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 |
|---|---|---|---|---|
| Ear irrigation 69209 CPT 69209 | $168.00 | $210.00 | $71.82 – $189.00 | 14 |
| Ecallantide injection HCPCS J1290 | not published | not published | $576.49 – $576.49 | 1 |
| Ecg external < 48 hours recording CPT 93225 | $620.80 | $776.00 | $265.39 – $698.40 | 14 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $618.40 | $773.00 | $264.37 – $695.70 | 14 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $181.60 | $227.00 | $77.63 – $204.30 | 14 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $218.40 | $273.00 | $93.37 – $245.70 | 14 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $2,751.20 | $3,439.00 | $1,176.14 – $3,095.10 | 14 |
| Echocardiogram (Limited Follow-Up Heart Ultrasound) CPT 93308 | $1,036.80 | $1,296.00 | $443.23 – $1,166.40 | 14 |
| Echocardiography doppler color flow mapping CPT 93325 | $748.00 | $935.00 | $319.77 – $841.50 | 14 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $1,200.00 | $1,500.00 | $513.00 – $1,350.00 | 14 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $475.20 | $594.00 | $203.15 – $534.60 | 14 |
| Echo exam of fetal heart CPT 76828 | $340.00 | $425.00 | $145.35 – $382.50 | 14 |
| Echo exam uterus 76831- CPT 76831 | $908.00 | $1,135.00 | $388.17 – $1,021.50 | 14 |
| Echo guide for amniocentesis CPT 76946 | $693.60 | $867.00 | $296.51 – $780.30 | 14 |
| Echo stress CPT 93350 | $2,222.40 | $2,778.00 | $950.08 – $2,500.20 | 14 |
| Echo transthoracic CPT 93303 | $2,300.00 | $2,875.00 | $983.25 – $2,587.50 | 14 |
| Echo transthoracic CPT 93304 | $1,428.00 | $1,785.00 | $610.47 – $1,606.50 | 14 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $1,617.60 | $2,022.00 | $691.52 – $1,819.80 | 14 |
| Eculizumab injection HCPCS J1300 | not published | not published | $228.86 – $228.86 | 1 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $1,083.20 | $1,354.00 | $463.07 – $1,218.60 | 14 |
| Eeg/record in coma or sleep only 95822 CPT 95822 | $997.60 | $1,247.00 | $426.47 – $1,122.30 | 14 |
| Eeg recording awake and asleep CPT 95819 | $1,245.60 | $1,557.00 | $532.49 – $1,401.30 | 14 |
| Efgartigimod alfa-fcab 20 mg/ml intravenous solution HCPCS J9332 | not published | not published | $33.19 – $33.19 | 1 |
| Egd remove foreign body CPT 43247 | $2,748.80 | $3,436.00 | $1,175.11 – $3,092.40 | 14 |
| EKG (Tracing Only) CPT 93005 | $273.60 | $342.00 | $116.96 – $307.80 | 14 |
| Elbow X-ray (2 views, both sides) CPT 73070 | $352.80 | $441.00 | $150.82 – $396.90 | 14 |
| Elbow X-ray (3 or more views, both sides) CPT 73080 | $420.80 | $526.00 | $179.89 – $473.40 | 14 |
| Electrical Stimulation Therapy (each 15 minutes) CPT 97032 | $104.00 | $130.00 | $44.46 – $117.00 | 14 |
| Electrical stimulation/unattended 97014 CPT 97014 | $88.80 | $111.00 | $37.96 – $99.90 | 14 |
| Electrolyte panel CPT 80051 | $132.00 | $165.00 | $56.43 – $148.50 | 14 |
| Elosulfase alfa, injection HCPCS J1322 | not published | not published | $299.48 – $299.48 | 1 |
| Enfortumab vedotin-ejfv 20 mg intravenous solution HCPCS J9177 | $4,836.79 | $6,045.98 | $2,067.73 – $5,441.38 | 14 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $72.05 | $90.06 | $26.42 – $69.52 | 14 |
| Epinephrine 0.1 mg/ml injection syringe HCPCS J0168 | $68.52 | $85.64 | $29.29 – $77.08 | 14 |
| Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution HCPCS J0166 | $66.56 | $83.20 | $26.49 – $69.71 | 14 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $588.00 | $735.00 | $125.69 – $330.75 | 14 |
| Epstein barr nuclear antigen antibody CPT 86664 | $174.40 | $218.00 | $74.56 – $196.20 | 14 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $148.80 | $186.00 | $38.65 – $101.70 | 14 |
| Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 | $2,688.18 | $3,360.22 | $19.05 – $3,024.20 | 14 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $199.46 | $249.32 | $36.77 – $96.76 | 14 |
| ER Visit (level 1, minor) CPT 99281 | $291.20 | $364.00 | $124.49 – $327.60 | 14 |
| ER Visit (level 2) CPT 99282 | $503.20 | $629.00 | $215.12 – $566.10 | 14 |
| ER Visit (level 3) CPT 99283 | $808.00 | $1,010.00 | $345.42 – $909.00 | 14 |
| ER Visit (level 4) CPT 99284 | $1,204.00 | $1,505.00 | $514.71 – $1,354.50 | 14 |
| ER Visit (level 5, high severity) CPT 99285 | $1,805.60 | $2,257.00 | $771.89 – $2,031.30 | 14 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $103.77 | $129.71 | $44.36 – $116.74 | 14 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $271.64 | $339.54 | $26.36 – $69.38 | 14 |
| Established Patient Office Visit (level 1) CPT 99211 | $242.40 | $303.00 | $19.15 – $50.40 | 14 |
| Estradiol total CPT 82670 | $196.00 | $245.00 | $28.73 – $75.60 | 14 |
| Estrogens total-sendout CPT 82672 | $52.80 | $66.00 | $22.57 – $59.40 | 14 |
| Etonogestrel implant system HCPCS J7307 | $1,773.03 | $2,216.28 | $622.43 – $1,637.98 | 14 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $292.92 | $366.15 | $115.70 – $304.48 | 14 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $497.60 | $622.00 | $212.72 – $559.80 | 14 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $314.40 | $393.00 | $134.41 – $353.70 | 14 |
| Evaluation of speech fluency 92521 CPT 92521 | $382.40 | $478.00 | $163.48 – $430.20 | 14 |
| Evaluation psychiatric diagnostic CPT 90791 | $185.60 | $232.00 | $79.34 – $208.80 | 14 |
| Event monitor CPT 93270 | $304.80 | $381.00 | $130.30 – $342.90 | 14 |
| Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm CPT 11441 | $625.60 | $782.00 | $267.44 – $703.80 | 14 |
| Exercise tst brncspsm w/ecg CPT 94617 | $243.20 | $304.00 | $103.97 – $273.60 | 14 |
| Explore penetrating wnd/extremity 20103 CPT 20103 | $2,150.40 | $2,688.00 | $919.30 – $2,419.20 | 14 |
| External chromosome analysis 20-25 cells CPT 88264 | $429.60 | $537.00 | $183.65 – $483.30 | 14 |
| External newborn metabolic screening panel HCPCS S3620 | $211.20 | $264.00 | $90.29 – $237.60 | 14 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $581.60 | $727.00 | $248.63 – $654.30 | 14 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $127.20 | $159.00 | $24.28 – $63.90 | 14 |
| Eye Socket (Orbit) X-ray CPT 70200 | $501.60 | $627.00 | $214.43 – $564.30 | 14 |
| Eye Socket, Pituitary or Ear CT Scan (with and without contrast) CPT 70482 | $2,619.20 | $3,274.00 | $1,119.71 – $2,946.60 | 14 |
| Eye Socket, Pituitary or Ear CT Scan (with contrast) CPT 70481 | $2,397.60 | $2,997.00 | $1,024.97 – $2,697.30 | 14 |
| Eye Socket, Pituitary or Ear CT Scan (without contrast) CPT 70480 | $2,057.60 | $2,572.00 | $879.62 – $2,314.80 | 14 |
| Face, Eye Socket and Neck MRI (with and without contrast) CPT 70543 | $4,215.20 | $5,269.00 | $1,802.00 – $4,742.10 | 14 |
| Face, Eye Socket and Neck MRI (without contrast) CPT 70540 | $3,019.20 | $3,774.00 | $1,290.71 – $3,396.60 | 14 |
| Facial Bones X-ray (1 to 2 views) CPT 70140 | $339.20 | $424.00 | $145.01 – $381.60 | 14 |
| Facial Bones X-ray (complete) CPT 70150 | $528.00 | $660.00 | $225.72 – $594.00 | 14 |
| Factor ix CPT 85250 | $282.40 | $353.00 | $120.73 – $317.70 | 14 |
| Factor viii CPT 85240 | $172.00 | $215.00 | $18.47 – $48.60 | 14 |
| Family therapy with patient 50 min 90847 CPT 90847 | $320.80 | $401.00 | $137.14 – $360.90 | 14 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $108.49 | $135.61 | $25.81 – $67.93 | 14 |
| Fat/lipids feces qualitative CPT 82705 | $107.20 | $134.00 | $45.83 – $120.60 | 14 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $61.45 | $76.81 | $25.67 – $67.56 | 14 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $1,219.42 | $1,524.27 | $150.15 – $395.14 | 14 |
| Ferritin CPT 82728 | $172.80 | $216.00 | $73.87 – $194.40 | 14 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | $1,288.08 | $1,610.10 | $272.63 – $717.44 | 14 |
| Fetal fibronectin CPT 82731 | $615.20 | $769.00 | $263.00 – $692.10 | 14 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $153.60 | $192.00 | $65.66 – $172.80 | 14 |
| Fetal hemoglobin rosette CPT 85461 | $67.20 | $84.00 | $28.73 – $75.60 | 14 |
| Fetal non stress test CPT 59025 | $529.60 | $662.00 | $226.40 – $595.80 | 14 |
| Fibrin degradation d dimer quantitative CPT 85379 | $196.00 | $245.00 | $83.79 – $220.50 | 14 |
| Fibrinogen activity CPT 85384 | $48.00 | $60.00 | $20.52 – $54.00 | 14 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $86.40 | $108.00 | $36.94 – $97.20 | 14 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | $854.12 | $1,067.64 | $211.56 – $556.74 | 14 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | $395.62 | $494.52 | $115.32 – $303.48 | 14 |
| Filter vena cava fem denali HCPCS C1880 | $2,826.40 | $3,533.00 | $1,154.25 – $3,037.50 | 14 |
| Fine needle asp without image guide 10021 CPT 10021 | $694.40 | $868.00 | $296.86 – $781.20 | 14 |
| Finger X-ray (both hands) CPT 73140 | $278.40 | $348.00 | $119.02 – $313.20 | 14 |
| Fixtn pq skel dstl rad fx/epiphysl sep CPT 25606 | $5,920.00 | $7,400.00 | $2,530.80 – $6,660.00 | 14 |
| Flebogamma injection HCPCS J1572 | not published | not published | $52.94 – $52.94 | 1 |
| Flow cytometry marker each additional CPT 88185 | $112.80 | $141.00 | $48.22 – $126.90 | 14 |
| Flow cytometry one marker technical component CPT 88184 | $353.60 | $442.00 | $151.16 – $397.80 | 14 |
| #flow interp 9 - 15 markers CPT 88188 | $229.60 | $287.00 | $98.15 – $258.30 | 14 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $138.52 | $173.15 | $47.11 – $123.98 | 14 |
| Fluidotherapy charges pt CPT 97022 | $154.40 | $193.00 | $66.01 – $173.70 | 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.