Sanford Health · Clear Lake, SD
26
In-network payers
255
Disclosed rate categories
10
Beds
Sanford Medical Center Clear Lake is a 10-bed voluntary non-profit - private hospital in Clear Lake, SD, affiliated with Sanford Health. Below you'll find publicly disclosed negotiated rates and facility details, including 26 in-network payers and 255 disclosed rate categories.
CCN (Medicare provider number)
431307
NPI
1851305296
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Private
Beds
10
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Sanford Medical Center Clear Lake most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
CT imaging
CPT 74177
$3,136 - $5,291
from 4 insurers · median $4,523
Typical for a hospital with this service line
CT imaging
CPT 70450
$1,588 - $1,900
from 2 insurers · median $1,744
Typical for a hospital with this service line
CT imaging
CPT 74176
$2,764 - $4,576
from 4 insurers · median $3,904
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$2,196 - $2,817
from 4 insurers · median $2,440
Typical for a hospital with this service line
CT imaging
CPT 71275
$2,054 - $3,364
from 4 insurers · median $2,923
Typical for a hospital with this service line
MRI imaging
CPT 70553
$3,035 - $5,081
from 4 insurers · median $4,391
Typical for a hospital with this service line
Mammography
CPT 77067
$427 - $548
from 4 insurers · median $493
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$2,521 - $2,900
from 4 insurers · median $2,715
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$2,383 - $4,178
from 2 insurers · median $3,280
Typical for a hospital with this service line
MRI imaging
CPT 72148
$2,260 - $3,520
from 4 insurers · median $3,295
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$308 - $397
from 4 insurers · median $370
Typical for a hospital with this service line
MRI imaging
CPT 70551
$2,241 - $3,480
from 4 insurers · median $3,117
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$3,403 - $5,340
from 4 insurers · median $4,531
Hospital reports nuclear medicine services to CMS
Digestive procedures
CPT 45385
$1,785 - $2,383
from 2 insurers · median $2,084
Typical for a hospital with this service line
MRI imaging
CPT 73721
$2,219 - $3,435
from 4 insurers · median $3,027
Typical for a hospital with this service line
Ultrasound
CPT 76705
$725 - $860
from 4 insurers · median $813
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$2,742 - $2,846
from 2 insurers · median $2,794
Typical for a hospital with this service line
Gynecology
CPT 58571
$22,686
negotiated rate
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$798 - $1,010
from 4 insurers · median $954
Typical for a hospital with this service line
Nuclear imaging
CPT 78815
$6,875
negotiated rate
Hospital reports pet scan services to CMS
Ultrasound
CPT 76830
$661 - $939
from 4 insurers · median $887
Typical for a hospital with this service line
Ultrasound
CPT 76856
$698 - $1,037
from 4 insurers · median $979
Typical for a hospital with this service line
Laboratory and pathology
CPT 80053
$141 - $152
from 4 insurers · median $148
Typical for a hospital with this service line
X-ray and bone density
CPT 77080
$411 - $665
from 4 insurers · median $628
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 18 | 958% | 0 | 0 |
| Insurer B* | 18 | 889% | 5 | 0 |
| Insurer C* | 22 | 848% | 14 | 7 |
| Insurer D* | 24 | 636% | 24 | 0 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Sanford Medical Center Clear Lake.
701 Third Avenue South, Clear Lake, SD 57226
(605) 874-2141
The nearest hospitals of similar type and size. Their rates are compared with Sanford Medical Center Clear Lake for the same insurers and services above.
Hendricks Community Hospital Association
▼ Rates typically 65% lower than Sanford Medical Center Clear Lake (23 services)
Madison Healthcare Services
▼ Rates typically 27% lower than Sanford Medical Center Clear Lake (23 services)
Milbank Area Health Care Campus
▼ Rates typically 19% lower than Sanford Medical Center Clear Lake (24 services)
Johnson Memorial Hospital
▼ Rates typically 55% lower than Sanford Medical Center Clear Lake (23 services)
Ortonville Area Health Services
▼ Rates typically 57% lower than Sanford Medical Center Clear Lake (23 services)
Avera Tyler Hospital
▼ Rates typically 15% lower than Sanford Medical Center Clear Lake (24 services)
Sanford Hospital Webster
Sanford Medical Center Vermillion
Sanford Chamberlain Medical Center
Sanford Medical Center Canton
About Sanford Medical Center Clear Lake's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Sanford Medical Center Clear Lake range from $3,035 to $5,081 across 4 insurers. Blue Cross Blue Shield's rate is $3,035. The median at nearby comparable hospitals is $1,040. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Sanford Medical Center Clear Lake range from $3,136 to $5,291 across 4 insurers. Aetna's rate is $4,136. The median at nearby comparable hospitals is $1,084. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Sanford Medical Center Clear Lake range from $2,383 to $4,178 across 2 insurers. Aetna's rate is $4,178. The median at nearby comparable hospitals is $2,787. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Sanford Medical Center Clear Lake range from $427 to $548 across 4 insurers. Cigna's rate is $548. The median at nearby comparable hospitals is $412. What a patient pays depends on their plan's deductible, coinsurance and network status.
Sanford Medical Center Clear Lake has 10 beds. Facility type: Critical Access Hospital.
Sanford Medical Center Clear Lake is located at 701 Third Avenue South, Clear Lake, SD 57226. Its main phone number is (605) 874-2141.
Sanford Medical Center Clear Lake's CMS Certification Number (CCN), also called its Medicare provider number, is 431307.
The National Provider Identifier (NPI) on file for Sanford Medical Center Clear Lake is 1851305296.
Sanford Medical Center Clear Lake is affiliated with Sanford Health.
Sanford Medical Center Clear Lake lists 26 in-network payers, including Aetna, Aspirus Health Plan, Avera Health Plans, BCBS, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
255 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers