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
RAD EXAM SPINE LUMB MIN 4 VWS
Sheldon, IA
See all hospitals reporting CPT 72110 →Price type
Sanford Sheldon Medical Center’s median price of $443 is 175% above the median hospital's median price ($161), higher than 84% of the 2,619 hospitals reporting CPT 72110. 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 | $114.03 | $114.03 | $114.03 – $114.03 |
| 2 | Sanford Health Plan medicare replacement percent of total billed charges · outpatientfrom % of charges | $200.36 | $200.36 | $200.36 – $200.36 |
| 3 | Ucare medicare replacement percent of total billed charges · outpatientfrom % of charges | $215.12 | $215.12 | $215.12 – $215.12 |
| 4 | Aetna medicare replacement percent of total billed charges · outpatientfrom % of charges | $217.23 | $217.23 | $217.23 – $217.23 |
| 5 | Bcbs Nd medicare replacement percent of total billed charges · outpatientfrom % of charges | $217.23 | $217.23 | $217.23 – $217.23 |
| 6 | UnitedHealthcare medicare replacement percent of total billed charges · outpatientfrom % of charges | $217.23 | $217.23 | $217.23 – $217.23 |
| 7 | Wellmark hmo percent of total billed charges · inpatientfrom % of charges | $351.50 | $351.50 | $351.50 – $351.50 |
| 8 | Wellmark ppo percent of total billed charges · inpatientfrom % of charges | $365.56 | $365.56 | $365.56 – $365.56 |
| 9 | Sanford Health Plan group health/true percent of total billed charges · inpatientfrom % of charges | $376.67 | $376.67 | $376.67 – $376.67 |
| 10 | Sanford Health Plan group health/true percent of total billed charges · outpatientfrom % of charges | $376.67 | $376.67 | $376.67 – $376.67 |
| 11 | Sanford Health Plan sd exchange true percent of total billed charges · inpatientfrom % of charges | $376.67 | $376.67 | $376.67 – $376.67 |
| 12 | Sanford Health Plan sd exchange true percent of total billed charges · outpatientfrom % of charges | $376.67 | $376.67 | $376.67 – $376.67 |
| 13 | Sanford Health Plan commercial/nd pers percent of total billed charges · inpatientfrom % of charges | $443.10 | $443.10 | $443.10 – $443.10 |
| 14 | Sanford Health Plan commercial/nd pers percent of total billed charges · outpatientfrom % of charges | $443.10 | $443.10 | $443.10 – $443.10 |
| 15 | Sanford Health Plan sd exchange commercial percent of total billed charges · inpatientfrom % of charges | $443.10 | $443.10 | $443.10 – $443.10 |
| 16 | Sanford Health Plan sd exchange commercial percent of total billed charges · outpatientfrom % of charges | $443.10 | $443.10 | $443.10 – $443.10 |
| 17 | Medica choice percent of total billed charges · inpatientfrom % of charges | $579.98 | $579.98 | $579.98 – $579.98 |
| 18 | Medica choice percent of total billed charges · outpatientfrom % of charges | $579.98 | $579.98 | $579.98 – $579.98 |
| 19 | UnitedHealthcare commercial + top 20 percent of total billed charges · inpatientfrom % of charges | $587.01 | $587.01 | $587.01 – $587.01 |
| 20 | UnitedHealthcare commercial + top 20 percent of total billed charges · outpatientfrom % of charges | $587.01 | $587.01 | $587.01 – $587.01 |
| 21 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $610.91 | $610.91 | $610.91 – $610.91 |
| 22 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $610.91 | $610.91 | $610.91 – $610.91 |
| 23 | Ucare commercial percent of total billed charges · inpatientfrom % of charges | $617.66 | $617.66 | $617.66 – $617.66 |
| 24 | Ucare commercial percent of total billed charges · outpatientfrom % of charges | $617.66 | $617.66 | $617.66 – $617.66 |
| 25 | Medica elect percent of total billed charges · inpatientfrom % of charges | $620.05 | $620.05 | $620.05 – $620.05 |
Last updated: Mar 4, 2026
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