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 |
|---|---|---|---|---|
| Urine Culture Test CPT 87086 | $73.60 | $92.00 | $47.20 – $82.80 | 17 |
| Urine pregnancy test CPT 81025 | $58.40 | $73.00 | $37.45 – $65.70 | 17 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $3,432.80 | $4,291.00 | $2,201.28 – $3,861.90 | 17 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | $36,009.49 | $45,011.86 | $23,091.08 – $40,510.67 | 17 |
| Vaccine Administration (one shot) CPT 90471 | $50.40 | $63.00 | $10.10 – $17.71 | 17 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | $232.02 | $290.02 | $148.78 – $261.02 | 17 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | $106.21 | $132.76 | $68.11 – $119.48 | 17 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $76.32 | $95.39 | $48.94 – $85.85 | 17 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | $53.76 | $67.19 | $34.47 – $60.47 | 17 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | $29.07 | $36.33 | $18.64 – $32.70 | 17 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $194.47 | $243.08 | $72.90 – $127.90 | 17 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $329.64 | $412.04 | $211.38 – $370.84 | 17 |
| Vaccine rabies im CPT 90675 | $564.92 | $706.14 | $345.75 – $606.58 | 17 |
| Vaccine tdap >=7 years im CPT 90715 | $93.60 | $117.00 | $54.47 – $95.56 | 17 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $79.45 | $99.31 | $50.95 – $89.38 | 17 |
| Valproic acid total therapeutic drug level CPT 80164 | $103.20 | $129.00 | $66.18 – $116.10 | 17 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | $72.80 | $90.99 | $4.59 – $8.05 | 17 |
| Vancomycin 750 mg intravenous solution HCPCS J3374 | $87.49 | $109.36 | $43.44 – $76.20 | 17 |
| Vancomycin peak therapeutic drug level CPT 80202 | $136.80 | $171.00 | $87.72 – $153.90 | 17 |
| Varicella zoster antibody igg CPT 86787 | $54.40 | $68.00 | $34.88 – $61.20 | 17 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $64.40 | $80.50 | $41.30 – $72.45 | 17 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | not published | not published | $22.69 – $55.16 | 2 |
| Velaglucerase alfa 400 unit intravenous solution HCPCS J3385 | not published | not published | $377.18 – $377.18 | 1 |
| Video Swallow Study (Modified Barium Swallow) CPT 74230 | $728.00 | $910.00 | $466.83 – $819.00 | 17 |
| Virus isolation addl studies ea CPT 87253 | $127.20 | $159.00 | $81.57 – $143.10 | 17 |
| Vital capacity test CPT 94150 | $174.40 | $218.00 | $111.83 – $196.20 | 17 |
| Vitamin b-12 CPT 82607 | $116.00 | $145.00 | $74.39 – $130.50 | 17 |
| Vitamin D Test CPT 82306 | $132.00 | $165.00 | $62.07 – $108.90 | 17 |
| Vutrisiran 25 mg/0.5 ml subcutaneous syringe HCPCS J0225 | not published | not published | $5,018.93 – $5,018.93 | 1 |
| Walking (Gait) Training (each 15 minutes) CPT 97116 | $116.00 | $145.00 | $74.39 – $130.50 | 17 |
| Warde 1003990 aldosterone CPT 82088 | $323.20 | $404.00 | $102.60 – $180.00 | 17 |
| Warde 1005020 citrate 24 hour urine CPT 82507 | $76.00 | $95.00 | $48.74 – $85.50 | 17 |
| Warde 1005055 5-hiaa 24 hour urine CPT 83497 | $46.40 | $58.00 | $29.75 – $52.20 | 17 |
| Warde 1006955 catecholamines fractionated 24 hour urine CPT 82384 | $76.80 | $96.00 | $37.45 – $65.70 | 17 |
| Warde 1007138 vanillymandelic acid 24 hour urine CPT 84585 | $48.80 | $61.00 | $31.29 – $54.90 | 17 |
| Warde 1015200 kappa light chain free CPT 83521 | $58.40 | $73.00 | $37.45 – $65.70 | 17 |
| Warde 3004000 immunoglobulin subclass 1 CPT 82787 | $42.40 | $53.00 | $27.19 – $47.70 | 17 |
| Warde 3016000 west nile virus antibody CPT 86788 | $95.20 | $119.00 | $61.05 – $107.10 | 17 |
| Warde 3016000 west nile virus antibody igg CPT 86789 | $95.20 | $119.00 | $61.05 – $107.10 | 17 |
| Warde 3400652 ova & parasites direct smear concentration and id CPT 87177 | $46.40 | $58.00 | $29.75 – $52.20 | 17 |
| Warde 3400652 smear complex special stain ova/parasites CPT 87209 | $68.00 | $85.00 | $43.61 – $76.50 | 17 |
| Warde 3400852 arsenic CPT 82175 | $145.60 | $182.00 | $29.24 – $51.30 | 17 |
| Warde 3708165 mercury urine CPT 83825 | $39.20 | $49.00 | $25.14 – $44.10 | 17 |
| Warde actin (smooth muscle) antibody each CPT 86015 | $52.80 | $66.00 | $33.86 – $59.40 | 17 |
| Warde adrenocorticotropic hormone (acth) CPT 82024 | $113.60 | $142.00 | $72.85 – $127.80 | 17 |
| Warde aldolase CPT 82085 | $93.60 | $117.00 | $60.02 – $105.30 | 17 |
| Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative CPT 81206 | $400.00 | $500.00 | $256.50 – $450.00 | 17 |
| Warde anti-mullerian hormone CPT 82166 | $90.40 | $113.00 | $57.97 – $101.70 | 17 |
| Warde bile acids CPT 82239 | $51.20 | $64.00 | $32.83 – $57.60 | 17 |
| Warde cadmium blood CPT 82300 | $56.80 | $71.00 | $36.42 – $63.90 | 17 |
| Warde calcitonin CPT 82308 | $76.80 | $96.00 | $49.25 – $86.40 | 17 |
| Warde calculus (stone) infrared CPT 82365 | $76.00 | $95.00 | $48.74 – $85.50 | 17 |
| Warde cobalt heavy metal quantitative each nes CPT 83018 | $124.80 | $156.00 | $80.03 – $140.40 | 17 |
| Warde complement total hemolytic CPT 86162 | $56.80 | $71.00 | $36.42 – $63.90 | 17 |
| Warde copper CPT 82525 | $50.40 | $63.00 | $29.24 – $51.30 | 17 |
| Warde cryoglobulin CPT 82595 | $31.20 | $39.00 | $20.01 – $35.10 | 17 |
| Warde erythropoietin CPT 82668 | $57.60 | $72.00 | $36.94 – $64.80 | 17 |
| Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative CPT 82955 | $31.20 | $39.00 | $20.01 – $35.10 | 17 |
| Warde gastrin CPT 82941 | $48.80 | $61.00 | $31.29 – $54.90 | 17 |
| Warde growth hormone (hgh) CPT 83003 | $48.80 | $61.00 | $31.29 – $54.90 | 17 |
| Warde hemoglobin fractionation/quantitation electrophoresis CPT 83020 | $130.40 | $163.00 | $83.62 – $146.70 | 17 |
| Warde hepatitis a antibody CPT 86708 | $53.60 | $67.00 | $34.37 – $60.30 | 17 |
| Warde hepatitis be antibody CPT 86707 | $29.60 | $37.00 | $18.98 – $33.30 | 17 |
| Warde immunofixation electrophoresis urine CPT 86335 | $154.40 | $193.00 | $99.01 – $173.70 | 17 |
| Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn CPT 87350 | $29.60 | $37.00 | $18.98 – $33.30 | 17 |
| Warde infectious agent nucleic acid genotype hepatitis c CPT 87902 | $603.20 | $754.00 | $386.80 – $678.60 | 17 |
| Warde islet cell antibody zinc transporter 8 CPT 86341 | $55.20 | $69.00 | $35.40 – $62.10 | 17 |
| Warde sex hormone binding globulin CPT 84270 | $51.20 | $64.00 | $32.83 – $57.60 | 17 |
| Warde somatomedin CPT 84305 | $148.80 | $186.00 | $35.91 – $63.00 | 17 |
| Warde t3 (triiodothyronine) reverse CPT 84482 | $45.60 | $57.00 | $29.24 – $51.30 | 17 |
| Warde thyroid stimulating immunoglobulins CPT 84445 | $275.20 | $344.00 | $176.47 – $309.60 | 17 |
| Warde topiramate therapeutic drug level CPT 80201 | $71.20 | $89.00 | $45.66 – $80.10 | 17 |
| Warde virus isolation tissue culture innoculation presumptive id herpes simplex CPT 87252 | $165.60 | $207.00 | $106.19 – $186.30 | 17 |
| Warde vitamin a CPT 84590 | $48.80 | $61.00 | $31.29 – $54.90 | 17 |
| Warde vitamin b-1 (thiamine) CPT 84425 | $52.00 | $65.00 | $33.35 – $58.50 | 17 |
| Warde vitamin b6 (pyridoxine) CPT 84207 | $68.80 | $86.00 | $44.12 – $77.40 | 17 |
| Warde vitamin d (1 25 dihydroxy) CPT 82652 | $229.60 | $287.00 | $78.49 – $137.70 | 17 |
| Warde vitamin e (alpha-tocopherol) CPT 84446 | $48.80 | $61.00 | $31.29 – $54.90 | 17 |
| Warde zinc CPT 84630 | $40.00 | $50.00 | $16.93 – $29.70 | 17 |
| Wbc automated CPT 85048 | $32.80 | $41.00 | $21.03 – $36.90 | 17 |
| Whole-Body Bone Scan (Nuclear Medicine) CPT 78306 | $2,068.80 | $2,586.00 | $1,326.62 – $2,327.40 | 17 |
| Whole Skeleton X-ray Survey CPT 77075 | $1,128.00 | $1,410.00 | $723.33 – $1,269.00 | 17 |
| Wound Cleaning and Dead Tissue Removal (up to 20 sq cm) CPT 97597 | $456.80 | $571.00 | $292.92 – $513.90 | 17 |
| Wrist X-ray CPT 73110 | $351.20 | $439.00 | $225.21 – $395.10 | 17 |
| Wrist X-ray (2 views, both wrists) CPT 73100 | $289.60 | $362.00 | $185.71 – $325.80 | 17 |
| Xe133 xenon 10mci HCPCS A9558 | $300.80 | $376.00 | $192.89 – $338.40 | 17 |
| X-ray abdomen >=3 views CPT 74021 | $434.40 | $543.00 | $278.56 – $488.70 | 17 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $673.60 | $842.00 | $431.95 – $757.80 | 17 |
| X-ray exam entire spi 6/> vw CPT 72084 | $768.80 | $961.00 | $492.99 – $864.90 | 17 |
| X-ray exam of arm infant CPT 73092 | $307.20 | $384.00 | $196.99 – $345.60 | 17 |
| X-ray exam of femur 1 CPT 73551 | $362.40 | $453.00 | $232.39 – $407.70 | 17 |
| X-ray exam si joints CPT 72200 | $340.00 | $425.00 | $218.03 – $382.50 | 17 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $343.20 | $429.00 | $220.08 – $386.10 | 17 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $526.40 | $658.00 | $337.55 – $592.20 | 17 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $639.20 | $799.00 | $409.89 – $719.10 | 17 |
| X-ray joint survey 1 view CPT 77077 | $322.40 | $403.00 | $206.74 – $362.70 | 17 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $287.20 | $359.00 | $184.17 – $323.10 | 17 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $307.20 | $384.00 | $196.99 – $345.60 | 17 |
| X-ray mandible ltd <4 views CPT 70100 | $356.80 | $446.00 | $228.80 – $401.40 | 17 |
| X-ray ribs 2 views left CPT 71100 | $365.60 | $457.00 | $234.44 – $411.30 | 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.