 | $75.00 | $23.55 – $67.50 | 15 |
| Sodium 24 hour urine CPT 84300 | $36.80 | $46.00 | $14.44 – $41.40 | 15 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $40.00 | $50.00 | $15.70 – $45.00 | 15 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $40.00 | $50.00 | $15.70 – $45.00 | 15 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $48.00 | $60.00 | $15.70 – $45.00 | 15 |
| Sodium serum/plasma/whole blood CPT 84295 | $58.40 | $73.00 | $22.92 – $65.70 | 15 |
| Specimen fat stain CPT 89125 | $44.80 | $56.00 | $17.58 – $50.40 | 15 |
| Speech and Language Evaluation (comprehensive) CPT 92523 | $506.40 | $633.00 | $198.76 – $569.70 | 15 |
| Speech Therapy Session (one-on-one) CPT 92507 | $311.20 | $389.00 | $122.15 – $350.10 | 15 |
| Spine X-ray (single view, one level) CPT 72020 | $380.80 | $476.00 | $149.46 – $428.40 | 15 |
| Spleen imaging CPT 78185 | $986.40 | $1,233.00 | $387.16 – $1,109.70 | 15 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $376.00 | $470.00 | $147.58 – $423.00 | 15 |
| Sterile water/saline, 10 ml HCPCS A4216 | $4.80 | $6.00 | $1.88 – $5.40 | 15 |
| St evaluate speech sound production CPT 92522 | $353.60 | $442.00 | $138.79 – $397.80 | 15 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $530.40 | $663.00 | $208.18 – $596.70 | 15 |
| Stomach Emptying Scan (Nuclear Medicine) CPT 78264 | $1,882.40 | $2,353.00 | $738.84 – $2,117.70 | 15 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $164.80 | $206.00 | $64.68 – $185.40 | 15 |
| Strapping of hand or finger CPT 29280 | $132.00 | $165.00 | $51.81 – $148.50 | 15 |
| Strapping of knee CPT 29530 | $181.60 | $227.00 | $71.28 – $204.30 | 15 |
| Strapping of toes 29550 CPT 29550 | $129.60 | $162.00 | $50.87 – $145.80 | 15 |
| Stress test pulmonary CPT 94618 | $409.60 | $512.00 | $160.77 – $460.80 | 15 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $63.72 | $79.65 | $25.01 – $71.68 | 15 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $68.93 | $86.16 | $25.70 – $73.67 | 15 |
| Support clav 29.6-40.5in med HCPCS L3650 | $22.40 | $28.00 | $7.85 – $22.50 | 15 |
| Surgical pathology level 1 gross examination only CPT 88300 | $44.80 | $56.00 | $17.58 – $50.40 | 15 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $90.40 | $113.00 | $35.48 – $101.70 | 15 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $108.80 | $136.00 | $42.70 – $122.40 | 15 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $123.20 | $154.00 | $48.36 – $138.60 | 15 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $588.00 | $735.00 | $230.79 – $661.50 | 15 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $829.60 | $1,037.00 | $325.62 – $933.30 | 15 |
| Susceptibility agar dilution per agent CPT 87181 | $38.40 | $48.00 | $15.07 – $43.20 | 15 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $40.80 | $51.00 | $16.01 – $45.90 | 15 |
| Susceptibility mic per plate CPT 87186 | $72.80 | $91.00 | $28.57 – $81.90 | 15 |
| Swallowing Evaluation (Bedside) CPT 92610 | $393.60 | $492.00 | $154.49 – $442.80 | 15 |
| Swallowing Therapy Session CPT 92526 | $338.40 | $423.00 | $132.82 – $380.70 | 15 |
| T3 (triiodothyronine) free CPT 84481 | $284.00 | $355.00 | $111.47 – $319.50 | 15 |
| T3 (triiodothyronine) total CPT 84480 | $121.60 | $152.00 | $47.73 – $136.80 | 15 |
| T4 (thyroxine) free CPT 84439 | $101.60 | $127.00 | $39.88 – $114.30 | 15 |
| T4 (thyroxine) total CPT 84436 | $92.80 | $116.00 | $36.42 – $104.40 | 15 |
| Tacrolimus therapeutic drug level CPT 80197 | $265.60 | $332.00 | $104.25 – $298.80 | 15 |
| Tailbone (Sacrum and Coccyx) X-ray CPT 72220 | $390.40 | $488.00 | $153.23 – $439.20 | 15 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $274.40 | $343.00 | $40.19 – $115.20 | 15 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $192.80 | $241.00 | $67.20 – $192.60 | 15 |
| Tc-99m labeled rbc HCPCS A9560 | $428.00 | $535.00 | $167.99 – $481.50 | 15 |
| Tc-99m mebrofenin HCPCS A9537 | $178.40 | $223.00 | $70.02 – $200.70 | 15 |
| Tc-99m medronate HCPCS A9503 | $133.60 | $167.00 | $52.44 – $150.30 | 15 |
| Tc-99m mertiatide HCPCS A9562 | $756.00 | $945.00 | $296.73 – $850.50 | 15 |
| Tc-99m oxidronate HCPCS A9561 | $168.00 | $210.00 | $65.94 – $189.00 | 15 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $352.00 | $440.00 | $138.16 – $396.00 | 15 |
| Tc-99m sulfur colloid HCPCS A9541 | $308.00 | $385.00 | $120.89 – $346.50 | 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.