Sanford Clear Lake Medical Center
Sanford Clear Lake Medical Center in Clear Lake, SD publishes cash prices for 36 common procedures listed here, from its own machine-readable price file updated Mar 4, 2026. Click a procedure to compare it with other hospitals nearby.
701 3rd Ave S, Clear Lake, SD 57226-2016 Collected Sep 23, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD PELVIS W CONTRAST | $4,703.20 | $5,879.00 | 20% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD PELVIS W CONTRAST | $4,703.20 | $5,879.00 | 20% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WO CONTRAST | $2,079.20 | $2,599.00 | 20% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD WO CONTRAST | $2,079.20 | $2,599.00 | 20% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W CONTRAST | $2,378.40 | $2,973.00 | 20% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W CONTRAST | $2,378.40 | $2,973.00 | 20% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI LOWER EXT JT WO CONTRAST | $3,053.60 | $3,817.00 | 20% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI LOWER EXT JT WO CONTRAST | $3,053.60 | $3,817.00 | 20% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI LOWER EXT JT WO THEN W CONT | $4,055.20 | $5,069.00 | 20% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI LOWER EXT JT WO THEN W CONT | $4,055.20 | $5,069.00 | 20% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN WO CONTRAST | $3,093.60 | $3,867.00 | 20% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN WO CONTRAST | $3,093.60 | $3,867.00 | 20% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN WO THEN W CONT | $4,516.00 | $5,645.00 | 20% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN WO THEN W CONT | $4,516.00 | $5,645.00 | 20% |
| MRI of the lower back, no contrast dye CPT 72148 MRI L SPINE WO CONTRAST | $3,128.80 | $3,911.00 | 20% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI L SPINE WO CONTRAST | $3,128.80 | $3,911.00 | 20% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PG UTR 2-3TRI SGL 1ST | $957.60 | $1,197.00 | 20% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US PG UTR 2-3TRI SGL 1ST | $957.60 | $1,197.00 | 20% |
| Screening mammogram, both breasts both sides CPT 77067 MAMMO SCREEN BILAT INCL CAD | $487.20 | $609.00 | 20% |
| Screening mammogram, both breasts one side CPT 77067 MAMMO SCREEN UNILAT INCL CAD M52 | $487.20 | $609.00 | 20% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 MAMMO SCREEN BILAT INCL CAD | $487.20 | $609.00 | 20% |
| Screening mammogram, both breasts inpatient one side CPT 77067 MAMMO SCREEN UNILAT INCL CAD M52 | $487.20 | $609.00 | 20% |
| Sleep study in a lab (polysomnography) CPT 95810 PSG 4+ PARAMETERS | $4,360.80 | $5,451.00 | 20% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 PSG 4+ PARAMETERS | $4,360.80 | $5,451.00 | 20% |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL | $834.40 | $1,043.00 | 20% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL | $834.40 | $1,043.00 | 20% |
| Ultrasound of the abdomen, complete CPT 76700 US ABD COMPLETE | $1,109.60 | $1,387.00 | 20% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US ABD COMPLETE | $1,109.60 | $1,387.00 | 20% |
| X-ray of the lower back, 4 or more views CPT 72110 RAD EXAM SPINE LUMB MIN 4 VWS | $617.60 | $772.00 | 20% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 RAD EXAM SPINE LUMB MIN 4 VWS | $617.60 | $772.00 | 20% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL 80048 | $111.20 | $139.00 | 20% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL 80048 | $111.20 | $139.00 | 20% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL 80061 | $80.80 | $101.00 | 20% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL 80061 | $80.80 | $101.00 | 20% |
| Complete blood count (CBC) with differential CPT 85025 COMPLETE CBC W/AUTO DIFF WBC 85025 | $67.20 | $84.00 | 20% |
| Complete blood count (CBC) with differential inpatient CPT 85025 COMPLETE CBC W/AUTO DIFF WBC 85025 | $67.20 | $84.00 | 20% |
| Complete blood count (CBC), no differential CPT 85027 BLOOD COUNT COMPLETE AUTOMATED 85027 | $74.40 | $93.00 | 20% |
| Complete blood count (CBC), no differential inpatient CPT 85027 BLOOD COUNT COMPLETE AUTOMATED 85027 | $74.40 | $93.00 | 20% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL 80053 | $135.20 | $169.00 | 20% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL 80053 | $135.20 | $169.00 | 20% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL 80069 | $125.60 | $157.00 | 20% |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL 80069 | $125.60 | $157.00 | 20% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL 80076 | $118.40 | $148.00 | 20% |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL 80076 | $118.40 | $148.00 | 20% |
| Obstetric blood test panel CPT 80055 OBSTETRIC PANEL 80055 | $212.80 | $266.00 | 20% |
| Obstetric blood test panel inpatient CPT 80055 OBSTETRIC PANEL 80055 | $212.80 | $266.00 | 20% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE 84154 | $117.60 | $147.00 | 20% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE 84154 | $117.60 | $147.00 | 20% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 CDMR ASSAY OF PSA TOTAL 84153 | $89.60 | $112.00 | 20% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 CDMR ASSAY OF PSA TOTAL 84153 | $89.60 | $112.00 | 20% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTIAL PLASMA WHOLE BLOOD (PTT) 85730 | $65.60 | $82.00 | 20% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME PARTIAL PLASMA WHOLE BLOOD (PTT) 85730 | $65.60 | $82.00 | 20% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME 85610 | $42.40 | $53.00 | 20% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME - PROTIME CLINIC 85610 | $52.80 | $66.00 | 20% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTIME 85610 | $42.40 | $53.00 | 20% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTIME - PROTIME CLINIC 85610 | $52.80 | $66.00 | 20% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE (TSH) 84443 | $81.60 | $102.00 | 20% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIMULATING HORMONE (TSH) 84443 | $81.60 | $102.00 | 20% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO W/SCOPE 81001 | $32.80 | $41.00 | 20% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS AUTO W/SCOPE 81001 | $32.80 | $41.00 | 20% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS-DIPSTICK ONLY 81003 | $24.80 | $31.00 | 20% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS-DIPSTICK ONLY 81003 | $24.80 | $31.00 | 20% |
| Urinalysis without microscope exam, manual CPT 81002 CLINITEST DIPSTICK TABLET81002 | $32.80 | $41.00 | 20% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 CLINITEST DIPSTICK TABLET81002 | $32.80 | $41.00 | 20% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Upper endoscopy (EGD) with biopsy CPT 43239 ED 43239 UPPER GI BX | $2,577.60 | $3,222.00 | 20% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 ED 43239 UPPER GI BX | $2,577.60 | $3,222.00 | 20% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| New patient office visit, about 30 minutes CPT 99203 NEW PATIENT LEVEL 3 | $194.40 | $243.00 | 20% |
| New patient office visit, about 30 minutes CPT 99203 NEW AMS OR CONSULT PATIENT LVL 3 | $194.40 | $243.00 | 20% |
| New patient office visit, about 30 minutes inpatient CPT 99203 NEW PATIENT LEVEL 3 | $194.40 | $243.00 | 20% |
| New patient office visit, about 30 minutes inpatient CPT 99203 NEW AMS OR CONSULT PATIENT LVL 3 | $194.40 | $243.00 | 20% |
| New patient office visit, about 45 minutes CPT 99204 NEW PATIENT LEVEL 4 | $232.00 | $290.00 | 20% |
| New patient office visit, about 45 minutes CPT 99204 NEW AMS OR CONSULT PATIENT LVL 4 | $232.00 | $290.00 | 20% |
| New patient office visit, about 45 minutes inpatient CPT 99204 NEW AMS OR CONSULT PATIENT LVL 4 | $232.00 | $290.00 | 20% |
| New patient office visit, about 45 minutes inpatient CPT 99204 NEW PATIENT LEVEL 4 | $232.00 | $290.00 | 20% |
| New patient office visit, about 60 minutes CPT 99205 NEW PATIENT LEVEL 5 | $302.40 | $378.00 | 20% |
| New patient office visit, about 60 minutes CPT 99205 NEW AMS OR CONSULT PATIENT LVL 5 | $302.40 | $378.00 | 20% |
| New patient office visit, about 60 minutes inpatient CPT 99205 NEW AMS OR CONSULT PATIENT LVL 5 | $302.40 | $378.00 | 20% |
| New patient office visit, about 60 minutes inpatient CPT 99205 NEW PATIENT LEVEL 5 | $302.40 | $378.00 | 20% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THER EXERCISE EA 15 MIN 97110 | $126.40 | $158.00 | 20% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THER EXERCISE EA 15 MIN 97110 | $126.40 | $158.00 | 20% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 OFFICE OP CONSULT EST LOW MDM 30 MIN | $233.60 | $292.00 | 20% |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 OFFICE OP CONSULT EST LOW MDM 30 MIN | $233.60 | $292.00 | 20% |