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 |
|---|---|---|---|---|
| Culture anaerobic except blood CPT 87075 | $114.40 | $143.00 | $73.36 – $128.70 | 17 |
| Culture bact stool aero addl path ea CPT 87046 | $57.60 | $72.00 | $35.40 – $62.10 | 17 |
| Culture body fluid CPT 87070 | $116.00 | $145.00 | $42.58 – $74.70 | 17 |
| Culture fungi definitive id mold CPT 87107 | $64.00 | $80.00 | $33.35 – $58.50 | 17 |
| Culture fungi definitive id yeast CPT 87106 | $100.00 | $125.00 | $64.13 – $112.50 | 17 |
| Culture fungi other (except blood) CPT 87102 | $101.60 | $127.00 | $65.15 – $114.30 | 17 |
| Culture fungi skin/hair/nail CPT 87101 | $73.60 | $92.00 | $47.20 – $82.80 | 17 |
| Culture mycoplasma any source CPT 87109 | $153.60 | $192.00 | $98.50 – $172.80 | 17 |
| Culture screening strep group a CPT 87081 | $58.40 | $73.00 | $37.45 – $65.70 | 17 |
| Culture typing immunologic CPT 87147 | $44.00 | $55.00 | $28.22 – $49.50 | 17 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $604.80 | $756.00 | $387.83 – $680.40 | 17 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $164.00 | $205.00 | $105.17 – $184.50 | 17 |
| Culture urine each isolate CPT 87088 | $50.40 | $63.00 | $32.32 – $56.70 | 17 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $61.72 | $77.15 | $38.72 – $67.93 | 17 |
| Cyclic citrullinated peptide antibody CPT 86200 | $136.00 | $170.00 | $87.21 – $153.00 | 17 |
| Cyclosporine 2 hour CPT 80158 | $127.20 | $159.00 | $81.57 – $143.10 | 17 |
| Cyp2c19 gene com variants CPT 81225 | $256.00 | $320.00 | $164.16 – $288.00 | 17 |
| Cystatin c CPT 82610 | $99.20 | $124.00 | $63.61 – $111.60 | 17 |
| Cystine urine quantitative CPT 82131 | $148.80 | $186.00 | $95.42 – $167.40 | 17 |
| Cytogenetics 25-99 CPT 88274 | $103.20 | $129.00 | $66.18 – $116.10 | 17 |
| Cytogenetics 3-5 CPT 88272 | $99.20 | $124.00 | $63.61 – $111.60 | 17 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $70.40 | $88.00 | $45.14 – $79.20 | 17 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $78.40 | $98.00 | $50.27 – $88.20 | 17 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $134.40 | $168.00 | $86.18 – $151.20 | 17 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $115.20 | $144.00 | $73.87 – $129.60 | 17 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $129.60 | $162.00 | $83.11 – $145.80 | 17 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $132.00 | $165.00 | $84.65 – $148.50 | 17 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $246.40 | $308.00 | $158.00 – $277.20 | 17 |
| Cytopath smear other source CPT 88160 | $134.40 | $168.00 | $86.18 – $151.20 | 17 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $71.87 | $89.83 | $44.76 – $78.53 | 17 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | not published | not published | $61.60 – $61.60 | 1 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $1,285.49 | $1,606.86 | $560.66 – $983.61 | 17 |
| Dch validity tests CPT 81002 | $32.80 | $41.00 | $21.03 – $36.90 | 17 |
| Deamidated gliadin antibody iga CPT 86258 | $79.20 | $99.00 | $34.88 – $61.20 | 17 |
| Debridement (>20 cm) charge pt CPT 97598 | $392.80 | $491.00 | $251.88 – $441.90 | 17 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $1,257.60 | $1,572.00 | $806.44 – $1,414.80 | 17 |
| Debride nail6 or more 11721 CPT 11721 | $301.60 | $377.00 | $193.40 – $339.30 | 17 |
| Decalcification CPT 88311 | $29.60 | $37.00 | $18.98 – $33.30 | 17 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $208.80 | $261.00 | $133.89 – $234.90 | 17 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $4,406.88 | $5,508.60 | $1,257.12 – $2,205.47 | 17 |
| Destruction benign lesions < 14 lesions CPT 17110 | $220.00 | $275.00 | $141.08 – $247.50 | 17 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $4.70 | $5.87 | $0.77 – $1.35 | 17 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $61.19 | $76.48 | $38.65 – $67.82 | 17 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $280.64 | $350.80 | $179.96 – $315.72 | 17 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $86.40 | $108.00 | $55.40 – $97.20 | 17 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $86.40 | $108.00 | $41.55 – $72.90 | 17 |
| Dextrose 5 % IV bolus HCPCS J7070 | $86.40 | $108.00 | $55.40 – $97.20 | 17 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $197.60 | $247.00 | $126.71 – $222.30 | 17 |
| Diabetes (HbA1c) Test CPT 83036 | $62.40 | $78.00 | $40.01 – $77.00 | 17 |
| Diab manage trn ind/group HCPCS G0109 | $68.80 | $86.00 | $44.12 – $77.40 | 17 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $68.03 | $85.03 | $42.66 – $74.84 | 17 |
| Diffusing capacity CPT 94729 | $228.00 | $285.00 | $146.21 – $256.50 | 17 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $64.48 | $80.60 | $39.97 – $70.13 | 17 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $4,438.71 | $5,548.38 | $2,846.32 – $4,993.54 | 17 |
| Digoxin total therapeutic drug level CPT 80162 | $95.20 | $119.00 | $61.05 – $107.10 | 17 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | $60.63 | $75.78 | $38.85 – $68.17 | 17 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | $1.20 | $1.50 | $0.77 – $1.35 | 17 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $60.62 | $75.77 | $38.76 – $68.00 | 17 |
| Disability dlco CPT 94727 | $272.80 | $341.00 | $174.93 – $306.90 | 17 |
| Dna antibody native/double stranded CPT 86225 | $100.80 | $126.00 | $64.64 – $113.40 | 17 |
| Dna probe chlamydia CPT 87490 | $84.00 | $105.00 | $53.87 – $94.50 | 17 |
| Dna probe gc CPT 87590 | $80.80 | $101.00 | $51.81 – $90.90 | 17 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $111.66 | $139.57 | $39.85 – $69.91 | 17 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $132.83 | $166.03 | $69.93 – $122.69 | 17 |
| Doppler echo complete CPT 93320 | $760.80 | $951.00 | $487.86 – $855.90 | 17 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $996.80 | $1,246.00 | $639.20 – $1,121.40 | 17 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $463.20 | $579.00 | $297.03 – $521.10 | 17 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | not published | not published | $283.24 – $283.24 | 1 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $73.84 | $92.30 | $45.39 – $79.63 | 17 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $500.00 | $625.00 | $320.63 – $562.50 | 17 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $440.80 | $551.00 | $282.66 – $495.90 | 17 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $580.80 | $726.00 | $372.44 – $653.40 | 17 |
| Drug assay vedolizumab CPT 80280 | $132.80 | $166.00 | $85.16 – $149.40 | 17 |
| Drug of abuse screen urine CPT 80305 | $58.40 | $73.00 | $37.45 – $65.70 | 17 |
| Drug test prsmv instrmnt CPT 80306 | $80.80 | $101.00 | $51.81 – $90.90 | 17 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $195.20 | $244.00 | $105.17 – $184.50 | 17 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $969.60 | $1,212.00 | $621.76 – $1,090.80 | 17 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $1,316.00 | $1,645.00 | $843.89 – $1,480.50 | 17 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | not published | not published | $98.03 – $98.03 | 1 |
| Ecallantide injection HCPCS J1290 | not published | not published | $576.49 – $576.49 | 1 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $152.80 | $191.00 | $97.98 – $171.90 | 17 |
| Ecg external < 48 hours recording CPT 93225 | $488.00 | $610.00 | $312.93 – $549.00 | 17 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $740.80 | $926.00 | $475.04 – $833.40 | 17 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $181.60 | $227.00 | $116.45 – $204.30 | 17 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $230.40 | $288.00 | $147.74 – $259.20 | 17 |
| Ecg record/review CPT 93268 | $376.00 | $470.00 | $241.11 – $423.00 | 17 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $2,504.00 | $3,130.00 | $1,605.69 – $2,817.00 | 17 |
| Echocardiogram (Limited Follow-Up Heart Ultrasound) CPT 93308 | $1,074.40 | $1,343.00 | $688.96 – $1,208.70 | 17 |
| Echocardiography doppler color flow mapping CPT 93325 | $668.80 | $836.00 | $428.87 – $752.40 | 17 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $432.80 | $541.00 | $277.53 – $486.90 | 17 |
| Echo stress CPT 93350 | $2,159.20 | $2,699.00 | $1,384.59 – $2,429.10 | 17 |
| Echo transthoracic CPT 93303 | $2,223.20 | $2,779.00 | $1,425.63 – $2,501.10 | 17 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $1,612.80 | $2,016.00 | $1,034.21 – $1,814.40 | 17 |
| Eculizumab injection HCPCS J1300 | not published | not published | $228.86 – $228.86 | 1 |
| Eeg 41-60 minutes 95812-26 CPT 95812 | $1,304.80 | $1,631.00 | $836.70 – $1,467.90 | 17 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $1,171.20 | $1,464.00 | $751.03 – $1,317.60 | 17 |
| Eeg recording awake and asleep CPT 95819 | $1,232.00 | $1,540.00 | $790.02 – $1,386.00 | 17 |
| Efgartigimod alfa-fcab 20 mg/ml intravenous solution HCPCS J9332 | not published | not published | $33.19 – $33.19 | 1 |
| Egd guide wire insertion CPT 43248 | $2,756.00 | $3,445.00 | $1,767.29 – $3,100.50 | 17 |
| EKG (Tracing Only) CPT 93005 | $248.00 | $310.00 | $159.03 – $279.00 | 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.