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 |
|---|---|---|---|---|
| Culture fungi definitive id yeast CPT 87106 | $120.00 | $150.00 | $51.30 – $135.00 | 14 |
| Culture fungi other (except blood) CPT 87102 | $143.20 | $179.00 | $61.22 – $161.10 | 14 |
| Culture fungi skin/hair/nail CPT 87101 | $117.60 | $147.00 | $50.27 – $132.30 | 14 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $171.20 | $214.00 | $42.75 – $112.50 | 14 |
| Culture screening strep group a CPT 87081 | $79.20 | $99.00 | $28.39 – $74.70 | 14 |
| Culture typing immunologic CPT 87147 | $46.40 | $58.00 | $15.05 – $39.60 | 14 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $576.00 | $720.00 | $246.24 – $648.00 | 14 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $183.20 | $229.00 | $78.32 – $206.10 | 14 |
| Culture urine each isolate CPT 87088 | $72.00 | $90.00 | $30.78 – $81.00 | 14 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $61.92 | $77.40 | $25.95 – $68.28 | 14 |
| Cyclic citrullinated peptide antibody CPT 86200 | $176.80 | $221.00 | $75.58 – $198.90 | 14 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | $915.05 | $1,143.81 | $213.99 – $563.12 | 14 |
| Cyclosporine 2 hour CPT 80158 | $136.00 | $170.00 | $51.98 – $136.80 | 14 |
| Cystatin c CPT 82610 | $99.20 | $124.00 | $42.41 – $111.60 | 14 |
| Cystine urine quantitative CPT 82131 | $192.80 | $241.00 | $82.42 – $216.90 | 14 |
| Cystoscopy (Bladder Scope) CPT 52000 | $2,540.80 | $3,176.00 | $1,086.19 – $2,858.40 | 14 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | $270.57 | $338.21 | $115.67 – $304.39 | 14 |
| Cytogenetics 25-99 CPT 88274 | $103.20 | $129.00 | $44.12 – $116.10 | 14 |
| Cytogenetics 3-5 CPT 88272 | $99.20 | $124.00 | $42.41 – $111.60 | 14 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $115.20 | $144.00 | $49.25 – $129.60 | 14 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $115.20 | $144.00 | $49.25 – $129.60 | 14 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $236.80 | $296.00 | $101.23 – $266.40 | 14 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $116.80 | $146.00 | $49.93 – $131.40 | 14 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $92.00 | $115.00 | $39.33 – $103.50 | 14 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $253.60 | $317.00 | $108.41 – $285.30 | 14 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $162.40 | $203.00 | $69.43 – $182.70 | 14 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $244.00 | $305.00 | $104.31 – $274.50 | 14 |
| Cytopath smear other source CPT 88160 | $149.60 | $187.00 | $63.95 – $168.30 | 14 |
| Cytopath tbs c/v manual CPT 88164 | $89.60 | $112.00 | $38.30 – $100.80 | 14 |
| Dalteparin sodium HCPCS J1645 | $66.64 | $83.29 | $28.49 – $74.96 | 14 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $73.43 | $91.78 | $31.39 – $82.60 | 14 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | not published | not published | $61.60 – $61.60 | 1 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $2,156.00 | $2,695.00 | $124.57 – $327.83 | 14 |
| Dch validity tests CPT 81002 | $36.80 | $46.00 | $15.39 – $40.50 | 14 |
| Deamidated gliadin antibody iga CPT 86258 | $54.40 | $68.00 | $21.55 – $56.70 | 14 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $787.20 | $984.00 | $336.53 – $885.60 | 14 |
| Debridement (>20 cm) charge pt CPT 97598 | $114.40 | $143.00 | $48.91 – $128.70 | 14 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $885.60 | $1,107.00 | $378.59 – $996.30 | 14 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $1,008.00 | $1,260.00 | $430.92 – $1,134.00 | 14 |
| Decalcification CPT 88311 | $69.60 | $87.00 | $29.75 – $78.30 | 14 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | $288.26 | $360.32 | $123.23 – $324.29 | 14 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $595.20 | $744.00 | $254.45 – $669.60 | 14 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | $83.64 | $104.54 | $29.20 – $76.84 | 14 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | $1,161.24 | $1,451.54 | $496.43 – $1,306.39 | 14 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $215.20 | $269.00 | $92.00 – $242.10 | 14 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $2,617.06 | $3,271.32 | $838.08 – $2,205.47 | 14 |
| Depo-estradiol cypionate inj HCPCS J1000 | $90.27 | $112.83 | $38.59 – $101.55 | 14 |
| Device sut capio slim opn HCPCS C2631 | $2,086.40 | $2,608.00 | $891.94 – $2,347.20 | 14 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $369.60 | $462.00 | $158.00 – $415.80 | 14 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $62.08 | $77.60 | $0.51 – $1.35 | 14 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $60.76 | $75.94 | $25.68 – $67.58 | 14 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $120.00 | $150.00 | $51.30 – $135.00 | 14 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $120.00 | $150.00 | $51.30 – $135.00 | 14 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $600.00 | $750.00 | $41.04 – $108.00 | 14 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $203.20 | $254.00 | $86.87 – $228.60 | 14 |
| Diabetes (HbA1c) Test CPT 83036 | $91.20 | $114.00 | $38.99 – $102.60 | 14 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $618.40 | $773.00 | $264.37 – $695.70 | 14 |
| Diagnostic Mammogram (one breast) CPT 77065 | $503.20 | $629.00 | $215.12 – $566.10 | 14 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $68.84 | $86.05 | $25.73 – $67.72 | 14 |
| Dicyclomine injection HCPCS J0500 | $89.14 | $111.42 | $29.24 – $76.96 | 14 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $62.46 | $78.07 | $26.52 – $69.79 | 14 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $4,438.71 | $5,548.38 | $1,897.55 – $4,993.54 | 14 |
| Digoxin total therapeutic drug level CPT 80162 | $139.20 | $174.00 | $59.51 – $156.60 | 14 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $123.04 | $153.80 | $39.50 – $103.95 | 14 |
| Dilate esophagus CPT 43453 | $2,903.20 | $3,629.00 | $1,241.12 – $3,266.10 | 14 |
| Dilate esophagus 1/mult pass CPT 43450 | $2,684.00 | $3,355.00 | $1,147.41 – $3,019.50 | 14 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | $68.48 | $85.59 | $25.91 – $68.18 | 14 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | $1.20 | $1.50 | $0.51 – $1.35 | 14 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $60.56 | $75.70 | $25.86 – $68.06 | 14 |
| Dna antibody native/double stranded CPT 86225 | $124.80 | $156.00 | $53.35 – $140.40 | 14 |
| Dna gardnerella CPT 87510 | $100.80 | $126.00 | $43.09 – $113.40 | 14 |
| Dna probe chlamydia CPT 87490 | $122.40 | $153.00 | $52.33 – $137.70 | 14 |
| Dna trichomonas CPT 87660 | $100.80 | $126.00 | $43.09 – $113.40 | 14 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $139.76 | $174.70 | $59.75 – $157.23 | 14 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $880.44 | $1,100.55 | $120.85 – $318.03 | 14 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $168.48 | $210.59 | $59.49 – $156.56 | 14 |
| Doppler echo complete CPT 93320 | $743.20 | $929.00 | $317.72 – $836.10 | 14 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $1,048.80 | $1,311.00 | $448.36 – $1,179.90 | 14 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $672.00 | $840.00 | $287.28 – $756.00 | 14 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | not published | not published | $283.24 – $283.24 | 1 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $1,921.33 | $2,401.66 | $821.37 – $2,161.49 | 14 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $73.85 | $92.31 | $29.54 – $77.73 | 14 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $632.00 | $790.00 | $270.18 – $711.00 | 14 |
| Drainage external ear simple 69000 CPT 69000 | $499.20 | $624.00 | $213.41 – $561.60 | 14 |
| Drain blood from under nail 11740 CPT 11740 | $178.40 | $223.00 | $76.27 – $200.70 | 14 |
| Drain finger abscess;simple 26010 CPT 26010 | $546.40 | $683.00 | $233.59 – $614.70 | 14 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $196.80 | $246.00 | $84.13 – $221.40 | 14 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $220.00 | $275.00 | $94.05 – $247.50 | 14 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $563.20 | $704.00 | $240.77 – $633.60 | 14 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $2,189.60 | $2,737.00 | $936.05 – $2,463.30 | 14 |
| Drsg sht 5.625x4.625in std HCPCS A6025 | $7.28 | $9.10 | $3.11 – $8.19 | 14 |
| Drug assay vedolizumab CPT 80280 | $204.80 | $256.00 | $87.55 – $230.40 | 14 |
| Drug of abuse screen urine CPT 80305 | $58.40 | $73.00 | $24.97 – $65.70 | 14 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $237.60 | $297.00 | $64.30 – $169.20 | 14 |
| Drvvt confirm - quest CPT 85597 | $152.80 | $191.00 | $65.32 – $171.90 | 14 |
| Duplex scan bilateral study 93985 CPT 93985 | $866.40 | $1,083.00 | $370.39 – $974.70 | 14 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $772.00 | $965.00 | $330.03 – $868.50 | 14 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $978.40 | $1,223.00 | $418.27 – $1,100.70 | 14 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $1,175.20 | $1,469.00 | $502.40 – $1,322.10 | 14 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | $4,630.77 | $5,788.46 | $98.03 – $1,783.21 | 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.