Sanford Chamberlain Medical Center
300 S Byron Blvd, Chamberlain, SD · Sanford Health · · NPI 1134140825
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Abdominal CT scan (with and without contrast) CPT 74170 | $2,796.00 | $3,495.00 | $1,195.29 – $3,145.50 | 14 |
| Abdominal CT scan (with contrast) CPT 74160 | $2,896.80 | $3,621.00 | $1,238.38 – $3,258.90 | 14 |
| Abdominal CT scan (without contrast) CPT 74150 | $2,237.60 | $2,797.00 | $956.57 – $2,517.30 | 14 |
| Abdominal MRI (with and without contrast) CPT 74183 | $3,828.80 | $4,786.00 | $1,636.81 – $4,307.40 | 14 |
| Abdominal MRI (without contrast) CPT 74181 | $2,930.40 | $3,663.00 | $1,252.75 – $3,296.70 | 14 |
| Abdominal Ultrasound (complete) CPT 76700 | $965.60 | $1,207.00 | $412.79 – $1,086.30 | 14 |
| Abdominal Ultrasound (limited) CPT 76705 | $705.60 | $882.00 | $301.64 – $793.80 | 14 |
| Ankle X-ray CPT 73610 | $388.00 | $485.00 | $165.87 – $436.50 | 14 |
| Blood Clotting (PT/INR) Test CPT 85610 | $91.20 | $114.00 | $6.50 – $17.10 | 14 |
| Blood Clotting (PTT) Test CPT 85730 | $110.40 | $138.00 | $47.20 – $124.20 | 14 |
| Blood Count (CBC) Test CPT 85025 | $148.00 | $185.00 | $63.27 – $166.50 | 14 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $140.00 | $175.00 | $59.85 – $157.50 | 14 |
| Blood Culture Test CPT 87040 | $164.00 | $205.00 | $70.11 – $184.50 | 14 |
| Bone Density Scan (DEXA) CPT 77080 | $594.40 | $743.00 | $254.11 – $668.70 | 14 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $3,762.40 | $4,703.00 | $1,608.43 – $4,232.70 | 14 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $3,040.80 | $3,801.00 | $1,299.94 – $3,420.90 | 14 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $2,723.20 | $3,404.00 | $1,164.17 – $3,063.60 | 14 |
| Brain MRI (with and without contrast) CPT 70553 | $3,860.00 | $4,825.00 | $1,650.15 – $4,342.50 | 14 |
| Brain MRI (with contrast) CPT 70552 | $3,142.40 | $3,928.00 | $1,343.38 – $3,535.20 | 14 |
| Brain MRI (without contrast) CPT 70551 | $2,892.00 | $3,615.00 | $1,236.33 – $3,253.50 | 14 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $3,775.20 | $4,719.00 | $1,613.90 – $4,247.10 | 14 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $2,717.60 | $3,397.00 | $1,161.77 – $3,057.30 | 14 |
| CT Angiogram of the Head CPT 70496 | $2,718.40 | $3,398.00 | $1,162.12 – $3,058.20 | 14 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $4,994.40 | $6,243.00 | $2,135.11 – $5,618.70 | 14 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $4,680.00 | $5,850.00 | $2,000.70 – $5,265.00 | 14 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $4,107.20 | $5,134.00 | $1,755.83 – $4,620.60 | 14 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $1,416.00 | $1,770.00 | $605.34 – $1,593.00 | 14 |
| Chest CT scan (with and without contrast) CPT 71270 | $2,862.40 | $3,578.00 | $1,223.68 – $3,220.20 | 14 |
| Chest CT scan (with contrast) CPT 71260 | $2,841.60 | $3,552.00 | $1,214.78 – $3,196.80 | 14 |
| Chest CT scan (without contrast) CPT 71250 | $2,307.20 | $2,884.00 | $986.33 – $2,595.60 | 14 |
| Chest X-ray CPT 71046 | $369.60 | $462.00 | $158.00 – $415.80 | 14 |
| Chest X-ray (single view) CPT 71045 | $306.40 | $383.00 | $130.99 – $344.70 | 14 |
| Cholesterol (Lipid) Test CPT 80061 | $153.60 | $192.00 | $65.66 – $172.80 | 14 |
| Cystoscopy (Bladder Scope) CPT 52000 | $2,540.80 | $3,176.00 | $1,086.19 – $2,858.40 | 14 |
| Diabetes (HbA1c) Test CPT 83036 | $91.20 | $114.00 | $38.99 – $102.60 | 14 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $618.40 | $773.00 | $264.37 – $695.70 | 14 |
| Diagnostic Mammogram (one breast) CPT 77065 | $503.20 | $629.00 | $215.12 – $566.10 | 14 |
| ER Visit (level 1, minor) CPT 99281 | $291.20 | $364.00 | $124.49 – $327.60 | 14 |
| ER Visit (level 2) CPT 99282 | $503.20 | $629.00 | $215.12 – $566.10 | 14 |
| ER Visit (level 3) CPT 99283 | $808.00 | $1,010.00 | $345.42 – $909.00 | 14 |
| ER Visit (level 4) CPT 99284 | $1,204.00 | $1,505.00 | $514.71 – $1,354.50 | 14 |
| ER Visit (level 5, high severity) CPT 99285 | $1,805.60 | $2,257.00 | $771.89 – $2,031.30 | 14 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $2,751.20 | $3,439.00 | $1,176.14 – $3,095.10 | 14 |
| Established Patient Office Visit (level 1) CPT 99211 | $242.40 | $303.00 | $19.15 – $50.40 | 14 |
| Foot X-ray CPT 73630 | $384.80 | $481.00 | $164.50 – $432.90 | 14 |
| Hand X-ray CPT 73130 | $363.20 | $454.00 | $155.27 – $408.60 | 14 |
| Head CT scan (with and without contrast) CPT 70470 | $2,708.80 | $3,386.00 | $1,158.01 – $3,047.40 | 14 |
| Head CT scan (with contrast) CPT 70460 | $2,522.40 | $3,153.00 | $1,078.33 – $2,837.70 | 14 |
| Head CT scan (without contrast) CPT 70450 | $2,184.00 | $2,730.00 | $933.66 – $2,457.00 | 14 |
| Hip X-ray CPT 73502 | $374.40 | $468.00 | $160.06 – $421.20 | 14 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $934.40 | $1,168.00 | $399.46 – $1,051.20 | 14 |
| Knee MRI (with and without contrast) CPT 73723 | $3,798.40 | $4,748.00 | $1,623.82 – $4,273.20 | 14 |
| Knee MRI (with contrast) CPT 73722 | $3,064.00 | $3,830.00 | $1,309.86 – $3,447.00 | 14 |
| Knee MRI (without contrast) CPT 73721 | $2,968.80 | $3,711.00 | $1,269.16 – $3,339.90 | 14 |
| Knee X-ray CPT 73564 | $485.60 | $607.00 | $207.59 – $546.30 | 14 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $1,610.40 | $2,013.00 | $688.45 – $1,811.70 | 14 |
| Liver Function Test CPT 80076 | $136.00 | $170.00 | $58.14 – $153.00 | 14 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $2,746.40 | $3,433.00 | $1,174.09 – $3,089.70 | 14 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $2,445.60 | $3,057.00 | $1,045.49 – $2,751.30 | 14 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $2,344.80 | $2,931.00 | $1,002.40 – $2,637.90 | 14 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $4,159.20 | $5,199.00 | $1,778.06 – $4,679.10 | 14 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $3,285.60 | $4,107.00 | $1,404.59 – $3,696.30 | 14 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $3,198.40 | $3,998.00 | $1,367.32 – $3,598.20 | 14 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $428.80 | $536.00 | $183.31 – $482.40 | 14 |
| Lung Function Test (Spirometry) CPT 94010 | $403.20 | $504.00 | $172.37 – $453.60 | 14 |
| Metabolic Blood Panel (Basic) CPT 80048 | $149.60 | $187.00 | $63.95 – $168.30 | 14 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $240.00 | $300.00 | $102.60 – $270.00 | 14 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $2,748.00 | $3,435.00 | $1,174.77 – $3,091.50 | 14 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $2,424.80 | $3,031.00 | $1,036.60 – $2,727.90 | 14 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $2,290.40 | $2,863.00 | $979.15 – $2,576.70 | 14 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $4,184.80 | $5,231.00 | $1,789.00 – $4,707.90 | 14 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $3,335.20 | $4,169.00 | $1,425.80 – $3,752.10 | 14 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $3,078.40 | $3,848.00 | $1,316.02 – $3,463.20 | 14 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $3,707.20 | $4,634.00 | $1,584.83 – $4,170.60 | 14 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $2,912.80 | $3,641.00 | $1,245.22 – $3,276.90 | 14 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $2,754.40 | $3,443.00 | $1,177.51 – $3,098.70 | 14 |
| Nuclear Stress Test (Heart) CPT 78452 | $4,322.40 | $5,403.00 | $1,847.83 – $4,862.70 | 14 |
| PSA (Prostate) Test CPT 84153 | $89.60 | $112.00 | $38.30 – $100.80 | 14 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $2,626.40 | $3,283.00 | $1,122.79 – $2,954.70 | 14 |
| Pelvic CT scan (with contrast) CPT 72193 | $2,273.60 | $2,842.00 | $971.96 – $2,557.80 | 14 |
| Pelvic CT scan (without contrast) CPT 72192 | $2,008.80 | $2,511.00 | $858.76 – $2,259.90 | 14 |
| Pelvic MRI (with and without contrast) CPT 72197 | $3,984.00 | $4,980.00 | $1,703.16 – $4,482.00 | 14 |
| Pelvic MRI (with contrast) CPT 72196 | $3,920.80 | $4,901.00 | $1,676.14 – $4,410.90 | 14 |
| Pelvic MRI (without contrast) CPT 72195 | $2,895.20 | $3,619.00 | $1,237.70 – $3,257.10 | 14 |
| Pelvic Ultrasound (complete) CPT 76856 | $986.40 | $1,233.00 | $421.69 – $1,109.70 | 14 |
| Pelvic Ultrasound (limited) CPT 76857 | $687.20 | $859.00 | $293.78 – $773.10 | 14 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $920.80 | $1,151.00 | $393.64 – $1,035.90 | 14 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $731.20 | $914.00 | $312.59 – $822.60 | 14 |
| Rapid Strep Test CPT 87880 | $84.00 | $105.00 | $35.91 – $94.50 | 14 |
| Screening Mammogram CPT 77067 | $504.80 | $631.00 | $215.80 – $567.90 | 14 |
| Shoulder MRI (with and without contrast) CPT 73223 | $4,070.40 | $5,088.00 | $1,740.10 – $4,579.20 | 14 |
| Shoulder MRI (without contrast) CPT 73221 | $3,198.40 | $3,998.00 | $1,367.32 – $3,598.20 | 14 |
| Shoulder X-ray CPT 73030 | $378.40 | $473.00 | $161.77 – $425.70 | 14 |
| Sinus CT scan (with and without contrast) CPT 70488 | $2,796.80 | $3,496.00 | $1,195.63 – $3,146.40 | 14 |
| Sinus CT scan (with contrast) CPT 70487 | $2,392.80 | $2,991.00 | $1,022.92 – $2,691.90 | 14 |
| Sinus CT scan (without contrast) CPT 70486 | $1,952.00 | $2,440.00 | $834.48 – $2,196.00 | 14 |
| Sleep Study (Polysomnography) CPT 95810 | $4,141.60 | $5,177.00 | $1,770.53 – $4,659.30 | 14 |
| Thyroid (TSH) Test CPT 84443 | $144.00 | $180.00 | $61.56 – $162.00 | 14 |
| Thyroid Ultrasound CPT 76536 | $682.40 | $853.00 | $291.73 – $767.70 | 14 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $4,165.60 | $5,207.00 | $1,780.79 – $4,686.30 | 14 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $3,240.00 | $4,050.00 | $1,385.10 – $3,645.00 | 14 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $3,043.20 | $3,804.00 | $1,300.97 – $3,423.60 | 14 |
| Urinalysis (with microscopy) CPT 81001 | $80.80 | $101.00 | $34.54 – $90.90 | 14 |
| Urinalysis (without microscopy) CPT 81003 | $40.00 | $50.00 | $17.10 – $45.00 | 14 |
| Urine Culture Test CPT 87086 | $116.00 | $145.00 | $49.59 – $130.50 | 14 |
| Vitamin D Test CPT 82306 | $132.00 | $165.00 | $40.70 – $107.10 | 14 |
| Wrist X-ray CPT 73110 | $363.20 | $454.00 | $155.27 – $408.60 | 14 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.