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 |
|---|---|---|---|---|
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $428.00 | $535.00 | $274.46 – $481.50 | 17 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $64.72 | $80.89 | $39.74 – $69.72 | 17 |
| Azithromycin dihydrate, oral HCPCS Q0144 | $58.52 | $73.14 | $10.84 – $19.03 | 17 |
| Baclofen eval charges CPT 97750 | $86.40 | $108.00 | $55.40 – $97.20 | 17 |
| Bacterial meningitis antigen CPT 86403 | $121.60 | $152.00 | $77.98 – $136.80 | 17 |
| Balance and Coordination Retraining (each 15 minutes) CPT 97112 | $127.20 | $159.00 | $81.57 – $143.10 | 17 |
| B cells total count CPT 86355 | $124.80 | $156.00 | $80.03 – $140.40 | 17 |
| Belimumab 120 mg intravenous solution HCPCS J0490 | not published | not published | $55.16 – $55.16 | 1 |
| Benign lesion paring 2-4 CPT 11056 | $252.00 | $315.00 | $161.60 – $283.50 | 17 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $102.40 | $128.00 | $56.94 – $99.90 | 17 |
| Beta-2 microglobulin CPT 82232 | $142.40 | $178.00 | $91.31 – $160.20 | 17 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | $65.93 | $82.41 | $41.80 – $73.34 | 17 |
| Bevacizumab 25 mg/ml intravenous solution HCPCS J9035 | $3,398.40 | $4,248.00 | $755.23 – $1,324.97 | 17 |
| Bilirubin direct CPT 82248 | $54.40 | $68.00 | $34.88 – $61.20 | 17 |
| Bilirubin total CPT 82247 | $40.00 | $50.00 | $25.65 – $45.00 | 17 |
| Bladder Catheter Insertion (simple) CPT 51702 | $273.60 | $342.00 | $175.45 – $307.80 | 17 |
| Bln 30frx10mmx12cm renal nephromax HCPCS C1726 | $382.40 | $478.00 | $245.21 – $430.20 | 17 |
| Blood Clotting (PT/INR) Test CPT 85610 | $52.80 | $66.00 | $27.19 – $47.70 | 17 |
| Blood Clotting (PTT) Test CPT 85730 | $65.60 | $82.00 | $42.07 – $73.80 | 17 |
| Blood Count (CBC) Test CPT 85025 | $67.20 | $84.00 | $43.09 – $82.50 | 17 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $74.40 | $93.00 | $47.71 – $83.70 | 17 |
| Blood Culture Test CPT 87040 | $98.40 | $123.00 | $63.10 – $110.70 | 17 |
| Blood draw capillary 36416 CPT 36416 | $22.40 | $28.00 | $14.36 – $25.20 | 17 |
| Blood Draw (Venipuncture) CPT 36415 | $22.40 | $28.00 | $14.36 – $38.50 | 17 |
| Blood gases ph venous CPT 82800 | $68.80 | $86.00 | $44.12 – $77.40 | 17 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $57.60 | $72.00 | $36.94 – $64.80 | 17 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $25.60 | $32.00 | $16.42 – $28.80 | 17 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $38.40 | $48.00 | $24.62 – $43.20 | 17 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $52.80 | $66.00 | $33.86 – $59.40 | 17 |
| Blood Transfusion CPT 36430 | $1,021.60 | $1,277.00 | $655.10 – $1,149.30 | 17 |
| Blood typing abo CPT 86900 | $31.20 | $39.00 | $20.01 – $35.10 | 17 |
| Blood typing ag donor ea ag CPT 86902 | $146.40 | $183.00 | $93.88 – $164.70 | 17 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $75.20 | $94.00 | $48.22 – $84.60 | 17 |
| Blood typing rh (d) CPT 86901 | $42.40 | $53.00 | $27.19 – $47.70 | 17 |
| Bone Density Scan (DEXA) CPT 77080 | $591.20 | $739.00 | $379.11 – $665.10 | 17 |
| Bone survey-lead poisoning CPT 77074 | $612.00 | $765.00 | $392.45 – $688.50 | 17 |
| Boot j walker l HCPCS L4386 | $75.20 | $94.00 | $47.71 – $83.70 | 17 |
| Boot softgait shrt m HCPCS L4387 | $94.40 | $118.00 | $60.53 – $106.20 | 17 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | $92.00 | $115.00 | $59.00 – $103.50 | 17 |
| Boot walker genesis mid-calf full shell s HCPCS L4361 | $119.20 | $149.00 | $76.44 – $134.10 | 17 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $169.60 | $212.00 | $77.46 – $135.90 | 17 |
| Brace ank air stirrup univ HCPCS L4350 | $52.00 | $65.00 | $33.35 – $58.50 | 17 |
| Brace ankle stablizing lg HCPCS L1902 | $64.80 | $81.00 | $38.48 – $67.50 | 17 |
| Brace m arm board HCPCS L3809 | $113.60 | $142.00 | $72.85 – $127.80 | 17 |
| Brace or Splint Fitting and Training (each 15 minutes) CPT 97760 | $133.60 | $167.00 | $85.67 – $150.30 | 17 |
| Brace oths wrist hnd fngr without HCPCS L3807 | $42.40 | $53.00 | $21.03 – $36.90 | 17 |
| Brace wrist classic lft sm HCPCS L3908 | $81.60 | $102.00 | $11.29 – $19.80 | 17 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $3,832.80 | $4,791.00 | $1,215.50 – $4,311.90 | 17 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $3,071.20 | $3,839.00 | $1,215.50 – $3,455.10 | 17 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $2,849.60 | $3,562.00 | $1,156.10 – $3,205.80 | 17 |
| Brain MRI (with and without contrast) CPT 70553 | $4,516.00 | $5,645.00 | $1,215.50 – $5,080.50 | 17 |
| Brain MRI (with contrast) CPT 70552 | not published | not published | $1,215.50 – $1,215.50 | 1 |
| Brain MRI (without contrast) CPT 70551 | $3,093.60 | $3,867.00 | $1,156.10 – $3,480.30 | 17 |
| Breastbone (Sternum) X-ray CPT 71120 | $396.00 | $495.00 | $253.94 – $445.50 | 17 |
| Bronchial challenge CPT 94070 | $1,071.20 | $1,339.00 | $686.91 – $1,205.10 | 17 |
| Budesonide non-comp unit HCPCS J7626 | $13.85 | $17.31 | $5.01 – $8.78 | 17 |
| Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr HCPCS J1939 | $60.29 | $75.36 | $38.66 – $67.82 | 17 |
| Bundled special stain group 1 microorganisms CPT 88312 | $223.20 | $279.00 | $143.13 – $251.10 | 17 |
| Bundled special stain group 2 CPT 88313 | $178.40 | $223.00 | $109.78 – $192.60 | 17 |
| Bupivacaine 0.1 % epidural pca - 1 hour dose limit HCPCS J0665 | $61.17 | $76.46 | $38.98 – $68.38 | 17 |
| C-1 esterase, berinert HCPCS J0597 | not published | not published | $69.64 – $69.64 | 1 |
| C-1 esterase, cinryze HCPCS J0598 | not published | not published | $65.44 – $65.44 | 1 |
| Cadd pump refill CPT 96521 | not published | not published | $300.80 – $300.80 | 1 |
| Caffeine citrate 20 mg/ml inj for po HCPCS J0706 | $63.35 | $79.18 | $40.62 – $71.26 | 17 |
| Calcium 24 hour urine CPT 82340 | $34.40 | $43.00 | $22.06 – $38.70 | 17 |
| Calcium chloride 100 mg/ml (10 %) intravenous syringe HCPCS J0618 | $67.18 | $83.97 | $39.27 – $68.90 | 17 |
| Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612 | $66.74 | $83.42 | $42.79 – $75.08 | 17 |
| Calcium ionized CPT 82330 | $109.60 | $137.00 | $70.28 – $123.30 | 17 |
| Calcium total CPT 82310 | $40.00 | $50.00 | $25.65 – $45.00 | 17 |
| Calprotectin fecal CPT 83993 | $237.60 | $297.00 | $152.36 – $267.30 | 17 |
| Canakinumab injection HCPCS J0638 | not published | not published | $130.24 – $130.24 | 1 |
| Carbamazepine total therapeutic drug level CPT 80156 | $110.40 | $138.00 | $70.79 – $124.20 | 17 |
| Carbon dioxide CPT 82374 | $52.80 | $66.00 | $33.86 – $59.40 | 17 |
| Carboxyhemoglobin quantitative CPT 82375 | $103.20 | $129.00 | $66.18 – $116.10 | 17 |
| Carcinoembryonic ag (cea) CPT 82378 | $100.00 | $125.00 | $64.13 – $112.50 | 17 |
| Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 | $3,508.00 | $4,385.00 | $2,249.51 – $3,946.50 | 17 |
| Cardiac rehabilitation op phase 2 w/continous ecg monitoring CPT 93798 | $282.40 | $353.00 | $181.09 – $317.70 | 17 |
| Cardiolipin antibody iga CPT 86147 | $96.80 | $121.00 | $37.96 – $66.60 | 17 |
| Cardioversion (Scheduled Heart Rhythm Shock) CPT 92960 | $1,820.00 | $2,275.00 | $1,167.08 – $2,047.50 | 17 |
| Caregiver training strategies&tq 1st 30 minutes CPT 97550 | $123.20 | $154.00 | $79.00 – $138.60 | 17 |
| Caregiver training strategies&tq ea addl 15 min CPT 97551 | $61.60 | $77.00 | $39.50 – $69.30 | 17 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $1,440.00 | $1,800.00 | $923.40 – $1,620.00 | 17 |
| Caspofungin acetate HCPCS J0637 | $585.06 | $731.32 | $362.50 – $635.96 | 17 |
| Cath cv dl inj 7fx16cm HCPCS C1751 | $756.00 | $945.00 | $106.70 – $187.20 | 17 |
| Cath malecot 28fr 4-wing ltx HCPCS C1729 | $583.20 | $729.00 | $13.85 – $24.30 | 17 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | $111.26 | $139.07 | $38.82 – $68.11 | 17 |
| Cefepime 1 gram solution for injection HCPCS J0692 | $63.58 | $79.47 | $39.68 – $69.62 | 17 |
| Ceftaroline fosamil 600 mg intravenous solution HCPCS J0712 | $289.44 | $361.80 | $185.60 – $325.62 | 17 |
| Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr HCPCS J0713 | $64.36 | $80.44 | $40.01 – $70.19 | 17 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | $136.60 | $170.74 | $39.06 – $68.53 | 17 |
| Cell count w differential body fluid CPT 89051 | $40.00 | $50.00 | $25.65 – $45.00 | 17 |
| Cemiplimab-rwlc 50 mg/ml intravenous solution HCPCS J9119 | not published | not published | $33.82 – $33.82 | 1 |
| Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit HCPCS J0717 | not published | not published | $4.73 – $4.73 | 1 |
| Chemo adm cns w/lmbr punct CPT 96450 | not published | not published | $386.40 – $386.40 | 1 |
| Chemo ia infuse each addl hr CPT 96423 | not published | not published | $176.00 – $176.00 | 1 |
| Chemo ia infusion up to 1 hr CPT 96422 | not published | not published | $378.40 – $378.40 | 1 |
| Chemo ia push tecnique CPT 96420 | not published | not published | $247.20 – $247.20 | 1 |
| Chemo intralesional over 7 CPT 96406 | not published | not published | $314.40 – $314.40 | 1 |
| Chemo intralesional up to 7 96405 CPT 96405 | not published | not published | $201.60 – $201.60 | 1 |
| Chemotherapy injection 96542 CPT 96542 | not published | not published | $316.80 – $316.80 | 1 |
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.