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 |
|---|---|---|---|---|
| 3d recon without postprocess indpndt CPT 76376 | $602.40 | $753.00 | $257.53 – $677.70 | 14 |
| 5% dextrose and 0.45% saline HCPCS S5010 | $120.00 | $150.00 | $51.30 – $135.00 | 14 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $117.60 | $147.00 | $50.27 – $132.30 | 14 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $1,718.76 | $2,148.44 | $44.25 – $1,907.56 | 14 |
| Abdominal and Pelvic Blood Vessel Ultrasound (complete) CPT 93975 | $1,174.40 | $1,468.00 | $502.06 – $1,321.20 | 14 |
| Abdominal and Pelvic Blood Vessel Ultrasound (limited) CPT 93976 | $868.80 | $1,086.00 | $371.41 – $977.40 | 14 |
| 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 paracentesis w/image guidance CPT 49083 | $1,840.00 | $2,300.00 | $786.60 – $2,070.00 | 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 |
| Abdominal X-ray (2 views) CPT 74019 | $484.00 | $605.00 | $206.91 – $544.50 | 14 |
| Abdominal X-ray Series (acute, with chest view) CPT 74022 | $628.00 | $785.00 | $268.47 – $706.50 | 14 |
| Abdominal X-ray (single view) CPT 74018 | $348.80 | $436.00 | $149.11 – $392.40 | 14 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $1,499.20 | $1,874.00 | $640.91 – $1,686.60 | 14 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | $138.76 | $173.45 | $59.32 – $156.11 | 14 |
| Acetaminophen level CPT 80143 | $161.60 | $202.00 | $69.08 – $181.80 | 14 |
| Acetone qualitative CPT 82009 | $28.00 | $35.00 | $11.97 – $31.50 | 14 |
| Acetylcholine receptor modulating antibody CPT 86043 | $95.20 | $119.00 | $40.70 – $107.10 | 14 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $90.84 | $113.55 | $38.83 – $102.20 | 14 |
| Acetylcysteine non-comp unit HCPCS J7608 | $20.84 | $26.04 | $8.91 – $23.44 | 14 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $55.20 | $69.00 | $23.60 – $62.10 | 14 |
| Acute hepatitis panel CPT 80074 | $265.60 | $332.00 | $113.54 – $298.80 | 14 |
| Acyclovir 400 mg tablet HCPCS J8499 | $4.10 | $5.12 | $0.51 – $1.35 | 14 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $62.51 | $78.13 | $26.72 – $70.32 | 14 |
| #acylcarnitineprfl CPT 82017 | $49.60 | $62.00 | $21.20 – $55.80 | 14 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $67.12 | $83.90 | $26.25 – $69.07 | 14 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $22.86 | $28.57 | $9.77 – $25.71 | 14 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $292.00 | $365.00 | $67.20 – $328.50 | 14 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $401.60 | $502.00 | $153.60 – $451.80 | 14 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $930.40 | $1,163.00 | $313.60 – $1,046.70 | 14 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $570.40 | $713.00 | $242.40 – $641.70 | 14 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $232.80 | $291.00 | $85.60 – $261.90 | 14 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $297.60 | $372.00 | $127.22 – $334.80 | 14 |
| Administration immunization each additional vaccine CPT 90472 | $40.80 | $51.00 | $17.44 – $45.90 | 14 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | $35.20 | $44.00 | $15.05 – $39.60 | 14 |
| Administration immunization intranasal/oral route each additional vaccine CPT 90474 | $32.80 | $41.00 | $14.02 – $36.90 | 14 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | not published | not published | $227.74 – $227.74 | 1 |
| Albumin body fluid quantitative each specimen CPT 82042 | $48.00 | $60.00 | $12.31 – $32.40 | 14 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $205.94 | $257.42 | $49.78 – $131.00 | 14 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $141.60 | $177.00 | $60.53 – $159.30 | 14 |
| Albumin serum plasma or whole blood CPT 82040 | $66.40 | $83.00 | $12.31 – $32.40 | 14 |
| Albuterol ipratrop non-comp HCPCS J7620 | $3.92 | $4.90 | $1.45 – $3.83 | 14 |
| Albuterol non-comp con HCPCS J7611 | $70.17 | $87.71 | $30.00 – $78.94 | 14 |
| Albuterol non-comp unit HCPCS J7613 | $3.40 | $4.25 | $1.45 – $3.83 | 14 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $161.60 | $202.00 | $69.08 – $181.80 | 14 |
| Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 | not published | not published | $2,381.81 – $2,381.81 | 1 |
| Alkaline phosphatase CPT 84075 | $73.60 | $92.00 | $12.31 – $32.40 | 14 |
| Allergen egg white ige CPT 86003 | $48.00 | $60.00 | $5.81 – $15.30 | 14 |
| Allograft dermis 20x25x1mm decell w/matracell arthroflex HCPCS Q4125 | $350.01 | $437.51 | $149.63 – $393.76 | 14 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $703.20 | $879.00 | $208.28 – $548.10 | 14 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | not published | not published | $5.03 – $5.03 | 1 |
| Alpha-fetoprotein tumor marker CPT 82105 | $154.40 | $193.00 | $62.93 – $165.60 | 14 |
| Alprostadil for injection HCPCS J0270 | $85.57 | $106.96 | $36.58 – $96.26 | 14 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $12,850.08 | $16,062.60 | $109.35 – $287.77 | 14 |
| Alt/sgpt CPT 84460 | $84.00 | $105.00 | $35.91 – $94.50 | 14 |
| Aminolevulinic acid delta CPT 82135 | $144.00 | $180.00 | $61.56 – $162.00 | 14 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $67.97 | $84.96 | $25.90 – $68.15 | 14 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | $186.20 | $232.74 | $74.91 – $197.14 | 14 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $61.80 | $77.24 | $26.00 – $68.42 | 14 |
| Ammonia CPT 82140 | $224.80 | $281.00 | $16.76 – $44.10 | 14 |
| Amphetamine confirm urine -sendout CPT 80324 | $57.60 | $72.00 | $24.62 – $64.80 | 14 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | $114.14 | $142.67 | $48.79 – $128.40 | 14 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $62.85 | $78.56 | $25.90 – $68.16 | 14 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $67.06 | $83.82 | $26.10 – $68.68 | 14 |
| Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis CPT 81515 | $496.00 | $620.00 | $212.04 – $558.00 | 14 |
| Amylase CPT 82150 | $87.20 | $109.00 | $37.28 – $98.10 | 14 |
| Ana ds-dna CPT 86226 | $288.80 | $361.00 | $123.46 – $324.90 | 14 |
| Analysis gene f2 20210g>a variant CPT 81240 | $437.60 | $547.00 | $82.08 – $216.00 | 14 |
| Analysis gene f5 leiden variant CPT 81241 | $400.00 | $500.00 | $82.08 – $216.00 | 14 |
| Anastrozole 1 mg HCPCS S0170 | $1.20 | $1.50 | $0.51 – $1.35 | 14 |
| Anca screen with reflex to titer -quest CPT 86021 | $172.00 | $215.00 | $73.53 – $193.50 | 14 |
| An fluoro guide for cvp CPT 77001 | $786.40 | $983.00 | $336.19 – $884.70 | 14 |
| Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490 | $202.45 | $253.06 | $0.60 – $1.58 | 14 |
| Ankle X-ray CPT 73610 | $388.00 | $485.00 | $165.87 – $436.50 | 14 |
| Ankle X-ray (2 views, both ankles) CPT 73600 | $342.40 | $428.00 | $146.38 – $385.20 | 14 |
| Anodyne therapy charges pt CPT 97026 | $66.40 | $83.00 | $28.39 – $74.70 | 14 |
| Anora (draw only) CPT 99001 | $52.00 | $65.00 | $19.49 – $51.30 | 14 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $32.00 | $40.00 | $13.68 – $36.00 | 14 |
| Antibody elution rbc reference CPT 86860 | $166.40 | $208.00 | $71.14 – $187.20 | 14 |
| Antibody htlv/hiv confirm test CPT 86689 | $298.40 | $373.00 | $127.57 – $335.70 | 14 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $215.20 | $269.00 | $92.00 – $242.10 | 14 |
| Antibody id rbc panel CPT 86870 | $320.80 | $401.00 | $137.14 – $360.90 | 14 |
| Antibody screen rbc CPT 86850 | $115.20 | $144.00 | $49.25 – $129.60 | 14 |
| Antibody tetanus CPT 86774 | $134.40 | $168.00 | $57.46 – $151.20 | 14 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $56.80 | $71.00 | $24.28 – $63.90 | 14 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | $40.00 | $50.00 | $17.10 – $45.00 | 14 |
| Antinuclear antibodies CPT 86038 | $120.80 | $151.00 | $51.64 – $135.90 | 14 |
| Antinuclear antibodies titer CPT 86039 | $82.40 | $103.00 | $35.23 – $92.70 | 14 |
| Antistreptolysin o titer CPT 86060 | $84.80 | $106.00 | $24.28 – $63.90 | 14 |
| Antithrombin iii activity CPT 85300 | $164.00 | $205.00 | $70.11 – $184.50 | 14 |
| Aortic Aneurysm Screening Ultrasound CPT 76706 | $475.20 | $594.00 | $203.15 – $534.60 | 14 |
| App high cost ss t/a/l <100sq cm addl <25sq cm CPT 15272 | $1,200.00 | $1,500.00 | $513.00 – $1,350.00 | 14 |
| Application finger splntstatic 29130 CPT 29130 | $285.60 | $357.00 | $122.09 – $321.30 | 14 |
| Application long leg splint 29505 CPT 29505 | $363.20 | $454.00 | $155.27 – $408.60 | 14 |
| Application lower leg splint 29515 CPT 29515 | $363.20 | $454.00 | $155.27 – $408.60 | 14 |
| Application of forearm cast 29075 CPT 29075 | $366.40 | $458.00 | $156.64 – $412.20 | 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.