Sanford Jackson Hospital — Injection prices
← Hospital overviewVerified from Sanford Jackson Hospital’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.
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.
8 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| Cdmr ED 96372 inject sq IM self adm med gy Inpatient | 96372 CPT | $25.00 | $20.00 | $13.40 – $23.65 | — | |
| Cdmr inject sq IM self adm med gy Inpatient | 96372 CPT | $25.00 | $20.00 | $13.40 – $23.65 | — | |
| ED 20610 asp inj joint bursa major without US guid Inpatient | 20610 CPT | $1,073 | $858 | $575 – $1,015 | — | |
| ED 96372 ther proph diag injection sq IM Inpatient | 96372 CPT | $214 | $171 | $115 – $202 | — | |
| ED 96374 ther proph diag inj IV push initial Inpatient | 96374 CPT | $481 | $385 | $258 – $455 | — | |
| IV push initial Inpatient | 96374 CPT | $481 | $385 | $258 – $455 | — | |
| Sc IM injection Inpatient | 96372 CPT | $214 | $171 | $115 – $202 | — | |
| Inj major joint bursa without US guid Inpatient | 20610 CPT | $1,073 | $858 | $575 – $1,015 | — |