Sanford Clear Lake Medical Center
701 3rd Ave S, Clear Lake, SD · Sanford Health · · NPI 1851305296
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 |
|---|---|---|---|---|
| Meropenem 1 gram intravenous solution HCPCS J2185 | $68.04 | $85.04 | $11.03 – $19.35 | 17 |
| Metabolic Blood Panel (Basic) CPT 80048 | $111.20 | $139.00 | $71.31 – $125.10 | 17 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $135.20 | $169.00 | $86.70 – $152.10 | 17 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $286.71 | $358.38 | $183.85 – $322.54 | 17 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | $74.88 | $93.59 | $48.01 – $84.23 | 17 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | $1.20 | $1.50 | $0.77 – $1.35 | 17 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $71.29 | $89.11 | $40.56 – $71.15 | 17 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $65.71 | $82.13 | $39.87 – $69.94 | 17 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $61.08 | $76.35 | $38.86 – $68.18 | 17 |
| Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) HCPCS J0616 | $61.22 | $76.52 | $38.65 – $67.81 | 17 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $84.45 | $105.56 | $54.05 – $94.82 | 17 |
| Microalbumin urine screen CPT 82044 | $63.20 | $79.00 | $40.53 – $71.10 | 17 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $60.86 | $76.07 | $38.61 – $67.74 | 17 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | $61.22 | $76.52 | $39.25 – $68.87 | 17 |
| MRA abdomen post contrast CPT 74185 | $2,696.80 | $3,371.00 | $1,156.10 – $3,033.90 | 17 |
| MRA aorta thoracic w/wo contrast CPT 71555 | not published | not published | $1,156.10 – $1,156.10 | 1 |
| MRA ext low(run-off)pst cntrst CPT 73725 | $2,906.40 | $3,633.00 | $1,156.10 – $3,269.70 | 17 |
| MRA pelvis CPT 72198 | not published | not published | $1,156.10 – $1,156.10 | 1 |
| MRA spinal canal CPT 72159 | not published | not published | $1,156.10 – $1,156.10 | 1 |
| MRA upper extremity post contrast-bil CPT 73225 | not published | not published | $1,156.10 – $1,156.10 | 1 |
| MRI breast c- unilateral CPT 77046 | not published | not published | $1,156.10 – $1,156.10 | 1 |
| MRI breast c-+ w/cad uni CPT 77048 | not published | not published | $893.20 – $893.20 | 1 |
| MRI breast without cont bi CPT 77047 | not published | not published | $1,156.10 – $1,156.10 | 1 |
| MRI breast w IV cont bi CPT 77049 | not published | not published | $893.20 – $893.20 | 1 |
| MRI cardiac morph & func wo IV cont CPT 75557 | not published | not published | $1,156.10 – $1,156.10 | 1 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | not published | not published | $1,215.50 – $1,215.50 | 1 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | not published | not published | $1,222.10 – $1,222.10 | 1 |
| MRI chest without contrast CPT 71550 | $2,946.40 | $3,683.00 | $1,156.10 – $3,314.70 | 17 |
| MRI chest without & w/contrast CPT 71552 | $4,185.60 | $5,232.00 | $1,215.50 – $4,708.80 | 17 |
| MRI chest w IV cont CPT 71551 | $3,288.00 | $4,110.00 | $1,222.10 – $3,699.00 | 17 |
| MRI fetal sngl/1st gestation CPT 74712 | not published | not published | $1,156.10 – $1,156.10 | 1 |
| MRI loex nonjt w IV cont CPT 73719 | $3,652.80 | $4,566.00 | $1,215.50 – $4,109.40 | 17 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $2,995.20 | $3,744.00 | $1,156.10 – $3,369.60 | 17 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $3,926.40 | $4,908.00 | $1,215.50 – $4,417.20 | 17 |
| MRI orbit fac&nck w IV cont CPT 70542 | $3,799.20 | $4,749.00 | $1,215.50 – $4,274.10 | 17 |
| MRI tmj CPT 70336 | $2,857.60 | $3,572.00 | $1,156.10 – $3,214.80 | 17 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $2,829.60 | $3,537.00 | $1,156.10 – $3,183.30 | 17 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $3,820.80 | $4,776.00 | $1,215.50 – $4,298.40 | 17 |
| MRI upper extremity w/dye CPT 73219 | $3,563.20 | $4,454.00 | $1,215.50 – $4,008.60 | 17 |
| MRI without fol w/cont, breast HCPCS C8908 | not published | not published | $1,215.50 – $1,215.50 | 1 |
| Multiple sleep latency test CPT 95805 | $3,286.40 | $4,108.00 | $2,107.40 – $3,697.20 | 17 |
| Mumps antibody igg CPT 86735 | $124.80 | $156.00 | $80.03 – $140.40 | 17 |
| Mycoplasma antibody igm CPT 86738 | $123.20 | $154.00 | $79.00 – $138.60 | 17 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $146.40 | $183.00 | $32.83 – $57.60 | 17 |
| Nafcillin 2 gram solution for injection HCPCS J2290 | $64.42 | $80.52 | $41.31 – $72.47 | 17 |
| Naloxone 0.4 mg/ml injection (wrapper) HCPCS J2312 | $65.06 | $81.32 | $39.78 – $69.79 | 17 |
| Natalizumab 300 mg/15 ml intravenous solution HCPCS J2323 | not published | not published | $24.60 – $24.60 | 1 |
| Natriuretic peptide CPT 83880 | $174.40 | $218.00 | $105.68 – $185.40 | 17 |
| Natural killer cells total count CPT 86357 | $124.80 | $156.00 | $80.03 – $140.40 | 17 |
| Nebulizer Breathing Treatment CPT 94640 | $252.80 | $316.00 | $62.59 – $109.80 | 17 |
| Neck Airway (Soft Tissue) X-ray CPT 70360 | $289.60 | $362.00 | $185.71 – $325.80 | 17 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | not published | not published | $893.20 – $893.20 | 1 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | not published | not published | $1,215.50 – $1,215.50 | 1 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $2,472.80 | $3,091.00 | $705.10 – $2,781.90 | 17 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $4,723.20 | $5,904.00 | $1,215.50 – $5,313.60 | 17 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $3,369.60 | $4,212.00 | $1,215.50 – $3,790.80 | 17 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $3,225.60 | $4,032.00 | $1,156.10 – $3,628.80 | 17 |
| Neck (Cervical Spine) X-ray (2 to 3 views) CPT 72040 | $368.00 | $460.00 | $235.98 – $414.00 | 17 |
| Neck (Cervical Spine) X-ray (4 to 5 views) CPT 72050 | $636.80 | $796.00 | $408.35 – $716.40 | 17 |
| Neck (Cervical Spine) X-ray (6 or more views) CPT 72052 | $796.00 | $995.00 | $510.44 – $895.50 | 17 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $3,848.00 | $4,810.00 | $1,215.50 – $4,329.00 | 17 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $2,960.80 | $3,701.00 | $1,215.50 – $3,330.90 | 17 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $2,622.40 | $3,278.00 | $1,156.10 – $2,950.20 | 17 |
| Neck Soft Tissue CT Scan (with and without contrast) CPT 70492 | $3,061.60 | $3,827.00 | $893.20 – $3,444.30 | 17 |
| Neck Soft Tissue CT Scan (with contrast) CPT 70491 | $2,409.60 | $3,012.00 | $893.20 – $2,710.80 | 17 |
| Neck Soft Tissue CT Scan (without contrast) CPT 70490 | $2,136.80 | $2,671.00 | $705.10 – $2,403.90 | 17 |
| Nerve conduction 7-8 studies CPT 95910 | $899.20 | $1,124.00 | $576.61 – $1,011.60 | 17 |
| Nerve conduction studies 11-12 CPT 95912 | $2,119.20 | $2,649.00 | $1,358.94 – $2,384.10 | 17 |
| Nerve conduction studies 1-2 CPT 95907 | $503.20 | $629.00 | $322.68 – $566.10 | 17 |
| Nerve conduction studies 13+ CPT 95913 | $2,183.20 | $2,729.00 | $1,399.98 – $2,456.10 | 17 |
| Nerve conduction studies 3-4 CPT 95908 | $812.80 | $1,016.00 | $521.21 – $914.40 | 17 |
| Nerve conduction studies 5-6 CPT 95909 | $1,029.60 | $1,287.00 | $660.23 – $1,158.30 | 17 |
| Nerve conduction studies 9-10 CPT 95911 | $1,784.00 | $2,230.00 | $1,143.99 – $2,007.00 | 17 |
| New Patient Office Visit (level 2) CPT 99202 | $151.20 | $189.00 | $96.96 – $170.10 | 17 |
| New Patient Office Visit (level 3) CPT 99203 | $194.40 | $243.00 | $124.66 – $218.70 | 17 |
| New Patient Office Visit (level 4) CPT 99204 | $232.00 | $290.00 | $148.77 – $261.00 | 17 |
| New Patient Office Visit (level 5) CPT 99205 | $302.40 | $378.00 | $193.91 – $340.20 | 17 |
| Nicardipine 25 mg/10 ml intravenous solution HCPCS J2404 | $345.91 | $432.38 | $124.85 – $219.04 | 17 |
| Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous HCPCS J2305 | $62.56 | $78.20 | $40.12 – $70.38 | 17 |
| Nivolumab 10 mg/ml intravenous solution (wrapper) HCPCS J9299 | not published | not published | $38.06 – $38.06 | 1 |
| Nivolumab 240 mg-relatlimab-rmbw 80 mg/20 ml intravenous solution HCPCS J9298 | not published | not published | $228.20 – $228.20 | 1 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $1,955.20 | $2,444.00 | $1,253.77 – $2,199.60 | 17 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $2,236.00 | $2,795.00 | $1,433.84 – $2,515.50 | 17 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | $1,959.20 | $2,449.00 | $1,256.34 – $2,204.10 | 17 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $1,479.20 | $1,849.00 | $948.54 – $1,664.10 | 17 |
| No pt prsnt train add 15 HCPCS G0542 | $61.60 | $77.00 | $39.50 – $69.30 | 17 |
| No pt prsnt train initial 30 HCPCS G0541 | $123.20 | $154.00 | $79.00 – $138.60 | 17 |
| Nose (Nasal Bone) X-ray (complete) CPT 70160 | $403.20 | $504.00 | $258.55 – $453.60 | 17 |
| Nuclear Stress Test (Heart) CPT 78452 | $4,746.40 | $5,933.00 | $3,043.63 – $5,339.70 | 17 |
| Observation direct referral from physician office for admission HCPCS G0379 | $436.00 | $545.00 | $279.59 – $490.50 | 17 |
| Observation per hour HCPCS G0378 | $65.60 | $82.00 | $42.07 – $73.80 | 17 |
| Obstetrics panel CPT 80055 | $212.80 | $266.00 | $136.46 – $239.40 | 17 |
| Occupational Therapy Evaluation (high complexity) CPT 97167 | $348.80 | $436.00 | $223.67 – $392.40 | 17 |
| Occupational Therapy Evaluation (low complexity) CPT 97165 | $280.00 | $350.00 | $179.55 – $315.00 | 17 |
| Occupational Therapy Evaluation (moderate complexity) CPT 97166 | $313.60 | $392.00 | $201.10 – $352.80 | 17 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | not published | not published | $60.94 – $149.38 | 2 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $62.52 | $78.15 | $39.05 – $68.51 | 17 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | $7,044.77 | $8,805.96 | $4,517.46 – $7,925.36 | 17 |
| Off/op cnsltj new/est low 30 CPT 99243 | $233.60 | $292.00 | $149.80 – $262.80 | 17 |
| Off/op consltj new/est sf 20 CPT 99242 | $146.40 | $183.00 | $93.88 – $164.70 | 17 |
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.