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 |
|---|---|---|---|---|
| Rib X-ray (3 views, both sides) CPT 71110 | $634.40 | $793.00 | $271.21 – $713.70 | 14 |
| Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327 | $15,666.72 | $19,583.40 | $6,697.52 – $17,625.06 | 14 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $4,148.28 | $5,185.35 | $507.56 – $1,335.69 | 14 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | $3,405.68 | $4,257.10 | $418.70 – $1,101.85 | 14 |
| Romiplostim 125 mcg subcutaneous solution HCPCS J2802 | $3,033.73 | $3,792.16 | $1,296.92 – $3,412.94 | 14 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | $3,152.55 | $3,940.68 | $11.36 – $3,545.10 | 14 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $78.40 | $98.00 | $25.80 – $67.89 | 14 |
| Rozanolixizumab-noli 140 mg/ml subcutaneous solution HCPCS J9333 | not published | not published | $23.21 – $23.21 | 1 |
| Rsv assay w/optic CPT 87807 | $130.40 | $163.00 | $54.04 – $142.20 | 14 |
| Rubella antibody igg CPT 86762 | $124.00 | $155.00 | $16.42 – $43.20 | 14 |
| Rubeola antibody igg CPT 86765 | $101.60 | $127.00 | $43.43 – $114.30 | 14 |
| Russell viper venom diluted CPT 85613 | $89.60 | $112.00 | $38.30 – $100.80 | 14 |
| Rx metab gen seq alys pnl 6 CPT 81418 | $256.00 | $320.00 | $109.44 – $288.00 | 14 |
| Sacroiliac Joint X-ray (3 or more views) CPT 72202 | $420.80 | $526.00 | $179.89 – $473.40 | 14 |
| Sarscov coronavirus ag ia CPT 87426 | $86.40 | $108.00 | $36.94 – $97.20 | 14 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $1,133.60 | $1,417.00 | $484.61 – $1,275.30 | 14 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $735.20 | $919.00 | $314.30 – $827.10 | 14 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $802.40 | $1,003.00 | $343.03 – $902.70 | 14 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $982.40 | $1,228.00 | $419.98 – $1,105.20 | 14 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $1,008.00 | $1,260.00 | $430.92 – $1,134.00 | 14 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $823.20 | $1,029.00 | $351.92 – $926.10 | 14 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | $128.80 | $161.00 | $55.06 – $144.90 | 14 |
| Screening hepatitis c antibody high risk HCPCS G0472 | $122.40 | $153.00 | $52.33 – $137.70 | 14 |
| Screening Mammogram CPT 77067 | $504.80 | $631.00 | $215.80 – $567.90 | 14 |
| Screening prostate cancer PSA HCPCS G0103 | $148.80 | $186.00 | $63.61 – $167.40 | 14 |
| Screen pap by tech w md supv HCPCS P3000 | $99.20 | $124.00 | $42.41 – $111.60 | 14 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $5,359.20 | $6,699.00 | $57.80 – $152.10 | 14 |
| Scrotal (Testicle) Ultrasound CPT 76870 | $717.60 | $897.00 | $306.77 – $807.30 | 14 |
| Sc ther infusion reset pump CPT 96371 | not published | not published | $148.00 – $148.00 | 1 |
| Sedimentation rate erythrocyte automated CPT 85652 | $27.20 | $34.00 | $11.63 – $30.60 | 14 |
| Self-Care and Home Skills Training (each 15 minutes) CPT 97535 | $128.00 | $160.00 | $54.72 – $144.00 | 14 |
| Semen analysis presence/motility CPT 89321 | $101.60 | $127.00 | $43.43 – $114.30 | 14 |
| Shot (Injection into Muscle or Under the Skin) CPT 96372 | $141.60 | $177.00 | $8.55 – $22.50 | 14 |
| Shoulder AC Joint X-ray (both sides) CPT 73050 | $363.20 | $454.00 | $155.27 – $408.60 | 14 |
| Shoulder Blade (Scapula) X-ray (both sides) CPT 73010 | $390.40 | $488.00 | $166.90 – $439.20 | 14 |
| Shoulder MRI (with and without contrast) CPT 73223 | $4,070.40 | $5,088.00 | $1,740.10 – $4,579.20 | 14 |
| Shoulder MRI (without contrast) CPT 73221 | $3,198.40 | $3,998.00 | $1,367.32 – $3,598.20 | 14 |
| Shoulder X-ray CPT 73030 | $378.40 | $473.00 | $161.77 – $425.70 | 14 |
| Shoulder X-ray (single view, both shoulders) CPT 73020 | $282.40 | $353.00 | $120.73 – $317.70 | 14 |
| Sickling rbc CPT 85660 | $81.60 | $102.00 | $34.88 – $91.80 | 14 |
| Sinus CT scan (with and without contrast) CPT 70488 | $2,796.80 | $3,496.00 | $1,195.63 – $3,146.40 | 14 |
| Sinus CT scan (with contrast) CPT 70487 | $2,392.80 | $2,991.00 | $1,022.92 – $2,691.90 | 14 |
| Sinus CT scan (without contrast) CPT 70486 | $1,952.00 | $2,440.00 | $834.48 – $2,196.00 | 14 |
| Sinus X-ray (complete) CPT 70220 | $488.80 | $611.00 | $208.96 – $549.90 | 14 |
| Sinus X-ray (limited) CPT 70210 | $328.80 | $411.00 | $140.56 – $369.90 | 14 |
| Skull X-ray (1 to 3 views) CPT 70250 | $413.60 | $517.00 | $176.81 – $465.30 | 14 |
| Skull X-ray (complete) CPT 70260 | $564.80 | $706.00 | $241.45 – $635.40 | 14 |
| Sleep Study (Polysomnography) CPT 95810 | $4,141.60 | $5,177.00 | $1,770.53 – $4,659.30 | 14 |
| Sling suprapubic suburetheral HCPCS C1771 | $4,407.20 | $5,509.00 | $1,749.33 – $4,603.50 | 14 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $76.00 | $95.00 | $32.49 – $85.50 | 14 |
| Smear gram stain CPT 87205 | $74.40 | $93.00 | $31.81 – $83.70 | 14 |
| Smear nasal eosinophil CPT 89190 | $66.40 | $83.00 | $28.39 – $74.70 | 14 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $98.40 | $123.00 | $42.07 – $110.70 | 14 |
| Smear wet mount CPT 87210 | $72.80 | $91.00 | $29.75 – $78.30 | 14 |
| Sodium 24 hour urine CPT 84300 | $80.80 | $101.00 | $5.81 – $15.30 | 14 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $120.00 | $150.00 | $51.30 – $135.00 | 14 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $360.00 | $450.00 | $51.30 – $135.00 | 14 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $600.00 | $750.00 | $41.04 – $108.00 | 14 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | $404.53 | $505.66 | $172.94 – $455.09 | 14 |
| Sodium serum/plasma/whole blood CPT 84295 | $58.40 | $73.00 | $24.97 – $65.70 | 14 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | $94.28 | $117.84 | $40.30 – $106.06 | 14 |
| Specimen fat stain CPT 89125 | $56.00 | $70.00 | $23.94 – $63.00 | 14 |
| Speech and Language Evaluation (comprehensive) CPT 92523 | $502.40 | $628.00 | $214.78 – $565.20 | 14 |
| Speech Therapy Session (one-on-one) CPT 92507 | $280.00 | $350.00 | $119.70 – $315.00 | 14 |
| Spine X-ray (single view, one level) CPT 72020 | $348.80 | $436.00 | $149.11 – $392.40 | 14 |
| Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 | $225.60 | $282.00 | $96.44 – $253.80 | 14 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $389.60 | $487.00 | $166.55 – $438.30 | 14 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $342.40 | $428.00 | $146.38 – $385.20 | 14 |
| St evaluate speech sound production CPT 92522 | $382.40 | $478.00 | $163.48 – $430.20 | 14 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $496.00 | $620.00 | $212.04 – $558.00 | 14 |
| Stomach Emptying Scan (Nuclear Medicine) CPT 78264 | $1,749.60 | $2,187.00 | $747.95 – $1,968.30 | 14 |
| Strapping of hand or finger CPT 29280 | $180.00 | $225.00 | $76.95 – $202.50 | 14 |
| Stress test pulmonary CPT 94618 | $325.60 | $407.00 | $139.19 – $366.30 | 14 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $76.24 | $95.30 | $29.51 – $77.65 | 14 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $114.88 | $143.60 | $27.99 – $73.67 | 14 |
| Support clav 29.6-40.5in med HCPCS L3650 | $35.20 | $44.00 | $15.05 – $39.60 | 14 |
| Surgical pathology level 1 gross examination only CPT 88300 | $91.20 | $114.00 | $38.99 – $102.60 | 14 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $149.60 | $187.00 | $63.95 – $168.30 | 14 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $212.00 | $265.00 | $90.63 – $238.50 | 14 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $252.00 | $315.00 | $60.53 – $159.30 | 14 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $555.20 | $694.00 | $237.35 – $624.60 | 14 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $740.80 | $926.00 | $316.69 – $833.40 | 14 |
| Susceptibility agar dilution per agent CPT 87181 | $84.00 | $105.00 | $13.00 – $34.20 | 14 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $87.20 | $109.00 | $37.28 – $98.10 | 14 |
| Susceptibility mic per plate CPT 87186 | $110.40 | $138.00 | $20.52 – $54.00 | 14 |
| Swallowing Evaluation (Bedside) CPT 92610 | $375.20 | $469.00 | $160.40 – $422.10 | 14 |
| Swallowing Therapy Session CPT 92526 | $298.40 | $373.00 | $127.57 – $335.70 | 14 |
| Synvisc or synvisc-one HCPCS J7325 | $997.20 | $1,246.50 | $225.06 – $592.25 | 14 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $12.00 | $15.00 | $5.13 – $13.50 | 14 |
| T3 (triiodothyronine) free CPT 84481 | $146.40 | $183.00 | $62.59 – $164.70 | 14 |
| T3 (triiodothyronine) total CPT 84480 | $166.40 | $208.00 | $71.14 – $187.20 | 14 |
| T4 (thyroxine) free CPT 84439 | $116.00 | $145.00 | $42.41 – $111.60 | 14 |
| T4 (thyroxine) total CPT 84436 | $91.20 | $114.00 | $38.99 – $102.60 | 14 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $4.03 | $5.03 | $1.65 – $4.33 | 14 |
| Tacrolimus therapeutic drug level CPT 80197 | $315.20 | $394.00 | $134.75 – $354.60 | 14 |
| Tailbone (Sacrum and Coccyx) X-ray CPT 72220 | $356.00 | $445.00 | $152.19 – $400.50 | 14 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $418.87 | $523.58 | $179.06 – $471.22 | 14 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $305.60 | $382.00 | $111.15 – $292.50 | 14 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $180.80 | $226.00 | $77.29 – $203.40 | 14 |
| Tc-99m bicisate HCPCS A9557 | $3,134.40 | $3,918.00 | $1,339.96 – $3,526.20 | 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.