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 |
|---|---|---|---|---|
| Chemotx admn pertl cav impl CPT 96446 | not published | not published | $387.20 – $387.20 | 1 |
| Chest 2 vws w oblique CPT 71048 | $502.40 | $628.00 | $322.16 – $565.20 | 17 |
| Chest apical lordotic proj CPT 71047 | $385.60 | $482.00 | $247.27 – $433.80 | 17 |
| Chest CT scan (with and without contrast) CPT 71270 | $3,286.40 | $4,108.00 | $893.20 – $3,697.20 | 17 |
| Chest CT scan (with contrast) CPT 71260 | $2,666.40 | $3,333.00 | $893.20 – $2,999.70 | 17 |
| Chest CT scan (without contrast) CPT 71250 | $2,188.80 | $2,736.00 | $705.10 – $2,462.40 | 17 |
| Chest Physiotherapy (first session) CPT 94667 | $212.80 | $266.00 | $136.46 – $239.40 | 17 |
| Chest Physiotherapy (follow-up session) CPT 94668 | $160.00 | $200.00 | $102.60 – $180.00 | 17 |
| Chest X-ray CPT 71046 | $352.80 | $441.00 | $226.23 – $396.90 | 17 |
| Chest X-ray (single view) CPT 71045 | $309.60 | $387.00 | $198.53 – $348.30 | 17 |
| Chlamydia culture CPT 87110 | $149.60 | $187.00 | $95.93 – $168.30 | 17 |
| Chloride CPT 82435 | $51.20 | $64.00 | $32.83 – $57.60 | 17 |
| Chloride 24 hour urine CPT 82436 | $65.60 | $82.00 | $42.07 – $73.80 | 17 |
| Chmotx admn plrl cav thrcnts CPT 96440 | not published | not published | $1,822.40 – $1,822.40 | 1 |
| Cholesterol CPT 82465 | $46.40 | $58.00 | $29.75 – $52.20 | 17 |
| Cholesterol (Lipid) Test CPT 80061 | $80.80 | $101.00 | $51.81 – $93.50 | 17 |
| Chrom analysis CPT 88273 | $84.80 | $106.00 | $54.38 – $95.40 | 17 |
| Chromo high res and frag x - sendout CPT 81243 | $139.20 | $174.00 | $89.26 – $156.60 | 17 |
| Chromosome analysis 15-20 cell count CPT 88262 | $306.40 | $383.00 | $196.48 – $344.70 | 17 |
| Chromosome analysis 45 CPT 88263 | $366.40 | $458.00 | $234.95 – $412.20 | 17 |
| Chromosome analysis 5 CPT 88261 | $644.80 | $806.00 | $413.48 – $725.40 | 17 |
| Chronic urticaria - sendout CPT 86343 | $160.00 | $200.00 | $102.60 – $180.00 | 17 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $85.97 | $107.46 | $53.90 – $94.55 | 17 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $62.03 | $77.53 | $39.33 – $69.00 | 17 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | $70.58 | $88.22 | $45.26 – $79.40 | 17 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $696.80 | $871.00 | $446.82 – $783.90 | 17 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $777.60 | $972.00 | $498.64 – $874.80 | 17 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $1,684.00 | $2,105.00 | $1,079.87 – $1,894.50 | 17 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $365.60 | $457.00 | $234.44 – $411.30 | 17 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $1,690.40 | $2,113.00 | $1,083.97 – $1,901.70 | 17 |
| #cmvcul-virus inoculation shell CPT 87254 | $163.20 | $204.00 | $104.65 – $183.60 | 17 |
| Cmv pcr-sendout CPT 87496 | $86.40 | $108.00 | $55.40 – $97.20 | 17 |
| Cold agglutinin titer CPT 86157 | $68.80 | $86.00 | $44.12 – $77.40 | 17 |
| Collarbone (Clavicle) X-ray (both sides) CPT 73000 | $337.60 | $422.00 | $216.49 – $379.80 | 17 |
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | $32.00 | $40.00 | $9.23 – $16.20 | 17 |
| Collar cerv ascend 172 reg HCPCS L0172 | $54.40 | $68.00 | $34.88 – $61.20 | 17 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $95.20 | $119.00 | $61.05 – $107.10 | 17 |
| Colonoscopy (diagnostic) CPT 45378 | not published | not published | $2,742.30 – $2,742.30 | 1 |
| Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah) CPT 45384 | not published | not published | $2,382.60 – $2,382.60 | 1 |
| Colonoscopy (with biopsy) CPT 45380 | not published | not published | $2,382.60 – $2,382.60 | 1 |
| Colonoscopy (with polyp removal) CPT 45385 | not published | not published | $2,382.60 – $2,382.60 | 1 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $148.00 | $185.00 | $94.91 – $166.50 | 17 |
| Compatibility test each unit electronic CPT 86923 | $107.20 | $134.00 | $68.74 – $120.60 | 17 |
| Compatibility test each unit immediate spin technique CPT 86920 | $146.40 | $183.00 | $93.88 – $164.70 | 17 |
| Complement antigen each component c3 CPT 86160 | $74.40 | $93.00 | $36.42 – $63.90 | 17 |
| Complx repair fccmnaxghf 13131 CPT 13131 | $471.20 | $589.00 | $302.16 – $530.10 | 17 |
| Complx repair fccmnaxghf 13132 CPT 13132 | $1,518.40 | $1,898.00 | $973.67 – $1,708.20 | 17 |
| Concentration infection agents any type CPT 87015 | $48.00 | $60.00 | $30.78 – $54.00 | 17 |
| Conjugated estrogens 25 mg solution for injection HCPCS J1410 | $420.04 | $525.04 | $269.35 – $472.54 | 17 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $88.00 | $110.00 | $56.43 – $99.00 | 17 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $104.00 | $130.00 | $66.69 – $117.00 | 17 |
| Contrast baths charges CPT 97034 | $92.80 | $116.00 | $59.51 – $104.40 | 17 |
| Control nosebleed pack+caut 30905 CPT 30905 | $457.60 | $572.00 | $293.44 – $514.80 | 17 |
| Control of nosebleed ant comp 30903 CPT 30903 | $420.00 | $525.00 | $269.33 – $472.50 | 17 |
| Control of nosebleedantersmpl 30901 CPT 30901 | $390.40 | $488.00 | $250.34 – $439.20 | 17 |
| Coombs direct CPT 86880 | $61.60 | $77.00 | $39.50 – $69.30 | 17 |
| Coombs indirect titer reference CPT 86886 | $34.40 | $43.00 | $22.06 – $38.70 | 17 |
| Cortisol total am CPT 82533 | $144.80 | $181.00 | $30.27 – $53.10 | 17 |
| Cosyntropin 0.25 mg solution for injection HCPCS J0834 | $219.49 | $274.36 | $47.05 – $82.55 | 17 |
| Covid-19 administration immunization im inj 1st/only component CPT 90480 | $71.20 | $89.00 | $45.66 – $80.10 | 17 |
| #covid19rsv-rsv CPT 87634 | $171.20 | $214.00 | $109.78 – $192.60 | 17 |
| #coxa-coxsackie a serotype a16 CPT 86658 | $114.40 | $143.00 | $73.36 – $128.70 | 17 |
| CPAP or BiPAP Setup (first day) CPT 94660 | $413.60 | $517.00 | $265.22 – $465.30 | 17 |
| C-peptide CPT 84681 | $199.20 | $249.00 | $127.74 – $224.10 | 17 |
| CPR (Cardiopulmonary Resuscitation) CPT 92950 | $1,090.40 | $1,363.00 | $699.22 – $1,226.70 | 17 |
| C-reactive protein CPT 86140 | $45.60 | $57.00 | $29.24 – $51.30 | 17 |
| C-reactive protein high sensitivity CPT 86141 | $102.40 | $128.00 | $65.66 – $115.20 | 17 |
| Creatine kinase CPT 82550 | $65.60 | $82.00 | $42.07 – $73.80 | 17 |
| Creatine kinase isoenzymes CPT 82552 | $105.60 | $132.00 | $67.72 – $118.80 | 17 |
| Creatine kinase mb CPT 82553 | $79.20 | $99.00 | $50.79 – $89.10 | 17 |
| Creatinine CPT 82565 | $40.00 | $50.00 | $25.65 – $45.00 | 17 |
| Creatinine 24 hour urine CPT 82570 | $57.60 | $72.00 | $16.42 – $28.80 | 17 |
| Creatinine clearance urine CPT 82575 | $87.20 | $109.00 | $55.92 – $98.10 | 17 |
| Critical care each additional 30 minutes CPT 99292 | $834.40 | $1,043.00 | $535.06 – $938.70 | 17 |
| Critical Care (first 30 to 74 minutes) CPT 99291 | $3,036.80 | $3,796.00 | $1,947.35 – $3,416.40 | 17 |
| Crizanlizumab-tmca 10 mg/ml intravenous solution HCPCS J0791 | not published | not published | $130.95 – $130.95 | 1 |
| Cryofibrinogen qualitative - sendout CPT 82585 | $57.60 | $72.00 | $36.94 – $64.80 | 17 |
| Crystal identification light microscopy CPT 89060 | $52.00 | $65.00 | $33.35 – $58.50 | 17 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | not published | not published | $893.20 – $893.20 | 1 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | not published | not published | $1,215.50 – $1,215.50 | 1 |
| CT Angiogram of the Abdomen CPT 74175 | not published | not published | $893.20 – $893.20 | 1 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $2,990.40 | $3,738.00 | $893.20 – $3,364.20 | 17 |
| CT Angiogram of the Head CPT 70496 | $2,946.40 | $3,683.00 | $893.20 – $3,314.70 | 17 |
| CT Angiogram of the Neck CPT 70498 | $2,946.40 | $3,683.00 | $893.20 – $3,314.70 | 17 |
| CT angio hrt w/3d image CPT 75574 | not published | not published | $893.20 – $893.20 | 1 |
| CT angio pelvis CPT 72191 | not published | not published | $893.20 – $893.20 | 1 |
| Cta upper extremity w &/or without contrast left CPT 73206 | not published | not published | $893.20 – $893.20 | 1 |
| CT colonography dx CPT 74261 | not published | not published | $705.10 – $705.10 | 1 |
| CT colonography dx w/dye CPT 74262 | not published | not published | $893.20 – $893.20 | 1 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | not published | not published | $893.20 – $893.20 | 1 |
| CT hrt w/3d image CPT 75572 | not published | not published | $893.20 – $893.20 | 1 |
| CT lwr extremity w/o&w/dye CPT 73702 | $2,727.20 | $3,409.00 | $893.20 – $3,068.10 | 17 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $5,310.40 | $6,638.00 | $1,215.50 – $5,974.20 | 17 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $4,703.20 | $5,879.00 | $1,215.50 – $5,291.10 | 17 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $4,067.20 | $5,084.00 | $1,156.10 – $4,575.60 | 17 |
| CT t-spine w /wo contrast CPT 72130 | not published | not published | $893.20 – $893.20 | 1 |
| CT uppr extremity w/o&w/dye CPT 73202 | not published | not published | $893.20 – $893.20 | 1 |
| Culture aerobic additional method definitive id each CPT 87077 | $57.60 | $72.00 | $36.94 – $64.80 | 17 |
| Culture afb any source CPT 87116 | $127.20 | $159.00 | $36.94 – $64.80 | 17 |
| Culture anaerobic additional method definitive id each CPT 87076 | $55.20 | $69.00 | $35.40 – $62.10 | 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.