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 |
|---|---|---|---|---|
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $1,180.00 | $1,475.00 | $420.38 – $1,327.50 | 15 |
| PSA (Prostate) Test CPT 84153 | $89.60 | $112.00 | $31.92 – $100.80 | 15 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $138.40 | $173.00 | $49.31 – $155.70 | 15 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $115.20 | $144.00 | $41.04 – $129.60 | 15 |
| Pt application of modality traction mechanical CPT 97012 | $123.20 | $154.00 | $43.89 – $138.60 | 15 |
| Pt wheelchair management each 15 minutes CPT 97542 | $115.20 | $144.00 | $41.04 – $129.60 | 15 |
| Pulse ox continuous overnight monitoring CPT 94762 | $382.40 | $478.00 | $136.23 – $430.20 | 15 |
| Pulse ox multiple CPT 94761 | $220.80 | $276.00 | $78.66 – $248.40 | 15 |
| Pulse ox single CPT 94760 | $96.80 | $121.00 | $34.49 – $108.90 | 15 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $193.60 | $242.00 | $68.97 – $217.80 | 15 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $552.00 | $690.00 | $196.65 – $621.00 | 15 |
| Puncture spinal lumbar diagnostic CPT 62270 | $974.40 | $1,218.00 | $347.13 – $1,096.20 | 15 |
| Quest t3 uptake CPT 84479 | $48.80 | $61.00 | $17.39 – $54.90 | 15 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $3,792.40 | $4,740.50 | $284.09 – $897.14 | 15 |
| Racepinephrine hcl soln nebu 2.25% (base equivalent) HCPCS J7699 | $5.73 | $7.16 | $2.00 – $6.32 | 15 |
| Rapid Strep Test CPT 87880 | $62.40 | $78.00 | $22.23 – $70.20 | 15 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | not published | not published | $224.93 – $224.93 | 1 |
| Rbc count only automated CPT 85041 | $24.00 | $30.00 | $8.55 – $27.00 | 15 |
| Rbc irradiated each unit HCPCS P9038 | $593.60 | $742.00 | $211.47 – $667.80 | 15 |
| Red blood cells each unit HCPCS P9021 | $468.00 | $585.00 | $166.73 – $526.50 | 15 |
| Red blood cells leukocytes reduced cmv negative irradiated each unit HCPCS P9058 | $747.20 | $934.00 | $266.19 – $840.60 | 15 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $500.80 | $626.00 | $178.41 – $563.40 | 15 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $726.40 | $908.00 | $258.78 – $817.20 | 15 |
| Reduction of procidentia 45900 CPT 45900 | $1,282.40 | $1,603.00 | $456.86 – $1,442.70 | 15 |
| Refill/maint pump/resvr syst CPT 96522 | not published | not published | $284.80 – $284.80 | 1 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | $357.91 | $447.38 | $24.81 – $78.35 | 15 |
| Rem/biv cast full arm/leg CPT 29705 | $304.80 | $381.00 | $108.59 – $342.90 | 15 |
| Remdesivir 100 mg intravenous powder for solution HCPCS J0248 | $880.00 | $1,100.00 | $313.50 – $990.00 | 15 |
| Removal central venous catheter tunneled without port/pump CPT 36589 | $1,944.00 | $2,430.00 | $692.55 – $2,187.00 | 15 |
| Removal central venous device tunneled w/port/pump central/peripheral insertion CPT 36590 | $2,076.00 | $2,595.00 | $739.58 – $2,335.50 | 15 |
| Removal cerumen impacted (both sides) CPT 69210 | $132.00 | $165.00 | $47.03 – $148.50 | 15 |
| Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602 | $245.60 | $307.00 | $87.50 – $276.30 | 15 |
| Removal embedded foreign body vestibule mouth smpl CPT 40804 | $307.20 | $384.00 | $109.44 – $345.60 | 15 |
| Removal foreign body foot cmplx CPT 28193 | $2,872.80 | $3,591.00 | $1,023.44 – $3,231.90 | 15 |
| Removal foreign body foot subcutaneous right CPT 28190 | $1,260.80 | $1,576.00 | $449.16 – $1,418.40 | 15 |
| Removal of anal tags CPT 46230 | $3,872.00 | $4,840.00 | $1,379.40 – $4,356.00 | 15 |
| Removal of foreign body CPT 27372 | $5,620.80 | $7,026.00 | $2,002.41 – $6,323.40 | 15 |
| Removal skin tags fibrocutaneous any area <= 15 lesions CPT 11200 | $391.20 | $489.00 | $139.37 – $440.10 | 15 |
| Remove ext hem groups 2+ CPT 46250 | $5,130.40 | $6,413.00 | $1,827.71 – $5,771.70 | 15 |
| Renal function panel CPT 80069 | $64.80 | $81.00 | $23.09 – $72.90 | 15 |
| Repair blood vessel dir lower extr CPT 35226 | $1,427.20 | $1,784.00 | $508.44 – $1,605.60 | 15 |
| Repair blood vessel dir upper extr CPT 35206 | $4,939.20 | $6,174.00 | $1,759.59 – $5,556.60 | 15 |
| Repair complex wound scalp/arms/legs 2.6 - 7.5 cm CPT 13121 | $1,481.60 | $1,852.00 | $527.82 – $1,666.80 | 15 |
| Repair rpr lac tongue floor mouth > 2.6 cm/cmplx CPT 41252 | $801.60 | $1,002.00 | $285.57 – $901.80 | 15 |
| Reslizumab 10 mg/ml intravenous solution HCPCS J2786 | not published | not published | $10.50 – $10.50 | 1 |
| #resp virpnl dfa-adenovirus CPT 87260 | $68.00 | $85.00 | $24.23 – $76.50 | 15 |
| #resp virpnl dfa-parainfluenza CPT 87279 | $74.40 | $93.00 | $26.51 – $83.70 | 15 |
| Reticulocyte automated CPT 85045 | $39.20 | $49.00 | $13.97 – $44.10 | 15 |
| Reticulocyte direct measurement automated CPT 85046 | $49.60 | $62.00 | $17.67 – $55.80 | 15 |
| Retifanlimab-dlwr 500 mg/20 ml intravenous solution HCPCS J9345 | not published | not published | $34.97 – $34.97 | 1 |
| Rheumatoid factor qualitative CPT 86430 | $47.20 | $59.00 | $16.53 – $52.20 | 15 |
| Rheumatoid factor quantitative CPT 86431 | $60.00 | $75.00 | $21.09 – $66.60 | 15 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | $124.00 | $155.00 | $44.18 – $139.50 | 15 |
| Rho(d) immune globulin (rhig) human full dose im CPT 90384 | $244.80 | $306.00 | $87.21 – $275.40 | 15 |
| Rib and Chest X-ray (3 views, left side) CPT 71101 | $441.60 | $552.00 | $157.32 – $496.80 | 15 |
| Rib and Chest X-ray (4 or more views, both sides) CPT 71111 | $512.00 | $640.00 | $182.40 – $576.00 | 15 |
| Rib X-ray (3 views, both sides) CPT 71110 | $449.60 | $562.00 | $160.17 – $505.80 | 15 |
| Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794 | $909.91 | $1,137.38 | $228.64 – $722.02 | 15 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $4,074.51 | $5,093.13 | $396.69 – $1,252.69 | 15 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | $3,194.51 | $3,993.13 | $313.90 – $991.26 | 15 |
| Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123 | $3,999.11 | $4,998.88 | $392.39 – $1,239.12 | 15 |
| Rmvl ndwellg tun pleural cath CPT 32552 | $1,829.60 | $2,287.00 | $651.80 – $2,058.30 | 15 |
| Romiplostim 125 mcg subcutaneous solution HCPCS J2802 | $4,368.80 | $5,461.00 | $697.70 – $2,203.27 | 15 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | $3,722.07 | $4,652.58 | $11.36 – $4,086.02 | 15 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $164.03 | $205.03 | $21.55 – $68.06 | 15 |
| Rozanolixizumab-noli 140 mg/ml subcutaneous solution HCPCS J9333 | not published | not published | $23.21 – $23.21 | 1 |
| Rsv assay w/optic CPT 87807 | $136.00 | $170.00 | $48.45 – $153.00 | 15 |
| Rubella antibody igg CPT 86762 | $111.20 | $139.00 | $39.62 – $125.10 | 15 |
| Rubeola antibody igg CPT 86765 | $108.80 | $136.00 | $38.76 – $122.40 | 15 |
| Russell viper venom diluted CPT 85613 | $100.80 | $126.00 | $35.91 – $113.40 | 15 |
| Sacroiliac Joint X-ray (3 or more views) CPT 72202 | $387.20 | $484.00 | $137.94 – $435.60 | 15 |
| Sarscov coronavirus ag ia CPT 87426 | $86.40 | $108.00 | $30.78 – $97.20 | 15 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $1,088.80 | $1,361.00 | $387.89 – $1,224.90 | 15 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $788.80 | $986.00 | $281.01 – $887.40 | 15 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $808.80 | $1,011.00 | $288.14 – $909.90 | 15 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $921.60 | $1,152.00 | $328.32 – $1,036.80 | 15 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $851.20 | $1,064.00 | $303.24 – $957.60 | 15 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $832.80 | $1,041.00 | $296.69 – $936.90 | 15 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | $152.80 | $191.00 | $48.17 – $152.10 | 15 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | $57.60 | $72.00 | $20.52 – $64.80 | 15 |
| Screening hepatitis c antibody high risk HCPCS G0472 | $122.40 | $153.00 | $43.61 – $137.70 | 15 |
| Screening Mammogram CPT 77067 | $444.80 | $556.00 | $158.46 – $500.40 | 15 |
| Screening prostate cancer PSA HCPCS G0103 | $156.00 | $195.00 | $55.58 – $175.50 | 15 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $2,168.00 | $2,710.00 | $37.62 – $118.80 | 15 |
| Scrotal (Testicle) Ultrasound CPT 76870 | $793.60 | $992.00 | $282.72 – $892.80 | 15 |
| Sc ther infusion reset pump CPT 96371 | not published | not published | $148.00 – $148.00 | 1 |
| Sedimentation rate erythrocyte automated CPT 85652 | $32.80 | $41.00 | $11.69 – $36.90 | 15 |
| Self-Care and Home Skills Training (each 15 minutes) CPT 97535 | $128.00 | $160.00 | $45.60 – $144.00 | 15 |
| Semen analysis presence/motility CPT 89321 | $88.00 | $110.00 | $30.78 – $97.20 | 15 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | $204.80 | $256.00 | $72.96 – $230.40 | 15 |
| Shot (Injection into Muscle or Under the Skin) CPT 96372 | $172.80 | $216.00 | $7.13 – $22.50 | 15 |
| Shoulder AC Joint X-ray (both sides) CPT 73050 | $360.00 | $450.00 | $128.25 – $405.00 | 15 |
| Shoulder Blade (Scapula) X-ray (both sides) CPT 73010 | $351.20 | $439.00 | $125.12 – $395.10 | 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 |
| Shoulder X-ray (single view, both shoulders) CPT 73020 | $284.00 | $355.00 | $101.18 – $319.50 | 15 |
| Sickling rbc CPT 85660 | $56.00 | $70.00 | $19.95 – $63.00 | 15 |
| Sinus CT scan (with and without contrast) CPT 70488 | $2,947.20 | $3,684.00 | $1,049.94 – $3,315.60 | 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.