Sanford Canton Inwood Medical Center — price list
← Hospital overviewVerified from Sanford Canton Inwood Medical Center’s published price file
Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Showing the first 1,500 prices from a large file. Search a procedure or code below to narrow the list.
How to read these columns
- List
- The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
- Cash
- The discounted self-pay price for paying directly, without insurance.
- Negotiated
- Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.
These are the hospital’s published reference prices, not a personalized estimate of your bill.
1,500 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| Abatacept For IV Soln 250 MG Outpatient | J0129 HCPCS | $2,703 | $2,162 | $44.25 – $2,432 | — | |
| Acetaminophen IV Soln 10 MG/ML Outpatient | J0134 HCPCS | $126 | $101 | $43.06 – $113 | — | |
| Acetaminophen Suppos 120 MG Outpatient | 0250 RC | $1.50 | $1.20 | $0.51 – $1.35 | — | |
| Acetaminophen Suppos 325 MG Outpatient | 0250 RC | $5.65 | $4.52 | $1.93 – $5.09 | — | |
| Acetaminophen Suppos 650 MG Outpatient | 0250 RC | $1.50 | $1.20 | $0.51 – $1.35 | — | |
| Acetaminophen Susp 160 MG/5ML Outpatient | 0250 RC | $8.01 | $6.41 | $2.74 – $7.21 | — | |
| Acetaminophen Tab ER 650 MG Outpatient | 0250 RC | $1.50 | $1.20 | $0.51 – $1.35 | — | |
| Acetaminophen w/ Codeine Tab 300-30 MG Outpatient | 0250 RC | $1.50 | $1.20 | $0.51 – $1.35 | — | |
| Acetazolamide Sodium For Inj 500 MG Outpatient | J1120 HCPCS | $98.18 | $78.55 | $33.58 – $88.36 | — | |
| Acetazolamide Tab 125 MG Outpatient | 0250 RC | $1.50 | $1.20 | $0.51 – $1.35 | — | |
| Acetic Acid Otic Soln 2% Outpatient | 0250 RC | $33.88 | $27.11 | $11.59 – $30.49 | — | |
| Acetycholinesterase RBC 82482.901 Outpatient | 82482 CPT | $44.00 | $35.20 | $15.05 – $39.60 | — | |
| Acetylcysteine Inhal Soln 20% Outpatient | 0250 RC | $29.83 | $23.87 | $10.20 – $26.85 | — | |
| Acetylcysteine Inhal Soln 20% Outpatient | J7608 HCPCS | $29.83 | $23.87 | $10.20 – $26.85 | — | |
| Acetylcysteine Inj 200 MG/ML Outpatient | J0132 HCPCS | $114 | $90.84 | $38.83 – $102 | — | |
| Activated protein c apc resistance assay 85307 Outpatient | 85307 CPT | $176 | $141 | $60.19 – $158 | — | |
| Acute hepatitis panel 80074 Outpatient | 80074 CPT | $310 | $248 | $106 – $279 | — | |
| Acyclovir Cap 200 MG Outpatient | 0250 RC | $1.50 | $1.20 | $0.51 – $1.35 | — | |
| Acyclovir Sodium IV Soln 50 MG/ML Outpatient | J0133 HCPCS | $77.31 | $61.85 | $26.44 – $69.58 | — | |
| Acylcarnitines quant each spec so 82017.900 Outpatient | 82017 CPT | $66.00 | $52.80 | $22.57 – $59.40 | — | |
| Additional 1 2 hour Outpatient | 0360 RC | $999 | $799 | $342 – $899 | — | |
| Adenosine IV Soln 12 MG/4ML Outpatient | J0153 HCPCS | $76.98 | $61.59 | $26.33 – $69.28 | — | |
| Adenosine IV Soln 6 MG/2ML Outpatient | J0153 HCPCS | $76.74 | $61.40 | $26.25 – $69.07 | — | |
| Adenovirus 87260 Outpatient | 87260 CPT | $56.00 | $44.80 | $19.15 – $50.40 | — | |
| Admin hepatitis b vaccine Outpatient | 90471 CPT | $19.68 | $15.75 | $6.73 – $17.71 | — | |
| Adrenocorticotropic hormone acth so 82024.900 Outpatient | 82024 CPT | $139 | $111 | $47.54 – $125 | — | |
| Aerobic definitive id 87077 Outpatient | 87077 CPT | $72.00 | $57.60 | $24.62 – $64.80 | — | |
| Albumin serum 82040 Outpatient | 82040 CPT | $46.00 | $36.80 | $15.73 – $41.40 | — | |
| Albumin urin other source 82042 Outpatient | 82042 CPT | $50.00 | $40.00 | $17.10 – $45.00 | — | |
| Albumin urine microalbumin quant 82043 Outpatient | 82043 CPT | $62.00 | $49.60 | $21.20 – $55.80 | — |