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 |
|---|---|---|---|---|
| Application finger splntstatic 29130 CPT 29130 | $214.40 | $268.00 | $76.38 – $241.20 | 15 |
| Application long leg splint 29505 CPT 29505 | $301.60 | $377.00 | $107.45 – $339.30 | 15 |
| Application lower leg splint 29515 CPT 29515 | $277.60 | $347.00 | $98.90 – $312.30 | 15 |
| Application of forearm cast 29075 CPT 29075 | $233.60 | $292.00 | $83.22 – $262.80 | 15 |
| Application of long arm cast 29065 CPT 29065 | $263.20 | $329.00 | $93.77 – $296.10 | 15 |
| Application of long leg cast 29345 CPT 29345 | $341.60 | $427.00 | $121.70 – $384.30 | 15 |
| Application of paste boot 29580 CPT 29580 | $276.00 | $345.00 | $98.33 – $310.50 | 15 |
| Application short leg cast 29405 CPT 29405 | $281.60 | $352.00 | $100.32 – $316.80 | 15 |
| Applicator tag rfid localizer 12gx7cm HCPCS C1819 | $158.40 | $198.00 | $56.43 – $178.20 | 15 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | $100.00 | $125.00 | $35.63 – $112.50 | 15 |
| Appl modality 1/> areas vasopneumatic devices 97016 CPT 97016 | $111.20 | $139.00 | $39.62 – $125.10 | 15 |
| Apply hand/wrist cast 29085 CPT 29085 | $182.40 | $228.00 | $64.98 – $205.20 | 15 |
| Apply of finger splint 29131 CPT 29131 | $190.40 | $238.00 | $67.83 – $214.20 | 15 |
| Apply short leg castambul type 29425 CPT 29425 | $251.20 | $314.00 | $89.49 – $282.60 | 15 |
| Aqua therapy w/exercise/ea 15 min 97113 CPT 97113 | $140.00 | $175.00 | $49.88 – $157.50 | 15 |
| Arm CT Scan (with contrast, both arms) CPT 73201 | $2,224.80 | $2,781.00 | $792.59 – $2,502.90 | 15 |
| Arm CT Scan (without contrast, both arms) CPT 73200 | $1,920.80 | $2,401.00 | $684.29 – $2,160.90 | 15 |
| Arm or Leg Ultrasound (limited, left side) CPT 76882 | $462.40 | $578.00 | $164.73 – $520.20 | 15 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right CPT 20605 | $689.60 | $862.00 | $245.67 – $775.80 | 15 |
| Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) CPT 20611 | $868.00 | $1,085.00 | $309.23 – $976.50 | 15 |
| Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance CPT 20600 | $664.00 | $830.00 | $236.55 – $747.00 | 15 |
| Asp & inj w/heparin pleurx cath CPT 32999 | $1,432.00 | $1,790.00 | $510.15 – $1,611.00 | 15 |
| Aspirate pleura without imaging 32554 CPT 32554 | $1,051.20 | $1,314.00 | $374.49 – $1,182.60 | 15 |
| Assay of feces porphyrins CPT 84126 | $122.40 | $153.00 | $43.61 – $137.70 | 15 |
| Assay of salicylate CPT 80179 | $100.80 | $126.00 | $35.91 – $113.40 | 15 |
| Assess aphasia/interp/rpt/per hr 96105 CPT 96105 | $388.80 | $486.00 | $138.51 – $437.40 | 15 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | $57.60 | $72.00 | $20.52 – $64.80 | 15 |
| Ast/sgot CPT 84450 | $33.60 | $42.00 | $11.97 – $37.80 | 15 |
| Atezolizumab 60 mg/ml intravenous solution (wrapper) HCPCS J9022 | not published | not published | $103.32 – $103.32 | 1 |
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | $63.40 | $79.24 | $21.42 – $67.64 | 15 |
| Automated diff wbc count CPT 85004 | $37.60 | $47.00 | $13.40 – $42.30 | 15 |
| Avelumab 20 mg/ml intravenous solution HCPCS J9023 | not published | not published | $114.04 – $114.04 | 1 |
| Avul nail plate addl CPT 11732 | $155.20 | $194.00 | $55.29 – $174.60 | 15 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $348.80 | $436.00 | $124.26 – $392.40 | 15 |
| Azacitidine injection HCPCS J9025 | $926.12 | $1,157.64 | $74.44 – $235.06 | 15 |
| Azathioprine 50 mg tablet HCPCS J7500 | $4.47 | $5.58 | $0.43 – $1.35 | 15 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $65.52 | $81.90 | $22.06 – $69.65 | 15 |
| Azithromycin dihydrate, oral HCPCS Q0144 | $47.16 | $58.95 | $5.82 – $18.38 | 15 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | $100.48 | $125.60 | $27.73 – $87.56 | 15 |
| Baclofen eval charges CPT 97750 | $142.40 | $178.00 | $50.73 – $160.20 | 15 |
| Bacterial meningitis antigen CPT 86403 | $89.60 | $112.00 | $31.92 – $100.80 | 15 |
| Bacterial vaginosis pcr CPT 87801 | $363.20 | $454.00 | $129.39 – $408.60 | 15 |
| Balance and Coordination Retraining (each 15 minutes) CPT 97112 | $126.40 | $158.00 | $45.03 – $142.20 | 15 |
| Barium Enema (Colon X-ray, barium and air) CPT 74280 | $1,442.40 | $1,803.00 | $513.86 – $1,622.70 | 15 |
| Barium Enema (Colon X-ray, barium only) CPT 74270 | $1,168.00 | $1,460.00 | $416.10 – $1,314.00 | 15 |
| Barium Swallow (Esophagus X-ray) CPT 74220 | $744.00 | $930.00 | $265.05 – $837.00 | 15 |
| B cells total count CPT 86355 | $205.60 | $257.00 | $73.25 – $231.30 | 15 |
| Bcg vaccine intravesical CPT 90586 | $396.68 | $495.84 | $141.31 – $446.26 | 15 |
| Behavior counsel obesity 15min medicare g0447 HCPCS G0447 | $88.00 | $110.00 | $31.35 – $99.00 | 15 |
| Belatacept 250 mg intravenous solution HCPCS J0485 | $1,498.26 | $1,872.82 | $533.75 – $1,685.54 | 15 |
| Belimumab 120 mg intravenous solution HCPCS J0490 | $2,644.32 | $3,305.40 | $55.16 – $939.71 | 15 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $136.00 | $170.00 | $47.88 – $151.20 | 15 |
| Beta-2 microglobulin CPT 82232 | $138.40 | $173.00 | $49.31 – $155.70 | 15 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | $65.95 | $82.43 | $22.81 – $72.04 | 15 |
| Bevacizumab 25 mg/ml intravenous solution HCPCS J9035 | $2,680.32 | $3,350.40 | $314.96 – $994.60 | 15 |
| Bilateral n block inj trigeminal 64400 CPT 64400 | $577.60 | $722.00 | $205.77 – $649.80 | 15 |
| Bilicheck CPT 88720 | $41.60 | $52.00 | $14.25 – $45.00 | 15 |
| Bilirubin direct CPT 82248 | $24.00 | $30.00 | $8.55 – $27.00 | 15 |
| Bilirubin total CPT 82247 | $37.60 | $47.00 | $13.40 – $42.30 | 15 |
| Biopsy abdominal mass CPT 49180 | $2,324.80 | $2,906.00 | $828.21 – $2,615.40 | 15 |
| Biopsy needle liver percutaneous CPT 47000 | $2,497.60 | $3,122.00 | $889.77 – $2,809.80 | 15 |
| Biotinidase - quest CPT 82261 | $100.00 | $125.00 | $31.35 – $99.00 | 15 |
| Bladder Catheter Insertion (simple) CPT 51702 | $224.80 | $281.00 | $80.09 – $252.90 | 15 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | $412.80 | $516.00 | $147.06 – $464.40 | 15 |
| Bld prd mix CPT 86965 | $166.40 | $208.00 | $59.28 – $187.20 | 15 |
| Bleomycin 15 unit solution for injection HCPCS J9040 | $252.18 | $315.22 | $72.65 – $229.42 | 15 |
| Bln 30frx10mmx12cm renal nephromax HCPCS C1726 | $1,196.00 | $1,495.00 | $113.15 – $357.30 | 15 |
| Bln dil 900ml preperitnl HCPCS C1727 | $1,135.20 | $1,419.00 | $404.42 – $1,277.10 | 15 |
| Blood Clotting (PT/INR) Test CPT 85610 | $48.80 | $61.00 | $15.68 – $49.50 | 15 |
| Blood Clotting (PTT) Test CPT 85730 | $44.00 | $55.00 | $15.68 – $49.50 | 15 |
| Blood Count (CBC) Test CPT 85025 | $57.60 | $72.00 | $20.52 – $64.80 | 15 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $36.00 | $45.00 | $12.83 – $40.50 | 15 |
| Blood count spun microhematocrit CPT 85013 | $30.40 | $38.00 | $10.83 – $34.20 | 15 |
| Blood Culture Test CPT 87040 | $119.20 | $149.00 | $42.47 – $134.10 | 15 |
| Blood draw capillary 36416 CPT 36416 | $17.60 | $22.00 | $6.27 – $19.80 | 15 |
| Blood Draw (Venipuncture) CPT 36415 | $20.00 | $25.00 | $7.13 – $22.50 | 15 |
| Blood gases ph venous CPT 82800 | $50.40 | $63.00 | $17.96 – $56.70 | 15 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $57.60 | $72.00 | $20.52 – $64.80 | 15 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $25.60 | $32.00 | $9.12 – $28.80 | 15 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $55.20 | $69.00 | $19.67 – $62.10 | 15 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $33.60 | $42.00 | $11.97 – $37.80 | 15 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $27.20 | $34.00 | $9.69 – $30.60 | 15 |
| Blood Transfusion CPT 36430 | $1,040.00 | $1,300.00 | $370.50 – $1,170.00 | 15 |
| Blood typing abo CPT 86900 | $32.80 | $41.00 | $11.69 – $36.90 | 15 |
| Blood typing ag donor ea ag CPT 86902 | $116.00 | $145.00 | $41.33 – $130.50 | 15 |
| Blood typing rh (d) CPT 86901 | $32.80 | $41.00 | $11.69 – $36.90 | 15 |
| Bone Age X-ray (hand and wrist) CPT 77072 | $224.00 | $280.00 | $79.80 – $252.00 | 15 |
| Bone Density Scan (DEXA) CPT 77080 | $472.00 | $590.00 | $168.15 – $531.00 | 15 |
| Bone/joint imaging ltd area CPT 78300 | $1,337.60 | $1,672.00 | $476.52 – $1,504.80 | 15 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $1,520.00 | $1,900.00 | $541.50 – $1,710.00 | 15 |
| Boot softgait shrt m HCPCS L4387 | $151.20 | $189.00 | $53.87 – $170.10 | 15 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | $180.00 | $225.00 | $42.75 – $135.00 | 15 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $166.40 | $208.00 | $52.16 – $164.70 | 15 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | $2,161.51 | $2,701.88 | $72.79 – $229.86 | 15 |
| (both sides) smear without diff wbc count CPT 85008 | $31.20 | $39.00 | $11.12 – $35.10 | 15 |
| Bowel imaging CPT 78290 | $1,536.80 | $1,921.00 | $547.49 – $1,728.90 | 15 |
| Brace afo lg left 6607 HCPCS L1930 | $135.20 | $169.00 | $48.17 – $152.10 | 15 |
| Brace ank air stirrup univ HCPCS L4350 | $94.40 | $118.00 | $29.36 – $92.70 | 15 |
| Brace ankle stablizing lg HCPCS L1902 | $56.00 | $70.00 | $19.95 – $63.00 | 15 |
| Brace knee extender plus 22-30in HCPCS L1832 | $172.00 | $215.00 | $61.28 – $193.50 | 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.