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 |
|---|---|---|---|---|
| Gammaglobulin ige CPT 82785 | $97.60 | $122.00 | $39.50 – $69.30 | 17 |
| Gamma glutamyltransferase CPT 82977 | $61.60 | $77.00 | $39.50 – $69.30 | 17 |
| Gammaplex injection HCPCS J1557 | not published | not published | $59.03 – $59.03 | 1 |
| Gamunex-c/gammaked HCPCS J1561 | $3,551.52 | $4,439.40 | $49.73 – $3,995.46 | 17 |
| General health panel CPT 80050 | $271.20 | $339.00 | $173.91 – $305.10 | 17 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $86.05 | $107.56 | $38.77 – $68.02 | 17 |
| Gentamicin peak therapeutic drug level CPT 80170 | $112.80 | $141.00 | $72.33 – $126.90 | 17 |
| Ghs chemo >8 hrs CPT 96416 | not published | not published | $308.80 – $308.80 | 1 |
| Ghs chemo infusion >8 hrs CPT 96425 | not published | not published | $407.20 – $407.20 | 1 |
| Ghs chemo IV push, ea addtl CPT 96411 | not published | not published | $132.00 – $132.00 | 1 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $356.80 | $446.00 | $228.80 – $401.40 | 17 |
| Ghs closed reduction ankle dislocation CPT 27840 | $381.60 | $477.00 | $244.70 – $429.30 | 17 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | $2,859.20 | $3,574.00 | $1,833.46 – $3,216.60 | 17 |
| Ghs community re-entry 15 minutes CPT 97537 | $120.80 | $151.00 | $77.46 – $135.90 | 17 |
| Ghs dislocation elbow closed treatment CPT 24600 | $671.20 | $839.00 | $430.41 – $755.10 | 17 |
| Ghs excision ingrown nail CPT 11765 | $488.00 | $610.00 | $312.93 – $549.00 | 17 |
| Ghs fish cytogen CPT 88271 | $58.40 | $73.00 | $37.45 – $65.70 | 17 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $124.80 | $156.00 | $80.03 – $140.40 | 17 |
| Ghs flow volume loop CPT 94375 | $483.20 | $604.00 | $309.85 – $543.60 | 17 |
| Ghs HIV antibody CPT 86703 | $110.40 | $138.00 | $70.79 – $124.20 | 17 |
| Ghs init tx 1st degree burn CPT 16000 | $400.80 | $501.00 | $257.01 – $450.90 | 17 |
| Ghs insertion of needle - bone CPT 36680 | $508.80 | $636.00 | $326.27 – $572.40 | 17 |
| Ghs IV infusion casirivimab/imdevimab HCPCS M0243 | not published | not published | $991.10 – $991.10 | 1 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $904.00 | $1,130.00 | $579.69 – $1,017.00 | 17 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $674.40 | $843.00 | $432.46 – $758.70 | 17 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $511.20 | $639.00 | $327.81 – $575.10 | 17 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $747.20 | $934.00 | $479.14 – $840.60 | 17 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $937.60 | $1,172.00 | $601.24 – $1,054.80 | 17 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $860.00 | $1,075.00 | $551.48 – $967.50 | 17 |
| Ghs myocardial strain img spckl track CPT 93356 | $566.40 | $708.00 | $363.20 – $637.20 | 17 |
| Ghs nailbed repair/nail removal CPT 11760 | $1,150.40 | $1,438.00 | $737.69 – $1,294.20 | 17 |
| Ghs ot group caregiver training CPT 97552 | $52.00 | $65.00 | $33.35 – $58.50 | 17 |
| Ghs ot prosthetic training/15 min CPT 97761 | $119.20 | $149.00 | $76.44 – $134.10 | 17 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $57.60 | $72.00 | $36.94 – $64.80 | 17 |
| Ghs removal intranasal foreign body CPT 30300 | $359.20 | $449.00 | $230.34 – $404.10 | 17 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | $105.60 | $132.00 | $67.72 – $118.80 | 17 |
| Ghs sensitivity (per antimicro) CPT 87184 | $54.40 | $68.00 | $34.88 – $61.20 | 17 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $436.00 | $545.00 | $279.59 – $490.50 | 17 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $536.00 | $670.00 | $343.71 – $603.00 | 17 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $500.00 | $625.00 | $320.63 – $562.50 | 17 |
| Ghs sleep study unattended CPT 95800 | $608.00 | $760.00 | $389.88 – $684.00 | 17 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | $214.40 | $268.00 | $137.48 – $241.20 | 17 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | not published | not published | $38.40 – $38.40 | 1 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | not published | not published | $345.60 – $345.60 | 1 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $1,120.00 | $1,400.00 | $718.20 – $1,260.00 | 17 |
| Ghs urine, porphyrins quant CPT 84120 | $50.40 | $63.00 | $32.32 – $56.70 | 17 |
| Gi inhouse confirmation CPT 87045 | $66.40 | $83.00 | $42.58 – $74.70 | 17 |
| Glassia injection HCPCS J0257 | not published | not published | $5.66 – $5.66 | 1 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $379.09 | $473.86 | $147.33 – $258.48 | 17 |
| Glucose 1 hr post dose CPT 82950 | $50.40 | $63.00 | $32.32 – $56.70 | 17 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $32.80 | $41.00 | $21.03 – $36.90 | 17 |
| Glucose blood quantitative CPT 82947 | $48.00 | $60.00 | $30.78 – $54.00 | 17 |
| Glucose body fluid CPT 82945 | $56.80 | $71.00 | $36.42 – $63.90 | 17 |
| Glucose monitoring continual min 72hr pt CPT 95249 | $153.60 | $192.00 | $98.50 – $172.80 | 17 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $144.80 | $181.00 | $92.85 – $162.90 | 17 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $63.19 | $78.98 | $38.69 – $67.88 | 17 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $2,446.18 | $3,057.72 | $11.33 – $2,751.95 | 17 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $128.80 | $161.00 | $82.59 – $144.90 | 17 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $131.20 | $164.00 | $84.13 – $147.60 | 17 |
| Graft axiofill 1000mg HCPCS J3590 | $2,941.20 | $3,676.50 | $1,886.04 – $3,308.85 | 17 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $141.60 | $177.00 | $84.13 – $147.60 | 17 |
| Group train without patient HCPCS G0543 | $51.20 | $64.00 | $32.83 – $57.60 | 17 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $64.19 | $80.23 | $38.74 – $67.97 | 17 |
| Hands-On Manual Therapy (each 15 minutes) CPT 97140 | $120.80 | $151.00 | $77.46 – $135.90 | 17 |
| Hand X-ray CPT 73130 | $356.00 | $445.00 | $228.29 – $400.50 | 17 |
| Hand X-ray (2 views, both hands) CPT 73120 | $245.60 | $307.00 | $157.49 – $276.30 | 17 |
| Haptoglobin quantitative CPT 83010 | $99.20 | $124.00 | $63.61 – $111.60 | 17 |
| Hcg qualitative CPT 84703 | $80.00 | $100.00 | $51.30 – $90.00 | 17 |
| Hcg quantitative CPT 84702 | $131.20 | $164.00 | $84.13 – $147.60 | 17 |
| Head CT scan (with and without contrast) CPT 70470 | $2,618.40 | $3,273.00 | $893.20 – $2,945.70 | 17 |
| Head CT scan (with contrast) CPT 70460 | $2,457.60 | $3,072.00 | $893.20 – $2,764.80 | 17 |
| Head CT scan (without contrast) CPT 70450 | $2,079.20 | $2,599.00 | $940.50 – $2,339.10 | 17 |
| Heel (Calcaneus) X-ray (both feet) CPT 73650 | $319.20 | $399.00 | $204.69 – $359.10 | 17 |
| Helicobacter pylori antibody igm CPT 86677 | $164.80 | $206.00 | $105.68 – $185.40 | 17 |
| Hematocrit CPT 85014 | $32.80 | $41.00 | $21.03 – $36.90 | 17 |
| Hemoglobin CPT 85018 | $29.60 | $37.00 | $18.98 – $33.30 | 17 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $58.40 | $73.00 | $37.45 – $65.70 | 17 |
| Hemoglobin plasma CPT 83051 | $74.40 | $93.00 | $47.71 – $83.70 | 17 |
| Hepagam b intravenous, inj HCPCS J1573 | $252.69 | $315.86 | $162.04 – $284.27 | 17 |
| Heparin assay CPT 85520 | $155.20 | $194.00 | $99.52 – $174.60 | 17 |
| Heparin bolus from bag HCPCS J1644 | $110.06 | $137.57 | $38.93 – $68.29 | 17 |
| Hepatitis a antibody igm CPT 86709 | $99.20 | $124.00 | $63.61 – $111.60 | 17 |
| Hepatitis b core antibody igm CPT 86705 | $139.20 | $174.00 | $89.26 – $156.60 | 17 |
| Hepatitis b core antibody total CPT 86704 | $96.00 | $120.00 | $61.56 – $108.00 | 17 |
| Hepatitis b surface antibody CPT 86706 | $92.80 | $116.00 | $59.51 – $104.40 | 17 |
| Hepatitis c antibody CPT 86803 | $124.00 | $155.00 | $79.52 – $139.50 | 17 |
| Herpes simplex type 1 antibody igg CPT 86695 | $111.20 | $139.00 | $71.31 – $125.10 | 17 |
| Herpes simplex type 2 antibody igg CPT 86696 | $103.20 | $129.00 | $66.18 – $116.10 | 17 |
| Heterophile antibodies screening CPT 86308 | $72.00 | $90.00 | $46.17 – $81.00 | 17 |
| Hip and Pelvis X-ray (2 views, both hips) CPT 73521 | $532.00 | $665.00 | $341.15 – $598.50 | 17 |
| Hip and Pelvis X-ray (3 to 4 views, both hips) CPT 73522 | $424.80 | $531.00 | $272.40 – $477.90 | 17 |
| Hip and Pelvis X-ray (single view, left side) CPT 73501 | $297.60 | $372.00 | $190.84 – $334.80 | 17 |
| Hip X-ray CPT 73502 | $269.60 | $337.00 | $172.88 – $303.30 | 17 |
| Histamine CPT 83088 | $75.20 | $94.00 | $48.22 – $84.60 | 17 |
| Hizentra injection HCPCS J1559 | not published | not published | $13.46 – $13.46 | 1 |
| Homocysteine CPT 83090 | $96.00 | $120.00 | $61.56 – $108.00 | 17 |
| H pylori (c-13) breath CPT 83013 | $325.60 | $407.00 | $208.79 – $366.30 | 17 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | $98.80 | $123.49 | $63.35 – $111.14 | 17 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $63.36 | $79.20 | $40.21 – $70.55 | 17 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $74.42 | $93.02 | $40.89 – $71.74 | 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.