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 |
|---|---|---|---|---|
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | not published | not published | $38.40 – $38.40 | 1 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | not published | not published | $345.60 – $345.60 | 1 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $1,120.00 | $1,400.00 | $478.80 – $1,260.00 | 14 |
| Ghs urine, porphyrins quant CPT 84120 | $50.40 | $63.00 | $21.55 – $56.70 | 14 |
| Gi inhouse confirmation CPT 87045 | $76.00 | $95.00 | $32.49 – $85.50 | 14 |
| Glassia injection HCPCS J0257 | not published | not published | $5.66 – $5.66 | 1 |
| Glove finger flexion right lg xl HCPCS L3912 | $96.80 | $121.00 | $41.38 – $108.90 | 14 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $414.34 | $517.92 | $110.12 – $289.80 | 14 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $379.09 | $473.86 | $162.06 – $426.47 | 14 |
| Glucose 1 hr post dose CPT 82950 | $80.80 | $101.00 | $34.54 – $90.90 | 14 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $41.60 | $52.00 | $17.78 – $46.80 | 14 |
| Glucose blood quantitative CPT 82947 | $66.40 | $83.00 | $28.39 – $74.70 | 14 |
| Glucose body fluid CPT 82945 | $61.60 | $77.00 | $26.33 – $69.30 | 14 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $201.60 | $252.00 | $86.18 – $226.80 | 14 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $61.60 | $77.00 | $26.33 – $69.30 | 14 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $62.56 | $78.20 | $25.68 – $67.57 | 14 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $3,034.40 | $3,793.00 | $11.33 – $3,413.70 | 14 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $148.00 | $185.00 | $23.60 – $62.10 | 14 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $156.00 | $195.00 | $22.57 – $59.40 | 14 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $1,107.28 | $1,384.10 | $473.36 – $1,245.69 | 14 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $88.35 | $110.43 | $32.94 – $86.69 | 14 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $900.00 | $1,125.00 | $81.40 – $214.20 | 14 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $794.40 | $993.00 | $211.01 – $555.30 | 14 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | $59.19 | $73.98 | $25.04 – $65.91 | 14 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $3,360.00 | $4,200.00 | $62.24 – $163.80 | 14 |
| Granisetron hcl injection HCPCS J1626 | $63.84 | $79.79 | $27.29 – $71.81 | 14 |
| Great toe with reduction 28495 CPT 28495 | $470.40 | $588.00 | $201.10 – $529.20 | 14 |
| Group train without patient HCPCS G0543 | $51.20 | $64.00 | $21.89 – $57.60 | 14 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $841.60 | $1,052.00 | $32.83 – $86.40 | 14 |
| Gw stiffened micro access kit HCPCS C1894 | $280.80 | $351.00 | $30.10 – $79.20 | 14 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $64.48 | $80.60 | $25.87 – $68.07 | 14 |
| Hands-On Manual Therapy (each 15 minutes) CPT 97140 | $126.40 | $158.00 | $54.04 – $142.20 | 14 |
| Hand X-ray CPT 73130 | $363.20 | $454.00 | $155.27 – $408.60 | 14 |
| Hand X-ray (2 views, both hands) CPT 73120 | $336.00 | $420.00 | $143.64 – $378.00 | 14 |
| Haptoglobin quantitative CPT 83010 | $146.40 | $183.00 | $62.59 – $164.70 | 14 |
| Hcg qualitative CPT 84703 | $79.20 | $99.00 | $33.86 – $89.10 | 14 |
| Hcg quantitative CPT 84702 | $229.60 | $287.00 | $98.15 – $258.30 | 14 |
| Head CT scan (with and without contrast) CPT 70470 | $2,708.80 | $3,386.00 | $1,158.01 – $3,047.40 | 14 |
| Head CT scan (with contrast) CPT 70460 | $2,522.40 | $3,153.00 | $1,078.33 – $2,837.70 | 14 |
| Head CT scan (without contrast) CPT 70450 | $2,184.00 | $2,730.00 | $933.66 – $2,457.00 | 14 |
| Heel (Calcaneus) X-ray (both feet) CPT 73650 | $363.20 | $454.00 | $155.27 – $408.60 | 14 |
| Helicobacter pylori antibody igm CPT 86677 | $140.00 | $175.00 | $59.85 – $157.50 | 14 |
| Hematocrit CPT 85014 | $61.60 | $77.00 | $26.33 – $69.30 | 14 |
| Hemoglobin CPT 85018 | $55.20 | $69.00 | $23.60 – $62.10 | 14 |
| Hemophilus influenza antibdy CPT 86684 | $56.80 | $71.00 | $24.28 – $63.90 | 14 |
| Heparin assay CPT 85520 | $242.40 | $303.00 | $103.63 – $272.70 | 14 |
| Heparin bolus from bag HCPCS J1644 | $141.16 | $176.45 | $25.78 – $67.84 | 14 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | $10.00 | $12.50 | $3.25 – $8.55 | 14 |
| Hepatitis a antibody igm CPT 86709 | $133.60 | $167.00 | $57.11 – $150.30 | 14 |
| Hepatitis b core antibody igm CPT 86705 | $212.80 | $266.00 | $90.97 – $239.40 | 14 |
| Hepatitis b core antibody total CPT 86704 | $128.80 | $161.00 | $55.06 – $144.90 | 14 |
| Hepatitis b surface antibody CPT 86706 | $127.20 | $159.00 | $54.38 – $143.10 | 14 |
| Hepatitis c antibody CPT 86803 | $221.60 | $277.00 | $94.73 – $249.30 | 14 |
| Herpes simplex type 1 antibody igg CPT 86695 | $88.00 | $110.00 | $37.62 – $99.00 | 14 |
| Herpes simplex type 2 antibody igg CPT 86696 | $128.00 | $160.00 | $54.72 – $144.00 | 14 |
| Heterophile antibodies screening CPT 86308 | $72.00 | $90.00 | $30.78 – $81.00 | 14 |
| Hip adj flex ext abduct cont HCPCS L2624 | $848.00 | $1,060.00 | $362.52 – $954.00 | 14 |
| Hip and Pelvis X-ray (2 views, both hips) CPT 73521 | $508.80 | $636.00 | $217.51 – $572.40 | 14 |
| Hip and Pelvis X-ray (3 to 4 views, both hips) CPT 73522 | $628.80 | $786.00 | $268.81 – $707.40 | 14 |
| Hip and Pelvis X-ray (single view, left side) CPT 73501 | $301.60 | $377.00 | $128.93 – $339.30 | 14 |
| Hip X-ray CPT 73502 | $374.40 | $468.00 | $160.06 – $421.20 | 14 |
| Hizentra injection HCPCS J1559 | not published | not published | $13.46 – $13.46 | 1 |
| Hla ii typing 1 loc hr CPT 81382 | $299.20 | $374.00 | $127.91 – $336.60 | 14 |
| Hla i low res one antigen equiv ea CPT 81374 | $233.60 | $292.00 | $99.86 – $262.80 | 14 |
| Hocm 350-399mg/ml iodine,1ml HCPCS Q9963 | $144.00 | $180.00 | $61.56 – $162.00 | 14 |
| Home sleep test/type 3 porta HCPCS G0399 | $529.60 | $662.00 | $226.40 – $595.80 | 14 |
| Homocysteine CPT 83090 | $96.00 | $120.00 | $41.04 – $108.00 | 14 |
| Homogenization tissue CPT 87176 | $36.00 | $45.00 | $15.39 – $40.50 | 14 |
| Ho post-op hip abduction HCPCS L1686 | $2,632.00 | $3,290.00 | $1,125.18 – $2,961.00 | 14 |
| H pylori (c-13) breath CPT 83013 | $332.00 | $415.00 | $141.93 – $373.50 | 14 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | $89.74 | $112.17 | $38.34 – $100.90 | 14 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $62.30 | $77.87 | $26.38 – $69.42 | 14 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $74.02 | $92.52 | $28.31 – $74.50 | 14 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $62.49 | $78.11 | $25.73 – $67.72 | 14 |
| Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge HCPCS J7999 | $189.08 | $236.34 | $27.50 – $72.36 | 14 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $60.61 | $75.76 | $25.77 – $67.82 | 14 |
| Hyqvia 100mg immuneglobulin HCPCS J1575 | not published | not published | $17.81 – $17.81 | 1 |
| Iaadi respiratory synctial virus CPT 87280 | $48.00 | $60.00 | $20.52 – $54.00 | 14 |
| Icatibant injection HCPCS J1744 | not published | not published | $93.19 – $93.19 | 1 |
| Idursulfase injection HCPCS J1743 | not published | not published | $548.06 – $548.06 | 1 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $188.00 | $235.00 | $80.37 – $211.50 | 14 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $403.20 | $504.00 | $172.37 – $453.60 | 14 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $277.60 | $347.00 | $118.67 – $312.30 | 14 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $278.40 | $348.00 | $22.57 – $59.40 | 14 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $105.60 | $132.00 | $40.70 – $107.10 | 14 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | $4,004.16 | $5,005.20 | $50.63 – $807.03 | 14 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | not published | not published | $83.74 – $83.74 | 1 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | not published | not published | $49.91 – $49.91 | 1 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $101.60 | $127.00 | $43.43 – $114.30 | 14 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $101.60 | $127.00 | $43.43 – $114.30 | 14 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $90.40 | $113.00 | $13.68 – $36.00 | 14 |
| Immunofixation electrophoresis serum CPT 86334 | $172.00 | $215.00 | $26.33 – $69.30 | 14 |
| Imuglucerase injection HCPCS J1786 | not published | not published | $44.44 – $44.44 | 1 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $3,548.00 | $4,435.00 | $1,516.77 – $3,991.50 | 14 |
| Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s) CPT 87626 | $187.20 | $234.00 | $80.03 – $210.60 | 14 |
| Infect ag eia influenza a or b ea CPT 87400 | $127.20 | $159.00 | $54.38 – $143.10 | 14 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $817.60 | $1,022.00 | $349.52 – $919.80 | 14 |
| Infect ag ia optc obs influenza CPT 87804 | $80.80 | $101.00 | $34.54 – $90.90 | 14 |
| Infect ag if influenza a CPT 87276 | $55.20 | $69.00 | $23.60 – $62.10 | 14 |
| Infect ag if influenza b CPT 87275 | $70.40 | $88.00 | $30.10 – $79.20 | 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.