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 |
|---|---|---|---|---|
| Inj, panzyga, 500 mg HCPCS J1576 | not published | not published | $68.74 – $68.74 | 1 |
| Inj., patisiran, 0.1 mg HCPCS J0222 | not published | not published | $100.73 – $100.73 | 1 |
| Inj pegfilgrastim-bmez 0.5mg HCPCS Q5120 | $3,121.92 | $3,902.40 | $327.13 – $3,512.16 | 14 |
| Inj pozelimab-bbfg, 1 mg HCPCS J9376 | not published | not published | $90.87 – $90.87 | 1 |
| Inj, releuko 1 mcg HCPCS Q5125 | $216.71 | $270.88 | $92.64 – $243.79 | 14 |
| Inj sebelipase alfa 1 mg HCPCS J2840 | not published | not published | $510.50 – $510.50 | 1 |
| Inj, sutimlimab-jome, 10 mg HCPCS J1302 | not published | not published | $18.49 – $18.49 | 1 |
| Inj, taliglucerace alfa 10 u HCPCS J3060 | not published | not published | $43.39 – $43.39 | 1 |
| Inj. teprotumumab-trbw 10 mg HCPCS J3241 | not published | not published | $350.36 – $350.36 | 1 |
| Inj testosterone cypionate HCPCS J1071 | $65.28 | $81.59 | $27.90 – $73.43 | 14 |
| Inj., tildrakizumab, 1 mg HCPCS J3245 | not published | not published | $138.49 – $138.49 | 1 |
| Inj, tislelizumab-jsgr HCPCS J9329 | not published | not published | $66.09 – $66.09 | 1 |
| Inj, tofidence, 1 mg HCPCS Q5133 | not published | not published | $5.55 – $5.55 | 1 |
| Inj, tyenne, 1 mg HCPCS Q5135 | not published | not published | $5.15 – $5.15 | 1 |
| Inj velmanase alfa-tycv 1 mg HCPCS J0217 | not published | not published | $450.34 – $450.34 | 1 |
| Inj., vestronidase alfa-vjbk HCPCS J3397 | not published | not published | $263.70 – $263.70 | 1 |
| Inj. viltolarsen HCPCS J1427 | not published | not published | $56.40 – $56.40 | 1 |
| Inj. xembify, 100 mg HCPCS J1558 | not published | not published | $14.59 – $14.59 | 1 |
| Insert cath pleura without image CPT 32556 | $1,418.40 | $1,773.00 | $606.37 – $1,595.70 | 14 |
| Insert drug delivery implant CPT 11981 | $595.20 | $744.00 | $254.45 – $669.60 | 14 |
| Insertion catheter bladder non indwelling CPT 51701 | $240.00 | $300.00 | $102.60 – $270.00 | 14 |
| Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years CPT 36569 | $1,608.00 | $2,010.00 | $687.42 – $1,809.00 | 14 |
| Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides) CPT 36561 | $6,675.20 | $8,344.00 | $2,853.65 – $7,509.60 | 14 |
| In situ hybridization per specimen initial single probe stain CPT 88365 | $483.20 | $604.00 | $206.57 – $543.60 | 14 |
| Instillation anticarcinogenic agent bladder CPT 51720 | $806.40 | $1,008.00 | $344.74 – $907.20 | 14 |
| Ins tun intraperit dia cath CPT 49421 | $5,373.60 | $6,717.00 | $2,297.21 – $6,045.30 | 14 |
| Insulin total CPT 83525 | $138.40 | $173.00 | $59.17 – $155.70 | 14 |
| Intracranial limited study CPT 93888 | $700.80 | $876.00 | $299.59 – $788.40 | 14 |
| Intrinsic factor antibody CPT 86340 | $56.80 | $71.00 | $24.28 – $63.90 | 14 |
| Intubation endotracheal emergency procedure CPT 31500 | $743.20 | $929.00 | $317.72 – $836.10 | 14 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $20.00 | $25.00 | $8.55 – $22.50 | 14 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $100.00 | $125.00 | $8.55 – $22.50 | 14 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | $7,797.00 | $9,746.25 | $3,333.22 – $8,771.63 | 14 |
| Ipratropium bromide non-comp HCPCS J7644 | $3.40 | $4.25 | $1.45 – $3.83 | 14 |
| Iron CPT 83540 | $80.80 | $101.00 | $34.54 – $90.90 | 14 |
| Iron binding capacity CPT 83550 | $90.40 | $113.00 | $38.65 – $101.70 | 14 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $86.34 | $107.92 | $36.91 – $97.13 | 14 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $66.40 | $82.99 | $28.38 – $74.69 | 14 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $172.80 | $216.00 | $60.80 – $194.40 | 14 |
| IV Fluids (each additional hour) CPT 96361 | $153.60 | $192.00 | $65.66 – $172.80 | 14 |
| IV Fluids (first hour) CPT 96360 | $370.40 | $463.00 | $158.35 – $416.70 | 14 |
| Ivig non-lyophilized, nos HCPCS J1599 | not published | not published | $156.45 – $156.45 | 1 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $187.20 | $234.00 | $47.20 – $210.60 | 14 |
| IV Medicine Infusion (additional drug) CPT 96367 | $276.00 | $345.00 | $68.80 – $310.50 | 14 |
| IV Medicine Infusion (each additional hour) CPT 96366 | $181.60 | $227.00 | $48.80 – $204.30 | 14 |
| IV Medicine Infusion (first hour) CPT 96365 | $580.00 | $725.00 | $151.20 – $652.50 | 14 |
| IV Push Injection (each additional drug) CPT 96375 | $186.40 | $233.00 | $8.55 – $22.50 | 14 |
| IV Push Injection (first drug) CPT 96374 | $376.00 | $470.00 | $8.55 – $22.50 | 14 |
| Jaw Joint (TMJ) X-ray (both sides, open and closed) CPT 70330 | $442.40 | $553.00 | $189.13 – $497.70 | 14 |
| Jaw (Mandible) X-ray (complete) CPT 70110 | $478.40 | $598.00 | $204.52 – $538.20 | 14 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $44.80 | $56.00 | $19.15 – $50.40 | 14 |
| Ketorolac (Toradol) Pain Shot, 15 mg HCPCS J1885 | $61.93 | $77.41 | $25.83 – $67.98 | 14 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $1,811.20 | $2,264.00 | $774.29 – $2,037.60 | 14 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $934.40 | $1,168.00 | $399.46 – $1,051.20 | 14 |
| Kidney (Retroperitoneal) Ultrasound (limited) CPT 76775 | $660.80 | $826.00 | $282.49 – $743.40 | 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 |
| Knee X-ray (1 to 2 views, both knees) CPT 73560 | $331.20 | $414.00 | $141.59 – $372.60 | 14 |
| Knee X-ray (3 views, both knees) CPT 73562 | $385.60 | $482.00 | $164.84 – $433.80 | 14 |
| Knee X-ray (standing, both knees) CPT 73565 | $311.20 | $389.00 | $133.04 – $350.10 | 14 |
| Ko elastic w/joints pre ots HCPCS L1812 | $426.40 | $533.00 | $21.20 – $55.80 | 14 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $61.05 | $76.31 | $25.76 – $67.80 | 14 |
| Lactate dehydrogenase (ldh) CPT 83615 | $72.80 | $91.00 | $31.12 – $81.90 | 14 |
| Lactated ringers intravenous solution HCPCS J7120 | $120.00 | $150.00 | $51.30 – $135.00 | 14 |
| Lactic acid CPT 83605 | $115.20 | $144.00 | $49.25 – $129.60 | 14 |
| Large Joint Injection or Fluid Draw (both sides) CPT 20610 | $778.40 | $973.00 | $332.77 – $875.70 | 14 |
| Laronidase injection HCPCS J1931 | not published | not published | $39.41 – $39.41 | 1 |
| Lead capillary CPT 83655 | $88.00 | $110.00 | $13.34 – $35.10 | 14 |
| Leg Artery Ultrasound (complete, both legs) CPT 93925 | $1,398.40 | $1,748.00 | $597.82 – $1,573.20 | 14 |
| Leg CT Scan (with contrast, both legs) CPT 73701 | $2,017.60 | $2,522.00 | $862.52 – $2,269.80 | 14 |
| Leg CT Scan (without contrast, both legs) CPT 73700 | $1,942.40 | $2,428.00 | $830.38 – $2,185.20 | 14 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $1,610.40 | $2,013.00 | $688.45 – $1,811.70 | 14 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $65.65 | $82.06 | $28.06 – $73.85 | 14 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $1,281.12 | $1,601.40 | $195.76 – $515.16 | 14 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | $1,838.88 | $2,298.59 | $786.12 – $2,068.73 | 14 |
| Levalbuterol non-comp unit HCPCS J7614 | $8.13 | $10.16 | $1.80 – $4.74 | 14 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $61.27 | $76.58 | $26.19 – $68.92 | 14 |
| Levetiracetam therapeutic drug level CPT 80177 | $195.20 | $244.00 | $83.45 – $219.60 | 14 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $110.53 | $138.16 | $46.21 – $121.60 | 14 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | $191.67 | $239.58 | $44.86 – $118.06 | 14 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | $60.41 | $75.51 | $5.52 – $14.54 | 14 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $137.96 | $172.45 | $58.98 – $155.21 | 14 |
| Liletta, 52 mg HCPCS J7297 | $909.11 | $1,136.38 | $388.64 – $1,022.74 | 14 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $257.84 | $322.29 | $110.22 – $290.06 | 14 |
| Lipase CPT 83690 | $111.20 | $139.00 | $47.54 – $125.10 | 14 |
| Lipoprotein direct measurement hdl CPT 83718 | $89.60 | $112.00 | $12.31 – $32.40 | 14 |
| Lipoprotein direct measurement ldl CPT 83721 | $92.80 | $116.00 | $39.67 – $104.40 | 14 |
| Lithium therapeutic drug level CPT 80178 | $95.20 | $119.00 | $40.70 – $107.10 | 14 |
| Liver Function Test CPT 80076 | $136.00 | $170.00 | $58.14 – $153.00 | 14 |
| Liver/spleen imag static only CPT 78215 | $1,669.60 | $2,087.00 | $713.75 – $1,878.30 | 14 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | $20.00 | $25.00 | $8.55 – $22.50 | 14 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $61.89 | $77.36 | $25.83 – $67.99 | 14 |
| Low-Dose Lung Cancer Screening CT Scan CPT 71271 | $2,072.80 | $2,591.00 | $886.12 – $2,331.90 | 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 |
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.