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 |
|---|---|---|---|---|
| Insertion nontunneled centrally inserted central venous catheter >= 5 years old CPT 36556 | $1,734.40 | $2,168.00 | $680.75 – $1,951.20 | 15 |
| Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years CPT 36569 | $1,348.00 | $1,685.00 | $529.09 – $1,516.50 | 15 |
| In situ hybridization per specimen initial single probe stain CPT 88365 | $352.80 | $441.00 | $138.47 – $396.90 | 15 |
| Ins picad w subq port 5yr> CPT 36571 | $4,635.20 | $5,794.00 | $1,819.32 – $5,214.60 | 15 |
| Insulin total CPT 83525 | $119.20 | $149.00 | $46.79 – $134.10 | 15 |
| Intrinsic factor antibody CPT 86340 | $56.80 | $71.00 | $22.29 – $63.90 | 15 |
| Intubation endotracheal emergency procedure CPT 31500 | $552.80 | $691.00 | $216.97 – $621.90 | 15 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $140.00 | $175.00 | $10.99 – $31.50 | 15 |
| Ipratropium bromide non-comp HCPCS J7644 | $4.80 | $6.00 | $1.88 – $5.40 | 15 |
| Iron CPT 83540 | $65.60 | $82.00 | $25.75 – $73.80 | 15 |
| Iron binding capacity CPT 83550 | $46.40 | $58.00 | $18.21 – $52.20 | 15 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $87.64 | $109.54 | $33.40 – $95.72 | 15 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $67.08 | $83.85 | $26.06 – $74.69 | 15 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $125.60 | $157.00 | $49.30 – $141.30 | 15 |
| IV Fluids (each additional hour) CPT 96361 | $131.20 | $164.00 | $51.50 – $147.60 | 15 |
| IV Fluids (first hour) CPT 96360 | $372.00 | $465.00 | $146.01 – $418.50 | 15 |
| Ivig non-lyophilized, nos HCPCS J1599 | not published | not published | $156.45 – $156.45 | 1 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $179.20 | $224.00 | $47.20 – $201.60 | 15 |
| IV Medicine Infusion (additional drug) CPT 96367 | $240.00 | $300.00 | $68.80 – $270.00 | 15 |
| IV Medicine Infusion (each additional hour) CPT 96366 | $180.80 | $226.00 | $48.80 – $203.40 | 15 |
| IV Medicine Infusion (first hour) CPT 96365 | $504.80 | $631.00 | $151.20 – $567.90 | 15 |
| IV Push Injection (each additional drug) CPT 96375 | $130.40 | $163.00 | $36.80 – $146.70 | 15 |
| IV Push Injection (first drug) CPT 96374 | $280.80 | $351.00 | $88.80 – $315.90 | 15 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $1,091.20 | $1,364.00 | $428.30 – $1,227.60 | 15 |
| Jaw Joint (TMJ) X-ray (both sides, open and closed) CPT 70330 | $498.40 | $623.00 | $195.62 – $560.70 | 15 |
| Jaw (Mandible) X-ray (complete) CPT 70110 | $536.00 | $670.00 | $210.38 – $603.00 | 15 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $65.60 | $82.00 | $25.75 – $73.80 | 15 |
| Ketorolac (Toradol) Pain Shot, 15 mg HCPCS J1885 | $61.20 | $76.50 | $23.75 – $68.09 | 15 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $2,049.60 | $2,562.00 | $804.47 – $2,305.80 | 15 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $830.40 | $1,038.00 | $325.93 – $934.20 | 15 |
| Kidney (Retroperitoneal) Ultrasound (limited) CPT 76775 | $700.00 | $875.00 | $274.75 – $787.50 | 15 |
| Knee MRI (with and without contrast) CPT 73723 | $4,273.60 | $5,342.00 | $1,677.39 – $4,807.80 | 15 |
| Knee MRI (with contrast) CPT 73722 | $3,372.80 | $4,216.00 | $1,323.82 – $3,794.40 | 15 |
| Knee MRI (without contrast) CPT 73721 | $2,919.20 | $3,649.00 | $1,145.79 – $3,284.10 | 15 |
| Knee X-ray CPT 73564 | $477.60 | $597.00 | $187.46 – $537.30 | 15 |
| Knee X-ray (1 to 2 views, both knees) CPT 73560 | $308.80 | $386.00 | $121.20 – $347.40 | 15 |
| Knee X-ray (3 views, both knees) CPT 73562 | $407.20 | $509.00 | $159.83 – $458.10 | 15 |
| Knee X-ray (standing, both knees) CPT 73565 | $295.20 | $369.00 | $115.87 – $332.10 | 15 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $60.39 | $75.48 | $23.67 – $67.83 | 15 |
| Lactate dehydrogenase (ldh) CPT 83615 | $58.40 | $73.00 | $22.92 – $65.70 | 15 |
| Lactated ringers intravenous solution HCPCS J7120 | $40.00 | $50.00 | $15.70 – $45.00 | 15 |
| Lactic acid CPT 83605 | $65.60 | $82.00 | $25.75 – $73.80 | 15 |
| Large Joint Injection or Fluid Draw (both sides) CPT 20610 | $727.20 | $909.00 | $285.43 – $818.10 | 15 |
| Laronidase injection HCPCS J1931 | not published | not published | $39.41 – $39.41 | 1 |
| Lead capillary CPT 83655 | $116.00 | $145.00 | $11.62 – $33.30 | 15 |
| Leg Artery Ultrasound (complete, both legs) CPT 93925 | $1,187.20 | $1,484.00 | $465.98 – $1,335.60 | 15 |
| Leg CT Scan (with contrast, both legs) CPT 73701 | $2,538.40 | $3,173.00 | $996.32 – $2,855.70 | 15 |
| Leg CT Scan (without contrast, both legs) CPT 73700 | $2,029.60 | $2,537.00 | $796.62 – $2,283.30 | 15 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $1,168.80 | $1,461.00 | $458.75 – $1,314.90 | 15 |
| Lens iol 23.0 d 1.5 cyl eyhance toric HCPCS V2787 | $630.40 | $788.00 | $247.43 – $709.20 | 15 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $676.80 | $846.00 | $114.92 – $329.40 | 15 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $969.25 | $1,211.56 | $200.64 – $575.09 | 15 |
| Levalbuterol non-comp unit HCPCS J7614 | $6.00 | $7.49 | $2.19 – $6.28 | 15 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $60.97 | $76.21 | $23.87 – $68.42 | 15 |
| Levetiracetam therapeutic drug level CPT 80177 | $175.20 | $219.00 | $68.77 – $197.10 | 15 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $75.68 | $94.59 | $21.57 – $61.81 | 15 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | $65.41 | $81.76 | $7.54 – $21.62 | 15 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $55.83 | $69.78 | $21.91 – $62.80 | 15 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | $5,520.00 | $6,900.00 | $2,166.60 – $6,210.00 | 15 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $97.20 | $121.50 | $38.15 – $109.35 | 15 |
| Lipase CPT 83690 | $88.00 | $110.00 | $34.54 – $99.00 | 15 |
| Lipoprotein direct measurement hdl CPT 83718 | $79.20 | $99.00 | $31.09 – $89.10 | 15 |
| Lipoprotein direct measurement ldl CPT 83721 | $57.60 | $72.00 | $22.61 – $64.80 | 15 |
| Lithium therapeutic drug level CPT 80178 | $60.00 | $75.00 | $23.55 – $67.50 | 15 |
| Liver Function Test CPT 80076 | $108.00 | $135.00 | $42.39 – $121.50 | 15 |
| Liver imaging CPT 78201 | $1,848.80 | $2,311.00 | $725.65 – $2,079.90 | 15 |
| Liver imag w/vasclr flow CPT 78202 | $1,690.40 | $2,113.00 | $663.48 – $1,901.70 | 15 |
| Liver/spleen imag static only CPT 78215 | $1,672.80 | $2,091.00 | $656.57 – $1,881.90 | 15 |
| Liver/spleen imag w/vasclr flow CPT 78216 | $2,071.20 | $2,589.00 | $812.95 – $2,330.10 | 15 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $61.89 | $77.36 | $23.59 – $67.62 | 15 |
| Low-Dose Lung Cancer Screening CT Scan CPT 71271 | $1,708.00 | $2,135.00 | $670.39 – $1,921.50 | 15 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $2,968.00 | $3,710.00 | $1,164.94 – $3,339.00 | 15 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $2,680.00 | $3,350.00 | $1,051.90 – $3,015.00 | 15 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $2,376.00 | $2,970.00 | $932.58 – $2,673.00 | 15 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $4,319.20 | $5,399.00 | $1,695.29 – $4,859.10 | 15 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $3,616.00 | $4,520.00 | $1,419.28 – $4,068.00 | 15 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $3,180.80 | $3,976.00 | $1,248.46 – $3,578.40 | 15 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $444.00 | $555.00 | $174.27 – $499.50 | 15 |
| Lower Back (Lumbar Spine) X-ray (4 or more views) CPT 72110 | $616.00 | $770.00 | $241.78 – $693.00 | 15 |
| Lower Leg (Shin) X-ray (both sides) CPT 73590 | $308.80 | $386.00 | $121.20 – $347.40 | 15 |
| Lumizyme injection HCPCS J0221 | not published | not published | $205.76 – $205.76 | 1 |
| Lung Function Test Before and After an Inhaler CPT 94060 | $520.80 | $651.00 | $204.41 – $585.90 | 15 |
| Lung Function Test (Spirometry) CPT 94010 | $379.20 | $474.00 | $148.84 – $426.60 | 15 |
| Lung perfusion imaging CPT 78580 | $1,503.20 | $1,879.00 | $590.01 – $1,691.10 | 15 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | not published | not published | $41.40 – $41.40 | 1 |
| Macroscopic exam arthropod CPT 87168 | $52.80 | $66.00 | $20.72 – $59.40 | 15 |
| Magnesium CPT 83735 | $79.20 | $99.00 | $31.09 – $89.10 | 15 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $63.44 | $79.30 | $21.41 – $61.36 | 15 |
| Mastoids complete CPT 70130 | $428.00 | $535.00 | $167.99 – $481.50 | 15 |
| Mayo aathr protein s free CPT 85306 | $139.20 | $174.00 | $54.64 – $156.60 | 15 |
| Mayo activated protein c resistance assay CPT 85307 | $211.20 | $264.00 | $82.90 – $237.60 | 15 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $132.00 | $165.00 | $51.81 – $148.50 | 15 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $156.80 | $196.00 | $61.54 – $176.40 | 15 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $50.40 | $63.00 | $19.78 – $56.70 | 15 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $88.80 | $111.00 | $34.85 – $99.90 | 15 |
| Mayo alpha 1 antitrypsin CPT 82103 | $98.40 | $123.00 | $36.42 – $104.40 | 15 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $195.20 | $244.00 | $76.62 – $219.60 | 15 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $250.40 | $313.00 | $98.28 – $281.70 | 15 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $460.00 | $575.00 | $180.55 – $517.50 | 15 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $148.00 | $185.00 | $33.28 – $95.40 | 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.