Sanford Hospital Webster — price list
← Hospital overviewVerified from Sanford Hospital Webster’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) | |
|---|---|---|---|---|---|---|
| ,Insulin Aspart Soln Pen-injector 100 Unit/ML,Insulin Aspart Soln Cartridge 100 Unit/ML Inpatient | 0250 RC | $61.91 | $49.53 | $33.92 – $55.72 | — | |
| Abatacept For IV Soln 250 MG Inpatient | J0129 HCPCS | $2,860 | $2,288 | $1,567 – $2,574 | — | |
| ACCUTECT SCAN DVT Inpatient | 78458 CPT | $1,992 | $1,594 | $1,091 – $1,793 | — | |
| Acetaminophen Chew Tab 160 MG Inpatient | 0250 RC | $1.50 | $1.20 | $0.82 – $1.35 | — | |
| Acetaminophen IV Soln 10 MG/ML Inpatient | J0134 HCPCS | $94.64 | $75.72 | $51.85 – $85.18 | — | |
| Acetaminophen IV Soln 10 MG/ML Inpatient | J0131 HCPCS | $94.64 | $75.72 | $51.85 – $85.18 | — | |
| Acetaminophen IV Soln 10 MG/ML Inpatient | J0136 HCPCS | $142 | $114 | $78.05 – $128 | — | |
| Acetaminophen Suppos 120 MG Inpatient | 0250 RC | $1.50 | $1.20 | $0.82 – $1.35 | — | |
| Acetaminophen Suppos 325 MG Inpatient | 0250 RC | $6.65 | $5.32 | $3.64 – $5.99 | — | |
| Acetaminophen Suppos 650 MG Inpatient | 0250 RC | $1.50 | $1.20 | $0.82 – $1.35 | — | |
| Acetaminophen Susp 160 MG/5ML Inpatient | 0250 RC | $4.25 | $3.40 | $2.33 – $3.83 | — | |
| Acetaminophen Tab 325 MG Inpatient | J3490 HCPCS | $1.75 | $1.40 | $0.96 – $1.58 | — | |
| Acetaminophen Tab 500 MG Inpatient | J3490 HCPCS | $1.75 | $1.40 | $0.96 – $1.58 | — | |
| Acetaminophen Tab ER 650 MG Inpatient | 0250 RC | $6.62 | $5.30 | $3.63 – $5.96 | — | |
| Acetaminophen w/ Codeine Soln 120-12 MG/5ML Inpatient | 0250 RC | $4.25 | $3.40 | $2.33 – $3.83 | — | |
| Acetaminophen w/ Codeine Tab 300-30 MG Inpatient | 0250 RC | $1.50 | $1.20 | $0.82 – $1.35 | — | |
| Acetazolamide Sodium For Inj 500 MG Inpatient | J1120 HCPCS | $98.18 | $78.55 | $53.79 – $88.36 | — | |
| ACETYCHOLINESTERASE RBC 82482.901 Inpatient | 82482 CPT | $44.00 | $35.20 | $24.11 – $39.60 | — | |
| Acetylcysteine Inhal Soln 10% Inpatient | 0250 RC | $26.37 | $21.10 | $14.45 – $23.73 | — | |
| Acetylcysteine Inhal Soln 20% Inpatient | 0250 RC | $11.82 | $9.46 | $6.48 – $10.64 | — | |
| Acetylcysteine Inhal Soln 20% Inpatient | J7608 HCPCS | $39.35 | $31.48 | $21.56 – $35.42 | — | |
| Acetylcysteine Inj 200 MG/ML Inpatient | J0132 HCPCS | $114 | $90.84 | $62.21 – $102 | — | |
| ACTIVATED PROTEIN C APC RESISTANCE ASSAY 85307 Inpatient | 85307 CPT | $264 | $211 | $145 – $238 | — | |
| ACUTE HEPATITIS PANEL 80074 Inpatient | 80074 CPT | $430 | $344 | $236 – $387 | — | |
| Acyclovir Oint 5% Inpatient | 0250 RC | $75.55 | $60.44 | $41.39 – $68.00 | — | |
| Acyclovir Sodium IV Soln 50 MG/ML Inpatient | J0133 HCPCS | $76.98 | $61.59 | $42.18 – $69.28 | — | |
| ADDITIONAL 1 2 HOUR Inpatient | 0360 RC | $835 | $668 | $458 – $752 | — | |
| ADENOIDECTOMY Inpatient | 0360 RC | $2,163 | $1,730 | $1,185 – $1,947 | — | |
| Adenosine IV Soln 12 MG/4ML Inpatient | J0153 HCPCS | $76.98 | $61.59 | $42.18 – $69.28 | — | |
| Adenosine IV Soln 6 MG/2ML Inpatient | J0153 HCPCS | $76.74 | $61.40 | $42.05 – $69.07 | — |