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 |
|---|---|---|---|---|
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $120.00 | $150.00 | $47.10 – $135.00 | 15 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $159.20 | $199.00 | $62.49 – $179.10 | 15 |
| T cells absolute cd 4 count CPT 86361 | $190.40 | $238.00 | $74.73 – $214.20 | 15 |
| T cells total count CPT 86359 | $159.20 | $199.00 | $62.49 – $179.10 | 15 |
| Telehealth original site facility fee HCPCS Q3014 | $64.80 | $81.00 | $25.43 – $72.90 | 15 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $12,366.50 | $15,458.12 | $4,064.52 – $11,649.91 | 15 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $63.11 | $78.88 | $24.77 – $70.99 | 15 |
| Testicular imaging w/vasc flow CPT 78761 | $1,587.20 | $1,984.00 | $622.98 – $1,785.60 | 15 |
| Test stress cardiovascular tracing only CPT 93017 | $1,078.40 | $1,348.00 | $423.27 – $1,213.20 | 15 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | not published | not published | $18.45 – $18.45 | 1 |
| Theophylline therapeutic drug level CPT 80198 | $88.00 | $110.00 | $34.54 – $99.00 | 15 |
| Therapeutic procd strg endur HCPCS G0237 | $128.80 | $161.00 | $50.55 – $144.90 | 15 |
| Therapy Activity Training (each 15 minutes) CPT 97530 | $138.40 | $173.00 | $54.32 – $155.70 | 15 |
| Therapy Exercise Session (each 15 minutes) CPT 97110 | $121.60 | $152.00 | $47.73 – $136.80 | 15 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $56.80 | $71.00 | $22.29 – $63.90 | 15 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $58.40 | $73.00 | $22.92 – $65.70 | 15 |
| Ther/proph/diag inj ia CPT 96373 | $176.00 | $220.00 | $44.80 – $198.00 | 15 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $63.05 | $78.81 | $24.75 – $70.93 | 15 |
| Thigh Bone (Femur) X-ray (both sides) CPT 73552 | $355.20 | $444.00 | $139.42 – $399.60 | 15 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $1,148.80 | $1,436.00 | $450.90 – $1,292.40 | 15 |
| Three-Phase Bone Scan (Nuclear Medicine) CPT 78315 | $2,248.80 | $2,811.00 | $882.65 – $2,529.90 | 15 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $105.60 | $132.00 | $41.45 – $118.80 | 15 |
| Thyroglobulin antibody CPT 86800 | $85.60 | $107.00 | $20.72 – $59.40 | 15 |
| Thyroid imaging CPT 78013 | $1,083.20 | $1,354.00 | $425.16 – $1,218.60 | 15 |
| Thyroid (TSH) Test CPT 84443 | $98.40 | $123.00 | $38.62 – $110.70 | 15 |
| Thyroid Ultrasound CPT 76536 | $783.20 | $979.00 | $307.41 – $881.10 | 15 |
| Thyroid uptake measurement CPT 78012 | $876.80 | $1,096.00 | $344.14 – $986.40 | 15 |
| Tigecycline injection HCPCS J3243 | $68.16 | $85.20 | $26.75 – $76.68 | 15 |
| Tirofiban 12.5 mg/50 ml HCPCS J3246 | $228.24 | $285.30 | $89.58 – $256.77 | 15 |
| Tissue exam koh skin/hair/nails CPT 87220 | $64.00 | $80.00 | $25.12 – $72.00 | 15 |
| Tissue transglutaminase iga CPT 86364 | $52.80 | $66.00 | $20.72 – $59.40 | 15 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $61.04 | $76.30 | $23.96 – $68.67 | 15 |
| Tobramycin peak therapeutic drug level CPT 80200 | $88.00 | $110.00 | $34.54 – $99.00 | 15 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | not published | not published | $6.08 – $6.08 | 1 |
| Toe X-ray (both feet) CPT 73660 | $308.80 | $386.00 | $121.20 – $347.40 | 15 |
| Tomosynthesis breast screen bilateral CPT 77063 | $126.40 | $158.00 | $49.61 – $142.20 | 15 |
| Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution HCPCS J3263 | not published | not published | $46.57 – $46.57 | 1 |
| Toxoplasma antibody igg CPT 86777 | $148.80 | $186.00 | $58.40 – $167.40 | 15 |
| Toxoplasma antibody igm CPT 86778 | $172.80 | $216.00 | $67.82 – $194.40 | 15 |
| Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108 | $126.40 | $158.00 | $49.61 – $142.20 | 15 |
| Transferrin CPT 84466 | $105.60 | $132.00 | $41.45 – $118.80 | 15 |
| Transvaginal Pelvic Ultrasound (not pregnancy) CPT 76830 | $693.60 | $867.00 | $272.24 – $780.30 | 15 |
| Transvaginal Pregnancy Ultrasound CPT 76817 | $748.00 | $935.00 | $293.59 – $841.50 | 15 |
| Trastuzumab 150 mg intravenous solution HCPCS J9355 | not published | not published | $93.40 – $93.40 | 1 |
| Trastuzumab-anns 150 mg intravenous solution HCPCS Q5117 | not published | not published | $29.15 – $29.15 | 1 |
| Trastuzumab-qyyp 150 mg intravenous solution HCPCS Q5116 | not published | not published | $22.97 – $22.97 | 1 |
| Trauma partial team response w/critical care services level 4 HCPCS G0390 | $2,356.00 | $2,945.00 | $924.73 – $2,650.50 | 15 |
| Treat clavicle dislocation 23545 CPT 23545 | $1,077.60 | $1,347.00 | $422.96 – $1,212.30 | 15 |
| Treat finger fracture each CPT 26742 | $904.80 | $1,131.00 | $355.13 – $1,017.90 | 15 |
| Treat foot dislocation CPT 28540 | $246.40 | $308.00 | $96.71 – $277.20 | 15 |
| Treat foot dislocation CPT 28570 | $246.40 | $308.00 | $96.71 – $277.20 | 15 |
| Treat foot dislocation CPT 28600 | $373.60 | $467.00 | $146.64 – $420.30 | 15 |
| Treat fracture of ulna CPT 25535 | $1,832.80 | $2,291.00 | $719.37 – $2,061.90 | 15 |
| Treat knee fracture 27530 CPT 27530 | $412.80 | $516.00 | $162.02 – $464.40 | 15 |
| Treat lower leg dislocation CPT 27830 | $1,048.00 | $1,310.00 | $411.34 – $1,179.00 | 15 |
| Treatment of ankle fracture 27786 CPT 27786 | $400.80 | $501.00 | $157.31 – $450.90 | 15 |
| Treatment of fibula fracture 27780 CPT 27780 | $345.60 | $432.00 | $135.65 – $388.80 | 15 |
| Treatment of heel fracture 28400 CPT 28400 | $362.40 | $453.00 | $142.24 – $407.70 | 15 |
| Treatment of toe fracture 28510 CPT 28510 | $306.40 | $383.00 | $120.26 – $344.70 | 15 |
| Treat midfoot fracture each CPT 28455 | $2,732.80 | $3,416.00 | $1,072.62 – $3,074.40 | 15 |
| Treponema pallidum antibody CPT 86780 | $95.20 | $119.00 | $37.37 – $107.10 | 15 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | $65.65 | $82.06 | $24.19 – $69.35 | 15 |
| Triglycerides CPT 84478 | $58.40 | $73.00 | $22.92 – $65.70 | 15 |
| Troponin quantitative CPT 84484 | $174.40 | $218.00 | $68.45 – $196.20 | 15 |
| Tx closed hip disl traumatic without anes CPT 27250 | $548.80 | $686.00 | $215.40 – $617.40 | 15 |
| Tx closed tib shaft fx without manip CPT 27750 | $400.80 | $501.00 | $157.31 – $450.90 | 15 |
| Tx tarsal bone fx without manip 28450 CPT 28450 | $316.80 | $396.00 | $124.34 – $356.40 | 15 |
| Ua w/micro/comp poc CPT 81000 | $52.80 | $66.00 | $20.72 – $59.40 | 15 |
| Ublituximab-xiiy 25 mg/ml intravenous solution HCPCS J2329 | not published | not published | $70.76 – $70.76 | 1 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $492.00 | $615.00 | $193.11 – $553.50 | 15 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $662.40 | $828.00 | $259.99 – $745.20 | 15 |
| Ultrasound Guidance for a Needle Procedure CPT 76942 | $931.20 | $1,164.00 | $365.50 – $1,047.60 | 15 |
| Ultrasound hips infant dynamic CPT 76885 | $558.40 | $698.00 | $219.17 – $628.20 | 15 |
| Ultrasound joint complete left CPT 76881 | $503.20 | $629.00 | $197.51 – $566.10 | 15 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $701.60 | $877.00 | $275.38 – $789.30 | 15 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $532.80 | $666.00 | $209.12 – $599.40 | 15 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $568.80 | $711.00 | $223.25 – $639.90 | 15 |
| Unlisted gi px dx nuc med CPT 78299 | $643.20 | $804.00 | $252.46 – $723.60 | 15 |
| Unlisted px forearm/wrist CPT 25999 | $3,847.20 | $4,809.00 | $1,510.03 – $4,328.10 | 15 |
| Unlisted px hands/fingers CPT 26989 | $2,298.40 | $2,873.00 | $902.12 – $2,585.70 | 15 |
| Upper Arm (Humerus) X-ray (left side) CPT 73060 | $308.80 | $386.00 | $121.20 – $347.40 | 15 |
| Upper Back (Thoracic Spine) CT Scan (with contrast) CPT 72129 | $2,772.00 | $3,465.00 | $1,088.01 – $3,118.50 | 15 |
| Upper Back (Thoracic Spine) CT Scan (without contrast) CPT 72128 | $2,376.00 | $2,970.00 | $932.58 – $2,673.00 | 15 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $4,324.80 | $5,406.00 | $1,697.48 – $4,865.40 | 15 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $3,603.20 | $4,504.00 | $1,414.26 – $4,053.60 | 15 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $3,200.00 | $4,000.00 | $1,256.00 – $3,600.00 | 15 |
| Upper Back (Thoracic Spine) X-ray (2 views) CPT 72070 | $400.80 | $501.00 | $157.31 – $450.90 | 15 |
| Upper Back (Thoracic Spine) X-ray (3 views) CPT 72072 | $488.00 | $610.00 | $191.54 – $549.00 | 15 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $2,482.40 | $3,103.00 | $974.34 – $2,792.70 | 15 |
| Upper GI Barium X-ray (barium and gas) CPT 74246 | $928.00 | $1,160.00 | $364.24 – $1,044.00 | 15 |
| Urea nitrogen CPT 84520 | $58.40 | $73.00 | $22.92 – $65.70 | 15 |
| Urea nitrogen 24 hour urine CPT 84540 | $56.80 | $71.00 | $22.29 – $63.90 | 15 |
| Ureteral reflux study CPT 78740 | $1,388.00 | $1,735.00 | $544.79 – $1,561.50 | 15 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $918.40 | $1,148.00 | $360.47 – $1,033.20 | 15 |
| Uric acid blood CPT 84550 | $58.40 | $73.00 | $22.92 – $65.70 | 15 |
| Uric acid urine CPT 84560 | $59.20 | $74.00 | $23.24 – $66.60 | 15 |
| Urinalysis microscopic only CPT 81015 | $36.00 | $45.00 | $14.13 – $40.50 | 15 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | $68.00 | $85.00 | $26.69 – $76.50 | 15 |
| Urinalysis (with microscopy) CPT 81001 | $52.00 | $65.00 | $20.41 – $58.50 | 15 |
| Urinalysis (without microscopy) CPT 81003 | $41.60 | $52.00 | $16.33 – $46.80 | 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.