Supplies, drugs & other prices at Sanford USD Medical Center

Sioux Falls, SD · every code in this section with a posted price and a Medicare benchmark.

61 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
2d tee w or w/o fol w/con,in (C8925) $3,110.40 $3,888 3.9×
2d tte w or w/o fol w/con,fu (C8924) $1,297.60 $1,622 3.6×
Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) $4,400 $5,500 2.2×
Abltj Perc Cryoabltj Img Gdn Nrv Plex/Trncl Nrv (0442T) $12,965.60 $16,207 1.4×
Abltj perc cryoabltj img gdn uxtr/perph nerve (0440T) $13,228.80 $16,536 6.6×
Adm tocilizu covid-19 1st (M0249) $760 $950 1.7×
Adm tocilizu covid-19 2nd (M0250) $812.80 $1,016 1.8×
Behavior counsel obesity 15m (G0447) $59.20 $74 0.6×
Chemo extend iv infus w/pump (G0498) $865.60 $1,082 2.6×
Demonstrate use home inr mon (G0248) $270.40 $338 2.0×
Diab manage trn per indiv (G0108) $88.80 $111 1.6×
Diab manage trn ind/group (G0109) $36.80 $46 2.3×
Direct refer hospital observ (G0379) $111.20 $139 0.2×
Endovascular Venous Arterialization Tibl/Prnl Vn (0620T) $29,632 $37,040 0.7×
Extrnl counterpulse, per tx (G0166) $635.20 $794 4.7×
Group train w/o patient (G0543) $52.80 $66 1.8×
Home sleep test/type 3 porta (G0399) $719.20 $899 3.3×
Hospital outpt clinic visit (G0463) $206.40 $258 1.5×
Inj for sacroiliac jt anesth (G0260) $1,789.60 $2,237 2.5×
Njx platelet plasma (0232T) $535.20 $669 1.2×
No pt prsnt train initial 30 (G0541) $124.80 $156 4.2×
Oth resp proc, group (G0239) $177.60 $222 4.7×
Oth resp proc, indiv (G0238)
range across 3 matching MRF lines
$132–$132.80 $165–$166 varies
Pathogen test for platelets (P9100) $142.40 $178 2.4×
Pemivibart infusion (M0224) $790.40 $988 1.8×
Perc d-e cor revasc chro sin (C9607) $31,221.60 $39,027 1.7×
Perc d-e cor revasc t cabg s (C9604) $26,716 $33,395 2.3×
Perc d-e cor stent ather s (C9602) $29,534.40 $36,918 1.6×
Perc drug-el cor stent sing (C9600) $23,747.20 $29,684 2.0×
Perq Sacral Augmt Bilat Inj (0201T) $8,033.60 $10,042 1.1×
Perq Sacral Augmt Unilat Inj (0200T) $7,003.20 $8,754 0.9×
Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) $17,592.80 $21,991 1.5×
Provide inr test mater/equip (G0249) $259.20 $324 1.9×
Quan mr alys tiss composition w/MRI 1orgn (0649T) $891.20 $1,114 0.9×
Revasc intra lithotrip-ather (C9766) $26,580.80 $33,226 1.4×
Revasc intra lithotrip-stent (C9765) $26,736 $33,420 1.4×
Revasc intravasc lithotripsy (C9764) $14,639.20 $18,299 1.2×
Revasc lith-sten-ath tib/per (C9775) $32,720.80 $40,901 1.7×
Revasc lithotr-ather tib/per (C9774) $27,004 $33,755 1.4×
Revasc lithotr-stent tib/per (C9773) $29,769.60 $37,212 1.6×
Revasc lithotrip tibi/perone (C9772) $20,178.40 $25,223 1.7×
Revasc lithotrip-stent-ather (C9767) $36,671.20 $45,839 2.0×
Scr c/v cyto,thinlayer,rescr (G0145) $90.40 $113 3.4×
Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) $30,528 $38,160 1.6×
Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) $35,300 $44,125 1.8×
Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) $5,391.20 $6,739 0.9×
Tee w or w/o fol w/cont, mon (C8927) $2,383.20 $2,979 3.0×
Tee w or w/o fol w/cont,cong (C8926) $2,768.80 $3,461 3.5×
Therapeutic procd strg endur (G0237)
range across 2 matching MRF lines
$124–$132 $155–$165 varies
Trauma respons w/hosp criti (G0390)
range across 3 matching MRF lines
$2,091.20–$7,150.40 $2,614–$8,938 varies
Trim nail(s) (G0127) $78.40 $98 1.3×
Trluml perip athrc abd aorta (0236T) $12,692 $15,865 1.1×
Trluml Perip Athrc Brchiocph (0237T) $15,368 $19,210 1.3×
Trluml Perip Athrc Iliac Art (0238T) $20,992 $26,240 1.1×
Trluml Peripheral Atherectomy Renal Artery Ea (0234T) $12,692 $15,865 1.1×
Tte w or w/o contr, cont ecg (C8930) $2,196 $2,745 2.7×
Tte w or w/o fol w/con,stres (C8928) $2,382.40 $2,978 3.0×
Tte w or w/o fol w/cont, com (C8921) $2,401.60 $3,002 3.0×
Tte w or w/o fol w/cont, f/u (C8922) $1,640 $2,050 2.0×
Tte w or wo fol wcon,doppler (C8929) $3,057.60 $3,822 3.8×
Unsched dialysis esrd pt hos (G0257) $1,640 $2,050 2.3×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.