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 |
|---|---|---|---|---|
| Warde viscosity CPT 85810 | $98.40 | $123.00 | $35.06 – $110.70 | 15 |
| Warde vitamin a CPT 84590 | $48.80 | $61.00 | $17.39 – $54.90 | 15 |
| Warde vitamin b-1 (thiamine) CPT 84425 | $52.00 | $65.00 | $18.53 – $58.50 | 15 |
| Warde vitamin b6 (pyridoxine) CPT 84207 | $68.80 | $86.00 | $24.51 – $77.40 | 15 |
| Warde vitamin c (ascorbic acid) CPT 82180 | $83.20 | $104.00 | $29.64 – $93.60 | 15 |
| Warde vitamin d (1 25 dihydroxy) CPT 82652 | $253.60 | $317.00 | $90.35 – $285.30 | 15 |
| Warde vitamin e (alpha-tocopherol) CPT 84446 | $48.80 | $61.00 | $17.39 – $54.90 | 15 |
| Warde zinc CPT 84630 | $40.00 | $50.00 | $9.41 – $29.70 | 15 |
| Wbc automated CPT 85048 | $19.20 | $24.00 | $6.84 – $21.60 | 15 |
| Western blot test CPT 84181 | $100.00 | $125.00 | $35.63 – $112.50 | 15 |
| Whole blood/red blood cells leukocytes reduced cmv negative each unit HCPCS P9051 | $661.60 | $827.00 | $235.70 – $744.30 | 15 |
| Whole-Body Bone Scan (Nuclear Medicine) CPT 78306 | $1,916.00 | $2,395.00 | $682.58 – $2,155.50 | 15 |
| Whole Skeleton X-ray Survey CPT 77075 | $774.40 | $968.00 | $275.88 – $871.20 | 15 |
| Wound Cleaning and Dead Tissue Removal (up to 20 sq cm) CPT 97597 | $396.80 | $496.00 | $141.36 – $446.40 | 15 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | $360.80 | $451.00 | $128.54 – $405.90 | 15 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | $448.80 | $561.00 | $159.89 – $504.90 | 15 |
| Wrist X-ray CPT 73110 | $350.40 | $438.00 | $124.83 – $394.20 | 15 |
| Wrist X-ray (2 views, both wrists) CPT 73100 | $298.40 | $373.00 | $106.31 – $335.70 | 15 |
| Xe133 xenon 10mci HCPCS A9558 | $300.80 | $376.00 | $107.16 – $338.40 | 15 |
| X-ray abdomen >=3 views CPT 74021 | $423.20 | $529.00 | $150.77 – $476.10 | 15 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $1,065.60 | $1,332.00 | $379.62 – $1,198.80 | 15 |
| X-ray bone length studies CPT 77073 | $532.80 | $666.00 | $189.81 – $599.40 | 15 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $608.00 | $760.00 | $216.60 – $684.00 | 15 |
| X-ray exam entire spi 6/> vw CPT 72084 | $728.80 | $911.00 | $259.64 – $819.90 | 15 |
| X-ray exam of arm infant CPT 73092 | $244.80 | $306.00 | $87.21 – $275.40 | 15 |
| X-ray exam of femur 1 CPT 73551 | $280.00 | $350.00 | $99.75 – $315.00 | 15 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $263.20 | $329.00 | $93.77 – $296.10 | 15 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $455.20 | $569.00 | $162.17 – $512.10 | 15 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $618.40 | $773.00 | $220.31 – $695.70 | 15 |
| X-ray joint survey 1 view CPT 77077 | $322.40 | $403.00 | $114.86 – $362.70 | 15 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $253.60 | $317.00 | $90.35 – $285.30 | 15 |
| X-ray mandible ltd <4 views CPT 70100 | $311.20 | $389.00 | $110.87 – $350.10 | 15 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $1,060.00 | $1,325.00 | $377.63 – $1,192.50 | 15 |
| X-ray ribs 2 views left CPT 71100 | $336.00 | $420.00 | $119.70 – $378.00 | 15 |
| X-ray slg plne bdy sect without urogr CPT 76100 | $828.80 | $1,036.00 | $295.26 – $932.40 | 15 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $333.60 | $417.00 | $118.85 – $375.30 | 15 |
| X-ray surgical specimen CPT 76098 | $267.20 | $334.00 | $95.19 – $300.60 | 15 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $326.40 | $408.00 | $116.28 – $367.20 | 15 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $426.64 | $533.30 | $23.26 – $73.45 | 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.