Home › Hospitals › Sanford Clear Lake Medical Center Posts prices for 32 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-08.
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Procedure Posted cash Posted gross × Medicare
Upper GI endoscopy (EGD) with biopsy (43239) $2,577.60
$3,222
2.8×
CT head/brain without contrast (70450) $2,079.20
$2,599
19.5×
MRI brain without contrast (70551) $3,093.60
$3,867
12.7×
MRI brain without and with contrast (70553) $4,516
$5,645
12.7×
X-ray lower spine, 4+ views (72110) $617.60
$772
5.8×
MRI lumbar spine without contrast (72148) $3,128.80
$3,911
12.8×
CT pelvis with contrast (72193) $2,378.40
$2,973
13.3×
MRI lower-extremity joint without contrast (73721) $3,053.60
$3,817
12.5×
CT abdomen and pelvis with contrast (74177) $4,703.20
$5,879
13.2×
Ultrasound, abdomen complete (76700) $1,109.60
$1,387
10.4×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $957.60
$1,197
9.0×
Ultrasound, transvaginal (76830) $834.40
$1,043
7.8×
Mammography, screening (bilateral) (77067) $487.20
$609
5.3×
Basic metabolic panel (80048) $111.20
$139
13.1×
Comprehensive metabolic panel (80053) $135.20
$169
12.8×
Obstetric panel (80055) $212.80
$266
4.5×
Lipid panel (80061) $80.80
$101
6.0×
Renal function panel (80069) $125.60
$157
14.5×
Hepatic function panel (80076) $118.40
$148
14.5×
Urinalysis, non-automated, without microscopy (81002) $32.80
$41
9.4×
PSA, total (84153) $89.60
$112
4.9×
Thyroid stimulating hormone (TSH) (84443) $81.60
$102
4.9×
CBC with automated differential (85025) $67.20
$84
8.6×
CBC, automated (85027) $74.40
$93
11.5×
Prothrombin time (PT) (85610) range across 2 matching MRF lines $42.40–$52.80
$53–$66
varies
Partial thromboplastin time (PTT) (85730) $65.60
$82
10.9×
Sleep study (attended polysomnography) (95810) $4,360.80
$5,451
5.0×
Physical therapy, therapeutic exercise (per 15 min) (97110) $126.40
$158
4.3×
Office visit, new patient (low complexity, ~30 min) (99203) $194.40
$243
1.4×
Office visit, new patient (moderate complexity, ~45 min) (99204) $232
$290
1.7×
Office visit, new patient (high complexity, ~60 min) (99205) $302.40
$378
2.2×
Office consultation (low complexity, ~30 min) (99243) $233.60
$292
1.7×
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.
As a Critical Access Hospital, Medicare pays this facility about 101% of its own costs. The × Medicare column compares the cash price against that cost-based benchmark, not a standard rate.
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