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 |
|---|---|---|---|---|
| Upper GI Barium X-ray (barium and gas) CPT 74246 | $1,021.60 | $1,277.00 | $363.95 – $1,149.30 | 15 |
| Upper GI Barium X-ray (barium only) CPT 74240 | $946.40 | $1,183.00 | $337.16 – $1,064.70 | 15 |
| Urea nitrogen CPT 84520 | $33.60 | $42.00 | $11.97 – $37.80 | 15 |
| Urea nitrogen 24 hour urine CPT 84540 | $27.20 | $34.00 | $9.69 – $30.60 | 15 |
| Uric acid blood CPT 84550 | $34.40 | $43.00 | $12.26 – $38.70 | 15 |
| Uric acid urine CPT 84560 | $36.80 | $46.00 | $13.11 – $41.40 | 15 |
| Urinalysis microscopic only CPT 81015 | $25.60 | $32.00 | $9.12 – $28.80 | 15 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | $15.20 | $19.00 | $5.42 – $17.10 | 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 |
| Urine pregnancy test CPT 81025 | $46.40 | $58.00 | $16.53 – $52.20 | 15 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $2,745.45 | $3,431.81 | $978.07 – $3,088.63 | 15 |
| Vaccine Administration (one shot) CPT 90471 | $96.80 | $121.00 | $5.61 – $17.71 | 15 |
| Vaccine dtap < 7 years im CPT 90700 | $74.99 | $93.73 | $26.61 – $84.04 | 15 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | $95.35 | $119.18 | $33.97 – $107.26 | 15 |
| Vaccine dtap-ipv/hib im CPT 90698 | $109.34 | $136.67 | $38.95 – $123.00 | 15 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $74.08 | $92.59 | $26.39 – $83.33 | 15 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | $79.15 | $98.93 | $28.20 – $89.04 | 15 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | $244.84 | $306.04 | $87.22 – $275.44 | 15 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | $54.00 | $67.50 | $19.24 – $60.75 | 15 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | $31.00 | $38.75 | $11.04 – $34.88 | 15 |
| Vaccine mmr live subcutaneous CPT 90707 | $104.84 | $131.05 | $35.77 – $112.95 | 15 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $108.56 | $135.69 | $29.14 – $92.03 | 15 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $287.71 | $359.63 | $102.49 – $323.67 | 15 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | $364.12 | $455.14 | $129.71 – $409.63 | 15 |
| Vaccine rabies im CPT 90675 | $518.56 | $648.20 | $177.02 – $559.03 | 15 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | $106.63 | $133.28 | $37.98 – $119.95 | 15 |
| Vaccine tdap >=7 years im CPT 90715 | $86.52 | $108.15 | $30.26 – $95.55 | 15 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $75.76 | $94.70 | $26.77 – $84.54 | 15 |
| Vaccine varicella live subcutaneous CPT 90716 | $210.48 | $263.10 | $74.98 – $236.79 | 15 |
| Valproic acid total therapeutic drug level CPT 80164 | $128.80 | $161.00 | $13.40 – $42.30 | 15 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | $325.91 | $407.38 | $21.79 – $68.82 | 15 |
| Vancomycin 750 mg intravenous solution HCPCS J3374 | $87.49 | $109.36 | $23.94 – $75.59 | 15 |
| Vancomycin peak therapeutic drug level CPT 80202 | $127.20 | $159.00 | $45.32 – $143.10 | 15 |
| Varicella zoster antibody igg CPT 86787 | $54.40 | $68.00 | $19.38 – $61.20 | 15 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $77.68 | $97.09 | $22.30 – $70.43 | 15 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | $10,824.48 | $13,530.60 | $22.69 – $12,177.54 | 15 |
| Velaglucerase alfa 400 unit intravenous solution HCPCS J3385 | not published | not published | $377.18 – $377.18 | 1 |
| Ventilator each subsequent day CPT 94003 | $1,336.80 | $1,671.00 | $476.24 – $1,503.90 | 15 |
| Version cephalic external CPT 59412 | $1,961.60 | $2,452.00 | $698.82 – $2,206.80 | 15 |
| Very long chain fatty acids CPT 82726 | $92.00 | $115.00 | $32.78 – $103.50 | 15 |
| Video Swallow Study (Modified Barium Swallow) CPT 74230 | $720.80 | $901.00 | $256.79 – $810.90 | 15 |
| Vincristine 1 mg/ml intravenous solution HCPCS J9370 | $188.74 | $235.92 | $67.24 – $212.33 | 15 |
| Virus isolation addl studies ea CPT 87253 | $101.60 | $127.00 | $36.20 – $114.30 | 15 |
| Vitamin b-12 CPT 82607 | $120.80 | $151.00 | $43.04 – $135.90 | 15 |
| Vitamin D Test CPT 82306 | $132.00 | $165.00 | $34.49 – $108.90 | 15 |
| Volume measurement urine timed CPT 81050 | $28.80 | $36.00 | $10.26 – $32.40 | 15 |
| Vutrisiran 25 mg/0.5 ml subcutaneous syringe HCPCS J0225 | not published | not published | $5,018.93 – $5,018.93 | 1 |
| Walking (Gait) Training (each 15 minutes) CPT 97116 | $117.60 | $147.00 | $41.90 – $132.30 | 15 |
| Warde 1003990 aldosterone CPT 82088 | $239.20 | $299.00 | $36.20 – $114.30 | 15 |
| Warde 1005020 citrate 24 hour urine CPT 82507 | $73.60 | $92.00 | $26.22 – $82.80 | 15 |
| Warde 1005055 5-hiaa 24 hour urine CPT 83497 | $46.40 | $58.00 | $16.53 – $52.20 | 15 |
| Warde 1006955 catecholamines fractionated 24 hour urine CPT 82384 | $85.60 | $107.00 | $27.36 – $86.40 | 15 |
| Warde 1007138 vanillymandelic acid 24 hour urine CPT 84585 | $68.80 | $86.00 | $17.39 – $54.90 | 15 |
| Warde 3004000 immunoglobulin subclass 1 CPT 82787 | $84.00 | $105.00 | $29.93 – $94.50 | 15 |
| Warde 3008005 oligoclonal bands CPT 83916 | $69.60 | $87.00 | $24.80 – $78.30 | 15 |
| Warde 3016000 west nile virus antibody CPT 86788 | $86.40 | $108.00 | $18.81 – $59.40 | 15 |
| Warde 3016000 west nile virus antibody igg CPT 86789 | $111.20 | $139.00 | $18.81 – $59.40 | 15 |
| Warde 3016300 saccharomyces cerevisiae iga antibody CPT 86671 | $74.40 | $93.00 | $26.51 – $83.70 | 15 |
| Warde 3400652 ova & parasites direct smear concentration and id CPT 87177 | $41.60 | $52.00 | $14.82 – $46.80 | 15 |
| Warde 3400652 smear complex special stain ova/parasites CPT 87209 | $90.40 | $113.00 | $32.21 – $101.70 | 15 |
| Warde 3400852 arsenic CPT 82175 | $146.40 | $183.00 | $16.25 – $51.30 | 15 |
| Warde 3708165 mercury urine CPT 83825 | $127.20 | $159.00 | $13.97 – $44.10 | 15 |
| Warde adenosine deaminase pleural fluid CPT 84311 | $64.80 | $81.00 | $14.82 – $46.80 | 15 |
| Warde adrenocorticotropic hormone (acth) CPT 82024 | $109.60 | $137.00 | $39.05 – $123.30 | 15 |
| Warde aldolase CPT 82085 | $79.20 | $99.00 | $28.22 – $89.10 | 15 |
| Warde amino acids 6 or more quantitative each specimen CPT 82139 | $353.60 | $442.00 | $121.13 – $382.50 | 15 |
| Warde analysis gene hfe common variants CPT 81256 | $172.80 | $216.00 | $61.56 – $194.40 | 15 |
| Warde antiepileptics nos definitive assay 1-3 clobazam w metabolites CPT 80339 | $120.80 | $151.00 | $43.04 – $135.90 | 15 |
| Warde apolipoprotein b CPT 82172 | $51.20 | $64.00 | $18.24 – $57.60 | 15 |
| Warde bile acids CPT 82239 | $70.40 | $88.00 | $25.08 – $79.20 | 15 |
| Warde cadmium blood CPT 82300 | $144.00 | $180.00 | $20.24 – $63.90 | 15 |
| Warde calculus (stone) infrared CPT 82365 | $45.60 | $57.00 | $16.25 – $51.30 | 15 |
| Warde cobalt heavy metal quantitative each nes CPT 83018 | $158.40 | $198.00 | $24.80 – $78.30 | 15 |
| Warde collagen cross links c-telopeptide CPT 82523 | $53.60 | $67.00 | $19.10 – $60.30 | 15 |
| Warde complement total hemolytic CPT 86162 | $56.80 | $71.00 | $20.24 – $63.90 | 15 |
| Warde copper CPT 82525 | $107.20 | $134.00 | $15.96 – $50.40 | 15 |
| Warde cryoglobulin CPT 82595 | $52.80 | $66.00 | $18.81 – $59.40 | 15 |
| Warde erythropoietin CPT 82668 | $57.60 | $72.00 | $20.52 – $64.80 | 15 |
| Warde folic acid rbc CPT 82747 | $154.40 | $193.00 | $55.01 – $173.70 | 15 |
| Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative CPT 82955 | $31.20 | $39.00 | $11.12 – $35.10 | 15 |
| Warde gastrin CPT 82941 | $48.80 | $61.00 | $17.39 – $54.90 | 15 |
| Warde growth hormone (hgh) CPT 83003 | $47.20 | $59.00 | $16.82 – $53.10 | 15 |
| Warde haloperidol therapeutic drug level CPT 80173 | $114.40 | $143.00 | $40.76 – $128.70 | 15 |
| Warde hemoglobin fractionation/quantitation electrophoresis CPT 83020 | $91.20 | $114.00 | $32.49 – $102.60 | 15 |
| Warde hepatitis a antibody CPT 86708 | $64.00 | $80.00 | $22.80 – $72.00 | 15 |
| Warde hepatitis be antibody CPT 86707 | $29.60 | $37.00 | $10.55 – $33.30 | 15 |
| Warde immunofixation electrophoresis urine CPT 86335 | $136.00 | $170.00 | $48.45 – $153.00 | 15 |
| Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn CPT 87350 | $29.60 | $37.00 | $10.55 – $33.30 | 15 |
| Warde infectious agent nucleic acid genotype hepatitis c CPT 87902 | $603.20 | $754.00 | $214.89 – $678.60 | 15 |
| Warde islet cell antibody zinc transporter 8 CPT 86341 | $55.20 | $69.00 | $19.67 – $62.10 | 15 |
| Warde lipoprotein (a) CPT 83695 | $48.80 | $61.00 | $17.39 – $54.90 | 15 |
| Warde oxcarbazepine therapeutic drug level CPT 80183 | $71.20 | $89.00 | $25.37 – $80.10 | 15 |
| Warde sex hormone binding globulin CPT 84270 | $179.20 | $224.00 | $18.24 – $57.60 | 15 |
| Warde somatomedin CPT 84305 | $182.40 | $228.00 | $19.38 – $61.20 | 15 |
| Warde t3 (triiodothyronine) reverse CPT 84482 | $45.60 | $57.00 | $16.25 – $51.30 | 15 |
| Warde thyroid stimulating immunoglobulins CPT 84445 | $124.00 | $155.00 | $44.18 – $139.50 | 15 |
| Warde topiramate therapeutic drug level CPT 80201 | $71.20 | $89.00 | $25.37 – $80.10 | 15 |
| Warde virus isolation tissue culture innoculation presumptive id herpes simplex CPT 87252 | $164.00 | $205.00 | $58.43 – $184.50 | 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.