Supplies, drugs & other prices at Sioux Falls Specialty Hospital LLP
Sioux Falls, SD · every code in this section with a posted price and a Medicare benchmark.
37 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) | $4,499.60 | $5,999.46 | 2.3× |
| Abltj perc cryoabltj img gdn uxtr/perph nerve (0440T) | $4,499.60 | $5,999.46 | 2.3× |
| Admin influenza virus vac (G0008) | $108.39 | $144.52 | 2.3× |
| Admin pneumococcal vaccine (G0009) | $108.39 | $144.52 | 2.3× |
| Amalgam one surface permanen (D2140) | $1,385.83 | $1,847.77 | 2.1× |
| Arthro/shoul surg; w/spacer (C9781) | $14,393.25 | $19,191 | 1.1× |
| Bitewings four images (D0274) | $385.67 | $514.23 | 1.6× |
| Ca screen;flexi sigmoidscope (G0104) | $2,684.93 | $3,579.90 | 2.8× |
| Ca screen;pelvic/breast exam (G0101) | $67.19 | $89.58 | 0.6× |
| Colon ca scrn not hi rsk ind (G0121) | $2,900.85 | $3,867.80 | 3.1× |
| Colorectal scrn; hi risk ind (G0105) | $2,900.85 | $3,867.80 | 3.1× |
| Covid-19 lab test non-cdc (U0002) | $134.22 | $178.96 | 2.6× |
| Crtj Subq Insj Impltbl Glucose Sensor Sys Train (0446T) | $4,256.78 | $5,675.71 | 1.0× |
| Cysto impl 4 or more (C9740) | $20,493.12 | $27,324.16 | 2.1× |
| Cysto, litho, vacuum kidney (C9761) | $19,769.72 | $26,359.62 | 2.0× |
| Dental prophylaxis adult (D1110) | $208.06 | $277.41 | 1.5× |
| Direct refer hospital observ (G0379) | $1,010.98 | $1,347.97 | 1.7× |
| Extraction erupted tooth/exr (D7140) | $1,385.83 | $1,847.77 | 2.1× |
| Facility svs dental rehab (G0330) | $5,067.53 | $7,015.50 | 1.5× |
| Hospital outpt clinic visit (G0463) | $208.06 | $277.41 | 1.5× |
| Inj for sacroiliac jt anesth (G0260) | $1,761.84 | $2,349.12 | 2.4× |
| Insertion of sinus tarsi implant (0335T) | $11,260.18 | $15,013.57 | 1.5× |
| Intramuscular autologous bone marrow cell therapy, with preparation of harvested cells, multiple injections, one leg,… (0263T) | $8,466.50 | $11,288.66 | 1.9× |
| Intraoral periapical first (D0220) | $143.03 | $190.70 | 1.6× |
| Mra w/cont, abd (C8900) | $1,442.69 | $1,923.58 | 4.0× |
| Njx bone sub matrl into subchondral bone defect (0707T) | $7,177.40 | $9,569.86 | 2.1× |
| Njx platelet plasma (0232T) | $1,896.05 | $2,528.06 | 4.2× |
| Obtaining screen pap smear (Q0091) | $73.32 | $97.76 | 2.5× |
| Prostate biopsy, any mthd (G0416) | $619.40 | $825.87 | 1.7× |
| Psa screening (G0103) | $56.21 | $74.95 | 2.9× |
| Removal and reinsertion of sinus tarsi implant (0511T) | $15,874.73 | $21,166.30 | 2.1× |
| Removal of sinus tarsi implant (0510T) | $7,041.37 | $9,388.49 | 2.1× |
| Resin one surface-anterior (D2330) | $1,385.83 | $1,847.77 | 2.1× |
| Revision or removal of neurostimulator electrode array, sacral, with integrated neurostimulator (0787T) | $5,355.43 | $7,140.57 | 1.5× |
| Sialoendoscopy capt & interp (D0371) | $208.97 | $278.63 | 2.4× |
| Space maintainer fxd unilat (D1510) | $1,385.83 | $1,847.77 | 2.1× |
| Therapeutic pulpotomy (D3220) | $1,385.83 | $1,847.77 | 2.1× |