healthcosts.net
Sanford Sheldon Medical Center
118 N 7th Ave, Sheldon, IA · Sanford Health · · NPI 1841200623
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Abdominal CT scan (with and without contrast) CPT 74170 | $2,880.80 | $3,601.00 | $1,026.29 – $3,240.90 | 15 |
| Abdominal CT scan (with contrast) CPT 74160 | $2,761.60 | $3,452.00 | $983.82 – $3,106.80 | 15 |
| Abdominal CT scan (without contrast) CPT 74150 | $2,223.20 | $2,779.00 | $792.02 – $2,501.10 | 15 |
| Abdominal MRI (with and without contrast) CPT 74183 | $4,155.20 | $5,194.00 | $1,480.29 – $4,674.60 | 15 |
| Abdominal MRI (with contrast) CPT 74182 | $3,222.40 | $4,028.00 | $1,147.98 – $3,625.20 | 15 |
| Abdominal MRI (without contrast) CPT 74181 | $2,896.80 | $3,621.00 | $1,031.99 – $3,258.90 | 15 |
| Abdominal Ultrasound (complete) CPT 76700 | $983.20 | $1,229.00 | $350.27 – $1,106.10 | 15 |
| Abdominal Ultrasound (limited) CPT 76705 | $756.00 | $945.00 | $269.33 – $850.50 | 15 |
| Ankle X-ray CPT 73610 | $353.60 | $442.00 | $125.97 – $397.80 | 15 |
| Blood Clotting (PT/INR) Test CPT 85610 | $48.80 | $61.00 | $15.68 – $49.50 | 15 |
| Blood Clotting (PTT) Test CPT 85730 | $44.00 | $55.00 | $15.68 – $49.50 | 15 |
| Blood Count (CBC) Test CPT 85025 | $57.60 | $72.00 | $20.52 – $64.80 | 15 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $36.00 | $45.00 | $12.83 – $40.50 | 15 |
| Blood Culture Test CPT 87040 | $119.20 | $149.00 | $42.47 – $134.10 | 15 |
| Bone Density Scan (DEXA) CPT 77080 | $472.00 | $590.00 | $168.15 – $531.00 | 15 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $3,977.60 | $4,972.00 | $1,417.02 – $4,474.80 | 15 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $3,096.00 | $3,870.00 | $1,102.95 – $3,483.00 | 15 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $2,816.80 | $3,521.00 | $1,003.49 – $3,168.90 | 15 |
| Brain MRI (with and without contrast) CPT 70553 | $4,494.40 | $5,618.00 | $1,601.13 – $5,056.20 | 15 |
| Brain MRI (with contrast) CPT 70552 | $3,381.60 | $4,227.00 | $1,204.70 – $3,804.30 | 15 |
| Brain MRI (without contrast) CPT 70551 | $3,087.20 | $3,859.00 | $1,099.82 – $3,473.10 | 15 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $4,990.40 | $6,238.00 | $1,777.83 – $5,614.20 | 15 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $2,847.20 | $3,559.00 | $1,014.32 – $3,203.10 | 15 |
| CT Angiogram of the Head CPT 70496 | $2,859.20 | $3,574.00 | $1,018.59 – $3,216.60 | 15 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $5,248.80 | $6,561.00 | $1,869.89 – $5,904.90 | 15 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $4,468.80 | $5,586.00 | $1,592.01 – $5,027.40 | 15 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $3,804.80 | $4,756.00 | $1,355.46 – $4,280.40 | 15 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $1,165.60 | $1,457.00 | $415.25 – $1,311.30 | 15 |
| Chest CT scan (with and without contrast) CPT 71270 | $3,041.60 | $3,802.00 | $1,083.57 – $3,421.80 | 15 |
| Chest CT scan (with contrast) CPT 71260 | $2,748.80 | $3,436.00 | $979.26 – $3,092.40 | 15 |
| Chest CT scan (without contrast) CPT 71250 | $2,108.00 | $2,635.00 | $750.98 – $2,371.50 | 15 |
| Chest X-ray CPT 71046 | $340.00 | $425.00 | $121.13 – $382.50 | 15 |
| Chest X-ray (single view) CPT 71045 | $253.60 | $317.00 | $90.35 – $285.30 | 15 |
| Cholesterol (Lipid) Test CPT 80061 | $100.00 | $125.00 | $35.63 – $112.50 | 15 |
| Cystoscopy (Bladder Scope) CPT 52000 | $3,592.80 | $4,491.00 | $1,279.94 – $4,041.90 | 15 |
| Diabetes (HbA1c) Test CPT 83036 | $68.80 | $86.00 | $24.51 – $77.40 | 15 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $517.60 | $647.00 | $184.40 – $582.30 | 15 |
| Diagnostic Mammogram (one breast) CPT 77065 | $508.00 | $635.00 | $180.98 – $571.50 | 15 |
| ER Visit (level 1, minor) CPT 99281 | $301.60 | $377.00 | $107.45 – $339.30 | 15 |
| ER Visit (level 2) CPT 99282 | $488.80 | $611.00 | $174.14 – $549.90 | 15 |
| ER Visit (level 3) CPT 99283 | $837.60 | $1,047.00 | $298.40 – $942.30 | 15 |
| ER Visit (level 4) CPT 99284 | $1,318.40 | $1,648.00 | $469.68 – $1,483.20 | 15 |
| ER Visit (level 5, high severity) CPT 99285 | $1,920.00 | $2,400.00 | $684.00 – $2,160.00 | 15 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $2,319.20 | $2,899.00 | $826.22 – $2,609.10 | 15 |
| Established Patient Office Visit (level 1) CPT 99211 | $329.60 | $412.00 | $23.37 – $73.80 | 15 |
| Established Patient Office Visit (level 2) CPT 99212 | $167.20 | $209.00 | $35.91 – $113.40 | 15 |
| Established Patient Office Visit (level 3) CPT 99213 | $123.20 | $154.00 | $43.89 – $138.60 | 15 |
| Established Patient Office Visit (level 4) CPT 99214 | $160.00 | $200.00 | $57.00 – $180.00 | 15 |
| Established Patient Office Visit (level 5) CPT 99215 | $214.40 | $268.00 | $76.38 – $241.20 | 15 |
| Flexible Sigmoidoscopy CPT 45330 | $1,744.00 | $2,180.00 | $621.30 – $1,962.00 | 15 |
| Foot X-ray CPT 73630 | $348.80 | $436.00 | $124.26 – $392.40 | 15 |
| Hand X-ray CPT 73130 | $346.40 | $433.00 | $123.41 – $389.70 | 15 |
| Head CT scan (with and without contrast) CPT 70470 | $2,455.20 | $3,069.00 | $874.67 – $2,762.10 | 15 |
| Head CT scan (with contrast) CPT 70460 | $2,536.00 | $3,170.00 | $903.45 – $2,853.00 | 15 |
| Head CT scan (without contrast) CPT 70450 | $1,913.60 | $2,392.00 | $681.72 – $2,152.80 | 15 |
| Hip X-ray CPT 73502 | $352.00 | $440.00 | $125.40 – $396.00 | 15 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $820.00 | $1,025.00 | $292.13 – $922.50 | 15 |
| Knee MRI (with and without contrast) CPT 73723 | $4,069.60 | $5,087.00 | $1,449.80 – $4,578.30 | 15 |
| Knee MRI (with contrast) CPT 73722 | $3,324.00 | $4,155.00 | $1,184.18 – $3,739.50 | 15 |
| Knee MRI (without contrast) CPT 73721 | $2,810.40 | $3,513.00 | $1,001.21 – $3,161.70 | 15 |
| Knee X-ray CPT 73564 | $413.60 | $517.00 | $147.35 – $465.30 | 15 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $1,337.60 | $1,672.00 | $476.52 – $1,504.80 | 15 |
| Liver Function Test CPT 80076 | $61.60 | $77.00 | $21.95 – $69.30 | 15 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $3,097.60 | $3,872.00 | $1,103.52 – $3,484.80 | 15 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $2,491.20 | $3,114.00 | $887.49 – $2,802.60 | 15 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $2,508.00 | $3,135.00 | $893.48 – $2,821.50 | 15 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $4,326.40 | $5,408.00 | $1,541.28 – $4,867.20 | 15 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $3,452.80 | $4,316.00 | $1,230.06 – $3,884.40 | 15 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $3,165.60 | $3,957.00 | $1,127.75 – $3,561.30 | 15 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $414.40 | $518.00 | $147.63 – $466.20 | 15 |
| Lung Function Test (Spirometry) CPT 94010 | $399.20 | $499.00 | $142.22 – $449.10 | 15 |
| Metabolic Blood Panel (Basic) CPT 80048 | $64.00 | $80.00 | $22.80 – $72.00 | 15 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $77.60 | $97.00 | $27.65 – $87.30 | 15 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $1,867.20 | $2,334.00 | $665.19 – $2,100.60 | 15 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $2,577.60 | $3,222.00 | $918.27 – $2,899.80 | 15 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $2,473.60 | $3,092.00 | $881.22 – $2,782.80 | 15 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $4,445.60 | $5,557.00 | $1,583.75 – $5,001.30 | 15 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $3,444.00 | $4,305.00 | $1,226.93 – $3,874.50 | 15 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $2,987.20 | $3,734.00 | $1,064.19 – $3,360.60 | 15 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $3,804.00 | $4,755.00 | $1,355.18 – $4,279.50 | 15 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $2,907.20 | $3,634.00 | $1,035.69 – $3,270.60 | 15 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $2,597.60 | $3,247.00 | $925.40 – $2,922.30 | 15 |
| New Patient Office Visit (level 2) CPT 99202 | $112.00 | $140.00 | $39.90 – $126.00 | 15 |
| New Patient Office Visit (level 3) CPT 99203 | $160.00 | $200.00 | $57.00 – $180.00 | 15 |
| New Patient Office Visit (level 4) CPT 99204 | $244.00 | $305.00 | $86.93 – $274.50 | 15 |
| New Patient Office Visit (level 5) CPT 99205 | $306.40 | $383.00 | $109.16 – $344.70 | 15 |
| Nuclear Stress Test (Heart) CPT 78452 | $4,600.00 | $5,750.00 | $1,638.75 – $5,175.00 | 15 |
| PSA (Prostate) Test CPT 84153 | $89.60 | $112.00 | $31.92 – $100.80 | 15 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $2,769.60 | $3,462.00 | $986.67 – $3,115.80 | 15 |
| Pelvic CT scan (with contrast) CPT 72193 | $2,244.00 | $2,805.00 | $799.43 – $2,524.50 | 15 |
| Pelvic CT scan (without contrast) CPT 72192 | $2,004.00 | $2,505.00 | $713.93 – $2,254.50 | 15 |
| Pelvic MRI (with and without contrast) CPT 72197 | $4,138.40 | $5,173.00 | $1,474.31 – $4,655.70 | 15 |
| Pelvic MRI (without contrast) CPT 72195 | $2,972.80 | $3,716.00 | $1,059.06 – $3,344.40 | 15 |
| Pelvic Ultrasound (complete) CPT 76856 | $956.80 | $1,196.00 | $340.86 – $1,076.40 | 15 |
| Pelvic Ultrasound (limited) CPT 76857 | $514.40 | $643.00 | $183.26 – $578.70 | 15 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $941.60 | $1,177.00 | $335.45 – $1,059.30 | 15 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $788.80 | $986.00 | $281.01 – $887.40 | 15 |
| Rapid Strep Test CPT 87880 | $62.40 | $78.00 | $22.23 – $70.20 | 15 |
| Screening Mammogram CPT 77067 | $444.80 | $556.00 | $158.46 – $500.40 | 15 |
| Shoulder MRI (with and without contrast) CPT 73223 | $3,989.60 | $4,987.00 | $1,421.30 – $4,488.30 | 15 |
| Shoulder MRI (with contrast) CPT 73222 | $3,332.00 | $4,165.00 | $1,187.03 – $3,748.50 | 15 |
| Shoulder MRI (without contrast) CPT 73221 | $2,874.40 | $3,593.00 | $1,024.01 – $3,233.70 | 15 |
| Shoulder X-ray CPT 73030 | $360.80 | $451.00 | $128.54 – $405.90 | 15 |
| Sinus CT scan (with and without contrast) CPT 70488 | $2,947.20 | $3,684.00 | $1,049.94 – $3,315.60 | 15 |
| Sinus CT scan (with contrast) CPT 70487 | $2,528.00 | $3,160.00 | $900.60 – $2,844.00 | 15 |
| Sinus CT scan (without contrast) CPT 70486 | $2,112.00 | $2,640.00 | $752.40 – $2,376.00 | 15 |
| Skin Biopsy CPT 11102 | $413.60 | $517.00 | $147.35 – $465.30 | 15 |
| Sleep Study (Polysomnography) CPT 95810 | $4,216.00 | $5,270.00 | $1,501.95 – $4,743.00 | 15 |
| Thyroid (TSH) Test CPT 84443 | $124.00 | $155.00 | $44.18 – $139.50 | 15 |
| Thyroid Ultrasound CPT 76536 | $728.80 | $911.00 | $259.64 – $819.90 | 15 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $4,425.60 | $5,532.00 | $1,576.62 – $4,978.80 | 15 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $3,452.80 | $4,316.00 | $1,230.06 – $3,884.40 | 15 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $3,044.80 | $3,806.00 | $1,084.71 – $3,425.40 | 15 |
| Urinalysis (with microscopy) CPT 81001 | $40.00 | $50.00 | $14.25 – $45.00 | 15 |
| Urinalysis (without microscopy) CPT 81003 | $34.40 | $43.00 | $12.26 – $38.70 | 15 |
| Urine Culture Test CPT 87086 | $70.40 | $88.00 | $25.08 – $79.20 | 15 |
| Vitamin D Test CPT 82306 | $132.00 | $165.00 | $34.49 – $108.90 | 15 |
| Wrist X-ray CPT 73110 | $350.40 | $438.00 | $124.83 – $394.20 | 15 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.