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 |
|---|---|---|---|---|
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $641.60 | $802.00 | $228.57 – $721.80 | 15 |
| Injection, fulvestrant HCPCS J9395 | $1,350.36 | $1,687.94 | $481.06 – $1,519.15 | 15 |
| Injection glatiramer acetate HCPCS J1595 | $684.93 | $856.16 | $244.01 – $770.54 | 15 |
| Injection, inclisiran, 1 mg HCPCS J1306 | $5,260.16 | $6,575.19 | $1,873.93 – $5,917.67 | 15 |
| Injection,onabotulinumtoxina HCPCS J0585 | $916.80 | $1,146.00 | $220.88 – $697.50 | 15 |
| Injection, renflexis HCPCS Q5104 | $781.63 | $977.03 | $27.68 – $879.33 | 15 |
| Injection, ruconest HCPCS J0596 | not published | not published | $35.36 – $35.36 | 1 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $994.40 | $1,243.00 | $354.26 – $1,118.70 | 15 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $1,140.00 | $1,425.00 | $406.13 – $1,282.50 | 15 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $2,328.80 | $2,911.00 | $829.64 – $2,619.90 | 15 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $2,048.00 | $2,560.00 | $729.60 – $2,304.00 | 15 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $473.60 | $592.00 | $168.72 – $532.80 | 15 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $546.40 | $683.00 | $194.66 – $614.70 | 15 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $652.00 | $815.00 | $232.28 – $733.50 | 15 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $174.40 | $218.00 | $33.60 – $196.20 | 15 |
| Inject sacroiliac joint CPT 27096 | $1,198.40 | $1,498.00 | $426.93 – $1,348.20 | 15 |
| Inj efgart-alfa 2mg hya-qvfc HCPCS J9334 | not published | not published | $33.75 – $33.75 | 1 |
| Inj eflapegrastim-xnst 0.1mg HCPCS J1449 | not published | not published | $23.18 – $23.18 | 1 |
| Inj, eteplirsen, 10 mg HCPCS J1428 | not published | not published | $160.00 – $160.00 | 1 |
| Inj, evinacumab-dgnb, 5mg HCPCS J1305 | not published | not published | $189.83 – $189.83 | 1 |
| Inj. fe derisomaltose 10 mg HCPCS J1437 | $3,221.52 | $4,026.90 | $1,147.67 – $3,624.21 | 15 |
| Inj givosiran 0.5 mg HCPCS J0223 | not published | not published | $114.26 – $114.26 | 1 |
| Inj golodirsen 10 mg HCPCS J1429 | not published | not published | $160.00 – $160.00 | 1 |
| Inj., haegarda 10 units HCPCS J0599 | not published | not published | $14.43 – $14.43 | 1 |
| Inj heparin, pfizer, 1000u HCPCS J1643 | $61.86 | $77.32 | $22.04 – $69.59 | 15 |
| Inj. herceptin hylecta, 10mg HCPCS J9356 | not published | not published | $76.42 – $76.42 | 1 |
| Inj herzuma 10 mg HCPCS Q5113 | not published | not published | $72.41 – $72.41 | 1 |
| Inj hydroxocobalamin IV 25mg HCPCS J3424 | $1,614.40 | $2,018.00 | $575.13 – $1,816.20 | 15 |
| Inj., ibalizumab-uiyk, 10 mg HCPCS J1746 | not published | not published | $78.53 – $78.53 | 1 |
| Inj, imm glob bivigam, 500mg HCPCS J1556 | not published | not published | $76.58 – $76.58 | 1 |
| Inj. inebilizumab-cdon, 1 mg HCPCS J1823 | not published | not published | $493.54 – $493.54 | 1 |
| Inj ivig privigen 500 mg HCPCS J1459 | $7,183.84 | $8,979.80 | $49.50 – $708.30 | 15 |
| Inj., lanadelumab-flyo, 1 mg HCPCS J0593 | not published | not published | $89.54 – $89.54 | 1 |
| Inj, lecanemab-irmb, 1 mg HCPCS J0174 | not published | not published | $1.35 – $1.35 | 1 |
| Inj, lidocaine w epinephrine HCPCS J2004 | $21.96 | $27.45 | $6.86 – $21.67 | 15 |
| Inj. lumasiran, 0.5 mg HCPCS J0224 | not published | not published | $323.89 – $323.89 | 1 |
| Inj, meropenem (b. braun) HCPCS J2184 | $125.58 | $156.97 | $43.29 – $136.69 | 15 |
| Inj meropenem (wg crit care) HCPCS J2183 | $83.19 | $103.98 | $29.63 – $93.58 | 15 |
| Inj octafluoropropane mic,ml HCPCS Q9956 | $229.60 | $287.00 | $81.80 – $258.30 | 15 |
| Inj ogivri 10 mg HCPCS Q5114 | not published | not published | $64.87 – $64.87 | 1 |
| Inj olipudase alfa-rpcp 1mg HCPCS J0218 | not published | not published | $389.78 – $389.78 | 1 |
| Inj ontruzant 10 mg HCPCS Q5112 | not published | not published | $40.92 – $40.92 | 1 |
| Inj pantoprazole(hikma) 40mg HCPCS J2471 | $62.44 | $78.04 | $22.11 – $69.82 | 15 |
| Inj, panzyga, 500 mg HCPCS J1576 | not published | not published | $68.74 – $68.74 | 1 |
| Inj., patisiran, 0.1 mg HCPCS J0222 | not published | not published | $100.73 – $100.73 | 1 |
| Inj pegfilgrastim-bmez 0.5mg HCPCS Q5120 | $3,121.92 | $3,902.40 | $327.13 – $3,512.16 | 15 |
| Inj pozelimab-bbfg, 1 mg HCPCS J9376 | not published | not published | $90.87 – $90.87 | 1 |
| Inj, releuko 1 mcg HCPCS Q5125 | $216.71 | $270.88 | $34.46 – $108.81 | 15 |
| Inj sebelipase alfa 1 mg HCPCS J2840 | not published | not published | $510.50 – $510.50 | 1 |
| Inj sulf hexa lipid microsph HCPCS Q9950 | $251.81 | $314.76 | $33.51 – $105.82 | 15 |
| Inj, sutimlimab-jome, 10 mg HCPCS J1302 | not published | not published | $18.49 – $18.49 | 1 |
| Inj, taliglucerace alfa 10 u HCPCS J3060 | not published | not published | $43.39 – $43.39 | 1 |
| Inj. teprotumumab-trbw 10 mg HCPCS J3241 | not published | not published | $350.36 – $350.36 | 1 |
| Inj testosterone cypionate HCPCS J1071 | $64.72 | $80.90 | $22.56 – $71.24 | 15 |
| Inj., tildrakizumab, 1 mg HCPCS J3245 | not published | not published | $138.49 – $138.49 | 1 |
| Inj, tislelizumab-jsgr HCPCS J9329 | not published | not published | $66.09 – $66.09 | 1 |
| Inj, tofidence, 1 mg HCPCS Q5133 | not published | not published | $5.55 – $5.55 | 1 |
| Inj, tyenne, 1 mg HCPCS Q5135 | not published | not published | $5.15 – $5.15 | 1 |
| Inj velmanase alfa-tycv 1 mg HCPCS J0217 | not published | not published | $450.34 – $450.34 | 1 |
| Inj., vestronidase alfa-vjbk HCPCS J3397 | not published | not published | $263.70 – $263.70 | 1 |
| Inj. viltolarsen HCPCS J1427 | not published | not published | $56.40 – $56.40 | 1 |
| Inj. xembify, 100 mg HCPCS J1558 | not published | not published | $14.59 – $14.59 | 1 |
| Ins cerv dilator (sep proc) CPT 59200 | $587.20 | $734.00 | $209.19 – $660.60 | 15 |
| Insert drug delivery implant CPT 11981 | $470.40 | $588.00 | $167.58 – $529.20 | 15 |
| Insertion catheter bladder non indwelling CPT 51701 | $180.80 | $226.00 | $64.41 – $203.40 | 15 |
| Insertion nontunneled centrally inserted central venous catheter >= 5 years old CPT 36556 | $1,795.20 | $2,244.00 | $639.54 – $2,019.60 | 15 |
| Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years CPT 36569 | $1,940.00 | $2,425.00 | $651.80 – $2,058.30 | 15 |
| Insertion/replacement temporary single chamber electrode/pacemaker catheter CPT 33210 | $6,962.40 | $8,703.00 | $2,480.36 – $7,832.70 | 15 |
| Insert pessary/other device CPT 57160 | $256.80 | $321.00 | $91.49 – $288.90 | 15 |
| In situ hybridization per specimen each additional single probe stain CPT 88364 | $502.40 | $628.00 | $178.98 – $565.20 | 15 |
| In situ hybridization per specimen initial single probe stain CPT 88365 | $712.00 | $890.00 | $253.65 – $801.00 | 15 |
| Instillation anticarcinogenic agent bladder CPT 51720 | $1,044.00 | $1,305.00 | $371.93 – $1,174.50 | 15 |
| Ins tun cv cath wo subq prt/pm CPT 36558 | $5,350.40 | $6,688.00 | $1,906.08 – $6,019.20 | 15 |
| Insulin total CPT 83525 | $90.40 | $113.00 | $32.21 – $101.70 | 15 |
| Intrinsic factor antibody CPT 86340 | $56.80 | $71.00 | $20.24 – $63.90 | 15 |
| Intro long gi tube CPT 44500 | $1,061.60 | $1,327.00 | $378.20 – $1,194.30 | 15 |
| Intro long gi tube w/mult fluo CPT 74340 | $845.60 | $1,057.00 | $301.25 – $951.30 | 15 |
| Intubation endotracheal emergency procedure CPT 31500 | $572.00 | $715.00 | $203.78 – $643.50 | 15 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $100.00 | $125.00 | $1.14 – $3.60 | 15 |
| Ipratropium bromide non-comp HCPCS J7644 | $4.80 | $6.00 | $1.71 – $5.40 | 15 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | $239.30 | $299.12 | $67.34 – $212.64 | 15 |
| Iron CPT 83540 | $55.20 | $69.00 | $19.67 – $62.10 | 15 |
| Iron binding capacity CPT 83550 | $68.00 | $85.00 | $24.23 – $76.50 | 15 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $80.67 | $100.83 | $28.74 – $90.75 | 15 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $66.61 | $83.26 | $23.58 – $74.45 | 15 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $180.00 | $225.00 | $60.80 – $202.50 | 15 |
| IV Fluids (each additional hour) CPT 96361 | $168.80 | $211.00 | $60.14 – $189.90 | 15 |
| IV Fluids (first hour) CPT 96360 | $512.80 | $641.00 | $182.69 – $576.90 | 15 |
| Ivig non-lyophilized, nos HCPCS J1599 | not published | not published | $156.45 – $156.45 | 1 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $190.40 | $238.00 | $47.20 – $214.20 | 15 |
| IV Medicine Infusion (additional drug) CPT 96367 | $328.80 | $411.00 | $68.80 – $369.90 | 15 |
| IV Medicine Infusion (each additional hour) CPT 96366 | $222.40 | $278.00 | $48.80 – $216.00 | 15 |
| IV Medicine Infusion (first hour) CPT 96365 | $707.20 | $884.00 | $151.20 – $648.00 | 15 |
| IV Push Injection (each additional drug) CPT 96375 | $213.60 | $267.00 | $36.80 – $240.30 | 15 |
| IV Push Injection (first drug) CPT 96374 | $384.80 | $481.00 | $88.80 – $432.90 | 15 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $1,008.80 | $1,261.00 | $359.39 – $1,134.90 | 15 |
| Jaw Joint (TMJ) X-ray (both sides, open and closed) CPT 70330 | $426.40 | $533.00 | $151.91 – $479.70 | 15 |
| Jaw (Mandible) X-ray (complete) CPT 70110 | $363.20 | $454.00 | $129.39 – $408.60 | 15 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $72.80 | $91.00 | $25.94 – $81.90 | 15 |
| Ketorolac (Toradol) Pain Shot, 15 mg HCPCS J1885 | $61.66 | $77.07 | $21.55 – $68.06 | 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.