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 |
|---|---|---|---|---|
| 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 |
| Lower Back (Lumbar Spine) X-ray (4 or more views) CPT 72110 | $633.60 | $792.00 | $270.86 – $712.80 | 14 |
| Lower Back (Lumbar Spine) X-ray (with bending views) CPT 72114 | $691.20 | $864.00 | $295.49 – $777.60 | 14 |
| Lower Leg (Shin) X-ray (both sides) CPT 73590 | $363.20 | $454.00 | $155.27 – $408.60 | 14 |
| L/s ratio fetal lung CPT 83661 | $380.80 | $476.00 | $162.79 – $428.40 | 14 |
| Lumizyme injection HCPCS J0221 | not published | not published | $205.76 – $205.76 | 1 |
| Lung Function Test Before and After an Inhaler CPT 94060 | $617.60 | $772.00 | $264.02 – $694.80 | 14 |
| Lung Function Test (Spirometry) CPT 94010 | $403.20 | $504.00 | $172.37 – $453.60 | 14 |
| Lung perfusion imaging CPT 78580 | $1,363.20 | $1,704.00 | $582.77 – $1,533.60 | 14 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | $8,417.27 | $10,521.58 | $3,598.38 – $9,469.42 | 14 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | not published | not published | $41.40 – $41.40 | 1 |
| Macroscopic exam arthropod CPT 87168 | $77.60 | $97.00 | $33.17 – $87.30 | 14 |
| Magnesium CPT 83735 | $99.20 | $124.00 | $9.23 – $24.30 | 14 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $137.96 | $172.45 | $25.83 – $67.99 | 14 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | $60.64 | $75.80 | $25.92 – $68.22 | 14 |
| Marker biop eviva buckle ss HCPCS A4648 | $370.40 | $463.00 | $129.96 – $342.00 | 14 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | $133.60 | $167.00 | $7.52 – $19.80 | 14 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $93.60 | $117.00 | $40.01 – $105.30 | 14 |
| Mayo aathr protein s free CPT 85306 | $284.80 | $356.00 | $121.75 – $320.40 | 14 |
| Mayo activated protein c resistance assay CPT 85307 | $145.60 | $182.00 | $62.24 – $163.80 | 14 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $180.00 | $225.00 | $76.95 – $202.50 | 14 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $115.20 | $144.00 | $49.25 – $129.60 | 14 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $166.40 | $208.00 | $42.75 – $112.50 | 14 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $50.40 | $63.00 | $21.55 – $56.70 | 14 |
| Mayo alpha 1 antitrypsin CPT 82103 | $139.20 | $174.00 | $17.10 – $45.00 | 14 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $73.60 | $92.00 | $31.46 – $82.80 | 14 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $250.40 | $313.00 | $107.05 – $281.70 | 14 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $3,062.40 | $3,828.00 | $196.65 – $517.50 | 14 |
| Mayo androstenedione CPT 82157 | $68.80 | $86.00 | $29.41 – $77.40 | 14 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $134.40 | $168.00 | $34.20 – $90.00 | 14 |
| Mayo antithrombin iii antigen CPT 85301 | $168.00 | $210.00 | $71.82 – $189.00 | 14 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $105.60 | $132.00 | $13.68 – $36.00 | 14 |
| Mayo avwpr vw factor activity CPT 85397 | $212.00 | $265.00 | $31.81 – $83.70 | 14 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $77.60 | $97.00 | $33.17 – $87.30 | 14 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $86.40 | $108.00 | $36.94 – $97.20 | 14 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $68.00 | $85.00 | $29.07 – $76.50 | 14 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $108.00 | $135.00 | $43.43 – $114.30 | 14 |
| Mayo brcmg brucella antibody igm CPT 86622 | $125.60 | $157.00 | $24.28 – $63.90 | 14 |
| Mayo c1 esterase inhibitor CPT 83883 | $289.60 | $362.00 | $46.51 – $122.40 | 14 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $83.20 | $104.00 | $29.75 – $78.30 | 14 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $52.80 | $66.00 | $22.57 – $59.40 | 14 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $188.00 | $235.00 | $80.37 – $211.50 | 14 |
| Mayo ceruloplasmin CPT 82390 | $136.00 | $170.00 | $58.14 – $153.00 | 14 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $127.20 | $159.00 | $21.20 – $55.80 | 14 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $102.40 | $128.00 | $14.71 – $38.70 | 14 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $54.40 | $68.00 | $23.26 – $61.20 | 14 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $54.40 | $68.00 | $23.26 – $61.20 | 14 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $296.00 | $370.00 | $126.54 – $333.00 | 14 |
| Mayo chromium CPT 82495 | $59.20 | $74.00 | $25.31 – $66.60 | 14 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | $96.00 | $120.00 | $24.28 – $63.90 | 14 |
| Mayo coccidioides antibody CPT 86635 | $100.80 | $126.00 | $40.36 – $106.20 | 14 |
| Mayo cocou cortisone urine CPT 82542 | $57.60 | $72.00 | $24.62 – $64.80 | 14 |
| Mayo cortisol free CPT 82530 | $295.20 | $369.00 | $22.57 – $59.40 | 14 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $61.60 | $77.00 | $13.68 – $36.00 | 14 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $56.80 | $71.00 | $24.28 – $63.90 | 14 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $61.60 | $77.00 | $26.33 – $69.30 | 14 |
| Mayo dihydrotestosterone CPT 82642 | $71.20 | $89.00 | $30.44 – $80.10 | 14 |
| Mayo estriol CPT 82677 | $152.80 | $191.00 | $24.97 – $65.70 | 14 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $132.00 | $165.00 | $18.81 – $49.50 | 14 |
| Mayo everolimus therapeutic drug level CPT 80169 | $71.20 | $89.00 | $30.44 – $80.10 | 14 |
| Mayo factor v CPT 85220 | $300.80 | $376.00 | $128.59 – $338.40 | 14 |
| Mayo factor viii vw factor antigen CPT 85246 | $304.80 | $381.00 | $23.60 – $62.10 | 14 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $69.60 | $87.00 | $29.75 – $78.30 | 14 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $280.80 | $351.00 | $120.04 – $315.90 | 14 |
| Mayo factor x CPT 85260 | $209.60 | $262.00 | $89.60 – $235.80 | 14 |
| Mayo fat/lipids feces quantitative CPT 82710 | $57.60 | $72.00 | $24.62 – $64.80 | 14 |
| Mayo fbl culture fungi blood CPT 87103 | $123.20 | $154.00 | $52.67 – $138.60 | 14 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $547.20 | $684.00 | $233.93 – $615.60 | 14 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $220.00 | $275.00 | $94.05 – $247.50 | 14 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $67.20 | $84.00 | $28.73 – $75.60 | 14 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $296.80 | $371.00 | $67.03 – $176.40 | 14 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $60.00 | $75.00 | $25.65 – $67.50 | 14 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $84.00 | $105.00 | $35.91 – $94.50 | 14 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $82.40 | $103.00 | $35.23 – $92.70 | 14 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $225.60 | $282.00 | $17.78 – $46.80 | 14 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $52.80 | $66.00 | $22.57 – $59.40 | 14 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $101.60 | $127.00 | $43.43 – $114.30 | 14 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $52.80 | $66.00 | $22.57 – $59.40 | 14 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $163.20 | $204.00 | $28.39 – $74.70 | 14 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $40.80 | $51.00 | $17.44 – $45.90 | 14 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $200.00 | $250.00 | $85.50 – $225.00 | 14 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $104.80 | $131.00 | $44.80 – $117.90 | 14 |
| Mayo infliximab therapeutic drug level CPT 80230 | $150.40 | $188.00 | $64.30 – $169.20 | 14 |
| Mayo inhab inhibin a CPT 86336 | $150.40 | $188.00 | $24.28 – $63.90 | 14 |
| Mayo iodine CPT 83789 | $97.60 | $122.00 | $33.17 – $87.30 | 14 |
| Mayo itraconazole therapeutic drug level CPT 80189 | $71.20 | $89.00 | $30.44 – $80.10 | 14 |
| Mayo lacosamide therapeutic drug level CPT 80235 | $95.20 | $119.00 | $40.70 – $107.10 | 14 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $37.60 | $47.00 | $16.07 – $42.30 | 14 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $114.40 | $143.00 | $48.91 – $128.70 | 14 |
| Mayo legionella antibody CPT 86713 | $156.80 | $196.00 | $24.28 – $63.90 | 14 |
| Mayo leptospira antibody igm CPT 86720 | $108.00 | $135.00 | $46.17 – $121.50 | 14 |
| Mayo lipoprotein electrophoresis CPT 83700 | $50.40 | $63.00 | $21.55 – $56.70 | 14 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $48.80 | $61.00 | $20.86 – $54.90 | 14 |
| Mayo manganese CPT 83785 | $164.80 | $206.00 | $70.45 – $185.40 | 14 |
| Mayo metanephrines plasma CPT 83835 | $46.40 | $58.00 | $19.84 – $52.20 | 14 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | $47.20 | $59.00 | $20.18 – $53.10 | 14 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $162.40 | $203.00 | $22.57 – $59.40 | 14 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $260.80 | $326.00 | $18.81 – $49.50 | 14 |
| Mayo muramidase CPT 85549 | $56.80 | $71.00 | $24.28 – $63.90 | 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.