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 |
|---|---|---|---|---|
| Tc-99m labeled rbc HCPCS A9560 | $428.00 | $535.00 | $182.97 – $481.50 | 14 |
| Tc-99m maa HCPCS A9540 | $936.80 | $1,171.00 | $400.48 – $1,053.90 | 14 |
| Tc-99m mebrofenin HCPCS A9537 | $178.40 | $223.00 | $76.27 – $200.70 | 14 |
| Tc-99m medronate HCPCS A9503 | $133.60 | $167.00 | $57.11 – $150.30 | 14 |
| Tc-99m mertiatide HCPCS A9562 | $756.00 | $945.00 | $323.19 – $850.50 | 14 |
| Tc-99m oxidronate HCPCS A9561 | $168.00 | $210.00 | $71.82 – $189.00 | 14 |
| Tc-99m pentetate dtpa HCPCS A9539 | $388.80 | $486.00 | $166.21 – $437.40 | 14 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $388.80 | $486.00 | $166.21 – $437.40 | 14 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $108.00 | $135.00 | $46.17 – $121.50 | 14 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $352.00 | $440.00 | $150.48 – $396.00 | 14 |
| Tc-99m sulfur colloid HCPCS A9541 | $308.00 | $385.00 | $131.67 – $346.50 | 14 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $141.60 | $177.00 | $60.53 – $159.30 | 14 |
| T cells absolute cd 4 count CPT 86361 | $204.00 | $255.00 | $87.21 – $229.50 | 14 |
| T cells total count CPT 86359 | $113.60 | $142.00 | $48.56 – $127.80 | 14 |
| Telehealth original site facility fee HCPCS Q3014 | $64.80 | $81.00 | $27.70 – $72.90 | 14 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $12,366.50 | $15,458.12 | $4,708.01 – $12,389.49 | 14 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $63.10 | $78.87 | $26.06 – $68.57 | 14 |
| Test stress cardiovascular tracing only CPT 93017 | $1,808.80 | $2,261.00 | $773.26 – $2,034.90 | 14 |
| Tetanus immune globulin inj HCPCS J1670 | $598.64 | $748.30 | $255.92 – $673.47 | 14 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | $11,162.45 | $13,953.06 | $18.45 – $12,557.75 | 14 |
| Theophylline therapeutic drug level CPT 80198 | $99.20 | $124.00 | $42.41 – $111.60 | 14 |
| Therapy Activity Training (each 15 minutes) CPT 97530 | $126.40 | $158.00 | $54.04 – $142.20 | 14 |
| Therapy Exercise Session (each 15 minutes) CPT 97110 | $130.40 | $163.00 | $55.75 – $146.70 | 14 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $49.60 | $62.00 | $21.20 – $55.80 | 14 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $62.40 | $78.00 | $26.68 – $70.20 | 14 |
| Ther/proph/diag inj ia CPT 96373 | $275.20 | $344.00 | $44.80 – $309.60 | 14 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $63.20 | $78.99 | $26.25 – $69.08 | 14 |
| Thigh Bone (Femur) X-ray (both sides) CPT 73552 | $369.60 | $462.00 | $158.00 – $415.80 | 14 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $1,932.80 | $2,416.00 | $826.27 – $2,174.40 | 14 |
| Three-Phase Bone Scan (Nuclear Medicine) CPT 78315 | $2,013.60 | $2,517.00 | $860.81 – $2,265.30 | 14 |
| Thrombin time CPT 85670 | $60.80 | $76.00 | $25.99 – $68.40 | 14 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $91.20 | $114.00 | $38.99 – $102.60 | 14 |
| Thyroglobulin antibody CPT 86800 | $136.00 | $170.00 | $22.57 – $59.40 | 14 |
| Thyroid imaging CPT 78013 | $970.40 | $1,213.00 | $414.85 – $1,091.70 | 14 |
| Thyroid (TSH) Test CPT 84443 | $144.00 | $180.00 | $61.56 – $162.00 | 14 |
| Thyroid Ultrasound CPT 76536 | $682.40 | $853.00 | $291.73 – $767.70 | 14 |
| Thyroid uptake measurement CPT 78012 | $921.60 | $1,152.00 | $393.98 – $1,036.80 | 14 |
| Thyrotropin alfa 0.9 mg intramuscular solution HCPCS J3240 | $2,900.48 | $3,625.60 | $1,239.96 – $3,263.04 | 14 |
| Thyroxine binding globulin (tbg) CPT 84442 | $48.80 | $61.00 | $20.86 – $54.90 | 14 |
| Tigecycline injection HCPCS J3243 | $271.86 | $339.82 | $33.49 – $88.14 | 14 |
| Tirofiban 12.5 mg/50 ml HCPCS J3246 | $340.64 | $425.79 | $103.30 – $271.84 | 14 |
| Tissue culture tumor CPT 88239 | $605.60 | $757.00 | $258.89 – $681.30 | 14 |
| Tissue exam koh skin/hair/nails CPT 87220 | $72.00 | $90.00 | $30.78 – $81.00 | 14 |
| Tissue transglutaminase iga CPT 86364 | $44.80 | $56.00 | $19.15 – $50.40 | 14 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $61.32 | $76.65 | $26.19 – $68.93 | 14 |
| Tobramycin peak therapeutic drug level CPT 80200 | $180.80 | $226.00 | $77.29 – $203.40 | 14 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | $3,538.50 | $4,423.12 | $6.08 – $876.83 | 14 |
| Toe X-ray (both feet) CPT 73660 | $278.40 | $348.00 | $119.02 – $313.20 | 14 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $101.60 | $127.00 | $43.43 – $114.30 | 14 |
| Tomosynthesis breast screen bilateral CPT 77063 | $92.80 | $116.00 | $39.67 – $104.40 | 14 |
| Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution HCPCS J3263 | not published | not published | $46.57 – $46.57 | 1 |
| Toxoplasma antibody igg CPT 86777 | $122.40 | $153.00 | $52.33 – $137.70 | 14 |
| Toxoplasma antibody igm CPT 86778 | $122.40 | $153.00 | $52.33 – $137.70 | 14 |
| Transferrin CPT 84466 | $148.00 | $185.00 | $63.27 – $166.50 | 14 |
| Transvaginal Pelvic Ultrasound (not pregnancy) CPT 76830 | $872.00 | $1,090.00 | $372.78 – $981.00 | 14 |
| Transvaginal Pregnancy Ultrasound CPT 76817 | $758.40 | $948.00 | $324.22 – $853.20 | 14 |
| Trastuzumab 150 mg intravenous solution HCPCS J9355 | not published | not published | $93.40 – $93.40 | 1 |
| Trastuzumab-anns 150 mg intravenous solution HCPCS Q5117 | not published | not published | $29.15 – $29.15 | 1 |
| Trastuzumab-qyyp 150 mg intravenous solution HCPCS Q5116 | not published | not published | $22.97 – $22.97 | 1 |
| Trauma partial team response w/critical care services level 4 HCPCS G0390 | $1,946.40 | $2,433.00 | $832.09 – $2,189.70 | 14 |
| Treat elbow dislocation CPT 24605 | $2,500.80 | $3,126.00 | $1,069.09 – $2,813.40 | 14 |
| Treat finger fracture each CPT 26742 | $1,254.40 | $1,568.00 | $536.26 – $1,411.20 | 14 |
| Treat fracture of radius CPT 25505 | $1,049.60 | $1,312.00 | $448.70 – $1,180.80 | 14 |
| Treat fracture of ulna CPT 25535 | $1,512.00 | $1,890.00 | $646.38 – $1,701.00 | 14 |
| Treat hip dislocation CPT 27252 | $2,192.80 | $2,741.00 | $937.42 – $2,466.90 | 14 |
| Treat hip dislocation CPT 27257 | $1,674.40 | $2,093.00 | $715.81 – $1,883.70 | 14 |
| Treatment incomplete abortion completed surgically any trimester CPT 59812 | $960.00 | $1,200.00 | $410.40 – $1,080.00 | 14 |
| Treatment of thigh fracture CPT 27510 | $1,880.00 | $2,350.00 | $803.70 – $2,115.00 | 14 |
| Treponema pallidum antibody CPT 86780 | $132.00 | $165.00 | $18.13 – $47.70 | 14 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | $65.43 | $81.78 | $26.79 – $70.50 | 14 |
| Triamcinolone a inj prs-free HCPCS J3300 | $282.40 | $353.00 | $120.73 – $317.70 | 14 |
| Triglycerides CPT 84478 | $72.00 | $90.00 | $12.31 – $32.40 | 14 |
| Troponin quantitative CPT 84484 | $232.00 | $290.00 | $99.18 – $261.00 | 14 |
| Tx closed hip disl traumatic without anes CPT 27250 | $537.60 | $672.00 | $229.82 – $604.80 | 14 |
| Tx closed tib fx proximal w/w/o manip w/skel trac CPT 27532 | $3,708.00 | $4,635.00 | $1,585.17 – $4,171.50 | 14 |
| Ublituximab-xiiy 25 mg/ml intravenous solution HCPCS J2329 | $16,727.20 | $20,909.00 | $70.76 – $18,818.10 | 14 |
| Ultrasound breast complete CPT 76641 | $574.40 | $718.00 | $245.56 – $646.20 | 14 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $552.80 | $691.00 | $236.32 – $621.90 | 14 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $424.00 | $530.00 | $181.26 – $477.00 | 14 |
| Ultrasound encephalogram CPT 76506 | $576.80 | $721.00 | $246.58 – $648.90 | 14 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $840.80 | $1,051.00 | $359.44 – $945.90 | 14 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $709.60 | $887.00 | $303.35 – $798.30 | 14 |
| Ultrasound guidance for vascular access CPT 76937 | $708.00 | $885.00 | $302.67 – $796.50 | 14 |
| Ultrasound hips infant dynamic CPT 76885 | $646.40 | $808.00 | $276.34 – $727.20 | 14 |
| Ultrasound joint complete left CPT 76881 | $639.20 | $799.00 | $273.26 – $719.10 | 14 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $816.80 | $1,021.00 | $349.18 – $918.90 | 14 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $488.00 | $610.00 | $208.62 – $549.00 | 14 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $1,038.40 | $1,298.00 | $443.92 – $1,168.20 | 14 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $565.60 | $707.00 | $241.79 – $636.30 | 14 |
| Ultrasound transabd ea addl gest CPT 76812 | $550.40 | $688.00 | $235.30 – $619.20 | 14 |
| Upper Arm (Humerus) X-ray (left side) CPT 73060 | $363.20 | $454.00 | $155.27 – $408.60 | 14 |
| Upper Back (Thoracic Spine) CT Scan (with contrast) CPT 72129 | $2,530.40 | $3,163.00 | $1,081.75 – $2,846.70 | 14 |
| Upper Back (Thoracic Spine) CT Scan (without contrast) CPT 72128 | $2,279.20 | $2,849.00 | $974.36 – $2,564.10 | 14 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $4,165.60 | $5,207.00 | $1,780.79 – $4,686.30 | 14 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $3,240.00 | $4,050.00 | $1,385.10 – $3,645.00 | 14 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $3,043.20 | $3,804.00 | $1,300.97 – $3,423.60 | 14 |
| Upper Back (Thoracic Spine) X-ray (2 views) CPT 72070 | $420.80 | $526.00 | $179.89 – $473.40 | 14 |
| Upper Back (Thoracic Spine) X-ray (3 views) CPT 72072 | $513.60 | $642.00 | $219.56 – $577.80 | 14 |
| Urea nitrogen CPT 84520 | $70.40 | $88.00 | $10.26 – $27.00 | 14 |
| Urea nitrogen 24 hour urine CPT 84540 | $56.80 | $71.00 | $6.50 – $17.10 | 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.