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 |
|---|---|---|---|---|
| Physical Therapy Evaluation (moderate complexity) CPT 97162 | $296.80 | $371.00 | $126.88 – $333.90 | 14 |
| Physical Therapy Re-Evaluation CPT 97164 | $182.40 | $228.00 | $77.98 – $205.20 | 14 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $93.81 | $117.26 | $26.60 – $69.99 | 14 |
| Pinworm exam CPT 87172 | $80.80 | $101.00 | $34.54 – $90.90 | 14 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $63.89 | $79.86 | $26.41 – $69.51 | 14 |
| Platelet automated CPT 85049 | $83.20 | $104.00 | $35.57 – $93.60 | 14 |
| Platelet pheresis each unit HCPCS P9034 | $1,336.80 | $1,671.00 | $571.48 – $1,503.90 | 14 |
| Platelets each unit HCPCS P9019 | $313.60 | $392.00 | $134.06 – $352.80 | 14 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $332.00 | $415.00 | $141.93 – $373.50 | 14 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $4,220.00 | $5,275.00 | $1,804.05 – $4,747.50 | 14 |
| Potassium 24 hour urine CPT 84133 | $75.20 | $94.00 | $5.47 – $14.40 | 14 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $140.76 | $175.95 | $25.91 – $68.18 | 14 |
| Potassium serum/plasma/whole blood CPT 84132 | $84.80 | $106.00 | $36.25 – $95.40 | 14 |
| Pr application of long arm splint CPT 29105 | $268.80 | $336.00 | $114.91 – $302.40 | 14 |
| Pr application splint static short arm CPT 29125 | $355.20 | $444.00 | $151.85 – $399.60 | 14 |
| Pr biopsy skin punch single lesion CPT 11104 | $504.00 | $630.00 | $215.46 – $567.00 | 14 |
| Prealbumin CPT 84134 | $122.40 | $153.00 | $52.33 – $137.70 | 14 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $3.87 | $4.83 | $1.63 – $4.30 | 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 |
| Pregnancy Ultrasound (limited) CPT 76815 | $576.80 | $721.00 | $246.58 – $648.90 | 14 |
| Pretreat rbc absorption reference CPT 86978 | $255.20 | $319.00 | $109.10 – $287.10 | 14 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $418.40 | $523.00 | $178.87 – $470.70 | 14 |
| Pr incision & drainage abscess simple/single CPT 10060 | $271.20 | $339.00 | $115.94 – $305.10 | 14 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $272.00 | $340.00 | $116.28 – $306.00 | 14 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $880.00 | $1,100.00 | $153.90 – $405.00 | 14 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $236.00 | $295.00 | $100.89 – $265.50 | 14 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $61.99 | $77.48 | $26.13 – $68.76 | 14 |
| Procalcitonin CPT 84145 | $217.60 | $272.00 | $93.02 – $244.80 | 14 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $68.99 | $86.23 | $29.49 – $77.60 | 14 |
| Progesterone CPT 84144 | $144.00 | $180.00 | $61.56 – $162.00 | 14 |
| Prolactin CPT 84146 | $238.40 | $298.00 | $101.92 – $268.20 | 14 |
| Promethazine hcl injection HCPCS J2550 | $61.24 | $76.54 | $26.18 – $68.89 | 14 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $64.32 | $80.40 | $25.65 – $67.50 | 14 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $60.99 | $76.23 | $26.07 – $68.60 | 14 |
| Protein c activity CPT 85303 | $267.20 | $334.00 | $114.23 – $300.60 | 14 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $90.40 | $113.00 | $38.65 – $101.70 | 14 |
| Protein s total CPT 85305 | $337.60 | $422.00 | $144.32 – $379.80 | 14 |
| Protein total 24 hour urine CPT 84156 | $95.20 | $119.00 | $40.70 – $107.10 | 14 |
| Protein total body fluid CPT 84157 | $98.40 | $123.00 | $42.07 – $110.70 | 14 |
| Protein total serum plasma whole blood CPT 84155 | $70.40 | $88.00 | $30.10 – $79.20 | 14 |
| Prothrombin complex kcentra HCPCS J7168 | $1,572.80 | $1,966.00 | $672.37 – $1,769.40 | 14 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $34.40 | $43.00 | $14.71 – $38.70 | 14 |
| Pr removal drug delivery implant CPT 11982 | $714.40 | $893.00 | $305.41 – $803.70 | 14 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $292.80 | $366.00 | $125.17 – $329.40 | 14 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $692.80 | $866.00 | $296.17 – $779.40 | 14 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $488.00 | $610.00 | $208.62 – $549.00 | 14 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $501.60 | $627.00 | $214.43 – $564.30 | 14 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $444.80 | $556.00 | $190.15 – $500.40 | 14 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $487.20 | $609.00 | $208.28 – $548.10 | 14 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $1,320.80 | $1,651.00 | $564.64 – $1,485.90 | 14 |
| PSA (Prostate) Test CPT 84153 | $89.60 | $112.00 | $38.30 – $100.80 | 14 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | $44.00 | $55.00 | $18.81 – $49.50 | 14 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | $148.80 | $186.00 | $63.61 – $167.40 | 14 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | $144.00 | $180.00 | $61.56 – $162.00 | 14 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $122.40 | $153.00 | $52.33 – $137.70 | 14 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $97.60 | $122.00 | $41.72 – $109.80 | 14 |
| Pt application of modality traction mechanical CPT 97012 | $104.80 | $131.00 | $44.80 – $117.90 | 14 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $98.40 | $123.00 | $42.07 – $110.70 | 14 |
| Pt wheelchair management each 15 minutes CPT 97542 | $116.80 | $146.00 | $49.93 – $131.40 | 14 |
| Pulse ox continuous overnight monitoring CPT 94762 | $420.00 | $525.00 | $179.55 – $472.50 | 14 |
| Pulse ox multiple CPT 94761 | $171.20 | $214.00 | $73.19 – $192.60 | 14 |
| Pulse ox single CPT 94760 | $88.00 | $110.00 | $37.62 – $99.00 | 14 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $163.20 | $204.00 | $69.77 – $183.60 | 14 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $492.80 | $616.00 | $210.67 – $554.40 | 14 |
| Puncture spinal lumbar diagnostic CPT 62270 | $940.80 | $1,176.00 | $402.19 – $1,058.40 | 14 |
| Quest t3 uptake CPT 84479 | $48.80 | $61.00 | $20.86 – $54.90 | 14 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $3,688.15 | $4,610.18 | $340.91 – $897.14 | 14 |
| Racepinephrine hcl soln nebu 2.25% (base equivalent) HCPCS J7699 | $4.12 | $5.15 | $1.63 – $4.30 | 14 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $2,736.00 | $3,420.00 | $1,169.64 – $3,078.00 | 14 |
| Rapid Strep Test CPT 87880 | $84.00 | $105.00 | $35.91 – $94.50 | 14 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | not published | not published | $224.93 – $224.93 | 1 |
| Rbc count only automated CPT 85041 | $59.20 | $74.00 | $25.31 – $66.60 | 14 |
| Rbc irradiated each unit HCPCS P9038 | $569.60 | $712.00 | $243.50 – $640.80 | 14 |
| Red blood cells each unit HCPCS P9021 | $478.40 | $598.00 | $204.52 – $538.20 | 14 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $152.00 | $190.00 | $64.98 – $171.00 | 14 |
| Refill/maint pump/resvr syst CPT 96522 | $551.20 | $689.00 | $235.64 – $620.10 | 14 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | $357.91 | $447.38 | $30.41 – $80.03 | 14 |
| Remdesivir 100 mg intravenous powder for solution HCPCS J0248 | $880.00 | $1,100.00 | $376.20 – $990.00 | 14 |
| Removal implant superficial separate procedure CPT 20670 | $3,283.20 | $4,104.00 | $1,403.57 – $3,693.60 | 14 |
| Removal w/reinsrt nonbiogrdble CPT 11983 | $538.40 | $673.00 | $230.17 – $605.70 | 14 |
| Renal function panel CPT 80069 | $261.60 | $327.00 | $111.83 – $294.30 | 14 |
| Repair complex wound scalp/arms/legs 2.6 - 7.5 cm CPT 13121 | $950.40 | $1,188.00 | $406.30 – $1,069.20 | 14 |
| Repair finger/hand tendon CPT 26350 | $5,637.60 | $7,047.00 | $2,410.07 – $6,342.30 | 14 |
| Repair lip full thkns >one-half vert height/cmplx CPT 40654 | $1,824.00 | $2,280.00 | $779.76 – $2,052.00 | 14 |
| Repair rpr lip full thickness vermilion only CPT 40650 | $1,132.80 | $1,416.00 | $484.27 – $1,274.40 | 14 |
| Repair tongue lac <2.5cm past 1/3 tongue 41251 CPT 41251 | $617.60 | $772.00 | $264.02 – $694.80 | 14 |
| Reslizumab 10 mg/ml intravenous solution HCPCS J2786 | not published | not published | $10.50 – $10.50 | 1 |
| #resp virpnl dfa-adenovirus CPT 87260 | $48.00 | $60.00 | $20.52 – $54.00 | 14 |
| #resp virpnl dfa-parainfluenza CPT 87279 | $62.40 | $78.00 | $26.68 – $70.20 | 14 |
| Reticulocyte automated CPT 85045 | $55.20 | $69.00 | $23.60 – $62.10 | 14 |
| Reticulocyte direct measurement automated CPT 85046 | $113.60 | $142.00 | $48.56 – $127.80 | 14 |
| Retifanlimab-dlwr 500 mg/20 ml intravenous solution HCPCS J9345 | not published | not published | $34.97 – $34.97 | 1 |
| Revefenacin inh non-com 1mcg HCPCS J7677 | $11.50 | $14.37 | $4.91 – $12.93 | 14 |
| Rheumatoid factor qualitative CPT 86430 | $66.40 | $83.00 | $15.39 – $40.50 | 14 |
| Rheumatoid factor quantitative CPT 86431 | $88.00 | $110.00 | $35.23 – $92.70 | 14 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | $184.00 | $230.00 | $78.66 – $207.00 | 14 |
| Rho(d) immune globulin (rhig) human full dose im CPT 90384 | $294.40 | $368.00 | $125.86 – $331.20 | 14 |
| Rib and Chest X-ray (3 views, left side) CPT 71101 | $592.00 | $740.00 | $253.08 – $666.00 | 14 |
| Rib and Chest X-ray (4 or more views, both sides) CPT 71111 | $697.60 | $872.00 | $298.22 – $784.80 | 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.