Sanford Chamberlain Medical Center — price list
← Hospital overviewVerified from Sanford Chamberlain Medical Center’s published price file
Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Showing the first 1,500 prices from a large file. Search a procedure or code below to narrow the list.
How to read these columns
- List
- The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
- Cash
- The discounted self-pay price for paying directly, without insurance.
- Negotiated
- Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.
These are the hospital’s published reference prices, not a personalized estimate of your bill.
1,500 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| ,Insulin Aspart Soln Pen-injector 100 Unit/ML,Insulin Aspart Soln Cartridge 100 Unit/ML Inpatient | 0250 RC | $54.80 | $43.84 | $30.02 – $49.32 | — | |
| Abatacept For IV Soln 250 MG Inpatient | J0129 HCPCS | $2,148 | $1,719 | $1,177 – $1,934 | — | |
| Abatacept Subcutaneous Soln Prefilled Syringe 125 MG/ML Inpatient | J0129 HCPCS | $2,120 | $1,696 | $1,161 – $1,908 | — | |
| Abd hysterectomy Inpatient | 0360 RC | $14,973 | $11,978 | $8,204 – $13,476 | — | |
| Abd hysterectomy bso Inpatient | 0360 RC | $12,091 | $9,673 | $6,625 – $10,882 | — | |
| Abd perineal resection Inpatient | 0360 RC | $11,219 | $8,975 | $6,147 – $10,097 | — | |
| Acetaminophen Chew Tab 80 MG Inpatient | J3490 HCPCS | $1.75 | $1.40 | $0.96 – $1.58 | — | |
| Acetaminophen IV Soln 10 MG/ML Inpatient | J0134 HCPCS | $173 | $138 | $94.54 – $155 | — | |
| Acetaminophen IV Soln 10 MG/ML Inpatient | J0137 HCPCS | $174 | $139 | $95.47 – $157 | — | |
| Acetaminophen IV Soln 10 MG/ML Inpatient | J0131 HCPCS | $173 | $139 | $95.03 – $156 | — | |
| Acetaminophen Liquid 160 MG/5ML Inpatient | J3490 HCPCS | $8.19 | $6.56 | $4.49 – $7.37 | — | |
| Acetaminophen Soln 160 MG/5ML Inpatient | J3490 HCPCS | $7.15 | $5.72 | $3.92 – $6.44 | — | |
| Acetaminophen Suppos 120 MG Inpatient | 0250 RC | $1.50 | $1.20 | $0.82 – $1.35 | — | |
| Acetaminophen Suppos 325 MG Inpatient | 0250 RC | $4.65 | $3.72 | $2.55 – $4.19 | — | |
| Acetaminophen Suppos 650 MG Inpatient | 0250 RC | $1.50 | $1.20 | $0.82 – $1.35 | — | |
| Acetaminophen Susp 160 MG/5ML Inpatient | 0250 RC | $7.24 | $5.80 | $3.97 – $6.52 | — | |
| Acetaminophen Tab 325 MG Inpatient | 0250 RC | $1.75 | $1.40 | $0.96 – $1.58 | — | |
| Acetaminophen Tab 325 MG Inpatient | J3490 HCPCS | $1.75 | $1.40 | $0.96 – $1.58 | — | |
| Acetaminophen Tab 500 MG Inpatient | J3490 HCPCS | $1.75 | $1.40 | $0.96 – $1.58 | — | |
| Acetaminophen w/ Codeine Soln 120-12 MG/5ML Inpatient | 0250 RC | $4.40 | $3.52 | $2.41 – $3.96 | — | |
| Acetaminophen w/ Codeine Tab 300-30 MG Inpatient | 0250 RC | $14.29 | $11.44 | $7.83 – $12.86 | — | |
| Acetylcholine Chloride Intraocular For Soln 20 MG (1:100) Inpatient | 0250 RC | $134 | $107 | $73.23 – $120 | — | |
| Acetylcysteine Cap 600 MG Inpatient | 0250 RC | $1.50 | $1.20 | $0.82 – $1.35 | — | |
| Acetylcysteine Inhal Soln 20% Inpatient | 0250 RC | $26.04 | $20.84 | $14.27 – $23.44 | — | |
| Acetylcysteine Inhal Soln 20% Inpatient | J7608 HCPCS | $26.04 | $20.84 | $14.27 – $23.44 | — | |
| Acetylcysteine Inj 200 MG/ML Inpatient | J0132 HCPCS | $114 | $90.84 | $62.21 – $102 | — | |
| Acyclovir Sodium IV Soln 50 MG/ML Inpatient | J0133 HCPCS | $78.13 | $62.51 | $42.81 – $70.32 | — | |
| Acyclovir Susp 200 MG/5ML Inpatient | 0250 RC | $7.06 | $5.65 | $3.87 – $6.35 | — | |
| Acyclovir Tab 400 MG Inpatient | 0250 RC | $1.50 | $1.20 | $0.82 – $1.35 | — | |
| Adapalene Gel 0.3% Inpatient | 0250 RC | $132 | $105 | $72.13 – $118 | — |