Does Douglas County Memorial Hospital-Cah have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Douglas County Memorial Hospital-Cah. In a medical emergency, call 911.

Where is Douglas County Memorial Hospital-Cah?

708 8th St, Armour, SD 57313, in Douglas County, South Dakota.

What is the phone number of Douglas County Memorial Hospital-Cah?

(605) 724-2159, as listed by Medicare (CMS).

What is the Medicare star rating of Douglas County Memorial Hospital-Cah?

CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Douglas County Memorial Hospital-Cah

Quick answers

Does Douglas County Memorial Hospital-Cah have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Douglas County Memorial Hospital-Cah. In a medical emergency, call 911.
Where is Douglas County Memorial Hospital-Cah?: 708 8th St, Armour, SD 57313, in Douglas County, South Dakota.
What is the phone number of Douglas County Memorial Hospital-Cah?: (605) 724-2159, as listed by Medicare (CMS).
What is the Medicare star rating of Douglas County Memorial Hospital-Cah?: CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Specialties and care areas^[6][7]

Acute care
General surgery
Anesthesia
Cardiac rehabilitation
Respiratory care and pulmonary rehabilitation
Laboratory
Telemedicine
Home health

Conditions treated^[14]

Treatments^{[7][8][12][14]}

Physical therapy
Occupational therapy
Speech therapy
Colonoscopy
Gastroscopy
Appendectomy
Hernia repair
Gallbladder surgery
Vasectomy
Intravenous (IV) therapy
Oxygen administration

Procedures^[7][9][14]

Colonoscopy
Gastroscopy
Appendectomy
Hernia repair
Gallbladder surgery
Vasectomy
CT scan
MRI
Ultrasound
X-ray
Nuclear medicine
Echocardiogram
Bone density testing
Mammography
Cardiac stress testing
EKG
Holter monitor testing
Vascular testing
Pulmonary function test
Sleep studies
Overnight oximetry

Programs and centers^{[4][10][13][14]}

Cardiac rehabilitation
Respiratory care
Visiting nurse services (home health)
Telemedicine
Laboratory
Therapy services
Diagnostics

Emergency care (hospital website)^[5][12]

Emergency room	Yes
Open 24/7	Yes

Visiting and practical information

Visiting	No set hours listed; facility doors locked 4:30 pm-8 am; two visitors per ER patient; children under 14 need an adult^[5]
Parking	Most convenient parking is the front DCMH lot; before 8:00 AM park and enter through the ER entrance^[11]

Doctors and clinicians (25)

25 doctors and other clinicians list Douglas County Memorial Hospital-Cah as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

Doctors with a page on this site (25)

Amber K. Wolter, PAPhysician Assistant
Antoinette J. Vanderpol, MDFamily Practice
David C. Nelson, MDInternal Medicine
Derek E. Lee, MDInternal Medicine
Emad M. Abu SittaInfectious Disease
Eric A. Larson, MDInternal Medicine
Janice M. Schuman, PAPhysician Assistant
Jeffrey L. Konstanz, PAPhysician Assistant
Jennifer L. Bietz, PAPhysician Assistant
Jennifer L. Sheffield, MDFamily Practice
Jesse A. Hyde, CNACertified Registered Nurse Anesthetist (CRNA)
Kasey J. Hanson, NPNurse Practitioner
Kynan C. Trail, MDGeneral Surgery
Mark G. Lounsbery, DOInternal Medicine
Maurice A. Chessmore, MDFamily Practice
Melissa M. Davis, NPNurse Practitioner
Melody J. Otte, NPNurse Practitioner
Michael D. Whisler, PAPhysician Assistant
Nakayla L. Pheifer, NPNurse Practitioner
Nathan J. Hinker, NPNurse Practitioner
Robert D. Behrend, MDInternal Medicine
Sara J. RuterInternal Medicine
Travis M. Sanger, MDFamily Practice
Ukamaka N. Nwadibia, MDInternal Medicine

And 1 more: the button below opens the full list.

Other emergency rooms nearby

Hospitals that list emergency services, by straight-line distance (not driving distance).

Wagner Community Memorial Hospital - CAH17 mi · Wagner, SD · Critical Access Hospital
Avera St Benedict Health Center - CAH19 mi · Parkston, SD · Critical Access Hospital
Platte Health Center25 mi · Platte, SD · Critical Access Hospital
Avera Queen of Peace32 mi · Mitchell, SD · Critical Access Hospital
St Michael's Hospital - CAH33 mi · Tyndall, SD · Critical Access Hospital

Find the closest emergency room to where you are → · Compare ER wait times

Other hospitals near Armour

Landmann Jungman Memorial Hospital Corporation33 mi · Scotland, SD · Rural Emergency Hospital

Hospitals in Douglas County · Hospitals near me

Nursing homes, hospice, home health and dialysis nearby

Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.

Nursing homes

Lake Andes Senior Living15 mi · Lake Andes, SD · 4 of 5 stars
Good Samaritan Society - Wagner17 mi · Wagner, SD
Avera Bormann Manor19 mi · Parkston, SD · 3 of 5 stars

All nursing homes in the state →

Dialysis facilities

Avera Dialysis - Wagner20 mi · Wagner, SD · 5 of 5 stars

All dialysis facilities in the state →

Community care nearby

Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.

Clinics and urgent care

Prairie Health Clinic1.5 mi · Armour, SD · Rural health clinic
Prairie Health Clinic Corsica9.1 mi · Corsica, SD · Rural health clinic
Avera St Benedict Certified Rural Health Clinic/Lake Andes Site15 mi · Lake Andes, SD · Rural health clinic

Pharmacies

Douglas County Memorial Hospital9.1 mi · Corsica, SD · Community/retail pharmacy

About the Medicare star rating

CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →

Medicare quality data

What Douglas County Memorial Hospital-Cah reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.

Rated the hospital 9 or 10 out of 10	83%National average: 72%
Would definitely recommend the hospital	90%National average: 71%
Nurses “always” communicated well	90%National average: 80%
Doctors “always” communicated well	89%National average: 80%
“Always” got help as soon as they wanted	81%National average: 64%
Staff “always” explained medicines before giving them	80%National average: 62%
Were given information about recovery at home	87%National average: 86%
Room and bathroom “always” clean	80%National average: 73%
Not reported to Medicare	Summary star rating (all survey topics); Overall rating of the hospital; Would recommend the hospital; Nurses communicated well; Doctors communicated well; Patients got help quickly from staff; Staff explained medicines; Information about recovery at home; Room and bathroom kept clean; Restfulness of Environment; Care Coordination; Symptoms After Stay
Completed surveys	34Response rate: 48%

Source: Patient survey (HCAHPS) - Hospital — CMS, released October 19, 2026; patients discharged January 2025 to December 2025.

Return visits to the hospital (readmissions)

What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.

Returned to any hospital within 30 days (all patients)	16.3%
Not reported to Medicare	Readmitted within 30 days: heart attack; Readmitted within 30 days: coronary bypass surgery; Readmitted within 30 days: hip or knee replacement
Too few cases to report	Readmitted within 30 days: heart failure; Readmitted within 30 days: pneumonia; Readmitted within 30 days: COPD

Source: Unplanned Hospital Visits - Hospital — CMS, released October 20, 2026; data from July 2024 to June 2025.

Emergency room times and sepsis care

What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.

Emergency room volume (patients per year)	Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	117 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	0%National average: 2%
Not reported to Medicare	Sepsis patients who got all the recommended early care (SEP-1)

Source: Timely and Effective Care - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

Not reported to Medicare: infections caught in the hospital, complications and deaths. For these topics Medicare shows no result for this hospital (not reported, or too few cases).

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.

ER wait times in South Dakota Best hospitals in South Dakota

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 79 common services exactly as Douglas County Memorial Hospital-Cah lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

Hospital charge: The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
Cash price: The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
Insurance rates: The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
Hospital and doctor fees: A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.

How to use hospital prices: estimates, financial assistance and your rights →

Show the prices of 79 common services

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Doctor (professional) fee In the file: ANES 99203 NEW PAT LVL III	$204	$183.60	$87.46 – $204
New patient office visit (about 30–44 minutes): rates for 5 insurance plans Avera Health — All Plans: $193.80 Sanford Health Plan — All Commercial Plans: $197.88 Sanford Health Plan — Medicare Advantage: $87.46 United Healthcare — All Commercial Plans: $173.40 Wellmark Blue Cross Blue Shield — All Plans: $204
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Doctor (professional) fee In the file: PF 99203 OFFICE OP VISIT NEW PT LEVEL III	$209	$188.10	$87.46 – $209
New patient office visit (about 30–44 minutes): rates for 5 insurance plans Avera Health — All Plans: $198.55 Sanford Health Plan — All Commercial Plans: $202.73 Sanford Health Plan — Medicare Advantage: $87.46 United Healthcare — All Commercial Plans: $177.65 Wellmark Blue Cross Blue Shield — All Plans: $209
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE OP VISIT NEW PT LEVEL III	$209	$188.10	$102.41 – $209
New patient office visit (about 30–44 minutes): rates for 5 insurance plans Avera Health — All Plans: $198.55 Sanford Health Plan — All Commercial Plans: $202.73 Sanford Health Plan — Medicare Advantage: $102.41 United Healthcare — All Commercial Plans: $177.65 Wellmark Blue Cross Blue Shield — All Plans: $209
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE OP VISIT NEW PT LEVEL IV	$317	$285.30	$155.33 – $317
New patient office visit (about 45–59 minutes): rates for 5 insurance plans Avera Health — All Plans: $301.15 Sanford Health Plan — All Commercial Plans: $307.49 Sanford Health Plan — Medicare Advantage: $155.33 United Healthcare — All Commercial Plans: $269.45 Wellmark Blue Cross Blue Shield — All Plans: $317
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OFFICE OP VISIT NEW PT LEVEL IV	$317	$269.45	$269.45 – $317
New patient office visit (about 45–59 minutes): rates for 4 insurance plans Avera Health — All Plans: $301.15 Sanford Health Plan — All Commercial Plans: $307.49 United Healthcare — All Commercial Plans: $269.45 Wellmark Blue Cross Blue Shield — All Plans: $317
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient · Doctor (professional) fee In the file: OFFICE O/P NEW MOD 45 MIN	Not listed in the file	Not listed in the file	$142.90
New patient office visit (about 45–59 minutes): rates for 1 insurance plan Sanford Health Plan — Medicare Advantage: $142.90
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE OP VISIT NEW PT LEVEL V	$398	$358.20	$195.02 – $398
New patient office visit (about 60–74 minutes): rates for 5 insurance plans Avera Health — All Plans: $378.10 Sanford Health Plan — All Commercial Plans: $386.06 Sanford Health Plan — Medicare Advantage: $195.02 United Healthcare — All Commercial Plans: $338.30 Wellmark Blue Cross Blue Shield — All Plans: $398
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OFFICE OP VISIT NEW PT LEVEL V	$398	$338.30	$338.30 – $398
New patient office visit (about 60–74 minutes): rates for 4 insurance plans Avera Health — All Plans: $378.10 Sanford Health Plan — All Commercial Plans: $386.06 United Healthcare — All Commercial Plans: $338.30 Wellmark Blue Cross Blue Shield — All Plans: $398
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient · Doctor (professional) fee In the file: OFFICE O/P NEW HI 60 MIN	Not listed in the file	Not listed in the file	$194.17
New patient office visit (about 60–74 minutes): rates for 1 insurance plan Sanford Health Plan — Medicare Advantage: $194.17
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Doctor (professional) fee In the file: PF 99213 OFFICE OP VISIT EST PT LEVEL III	$151	$135.90	$70.98 – $151
Established patient office visit (about 20–29 minutes): rates for 5 insurance plans Avera Health — All Plans: $143.45 Sanford Health Plan — All Commercial Plans: $146.47 Sanford Health Plan — Medicare Advantage: $70.98 United Healthcare — All Commercial Plans: $128.35 Wellmark Blue Cross Blue Shield — All Plans: $151
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Doctor (professional) fee In the file: ANES 99213 EST PAT LVL III	$147	$132.30	$70.98 – $147
Established patient office visit (about 20–29 minutes): rates for 5 insurance plans Avera Health — All Plans: $139.65 Sanford Health Plan — All Commercial Plans: $142.59 Sanford Health Plan — Medicare Advantage: $70.98 United Healthcare — All Commercial Plans: $124.95 Wellmark Blue Cross Blue Shield — All Plans: $147
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE OP VISIT EST PT LEVEL III	$151	$135.90	$73.99 – $151
Established patient office visit (about 20–29 minutes): rates for 5 insurance plans Avera Health — All Plans: $143.45 Sanford Health Plan — All Commercial Plans: $146.47 Sanford Health Plan — Medicare Advantage: $73.99 United Healthcare — All Commercial Plans: $128.35 Wellmark Blue Cross Blue Shield — All Plans: $151
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Doctor (professional) fee In the file: PF 99214 OFFICE OP VISIT EST PT LEVEL IV	$215	$193.50	$104.43 – $215
Established patient office visit (about 30–39 minutes): rates for 5 insurance plans Avera Health — All Plans: $204.25 Sanford Health Plan — All Commercial Plans: $208.55 Sanford Health Plan — Medicare Advantage: $104.43 United Healthcare — All Commercial Plans: $182.75 Wellmark Blue Cross Blue Shield — All Plans: $215
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE OP VISIT EST PT LEVEL IV	$215	$193.50	$105.35 – $215
Established patient office visit (about 30–39 minutes): rates for 5 insurance plans Avera Health — All Plans: $204.25 Sanford Health Plan — All Commercial Plans: $208.55 Sanford Health Plan — Medicare Advantage: $105.35 United Healthcare — All Commercial Plans: $182.75 Wellmark Blue Cross Blue Shield — All Plans: $215
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) · Hospital (facility) fee In the file: OFFICE OP VISIT EST PT LEVEL IV	$215	$182.75	$182.75 – $215
Established patient office visit (about 30–39 minutes): rates for 4 insurance plans Avera Health — All Plans: $204.25 Sanford Health Plan — All Commercial Plans: $208.55 United Healthcare — All Commercial Plans: $182.75 Wellmark Blue Cross Blue Shield — All Plans: $215
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV MED E&M NEW 18-39 Y O	$201	$180.90	$98.49 – $201
Preventive checkup, new patient, age 18–39: rates for 5 insurance plans Avera Health — All Plans: $190.95 Sanford Health Plan — All Commercial Plans: $194.97 Sanford Health Plan — Medicare Advantage: $98.49 United Healthcare — All Commercial Plans: $170.85 Wellmark Blue Cross Blue Shield — All Plans: $201
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PREV MED E&M NEW 18-39 Y O	$201	$170.85	$170.85 – $201
Preventive checkup, new patient, age 18–39: rates for 4 insurance plans Avera Health — All Plans: $190.95 Sanford Health Plan — All Commercial Plans: $194.97 United Healthcare — All Commercial Plans: $170.85 Wellmark Blue Cross Blue Shield — All Plans: $201
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PREV MED E&M NEW 40-64 Y O	$215	$193.50	$105.35 – $215
Preventive checkup, new patient, age 40–64: rates for 5 insurance plans Avera Health — All Plans: $204.25 Sanford Health Plan — All Commercial Plans: $208.55 Sanford Health Plan — Medicare Advantage: $105.35 United Healthcare — All Commercial Plans: $182.75 Wellmark Blue Cross Blue Shield — All Plans: $215
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PREV MED E&M NEW 40-64 Y O	$215	$182.75	$182.75 – $215
Preventive checkup, new patient, age 40–64: rates for 4 insurance plans Avera Health — All Plans: $204.25 Sanford Health Plan — All Commercial Plans: $208.55 United Healthcare — All Commercial Plans: $182.75 Wellmark Blue Cross Blue Shield — All Plans: $215
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Doctor (professional) fee In the file: MD 99283 EMERGENCY DEPT VISIT LVL III	$381	$342.90	$74.81 – $381
Emergency room visit (moderate): rates for 5 insurance plans Avera Health — All Plans: $361.95 Sanford Health Plan — All Commercial Plans: $369.57 Sanford Health Plan — Medicare Advantage: $74.81 United Healthcare — All Commercial Plans: $323.85 Wellmark Blue Cross Blue Shield — All Plans: $381
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED 99283 EMER CASE LEVEL III	$630	$567	$308.70 – $630
Emergency room visit (moderate): rates for 5 insurance plans Avera Health — All Plans: $598.50 Sanford Health Plan — All Commercial Plans: $611.10 Sanford Health Plan — Medicare Advantage: $308.70 United Healthcare — All Commercial Plans: $535.50 Wellmark Blue Cross Blue Shield — All Plans: $630
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT LVL III	$381	$342.90	$186.69 – $381
Emergency room visit (moderate): rates for 5 insurance plans Avera Health — All Plans: $361.95 Sanford Health Plan — All Commercial Plans: $369.57 Sanford Health Plan — Medicare Advantage: $186.69 United Healthcare — All Commercial Plans: $323.85 Wellmark Blue Cross Blue Shield — All Plans: $381
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Doctor (professional) fee In the file: MD 99284 EMERGENCY DEPT VISIT LVL IV	$527	$474.30	$127.25 – $527
Emergency room visit (moderately high): rates for 5 insurance plans Avera Health — All Plans: $500.65 Sanford Health Plan — All Commercial Plans: $511.19 Sanford Health Plan — Medicare Advantage: $127.25 United Healthcare — All Commercial Plans: $447.95 Wellmark Blue Cross Blue Shield — All Plans: $527
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED 99284 EMER CASE LEVEL IV	$1,103	$992.70	$540.47 – $1,103
Emergency room visit (moderately high): rates for 5 insurance plans Avera Health — All Plans: $1,047.85 Sanford Health Plan — All Commercial Plans: $1,069.91 Sanford Health Plan — Medicare Advantage: $540.47 United Healthcare — All Commercial Plans: $937.55 Wellmark Blue Cross Blue Shield — All Plans: $1,103
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT LVL IV	$527	$474.30	$258.23 – $527
Emergency room visit (moderately high): rates for 5 insurance plans Avera Health — All Plans: $500.65 Sanford Health Plan — All Commercial Plans: $511.19 Sanford Health Plan — Medicare Advantage: $258.23 United Healthcare — All Commercial Plans: $447.95 Wellmark Blue Cross Blue Shield — All Plans: $527
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Doctor (professional) fee In the file: MD 99285 EMERGENCY DEPT VISIT LVL V	$617	$555.30	$184.29 – $617
Emergency room visit (high): rates for 5 insurance plans Avera Health — All Plans: $586.15 Sanford Health Plan — All Commercial Plans: $598.49 Sanford Health Plan — Medicare Advantage: $184.29 United Healthcare — All Commercial Plans: $524.45 Wellmark Blue Cross Blue Shield — All Plans: $617
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT LVL V	$617	$555.30	$302.33 – $617
Emergency room visit (high): rates for 5 insurance plans Avera Health — All Plans: $586.15 Sanford Health Plan — All Commercial Plans: $598.49 Sanford Health Plan — Medicare Advantage: $302.33 United Healthcare — All Commercial Plans: $524.45 Wellmark Blue Cross Blue Shield — All Plans: $617
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ED 99285 EMER CASE LEVEL V	$1,652	$1,486.80	$809.48 – $1,652
Emergency room visit (high): rates for 5 insurance plans Avera Health — All Plans: $1,569.40 Sanford Health Plan — All Commercial Plans: $1,602.44 Sanford Health Plan — Medicare Advantage: $809.48 United Healthcare — All Commercial Plans: $1,404.20 Wellmark Blue Cross Blue Shield — All Plans: $1,652

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL	$173	$155.70	$84.77 – $173
Basic metabolic panel (blood test): rates for 5 insurance plans Avera Health — All Plans: $164.35 Sanford Health Plan — All Commercial Plans: $167.81 Sanford Health Plan — Medicare Advantage: $84.77 United Healthcare — All Commercial Plans: $147.05 Wellmark Blue Cross Blue Shield — All Plans: $173
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL 80048	$8.63	$7.77	$4.23 – $8.63
Basic metabolic panel (blood test): rates for 5 insurance plans Avera Health — All Plans: $8.20 Sanford Health Plan — All Commercial Plans: $8.37 Sanford Health Plan — Medicare Advantage: $4.23 United Healthcare — All Commercial Plans: $7.34 Wellmark Blue Cross Blue Shield — All Plans: $8.63
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL 80048	$8.63	$7.34	$7.34 – $8.63
Basic metabolic panel (blood test): rates for 4 insurance plans Avera Health — All Plans: $8.20 Sanford Health Plan — All Commercial Plans: $8.37 United Healthcare — All Commercial Plans: $7.34 Wellmark Blue Cross Blue Shield — All Plans: $8.63
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PANEL 80053	$10.77	$9.70	$5.28 – $10.77
Comprehensive metabolic panel (blood test): rates for 5 insurance plans Avera Health — All Plans: $10.23 Sanford Health Plan — All Commercial Plans: $10.45 Sanford Health Plan — Medicare Advantage: $5.28 United Healthcare — All Commercial Plans: $9.15 Wellmark Blue Cross Blue Shield — All Plans: $10.77
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PANEL	$310	$279	$151.90 – $310
Comprehensive metabolic panel (blood test): rates for 5 insurance plans Avera Health — All Plans: $294.50 Sanford Health Plan — All Commercial Plans: $300.70 Sanford Health Plan — Medicare Advantage: $151.90 United Healthcare — All Commercial Plans: $263.50 Wellmark Blue Cross Blue Shield — All Plans: $310
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PANEL 80053	$310	$263.50	$263.50 – $310
Comprehensive metabolic panel (blood test): rates for 4 insurance plans Avera Health — All Plans: $294.50 Sanford Health Plan — All Commercial Plans: $300.70 United Healthcare — All Commercial Plans: $263.50 Wellmark Blue Cross Blue Shield — All Plans: $310
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL 80061	$13.66	$12.30	$6.69 – $13.66
Cholesterol panel (lipid panel): rates for 5 insurance plans Avera Health — All Plans: $12.98 Sanford Health Plan — All Commercial Plans: $13.25 Sanford Health Plan — Medicare Advantage: $6.69 United Healthcare — All Commercial Plans: $11.61 Wellmark Blue Cross Blue Shield — All Plans: $13.66
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL	$287	$258.30	$140.63 – $287
Cholesterol panel (lipid panel): rates for 5 insurance plans Avera Health — All Plans: $272.65 Sanford Health Plan — All Commercial Plans: $278.39 Sanford Health Plan — Medicare Advantage: $140.63 United Healthcare — All Commercial Plans: $243.95 Wellmark Blue Cross Blue Shield — All Plans: $287
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LIPID PANEL 80061	$13.66	$11.62	$11.61 – $13.66
Cholesterol panel (lipid panel): rates for 4 insurance plans Avera Health — All Plans: $12.98 Sanford Health Plan — All Commercial Plans: $13.25 United Healthcare — All Commercial Plans: $11.61 Wellmark Blue Cross Blue Shield — All Plans: $13.66
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL 80069	$8.85	$7.97	$4.34 – $8.85
Kidney function panel: rates for 5 insurance plans Avera Health — All Plans: $8.41 Sanford Health Plan — All Commercial Plans: $8.58 Sanford Health Plan — Medicare Advantage: $4.34 United Healthcare — All Commercial Plans: $7.52 Wellmark Blue Cross Blue Shield — All Plans: $8.85
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL	$201	$180.90	$98.49 – $201
Kidney function panel: rates for 5 insurance plans Avera Health — All Plans: $190.95 Sanford Health Plan — All Commercial Plans: $194.97 Sanford Health Plan — Medicare Advantage: $98.49 United Healthcare — All Commercial Plans: $170.85 Wellmark Blue Cross Blue Shield — All Plans: $201
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL 80069	$8.85	$7.53	$7.52 – $8.85
Kidney function panel: rates for 4 insurance plans Avera Health — All Plans: $8.41 Sanford Health Plan — All Commercial Plans: $8.58 United Healthcare — All Commercial Plans: $7.52 Wellmark Blue Cross Blue Shield — All Plans: $8.85
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL 80076	$167	$150.30	$81.83 – $167
Liver function panel: rates for 5 insurance plans Avera Health — All Plans: $158.65 Sanford Health Plan — All Commercial Plans: $161.99 Sanford Health Plan — Medicare Advantage: $81.83 United Healthcare — All Commercial Plans: $141.95 Wellmark Blue Cross Blue Shield — All Plans: $167
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL	$187	$168.30	$91.63 – $187
Liver function panel: rates for 5 insurance plans Avera Health — All Plans: $177.65 Sanford Health Plan — All Commercial Plans: $181.39 Sanford Health Plan — Medicare Advantage: $91.63 United Healthcare — All Commercial Plans: $158.95 Wellmark Blue Cross Blue Shield — All Plans: $187
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL 80076	$167	$141.95	$141.95 – $167
Liver function panel: rates for 4 insurance plans Avera Health — All Plans: $158.65 Sanford Health Plan — All Commercial Plans: $161.99 United Healthcare — All Commercial Plans: $141.95 Wellmark Blue Cross Blue Shield — All Plans: $167
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/SCOPE 81001	$135	$121.50	$66.15 – $135
Urine test (automated, with microscope): rates for 5 insurance plans Avera Health — All Plans: $128.25 Sanford Health Plan — All Commercial Plans: $130.95 Sanford Health Plan — Medicare Advantage: $66.15 United Healthcare — All Commercial Plans: $114.75 Wellmark Blue Cross Blue Shield — All Plans: $135
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/SCOPE	$135	$121.50	$66.15 – $135
Urine test (automated, with microscope): rates for 5 insurance plans Avera Health — All Plans: $128.25 Sanford Health Plan — All Commercial Plans: $130.95 Sanford Health Plan — Medicare Advantage: $66.15 United Healthcare — All Commercial Plans: $114.75 Wellmark Blue Cross Blue Shield — All Plans: $135
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/SCOPE	$135	$114.75	$114.75 – $135
Urine test (automated, with microscope): rates for 4 insurance plans Avera Health — All Plans: $128.25 Sanford Health Plan — All Commercial Plans: $130.95 United Healthcare — All Commercial Plans: $114.75 Wellmark Blue Cross Blue Shield — All Plans: $135
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS DIP STICK TABLET REAGENT NON-AUTOMATED WO MICROSCOPY	$17	$15.30	$8.33 – $17
Urine test (manual, without microscope): rates for 5 insurance plans Avera Health — All Plans: $16.15 Sanford Health Plan — All Commercial Plans: $16.49 Sanford Health Plan — Medicare Advantage: $8.33 United Healthcare — All Commercial Plans: $14.45 Wellmark Blue Cross Blue Shield — All Plans: $17
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) · Hospital (facility) fee In the file: URINALYSIS DIP STICK TABLET REAGENT NON-AUTOMATED WO MICROSCOPY	$17	$14.45	$14.45 – $17
Urine test (manual, without microscope): rates for 4 insurance plans Avera Health — All Plans: $16.15 Sanford Health Plan — All Commercial Plans: $16.49 United Healthcare — All Commercial Plans: $14.45 Wellmark Blue Cross Blue Shield — All Plans: $17
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINE PH	$78	$70.20	$38.22 – $78
Urine test (automated, without microscope): rates for 5 insurance plans Avera Health — All Plans: $74.10 Sanford Health Plan — All Commercial Plans: $75.66 Sanford Health Plan — Medicare Advantage: $38.22 United Healthcare — All Commercial Plans: $66.30 Wellmark Blue Cross Blue Shield — All Plans: $78
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINE PROTEIN RANDOM	$78	$70.20	$38.22 – $78
Urine test (automated, without microscope): rates for 5 insurance plans Avera Health — All Plans: $74.10 Sanford Health Plan — All Commercial Plans: $75.66 Sanford Health Plan — Medicare Advantage: $38.22 United Healthcare — All Commercial Plans: $66.30 Wellmark Blue Cross Blue Shield — All Plans: $78
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SPECIFIC GRAVITY URINE	$78	$70.20	$38.22 – $78
Urine test (automated, without microscope): rates for 5 insurance plans Avera Health — All Plans: $74.10 Sanford Health Plan — All Commercial Plans: $75.66 Sanford Health Plan — Medicare Advantage: $38.22 United Healthcare — All Commercial Plans: $66.30 Wellmark Blue Cross Blue Shield — All Plans: $78
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CDMR ASSAY OF PSA TOTAL 84153	$173	$155.70	$84.77 – $173
PSA (prostate specific antigen) blood test: rates for 5 insurance plans Avera Health — All Plans: $164.35 Sanford Health Plan — All Commercial Plans: $167.81 Sanford Health Plan — Medicare Advantage: $84.77 United Healthcare — All Commercial Plans: $147.05 Wellmark Blue Cross Blue Shield — All Plans: $173
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CDMR ASSAY OF PSA TOTAL	$173	$155.70	$84.77 – $173
PSA (prostate specific antigen) blood test: rates for 5 insurance plans Avera Health — All Plans: $164.35 Sanford Health Plan — All Commercial Plans: $167.81 Sanford Health Plan — Medicare Advantage: $84.77 United Healthcare — All Commercial Plans: $147.05 Wellmark Blue Cross Blue Shield — All Plans: $173
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CDMR ASSAY OF PSA TOTAL 84153	$173	$147.05	$147.05 – $173
PSA (prostate specific antigen) blood test: rates for 4 insurance plans Avera Health — All Plans: $164.35 Sanford Health Plan — All Commercial Plans: $167.81 United Healthcare — All Commercial Plans: $147.05 Wellmark Blue Cross Blue Shield — All Plans: $173
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THYROID STIMULATING HORMONE (TSH) 84443	$268	$241.20	$131.32 – $268
Thyroid stimulating hormone (TSH) test: rates for 5 insurance plans Avera Health — All Plans: $254.60 Sanford Health Plan — All Commercial Plans: $259.96 Sanford Health Plan — Medicare Advantage: $131.32 United Healthcare — All Commercial Plans: $227.80 Wellmark Blue Cross Blue Shield — All Plans: $268
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THYROID STIMULATING HORMONE (TSH)	$268	$241.20	$131.32 – $268
Thyroid stimulating hormone (TSH) test: rates for 5 insurance plans Avera Health — All Plans: $254.60 Sanford Health Plan — All Commercial Plans: $259.96 Sanford Health Plan — Medicare Advantage: $131.32 United Healthcare — All Commercial Plans: $227.80 Wellmark Blue Cross Blue Shield — All Plans: $268
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: THYROID STIMULATING HORMONE (TSH) 84443	$17.14	$14.57	$14.57 – $17.14
Thyroid stimulating hormone (TSH) test: rates for 4 insurance plans Avera Health — All Plans: $16.28 Sanford Health Plan — All Commercial Plans: $16.63 United Healthcare — All Commercial Plans: $14.57 Wellmark Blue Cross Blue Shield — All Plans: $17.14
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE CBC W/AUTO DIFF WBC 85025	$173	$155.70	$84.77 – $173
Complete blood count (CBC) with differential: rates for 5 insurance plans Avera Health — All Plans: $164.35 Sanford Health Plan — All Commercial Plans: $167.81 Sanford Health Plan — Medicare Advantage: $84.77 United Healthcare — All Commercial Plans: $147.05 Wellmark Blue Cross Blue Shield — All Plans: $173
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE CBC W/AUTO DIFF WBC	$173	$155.70	$84.77 – $173
Complete blood count (CBC) with differential: rates for 5 insurance plans Avera Health — All Plans: $164.35 Sanford Health Plan — All Commercial Plans: $167.81 Sanford Health Plan — Medicare Advantage: $84.77 United Healthcare — All Commercial Plans: $147.05 Wellmark Blue Cross Blue Shield — All Plans: $173
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COMPLETE CBC W/AUTO DIFF WBC 85025	$173	$147.05	$147.05 – $173
Complete blood count (CBC) with differential: rates for 4 insurance plans Avera Health — All Plans: $164.35 Sanford Health Plan — All Commercial Plans: $167.81 United Healthcare — All Commercial Plans: $147.05 Wellmark Blue Cross Blue Shield — All Plans: $173
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD COUNT COMPLETE AUTOMATED	$155	$139.50	$75.95 – $155
Complete blood count (CBC), automated: rates for 5 insurance plans Avera Health — All Plans: $147.25 Sanford Health Plan — All Commercial Plans: $150.35 Sanford Health Plan — Medicare Advantage: $75.95 United Healthcare — All Commercial Plans: $131.75 Wellmark Blue Cross Blue Shield — All Plans: $155
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD COUNT COMPLETE AUTOMATED 85027	$155	$139.50	$75.95 – $155
Complete blood count (CBC), automated: rates for 5 insurance plans Avera Health — All Plans: $147.25 Sanford Health Plan — All Commercial Plans: $150.35 Sanford Health Plan — Medicare Advantage: $75.95 United Healthcare — All Commercial Plans: $131.75 Wellmark Blue Cross Blue Shield — All Plans: $155
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BLOOD COUNT COMPLETE AUTOMATED 85027	$6.60	$5.61	$5.61 – $6.60
Complete blood count (CBC), automated: rates for 4 insurance plans Avera Health — All Plans: $6.27 Sanford Health Plan — All Commercial Plans: $6.40 United Healthcare — All Commercial Plans: $5.61 Wellmark Blue Cross Blue Shield — All Plans: $6.60
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTIME	$132	$118.80	$64.68 – $132
Blood clotting time test (prothrombin time, PT): rates for 5 insurance plans Avera Health — All Plans: $125.40 Sanford Health Plan — All Commercial Plans: $128.04 Sanford Health Plan — Medicare Advantage: $64.68 United Healthcare — All Commercial Plans: $112.20 Wellmark Blue Cross Blue Shield — All Plans: $132
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME (PT)	$132	$118.80	$64.68 – $132
Blood clotting time test (prothrombin time, PT): rates for 5 insurance plans Avera Health — All Plans: $125.40 Sanford Health Plan — All Commercial Plans: $128.04 Sanford Health Plan — Medicare Advantage: $64.68 United Healthcare — All Commercial Plans: $112.20 Wellmark Blue Cross Blue Shield — All Plans: $132
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BCH PROTIME	$132	$118.80	$64.68 – $132
Blood clotting time test (prothrombin time, PT): rates for 5 insurance plans Avera Health — All Plans: $125.40 Sanford Health Plan — All Commercial Plans: $128.04 Sanford Health Plan — Medicare Advantage: $64.68 United Healthcare — All Commercial Plans: $112.20 Wellmark Blue Cross Blue Shield — All Plans: $132
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THROMBOPLASTIN TIME PARTIAL PLASMA WHOLE BLOOD (PTT) 85730	$178	$160.20	$87.22 – $178
Blood clotting test (partial thromboplastin time, PTT): rates for 5 insurance plans Avera Health — All Plans: $169.10 Sanford Health Plan — All Commercial Plans: $172.66 Sanford Health Plan — Medicare Advantage: $87.22 United Healthcare — All Commercial Plans: $151.30 Wellmark Blue Cross Blue Shield — All Plans: $178
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THROMBOPLASTIN TIME PARTIAL PLASMA WHOLE BLOOD (PTT)	$178	$160.20	$87.22 – $178
Blood clotting test (partial thromboplastin time, PTT): rates for 5 insurance plans Avera Health — All Plans: $169.10 Sanford Health Plan — All Commercial Plans: $172.66 Sanford Health Plan — Medicare Advantage: $87.22 United Healthcare — All Commercial Plans: $151.30 Wellmark Blue Cross Blue Shield — All Plans: $178
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: THROMBOPLASTIN TIME PARTIAL PLASMA WHOLE BLOOD (PTT)	$178	$151.30	$151.30 – $178
Blood clotting test (partial thromboplastin time, PTT): rates for 4 insurance plans Avera Health — All Plans: $169.10 Sanford Health Plan — All Commercial Plans: $172.66 United Healthcare — All Commercial Plans: $151.30 Wellmark Blue Cross Blue Shield — All Plans: $178

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT HEAD WO CONTRAST	$3,000	$2,700	$1,470 – $3,000
CT scan of the head or brain, without contrast: rates for 5 insurance plans Avera Health — All Plans: $2,850 Sanford Health Plan — All Commercial Plans: $2,910 Sanford Health Plan — Medicare Advantage: $1,470 United Healthcare — All Commercial Plans: $2,550 Wellmark Blue Cross Blue Shield — All Plans: $3,000
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT HEAD WO CONTRAST	$3,000	$2,550	$2,550 – $3,000
CT scan of the head or brain, without contrast: rates for 4 insurance plans Avera Health — All Plans: $2,850 Sanford Health Plan — All Commercial Plans: $2,910 United Healthcare — All Commercial Plans: $2,550 Wellmark Blue Cross Blue Shield — All Plans: $3,000
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Doctor (professional) fee In the file: CT HEAD/BRAIN W/O DYE	Not listed in the file	Not listed in the file	$119.75
CT scan of the head or brain, without contrast: rates for 1 insurance plan Sanford Health Plan — Medicare Advantage: $119.75
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI BRAIN WO THEN W CONT	$5,110	$4,599	$2,503.90 – $5,110
MRI of the brain, before and after contrast: rates for 5 insurance plans Avera Health — All Plans: $4,854.50 Sanford Health Plan — All Commercial Plans: $4,956.70 Sanford Health Plan — Medicare Advantage: $2,503.90 United Healthcare — All Commercial Plans: $4,343.50 Wellmark Blue Cross Blue Shield — All Plans: $5,110
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI BRAIN WO THEN W CONT	$5,110	$4,343.50	$4,343.50 – $5,110
MRI of the brain, before and after contrast: rates for 4 insurance plans Avera Health — All Plans: $4,854.50 Sanford Health Plan — All Commercial Plans: $4,956.70 United Healthcare — All Commercial Plans: $4,343.50 Wellmark Blue Cross Blue Shield — All Plans: $5,110
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Doctor (professional) fee In the file: MRI BRAIN STEM W/O & W/DYE	Not listed in the file	Not listed in the file	$357.52
MRI of the brain, before and after contrast: rates for 1 insurance plan Sanford Health Plan — Medicare Advantage: $357.52
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RAD EXAM CHEST 2 VWS	$667	$600.30	$326.83 – $667
Chest X-ray, 2 views: rates for 5 insurance plans Avera Health — All Plans: $633.65 Sanford Health Plan — All Commercial Plans: $646.99 Sanford Health Plan — Medicare Advantage: $326.83 United Healthcare — All Commercial Plans: $566.95 Wellmark Blue Cross Blue Shield — All Plans: $667
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RADIOLOGIC EXAMINIATION, CHEST; 2 VIEWS	$500	$450	$245 – $500
Chest X-ray, 2 views: rates for 5 insurance plans Avera Health — All Plans: $475 Sanford Health Plan — All Commercial Plans: $485 Sanford Health Plan — Medicare Advantage: $245 United Healthcare — All Commercial Plans: $425 Wellmark Blue Cross Blue Shield — All Plans: $500
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RADIOLOGIC EXAMINIATION, CHEST; 2 VIEWS	$500	$425	$425 – $500
Chest X-ray, 2 views: rates for 4 insurance plans Avera Health — All Plans: $475 Sanford Health Plan — All Commercial Plans: $485 United Healthcare — All Commercial Plans: $425 Wellmark Blue Cross Blue Shield — All Plans: $500
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RADIOLOGIC EXAM SPINE LUMBOSACRAL 4+ VIEWS	$681	$612.90	$333.69 – $681
X-ray of the lower spine, at least 4 views: rates for 5 insurance plans Avera Health — All Plans: $646.95 Sanford Health Plan — All Commercial Plans: $660.57 Sanford Health Plan — Medicare Advantage: $333.69 United Healthcare — All Commercial Plans: $578.85 Wellmark Blue Cross Blue Shield — All Plans: $681
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RAD EXAM SPINE LUMB MIN 4 VWS	$681	$612.90	$333.69 – $681
X-ray of the lower spine, at least 4 views: rates for 5 insurance plans Avera Health — All Plans: $646.95 Sanford Health Plan — All Commercial Plans: $660.57 Sanford Health Plan — Medicare Advantage: $333.69 United Healthcare — All Commercial Plans: $578.85 Wellmark Blue Cross Blue Shield — All Plans: $681
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RADIOLOGIC EXAM SPINE LUMBOSACRAL 4+ VIEWS	$681	$578.85	$578.85 – $681
X-ray of the lower spine, at least 4 views: rates for 4 insurance plans Avera Health — All Plans: $646.95 Sanford Health Plan — All Commercial Plans: $660.57 United Healthcare — All Commercial Plans: $578.85 Wellmark Blue Cross Blue Shield — All Plans: $681
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI L SPINE WO CONTRAST	$5,000	$4,500	$2,450 – $5,000
MRI of the lower back (lumbar spine), without contrast: rates for 5 insurance plans Avera Health — All Plans: $4,750 Sanford Health Plan — All Commercial Plans: $4,850 Sanford Health Plan — Medicare Advantage: $2,450 United Healthcare — All Commercial Plans: $4,250 Wellmark Blue Cross Blue Shield — All Plans: $5,000
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI L SPINE WO CONTRAST	$5,000	$4,250	$4,250 – $5,000
MRI of the lower back (lumbar spine), without contrast: rates for 4 insurance plans Avera Health — All Plans: $4,750 Sanford Health Plan — All Commercial Plans: $4,850 United Healthcare — All Commercial Plans: $4,250 Wellmark Blue Cross Blue Shield — All Plans: $5,000
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Doctor (professional) fee In the file: MRI LUMBAR SPINE W/O DYE	Not listed in the file	Not listed in the file	$214.43
MRI of the lower back (lumbar spine), without contrast: rates for 1 insurance plan Sanford Health Plan — Medicare Advantage: $214.43
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT PELVIS W CONTRAST	$3,626	$3,263.40	$1,776.74 – $3,626
CT scan of the pelvis, with contrast: rates for 5 insurance plans Avera Health — All Plans: $3,444.70 Sanford Health Plan — All Commercial Plans: $3,517.22 Sanford Health Plan — Medicare Advantage: $1,776.74 United Healthcare — All Commercial Plans: $3,082.10 Wellmark Blue Cross Blue Shield — All Plans: $3,626
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT PELVIS W CONTRAST	$3,626	$3,082.10	$3,082.10 – $3,626
CT scan of the pelvis, with contrast: rates for 4 insurance plans Avera Health — All Plans: $3,444.70 Sanford Health Plan — All Commercial Plans: $3,517.22 United Healthcare — All Commercial Plans: $3,082.10 Wellmark Blue Cross Blue Shield — All Plans: $3,626
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Doctor (professional) fee In the file: CT PELVIS W/DYE	Not listed in the file	Not listed in the file	$255.06
CT scan of the pelvis, with contrast: rates for 1 insurance plan Sanford Health Plan — Medicare Advantage: $255.06
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI LOWER EXT JT WO CONTRAST	$4,275	$3,847.50	$2,094.75 – $4,275
MRI of a leg joint (such as the knee), without contrast: rates for 5 insurance plans Avera Health — All Plans: $4,061.25 Sanford Health Plan — All Commercial Plans: $4,146.75 Sanford Health Plan — Medicare Advantage: $2,094.75 United Healthcare — All Commercial Plans: $3,633.75 Wellmark Blue Cross Blue Shield — All Plans: $4,275
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI LOWER EXT JT WO CONTRAST	$4,275	$3,633.75	$3,633.75 – $4,275
MRI of a leg joint (such as the knee), without contrast: rates for 4 insurance plans Avera Health — All Plans: $4,061.25 Sanford Health Plan — All Commercial Plans: $4,146.75 United Healthcare — All Commercial Plans: $3,633.75 Wellmark Blue Cross Blue Shield — All Plans: $4,275
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Doctor (professional) fee In the file: MRI JNT OF LWR EXTRE W/O DYE	Not listed in the file	Not listed in the file	$228.19
MRI of a leg joint (such as the knee), without contrast: rates for 1 insurance plan Sanford Health Plan — Medicare Advantage: $228.19
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT ABD PELVIS W CONTRAST	$6,848	$6,163.20	$3,355.52 – $6,848
CT scan of the abdomen and pelvis, with contrast: rates for 5 insurance plans Avera Health — All Plans: $6,505.60 Sanford Health Plan — All Commercial Plans: $6,642.56 Sanford Health Plan — Medicare Advantage: $3,355.52 United Healthcare — All Commercial Plans: $5,820.80 Wellmark Blue Cross Blue Shield — All Plans: $6,848
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT ABD PELVIS W CONTRAST	$6,848	$5,820.80	$5,820.80 – $6,848
CT scan of the abdomen and pelvis, with contrast: rates for 4 insurance plans Avera Health — All Plans: $6,505.60 Sanford Health Plan — All Commercial Plans: $6,642.56 United Healthcare — All Commercial Plans: $5,820.80 Wellmark Blue Cross Blue Shield — All Plans: $6,848
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Doctor (professional) fee In the file: CT ABD & PELVIS W/CONTRAST	Not listed in the file	Not listed in the file	$339.10
CT scan of the abdomen and pelvis, with contrast: rates for 1 insurance plan Sanford Health Plan — Medicare Advantage: $339.10
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US ABD COMPLETE	$1,510	$1,359	$739.90 – $1,510
Ultrasound of the abdomen, complete: rates for 5 insurance plans Avera Health — All Plans: $1,434.50 Sanford Health Plan — All Commercial Plans: $1,464.70 Sanford Health Plan — Medicare Advantage: $739.90 United Healthcare — All Commercial Plans: $1,283.50 Wellmark Blue Cross Blue Shield — All Plans: $1,510
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ULTRASOUND ABDOMINAL B-SCAN & OR REAL TIME WIMAGE DOCUMENTATN COMP	$1,510	$1,359	$739.90 – $1,510
Ultrasound of the abdomen, complete: rates for 5 insurance plans Avera Health — All Plans: $1,434.50 Sanford Health Plan — All Commercial Plans: $1,464.70 Sanford Health Plan — Medicare Advantage: $739.90 United Healthcare — All Commercial Plans: $1,283.50 Wellmark Blue Cross Blue Shield — All Plans: $1,510
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ULTRASOUND ABDOMINAL B-SCAN & OR REAL TIME WIMAGE DOCUMENTATN COMP	$1,510	$1,283.50	$1,283.50 – $1,510
Ultrasound of the abdomen, complete: rates for 4 insurance plans Avera Health — All Plans: $1,434.50 Sanford Health Plan — All Commercial Plans: $1,464.70 United Healthcare — All Commercial Plans: $1,283.50 Wellmark Blue Cross Blue Shield — All Plans: $1,510
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Doctor (professional) fee In the file: OB US >/= 14 WKS SNGL FETUS	Not listed in the file	Not listed in the file	$148.15
Pregnancy ultrasound (after the first trimester): rates for 1 insurance plan Sanford Health Plan — Medicare Advantage: $148.15
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Doctor (professional) fee · modifier TC In the file: OB US >/= 14 WKS SNGL FETUS	Not listed in the file	Not listed in the file	$96.62
Pregnancy ultrasound (after the first trimester): rates for 1 insurance plan Sanford Health Plan — Medicare Advantage: $96.62
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Doctor (professional) fee · modifier 26 In the file: OB US >/= 14 WKS SNGL FETUS	Not listed in the file	Not listed in the file	$51.53
Pregnancy ultrasound (after the first trimester): rates for 1 insurance plan Sanford Health Plan — Medicare Advantage: $51.53
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ECHOGRAPHY TRANSVAGINAL	$735	$661.50	$360.15 – $735
Transvaginal ultrasound: rates for 5 insurance plans Avera Health — All Plans: $698.25 Sanford Health Plan — All Commercial Plans: $712.95 Sanford Health Plan — Medicare Advantage: $360.15 United Healthcare — All Commercial Plans: $624.75 Wellmark Blue Cross Blue Shield — All Plans: $735
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US TRANSVAGINAL	$735	$661.50	$360.15 – $735
Transvaginal ultrasound: rates for 5 insurance plans Avera Health — All Plans: $698.25 Sanford Health Plan — All Commercial Plans: $712.95 Sanford Health Plan — Medicare Advantage: $360.15 United Healthcare — All Commercial Plans: $624.75 Wellmark Blue Cross Blue Shield — All Plans: $735
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ECHOGRAPHY TRANSVAGINAL	$735	$624.75	$624.75 – $735
Transvaginal ultrasound: rates for 4 insurance plans Avera Health — All Plans: $698.25 Sanford Health Plan — All Commercial Plans: $712.95 United Healthcare — All Commercial Plans: $624.75 Wellmark Blue Cross Blue Shield — All Plans: $735
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Doctor (professional) fee In the file: DX MAMMO INCL CAD UNI	Not listed in the file	Not listed in the file	$138.86
Diagnostic mammogram, one breast: rates for 1 insurance plan Sanford Health Plan — Medicare Advantage: $138.86
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Doctor (professional) fee · modifier TC In the file: DX MAMMO INCL CAD UNI	Not listed in the file	Not listed in the file	$97.37
Diagnostic mammogram, one breast: rates for 1 insurance plan Sanford Health Plan — Medicare Advantage: $97.37
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Doctor (professional) fee · modifier 26 In the file: DX MAMMO INCL CAD UNI	Not listed in the file	Not listed in the file	$41.49
Diagnostic mammogram, one breast: rates for 1 insurance plan Sanford Health Plan — Medicare Advantage: $41.49
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Doctor (professional) fee In the file: DX MAMMO INCL CAD BI	Not listed in the file	Not listed in the file	$175.32
Diagnostic mammogram, both breasts: rates for 1 insurance plan Sanford Health Plan — Medicare Advantage: $175.32
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Doctor (professional) fee · modifier 26 In the file: DX MAMMO INCL CAD BI	Not listed in the file	Not listed in the file	$51.16
Diagnostic mammogram, both breasts: rates for 1 insurance plan Sanford Health Plan — Medicare Advantage: $51.16
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Doctor (professional) fee · modifier TC In the file: DX MAMMO INCL CAD BI	Not listed in the file	Not listed in the file	$124.15
Diagnostic mammogram, both breasts: rates for 1 insurance plan Sanford Health Plan — Medicare Advantage: $124.15
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MAMMO SCREEN BILAT INCL CAD	$517	$465.30	$253.33 – $517
Screening mammogram, both breasts: rates for 5 insurance plans Avera Health — All Plans: $491.15 Sanford Health Plan — All Commercial Plans: $501.49 Sanford Health Plan — Medicare Advantage: $253.33 United Healthcare — All Commercial Plans: $439.45 Wellmark Blue Cross Blue Shield — All Plans: $517
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SCREENING MAMMOGRAPHY, BILATERAL, INCL CAD WHEN PERF	$517	$465.30	$253.33 – $517
Screening mammogram, both breasts: rates for 5 insurance plans Avera Health — All Plans: $491.15 Sanford Health Plan — All Commercial Plans: $501.49 Sanford Health Plan — Medicare Advantage: $253.33 United Healthcare — All Commercial Plans: $439.45 Wellmark Blue Cross Blue Shield — All Plans: $517
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SCREENING MAMMOGRAPHY, BILATERAL, INCL CAD WHEN PERF	$517	$439.45	$439.45 – $517
Screening mammogram, both breasts: rates for 4 insurance plans Avera Health — All Plans: $491.15 Sanford Health Plan — All Commercial Plans: $501.49 United Healthcare — All Commercial Plans: $439.45 Wellmark Blue Cross Blue Shield — All Plans: $517

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ELECTROCARDIOGRAM ROUTINE WAT LEAST 12 LEADS WINTERP & REPORT	$273	$245.70	$133.77 – $273
Electrocardiogram (ECG/EKG) with reading: rates for 5 insurance plans Avera Health — All Plans: $259.35 Sanford Health Plan — All Commercial Plans: $264.81 Sanford Health Plan — Medicare Advantage: $133.77 United Healthcare — All Commercial Plans: $232.05 Wellmark Blue Cross Blue Shield — All Plans: $273
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EKG 12 LEAD W INTERP & REPORT	$271	$243.90	$132.79 – $271
Electrocardiogram (ECG/EKG) with reading: rates for 5 insurance plans Avera Health — All Plans: $257.45 Sanford Health Plan — All Commercial Plans: $262.87 Sanford Health Plan — Medicare Advantage: $132.79 United Healthcare — All Commercial Plans: $230.35 Wellmark Blue Cross Blue Shield — All Plans: $271
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EKG 12 LEAD W INTERP & REPORT	$271	$230.35	$230.35 – $271
Electrocardiogram (ECG/EKG) with reading: rates for 4 insurance plans Avera Health — All Plans: $257.45 Sanford Health Plan — All Commercial Plans: $262.87 United Healthcare — All Commercial Plans: $230.35 Wellmark Blue Cross Blue Shield — All Plans: $271
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · Doctor (professional) fee In the file: LEFT HRT CATH W/VENTRCLGRPHY	Not listed in the file	Not listed in the file	$934.51
Left heart catheterization (diagnostic): rates for 1 insurance plan Sanford Health Plan — Medicare Advantage: $934.51
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · Doctor (professional) fee · modifier 26 In the file: LEFT HRT CATH W/VENTRCLGRPHY	Not listed in the file	Not listed in the file	$237.22
Left heart catheterization (diagnostic): rates for 1 insurance plan Sanford Health Plan — Medicare Advantage: $237.22
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · Doctor (professional) fee · modifier TC In the file: LEFT HRT CATH W/VENTRCLGRPHY	Not listed in the file	Not listed in the file	$697.29
Left heart catheterization (diagnostic): rates for 1 insurance plan Sanford Health Plan — Medicare Advantage: $697.29
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient · Doctor (professional) fee · modifier 26 In the file: COMPREHENSIVE EP EVALUATION	Not listed in the file	Not listed in the file	$386.23
Heart rhythm study (electrophysiology evaluation): rates for 1 insurance plan Sanford Health Plan — Medicare Advantage: $386.23
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient · Doctor (professional) fee In the file: COMPRE EP EVAL ABLTJ ATR FIB	Not listed in the file	Not listed in the file	$943.55
Heart rhythm study with ablation for atrial fibrillation: rates for 1 insurance plan Sanford Health Plan — Medicare Advantage: $943.55
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PSG 4+ PARAMETERS	$5,365	$4,828.50	$2,628.85 – $5,365
Sleep study (overnight, in a sleep lab): rates for 5 insurance plans Avera Health — All Plans: $5,096.75 Sanford Health Plan — All Commercial Plans: $5,204.05 Sanford Health Plan — Medicare Advantage: $2,628.85 United Healthcare — All Commercial Plans: $4,560.25 Wellmark Blue Cross Blue Shield — All Plans: $5,365
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PSG 4+ PARAMETERS	$5,365	$4,560.25	$4,560.25 – $5,365
Sleep study (overnight, in a sleep lab): rates for 4 insurance plans Avera Health — All Plans: $5,096.75 Sanford Health Plan — All Commercial Plans: $5,204.05 United Healthcare — All Commercial Plans: $4,560.25 Wellmark Blue Cross Blue Shield — All Plans: $5,365
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Doctor (professional) fee In the file: POLYSOM 6/> YRS 4/> PARAM	Not listed in the file	Not listed in the file	$694.19
Sleep study (overnight, in a sleep lab): rates for 1 insurance plan Sanford Health Plan — Medicare Advantage: $694.19

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THER EXERCISE EA 15 MIN 97110	$2,109	$1,898.10	$1,033.41 – $2,109
Physical therapy: therapeutic exercise (each 15 minutes): rates for 5 insurance plans Avera Health — All Plans: $2,003.55 Sanford Health Plan — All Commercial Plans: $2,045.73 Sanford Health Plan — Medicare Advantage: $1,033.41 United Healthcare — All Commercial Plans: $1,792.65 Wellmark Blue Cross Blue Shield — All Plans: $2,109
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: THER EXERCISE EA 15 MIN 97110	$2,109	$1,792.65	$1,792.65 – $2,109
Physical therapy: therapeutic exercise (each 15 minutes): rates for 4 insurance plans Avera Health — All Plans: $2,003.55 Sanford Health Plan — All Commercial Plans: $2,045.73 United Healthcare — All Commercial Plans: $1,792.65 Wellmark Blue Cross Blue Shield — All Plans: $2,109
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Doctor (professional) fee In the file: THERAPEUTIC EXERCISES	Not listed in the file	Not listed in the file	$32.88
Physical therapy: therapeutic exercise (each 15 minutes): rates for 1 insurance plan Sanford Health Plan — Medicare Advantage: $32.88
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL LOW COMPLEXITY 97161	$308	$277.20	$150.92 – $308
Physical therapy evaluation (low complexity): rates for 5 insurance plans Avera Health — All Plans: $292.60 Sanford Health Plan — All Commercial Plans: $298.76 Sanford Health Plan — Medicare Advantage: $150.92 United Healthcare — All Commercial Plans: $261.80 Wellmark Blue Cross Blue Shield — All Plans: $308
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT EVAL LOW COMPLEXITY 97161	$308	$261.80	$261.80 – $308
Physical therapy evaluation (low complexity): rates for 4 insurance plans Avera Health — All Plans: $292.60 Sanford Health Plan — All Commercial Plans: $298.76 United Healthcare — All Commercial Plans: $261.80 Wellmark Blue Cross Blue Shield — All Plans: $308
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Doctor (professional) fee In the file: PT EVAL LOW COMPLEX 20 MIN	Not listed in the file	Not listed in the file	$111.79
Physical therapy evaluation (low complexity): rates for 1 insurance plan Sanford Health Plan — Medicare Advantage: $111.79
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL MODERATE COMPLEXITY 97162	$380	$342	$186.20 – $380
Physical therapy evaluation (moderate complexity): rates for 5 insurance plans Avera Health — All Plans: $361 Sanford Health Plan — All Commercial Plans: $368.60 Sanford Health Plan — Medicare Advantage: $186.20 United Healthcare — All Commercial Plans: $323 Wellmark Blue Cross Blue Shield — All Plans: $380
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT EVAL MODERATE COMPLEXITY 97162	$380	$323	$323 – $380
Physical therapy evaluation (moderate complexity): rates for 4 insurance plans Avera Health — All Plans: $361 Sanford Health Plan — All Commercial Plans: $368.60 United Healthcare — All Commercial Plans: $323 Wellmark Blue Cross Blue Shield — All Plans: $380
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Doctor (professional) fee In the file: PT EVAL MOD COMPLEX 30 MIN	Not listed in the file	Not listed in the file	$111.79
Physical therapy evaluation (moderate complexity): rates for 1 insurance plan Sanford Health Plan — Medicare Advantage: $111.79
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL HIGH COMPLEXITY 97163	$378	$340.20	$185.22 – $378
Physical therapy evaluation (high complexity): rates for 5 insurance plans Avera Health — All Plans: $359.10 Sanford Health Plan — All Commercial Plans: $366.66 Sanford Health Plan — Medicare Advantage: $185.22 United Healthcare — All Commercial Plans: $321.30 Wellmark Blue Cross Blue Shield — All Plans: $378
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT EVAL HIGH COMPLEXITY 97163	$378	$321.30	$321.30 – $378
Physical therapy evaluation (high complexity): rates for 4 insurance plans Avera Health — All Plans: $359.10 Sanford Health Plan — All Commercial Plans: $366.66 United Healthcare — All Commercial Plans: $321.30 Wellmark Blue Cross Blue Shield — All Plans: $378
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Doctor (professional) fee In the file: PT EVAL HIGH COMPLEX 45 MIN	Not listed in the file	Not listed in the file	$111.79
Physical therapy evaluation (high complexity): rates for 1 insurance plan Sanford Health Plan — Medicare Advantage: $111.79
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Doctor (professional) fee In the file: PSYTX W PT 30 MINUTES	Not listed in the file	Not listed in the file	$78.32
Psychotherapy, 30 minutes: rates for 1 insurance plan Sanford Health Plan — Medicare Advantage: $78.32
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Doctor (professional) fee In the file: PSYTX W PT 45 MINUTES	Not listed in the file	Not listed in the file	$103.37
Psychotherapy, 45 minutes: rates for 1 insurance plan Sanford Health Plan — Medicare Advantage: $103.37
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Doctor (professional) fee In the file: PSYTX W PT 60 MINUTES	Not listed in the file	Not listed in the file	$152.90
Psychotherapy, 60 minutes: rates for 1 insurance plan Sanford Health Plan — Medicare Advantage: $152.90
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient · Doctor (professional) fee In the file: FAMILY PSYTX W/O PT 50 MIN	Not listed in the file	Not listed in the file	$111.70
Family psychotherapy, without the patient: rates for 1 insurance plan Sanford Health Plan — Medicare Advantage: $111.70
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient · Doctor (professional) fee In the file: FAMILY PSYTX W/PT 50 MIN	Not listed in the file	Not listed in the file	$116.54
Family psychotherapy, with the patient: rates for 1 insurance plan Sanford Health Plan — Medicare Advantage: $116.54
Group psychotherapy CPT 90853 · Inpatient or outpatient · Doctor (professional) fee In the file: GROUP PSYCHOTHERAPY	Not listed in the file	Not listed in the file	$27.44
Group psychotherapy: rates for 1 insurance plan Sanford Health Plan — Medicare Advantage: $27.44

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · Doctor (professional) fee In the file: PF 19120 EXC CYST LSN BREAST	$1,353	$1,217.70	$441.09 – $1,353
Removal of breast growth (open surgery): rates for 5 insurance plans Avera Health — All Plans: $1,285.35 Sanford Health Plan — All Commercial Plans: $1,312.41 Sanford Health Plan — Medicare Advantage: $441.09 United Healthcare — All Commercial Plans: $1,150.05 Wellmark Blue Cross Blue Shield — All Plans: $1,353
Total hip replacement CPT 27130 · Inpatient or outpatient · Doctor (professional) fee In the file: TOTAL HIP ARTHROPLASTY	Not listed in the file	Not listed in the file	$1,356.41
Total hip replacement: rates for 1 insurance plan Sanford Health Plan — Medicare Advantage: $1,356.41
Total knee replacement CPT 27447 · Inpatient or outpatient · Doctor (professional) fee In the file: TOTAL KNEE ARTHROPLASTY	Not listed in the file	Not listed in the file	$1,354.78
Total knee replacement: rates for 1 insurance plan Sanford Health Plan — Medicare Advantage: $1,354.78
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Inpatient or outpatient · Doctor (professional) fee In the file: SHO ARTHRS SRG DECOMPRESSION	Not listed in the file	Not listed in the file	$178.01
Shoulder arthroscopy: shaving of shoulder bone: rates for 1 insurance plan Sanford Health Plan — Medicare Advantage: $178.01
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient · Doctor (professional) fee In the file: ARTHRS KNE SRG MNISECTMY M/L	Not listed in the file	Not listed in the file	$587.03
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 1 insurance plan Sanford Health Plan — Medicare Advantage: $587.03
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient or outpatient · Doctor (professional) fee In the file: REMOVE TONSILS AND ADENOIDS	Not listed in the file	Not listed in the file	$316.68
Removal of tonsils and adenoids (under age 12): rates for 1 insurance plan Sanford Health Plan — Medicare Advantage: $316.68
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Doctor (professional) fee In the file: PF 43235 EGD	$722	$649.80	$129.57 – $722
Upper GI endoscopy (diagnostic): rates for 5 insurance plans Avera Health — All Plans: $685.90 Sanford Health Plan — All Commercial Plans: $700.34 Sanford Health Plan — Medicare Advantage: $129.57 United Healthcare — All Commercial Plans: $613.70 Wellmark Blue Cross Blue Shield — All Plans: $722
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Doctor (professional) fee In the file: PF 43239 EGD W BIOPSY	$1,788	$1,609.20	$145.84 – $1,788
Upper GI endoscopy with biopsy: rates for 5 insurance plans Avera Health — All Plans: $1,698.60 Sanford Health Plan — All Commercial Plans: $1,734.36 Sanford Health Plan — Medicare Advantage: $145.84 United Healthcare — All Commercial Plans: $1,519.80 Wellmark Blue Cross Blue Shield — All Plans: $1,788
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: UPPER GI ENDOSCOPY WBX SNGL MULTIPLE	$1,788	$1,609.20	$876.12 – $1,788
Upper GI endoscopy with biopsy: rates for 5 insurance plans Avera Health — All Plans: $1,698.60 Sanford Health Plan — All Commercial Plans: $1,734.36 Sanford Health Plan — Medicare Advantage: $876.12 United Healthcare — All Commercial Plans: $1,519.80 Wellmark Blue Cross Blue Shield — All Plans: $1,788
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UPPER GI ENDOSCOPY WBX SNGL MULTIPLE	$1,788	$1,519.80	$1,519.80 – $1,788
Upper GI endoscopy with biopsy: rates for 4 insurance plans Avera Health — All Plans: $1,698.60 Sanford Health Plan — All Commercial Plans: $1,734.36 United Healthcare — All Commercial Plans: $1,519.80 Wellmark Blue Cross Blue Shield — All Plans: $1,788
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Doctor (professional) fee In the file: PF 45378 COLONOSCOPY FLEXIBLE	$1,736	$1,562.40	$193.96 – $1,736
Colonoscopy (diagnostic): rates for 5 insurance plans Avera Health — All Plans: $1,649.20 Sanford Health Plan — All Commercial Plans: $1,683.92 Sanford Health Plan — Medicare Advantage: $193.96 United Healthcare — All Commercial Plans: $1,475.60 Wellmark Blue Cross Blue Shield — All Plans: $1,736
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCPY FLEXIBLE PROXIMAL TO SPLENIC FLEXURE DX WWO SPECIMENS COLO	$1,736	$1,562.40	$850.64 – $1,736
Colonoscopy (diagnostic): rates for 5 insurance plans Avera Health — All Plans: $1,649.20 Sanford Health Plan — All Commercial Plans: $1,683.92 Sanford Health Plan — Medicare Advantage: $850.64 United Healthcare — All Commercial Plans: $1,475.60 Wellmark Blue Cross Blue Shield — All Plans: $1,736
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COLONOSCPY FLEXIBLE PROXIMAL TO SPLENIC FLEXURE DX WWO SPECIMENS COLO	$1,736	$1,475.60	$1,475.60 – $1,736
Colonoscopy (diagnostic): rates for 4 insurance plans Avera Health — All Plans: $1,649.20 Sanford Health Plan — All Commercial Plans: $1,683.92 United Healthcare — All Commercial Plans: $1,475.60 Wellmark Blue Cross Blue Shield — All Plans: $1,736
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Doctor (professional) fee In the file: PF 45380 COLONOSCOPY W BX	$1,944	$1,749.60	$210.90 – $1,944
Colonoscopy with biopsy: rates for 5 insurance plans Avera Health — All Plans: $1,846.80 Sanford Health Plan — All Commercial Plans: $1,885.68 Sanford Health Plan — Medicare Advantage: $210.90 United Healthcare — All Commercial Plans: $1,652.40 Wellmark Blue Cross Blue Shield — All Plans: $1,944
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY FLEXIBLE PROXIMAL TO SPLENIC FLEXURE WBX SNGL MULTIPLE	$1,944	$1,749.60	$952.56 – $1,944
Colonoscopy with biopsy: rates for 5 insurance plans Avera Health — All Plans: $1,846.80 Sanford Health Plan — All Commercial Plans: $1,885.68 Sanford Health Plan — Medicare Advantage: $952.56 United Healthcare — All Commercial Plans: $1,652.40 Wellmark Blue Cross Blue Shield — All Plans: $1,944
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COLONOSCOPY FLEXIBLE PROXIMAL TO SPLENIC FLEXURE WBX SNGL MULTIPLE	$1,944	$1,652.40	$1,652.40 – $1,944
Colonoscopy with biopsy: rates for 4 insurance plans Avera Health — All Plans: $1,846.80 Sanford Health Plan — All Commercial Plans: $1,885.68 United Healthcare — All Commercial Plans: $1,652.40 Wellmark Blue Cross Blue Shield — All Plans: $1,944
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · Doctor (professional) fee In the file: PF 45385 COLONOSC W POLYPECT	$2,327	$2,094.30	$266.49 – $2,327
Colonoscopy with removal of polyps (snare): rates for 5 insurance plans Avera Health — All Plans: $2,210.65 Sanford Health Plan — All Commercial Plans: $2,257.19 Sanford Health Plan — Medicare Advantage: $266.49 United Healthcare — All Commercial Plans: $1,977.95 Wellmark Blue Cross Blue Shield — All Plans: $2,327
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY FLEXIBLE WREMVL LESN SNARE	$2,327	$2,094.30	$1,140.23 – $2,327
Colonoscopy with removal of polyps (snare): rates for 5 insurance plans Avera Health — All Plans: $2,210.65 Sanford Health Plan — All Commercial Plans: $2,257.19 Sanford Health Plan — Medicare Advantage: $1,140.23 United Healthcare — All Commercial Plans: $1,977.95 Wellmark Blue Cross Blue Shield — All Plans: $2,327
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient (hospital stay) · Hospital (facility) fee In the file: COLONOSCOPY FLEXIBLE WREMVL LESN SNARE	$2,327	$1,977.95	$1,977.95 – $2,327
Colonoscopy with removal of polyps (snare): rates for 4 insurance plans Avera Health — All Plans: $2,210.65 Sanford Health Plan — All Commercial Plans: $2,257.19 United Healthcare — All Commercial Plans: $1,977.95 Wellmark Blue Cross Blue Shield — All Plans: $2,327
Ultrasound of the lower bowel by endoscope CPT 45391 · Inpatient or outpatient · Doctor (professional) fee In the file: COLONOSCOPY W/ENDOSCOPE US	Not listed in the file	Not listed in the file	$270.66
Ultrasound of the lower bowel by endoscope: rates for 1 insurance plan Sanford Health Plan — Medicare Advantage: $270.66
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · Doctor (professional) fee In the file: PF G0121 COLON CANC SCR NON-HR	$1,509	$1,358.10	$194.11 – $1,509
Screening colonoscopy (not high risk): rates for 5 insurance plans Avera Health — All Plans: $1,433.55 Sanford Health Plan — All Commercial Plans: $1,463.73 Sanford Health Plan — Medicare Advantage: $194.11 United Healthcare — All Commercial Plans: $1,282.65 Wellmark Blue Cross Blue Shield — All Plans: $1,509
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · Doctor (professional) fee · modifier 53 In the file: Colon ca scrn not hi rsk ind	Not listed in the file	Not listed in the file	$97.24
Screening colonoscopy (not high risk): rates for 1 insurance plan Sanford Health Plan — Medicare Advantage: $97.24
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPAROSCOPY SURGICAL CHOLECYSTECTOMY	$2,091	$1,881.90	$1,024.59 – $2,091
Gallbladder removal by laparoscope: rates for 5 insurance plans Avera Health — All Plans: $1,986.45 Sanford Health Plan — All Commercial Plans: $2,028.27 Sanford Health Plan — Medicare Advantage: $1,024.59 United Healthcare — All Commercial Plans: $1,777.35 Wellmark Blue Cross Blue Shield — All Plans: $2,091
Gallbladder removal by laparoscope CPT 47562 · Inpatient (hospital stay) · Hospital (facility) fee In the file: LAPAROSCOPY SURGICAL CHOLECYSTECTOMY	$2,091	$1,777.35	$1,777.35 – $2,091
Gallbladder removal by laparoscope: rates for 4 insurance plans Avera Health — All Plans: $1,986.45 Sanford Health Plan — All Commercial Plans: $2,028.27 United Healthcare — All Commercial Plans: $1,777.35 Wellmark Blue Cross Blue Shield — All Plans: $2,091
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient · Doctor (professional) fee In the file: LAPAROSCOPIC CHOLECYSTECTOMY	Not listed in the file	Not listed in the file	$685.98
Gallbladder removal by laparoscope: rates for 1 insurance plan Sanford Health Plan — Medicare Advantage: $685.98
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RPR INITIAL INGUINAL HERNIA AGE 5+ REDUCIBLE	$1,778	$1,600.20	$871.22 – $1,778
Groin (inguinal) hernia repair, age 5 or older: rates for 5 insurance plans Avera Health — All Plans: $1,689.10 Sanford Health Plan — All Commercial Plans: $1,724.66 Sanford Health Plan — Medicare Advantage: $871.22 United Healthcare — All Commercial Plans: $1,511.30 Wellmark Blue Cross Blue Shield — All Plans: $1,778
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RPR INITIAL INGUINAL HERNIA AGE 5+ REDUCIBLE	$1,778	$1,511.30	$1,511.30 – $1,778
Groin (inguinal) hernia repair, age 5 or older: rates for 4 insurance plans Avera Health — All Plans: $1,689.10 Sanford Health Plan — All Commercial Plans: $1,724.66 United Healthcare — All Commercial Plans: $1,511.30 Wellmark Blue Cross Blue Shield — All Plans: $1,778
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient · Doctor (professional) fee In the file: PRP I/HERN INIT REDUC >5 YR	Not listed in the file	Not listed in the file	$547.19
Groin (inguinal) hernia repair, age 5 or older: rates for 1 insurance plan Sanford Health Plan — Medicare Advantage: $547.19
Prostate biopsy CPT 55700 · Inpatient or outpatient · Doctor (professional) fee In the file: MPFS	Not listed in the file	Not listed in the file	$136.92
Prostate biopsy: rates for 1 insurance plan Sanford Health Plan — Medicare Advantage: $136.92
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Inpatient or outpatient · Doctor (professional) fee In the file: LAPS SURG PRST8ECT RPBIC RAD	Not listed in the file	Not listed in the file	$1,267.23
Prostate removal by laparoscope (radical prostatectomy): rates for 1 insurance plan Sanford Health Plan — Medicare Advantage: $1,267.23
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient · Doctor (professional) fee In the file: HYSTEROSCOPY BIOPSY	Not listed in the file	Not listed in the file	$241.83
Hysteroscopy with biopsy of the uterus lining: rates for 1 insurance plan Sanford Health Plan — Medicare Advantage: $241.83
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Doctor (professional) fee In the file: PF 62323 INJ INTERLAMINAR LMBR/SAC WITH IMAGING GUIDANCE	$1,792	$1,612.80	$106.57 – $1,792
Spinal injection, lower back (epidural), with imaging guidance: rates for 5 insurance plans Avera Health — All Plans: $1,702.40 Sanford Health Plan — All Commercial Plans: $1,738.24 Sanford Health Plan — Medicare Advantage: $106.57 United Healthcare — All Commercial Plans: $1,523.20 Wellmark Blue Cross Blue Shield — All Plans: $1,792
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Doctor (professional) fee In the file: ANES 62323 INJ IL NDL CATH LUMB SACR W GUID	$1,762	$1,585.80	$106.57 – $1,762
Spinal injection, lower back (epidural), with imaging guidance: rates for 5 insurance plans Avera Health — All Plans: $1,673.90 Sanford Health Plan — All Commercial Plans: $1,709.14 Sanford Health Plan — Medicare Advantage: $106.57 United Healthcare — All Commercial Plans: $1,497.70 Wellmark Blue Cross Blue Shield — All Plans: $1,762
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TX RM 62323 TR RM INJ INTERLAMINAR LUMBR SAC W IMAG GUID	$1,855	$1,669.50	$908.95 – $1,855
Spinal injection, lower back (epidural), with imaging guidance: rates for 5 insurance plans Avera Health — All Plans: $1,762.25 Sanford Health Plan — All Commercial Plans: $1,799.35 Sanford Health Plan — Medicare Advantage: $908.95 United Healthcare — All Commercial Plans: $1,576.75 Wellmark Blue Cross Blue Shield — All Plans: $1,855
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Doctor (professional) fee In the file: PF 64483 TRN EPID L S SGL1LVL	$1,876	$1,688.40	$120.20 – $1,876
Nerve root injection, lower back, with imaging guidance: rates for 5 insurance plans Avera Health — All Plans: $1,782.20 Sanford Health Plan — All Commercial Plans: $1,819.72 Sanford Health Plan — Medicare Advantage: $120.20 United Healthcare — All Commercial Plans: $1,594.60 Wellmark Blue Cross Blue Shield — All Plans: $1,876
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Doctor (professional) fee In the file: ANES 64483 INJ LUMB SACRAL SNGL LVL	$1,876	$1,688.40	$120.20 – $1,876
Nerve root injection, lower back, with imaging guidance: rates for 5 insurance plans Avera Health — All Plans: $1,782.20 Sanford Health Plan — All Commercial Plans: $1,819.72 Sanford Health Plan — Medicare Advantage: $120.20 United Healthcare — All Commercial Plans: $1,594.60 Wellmark Blue Cross Blue Shield — All Plans: $1,876
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TX RM 64483 INJ TRNFRM EPID LUM SNGL 1LVL	$1,975	$1,777.50	$967.75 – $1,975
Nerve root injection, lower back, with imaging guidance: rates for 5 insurance plans Avera Health — All Plans: $1,876.25 Sanford Health Plan — All Commercial Plans: $1,915.75 Sanford Health Plan — Medicare Advantage: $967.75 United Healthcare — All Commercial Plans: $1,678.75 Wellmark Blue Cross Blue Shield — All Plans: $1,975
Carpal tunnel release CPT 64721 · Inpatient or outpatient · Doctor (professional) fee In the file: CARPAL TUNNEL SURGERY	Not listed in the file	Not listed in the file	$479.04
Carpal tunnel release: rates for 1 insurance plan Sanford Health Plan — Medicare Advantage: $479.04
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient · Doctor (professional) fee In the file: AFTER CATARACT LASER SURGERY	Not listed in the file	Not listed in the file	$337.96
Laser treatment of clouding after cataract surgery: rates for 1 insurance plan Sanford Health Plan — Medicare Advantage: $337.96
Cataract removal with lens implant CPT 66984 · Inpatient or outpatient · Doctor (professional) fee In the file: XCAPSL CTRC RMVL W/O ECP	Not listed in the file	Not listed in the file	$587.36
Cataract removal with lens implant: rates for 1 insurance plan Sanford Health Plan — Medicare Advantage: $587.36

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Inpatient or outpatient · Doctor (professional) fee In the file: OBSTETRICAL CARE	Not listed in the file	Not listed in the file	$2,477.53
Vaginal delivery, with care before and after: rates for 1 insurance plan Sanford Health Plan — Medicare Advantage: $2,477.53
Cesarean delivery (C-section), with care before and after CPT 59510 · Inpatient or outpatient · Doctor (professional) fee In the file: CESAREAN DELIVERY	Not listed in the file	Not listed in the file	$2,726.22
Cesarean delivery (C-section), with care before and after: rates for 1 insurance plan Sanford Health Plan — Medicare Advantage: $2,726.22
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Inpatient or outpatient · Doctor (professional) fee In the file: VBAC DELIVERY	Not listed in the file	Not listed in the file	$2,567.62
Vaginal delivery after a previous C-section, with care before and after: rates for 1 insurance plan Sanford Health Plan — Medicare Advantage: $2,567.62

Source: Douglas County Memorial Hospital-Cah’s standard charges file (sthpiprd.blob.core.windows.net, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on January 9, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.

Hospital information

Hospital type	Critical Access Hospital
Address	708 8th St, Armour, SD 57313
County	Douglas County
State	South Dakota
Phone	(605) 724‑2159
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	Not rated by CMS
CMS Certification Number	431305
Name in Medicare records	DOUGLAS COUNTY MEMORIAL HOSPITAL-CAH
Profile level	Medicare data + hospital website
Name on the hospital’s website	Douglas County Memorial Hospital
Official website	dcmhsd.org
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
Medicare Care Compare — official Medicare profile of this hospital
U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-10-30.

Douglas County Memorial Hospital — dcmhsd.org
Visiting Hours — dcmhsd.org
Clinical Services — dcmhsd.org
Surgical Services — dcmhsd.org
Therapy Services — dcmhsd.org
Diagnostic Services — dcmhsd.org
Home Health - Douglas County Memorial Hospital | DCMH - Prairie Health Clinics | Prairie Villa — dcmhsd.org
Outpatient Surgery Instructions - Douglas County Memorial Hospital | DCMH - Prairie Health Clinics | Prairie Villa — dcmhsd.org
Outpatient Services - Douglas County Memorial Hospital | DCMH - Prairie Health Clinics | Prairie Villa — dcmhsd.org
Cardiac Rehabilitation - Douglas County Memorial Hospital | DCMH - Prairie Health Clinics | Prairie Villa — dcmhsd.org
Respiratory Care - Douglas County Memorial Hospital | DCMH - Prairie Health Clinics | Prairie Villa — dcmhsd.org

Douglas County Memorial Hospital-Cah

Summary

Profile from official sources

At a glance

Quick answers

Specialties and care areas^[6][7]

Conditions treated^[14]

Treatments^{[7][8][12][14]}

Procedures^[7][9][14]

Programs and centers^{[4][10][13][14]}

Emergency care (hospital website)^[5][12]

Visiting and practical information

Doctors and clinicians (25)

Main specialties

Doctors with a page on this site (25)

Other emergency rooms nearby

Other hospitals near Armour

Nursing homes, hospice, home health and dialysis nearby

Nursing homes

Dialysis facilities

Community care nearby

Clinics and urgent care

Pharmacies

About the Medicare star rating

Medicare quality data

What patients said (patient survey)

Return visits to the hospital (readmissions)

Emergency room times and sepsis care

ER wait times and Medicare ratings nearby

Prices

Office and emergency visits

Lab tests

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

Heart tests and sleep study

Physical therapy and mental health

Procedures and surgery

Pregnancy and childbirth

Hospital information

Sources

From the hospital’s website

Douglas County Memorial Hospital-Cah

Summary

Profile from official sources

At a glance

Quick answers

Specialties and care areas[6][7]

Conditions treated[14]

Treatments[7][8][12][14]

Procedures[7][9][14]

Programs and centers[4][10][13][14]

Emergency care (hospital website)[5][12]

Visiting and practical information

Doctors and clinicians (25)

Main specialties

Doctors with a page on this site (25)

Other emergency rooms nearby

Other hospitals near Armour

Nursing homes, hospice, home health and dialysis nearby

Nursing homes

Dialysis facilities

Community care nearby

Clinics and urgent care

Pharmacies

About the Medicare star rating

Medicare quality data

What patients said (patient survey)

Return visits to the hospital (readmissions)

Emergency room times and sepsis care

ER wait times and Medicare ratings nearby

Prices

Office and emergency visits

Lab tests

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

Heart tests and sleep study

Physical therapy and mental health

Procedures and surgery

Pregnancy and childbirth

Hospital information

Sources

From the hospital’s website

Specialties and care areas^[6][7]

Conditions treated^[14]

Treatments^{[7][8][12][14]}

Procedures^[7][9][14]

Programs and centers^{[4][10][13][14]}

Emergency care (hospital website)^[5][12]