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 |
|---|---|---|---|---|
| Flow cytometry one marker technical component CPT 88184 | $344.00 | $430.00 | $122.55 – $387.00 | 15 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $122.71 | $153.38 | $27.24 – $86.02 | 15 |
| Fluidotherapy charges pt CPT 97022 | $125.60 | $157.00 | $44.75 – $141.30 | 15 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $696.00 | $870.00 | $247.95 – $783.00 | 15 |
| Fluoroguide needle placement CPT 77002 | $745.60 | $932.00 | $265.62 – $838.80 | 15 |
| Fluoroscopy (Live X-ray Guidance, up to 1 hour) CPT 76000 | $636.80 | $796.00 | $226.86 – $716.40 | 15 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $196.77 | $245.96 | $65.74 – $207.59 | 15 |
| Folic acid CPT 82746 | $116.80 | $146.00 | $41.61 – $131.40 | 15 |
| Foot arch support remov prem HCPCS L3030 | $269.60 | $337.00 | $10.83 – $34.20 | 15 |
| Foot X-ray CPT 73630 | $348.80 | $436.00 | $124.26 – $392.40 | 15 |
| Foot X-ray (2 views, both feet) CPT 73620 | $282.40 | $353.00 | $100.61 – $317.70 | 15 |
| Forearm X-ray (both sides) CPT 73090 | $317.60 | $397.00 | $113.15 – $357.30 | 15 |
| Foscarnet sodium injection HCPCS J1455 | $732.00 | $915.00 | $192.38 – $607.50 | 15 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $65.25 | $81.56 | $22.05 – $69.63 | 15 |
| _fragile x methylation-sendout CPT 81244 | $120.80 | $151.00 | $43.04 – $135.90 | 15 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $319.20 | $399.00 | $113.72 – $359.10 | 15 |
| Fresh frozen plasma thawing ea un CPT 86927 | $108.00 | $135.00 | $38.48 – $121.50 | 15 |
| Fructosamine glycated protein CPT 82985 | $51.20 | $64.00 | $18.24 – $57.60 | 15 |
| Ftl cgen abnor four anal CPT 81511 | $545.60 | $682.00 | $132.24 – $417.60 | 15 |
| Full Spine X-ray (Scoliosis Survey) CPT 72082 | $557.60 | $697.00 | $198.65 – $627.30 | 15 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $62.02 | $77.52 | $21.42 – $67.64 | 15 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | $136.00 | $170.00 | $36.34 – $114.75 | 15 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $9.60 | $12.00 | $3.42 – $10.80 | 15 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | $136.00 | $170.00 | $48.45 – $153.00 | 15 |
| Galactose transferase test CPT 82776 | $42.40 | $53.00 | $15.11 – $47.70 | 15 |
| Gallbladder and Bile Duct Scan (HIDA Scan) CPT 78226 | $1,784.00 | $2,230.00 | $635.55 – $2,007.00 | 15 |
| Gallbladder Function Scan (HIDA with Medication) CPT 78227 | $2,092.80 | $2,616.00 | $745.56 – $2,354.40 | 15 |
| Galsulfase injection HCPCS J1458 | not published | not published | $493.88 – $493.88 | 1 |
| Gamma globulin > 10 cc inj HCPCS J1560 | not published | not published | $507.94 – $507.94 | 1 |
| Gamma globulin 1 cc inj HCPCS J1460 | not published | not published | $50.78 – $50.78 | 1 |
| Gammaglobulin iga CPT 82784 | $75.20 | $94.00 | $10.26 – $32.40 | 15 |
| Gammaglobulin ige CPT 82785 | $123.20 | $154.00 | $43.32 – $136.80 | 15 |
| Gamma glutamyltransferase CPT 82977 | $52.00 | $65.00 | $18.53 – $58.50 | 15 |
| Gammaplex injection HCPCS J1557 | not published | not published | $59.03 – $59.03 | 1 |
| Gamunex-c/gammaked HCPCS J1561 | $5,164.64 | $6,455.80 | $49.73 – $1,621.08 | 15 |
| Gated heart multiple CPT 78473 | $2,422.40 | $3,028.00 | $862.98 – $2,725.20 | 15 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $245.67 | $307.08 | $27.80 – $87.80 | 15 |
| General health panel CPT 80050 | $246.40 | $308.00 | $87.78 – $277.20 | 15 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $76.27 | $95.33 | $21.60 – $68.20 | 15 |
| Gentamicin peak therapeutic drug level CPT 80170 | $128.00 | $160.00 | $45.60 – $144.00 | 15 |
| Ghs abscess perianal iandd CPT 46050 | $1,508.00 | $1,885.00 | $537.23 – $1,696.50 | 15 |
| Ghs bladder cath - complex-foley CPT 51703 | $316.00 | $395.00 | $112.58 – $355.50 | 15 |
| Ghs central line insert < age 5, failed CPT 36555 | $2,264.00 | $2,830.00 | $806.55 – $2,547.00 | 15 |
| Ghs change cysto/gastrost CPT 43762 | $567.20 | $709.00 | $202.07 – $638.10 | 15 |
| Ghs chemo >8 hrs CPT 96416 | not published | not published | $308.80 – $308.80 | 1 |
| Ghs chemo infusion >8 hrs CPT 96425 | not published | not published | $407.20 – $407.20 | 1 |
| Ghs chemo IV push, ea addtl CPT 96411 | $353.60 | $442.00 | $125.97 – $397.80 | 15 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $488.00 | $610.00 | $173.85 – $549.00 | 15 |
| Ghs closed reduction ankle dislocation CPT 27840 | $550.40 | $688.00 | $196.08 – $619.20 | 15 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $1,101.60 | $1,377.00 | $392.45 – $1,239.30 | 15 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | $596.80 | $746.00 | $212.61 – $671.40 | 15 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $1,450.40 | $1,813.00 | $516.71 – $1,631.70 | 15 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | $419.20 | $524.00 | $149.34 – $471.60 | 15 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | $1,438.40 | $1,798.00 | $512.43 – $1,618.20 | 15 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | $2,012.80 | $2,516.00 | $717.06 – $2,264.40 | 15 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | $550.40 | $688.00 | $196.08 – $619.20 | 15 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $491.20 | $614.00 | $174.99 – $552.60 | 15 |
| Ghs community re-entry 15 minutes CPT 97537 | $118.40 | $148.00 | $42.18 – $133.20 | 15 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $260.80 | $326.00 | $92.91 – $293.40 | 15 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $392.80 | $491.00 | $139.94 – $441.90 | 15 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $280.80 | $351.00 | $100.04 – $315.90 | 15 |
| Ghs cutdown placement age 1 and over CPT 36425 | $100.80 | $126.00 | $35.91 – $113.40 | 15 |
| Ghs cutdown placement under 1 yr CPT 36420 | $68.80 | $86.00 | $24.51 – $77.40 | 15 |
| Ghs dislocation elbow closed treatment CPT 24600 | $540.80 | $676.00 | $192.66 – $608.40 | 15 |
| Ghs ed rmvl or bivalving cast CPT 29700 | $391.20 | $489.00 | $139.37 – $440.10 | 15 |
| Ghs epidermal shaving diameter >2.0 cm CPT 11303 | $222.40 | $278.00 | $79.23 – $250.20 | 15 |
| Ghs excision ingrown nail CPT 11765 | $426.40 | $533.00 | $151.91 – $479.70 | 15 |
| Ghs fb removal foot - deep - left CPT 28192 | $3,659.20 | $4,574.00 | $1,303.59 – $4,116.60 | 15 |
| Ghs fb removal - incisional CPT 10121 | $4,219.20 | $5,274.00 | $1,503.09 – $4,746.60 | 15 |
| Ghs fb removal - non-incisional CPT 20520 | $2,388.80 | $2,986.00 | $851.01 – $2,687.40 | 15 |
| Ghs fish cytogen CPT 88271 | $58.40 | $73.00 | $20.81 – $65.70 | 15 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $124.80 | $156.00 | $44.46 – $140.40 | 15 |
| Ghs flow volume loop CPT 94375 | $471.20 | $589.00 | $167.87 – $530.10 | 15 |
| Ghs gastric intub aspiration lavage CPT 43753 | $316.80 | $396.00 | $112.86 – $356.40 | 15 |
| Ghs HIV antibody CPT 86703 | $116.00 | $145.00 | $41.33 – $130.50 | 15 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $3,142.40 | $3,928.00 | $1,119.48 – $3,535.20 | 15 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $1,696.00 | $2,120.00 | $604.20 – $1,908.00 | 15 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $610.40 | $763.00 | $217.46 – $686.70 | 15 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $549.60 | $687.00 | $195.80 – $618.30 | 15 |
| Ghs indirect laryngoscopy/w fb removal CPT 31511 | $257.60 | $322.00 | $91.77 – $289.80 | 15 |
| Ghs init tx 1st degree burn CPT 16000 | $381.60 | $477.00 | $135.95 – $429.30 | 15 |
| Ghs insertion of needle - bone CPT 36680 | $380.00 | $475.00 | $135.38 – $427.50 | 15 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $863.20 | $1,079.00 | $307.52 – $971.10 | 15 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $1,160.00 | $1,450.00 | $413.25 – $1,305.00 | 15 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | $2,403.20 | $3,004.00 | $856.14 – $2,703.60 | 15 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | $141.60 | $177.00 | $50.45 – $159.30 | 15 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $682.40 | $853.00 | $243.11 – $767.70 | 15 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $415.20 | $519.00 | $147.92 – $467.10 | 15 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $733.60 | $917.00 | $261.35 – $825.30 | 15 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $579.20 | $724.00 | $206.34 – $651.60 | 15 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $620.00 | $775.00 | $220.88 – $697.50 | 15 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $659.20 | $824.00 | $234.84 – $741.60 | 15 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $855.20 | $1,069.00 | $304.67 – $962.10 | 15 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $657.60 | $822.00 | $234.27 – $739.80 | 15 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $760.00 | $950.00 | $270.75 – $855.00 | 15 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $782.40 | $978.00 | $278.73 – $880.20 | 15 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $687.20 | $859.00 | $244.82 – $773.10 | 15 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | $925.60 | $1,157.00 | $329.75 – $1,041.30 | 15 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $790.40 | $988.00 | $281.58 – $889.20 | 15 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | $877.60 | $1,097.00 | $312.65 – $987.30 | 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.