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 |
|---|---|---|---|---|
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $1,886.40 | $2,358.00 | $672.03 – $2,122.20 | 15 |
| Three-Phase Bone Scan (Nuclear Medicine) CPT 78315 | $2,139.20 | $2,674.00 | $762.09 – $2,406.60 | 15 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $80.80 | $101.00 | $28.79 – $90.90 | 15 |
| Thyroglobulin antibody CPT 86800 | $117.60 | $147.00 | $18.81 – $59.40 | 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 |
| Thyroid uptake measurement CPT 78012 | $900.80 | $1,126.00 | $320.91 – $1,013.40 | 15 |
| Tigecycline injection HCPCS J3243 | $271.86 | $339.82 | $36.48 – $115.19 | 15 |
| Tirofiban 12.5 mg/50 ml HCPCS J3246 | $458.51 | $573.13 | $103.45 – $326.68 | 15 |
| Tissue exam koh skin/hair/nails CPT 87220 | $68.00 | $85.00 | $24.23 – $76.50 | 15 |
| Tl-201 thallium diag per mci HCPCS A9505 | $78.40 | $98.00 | $27.93 – $88.20 | 15 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $61.27 | $76.58 | $21.59 – $68.18 | 15 |
| Tobramycin peak therapeutic drug level CPT 80200 | $142.40 | $178.00 | $50.73 – $160.20 | 15 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | $4,203.08 | $5,253.84 | $6.08 – $955.30 | 15 |
| Toe X-ray (both feet) CPT 73660 | $284.00 | $355.00 | $101.18 – $319.50 | 15 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $145.60 | $182.00 | $51.87 – $163.80 | 15 |
| Tomosynthesis breast screen bilateral CPT 77063 | $121.60 | $152.00 | $43.32 – $136.80 | 15 |
| Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution HCPCS J3263 | not published | not published | $46.57 – $46.57 | 1 |
| Toxoplasma antibody igg CPT 86777 | $116.80 | $146.00 | $41.61 – $131.40 | 15 |
| Toxoplasma antibody igm CPT 86778 | $116.80 | $146.00 | $41.61 – $131.40 | 15 |
| Tpmt gene com vrnts CPT 81335 | $256.00 | $320.00 | $91.20 – $288.00 | 15 |
| Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108 | $118.40 | $148.00 | $42.18 – $133.20 | 15 |
| Transferrin CPT 84466 | $103.20 | $129.00 | $36.77 – $116.10 | 15 |
| Transvaginal Pelvic Ultrasound (not pregnancy) CPT 76830 | $809.60 | $1,012.00 | $288.42 – $910.80 | 15 |
| Transvaginal Pregnancy Ultrasound CPT 76817 | $699.20 | $874.00 | $249.09 – $786.60 | 15 |
| Trastuzumab 150 mg intravenous solution HCPCS J9355 | not published | not published | $93.40 – $93.40 | 1 |
| Trastuzumab-anns 150 mg intravenous solution HCPCS Q5117 | $4,141.58 | $5,176.97 | $29.15 – $4,659.27 | 15 |
| Trastuzumab-qyyp 150 mg intravenous solution HCPCS Q5116 | not published | not published | $22.97 – $22.97 | 1 |
| Trauma partial team response w/critical care services level 4 HCPCS G0390 | $1,792.00 | $2,240.00 | $638.40 – $2,016.00 | 15 |
| Treat ankle dislocation CPT 27842 | $2,052.00 | $2,565.00 | $731.03 – $2,308.50 | 15 |
| Treat clavicle dislocation 23545 CPT 23545 | $458.40 | $573.00 | $163.31 – $515.70 | 15 |
| Treat elbow dislocation CPT 24605 | $1,937.60 | $2,422.00 | $690.27 – $2,179.80 | 15 |
| Treat elbow fracture CPT 24620 | $1,016.00 | $1,270.00 | $361.95 – $1,143.00 | 15 |
| Treat finger fracture each CPT 26742 | $994.40 | $1,243.00 | $354.26 – $1,118.70 | 15 |
| Treat foot dislocation CPT 28540 | $338.40 | $423.00 | $120.56 – $380.70 | 15 |
| Treat foot dislocation CPT 28570 | $338.40 | $423.00 | $120.56 – $380.70 | 15 |
| Treat foot dislocation CPT 28600 | $374.40 | $468.00 | $133.38 – $421.20 | 15 |
| Treat fracture of radius CPT 25505 | $1,098.40 | $1,373.00 | $391.31 – $1,235.70 | 15 |
| Treat fracture of radius CPT 25520 | $1,004.80 | $1,256.00 | $357.96 – $1,130.40 | 15 |
| Treat fracture of ulna CPT 25535 | $1,896.80 | $2,371.00 | $675.74 – $2,133.90 | 15 |
| Treat hip dislocation CPT 27252 | $1,811.20 | $2,264.00 | $645.24 – $2,037.60 | 15 |
| Treat humerus fracture CPT 24535 | $1,240.80 | $1,551.00 | $442.04 – $1,395.90 | 15 |
| Treat humerus fracture CPT 24565 | $1,672.00 | $2,090.00 | $595.65 – $1,881.00 | 15 |
| Treat knee fracture 27530 CPT 27530 | $427.20 | $534.00 | $152.19 – $480.60 | 15 |
| Treat knee fracture(s) CPT 27538 | $576.80 | $721.00 | $205.49 – $648.90 | 15 |
| Treat lower leg dislocation CPT 27830 | $1,046.40 | $1,308.00 | $372.78 – $1,177.20 | 15 |
| Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour CPT 94644 | $321.60 | $402.00 | $114.57 – $361.80 | 15 |
| Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour CPT 94645 | $203.20 | $254.00 | $72.39 – $228.60 | 15 |
| Treatment of ankle fracture 27786 CPT 27786 | $416.00 | $520.00 | $148.20 – $468.00 | 15 |
| Treatment of fibula fracture 27780 CPT 27780 | $358.40 | $448.00 | $127.68 – $403.20 | 15 |
| Treatment of heel fracture 28400 CPT 28400 | $375.20 | $469.00 | $133.67 – $422.10 | 15 |
| Treatment of thigh fracture CPT 27501 | $521.60 | $652.00 | $185.82 – $586.80 | 15 |
| Treatment of thigh fracture CPT 27508 | $450.40 | $563.00 | $160.46 – $506.70 | 15 |
| Treatment of thigh fracture CPT 27510 | $1,135.20 | $1,419.00 | $404.42 – $1,277.10 | 15 |
| Treatment of toe fracture 28510 CPT 28510 | $318.40 | $398.00 | $113.43 – $358.20 | 15 |
| Treat midfoot fracture each CPT 28455 | $2,700.80 | $3,376.00 | $962.16 – $3,038.40 | 15 |
| Treat sternum fracture CPT 21820 | $467.20 | $584.00 | $166.44 – $525.60 | 15 |
| Treat thigh fracture CPT 27230 | $424.80 | $531.00 | $151.34 – $477.90 | 15 |
| Treat thigh fracture CPT 27238 | $1,460.00 | $1,825.00 | $520.13 – $1,642.50 | 15 |
| Treat thigh fracture CPT 27246 | $368.80 | $461.00 | $131.39 – $414.90 | 15 |
| Treat thigh fx growth plate CPT 27516 | $362.40 | $453.00 | $129.11 – $407.70 | 15 |
| Treat ulnar fracture CPT 24675 | $1,325.60 | $1,657.00 | $472.25 – $1,491.30 | 15 |
| Treat vaginal bleeding CPT 57180 | $409.60 | $512.00 | $145.92 – $460.80 | 15 |
| Treat wrist bone fracture CPT 25635 | $1,204.80 | $1,506.00 | $429.21 – $1,355.40 | 15 |
| Treat wrist dislocation CPT 25675 | $483.20 | $604.00 | $172.14 – $543.60 | 15 |
| Treponema pallidum antibody CPT 86780 | $97.60 | $122.00 | $34.77 – $109.80 | 15 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | $66.77 | $83.46 | $22.17 – $70.00 | 15 |
| Triglycerides CPT 84478 | $42.40 | $53.00 | $15.11 – $47.70 | 15 |
| Trmt of fracture (femoral shaft) 27500 CPT 27500 | $432.00 | $540.00 | $153.90 – $486.00 | 15 |
| Troponin quantitative CPT 84484 | $127.20 | $159.00 | $45.32 – $143.10 | 15 |
| Tx closed hip disl traumatic without anes CPT 27250 | $568.00 | $710.00 | $202.35 – $639.00 | 15 |
| Tx closed tib shaft fx without manip CPT 27750 | $416.00 | $520.00 | $148.20 – $468.00 | 15 |
| Tx tarsal bone fx without manip 28450 CPT 28450 | $328.80 | $411.00 | $117.14 – $369.90 | 15 |
| Ublituximab-xiiy 25 mg/ml intravenous solution HCPCS J2329 | not published | not published | $70.76 – $70.76 | 1 |
| Ultrasound breast complete CPT 76641 | $519.20 | $649.00 | $184.97 – $584.10 | 15 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $446.40 | $558.00 | $159.03 – $502.20 | 15 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $448.00 | $560.00 | $159.60 – $504.00 | 15 |
| Ultrasound encephalogram CPT 76506 | $620.80 | $776.00 | $221.16 – $698.40 | 15 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $800.00 | $1,000.00 | $285.00 – $900.00 | 15 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $696.80 | $871.00 | $248.24 – $783.90 | 15 |
| Ultrasound Guidance for a Needle Procedure CPT 76942 | $906.40 | $1,133.00 | $322.91 – $1,019.70 | 15 |
| Ultrasound guide intraoperative CPT 76998 | $1,131.20 | $1,414.00 | $402.99 – $1,272.60 | 15 |
| Ultrasound hips infant dynamic CPT 76885 | $603.20 | $754.00 | $214.89 – $678.60 | 15 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $620.80 | $776.00 | $221.16 – $698.40 | 15 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $474.40 | $593.00 | $169.01 – $533.70 | 15 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $1,128.80 | $1,411.00 | $402.14 – $1,269.90 | 15 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $494.40 | $618.00 | $176.13 – $556.20 | 15 |
| Ultrasound spinal canal and contents CPT 76800 | $642.40 | $803.00 | $228.86 – $722.70 | 15 |
| Ultrasound transabd ea addl gest CPT 76812 | $678.40 | $848.00 | $241.68 – $763.20 | 15 |
| Unlisted procedure rectum CPT 45999 | $2,164.00 | $2,705.00 | $770.93 – $2,434.50 | 15 |
| Unlisted px leg/ankle CPT 27899 | $3,078.40 | $3,848.00 | $1,096.68 – $3,463.20 | 15 |
| Unlisted ultrasound procedure CPT 76999 | $464.80 | $581.00 | $165.59 – $522.90 | 15 |
| Upper Arm (Humerus) X-ray (left side) CPT 73060 | $324.00 | $405.00 | $115.43 – $364.50 | 15 |
| Upper Back (Thoracic Spine) CT Scan (with contrast) CPT 72129 | $2,577.60 | $3,222.00 | $918.27 – $2,899.80 | 15 |
| Upper Back (Thoracic Spine) CT Scan (without contrast) CPT 72128 | $2,491.20 | $3,114.00 | $887.49 – $2,802.60 | 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 |
| Upper Back (Thoracic Spine) X-ray (2 views) CPT 72070 | $372.00 | $465.00 | $132.53 – $418.50 | 15 |
| Upper Back (Thoracic Spine) X-ray (3 views) CPT 72072 | $446.40 | $558.00 | $159.03 – $502.20 | 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.