Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
CTA HEAD W CONT WO IF PERF
Sheldon, IA
See all hospitals reporting CPT 70496 →Price type
Sanford Sheldon Medical Center’s median price of $2.3k is 334% above the median hospital's median price ($519), higher than 86% of the 2,615 hospitals reporting CPT 70496. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 28 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | Wellmark ppo other · outpatient | $634.39 | $634.39 | $634.39 – $634.39 |
| 2 | Sanford Health Plan medicare replacement percent of total billed charges · outpatientfrom % of charges | $1,019 | $1,019 | $1,019 – $1,019 |
| 3 | Ucare medicare replacement percent of total billed charges · outpatientfrom % of charges | $1,094 | $1,094 | $1,094 – $1,094 |
| 4 | Aetna medicare replacement percent of total billed charges · outpatientfrom % of charges | $1,104 | $1,104 | $1,104 – $1,104 |
| 5 | Bcbs Nd medicare replacement percent of total billed charges · outpatientfrom % of charges | $1,104 | $1,104 | $1,104 – $1,104 |
| 6 | UnitedHealthcare medicare replacement percent of total billed charges · outpatientfrom % of charges | $1,104 | $1,104 | $1,104 – $1,104 |
| 7 | Wellmark hmo percent of total billed charges · inpatientfrom % of charges | $1,787 | $1,787 | $1,787 – $1,787 |
| 8 | Wellmark ppo percent of total billed charges · inpatientfrom % of charges | $1,858 | $1,858 | $1,858 – $1,858 |
| 9 | Sanford Health Plan group health/true percent of total billed charges · inpatientfrom % of charges | $1,915 | $1,915 | $1,915 – $1,915 |
| 10 | Sanford Health Plan group health/true percent of total billed charges · outpatientfrom % of charges | $1,915 | $1,915 | $1,915 – $1,915 |
| 11 | Sanford Health Plan sd exchange true percent of total billed charges · inpatientfrom % of charges | $1,915 | $1,915 | $1,915 – $1,915 |
| 12 | Sanford Health Plan sd exchange true percent of total billed charges · outpatientfrom % of charges | $1,915 | $1,915 | $1,915 – $1,915 |
| 13 | Sanford Health Plan commercial/nd pers percent of total billed charges · inpatientfrom % of charges | $2,253 | $2,253 | $2,253 – $2,253 |
| 14 | Sanford Health Plan commercial/nd pers percent of total billed charges · outpatientfrom % of charges | $2,253 | $2,253 | $2,253 – $2,253 |
| 15 | Sanford Health Plan sd exchange commercial percent of total billed charges · inpatientfrom % of charges | $2,253 | $2,253 | $2,253 – $2,253 |
| 16 | Sanford Health Plan sd exchange commercial percent of total billed charges · outpatientfrom % of charges | $2,253 | $2,253 | $2,253 – $2,253 |
| 17 | Medica choice percent of total billed charges · inpatientfrom % of charges | $2,949 | $2,949 | $2,949 – $2,949 |
| 18 | Medica choice percent of total billed charges · outpatientfrom % of charges | $2,949 | $2,949 | $2,949 – $2,949 |
| 19 | UnitedHealthcare commercial + top 20 percent of total billed charges · inpatientfrom % of charges | $2,984 | $2,984 | $2,984 – $2,984 |
| 20 | UnitedHealthcare commercial + top 20 percent of total billed charges · outpatientfrom % of charges | $2,984 | $2,984 | $2,984 – $2,984 |
| 21 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $3,106 | $3,106 | $3,106 – $3,106 |
| 22 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $3,106 | $3,106 | $3,106 – $3,106 |
| 23 | Ucare commercial percent of total billed charges · inpatientfrom % of charges | $3,140 | $3,140 | $3,140 – $3,140 |
| 24 | Ucare commercial percent of total billed charges · outpatientfrom % of charges | $3,140 | $3,140 | $3,140 – $3,140 |
| 25 | Medica elect percent of total billed charges · inpatientfrom % of charges | $3,152 | $3,152 | $3,152 – $3,152 |
Last updated: Mar 4, 2026
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