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 |
|---|---|---|---|---|
| Application of paste boot 29580 CPT 29580 | $348.80 | $436.00 | $149.11 – $392.40 | 14 |
| Application short leg cast 29405 CPT 29405 | $304.00 | $380.00 | $129.96 – $342.00 | 14 |
| Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275 | $2,850.40 | $3,563.00 | $1,218.55 – $3,206.70 | 14 |
| Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm CPT 15271 | $2,955.20 | $3,694.00 | $1,263.35 – $3,324.60 | 14 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | $76.80 | $96.00 | $32.83 – $86.40 | 14 |
| Appl modality 1/> areas vasopneumatic devices 97016 CPT 97016 | $88.80 | $111.00 | $37.96 – $99.90 | 14 |
| Apply hand/wrist cast 29085 CPT 29085 | $259.20 | $324.00 | $110.81 – $291.60 | 14 |
| Aqaprn-4 antb flo cytmtry ea CPT 86053 | $190.40 | $238.00 | $39.67 – $104.40 | 14 |
| Aqua therapy w/exercise/ea 15 min 97113 CPT 97113 | $124.00 | $155.00 | $53.01 – $139.50 | 14 |
| Arm CT Scan (with contrast, both arms) CPT 73201 | $2,087.20 | $2,609.00 | $892.28 – $2,348.10 | 14 |
| Arm CT Scan (without contrast, both arms) CPT 73200 | $1,811.20 | $2,264.00 | $774.29 – $2,037.60 | 14 |
| Arm or Leg Ultrasound (limited, left side) CPT 76882 | $595.20 | $744.00 | $254.45 – $669.60 | 14 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right CPT 20605 | $528.80 | $661.00 | $226.06 – $594.90 | 14 |
| Aspirate bladder/sprapubic cath 51102 CPT 51102 | $3,744.80 | $4,681.00 | $1,600.90 – $4,212.90 | 14 |
| Aspirate pleura without imaging 32554 CPT 32554 | $948.00 | $1,185.00 | $405.27 – $1,066.50 | 14 |
| Assay dir meas fr estradiol CPT 82681 | $68.00 | $85.00 | $29.07 – $76.50 | 14 |
| Assay of salicylate CPT 80179 | $161.60 | $202.00 | $69.08 – $181.80 | 14 |
| Assay of urine sulfate CPT 84392 | $14.40 | $18.00 | $6.16 – $16.20 | 14 |
| Assess aphasia/interp/rpt/per hr 96105 CPT 96105 | $378.40 | $473.00 | $161.77 – $425.70 | 14 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | $88.00 | $110.00 | $37.62 – $99.00 | 14 |
| Ast/sgot CPT 84450 | $85.60 | $107.00 | $36.59 – $96.30 | 14 |
| Atezolizumab 60 mg/ml intravenous solution (wrapper) HCPCS J9022 | $9,817.68 | $12,272.10 | $103.32 – $8,812.13 | 14 |
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | $60.27 | $75.33 | $25.69 – $67.62 | 14 |
| Automated diff wbc count CPT 85004 | $54.40 | $68.00 | $23.26 – $61.20 | 14 |
| Avelumab 20 mg/ml intravenous solution HCPCS J9023 | not published | not published | $114.04 – $114.04 | 1 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $351.20 | $439.00 | $150.14 – $395.10 | 14 |
| Azacitidine injection HCPCS J9025 | $1,002.44 | $1,253.04 | $138.92 – $365.57 | 14 |
| Azathioprine 50 mg tablet HCPCS J7500 | $1.20 | $1.50 | $0.51 – $1.35 | 14 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $62.34 | $77.92 | $26.44 – $69.59 | 14 |
| Azithromycin dihydrate, oral HCPCS Q0144 | $32.55 | $40.68 | $9.13 – $24.04 | 14 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | $103.43 | $129.28 | $33.27 – $87.56 | 14 |
| Baclofen eval charges CPT 97750 | $126.40 | $158.00 | $54.04 – $142.20 | 14 |
| Bacterial meningitis antigen CPT 86403 | $83.20 | $104.00 | $35.57 – $93.60 | 14 |
| Balance and Coordination Retraining (each 15 minutes) CPT 97112 | $126.40 | $158.00 | $54.04 – $142.20 | 14 |
| B cells total count CPT 86355 | $113.60 | $142.00 | $48.56 – $127.80 | 14 |
| Belatacept 250 mg intravenous solution HCPCS J0485 | $1,498.26 | $1,872.82 | $640.50 – $1,685.54 | 14 |
| Belimumab 120 mg intravenous solution HCPCS J0490 | not published | not published | $55.16 – $55.16 | 1 |
| Bendamustine 25 mg/ml intravenous solution (bendeka) HCPCS J9034 | $2,866.43 | $3,583.03 | $1,225.40 – $3,224.73 | 14 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $148.80 | $186.00 | $58.14 – $153.00 | 14 |
| Beta-2 microglobulin CPT 82232 | $83.20 | $104.00 | $35.57 – $93.60 | 14 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | $66.48 | $83.09 | $27.37 – $72.04 | 14 |
| Bevacizumab 25 mg/ml intravenous solution HCPCS J9035 | $3,107.03 | $3,883.78 | $426.07 – $1,121.24 | 14 |
| Bevacizumab-awwb 25 mg/ml intravenous solution HCPCS Q5107 | $2,763.19 | $3,453.98 | $411.35 – $1,082.49 | 14 |
| Bilateral n block inj trigeminal 64400 CPT 64400 | $537.60 | $672.00 | $229.82 – $604.80 | 14 |
| Bilirubin direct CPT 82248 | $76.00 | $95.00 | $32.49 – $85.50 | 14 |
| Bilirubin total CPT 82247 | $49.60 | $62.00 | $21.20 – $55.80 | 14 |
| Biotinidase - quest CPT 82261 | $68.00 | $85.00 | $26.33 – $69.30 | 14 |
| Bladder Catheter Insertion (simple) CPT 51702 | $276.80 | $346.00 | $118.33 – $311.40 | 14 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | $400.00 | $500.00 | $171.00 – $450.00 | 14 |
| Bld prd mix CPT 86965 | $156.00 | $195.00 | $66.69 – $175.50 | 14 |
| Bln 30frx10mmx12cm renal nephromax HCPCS C1726 | $801.60 | $1,002.00 | $133.72 – $351.90 | 14 |
| Bln dil 900ml preperitnl HCPCS C1727 | $1,287.20 | $1,609.00 | $550.28 – $1,448.10 | 14 |
| Blood Clotting (PT/INR) Test CPT 85610 | $91.20 | $114.00 | $6.50 – $17.10 | 14 |
| Blood Clotting (PTT) Test CPT 85730 | $110.40 | $138.00 | $47.20 – $124.20 | 14 |
| Blood Count (CBC) Test CPT 85025 | $148.00 | $185.00 | $63.27 – $166.50 | 14 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $140.00 | $175.00 | $59.85 – $157.50 | 14 |
| Blood count spun microhematocrit CPT 85013 | $45.60 | $57.00 | $19.49 – $51.30 | 14 |
| Blood Culture Test CPT 87040 | $164.00 | $205.00 | $70.11 – $184.50 | 14 |
| Blood draw capillary 36416 CPT 36416 | $29.60 | $37.00 | $12.65 – $33.30 | 14 |
| Blood Draw (Venipuncture) CPT 36415 | $25.60 | $32.00 | $10.94 – $28.80 | 14 |
| Blood gases o2 saturation direct measurement CPT 82805 | $325.60 | $407.00 | $139.19 – $366.30 | 14 |
| Blood gases ph venous CPT 82800 | $146.40 | $183.00 | $62.59 – $164.70 | 14 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $57.60 | $72.00 | $24.62 – $64.80 | 14 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $69.60 | $87.00 | $29.75 – $78.30 | 14 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $51.20 | $64.00 | $21.89 – $57.60 | 14 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $69.60 | $87.00 | $29.75 – $78.30 | 14 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $68.00 | $85.00 | $29.07 – $76.50 | 14 |
| Blood Transfusion CPT 36430 | $1,028.80 | $1,286.00 | $439.81 – $1,157.40 | 14 |
| Blood typing abo CPT 86900 | $84.80 | $106.00 | $36.25 – $95.40 | 14 |
| Blood typing ag donor ea ag CPT 86902 | $104.00 | $130.00 | $44.46 – $117.00 | 14 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $186.40 | $233.00 | $79.69 – $209.70 | 14 |
| Blood typing rh (d) CPT 86901 | $66.40 | $83.00 | $28.39 – $74.70 | 14 |
| Bone Age X-ray (hand and wrist) CPT 77072 | $365.60 | $457.00 | $156.29 – $411.30 | 14 |
| Bone Density Scan (DEXA) CPT 77080 | $594.40 | $743.00 | $254.11 – $668.70 | 14 |
| Bone imaging multiple areas CPT 78305 | $1,476.80 | $1,846.00 | $631.33 – $1,661.40 | 14 |
| Bone/joint imaging ltd area CPT 78300 | $1,344.00 | $1,680.00 | $574.56 – $1,512.00 | 14 |
| Bone survey-lead poisoning CPT 77074 | $580.80 | $726.00 | $248.29 – $653.40 | 14 |
| Boot softgait shrt m HCPCS L4387 | $151.20 | $189.00 | $64.64 – $170.10 | 14 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | $128.80 | $161.00 | $55.06 – $144.90 | 14 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $152.00 | $190.00 | $61.22 – $161.10 | 14 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | $2,235.28 | $2,794.10 | $955.58 – $2,514.69 | 14 |
| (both sides) smear without diff wbc count CPT 85008 | $31.20 | $39.00 | $13.34 – $35.10 | 14 |
| Bowel imaging CPT 78290 | $1,610.40 | $2,013.00 | $688.45 – $1,811.70 | 14 |
| Brace ank air stirrup univ HCPCS L4350 | $239.20 | $299.00 | $35.23 – $92.70 | 14 |
| Brace ankle stablizing lg HCPCS L1902 | $104.00 | $130.00 | $31.46 – $82.80 | 14 |
| Brace back pinnacle tlso 464 HCPCS L0464 | $4,224.00 | $5,280.00 | $410.40 – $1,080.00 | 14 |
| Brace knee extender plus 22-30in HCPCS L1832 | $339.20 | $424.00 | $145.01 – $381.60 | 14 |
| Brace knee hing pat open med HCPCS L1820 | $108.80 | $136.00 | $46.51 – $122.40 | 14 |
| Brace knee support neoprene padded open patella med HCPCS L1810 | $180.80 | $226.00 | $77.29 – $203.40 | 14 |
| Brace m arm board HCPCS L3809 | $116.00 | $145.00 | $17.78 – $46.80 | 14 |
| Brace or Splint Fitting and Training (each 15 minutes) CPT 97760 | $136.00 | $170.00 | $58.14 – $153.00 | 14 |
| Brace oths wrist hnd fngr without HCPCS L3807 | $53.60 | $67.00 | $19.84 – $52.20 | 14 |
| Brace wrist classic lft sm HCPCS L3908 | $72.80 | $91.00 | $17.10 – $45.00 | 14 |
| Brain image w/flow 4 + views CPT 78606 | $1,801.60 | $2,252.00 | $770.18 – $2,026.80 | 14 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $3,762.40 | $4,703.00 | $1,608.43 – $4,232.70 | 14 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $3,040.80 | $3,801.00 | $1,299.94 – $3,420.90 | 14 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $2,723.20 | $3,404.00 | $1,164.17 – $3,063.60 | 14 |
| Brain MRI (with and without contrast) CPT 70553 | $3,860.00 | $4,825.00 | $1,650.15 – $4,342.50 | 14 |
| Brain MRI (with contrast) CPT 70552 | $3,142.40 | $3,928.00 | $1,343.38 – $3,535.20 | 14 |
| Brain MRI (without contrast) CPT 70551 | $2,892.00 | $3,615.00 | $1,236.33 – $3,253.50 | 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.