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 |
|---|---|---|---|---|
| Neostigmine methylsulfate 1 mg/ml injection (wrapper) HCPCS J2710 | $60.16 | $75.20 | $25.72 – $67.68 | 14 |
| Nerve conduction 7-8 studies CPT 95910 | $1,203.20 | $1,504.00 | $514.37 – $1,353.60 | 14 |
| Nerve conduction studies 11-12 CPT 95912 | $1,950.40 | $2,438.00 | $833.80 – $2,194.20 | 14 |
| Nerve conduction studies 1-2 CPT 95907 | $567.20 | $709.00 | $242.48 – $638.10 | 14 |
| Nerve conduction studies 3-4 CPT 95908 | $915.20 | $1,144.00 | $391.25 – $1,029.60 | 14 |
| Nerve conduction studies 5-6 CPT 95909 | $1,021.60 | $1,277.00 | $436.73 – $1,149.30 | 14 |
| Nerve conduction studies 9-10 CPT 95911 | $1,664.80 | $2,081.00 | $711.70 – $1,872.90 | 14 |
| Nicardipine 25 mg/10 ml intravenous solution HCPCS J2404 | $369.32 | $461.64 | $98.48 – $259.15 | 14 |
| Nintedanib 150 mg capsule HCPCS J8999 | $42.28 | $52.84 | $1.61 – $4.24 | 14 |
| Nivolumab 10 mg/ml intravenous solution (wrapper) HCPCS J9299 | $7,010.67 | $8,763.33 | $38.06 – $1,829.68 | 14 |
| Nivolumab 240 mg-relatlimab-rmbw 80 mg/20 ml intravenous solution HCPCS J9298 | not published | not published | $228.20 – $228.20 | 1 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | $2,056.00 | $2,570.00 | $878.94 – $2,313.00 | 14 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $1,589.60 | $1,987.00 | $679.55 – $1,788.30 | 14 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $2,032.80 | $2,541.00 | $869.02 – $2,286.90 | 14 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | $1,580.00 | $1,975.00 | $675.45 – $1,777.50 | 14 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $1,591.20 | $1,989.00 | $680.24 – $1,790.10 | 14 |
| Non-card vasc flow imaging CPT 78445 | $902.40 | $1,128.00 | $385.78 – $1,015.20 | 14 |
| No pt prsnt train add 15 HCPCS G0542 | $60.00 | $75.00 | $25.65 – $67.50 | 14 |
| No pt prsnt train initial 30 HCPCS G0541 | $120.80 | $151.00 | $51.64 – $135.90 | 14 |
| Nose (Nasal Bone) X-ray (complete) CPT 70160 | $350.40 | $438.00 | $149.80 – $394.20 | 14 |
| Nuclear Stress Test (Heart) CPT 78452 | $4,322.40 | $5,403.00 | $1,847.83 – $4,862.70 | 14 |
| Observation direct referral from physician office for admission HCPCS G0379 | $192.00 | $240.00 | $82.08 – $216.00 | 14 |
| Observation per hour HCPCS G0378 | $56.00 | $70.00 | $23.94 – $63.00 | 14 |
| Obstetric panel inc HIV tstg CPT 80081 | $360.80 | $451.00 | $154.24 – $405.90 | 14 |
| Obstetrics panel CPT 80055 | $243.20 | $304.00 | $103.97 – $273.60 | 14 |
| Occupational Therapy Evaluation (high complexity) CPT 97167 | $381.60 | $477.00 | $163.13 – $429.30 | 14 |
| Occupational Therapy Evaluation (low complexity) CPT 97165 | $276.00 | $345.00 | $117.99 – $310.50 | 14 |
| Occupational Therapy Evaluation (moderate complexity) CPT 97166 | $324.00 | $405.00 | $138.51 – $364.50 | 14 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | $32,903.89 | $41,129.86 | $60.94 – $37,016.87 | 14 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $62.42 | $78.02 | $26.03 – $68.51 | 14 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | $6,171.19 | $7,713.98 | $2,638.18 – $6,942.58 | 14 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $84.71 | $105.88 | $29.82 – $78.48 | 14 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | not published | not published | $39.04 – $39.04 | 1 |
| Ondansetron 4 mg s0119 HCPCS S0119 | $1.20 | $1.50 | $0.51 – $1.35 | 14 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $60.84 | $76.05 | $25.75 – $67.77 | 14 |
| Orthosis lso rigd frm hyperex HCPCS L0472 | $816.00 | $1,020.00 | $348.84 – $918.00 | 14 |
| Osmolality blood CPT 83930 | $95.20 | $119.00 | $40.70 – $107.10 | 14 |
| Osmolality urine CPT 83935 | $95.20 | $119.00 | $7.52 – $19.80 | 14 |
| Oth resp proc, group HCPCS G0239 | $171.20 | $214.00 | $73.19 – $192.60 | 14 |
| Oth resp proc, indiv HCPCS G0238 | $118.40 | $148.00 | $50.62 – $133.20 | 14 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $126.40 | $158.00 | $54.04 – $142.20 | 14 |
| Ot re-evaluation patient/family CPT 97168 | $232.00 | $290.00 | $99.18 – $261.00 | 14 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $98.40 | $123.00 | $42.07 – $110.70 | 14 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $141.60 | $177.00 | $60.53 – $159.30 | 14 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $117.25 | $146.56 | $25.89 – $68.13 | 14 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $297.76 | $372.20 | $127.29 – $334.98 | 14 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $1,868.03 | $2,335.03 | $798.58 – $2,101.53 | 14 |
| Paliperidone 117 mg/0.75 ml inj HCPCS J2426 | $5,212.12 | $6,515.15 | $2,228.18 – $5,863.64 | 14 |
| Palivizumab 50 mg/0.5 ml inj CPT 90378 | $3,760.66 | $4,700.82 | $863.46 – $2,272.27 | 14 |
| Palonosetron hcl HCPCS J2469 | $86.80 | $108.50 | $28.51 – $75.03 | 14 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $73.18 | $91.47 | $28.60 – $75.27 | 14 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $63.76 | $79.69 | $26.17 – $68.88 | 14 |
| Parathormone (pth) intact CPT 83970 | $234.40 | $293.00 | $100.21 – $263.70 | 14 |
| Parathyrd planar w/spect&ct CPT 78072 | $2,109.60 | $2,637.00 | $901.85 – $2,373.30 | 14 |
| Parathyroid planar imaging CPT 78070 | $1,483.20 | $1,854.00 | $634.07 – $1,668.60 | 14 |
| Parathyroid planar img w/tomo spect CPT 78071 | $1,856.80 | $2,321.00 | $793.78 – $2,088.90 | 14 |
| Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 | $7.20 | $9.00 | $3.08 – $8.10 | 14 |
| Passy muir valve metal trach HCPCS L8501 | $431.20 | $539.00 | $141.59 – $372.60 | 14 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $7,933.38 | $9,916.72 | $31.73 – $8,715.15 | 14 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | not published | not published | $98.36 – $98.36 | 1 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $5,519.24 | $6,899.04 | $146.06 – $6,209.14 | 14 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | $6,616.16 | $8,270.20 | $311.44 – $7,443.18 | 14 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | not published | not published | $138.08 – $138.08 | 1 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | not published | not published | $189.71 – $189.71 | 1 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | not published | not published | $3,547.84 – $3,547.84 | 1 |
| Pegunigalsidase alfa-iwxj HCPCS J2508 | not published | not published | $227.78 – $227.78 | 1 |
| 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 |
| Pelvis X-ray (1 to 2 views) CPT 72170 | $348.00 | $435.00 | $148.77 – $391.50 | 14 |
| Pelvis X-ray (complete, 4 or more views) CPT 72190 | $400.80 | $501.00 | $171.34 – $450.90 | 14 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $5,965.04 | $7,456.30 | $69.76 – $6,710.67 | 14 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $3,927.07 | $4,908.83 | $130.24 – $342.73 | 14 |
| Pemivibart infusion HCPCS M0224 | $760.00 | $950.00 | $324.90 – $855.00 | 14 |
| Peng benzathine/procaine inj HCPCS J0558 | $84.34 | $105.42 | $36.05 – $94.88 | 14 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $636.66 | $795.82 | $126.25 – $332.24 | 14 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $83.89 | $104.86 | $27.04 – $71.15 | 14 |
| Pentamidine non-comp unit HCPCS J2545 | $106.89 | $133.61 | $45.69 – $120.25 | 14 |
| Peripheral vascular rehab CPT 93668 | $158.40 | $198.00 | $67.72 – $178.20 | 14 |
| Perit-vens shunt pat tst CPT 78291 | $1,164.80 | $1,456.00 | $497.95 – $1,310.40 | 14 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $6,517.99 | $8,147.48 | $2,786.44 – $7,332.73 | 14 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $2,724.00 | $3,405.00 | $1,164.51 – $3,064.50 | 14 |
| Ph body fluid CPT 83986 | $61.60 | $77.00 | $4.10 – $10.80 | 14 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $67.59 | $84.48 | $28.89 – $76.03 | 14 |
| Phenobarbital therapeutic drug level CPT 80184 | $74.40 | $93.00 | $30.44 – $80.10 | 14 |
| Phentolaine mesylate inj HCPCS J2760 | $636.34 | $795.42 | $272.03 – $715.88 | 14 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $63.23 | $79.03 | $26.83 – $70.61 | 14 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $60.60 | $75.75 | $25.79 – $67.88 | 14 |
| Phenytoin total therapeutic drug level CPT 80185 | $124.80 | $156.00 | $42.41 – $111.60 | 14 |
| Phlebotomy therapeutic CPT 99195 | $249.60 | $312.00 | $106.70 – $280.80 | 14 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | $5,199.20 | $6,499.00 | $2,222.66 – $5,849.10 | 14 |
| Phosphorus CPT 84100 | $84.80 | $106.00 | $36.25 – $95.40 | 14 |
| Phosphorus 24 hour urine CPT 84105 | $62.40 | $78.00 | $6.50 – $17.10 | 14 |
| Physical Therapy Evaluation (high complexity) CPT 97163 | $342.40 | $428.00 | $146.38 – $385.20 | 14 |
| Physical Therapy Evaluation (low complexity) CPT 97161 | $259.20 | $324.00 | $110.81 – $291.60 | 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.