Sanford South University Medical Center
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Sanford South University Medical Center. This page also lists hospital-published cash prices for services and billing-code line items.
Overview
- CCN350004
Procedures & prices
Hospital-published price lines. These are billing-code items from the hospital transparency file, not a personalized estimate. Cash is the self-pay price; gross is the pre-discount list price.
Price definitions
- Cash
- — self-pay price (no insurance)
- Gross
- — chargemaster list price; the pre-discount sticker rate, rarely what anyone pays
- Negotiated range
- — min–max of rates the hospital negotiated with insurers
- Payers
- — number of insurers with a published rate (“0” / “—” = none)
Available here:CashGross listInsurer-negotiated rates were not published for these rows.
- Collj Capillary Blood SpecProcedureCPT 36416Hospital-published line item$14cashGross $17
- Revefenacin Inhalation Solution, Fda-Approved Final Product, Non-Compounded, Administered Through Dme, 1 MicrogramDrugHCPCS J7677Hospital-published line item$14cashGross $17
- Tacrolimus Imme Rel Oral 1mgDrugHCPCS J7507Hospital-published line item$14cashGross $17
- Levalbuterol, Inhalation Solution, Fda-Approved Final Product, Non-Compounded, Administered Through Dme, Unit Dose, 0.5 MgDrugHCPCS J7614Hospital-published line item$16cashGross $20
- Bilirubin Total TranscutLab testCPT 88720Hospital-published line item$16cashGross $20
- Mycophenolic Acid, Oral, 180 MgDrugHCPCS J7518Hospital-published line item$16cashGross $20
- Injection, Ciprofloxacin For Intravenous Infusion, 200 MgDrugHCPCS J0744Hospital-published line item$17cashGross $21
- Injection, Dipyridamole, Per 10 MgDrugHCPCS J1245Hospital-published line item$17cashGross $21
- Injection Calcitriol Per 0.1 McgDrugHCPCS J0636Hospital-published line item$17cashGross $21
- Injection, Dexamethasone Sodium Phosphate, 1 MgDrugHCPCS J1100Hospital-published line item$17cashGross $21
| Service / code | Self-pay cash↑ | Gross list |
|---|---|---|
Collj Capillary Blood Spec ProcedureCPT 36416Hospital-published line item | $14 | $17 |
Revefenacin Inhalation Solution, Fda-Approved Final Product, Non-Compounded, Administered Through Dme, 1 Microgram DrugHCPCS J7677Hospital-published line item | $14 | $17 |
Tacrolimus Imme Rel Oral 1mg DrugHCPCS J7507Hospital-published line item | $14 | $17 |
Levalbuterol, Inhalation Solution, Fda-Approved Final Product, Non-Compounded, Administered Through Dme, Unit Dose, 0.5 Mg DrugHCPCS J7614Hospital-published line item | $16 | $20 |
Bilirubin Total Transcut Lab testCPT 88720Hospital-published line item | $16 | $20 |
Mycophenolic Acid, Oral, 180 Mg DrugHCPCS J7518Hospital-published line item | $16 | $20 |
Injection, Ciprofloxacin For Intravenous Infusion, 200 Mg DrugHCPCS J0744Hospital-published line item | $17 | $21 |
Injection, Dipyridamole, Per 10 Mg DrugHCPCS J1245Hospital-published line item | $17 | $21 |
Injection Calcitriol Per 0.1 Mcg DrugHCPCS J0636Hospital-published line item | $17 | $21 |
Injection, Dexamethasone Sodium Phosphate, 1 Mg DrugHCPCS J1100Hospital-published line item | $17 | $21 |
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