Sanford Clear Lake Medical Center — price list
← Hospital overviewVerified from Sanford Clear Lake 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 Outpatient | 0250 RC | $52.24 | $41.80 | $26.80 – $48.58 | — | |
| A1AT PHENOTYPE SO 82104.901 Outpatient | 82104 CPT | $83.00 | $66.40 | $42.58 – $77.18 | — | |
| Abacavir Sulfate Tab 300 MG (Base Equiv) Outpatient | 0250 RC | $20.26 | $16.21 | $10.39 – $18.84 | — | |
| Abatacept For IV Soln 250 MG Outpatient | J0129 HCPCS | $2,927 | $2,341 | $44.25 – $2,722 | — | |
| ACETAMINOPHEN 80307 Outpatient | 80307 CPT | $244 | $195 | $125 – $227 | — | |
| Acetaminophen IV Soln 10 MG/ML Outpatient | J0134 HCPCS | $135 | $108 | $69.47 – $126 | — | |
| Acetaminophen IV Soln 10 MG/ML Outpatient | J0131 HCPCS | $137 | $110 | $70.34 – $128 | — | |
| Acetaminophen IV Soln 10 MG/ML Outpatient | J0136 HCPCS | $217 | $173 | $111 – $201 | — | |
| Acetaminophen Suppos 120 MG Outpatient | 0250 RC | $1.50 | $1.20 | $0.77 – $1.39 | — | |
| Acetaminophen Suppos 650 MG Outpatient | 0250 RC | $1.50 | $1.20 | $0.77 – $1.39 | — | |
| Acetaminophen Tab 325 MG Outpatient | J3490 HCPCS | $1.78 | $1.43 | $0.91 – $1.66 | — | |
| Acetaminophen Tab 500 MG Outpatient | J3490 HCPCS | $1.78 | $1.43 | $0.91 – $1.66 | — | |
| Acetaminophen Tab ER 650 MG Outpatient | 0250 RC | $5.63 | $4.51 | $2.89 – $5.24 | — | |
| Acetaminophen w/ Codeine Tab 300-30 MG Outpatient | 0250 RC | $1.50 | $1.20 | $0.77 – $1.39 | — | |
| Acetylcysteine Inhal Soln 20% Outpatient | J7608 HCPCS | $54.27 | $43.42 | $27.84 – $50.47 | — | |
| Acetylcysteine Inj 200 MG/ML Outpatient | J0132 HCPCS | $273 | $219 | $140 – $254 | — | |
| ACTIVATED PROTEIN C APC RESISTANCE ASSAY 85307 Outpatient | 85307 CPT | $229 | $183 | $117 – $213 | — | |
| ACUTE HEPATITIS PANEL 80074 Outpatient | 80074 CPT | $395 | $316 | $203 – $367 | — | |
| Acyclovir Oint 5% Outpatient | 0250 RC | $41.57 | $33.26 | $21.33 – $38.66 | — | |
| Acyclovir Sodium IV Soln 50 MG/ML Outpatient | J0133 HCPCS | $77.32 | $61.86 | $39.67 – $71.90 | — | |
| Adenosine IV Soln 12 MG/4ML Outpatient | J0153 HCPCS | $76.98 | $61.59 | $39.49 – $71.58 | — | |
| Adenosine IV Soln 6 MG/2ML Outpatient | J0153 HCPCS | $77.62 | $62.10 | $39.82 – $72.18 | — | |
| ADENOVIRUS 87260 Outpatient | 87260 CPT | $113 | $90.40 | $57.97 – $105 | — | |
| ADMIN HEPATITIS B VACCINE Outpatient | 90471 CPT | $19.68 | $15.75 | $10.10 – $18.30 | — | |
| ADMIN INFLUENZA VIRUS VAC Outpatient | 90471 CPT | $63.00 | $50.40 | $32.32 – $58.58 | — | |
| ADRENOCORTICOTROPIC HORMONE ACTH SO 82024.900 Outpatient | 82024 CPT | $142 | $114 | $72.85 – $132 | — | |
| AEROBIC DEFINITIVE ID 87077 Outpatient | 87077 CPT | $72.00 | $57.60 | $36.94 – $66.95 | — | |
| AEROSOL TENT HOURLY Outpatient | 94640 CPT | $122 | $97.60 | $62.59 – $113 | — | |
| ALBUMIN SERUM 82040 Outpatient | 82040 CPT | $50.00 | $40.00 | $25.65 – $46.50 | — | |
| ALBUMIN URINE MICROALBUMIN QUANT 82043 Outpatient | 82043 CPT | $137 | $110 | $70.28 – $127 | — |