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 |
|---|---|---|---|---|
| Lung Function Test (Spirometry) CPT 94010 | $348.00 | $435.00 | $223.16 – $391.50 | 17 |
| Lung perfusion imaging CPT 78580 | $1,431.20 | $1,789.00 | $917.76 – $1,610.10 | 17 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | not published | not published | $41.40 – $41.40 | 1 |
| Macroscopic exam arthropod CPT 87168 | $61.60 | $77.00 | $39.50 – $69.30 | 17 |
| Magnesium CPT 83735 | $68.80 | $86.00 | $44.12 – $77.40 | 17 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $85.65 | $107.06 | $38.75 – $67.99 | 17 |
| Magnetic image bone marrow CPT 77084 | not published | not published | $1,156.10 – $1,156.10 | 1 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | $61.40 | $76.75 | $39.37 – $69.08 | 17 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $66.40 | $83.00 | $42.58 – $74.70 | 17 |
| Mayo aathr protein s free CPT 85306 | $266.40 | $333.00 | $170.83 – $299.70 | 17 |
| Mayo activated protein c resistance assay CPT 85307 | $183.20 | $229.00 | $117.48 – $206.10 | 17 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $70.40 | $88.00 | $45.14 – $79.20 | 17 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $160.00 | $200.00 | $102.60 – $180.00 | 17 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $50.40 | $63.00 | $32.32 – $56.70 | 17 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $112.00 | $140.00 | $71.82 – $126.00 | 17 |
| Mayo alpha 1 antitrypsin CPT 82103 | $128.00 | $160.00 | $24.62 – $43.20 | 17 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $498.40 | $623.00 | $319.60 – $560.70 | 17 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $460.00 | $575.00 | $294.98 – $517.50 | 17 |
| Mayo androstenedione CPT 82157 | $68.80 | $86.00 | $44.12 – $77.40 | 17 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $132.80 | $166.00 | $52.33 – $91.80 | 17 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $68.80 | $86.00 | $20.52 – $36.00 | 17 |
| Mayo avwpr vw factor activity CPT 85397 | $110.40 | $138.00 | $70.79 – $124.20 | 17 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $80.00 | $100.00 | $51.30 – $90.00 | 17 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $93.60 | $117.00 | $56.94 – $99.90 | 17 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $353.60 | $442.00 | $226.75 – $397.80 | 17 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | $524.00 | $655.00 | $336.02 – $589.50 | 17 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $68.80 | $86.00 | $44.12 – $77.40 | 17 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $89.60 | $112.00 | $57.46 – $100.80 | 17 |
| Mayo brcmg brucella antibody igm CPT 86622 | $56.80 | $71.00 | $36.42 – $63.90 | 17 |
| Mayo c1 esterase inhibitor CPT 83883 | $148.00 | $185.00 | $94.91 – $166.50 | 17 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $52.00 | $65.00 | $33.35 – $58.50 | 17 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $298.40 | $373.00 | $191.35 – $335.70 | 17 |
| Mayo ceruloplasmin CPT 82390 | $117.60 | $147.00 | $75.41 – $132.30 | 17 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $132.80 | $166.00 | $23.60 – $41.40 | 17 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $36.80 | $46.00 | $21.55 – $37.80 | 17 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $296.00 | $370.00 | $189.81 – $333.00 | 17 |
| Mayo coccidioides antibody CPT 86635 | $64.80 | $81.00 | $41.55 – $72.90 | 17 |
| Mayo cocou cortisone urine CPT 82542 | $57.60 | $72.00 | $36.94 – $64.80 | 17 |
| Mayo cortisol free CPT 82530 | $178.40 | $223.00 | $33.35 – $58.50 | 17 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $63.20 | $79.00 | $20.52 – $36.00 | 17 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $61.60 | $77.00 | $39.50 – $69.30 | 17 |
| Mayo estriol CPT 82677 | $160.00 | $200.00 | $102.60 – $180.00 | 17 |
| Mayo estrone CPT 82679 | $60.00 | $75.00 | $38.48 – $67.50 | 17 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $96.00 | $120.00 | $27.70 – $48.60 | 17 |
| Mayo everolimus therapeutic drug level CPT 80169 | $71.20 | $89.00 | $45.66 – $80.10 | 17 |
| Mayo factor ii CPT 85210 | $131.20 | $164.00 | $84.13 – $147.60 | 17 |
| Mayo factor viii vw factor antigen CPT 85246 | $110.40 | $138.00 | $70.79 – $124.20 | 17 |
| Mayo fat/lipids feces quantitative CPT 82710 | $57.60 | $72.00 | $36.94 – $64.80 | 17 |
| Mayo fbl culture fungi blood CPT 87103 | $79.20 | $99.00 | $50.79 – $89.10 | 17 |
| Mayo ffspg allergen clam igg CPT 86001 | $54.40 | $68.00 | $34.88 – $61.20 | 17 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $71.20 | $89.00 | $45.66 – $80.10 | 17 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $86.40 | $108.00 | $55.40 – $97.20 | 17 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | $86.40 | $108.00 | $55.40 – $97.20 | 17 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $65.60 | $82.00 | $38.48 – $67.50 | 17 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $207.20 | $259.00 | $104.14 – $182.70 | 17 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $66.40 | $83.00 | $42.58 – $74.70 | 17 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $85.60 | $107.00 | $54.89 – $96.30 | 17 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $65.60 | $82.00 | $42.07 – $73.80 | 17 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $190.40 | $238.00 | $26.68 – $46.80 | 17 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $52.80 | $66.00 | $33.86 – $59.40 | 17 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $179.20 | $224.00 | $65.15 – $114.30 | 17 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $52.80 | $66.00 | $33.86 – $59.40 | 17 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $128.00 | $160.00 | $62.59 – $109.80 | 17 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $40.80 | $51.00 | $26.16 – $45.90 | 17 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $200.00 | $250.00 | $128.25 – $225.00 | 17 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | $206.40 | $258.00 | $132.35 – $232.20 | 17 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $104.80 | $131.00 | $67.20 – $117.90 | 17 |
| Mayo infliximab therapeutic drug level CPT 80230 | $150.40 | $188.00 | $96.44 – $169.20 | 17 |
| Mayo iodine CPT 83789 | $220.80 | $276.00 | $141.59 – $248.40 | 17 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $37.60 | $47.00 | $24.11 – $42.30 | 17 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $99.20 | $124.00 | $63.61 – $111.60 | 17 |
| Mayo legionella antibody CPT 86713 | $156.80 | $196.00 | $36.42 – $63.90 | 17 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $52.80 | $66.00 | $33.86 – $59.40 | 17 |
| Mayo metanephrines plasma CPT 83835 | $46.40 | $58.00 | $29.75 – $52.20 | 17 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $131.20 | $164.00 | $33.86 – $59.40 | 17 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $178.40 | $223.00 | $72.85 – $127.80 | 17 |
| Mayo mpl sequence analysis exon 10 CPT 81339 | $455.20 | $569.00 | $291.90 – $512.10 | 17 |
| Mayo myoglobin CPT 83874 | $168.80 | $211.00 | $101.06 – $177.30 | 17 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $52.00 | $65.00 | $32.32 – $56.70 | 17 |
| Mayo oxalate 24 hour urine CPT 83945 | $57.60 | $72.00 | $36.94 – $64.80 | 17 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $88.80 | $111.00 | $56.94 – $99.90 | 17 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $328.80 | $411.00 | $33.86 – $59.40 | 17 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $94.40 | $118.00 | $60.53 – $106.20 | 17 |
| Mayo pregnenolone CPT 84140 | $49.60 | $62.00 | $31.81 – $55.80 | 17 |
| Mayo proinsulin CPT 84206 | $64.80 | $81.00 | $41.55 – $72.90 | 17 |
| Mayo psaft prostate specific antigen free CPT 84154 | $117.60 | $147.00 | $75.41 – $132.30 | 17 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $295.20 | $369.00 | $173.91 – $305.10 | 17 |
| Mayo renin CPT 84244 | $11.20 | $14.00 | $7.18 – $12.60 | 17 |
| Mayo repu protein electrophoresis urine CPT 84166 | $106.40 | $133.00 | $68.23 – $119.70 | 17 |
| Mayo serotonin CPT 84260 | $103.20 | $129.00 | $66.18 – $116.10 | 17 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | $156.00 | $195.00 | $35.40 – $62.10 | 17 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $54.40 | $68.00 | $34.88 – $61.20 | 17 |
| Mayo tgrp testosterone free CPT 84402 | $60.00 | $75.00 | $38.48 – $67.50 | 17 |
| Mayo tgrp testosterone total CPT 84403 | $181.60 | $227.00 | $38.99 – $68.40 | 17 |
| Mayo thyroglobulin CPT 84432 | $57.60 | $72.00 | $29.24 – $51.30 | 17 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | $124.80 | $156.00 | $76.95 – $135.00 | 17 |
| Mayo vitamin k CPT 84597 | $76.00 | $95.00 | $48.74 – $85.50 | 17 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $71.20 | $89.00 | $45.66 – $80.10 | 17 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | $191.14 | $238.92 | $45.16 – $79.23 | 17 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | $4,851.27 | $6,064.08 | $31.01 – $5,457.67 | 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.