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 |
|---|---|---|---|---|
| Fluorescent antibody titer dna CPT 86256 | $111.20 | $139.00 | $47.54 – $125.10 | 14 |
| Fluoroguide needle placement CPT 77002 | $700.80 | $876.00 | $299.59 – $788.40 | 14 |
| Fluoro polarize fetal lung CPT 83663 | $451.20 | $564.00 | $192.89 – $507.60 | 14 |
| Fluoroscopy (Live X-ray Guidance, up to 1 hour) CPT 76000 | $598.40 | $748.00 | $255.82 – $673.20 | 14 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $277.20 | $346.50 | $118.50 – $311.85 | 14 |
| Folic acid CPT 82746 | $112.00 | $140.00 | $47.88 – $126.00 | 14 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $60.09 | $75.11 | $25.69 – $67.60 | 14 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $950.40 | $1,188.00 | $406.30 – $1,069.20 | 14 |
| Foot X-ray CPT 73630 | $384.80 | $481.00 | $164.50 – $432.90 | 14 |
| Foot X-ray (2 views, both feet) CPT 73620 | $340.80 | $426.00 | $145.69 – $383.40 | 14 |
| Forearm X-ray (both sides) CPT 73090 | $363.20 | $454.00 | $155.27 – $408.60 | 14 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $556.76 | $695.94 | $33.09 – $87.08 | 14 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $77.85 | $97.31 | $26.52 – $69.78 | 14 |
| _fragile x methylation-sendout CPT 81244 | $120.80 | $151.00 | $51.64 – $135.90 | 14 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $317.60 | $397.00 | $20.52 – $54.00 | 14 |
| Fresh frozen plasma thawing ea un CPT 86927 | $153.60 | $192.00 | $65.66 – $172.80 | 14 |
| Fructosamine glycated protein CPT 82985 | $51.20 | $64.00 | $21.89 – $57.60 | 14 |
| Ftl cgen abnor four anal CPT 81511 | $371.20 | $464.00 | $158.69 – $417.60 | 14 |
| Full Spine X-ray (Scoliosis Survey) CPT 72082 | $576.00 | $720.00 | $246.24 – $648.00 | 14 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $61.46 | $76.82 | $25.70 – $67.64 | 14 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | $60.00 | $75.00 | $25.65 – $67.50 | 14 |
| Galactose transferase test CPT 82776 | $32.00 | $40.00 | $13.68 – $36.00 | 14 |
| Gallbladder and Bile Duct Scan (HIDA Scan) CPT 78226 | $1,758.40 | $2,198.00 | $751.72 – $1,978.20 | 14 |
| Gallbladder Function Scan (HIDA with Medication) CPT 78227 | $2,114.40 | $2,643.00 | $903.91 – $2,378.70 | 14 |
| Galsulfase injection HCPCS J1458 | not published | not published | $493.88 – $493.88 | 1 |
| Gamma globulin > 10 cc inj HCPCS J1560 | not published | not published | $507.94 – $507.94 | 1 |
| Gamma globulin 1 cc inj HCPCS J1460 | not published | not published | $50.78 – $50.78 | 1 |
| Gammaglobulin iga CPT 82784 | $116.00 | $145.00 | $12.31 – $32.40 | 14 |
| Gammaglobulin ige CPT 82785 | $120.00 | $150.00 | $48.91 – $128.70 | 14 |
| Gamma glutamyltransferase CPT 82977 | $66.40 | $83.00 | $28.39 – $74.70 | 14 |
| Gammaplex injection HCPCS J1557 | not published | not published | $59.03 – $59.03 | 1 |
| Gamunex-c/gammaked HCPCS J1561 | $2,377.44 | $2,971.80 | $49.73 – $681.03 | 14 |
| Gastroesophageal reflux study CPT 78262 | $1,635.20 | $2,044.00 | $699.05 – $1,839.60 | 14 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $328.36 | $410.44 | $116.87 – $307.56 | 14 |
| General health panel CPT 80050 | $440.00 | $550.00 | $188.10 – $495.00 | 14 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $109.77 | $137.21 | $25.85 – $68.02 | 14 |
| Gentamicin peak therapeutic drug level CPT 80170 | $155.20 | $194.00 | $66.35 – $174.60 | 14 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $35.20 | $44.00 | $15.05 – $39.60 | 14 |
| Ghs antibodies (torch) igm CPT 86694 | $193.60 | $242.00 | $82.76 – $217.80 | 14 |
| Ghs change cysto/gastrost CPT 43762 | $536.00 | $670.00 | $229.14 – $603.00 | 14 |
| Ghs chemo >8 hrs CPT 96416 | not published | not published | $308.80 – $308.80 | 1 |
| Ghs chemo infusion >8 hrs CPT 96425 | not published | not published | $407.20 – $407.20 | 1 |
| Ghs chemo IV push, ea addtl CPT 96411 | $378.40 | $473.00 | $132.00 – $425.70 | 14 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $621.60 | $777.00 | $265.73 – $699.30 | 14 |
| Ghs closed reduction ankle dislocation CPT 27840 | $537.60 | $672.00 | $229.82 – $604.80 | 14 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $856.00 | $1,070.00 | $365.94 – $963.00 | 14 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | $681.60 | $852.00 | $291.38 – $766.80 | 14 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $2,227.20 | $2,784.00 | $952.13 – $2,505.60 | 14 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | $1,155.20 | $1,444.00 | $493.85 – $1,299.60 | 14 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | $2,929.60 | $3,662.00 | $1,252.40 – $3,295.80 | 14 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $593.60 | $742.00 | $253.76 – $667.80 | 14 |
| Ghs community re-entry 15 minutes CPT 97537 | $116.80 | $146.00 | $49.93 – $131.40 | 14 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $496.00 | $620.00 | $212.04 – $558.00 | 14 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $306.40 | $383.00 | $130.99 – $344.70 | 14 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $376.80 | $471.00 | $161.08 – $423.90 | 14 |
| Ghs dislocation elbow closed treatment CPT 24600 | $723.20 | $904.00 | $309.17 – $813.60 | 14 |
| Ghs fish cytogen CPT 88271 | $58.40 | $73.00 | $24.97 – $65.70 | 14 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $124.80 | $156.00 | $53.35 – $140.40 | 14 |
| Ghs HIV antibody CPT 86703 | $130.40 | $163.00 | $50.27 – $132.30 | 14 |
| Ghs init tx 1st degree burn CPT 16000 | $400.80 | $501.00 | $171.34 – $450.90 | 14 |
| Ghs insertion of needle - bone CPT 36680 | $515.20 | $644.00 | $220.25 – $579.60 | 14 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $876.00 | $1,095.00 | $374.49 – $985.50 | 14 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $1,052.00 | $1,315.00 | $449.73 – $1,183.50 | 14 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | $142.40 | $178.00 | $60.88 – $160.20 | 14 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $758.40 | $948.00 | $324.22 – $853.20 | 14 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $420.00 | $525.00 | $179.55 – $472.50 | 14 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $752.80 | $941.00 | $321.82 – $846.90 | 14 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $591.20 | $739.00 | $252.74 – $665.10 | 14 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $610.40 | $763.00 | $260.95 – $686.70 | 14 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $672.00 | $840.00 | $287.28 – $756.00 | 14 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $652.80 | $816.00 | $279.07 – $734.40 | 14 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $658.40 | $823.00 | $281.47 – $740.70 | 14 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $663.20 | $829.00 | $283.52 – $746.10 | 14 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $708.80 | $886.00 | $303.01 – $797.40 | 14 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | $885.60 | $1,107.00 | $378.59 – $996.30 | 14 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $721.60 | $902.00 | $308.48 – $811.80 | 14 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $239.20 | $299.00 | $102.26 – $269.10 | 14 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $156.00 | $195.00 | $66.69 – $175.50 | 14 |
| Ghs myocardial strain img spckl track CPT 93356 | $568.80 | $711.00 | $243.16 – $639.90 | 14 |
| Ghs ot group caregiver training CPT 97552 | $51.20 | $64.00 | $21.89 – $57.60 | 14 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $127.20 | $159.00 | $54.38 – $143.10 | 14 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | $111.20 | $139.00 | $47.54 – $125.10 | 14 |
| Ghs peritonsillar abscess i andd CPT 42700 | $440.80 | $551.00 | $188.44 – $495.90 | 14 |
| Ghs plngl fx pm cl CPT 26725 | $659.20 | $824.00 | $281.81 – $741.60 | 14 |
| Ghs ppd (tb intradermal) CPT 86580 | $34.40 | $43.00 | $14.71 – $38.70 | 14 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $121.60 | $152.00 | $51.98 – $136.80 | 14 |
| Ghs pr without cont pulse ox CPT 94625 | $209.60 | $262.00 | $89.60 – $235.80 | 14 |
| Ghs removal intranasal foreign body CPT 30300 | $373.60 | $467.00 | $159.71 – $420.30 | 14 |
| Ghs reticulocyte count CPT 85044 | $31.20 | $39.00 | $13.34 – $35.10 | 14 |
| Ghs sedimentation rate CPT 85651 | $78.40 | $98.00 | $33.52 – $88.20 | 14 |
| Ghs sensitivity (per antimicro) CPT 87184 | $110.40 | $138.00 | $47.20 – $124.20 | 14 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $592.80 | $741.00 | $253.42 – $666.90 | 14 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $592.80 | $741.00 | $253.42 – $666.90 | 14 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $529.60 | $662.00 | $226.40 – $595.80 | 14 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $592.80 | $741.00 | $253.42 – $666.90 | 14 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $529.60 | $662.00 | $226.40 – $595.80 | 14 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $567.20 | $709.00 | $242.48 – $638.10 | 14 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $752.00 | $940.00 | $226.40 – $595.80 | 14 |
| Ghs sleep study unattended CPT 95800 | $608.00 | $760.00 | $259.92 – $684.00 | 14 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $295.20 | $369.00 | $126.20 – $332.10 | 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.