Visits & medical services prices at Sanford Clear Lake Medical Center

Clear Lake, SD · every code in this section with a posted price and a Medicare benchmark.

134 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Admn Sarscov2 Vacc 1 Dose (90480) $71.20 $89 1.7×
Airway Inhalation Treatment (94640)
range across 4 matching MRF lines
$97.60–$252.80 $122–$316 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $102.40 $128 7.1×
Application Modality 1/> Areas Infrared (97026) $53.60 $67 8.0×
Assessment of aphasia per hr (96105) $391.20 $489 4.0×
Behavral qualit analys voice (92524) $248 $310 2.3×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $562.40 $703 1.5×
Canalith repositioning proc (95992) $141.60 $177 3.5×
Cardiac Stress Tst,Tracing Only (93017) $1,179.20 $1,474 5.3×
Cardiopulmonary resuscitation (92950) $1,090.40 $1,363 4.9×
Cardioversion (92960) $1,820 $2,275 2.7×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $61.60 $77 2.4×
Chemo Anti-Neopl Sq/Im (96401) $312 $390 4.2×
Chemo Hormon Antineopl Sq/Im (96402) $239.20 $299 3.3×
Chemo IV infusion addl hr (96415) $281.60 $352 3.8×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $828.80 $1,036 2.5×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $370.40 $463 1.1×
Chest Wall Manipulation (94668) $160 $200 1.2×
Color/duplex Doppler, complete (93975) $1,353.60 $1,692 5.6×
Color/duplex Doppler, limited (93976) $984 $1,230 9.2×
Community/Work Reintegration Trainj Ea 15 Min (97537) $120.80 $151 3.8×
Cont Gluc Mntr Pt Prov Eqp (95249) $153.60 $192 2.5×
Continuous Pulse Ox (94762) $412 $515 3.1×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $413.60 $517 1.8×
Cpt initial (94667) $212.80 $266 1.6×
Critical care first hour (99291) $3,036.80 $3,796 3.6×
Debridement Open Wound 20 Sq Cm< (97597) $456.80 $571 2.2×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $1,125.60 $1,407 4.6×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $863.20 $1,079 8.1×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,280.80 $1,601 5.3×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $958.40 $1,198 9.0×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,326.40 $1,658 5.4×
Dup-scan xtr veins unilateral/limited study (93971) $897.60 $1,122 8.4×
Duplex up extrem art bilat (93930) $1,316 $1,645 5.4×
Duplex up extrem art unilat/ltd (93931) $955.20 $1,194 8.9×
Echo Congenital Complete (93303) $2,223.20 $2,779 4.0×
Echo Heart Xthoracic,Limited (93308) $1,074.40 $1,343 4.4×
Eeg 41-60 Minutes (95812) $1,304.80 $1,631 5.9×
EEG awake and asleep (95819) $1,232 $1,540 5.6×
EEG awake drowsy (95816) $1,171.20 $1,464 5.3×
Electrical Stimulation Ea 15 Min (97032) $105.60 $132 7.2×
Electrocardiogram Tracing (93005) $248 $310 4.1×
Emergency Dept Visit Level 2 (99282) $483.20 $604 3.1×
Emergency Dept Visit Level 3 (99283) $827.20 $1,034 3.0×
Emergency Dept Visit Level 4 (99284) $1,103.20 $1,379 2.6×
Er level 1 (99281) $302.40 $378 3.5×
Er level v (99285) $1,428 $1,785 2.3×
Evaluate pt use of inhaler (94664) $208.80 $261 0.9×
Evaluate Speech Production (92522) $346.40 $433 3.1×
Evaluate Swallowing Function (92610) $378.40 $473 4.5×
Exercise test for bronchospasm (94617) $365.60 $457 2.7×
External ECG rec>48hr<7d recording (93242) $181.60 $227 4.8×
External ECG rec>48hr<7d scanning alys w/report (93243) $396.80 $496 2.9×
External ECG rec>7d<15d recording (93246) $230.40 $288 6.0×
External ECG rec>7d<15d scanning alys w/report (93247) $380 $475 2.8×
External Ecg Scanning Analysis Report (93226) $740.80 $926 12.3×
Extracranial Bilat Study (93880) $1,440 $1,800 5.9×
Extracranial Uni/Ltd Study (93882) $902.40 $1,128 8.4×
Holter monitor recording (93225) $488 $610 3.6×
Immunization administration (90471)
range across 5 matching MRF lines
$15.75–$50.40 $19.68–$63 varies
Iontophoresis 15 min (97033) $139.20 $174 7.3×
Irrig Drug Delivery Device (96523)
range across 2 matching MRF lines
$124.80–$172 $156–$215 varies
IV infusion hydration each additional hour (96361) $163.20 $204 3.4×
IV infusion hydration initial 31 min-1 hour (96360) $530.40 $663 2.4×
IV infusion ther proph addl sequential to 1 hr (96367) $206.40 $258 2.8×
IV infusion therapy prophylaxis/dx ea hour (96366) $179.20 $224 3.7×
IV push initial (96374)
range across 3 matching MRF lines
$20–$228 $25–$285 varies
Lung Function Test (Mbc/Mvv) (94200) $244.80 $306 4.1×
Lwr Xtr Vasc Stdy Bilat (93924) $969.60 $1,212 4.4×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $64 $80 1.7×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $50.40 $63 3.0×
Methacholine challenge (94070) $1,071.20 $1,339 2.8×
Motion Fluoroscopy/Swallow (92611) $501.60 $627 5.5×
Multiple Sleep Latency Test (95805) $3,286.40 $4,108 3.7×
Nerve Conduction Studies 1-2 Studies (95907) $503.20 $629 2.3×
Nerve Conduction Studies 11-12 Studies (95912) $2,119.20 $2,649 5.6×
Nerve conduction studies 13 or more studies (95913) $2,183.20 $2,729 5.7×
Nerve Conduction Studies 3-4 Studies (95908) $812.80 $1,016 3.7×
Nerve conduction studies 5-6 studies (95909) $1,029.60 $1,287 4.7×
Nerve conduction studies 7-8 studies (95910) $899.20 $1,124 2.4×
Nerve Conduction Studies 9-10 Studies (95911) $1,784 $2,230 4.7×
Neuromuscular Reeducation (97112) $127.20 $159 3.9×
Oral Function Therapy (92526) $300 $375 3.6×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $133.60 $167 2.9×
Ot Contrast Bath Ea 15 Min (97034) $92.80 $116 6.6×
Ot eval high complexity (97167) $348.80 $436 3.5×
Ot Eval Low Complex (97165) $280 $350 2.8×
Ot Eval Moderate Complexity (97166) $313.60 $392 3.1×
Ot manual therapy 15 min (97140) $120.80 $151 4.4×
Ot paraffin bath (97018) $94.40 $118 15.7×
Ot Prosthetic Training, Each 15 Min (97761) $119.20 $149 2.9×
Ot Re-Eval Est Plan Care (97168) $232.80 $291 3.4×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $282.40 $353 2.1×
Phlebotomy therapeutic (99195) $258.40 $323 1.9×
Physical Performance Test (97750) $86.40 $108 2.6×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $4,729.60 $5,912 5.4×
Pt Eval High Complex (97163) $323.20 $404 3.3×
Pt eval low complex 20 min (97161) $256.80 $321 2.6×
Pt Eval Mod Complex (97162) $280 $350 2.9×
Pt gait training 15 min (97116) $116 $145 4.0×
Pt group caregiver training (97552) $52 $65 2.4×
Pt mechanical traction (97012) $100 $125 7.0×
Pt Re-Eval Est Plan Care (97164) $145.60 $182 2.2×
Pulm function test by gas (94727) $272.80 $341 1.2×
Pulmonary Stress Testing (94618) $413.60 $517 3.0×
Respiratory flow volume loop (94375) $483.20 $604 2.2×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $152.80 $191 2.5×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $257.60 $322 1.3×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $516 $645 4.2×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $214.40 $268 4.5×
Self Care Mngment Training (97535) $121.60 $152 3.8×
Slp caregiver training 1st 30 min (97550) $123.20 $154 2.3×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $608 $760 2.8×
Speech sound lang comprehen (92523) $446.40 $558 2.0×
Spirometry (94010) $348 $435 1.6×
Standardized Cognitive Performance Testing (96125) $313.60 $392 3.0×
Stress Tte Only (93350) $2,159.20 $2,699 3.9×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $144 $180 6.4×
Ther Ivntj Ea Addl 15 Min (97130) $121.60 $152 5.8×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $128 $160 3.5×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $97.60 $122 3.3×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 4 matching MRF lines
$20–$172 $25–$215 varies
Ther/Proph/Diag Iv Inf Init (96365) $528 $660 2.4×
Therapeutic Activities (97530) $125.60 $157 3.6×
Tte w/doppler, complete (93306) $2,504 $3,130 4.5×
Tte W/O Doppler Complete (93307) $1,612.80 $2,016 6.6×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $315.20 $394 4.1×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 3 matching MRF lines
$20–$128 $25–$160 varies
Upr/L Xtremity Art 2 Levels (93922) $463.20 $579 3.4×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $996.80 $1,246 4.5×
Vasopneumatic device (97016) $80.80 $101 6.7×
Vital capacity, total (94150) $174.40 $218 1.3×
Wheelchair Mgmt Ea 15 Min (97542) $112.80 $141 3.6×
Whirlpool Therapy (97022) $144 $180 9.2×

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.