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 |
|---|---|---|---|---|
| Chorion biopsy CPT 59015 | $955.20 | $1,194.00 | $340.29 – $1,074.60 | 15 |
| Chrom analysis CPT 88273 | $84.80 | $106.00 | $30.21 – $95.40 | 15 |
| Chromatography CPT 83021 | $44.00 | $55.00 | $15.68 – $49.50 | 15 |
| Chromo high res and frag x - sendout CPT 81243 | $139.20 | $174.00 | $49.59 – $156.60 | 15 |
| Chromosome analysis 15-20 cell count CPT 88262 | $306.40 | $383.00 | $109.16 – $344.70 | 15 |
| Chromosome analysis 45 CPT 88263 | $366.40 | $458.00 | $130.53 – $412.20 | 15 |
| Chromosome analysis 5 CPT 88261 | $644.80 | $806.00 | $229.71 – $725.40 | 15 |
| Chromosome study additional CPT 88289 | $186.40 | $233.00 | $66.41 – $209.70 | 15 |
| Chronic urticaria - sendout CPT 86343 | $100.00 | $125.00 | $35.63 – $112.50 | 15 |
| Cilastatin sodium injection HCPCS J0743 | $84.42 | $105.52 | $24.42 – $77.10 | 15 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | $197.01 | $246.26 | $70.18 – $221.63 | 15 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $121.43 | $151.78 | $21.84 – $68.97 | 15 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | $420.80 | $526.00 | $149.91 – $473.40 | 15 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | $1,035.20 | $1,294.00 | $368.79 – $1,164.60 | 15 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | $421.60 | $527.00 | $150.20 – $474.30 | 15 |
| Closed tx humerus fx without manip 23600 CPT 23600 | $419.20 | $524.00 | $149.34 – $471.60 | 15 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $1,080.80 | $1,351.00 | $385.04 – $1,215.90 | 15 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $400.80 | $501.00 | $142.79 – $450.90 | 15 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | $2,468.00 | $3,085.00 | $879.23 – $2,776.50 | 15 |
| Closed tx sesamoid fx 28530 CPT 28530 | $328.00 | $410.00 | $116.85 – $369.00 | 15 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | $371.20 | $464.00 | $132.24 – $417.60 | 15 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $445.60 | $557.00 | $158.75 – $501.30 | 15 |
| Clos txnose fx without stablz 21315 CPT 21315 | $2,587.20 | $3,234.00 | $921.69 – $2,910.60 | 15 |
| Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 | $850.40 | $1,063.00 | $302.96 – $956.70 | 15 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $584.80 | $731.00 | $208.34 – $657.90 | 15 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | $417.60 | $522.00 | $148.77 – $469.80 | 15 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $442.40 | $553.00 | $157.61 – $497.70 | 15 |
| Clsd tx clav dislc without manip 23520 CPT 23520 | $1,524.80 | $1,906.00 | $543.21 – $1,715.40 | 15 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | $446.40 | $558.00 | $159.03 – $502.20 | 15 |
| Clsd tx clavicle fracture w/manip 23505 CPT 23505 | $1,392.00 | $1,740.00 | $495.90 – $1,566.00 | 15 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | $352.80 | $441.00 | $125.69 – $396.90 | 15 |
| Clsd tx coccygeal fracture 27200 CPT 27200 | $336.00 | $420.00 | $119.70 – $378.00 | 15 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $355.20 | $444.00 | $126.54 – $399.60 | 15 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $653.60 | $817.00 | $232.85 – $735.30 | 15 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | $407.20 | $509.00 | $145.07 – $458.10 | 15 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $584.80 | $731.00 | $208.34 – $657.90 | 15 |
| Clsd tx fracture of radius 25500 CPT 25500 | $374.40 | $468.00 | $133.38 – $421.20 | 15 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | $312.00 | $390.00 | $111.15 – $351.00 | 15 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $507.20 | $634.00 | $180.69 – $570.60 | 15 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $423.20 | $529.00 | $150.77 – $476.10 | 15 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $1,216.80 | $1,521.00 | $433.49 – $1,368.90 | 15 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | $427.20 | $534.00 | $152.19 – $480.60 | 15 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $1,213.60 | $1,517.00 | $432.35 – $1,365.30 | 15 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | $353.60 | $442.00 | $125.97 – $397.80 | 15 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $584.80 | $731.00 | $208.34 – $657.90 | 15 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | $423.20 | $529.00 | $150.77 – $476.10 | 15 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | $406.40 | $508.00 | $144.78 – $457.20 | 15 |
| Clsd tx mandibular fx without manip 21450 CPT 21450 | $308.80 | $386.00 | $110.01 – $347.40 | 15 |
| Clsd tx/metacar/interphal artic fx 26740 CPT 26740 | $403.20 | $504.00 | $143.64 – $453.60 | 15 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $373.60 | $467.00 | $133.10 – $420.30 | 15 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $564.00 | $705.00 | $200.93 – $634.50 | 15 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | $609.60 | $762.00 | $217.17 – $685.80 | 15 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | $344.80 | $431.00 | $122.84 – $387.90 | 15 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | $1,205.60 | $1,507.00 | $429.50 – $1,356.30 | 15 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $504.80 | $631.00 | $179.84 – $567.90 | 15 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | $408.80 | $511.00 | $145.64 – $459.90 | 15 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | $2,215.20 | $2,769.00 | $789.17 – $2,492.10 | 15 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $384.00 | $480.00 | $136.80 – $432.00 | 15 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | $387.20 | $484.00 | $137.94 – $435.60 | 15 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $1,270.40 | $1,588.00 | $452.58 – $1,429.20 | 15 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | $344.00 | $430.00 | $122.55 – $387.00 | 15 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $1,291.20 | $1,614.00 | $459.99 – $1,452.60 | 15 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | $1,124.00 | $1,405.00 | $400.43 – $1,264.50 | 15 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $1,980.80 | $2,476.00 | $705.66 – $2,228.40 | 15 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $454.40 | $568.00 | $161.88 – $511.20 | 15 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $415.20 | $519.00 | $147.92 – $467.10 | 15 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | $498.40 | $623.00 | $177.56 – $560.70 | 15 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $1,194.40 | $1,493.00 | $425.51 – $1,343.70 | 15 |
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | $348.00 | $435.00 | $123.98 – $391.50 | 15 |
| Clsd tx wrist carpal fx without manip 25630 CPT 25630 | $368.80 | $461.00 | $131.39 – $414.90 | 15 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | $421.60 | $527.00 | $150.20 – $474.30 | 15 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | $604.80 | $756.00 | $215.46 – $680.40 | 15 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | $407.20 | $509.00 | $145.07 – $458.10 | 15 |
| Cls tx of heel fracture w/manip 28405 CPT 28405 | $612.80 | $766.00 | $218.31 – $689.40 | 15 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | $1,694.40 | $2,118.00 | $603.63 – $1,906.20 | 15 |
| Cltx gr hmrl tbrs fx w/mnpj CPT 23625 | $1,788.00 | $2,235.00 | $636.98 – $2,011.50 | 15 |
| Cltx hum epcndylr fx wo mnpj CPT 24560 | $396.80 | $496.00 | $141.36 – $446.40 | 15 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | $994.40 | $1,243.00 | $354.26 – $1,118.70 | 15 |
| Cltx humrl cndylr fx wo mnpj CPT 24576 | $443.20 | $554.00 | $157.89 – $498.60 | 15 |
| Cltx lunate dislc w/mnpj CPT 25690 | $2,546.40 | $3,183.00 | $907.16 – $2,864.70 | 15 |
| Cltx strnclav dislc w/mnpj CPT 23525 | $328.00 | $410.00 | $116.85 – $369.00 | 15 |
| Cmv pcr-sendout CPT 87496 | $86.40 | $108.00 | $30.78 – $97.20 | 15 |
| Co2 monitor per day CPT 94681 | $661.60 | $827.00 | $235.70 – $744.30 | 15 |
| Cold agglutinin titer CPT 86157 | $62.40 | $78.00 | $22.23 – $70.20 | 15 |
| Collarbone (Clavicle) X-ray (both sides) CPT 73000 | $317.60 | $397.00 | $113.15 – $357.30 | 15 |
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | $56.00 | $70.00 | $7.70 – $24.30 | 15 |
| Collar cerv ascend 172 reg HCPCS L0172 | $92.00 | $115.00 | $32.78 – $103.50 | 15 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $175.20 | $219.00 | $62.42 – $197.10 | 15 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $195.20 | $244.00 | $69.54 – $219.60 | 15 |
| Compatibility test each unit immediate spin technique CPT 86920 | $159.20 | $199.00 | $56.72 – $179.10 | 15 |
| Compatibility test incubate CPT 86921 | $132.00 | $165.00 | $47.03 – $148.50 | 15 |
| Complement antigen each component c3 CPT 86160 | $108.80 | $136.00 | $35.63 – $112.50 | 15 |
| Complex repair trunk 1.1-2.5cm 13120 CPT 13120 | $979.20 | $1,224.00 | $348.84 – $1,101.60 | 15 |
| Complex repair trunk 2.6-7.5cm 13101 CPT 13101 | $2,517.60 | $3,147.00 | $896.90 – $2,832.30 | 15 |
| Complx repair enel 1.1-2.5 cm 13151 CPT 13151 | $1,068.00 | $1,335.00 | $380.48 – $1,201.50 | 15 |
| Complx repair enel 2.6-7.5 cm 13152 CPT 13152 | $1,279.20 | $1,599.00 | $455.72 – $1,439.10 | 15 |
| Complx repair enel addl 5cm/< 13153 CPT 13153 | $787.20 | $984.00 | $280.44 – $885.60 | 15 |
| Complx repair fccmnaxghf 13131 CPT 13131 | $810.40 | $1,013.00 | $288.71 – $911.70 | 15 |
| Complx repair fccmnaxghf 13132 CPT 13132 | $1,250.40 | $1,563.00 | $445.46 – $1,406.70 | 15 |
| Complx repair fccmnaxghf 13133 CPT 13133 | $724.00 | $905.00 | $257.93 – $814.50 | 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.