Home › Hospitals › Sanford Sheldon Medical Center
Posts prices for 35 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-08.
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Procedure Posted cash Posted gross × Medicare
CT head/brain without contrast (70450)
$1,913.60
$2,392
19.0×
MRI brain without contrast (70551)
$3,087.20
$3,859
13.5×
MRI brain with contrast (70552)
$3,381.60
$4,227
10.1×
MRI brain without and with contrast (70553)
$4,494.40
$5,618
13.4×
X-ray lower spine, 4+ views (72110)
$562.40
$703
5.6×
MRI lumbar spine without contrast (72148)
$3,165.60
$3,957
13.8×
CT pelvis with contrast (72193)
$2,244
$2,805
13.3×
MRI lower-extremity joint without contrast (73721)
$2,810.40
$3,513
12.3×
CT abdomen and pelvis with contrast (74177)
$4,468.80
$5,586
13.3×
Ultrasound, abdomen complete (76700)
$983.20
$1,229
9.8×
Ultrasound, pregnant uterus (≥14 weeks) (76805)
$941.60
$1,177
9.4×
Ultrasound, transvaginal (76830)
$809.60
$1,012
8.1×
Mammography, one breast (diagnostic) (77065)
$508
$635
5.9×
Mammography, both breasts (diagnostic) (77066)
$517.60
$647
4.7×
Mammography, screening (bilateral) (77067)
$444.80
$556
4.9×
Basic metabolic panel (80048)
$64
$80
7.6×
Comprehensive metabolic panel (80053)
$77.60
$97
7.3×
Obstetric panel (80055)
$316
$395
6.6×
Lipid panel (80061)
$100
$125
7.5×
Renal function panel (80069)
$64.80
$81
7.5×
Hepatic function panel (80076)
$61.60
$77
7.5×
Urinalysis, non-automated, without microscopy (81002)
$22.40
$28
6.4×
PSA, total (84153)
$89.60
$112
4.9×
Thyroid stimulating hormone (TSH) (84443)
$124
$155
7.4×
CBC with automated differential (85025)
$57.60
$72
7.4×
CBC, automated (85027)
$36
$45
5.6×
Prothrombin time (PT) (85610) range across 2 matching MRF lines
$44–$48.80
$55–$61
varies
Partial thromboplastin time (PTT) (85730)
$44
$55
7.3×
Sleep study (attended polysomnography) (95810)
$4,216
$5,270
5.1×
Physical therapy, therapeutic exercise (per 15 min) (97110)
$132.80
$166
4.6×
Office visit, new patient (low complexity, ~30 min) (99203)
$160
$200
1.3×
Office visit, new patient (moderate complexity, ~45 min) (99204)
$244
$305
1.9×
Office visit, new patient (high complexity, ~60 min) (99205)
$306.40
$383
2.4×
Office consultation (low complexity, ~30 min) (99243)
$213.60
$267
1.7×
Office consultation (moderate complexity, ~40 min) (99244)
$304
$380
2.4×
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.
As a Critical Access Hospital, Medicare pays this facility about 101% of its own costs. The × Medicare column compares the cash price against that cost-based benchmark, not a standard rate.
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