Sanford Sheldon Medical Center Prices { open = false; }, 3000);" x-ref="trigger"> Prices have been verified using third-party online ordering systems.
Claim Business Form
Items
-
Emergency Room - Manipulation Of Dislocated Shoulder Without Incision (1007152)
$486.00
-
Emergency Room - Manipulation Of Broken Foot Without Incision (1007365)
$263.00
-
Emergency Room - Manipulation Of Broken Bones In Mid Lower Arm Without Incision (1007331)
$263.00
-
Emergency Room - Manipulation Of Broken Ankle Without Incision (1007356)
$387.00
-
Emergency Room - Manipulation Of Broken Ankle Without Incision (1007358)
$263.00
-
Emergency Room - Intravenous Infusion Of Clotbusting Drug For Brain Clot (1008041)
$557.00
-
Emergency Room - Intravenous Infusion Of Clotbusting Drug (1007684)
$611.00
-
Emergency Room - Intermediate Wound Repair Of Scalp, Underarms, Trunk, Arms Or Legs, Less Than 2.5 Cm (1007106)
$318.00
-
Emergency Room - Intermediate Wound Repair Of Scalp, Underarms, Trunk, Arms Or Legs, 7.6-12.5 Cm (1007108)
$318.00
-
Emergency Room - Intermediate Wound Repair Of Neck, Hands, Feet Or Genitals, Less Than 2.5 Cm (1007112)
$318.00
-
Emergency Room - Intermediate Wound Repair Of Neck, Hands, Feet Or Genitals, 7.6-12.5 Cm (1007114)
$318.00
-
Emergency Room - Intermediate Wound Repair Of Neck, Hands, Feet Or Genitals, 2.6-7.5 Cm (1007107)
$318.00
-
Emergency Room - Intermediate Repair Of Wound Of Face, 7.6-12.5 Cm (1007121)
$318.00
-
Emergency Room - Intermediate Repair Of Face, Less Than 2.5 Cm (1007118)
$318.00
-
Emergency Room - Intermediate Repair Of Face, 2.6-5 Cm (1007119)
$318.00
-
Emergency Room - Insertion Of Temporary Bladder Catheter (1007713)
$176.00
-
Emergency Room - Insertion Of Stomach Tube Through Nose (1012506)
$475.00
-
Emergency Room - Insertion Of Needle Into Bone For Infusion (1007248)
$321.00
-
Emergency Room - Insertion Of Drainage Tube Into Chest Cavity With Incision (1007447)
$883.00
-
Emergency Room - Injection Therapy For Diagnosis Or Prevention, Under The Skin Or Into Muscle (1007690)
$166.00
-
Emergency Room - Injection Therapy For Diagnosis Or Prevention, Into Vein (1007691)
$309.00
-
Emergency Room - Injection Therapy For Diagnosis Or Prevention, Additional Sequential Injection Of Same Substance Into Vein (1008109)
$161.00
-
Emergency Room - Injection Therapy For Diagnosis Or Prevention, Additional Sequential Injection Of New Substance Into Vein (1004698)
$199.00
-
Emergency Room - Injection Or Aspiration Of Medium Joint Without Guidance (1007143)
$243.00
-
Emergency Room - Injection Of Anesthesia Or Steroid Into Trigeminal Cranial Nerve (1025542)
$431.00
-
Emergency Room - Injection Of Anesthesia Into Trigeminal Nerve (1003982)
$368.00
-
Emergency Room - Injection Of Anesthesia Into Peripheral Nerve (1007271)
$656.00
-
Emergency Room - Infusion Into A Vein For Therapy, Prevention, Or Diagnosis, Up To 1 Hour (1007687)
$603.00
-
Emergency Room - Infusion Into A Vein For Therapy, Prevention, Or Diagnosis, Concurrent With Another Infusion (1007775)
$177.00
-
Emergency Room - Infusion Into A Vein For Therapy, Prevention, Or Diagnosis, Additional Hour (1007685)
$196.00
-
Emergency Room - Infusion Into A Vein For Therapy Prevention Or Diagnosis, Additional Sequential Infusion Up To 1 Hour (1007774)
$280.00
-
Emergency Room - Incision And Drainage Of Simple Abscess (1007081)
$182.00
-
Emergency Room - Hydration Infusion Into A Vein, Additional Hour (1007688)
$152.00
-
Emergency Room - Hydration Infusion Into A Vein, 31 Minutes To 1 Hour (1007689)
$436.00
-
Emergency Room - External Shock To Heart To Regulate Heart Beat (1010100)
$1,359.00
-
Emergency Room - Emergency Insertion Of Breathing Tube (1007234)
$541.00
-
Emergency Room - Emergency Department Visit, Self Limited Or Minor Problem (1003894)
$273.00
-
Emergency Room - Emergency Department Visit, Problem With Significant Threat To Life Or Function (1003899)
$1,740.00
-
Emergency Room - Emergency Department Visit, Problem With Significant Threat To Life Or Function (1003898)
$1,740.00
-
Emergency Room - Emergency Department Visit, Problem Of High Severity (1003887)
$1,181.00
-
Emergency Room - Emergency Department Visit, Problem Of High Severity (1003888)
$1,181.00
-
Emergency Room - Emergency Department Visit, Moderately Severe Problem (1003910)
$690.00
-
Emergency Room - Emergency Department Visit, Moderately Severe Problem (1003909)
$690.00
-
Emergency Room - Emergency Department Visit, Low To Moderately Severe Problem (1003906)
$442.00
-
Emergency Room - Emergency Department Visit, Low To Moderately Severe Problem (1003905)
$442.00
-
Emergency Room - Dressings Or Removal Of Burn Tissue From Medium Area (1007137)
$225.00
-
Emergency Room - Dressing Change Or Removal Of Burn Tissue From Small Area (1004775)
$232.00
-
Emergency Room - Critical Care Delivery Critically Ill Or Injured Patient, First 30-74 Minutes (1003841)
$2,321.00
-
Emergency Room - Critical Care Delivery Critically Ill Or Injured Patient, First 30-74 Minutes (1003845)
$2,321.00
-
Emergency Room - Critical Care Delivery Critically Ill Or Injured Patient (1007772)
$795.00
-
Emergency Room - Control Of Posterior Nosebleed (1007232)
$405.00
-
Emergency Room - Complicated Insertion Of Bladder Catether (1007714)
$291.00
-
Emergency Room - Complex Repair Of Scalp, Arms Or Legs, Each Additional 5 Cm (1007389)
$37.00
-
Emergency Room - Complex Repair Of Scalp, Arms Or Legs, 2.6-7.5 Cm (1007128)
$355.00
-
Emergency Room - Change Of Feeding Tube Through Abdominal Wall (1007252)
$344.00
-
Emergency Room - Blood Transfusion (1007288)
$981.00
-
Emergency Room - Attempt To Restart Heart And Lungs (1003271)
$1,087.00
-
Emergency Room - Application Of Short Leg Splint (1007222)
$172.00
-
Emergency Room - Application Of Short Arm Splint (1007212)
$172.00
-
Emergency Room - Application Of Short Arm Cast (1007205)
$198.00
-
Emergency Room - Application Of Long Leg Splint (1004763)
$310.00
-
Emergency Room - Application Of Long Leg Splint (1007219)
$172.00
-
Emergency Room - Application Of Long Arm Splint (1007208)
$172.00
-
Emergency Room - Application Of Finger Splint (1024801)
$260.00
-
Emergency Room - Application Of Finger Splint (1007215)
$172.00
-
Education - Medical Nutrition Re-Assessment And Intervention, Each 15 Minutes (1004279)
$46.00
-
Education - Medical Nutrition Assessment And Intervention, Each 15 Minutes (1004278)
$50.00
-
Education - Face-To-Face Behavioral Counseling For Obesity - Individual (1021426)
$50.00
-
Education - Diabetes Self-Management Training In Group (1005128)
$64.00
-
Education - Diabetes Self-Management Training (1003593)
$112.00
-
Diagnostic Services - Ultrasound Scan Of Veins Of One Arm Or Leg Or Limited (1003424)
$886.00
-
Diagnostic Services - Ultrasound Scan Of Veins Of Both Arms Or Legs (1003396)
$1,137.00
-
Diagnostic Services - Ultrasound Scan Of Head And Neck Blood Vessels On One Side (1003410)
$754.00
-
Diagnostic Services - Ultrasound Scan Of Head And Neck Blood Vessels On Both Sides (1003395)
$991.00
-
Diagnostic Services - Ultrasound Scan Of Arteries Of Both Legs At Rest And Exercise (1003423)
$880.00
-
Diagnostic Services - Ultrasound Scan Of Arteries And Arterial Grafts Of One Leg Or Limited (1003407)
$794.00
-
Diagnostic Services - Ultrasound Scan Of Arteries And Arterial Grafts Of One Arm Or Limited (1003415)
$776.00
-
Diagnostic Services - Ultrasound Scan Of Arteries And Arterial Grafts Of Both Legs (1003406)
$1,218.00
-
Diagnostic Services - Sleep Monitoring Of Patient In Sleep Lab With Continuous Positive Airway Pressure (Cpap) Assistance By Mask Or Breathing Tube (1007767)
$4,063.00
-
Diagnostic Services - Sleep Monitoring Of Patient In Sleep Lab With Continuous Positive Airway Pressure (Cpap) Assistance By Mask Or Breathing Tube (1002092)
$4,063.00
-
Diagnostic Services - Sleep Monitoring Of Patient In Sleep Lab (1002091)
$3,541.00
-
Diagnostic Services - Limited Ultrasound Scan Of Arteries Of Both Arms Or Legs (1007719)
$431.00
-
Diagnostic Services - Limited Ultrasound Scan Of Arteries Of Both Arms Or Legs (1003398)
$431.00
-
Diagnostic Services - Limited Ultrasound Scan Of Abdominal, Pelvic, Or Scrotal Blood Vessels (1003414)
$745.00
-
Diagnostic Services - Home Sleep Study Test - Type Iii Portable Monitor (1021868)
$624.00
-
Diagnostic Services - Diagnostic Test For Sleep Disorder (1001650)
$2,191.00
-
Diagnostic Services - Complete Ultrasound Scan Of Aorta, Vena Cava, Groin Vessel Or Bypass Graft Blood Flow (1004811)
$1,016.00
-
Diagnostic Services - Complete Ultrasound Scan Of Abdominal, Pelvic, Or Scrotal Blood Vessels (1003399)
$1,135.00
-
Diagnostic Services - Car Seat Or Bed Airway Testing Of Infant 1 Year Or Less, Additional 30 Minutes (1012546)
$45.00
-
Diagnostic Services - Car Seat Or Bed Airway Testing Of Infant 1 Year Or Less, 60 Minutes (1012545)
$90.00
-
Diagnostic Imaging - X-Rays For Complete Skeletal Bone Survey (1001632)
$745.00
-
Diagnostic Imaging - X-Rays For Bone Age Studies (1000700)
$169.00
-
Diagnostic Imaging - X-Ray Of Wrist, 3 Or More Views (1002535)
$319.00
-
Diagnostic Imaging - X-Ray Of Wrist, 2 Views (1002533)
$251.00
-
Diagnostic Imaging - X-Ray Of Upper Spine, 4 Or 5 Views (1000850)
$355.00
-
Diagnostic Imaging - X-Ray Of Upper Spine, 2 Or 3 Views (1000851)
$267.00
-
Diagnostic Imaging - X-Ray Of Upper Leg, 2 Or More Views (1025889)
$273.00
-
Diagnostic Imaging - X-Ray Of Upper Leg, 1 View (1025888)
$238.00
-
Diagnostic Imaging - X-Ray Of Upper Digestive Tract Without X-Ray Of Urinary System (1007744)
$966.00
-
Diagnostic Imaging - X-Ray Of Upper Arm, 2 Or More Views (1001370)
$251.00
-
Diagnostic Imaging - X-Ray Of Toe(S), 2 Or More Views (1002326)
$257.00
-
Diagnostic Imaging - X-Ray Of Spine, 1 View (1002129)
$179.00
-
Diagnostic Imaging - X-Ray Of Spine For Scoliosis Evaluation, 6 Views Or More (1025881)
$745.00
-
Diagnostic Imaging - X-Ray Of Spine For Scoliosis Evaluation, 4 Or 5 Views (1025880)
$621.00
-
Diagnostic Imaging - X-Ray Of Spine For Scoliosis Evaluation, 2 Or 3 Views (1025879)
$569.00
-
Diagnostic Imaging - X-Ray Of Spine For Scoliosis Evaluation, 1 View (1025878)
$312.00
-
Diagnostic Imaging - X-Ray Of Soft Tissue Of Neck (1001663)
$244.00
-
Diagnostic Imaging - X-Ray Of Skull, 4 Or More Views (1002089)
$345.00
-
Diagnostic Imaging - X-Ray Of Skull, 1 To 3 Views (1002090)
$286.00
-
Diagnostic Imaging - X-Ray Of Shoulder, 2 Or More Views (1002062)
$238.00
-
Diagnostic Imaging - X-Ray Of Shoulder, 1 View (1002056)
$189.00
-
Diagnostic Imaging - X-Ray Of Shoulder Blade (1001987)
$254.00
-
Diagnostic Imaging - X-Ray Of Sacrum And Tailbone, 2 Or More Views (1001975)
$241.00
-
Diagnostic Imaging - X-Ray Of Sacroiliac Joints, 3 Or More Views (1001973)
$290.00
-
Diagnostic Imaging - X-Ray Of Ribs On One Side Of Body, 2 Views (1003534)
$264.00
-
Diagnostic Imaging - X-Ray Of Ribs On One Side Of Body With X-Ray Of Chest, 3 Or More Views (1001947)
$277.00
-
Diagnostic Imaging - X-Ray Of Ribs On Both Sides Of Body With X-Ray Of Chest, 4 Or More Views (1001948)
$384.00
-
Diagnostic Imaging - X-Ray Of Pelvis, 1 Or 2 Views (1001804)
$286.00
-
Diagnostic Imaging - X-Ray Of One Hip With Pelvis, 2 To 3 Views (1025883)
$368.00
-
Diagnostic Imaging - X-Ray Of Nose Bones, 3 Or More Views (1001660)
$283.00
-
Diagnostic Imaging - X-Ray Of Middle Spine, 3 Views (1001040)
$293.00
-
Diagnostic Imaging - X-Ray Of Middle Spine, 2 Views (1004308)
$277.00
-
Diagnostic Imaging - X-Ray Of Middle And Lower Spine, 2 Or More Views (1008159)
$244.00
-
Diagnostic Imaging - X-Ray Of Mandible (Jaw Bone), 4 Or More Views (1001584)
$299.00
-
Diagnostic Imaging - X-Ray Of Lower Spine (Lumbar And Sacral), 4 Or More Views (1001575)
$407.00
-
Diagnostic Imaging - X-Ray Of Lower Spine (Lumbar And Sacral), 2 Or 3 Views (1001574)
$293.00
-
Diagnostic Imaging - X-Ray Of Lower Leg, 2 Views (1002315)
$247.00
-
Diagnostic Imaging - X-Ray Of Knee, 4 Or More Views (1001482)
$342.00
-
Diagnostic Imaging - X-Ray Of Knee, 3 Views (1004687)
$312.00
-
Diagnostic Imaging - X-Ray Of Knee, 1 Or 2 Views (1001481)
$270.00
-
Diagnostic Imaging - X-Ray Of Heel, 2 Or More Views (1001337)
$234.00
-
Diagnostic Imaging - X-Ray Of Hand, 3 Or More Views (1001318)
$270.00
-
Diagnostic Imaging - X-Ray Of Hand, 2 Views (1001326)
$218.00
-
Diagnostic Imaging - X-Ray Of Forearm, 2 Views (1001229)
$212.00
-
Diagnostic Imaging - X-Ray Of Foot, 3 Or More Views (1001227)
$251.00
-
Diagnostic Imaging - X-Ray Of Foot, 2 Views (1001228)
$221.00
-
Diagnostic Imaging - X-Ray Of Finger(S), 2 Or More Views (1001217)
$290.00
-
Diagnostic Imaging - X-Ray Of Face Bones, 3 Or More Views (1001187)
$342.00
-
Diagnostic Imaging - X-Ray Of Esophagus (1001163)
$784.00
-
Diagnostic Imaging - X-Ray Of Elbow, 3 Or More Views (1001121)
$273.00
-
Diagnostic Imaging - X-Ray Of Elbow, 2 Views (1001122)
$234.00
-
Diagnostic Imaging - X-Ray Of Collarbone (1000882)
$234.00
-
Diagnostic Imaging - X-Ray Of Chest, 2 Views (1027615)
$149.00
-
Diagnostic Imaging - X-Ray Of Chest, 1 View (1027614)
$85.00
-
Diagnostic Imaging - X-Ray Of Breast Bone, 2 Or More Views (1002184)
$238.00
-
Diagnostic Imaging - X-Ray Of Both Shoulder To Collarbone Joints (1000499)
$306.00
-
Diagnostic Imaging - X-Ray Of Both Knees, Standing (1001484)
$322.00
-
Diagnostic Imaging - X-Ray Of Both Hips With Pelvis, 5 Or More Views (1025887)
$498.00
-
Diagnostic Imaging - X-Ray Of Both Hips With Pelvis, 3 To 4 Views (1025886)
$416.00
-
Diagnostic Imaging - X-Ray Of Both Hips With Pelvis, 2 Views (1025885)
$345.00
-
Diagnostic Imaging - X-Ray Of Bile Or Pancreatic Ducts With Contrast Injection During Surgery (1000872)
$1,068.00
-
Diagnostic Imaging - X-Ray Of Ankle, 3 Or More Views (1000552)
$273.00
-
Diagnostic Imaging - X-Ray Of Ankle, 2 Views (1000553)
$264.00
-
Diagnostic Imaging - X-Ray Of Abdomen, 2 Views (1027619)
$141.00
-
Diagnostic Imaging - X-Ray Of Abdomen, 1 View (1027618)
$140.00
-
Diagnostic Imaging - X-Ray For Joint Survey Of 2 Or More Joints Using Single View (1006895)
$172.00
-
Diagnostic Imaging - Vaginal Ultrasound Of Fetus (1003180)
$567.00
-
Diagnostic Imaging - Ultrasound Of Transplanted Kidney (1000387)
$450.00
-
Diagnostic Imaging - Ultrasound Of Single Or First Fetus At Less Than 14 Weeks (1000389)
$702.00
-
Diagnostic Imaging - Ultrasound Of Single Or First Fetus At 14 Weeks Or Greater (1000391)
$881.00
-
Diagnostic Imaging - Ultrasound Of Single Breast, Limited Study (1024606)
$518.00
-
Diagnostic Imaging - Ultrasound Of Single Breast, Complete Study (1024605)
$544.00
-
Diagnostic Imaging - Ultrasound Of Scrotum (1000399)
$763.00
-
Diagnostic Imaging - Ultrasound Of Pelvis Through Vagina (1000396)
$721.00
-
Diagnostic Imaging - Ultrasound Of Head And Neck (1000379)
$680.00
-
Diagnostic Imaging - Ultrasound Of Fetal Heart Structure And Motion (1003214)
$1,245.00
-
Diagnostic Imaging - Ultrasound Of Female Pelvic Organs, Limited Study (1007590)
$519.00
-
Diagnostic Imaging - Ultrasound Of Female Pelvic Organs, Complete Study (1000397)
$892.00
-
Diagnostic Imaging - Ultrasound Of Chest (1000380)
$554.00
-
Diagnostic Imaging - Ultrasound Of Arm Or Leg, Limited Study (1000401)
$602.00
-
Diagnostic Imaging - Ultrasound Of Additional Fetus At 14 Weeks Or Greater (1000392)
$634.00
-
Diagnostic Imaging - Ultrasound Of Abdomen, Limited Study (1000383)
$642.00
-
Diagnostic Imaging - Ultrasound Of Abdomen, Complete Study (1000382)
$917.00
-
Diagnostic Imaging - Ultrasound Behind Abdominal Cavity, Limited Study (1000385)
$569.00
-
Diagnostic Imaging - Ultrasound Behind Abdominal Cavity, Complete Study (1000384)
$730.00
-
Diagnostic Imaging - Screening Ultrasound Of Abdominal Aorta To Detect Bulging (1026825)
$143.00
-
Diagnostic Imaging - Screening Mammogram Of Both Breasts (1026823)
$410.00
-
Diagnostic Imaging - Screening Mammogram Of Both Breasts (1026824)
$390.00
-
Diagnostic Imaging - Mri Scan Of Upper Spinal Canal, Without Contrast (1000223)
$2,790.00
-
Diagnostic Imaging - Mri Scan Of Upper Spinal Canal, With And Without Contrast (1000229)
$3,964.00
-
Diagnostic Imaging - Mri Scan Of Pelvis, Without Contrast (1000235)
$2,650.00
-
Diagnostic Imaging - Mri Scan Of Middle Spinal Canal, Without Contrast (1000225)
$2,843.00
-
Diagnostic Imaging - Mri Scan Of Middle Spinal Canal, With And Without Contrast (1000230)
$3,766.00
-
Diagnostic Imaging - Mri Scan Of Lower Spinal Canal, Without Contrast (1000227)
$2,957.00
-
Diagnostic Imaging - Mri Scan Of Lower Spinal Canal, With Contrast (1000228)
$3,322.00
-
Diagnostic Imaging - Mri Scan Of Lower Spinal Canal, With And Without Contrast (1000231)
$3,792.00
-
Diagnostic Imaging - Mri Scan Of Leg, Without Contrast (1000252)
$2,623.00
-
Diagnostic Imaging - Mri Scan Of Leg, With And Without Contrast (1000253)
$3,454.00
-
Diagnostic Imaging - Mri Scan Of Leg Joint, Without Contrast (1000254)
$2,623.00
-
Diagnostic Imaging - Mri Scan Of Leg Joint, With And Without Contrast (1000256)
$3,462.00
-
Diagnostic Imaging - Mri Scan Of Eye, Face, Or Neck, With And Without Contrast (1000198)
$4,026.00
-
Diagnostic Imaging - Mri Scan Of Brain, Without Contrast (1000206)
$2,882.00
-
Diagnostic Imaging - Mri Scan Of Brain, With Contrast (1000208)
$2,963.00
-
Diagnostic Imaging - Mri Scan Of Brain, With And Without Contrast (1000209)
$4,324.00
-
Diagnostic Imaging - Mri Scan Of Arm, Without Contrast (1000241)
$2,471.00
-
Diagnostic Imaging - Mri Scan Of Arm Joint, Without Contrast (1000243)
$2,685.00
-
Diagnostic Imaging - Mri Scan Of Abdomen, Without Contrast (1000262)
$2,582.00
-
Diagnostic Imaging - Mra Scan Of Blood Vessels In Head, Without Contrast (1000199)
$2,586.00
-
Diagnostic Imaging - Motion Recording Of Swallowing Function (1002498)
$1,213.00
-
Diagnostic Imaging - Mammogram Of Single Breast (1026821)
$388.00