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 |
|---|---|---|---|---|
| Warde vitamin d (1 25 dihydroxy) CPT 82652 | $211.20 | $264.00 | $52.33 – $137.70 | 14 |
| Warde vitamin e (alpha-tocopherol) CPT 84446 | $48.80 | $61.00 | $20.86 – $54.90 | 14 |
| Warde zinc CPT 84630 | $26.40 | $33.00 | $11.29 – $29.70 | 14 |
| Wbc automated CPT 85048 | $55.20 | $69.00 | $23.60 – $62.10 | 14 |
| Whole-Body Bone Scan (Nuclear Medicine) CPT 78306 | $1,969.60 | $2,462.00 | $842.00 – $2,215.80 | 14 |
| Whole Skeleton X-ray Survey CPT 77075 | $956.00 | $1,195.00 | $408.69 – $1,075.50 | 14 |
| Wound Cleaning and Dead Tissue Removal (up to 20 sq cm) CPT 97597 | $374.40 | $468.00 | $160.06 – $421.20 | 14 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | $380.00 | $475.00 | $162.45 – $427.50 | 14 |
| Wrist X-ray CPT 73110 | $363.20 | $454.00 | $155.27 – $408.60 | 14 |
| Wrist X-ray (2 views, both wrists) CPT 73100 | $332.00 | $415.00 | $141.93 – $373.50 | 14 |
| X-ray abdomen >=3 views CPT 74021 | $451.20 | $564.00 | $192.89 – $507.60 | 14 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $1,045.60 | $1,307.00 | $446.99 – $1,176.30 | 14 |
| X-ray bone length studies CPT 77073 | $520.00 | $650.00 | $222.30 – $585.00 | 14 |
| X-ray bone survey infant CPT 77076 | $582.40 | $728.00 | $248.98 – $655.20 | 14 |
| X-ray exam entire spi 6/> vw CPT 72084 | $732.80 | $916.00 | $313.27 – $824.40 | 14 |
| X-ray exam of arm infant CPT 73092 | $397.60 | $497.00 | $169.97 – $447.30 | 14 |
| X-ray exam of femur 1 CPT 73551 | $352.80 | $441.00 | $150.82 – $396.90 | 14 |
| X-ray exam of jaw joint CPT 70328 | $367.20 | $459.00 | $156.98 – $413.10 | 14 |
| X-ray exam si joints CPT 72200 | $319.20 | $399.00 | $136.46 – $359.10 | 14 |
| X-ray exam thorac spine4/>vw CPT 72074 | $461.60 | $577.00 | $197.33 – $519.30 | 14 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $319.20 | $399.00 | $136.46 – $359.10 | 14 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $461.60 | $577.00 | $197.33 – $519.30 | 14 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $639.20 | $799.00 | $273.26 – $719.10 | 14 |
| X-ray joint survey 1 view CPT 77077 | $328.80 | $411.00 | $140.56 – $369.90 | 14 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $315.20 | $394.00 | $134.75 – $354.60 | 14 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $437.60 | $547.00 | $187.07 – $492.30 | 14 |
| X-ray mandible ltd <4 views CPT 70100 | $335.20 | $419.00 | $143.30 – $377.10 | 14 |
| X-ray nose to rectum for foreign body child CPT 76010 | $380.80 | $476.00 | $162.79 – $428.40 | 14 |
| X-ray ribs 2 views left CPT 71100 | $368.00 | $460.00 | $157.32 – $414.00 | 14 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $936.00 | $1,170.00 | $400.14 – $1,053.00 | 14 |
| X-ray surgical specimen CPT 76098 | $697.60 | $872.00 | $298.22 – $784.80 | 14 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $389.60 | $487.00 | $166.55 – $438.30 | 14 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $200.00 | $250.00 | $27.65 – $72.76 | 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.