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.
403 prices shown (filtered).
| 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 | — | |
| Abacavir Sulfate Tab 300 MG (Base Equiv) Outpatient | 0250 RC | $20.26 | $16.21 | $10.39 – $18.84 | — | |
| 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 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 | — | |
| Acyclovir Oint 5% Outpatient | 0250 RC | $41.57 | $33.26 | $21.33 – $38.66 | — | |
| Albuterol Sulfate Inhal Aero 108 MCG/ACT (90MCG Base Equiv) Outpatient | 0250 RC | $49.04 | $39.24 | $25.16 – $45.60 | — | |
| Alendronate Sodium Tab 70 MG Outpatient | 0250 RC | $1.50 | $1.20 | $0.77 – $1.39 | — | |
| Allopurinol Tab 100 MG Outpatient | 0250 RC | $1.50 | $1.20 | $0.77 – $1.39 | — | |
| Alogliptin Benzoate Tab 25 MG (Base Equiv) Outpatient | 0250 RC | $12.84 | $10.28 | $6.59 – $11.94 | — | |
| Alprazolam Tab 0.25 MG Outpatient | 0250 RC | $1.50 | $1.20 | $0.77 – $1.39 | — | |
| Alum & Mag Hydroxide-Simethicone Susp 200-200-20 MG/5ML Outpatient | 0250 RC | $4.25 | $3.40 | $2.18 – $3.95 | — | |
| Amantadine HCl Tab 100 MG Outpatient | 0250 RC | $1.50 | $1.20 | $0.77 – $1.39 | — | |
| Amiodarone HCl Tab 200 MG Outpatient | 0250 RC | $1.50 | $1.20 | $0.77 – $1.39 | — | |
| Amitriptyline HCl Tab 25 MG Outpatient | 0250 RC | $1.50 | $1.20 | $0.77 – $1.39 | — | |
| Amlodipine Besylate Tab 5 MG (Base Equivalent) Outpatient | 0250 RC | $1.50 | $1.20 | $0.77 – $1.39 | — | |
| Amoxicillin (Trihydrate) Cap 500 MG Outpatient | 0250 RC | $1.50 | $1.20 | $0.77 – $1.39 | — | |
| Amoxicillin (Trihydrate) For Susp 250 MG/5ML Outpatient | 0250 RC | $23.30 | $18.64 | $11.95 – $21.67 | — | |
| Amoxicillin (Trihydrate) For Susp 400 MG/5ML Outpatient | 0250 RC | $23.00 | $18.40 | $11.80 – $21.39 | — | |
| Amoxicillin (Trihydrate) Tab 875 MG Outpatient | 0250 RC | $1.50 | $1.20 | $0.77 – $1.39 | — | |
| Amoxicillin & K Clavulanate For Susp 400-57 MG/5ML Outpatient | 0250 RC | $25.80 | $20.64 | $13.24 – $23.99 | — | |
| Amoxicillin & K Clavulanate Tab 500-125 MG Outpatient | 0250 RC | $1.50 | $1.20 | $0.77 – $1.39 | — | |
| Amoxicillin & K Clavulanate Tab 875-125 MG Outpatient | 0250 RC | $1.50 | $1.20 | $0.77 – $1.39 | — | |
| Apixaban Tab 2.5 MG Outpatient | 0250 RC | $16.61 | $13.29 | $8.52 – $15.45 | — | |
| Apixaban Tab 5 MG Outpatient | 0250 RC | $9.90 | $7.92 | $5.08 – $9.21 | — | |
| Arformoterol Tartrate Soln Nebu 15 MCG/2ML (Base Equiv) Outpatient | 0250 RC | $8.67 | $6.94 | $4.45 – $8.06 | — | |
| Aripiprazole Tab 10 MG Outpatient | 0250 RC | $64.22 | $51.38 | $32.94 – $59.72 | — | |
| Artificial Saliva - Solution Outpatient | 0250 RC | $25.14 | $20.12 | $12.90 – $23.38 | — | |
| Ascorbic Acid Tab 500 MG Outpatient | 0250 RC | $1.50 | $1.20 | $0.77 – $1.39 | — |