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 |
|---|---|---|---|---|
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $62.08 | $77.60 | $23.88 – $68.44 | 15 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $40.00 | $50.00 | $15.70 – $45.00 | 15 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $40.00 | $50.00 | $15.70 – $45.00 | 15 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $48.00 | $60.00 | $15.70 – $45.00 | 15 |
| Dextrose 5 % IV bolus HCPCS J7070 | $40.00 | $50.00 | $15.70 – $45.00 | 15 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $145.60 | $182.00 | $57.15 – $163.80 | 15 |
| Diabetes (HbA1c) Test CPT 83036 | $79.20 | $99.00 | $31.09 – $89.10 | 15 |
| Diagnostic laryngoscopy 31505 CPT 31505 | $280.80 | $351.00 | $110.21 – $315.90 | 15 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $69.15 | $86.43 | $23.63 – $67.72 | 15 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $60.53 | $75.66 | $23.76 – $68.09 | 15 |
| Digoxin total therapeutic drug level CPT 80162 | $121.60 | $152.00 | $47.73 – $136.80 | 15 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | $60.62 | $75.77 | $23.73 – $68.02 | 15 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | $1.20 | $1.50 | $0.47 – $1.35 | 15 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $60.44 | $75.55 | $23.72 – $68.00 | 15 |
| Dna antibody native/double stranded CPT 86225 | $81.60 | $102.00 | $32.03 – $91.80 | 15 |
| Dna gardnerella CPT 87510 | $90.40 | $113.00 | $35.48 – $101.70 | 15 |
| Dna probe chlamydia CPT 87490 | $78.40 | $98.00 | $30.77 – $88.20 | 15 |
| Dna probe gc CPT 87590 | $84.80 | $106.00 | $33.28 – $95.40 | 15 |
| Dna trichomonas CPT 87660 | $90.40 | $113.00 | $35.48 – $101.70 | 15 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $128.04 | $160.05 | $50.26 – $144.05 | 15 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $99.24 | $124.05 | $38.95 – $111.65 | 15 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $771.20 | $964.00 | $261.25 – $748.80 | 15 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | not published | not published | $283.24 – $283.24 | 1 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $72.25 | $90.31 | $27.12 – $77.74 | 15 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $729.60 | $912.00 | $286.37 – $820.80 | 15 |
| Drainage external ear simple 69000 CPT 69000 | $809.60 | $1,012.00 | $317.77 – $910.80 | 15 |
| Drain blood from under nail 11740 CPT 11740 | $171.20 | $214.00 | $67.20 – $192.60 | 15 |
| Drain finger abscess;simple 26010 CPT 26010 | $410.40 | $513.00 | $161.08 – $461.70 | 15 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $380.00 | $475.00 | $149.15 – $427.50 | 15 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $327.20 | $409.00 | $128.43 – $368.10 | 15 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $526.40 | $658.00 | $206.61 – $592.20 | 15 |
| Drug of abuse screen urine CPT 80305 | $71.20 | $89.00 | $27.95 – $80.10 | 15 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $230.40 | $288.00 | $60.92 – $174.60 | 15 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $1,014.40 | $1,268.00 | $398.15 – $1,141.20 | 15 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $1,124.00 | $1,405.00 | $441.17 – $1,264.50 | 15 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | not published | not published | $98.03 – $98.03 | 1 |
| Ecallantide injection HCPCS J1290 | not published | not published | $576.49 – $576.49 | 1 |
| Ecg external < 48 hours recording CPT 93225 | $472.00 | $590.00 | $185.26 – $531.00 | 15 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $472.00 | $590.00 | $185.26 – $531.00 | 15 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $181.60 | $227.00 | $71.28 – $204.30 | 15 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $233.60 | $292.00 | $91.69 – $262.80 | 15 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $2,103.20 | $2,629.00 | $825.51 – $2,366.10 | 15 |
| Echocardiogram (Limited Follow-Up Heart Ultrasound) CPT 93308 | $926.40 | $1,158.00 | $363.61 – $1,042.20 | 15 |
| Echocardiography doppler color flow mapping CPT 93325 | $635.20 | $794.00 | $249.32 – $714.60 | 15 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $2,157.60 | $2,697.00 | $846.86 – $2,427.30 | 15 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $1,191.20 | $1,489.00 | $467.55 – $1,340.10 | 15 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $380.00 | $475.00 | $149.15 – $427.50 | 15 |
| Echo stress CPT 93350 | $1,928.00 | $2,410.00 | $756.74 – $2,169.00 | 15 |
| Echo transthoracic CPT 93303 | $1,911.20 | $2,389.00 | $750.15 – $2,150.10 | 15 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $1,612.80 | $2,016.00 | $633.02 – $1,814.40 | 15 |
| Eculizumab injection HCPCS J1300 | not published | not published | $228.86 – $228.86 | 1 |
| Eeg recording awake and asleep CPT 95819 | $1,336.00 | $1,670.00 | $524.38 – $1,503.00 | 15 |
| Efgartigimod alfa-fcab 20 mg/ml intravenous solution HCPCS J9332 | not published | not published | $33.19 – $33.19 | 1 |
| EKG tracing for initial prev HCPCS G0404 | $113.60 | $142.00 | $44.59 – $127.80 | 15 |
| EKG (Tracing Only) CPT 93005 | $253.60 | $317.00 | $99.54 – $285.30 | 15 |
| Elbow X-ray (2 views, both sides) CPT 73070 | $308.80 | $386.00 | $121.20 – $347.40 | 15 |
| Elbow X-ray (3 or more views, both sides) CPT 73080 | $407.20 | $509.00 | $159.83 – $458.10 | 15 |
| Electrical Stimulation Therapy (each 15 minutes) CPT 97032 | $116.80 | $146.00 | $45.84 – $131.40 | 15 |
| Electrical stimulation/unattended 97014 CPT 97014 | $104.80 | $131.00 | $41.13 – $117.90 | 15 |
| Electrolyte panel CPT 80051 | $81.60 | $102.00 | $32.03 – $91.80 | 15 |
| Elosulfase alfa, injection HCPCS J1322 | not published | not published | $299.48 – $299.48 | 1 |
| Endoscopy swallow (fees) vid CPT 92612 | $357.60 | $447.00 | $140.36 – $402.30 | 15 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $75.29 | $94.11 | $24.28 – $69.60 | 15 |
| Epinephrine 0.1 mg/ml injection syringe HCPCS J0168 | $67.05 | $83.81 | $26.32 – $75.43 | 15 |
| Epinephrine 1 mg/ml im kit - adult HCPCS J0169 | $69.36 | $86.69 | $24.37 – $69.84 | 15 |
| Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution HCPCS J0166 | $66.56 | $83.20 | $26.12 – $74.88 | 15 |
| Epstein barr nuclear antigen antibody CPT 86664 | $86.40 | $108.00 | $33.91 – $97.20 | 15 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $143.20 | $179.00 | $56.21 – $161.10 | 15 |
| Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 | not published | not published | $19.05 – $19.05 | 1 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $97.99 | $122.48 | $38.46 – $110.23 | 15 |
| ER Visit (level 1, minor) CPT 99281 | $300.00 | $375.00 | $117.75 – $337.50 | 15 |
| ER Visit (level 2) CPT 99282 | $488.80 | $611.00 | $191.85 – $549.90 | 15 |
| ER Visit (level 3) CPT 99283 | $716.80 | $896.00 | $281.34 – $806.40 | 15 |
| ER Visit (level 4) CPT 99284 | $1,078.40 | $1,348.00 | $423.27 – $1,213.20 | 15 |
| ER Visit (level 5, high severity) CPT 99285 | $1,441.60 | $1,802.00 | $565.83 – $1,621.80 | 15 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $456.84 | $571.05 | $24.21 – $69.38 | 15 |
| Esophageal motility CPT 78258 | $1,246.40 | $1,558.00 | $489.21 – $1,402.20 | 15 |
| Established Patient Office Visit (level 1) CPT 99211 | $159.20 | $199.00 | $32.34 – $92.70 | 15 |
| Established Patient Office Visit (level 2) CPT 99212 | $124.80 | $156.00 | $48.98 – $140.40 | 15 |
| Estradiol total CPT 82670 | $258.40 | $323.00 | $27.32 – $78.30 | 15 |
| Estrogens total-sendout CPT 82672 | $269.60 | $337.00 | $105.82 – $303.30 | 15 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $508.80 | $636.00 | $199.70 – $572.40 | 15 |
| Evaluation of speech fluency 92521 CPT 92521 | $391.20 | $489.00 | $153.55 – $440.10 | 15 |
| Exercise tst brncspsm w/ecg CPT 94617 | $226.40 | $283.00 | $88.86 – $254.70 | 15 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $56.80 | $71.00 | $20.41 – $58.50 | 15 |
| Eye Socket (Orbit) X-ray CPT 70200 | $500.80 | $626.00 | $196.56 – $563.40 | 15 |
| Eye Socket, Pituitary or Ear CT Scan (with and without contrast) CPT 70482 | $2,924.80 | $3,656.00 | $1,147.98 – $3,290.40 | 15 |
| Eye Socket, Pituitary or Ear CT Scan (with contrast) CPT 70481 | $2,625.60 | $3,282.00 | $1,030.55 – $2,953.80 | 15 |
| Eye Socket, Pituitary or Ear CT Scan (without contrast) CPT 70480 | $2,168.00 | $2,710.00 | $850.94 – $2,439.00 | 15 |
| Face, Eye Socket and Neck MRI (with and without contrast) CPT 70543 | $4,530.40 | $5,663.00 | $1,778.18 – $5,096.70 | 15 |
| Face, Eye Socket and Neck MRI (without contrast) CPT 70540 | $3,065.60 | $3,832.00 | $1,203.25 – $3,448.80 | 15 |
| Facial Bones X-ray (1 to 2 views) CPT 70140 | $391.20 | $489.00 | $153.55 – $440.10 | 15 |
| Facial Bones X-ray (complete) CPT 70150 | $514.40 | $643.00 | $201.90 – $578.70 | 15 |
| Factor ix CPT 85250 | $234.40 | $293.00 | $92.00 – $263.70 | 15 |
| Factor viii CPT 85240 | $234.40 | $293.00 | $92.00 – $263.70 | 15 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $60.52 | $75.65 | $23.75 – $68.09 | 15 |
| #fecal-sodium CPT 84302 | $44.80 | $56.00 | $17.58 – $50.40 | 15 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $66.30 | $82.87 | $23.72 – $68.00 | 15 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $1,219.42 | $1,524.27 | $478.62 – $1,371.84 | 15 |
| Ferritin CPT 82728 | $107.20 | $134.00 | $42.08 – $120.60 | 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.