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Sanford Sheldon Medical Center

118 North Seventh Avenue, Po Box 250, Sheldon, IA 51201 · (712) 324-5041

Critical Access HospitalsVoluntary non-profit - Private

Price file

Prices published

File dated 2026-03-04

1,872 price rows for 32 procedures

Published prices

cash · negotiated range · list
Basic metabolic panel (blood test)

CPT 80048 · lowest of 2 lines

$64
cash
$4,469
cash
CT scan of the head, no contrast

CPT 70450 · lowest of 2 lines

$1,914
cash
CT scan of the pelvis, with contrast

CPT 72193 · lowest of 2 lines

$2,244
cash
Chlamydia test (DNA)

CPT 87491 · lowest of 6 lines

$114
cash
Complete blood count (CBC) with differential

CPT 85025 · lowest of 2 lines

$58
cash
Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 2 lines

$78
cash
Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 2 lines

$518
cash
$214
cash
Gonorrhea test (DNA)

CPT 87591 · lowest of 6 lines

$86
cash
Lipid panel (cholesterol test)

CPT 80061 · lowest of 2 lines

$100
cash
Liver function panel

CPT 80076 · lowest of 2 lines

$62
cash
MRI of the brain, with and without contrast

CPT 70553 · lowest of 2 lines

$4,494
cash
$2,810
cash
$3,166
cash
MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 2 lines

$2,987
cash
New patient office visit (about 30 minutes)

CPT 99203 · lowest of 2 lines

$160
cash
New patient office visit (about 45 minutes)

CPT 99204 · lowest of 2 lines

$244
cash
New patient office visit (about 60 minutes)

CPT 99205 · lowest of 2 lines

$306
cash
PSA test (prostate)

CPT 84153 · lowest of 2 lines

$90
cash
$44
cash
$133
cash
Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 2 lines

$942
cash
Prothrombin time (blood clotting test)

CPT 85610 · lowest of 4 lines

$44
cash
Screening mammogram (both breasts)

CPT 77067 · lowest of 4 lines

$445
cash
Sleep study (overnight, attended)

CPT 95810 · lowest of 2 lines

$4,216
cash
$2,048
cash
TSH test (thyroid)

CPT 84443 · lowest of 2 lines

$124
cash
Transvaginal ultrasound

CPT 76830 · lowest of 2 lines

$810
cash
Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 2 lines

$983
cash
Urinalysis with microscope

CPT 81001 · lowest of 2 lines

$40
cash
X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 2 lines

$562
cash

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.