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 |
|---|---|---|---|---|
| Mayo cortisol free CPT 82530 | $154.40 | $193.00 | $17.96 – $56.70 | 15 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $62.40 | $78.00 | $11.12 – $35.10 | 15 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $56.80 | $71.00 | $20.24 – $63.90 | 15 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $61.60 | $77.00 | $21.95 – $69.30 | 15 |
| Mayo estriol CPT 82677 | $133.60 | $167.00 | $47.60 – $150.30 | 15 |
| Mayo estrone CPT 82679 | $60.00 | $75.00 | $21.38 – $67.50 | 15 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $120.80 | $151.00 | $41.90 – $132.30 | 15 |
| Mayo factor v CPT 85220 | $235.20 | $294.00 | $83.79 – $264.60 | 15 |
| Mayo factor vii CPT 85230 | $212.00 | $265.00 | $75.53 – $238.50 | 15 |
| Mayo factor viii vw factor antigen CPT 85246 | $220.00 | $275.00 | $78.38 – $247.50 | 15 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $69.60 | $87.00 | $24.80 – $78.30 | 15 |
| Mayo factor x CPT 85260 | $226.40 | $283.00 | $80.66 – $254.70 | 15 |
| Mayo factor xi CPT 85270 | $86.40 | $108.00 | $30.78 – $97.20 | 15 |
| Mayo fat/lipids feces quantitative CPT 82710 | $57.60 | $72.00 | $20.52 – $64.80 | 15 |
| Mayo fbl culture fungi blood CPT 87103 | $92.00 | $115.00 | $32.78 – $103.50 | 15 |
| Mayo ffspg allergen clam igg CPT 86001 | $54.40 | $68.00 | $19.38 – $61.20 | 15 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $71.20 | $89.00 | $25.37 – $80.10 | 15 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $524.00 | $655.00 | $186.68 – $589.50 | 15 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $265.60 | $332.00 | $94.62 – $298.80 | 15 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $91.20 | $114.00 | $32.21 – $101.70 | 15 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $225.60 | $282.00 | $73.82 – $233.10 | 15 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $71.20 | $89.00 | $25.37 – $80.10 | 15 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $122.40 | $153.00 | $43.61 – $137.70 | 15 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $78.40 | $98.00 | $27.93 – $88.20 | 15 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $140.80 | $176.00 | $17.39 – $54.90 | 15 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $101.60 | $127.00 | $36.20 – $114.30 | 15 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $52.80 | $66.00 | $18.81 – $59.40 | 15 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $142.40 | $178.00 | $26.51 – $83.70 | 15 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $40.80 | $51.00 | $14.54 – $45.90 | 15 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $329.60 | $412.00 | $71.25 – $225.00 | 15 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $104.80 | $131.00 | $37.34 – $117.90 | 15 |
| Mayo inhab inhibin a CPT 86336 | $56.80 | $71.00 | $20.24 – $63.90 | 15 |
| Mayo iodine CPT 83789 | $140.00 | $175.00 | $48.74 – $153.90 | 15 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $37.60 | $47.00 | $13.40 – $42.30 | 15 |
| Mayo legionella antibody CPT 86713 | $156.80 | $196.00 | $32.21 – $101.70 | 15 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $52.80 | $66.00 | $18.81 – $59.40 | 15 |
| Mayo metanephrines plasma CPT 83835 | $46.40 | $58.00 | $16.53 – $52.20 | 15 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $107.20 | $134.00 | $18.81 – $59.40 | 15 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $113.60 | $142.00 | $26.51 – $83.70 | 15 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | $649.60 | $812.00 | $231.42 – $730.80 | 15 |
| Mayo muramidase CPT 85549 | $54.40 | $68.00 | $19.38 – $61.20 | 15 |
| Mayo myoglobin CPT 83874 | $149.60 | $187.00 | $47.60 – $150.30 | 15 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $191.20 | $239.00 | $18.53 – $58.50 | 15 |
| Mayo organic acids qualitative each specimen CPT 83919 | $57.60 | $72.00 | $20.52 – $64.80 | 15 |
| Mayo oxalate 24 hour urine CPT 83945 | $57.60 | $72.00 | $20.52 – $64.80 | 15 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $56.80 | $71.00 | $20.24 – $63.90 | 15 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $115.20 | $144.00 | $18.81 – $59.40 | 15 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $240.80 | $301.00 | $85.79 – $270.90 | 15 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $118.40 | $148.00 | $42.18 – $133.20 | 15 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $71.20 | $89.00 | $25.37 – $80.10 | 15 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $71.20 | $89.00 | $25.37 – $80.10 | 15 |
| Mayo proinsulin CPT 84206 | $64.80 | $81.00 | $23.09 – $72.90 | 15 |
| Mayo psaft prostate specific antigen free CPT 84154 | $141.60 | $177.00 | $50.45 – $159.30 | 15 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $171.20 | $214.00 | $20.52 – $64.80 | 15 |
| Mayo renin CPT 84244 | $51.20 | $64.00 | $18.24 – $57.60 | 15 |
| Mayo repu protein electrophoresis urine CPT 84166 | $132.00 | $165.00 | $47.03 – $148.50 | 15 |
| Mayo selenium CPT 84255 | $61.60 | $77.00 | $21.95 – $69.30 | 15 |
| Mayo semb semen analysis volume/count/motility/differential strict morphologic criteria CPT 89322 | $216.00 | $270.00 | $76.95 – $243.00 | 15 |
| Mayo serotonin CPT 84260 | $103.20 | $129.00 | $36.77 – $116.10 | 15 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $56.80 | $71.00 | $20.24 – $63.90 | 15 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $168.80 | $211.00 | $60.14 – $189.90 | 15 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | $55.20 | $69.00 | $19.67 – $62.10 | 15 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $41.60 | $52.00 | $14.82 – $46.80 | 15 |
| Mayo tgrp testosterone free CPT 84402 | $64.00 | $80.00 | $21.38 – $67.50 | 15 |
| Mayo tgrp testosterone total CPT 84403 | $192.00 | $240.00 | $21.66 – $68.40 | 15 |
| Mayo thyroglobulin CPT 84432 | $207.20 | $259.00 | $16.25 – $51.30 | 15 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $121.60 | $152.00 | $43.32 – $136.80 | 15 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | $120.00 | $150.00 | $42.75 – $135.00 | 15 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | $106.40 | $133.00 | $37.91 – $119.70 | 15 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $132.00 | $165.00 | $13.40 – $42.30 | 15 |
| Mayo vitamin k CPT 84597 | $76.00 | $95.00 | $27.08 – $85.50 | 15 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $71.20 | $89.00 | $25.37 – $80.10 | 15 |
| Measurement post void urine by ultrasound CPT 51798 | $212.80 | $266.00 | $75.81 – $239.40 | 15 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | $358.80 | $448.50 | $23.69 – $74.80 | 15 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $64.32 | $80.40 | $21.63 – $68.32 | 15 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | $4,923.62 | $6,154.52 | $31.01 – $5,539.07 | 15 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $65.57 | $81.96 | $22.05 – $69.62 | 15 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | $94.00 | $117.50 | $33.49 – $105.75 | 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 |
| Metabolic panel ionized ca CPT 80047 | $60.00 | $75.00 | $21.38 – $67.50 | 15 |
| Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain) HCPCS J2800 | $64.54 | $80.67 | $22.55 – $71.22 | 15 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $6.56 | $8.20 | $1.62 – $5.13 | 15 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | $186.76 | $233.44 | $65.82 – $207.85 | 15 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $842.40 | $1,053.00 | $24.62 – $77.74 | 15 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $72.56 | $90.69 | $24.75 – $78.15 | 15 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | $84.93 | $106.16 | $30.26 – $95.54 | 15 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | $1.20 | $1.50 | $0.43 – $1.35 | 15 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $69.22 | $86.52 | $22.67 – $71.59 | 15 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $101.81 | $127.26 | $21.66 – $68.41 | 15 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $61.64 | $77.04 | $21.59 – $68.18 | 15 |
| Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) HCPCS J0616 | $61.21 | $76.51 | $21.46 – $67.78 | 15 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $74.95 | $93.68 | $26.47 – $83.59 | 15 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | $117.40 | $146.75 | $30.36 – $95.89 | 15 |
| Microalbumin urine screen CPT 82044 | $63.20 | $79.00 | $22.52 – $71.10 | 15 |
| Mid and Lower Back (Thoracolumbar Spine) X-ray CPT 72080 | $371.20 | $464.00 | $132.24 – $417.60 | 15 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $60.66 | $75.82 | $21.48 – $67.82 | 15 |
| Middle cerebral artery echo CPT 76821 | $488.00 | $610.00 | $173.85 – $549.00 | 15 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $76.60 | $95.75 | $21.44 – $67.72 | 15 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | $62.10 | $77.62 | $22.00 – $69.47 | 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.