Sanford Sheldon Medical Center — price list
← Hospital overviewVerified from Sanford Sheldon Medical Center’s published price file
Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Showing the first 1,500 prices from a large file. Search a procedure or code below to narrow the list.
How to read these columns
- List
- The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
- Cash
- The discounted self-pay price for paying directly, without insurance.
- Negotiated
- Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.
These are the hospital’s published reference prices, not a personalized estimate of your bill.
934 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| ,Insulin Aspart Soln Pen-injector 100 Unit/ML,Insulin Aspart Soln Cartridge 100 Unit/ML Inpatient | 0250 RC | $74.05 | $59.24 | $37.03 – $66.65 | — | |
| Acamprosate Calcium Tab Delayed Release 333 MG Inpatient | 0250 RC | $6.33 | $5.07 | $3.17 – $5.70 | — | |
| Acetaminophen Chew Tab 160 MG Inpatient | 0250 RC | $1.50 | $1.20 | $0.75 – $1.35 | — | |
| Acetaminophen Suppos 120 MG Inpatient | 0250 RC | $1.50 | $1.20 | $0.75 – $1.35 | — | |
| Acetaminophen Suppos 325 MG Inpatient | 0250 RC | $1.50 | $1.20 | $0.75 – $1.35 | — | |
| Acetaminophen Suppos 650 MG Inpatient | 0250 RC | $1.50 | $1.20 | $0.75 – $1.35 | — | |
| Acetaminophen Susp 160 MG/5ML Inpatient | 0250 RC | $8.97 | $7.18 | $4.49 – $8.07 | — | |
| Acetaminophen w/ Codeine Soln 120-12 MG/5ML Inpatient | 0250 RC | $4.50 | $3.60 | $2.25 – $4.05 | — | |
| Acetaminophen w/ Codeine Tab 300-30 MG Inpatient | 0250 RC | $123 | $98.40 | $61.50 – $111 | — | |
| Acetazolamide Tab 125 MG Inpatient | 0250 RC | $6.63 | $5.31 | $3.32 – $5.97 | — | |
| Acetic Acid Irrigation Soln 0.25% Inpatient | 0250 RC | $50.00 | $40.00 | $25.00 – $45.00 | — | |
| Acetic Acid Otic Soln 2% Inpatient | 0250 RC | $67.12 | $53.70 | $33.56 – $60.41 | — | |
| Acetylcysteine Cap 600 MG Inpatient | 0250 RC | $1.50 | $1.20 | $0.75 – $1.35 | — | |
| Acetylcysteine Inhal Soln 20% Inpatient | 0250 RC | $14.64 | $11.72 | $7.32 – $13.18 | — | |
| Acyclovir Susp 200 MG/5ML Inpatient | 0250 RC | $5.96 | $4.77 | $2.98 – $5.36 | — | |
| Acyclovir Tab 400 MG Inpatient | 0250 RC | $1.50 | $1.20 | $0.75 – $1.35 | — | |
| Albuterol Sulfate Inhal Aero 108 MCG/ACT (90MCG Base Equiv) Inpatient | 0250 RC | $107 | $85.53 | $53.46 – $96.22 | — | |
| Alendronate Sodium Tab 10 MG Inpatient | 0250 RC | $1.50 | $1.20 | $0.75 – $1.35 | — | |
| Alendronate Sodium Tab 70 MG Inpatient | 0250 RC | $1.50 | $1.20 | $0.75 – $1.35 | — | |
| Aliskiren Fumarate Tab 300 MG (Base Equivalent) Inpatient | 0250 RC | $13.42 | $10.74 | $6.71 – $12.08 | — | |
| Allopurinol Tab 100 MG Inpatient | 0250 RC | $1.50 | $1.20 | $0.75 – $1.35 | — | |
| Alogliptin Benzoate Tab 12.5 MG (Base Equiv) Inpatient | 0250 RC | $12.71 | $10.17 | $6.36 – $11.44 | — | |
| Alpha-D-Galactosidase Tablets Inpatient | 0250 RC | $1.50 | $1.20 | $0.75 – $1.35 | — | |
| Alprazolam Tab 0.25 MG Inpatient | 0250 RC | $1.50 | $1.20 | $0.75 – $1.35 | — | |
| Alprazolam Tab 1 MG Inpatient | 0250 RC | $1.50 | $1.20 | $0.75 – $1.35 | — | |
| Alum & Mag Hydroxide-Simethicone Susp 200-200-20 MG/5ML Inpatient | 0250 RC | $4.50 | $3.60 | $2.25 – $4.05 | — | |
| Amantadine HCl Cap 100 MG Inpatient | 0250 RC | $1.50 | $1.20 | $0.75 – $1.35 | — | |
| Amino Acid Electrolyte withCal Infusion 5% in D15W Inpatient | 0250 RC | $188 | $151 | $94.19 – $170 | — | |
| Amino Acid Electrolyte withCal Infusion 5% in D20W Inpatient | 0250 RC | $251 | $201 | $126 – $226 | — | |
| Amino Acid Infusion 10% Inpatient | 0250 RC | $149 | $120 | $74.69 – $134 | — |