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 |
|---|---|---|---|---|
| Ghs simple repair over 30 cm - 12018 CPT 12018 | $452.80 | $566.00 | $177.72 – $509.40 | 15 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | $223.20 | $279.00 | $87.61 – $251.10 | 15 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $334.40 | $418.00 | $131.25 – $376.20 | 15 |
| Ghs strapping shoulder - 29240 CPT 29240 | $192.80 | $241.00 | $75.67 – $216.90 | 15 |
| Ghs st - re-eval for alt comm CPT 92597 | $504.00 | $630.00 | $197.82 – $567.00 | 15 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | not published | not published | $38.40 – $38.40 | 1 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | not published | not published | $345.60 – $345.60 | 1 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $1,271.20 | $1,589.00 | $498.95 – $1,430.10 | 15 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | $2,299.20 | $2,874.00 | $902.44 – $2,586.60 | 15 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $469.60 | $587.00 | $184.32 – $528.30 | 15 |
| Ghs urine, porphyrins quant CPT 84120 | $50.40 | $63.00 | $19.78 – $56.70 | 15 |
| Gi inhouse confirmation CPT 87045 | $56.80 | $71.00 | $22.29 – $63.90 | 15 |
| Glassia injection HCPCS J0257 | not published | not published | $5.66 – $5.66 | 1 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $247.06 | $308.82 | $95.43 – $273.53 | 15 |
| Glucose 1 hr post dose CPT 82950 | $65.60 | $82.00 | $25.75 – $73.80 | 15 |
| Glucose blood quantitative CPT 82947 | $58.40 | $73.00 | $22.92 – $65.70 | 15 |
| Glucose body fluid CPT 82945 | $58.40 | $73.00 | $22.92 – $65.70 | 15 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $105.60 | $132.00 | $41.45 – $118.80 | 15 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $48.80 | $61.00 | $19.15 – $54.90 | 15 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $60.34 | $75.42 | $23.68 – $67.88 | 15 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | not published | not published | $11.33 – $11.33 | 1 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $140.00 | $175.00 | $54.95 – $157.50 | 15 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $146.40 | $183.00 | $57.46 – $164.70 | 15 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $1,131.85 | $1,414.81 | $444.25 – $1,273.33 | 15 |
| Graft axiofill 1000mg HCPCS J3590 | $2,870.75 | $3,588.43 | $1,126.77 – $3,229.59 | 15 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $336.80 | $421.00 | $33.60 – $96.30 | 15 |
| Granisetron hcl injection HCPCS J1626 | $62.42 | $78.02 | $24.50 – $70.22 | 15 |
| Great toe with reduction 28495 CPT 28495 | $464.80 | $581.00 | $182.43 – $522.90 | 15 |
| Gw stiffened micro access kit HCPCS C1894 | $102.40 | $128.00 | $40.19 – $115.20 | 15 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $60.59 | $75.73 | $23.75 – $68.07 | 15 |
| Hands-On Manual Therapy (each 15 minutes) CPT 97140 | $126.40 | $158.00 | $49.61 – $142.20 | 15 |
| Hand X-ray CPT 73130 | $334.40 | $418.00 | $131.25 – $376.20 | 15 |
| Hand X-ray (2 views, both hands) CPT 73120 | $266.40 | $333.00 | $104.56 – $299.70 | 15 |
| Haptoglobin quantitative CPT 83010 | $131.20 | $164.00 | $51.50 – $147.60 | 15 |
| Hcg qualitative CPT 84703 | $66.40 | $83.00 | $26.06 – $74.70 | 15 |
| Hcg quantitative CPT 84702 | $117.60 | $147.00 | $46.16 – $132.30 | 15 |
| Head CT scan (with and without contrast) CPT 70470 | $2,620.80 | $3,276.00 | $1,028.66 – $2,948.40 | 15 |
| Head CT scan (with contrast) CPT 70460 | $2,447.20 | $3,059.00 | $960.53 – $2,753.10 | 15 |
| Head CT scan (without contrast) CPT 70450 | $1,977.60 | $2,472.00 | $776.21 – $2,224.80 | 15 |
| Heart infarct image CPT 78466 | $1,516.80 | $1,896.00 | $595.34 – $1,706.40 | 15 |
| Heel (Calcaneus) X-ray (both feet) CPT 73650 | $308.80 | $386.00 | $121.20 – $347.40 | 15 |
| Helicobacter pylori antibody igm CPT 86677 | $75.20 | $94.00 | $29.52 – $84.60 | 15 |
| Hematocrit CPT 85014 | $48.00 | $60.00 | $18.84 – $54.00 | 15 |
| Hemoglobin CPT 85018 | $47.20 | $59.00 | $18.53 – $53.10 | 15 |
| Hemophilus influenza antibdy CPT 86684 | $56.80 | $71.00 | $22.29 – $63.90 | 15 |
| Heparin assay CPT 85520 | $170.40 | $213.00 | $66.88 – $191.70 | 15 |
| Heparin bolus from bag HCPCS J1644 | $76.84 | $96.04 | $22.22 – $63.70 | 15 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | $60.06 | $75.07 | $2.98 – $8.55 | 15 |
| Hepatitis a antibody igm CPT 86709 | $84.00 | $105.00 | $32.97 – $94.50 | 15 |
| Hepatitis b core antibody igm CPT 86705 | $158.40 | $198.00 | $62.17 – $178.20 | 15 |
| Hepatitis b core antibody total CPT 86704 | $92.00 | $115.00 | $36.11 – $103.50 | 15 |
| Hepatitis b surface antibody CPT 86706 | $92.00 | $115.00 | $36.11 – $103.50 | 15 |
| Hepatitis c antibody CPT 86803 | $124.80 | $156.00 | $48.98 – $140.40 | 15 |
| Herpes simplex type 1 antibody igg CPT 86695 | $98.40 | $123.00 | $38.62 – $110.70 | 15 |
| Herpes simplex type 2 antibody igg CPT 86696 | $98.40 | $123.00 | $38.62 – $110.70 | 15 |
| Heterophile antibodies screening CPT 86308 | $79.20 | $99.00 | $31.09 – $89.10 | 15 |
| Hip and Pelvis X-ray (3 to 4 views, both hips) CPT 73522 | $689.60 | $862.00 | $270.67 – $775.80 | 15 |
| Hip and Pelvis X-ray (single view, left side) CPT 73501 | $312.00 | $390.00 | $122.46 – $351.00 | 15 |
| Hip X-ray CPT 73502 | $448.00 | $560.00 | $175.84 – $504.00 | 15 |
| Histamine CPT 83088 | $127.20 | $159.00 | $30.77 – $88.20 | 15 |
| Hizentra injection HCPCS J1559 | not published | not published | $13.46 – $13.46 | 1 |
| Home sleep test/type 3 porta HCPCS G0399 | $701.60 | $877.00 | $275.38 – $789.30 | 15 |
| Homocysteine CPT 83090 | $96.00 | $120.00 | $37.68 – $108.00 | 15 |
| H pylori (c-13) breath CPT 83013 | $272.80 | $341.00 | $107.07 – $306.90 | 15 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | $98.10 | $122.62 | $38.50 – $110.36 | 15 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $61.72 | $77.15 | $24.23 – $69.44 | 15 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $83.55 | $104.43 | $26.65 – $76.37 | 15 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $60.51 | $75.63 | $23.66 – $67.81 | 15 |
| Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge HCPCS J7999 | $168.55 | $210.68 | $26.59 – $76.21 | 15 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $68.11 | $85.13 | $23.66 – $67.82 | 15 |
| Hyqvia 100mg immuneglobulin HCPCS J1575 | not published | not published | $17.81 – $17.81 | 1 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $224.80 | $281.00 | $88.23 – $252.90 | 15 |
| Iaadi respiratory synctial virus CPT 87280 | $36.80 | $46.00 | $14.44 – $41.40 | 15 |
| Ia infect ag ab qual/semiquant sgl step CPT 86318 | $66.40 | $83.00 | $26.06 – $74.70 | 15 |
| Ibandronate 3 mg/3 ml intravenous syringe HCPCS J1740 | $105.87 | $132.33 | $37.77 – $108.27 | 15 |
| Icatibant injection HCPCS J1744 | not published | not published | $93.19 – $93.19 | 1 |
| Idursulfase injection HCPCS J1743 | not published | not published | $548.06 – $548.06 | 1 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $138.40 | $173.00 | $54.32 – $155.70 | 15 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $156.80 | $196.00 | $61.54 – $176.40 | 15 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $40.00 | $50.00 | $11.93 – $34.20 | 15 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $56.80 | $71.00 | $19.78 – $56.70 | 15 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | $3,383.04 | $4,228.80 | $50.63 – $690.57 | 15 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | $2,759.20 | $3,449.00 | $83.74 – $1,073.25 | 15 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | not published | not published | $49.91 – $49.91 | 1 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $101.60 | $127.00 | $39.88 – $114.30 | 15 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $101.60 | $127.00 | $39.88 – $114.30 | 15 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $30.40 | $38.00 | $11.93 – $34.20 | 15 |
| Immunofixation electrophoresis serum CPT 86334 | $171.20 | $214.00 | $67.20 – $192.60 | 15 |
| Imuglucerase injection HCPCS J1786 | not published | not published | $44.44 – $44.44 | 1 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $2,604.00 | $3,255.00 | $1,022.07 – $2,929.50 | 15 |
| Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s) CPT 87626 | $90.40 | $113.00 | $35.48 – $101.70 | 15 |
| Infect ag eia influenza a or b ea CPT 87400 | $64.00 | $80.00 | $25.12 – $72.00 | 15 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $950.40 | $1,188.00 | $373.03 – $1,069.20 | 15 |
| Infect ag ia optc obs influenza CPT 87804 | $49.60 | $62.00 | $19.47 – $55.80 | 15 |
| Infect ag if influenza a CPT 87276 | $89.60 | $112.00 | $35.17 – $100.80 | 15 |
| Infect ag if influenza b CPT 87275 | $89.60 | $112.00 | $23.86 – $68.40 | 15 |
| Infect ag if nos ea CPT 87299 | $48.80 | $61.00 | $19.15 – $54.90 | 15 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $248.80 | $311.00 | $97.65 – $279.90 | 15 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $149.60 | $187.00 | $58.72 – $168.30 | 15 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $117.60 | $147.00 | $46.16 – $132.30 | 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.