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
ESTAB LEVEL 4
Sheldon, IA
See all hospitals reporting CPT 99214 →Price type
Sanford Sheldon Medical Center’s median price of $126 is 21% below the median hospital's median price ($159), higher than 33% of the 2,010 hospitals reporting CPT 99214. 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.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Sanford Health Plan medicare replacement percent of total billed charges · outpatientfrom % of charges | $57.00 | $57.00 | $57.00 – $57.00 |
| 2 | Ucare medicare replacement percent of total billed charges · outpatientfrom % of charges | $61.20 | $61.20 | $61.20 – $61.20 |
| 3 | Aetna medicare replacement percent of total billed charges · outpatientfrom % of charges | $61.80 | $61.80 | $61.80 – $61.80 |
| 4 | Bcbs Nd medicare replacement percent of total billed charges · outpatientfrom % of charges | $61.80 | $61.80 | $61.80 – $61.80 |
| 5 | UnitedHealthcare medicare replacement percent of total billed charges · outpatientfrom % of charges | $61.80 | $61.80 | $61.80 – $61.80 |
| 6 | Wellmark hmo percent of total billed charges · inpatientfrom % of charges | $100.00 | $100.00 | $100.00 – $100.00 |
| 7 | Wellmark ppo percent of total billed charges · inpatientfrom % of charges | $104.00 | $104.00 | $104.00 – $104.00 |
| 8 | Wellmark ppo other · outpatient | $105.48 | $105.48 | $105.48 – $105.48 |
| 9 | Sanford Health Plan group health/true percent of total billed charges · inpatientfrom % of charges | $107.16 | $107.16 | $107.16 – $107.16 |
| 10 | Sanford Health Plan group health/true percent of total billed charges · outpatientfrom % of charges | $107.16 | $107.16 | $107.16 – $107.16 |
| 11 | Sanford Health Plan sd exchange true percent of total billed charges · inpatientfrom % of charges | $107.16 | $107.16 | $107.16 – $107.16 |
| 12 | Sanford Health Plan sd exchange true percent of total billed charges · outpatientfrom % of charges | $107.16 | $107.16 | $107.16 – $107.16 |
| 13 | Sanford Health Plan commercial/nd pers percent of total billed charges · inpatientfrom % of charges | $126.06 | $126.06 | $126.06 – $126.06 |
| 14 | Sanford Health Plan commercial/nd pers percent of total billed charges · outpatientfrom % of charges | $126.06 | $126.06 | $126.06 – $126.06 |
| 15 | Sanford Health Plan sd exchange commercial percent of total billed charges · inpatientfrom % of charges | $126.06 | $126.06 | $126.06 – $126.06 |
| 16 | Sanford Health Plan sd exchange commercial percent of total billed charges · outpatientfrom % of charges | $126.06 | $126.06 | $126.06 – $126.06 |
| 17 | Medica choice percent of total billed charges · inpatientfrom % of charges | $165.00 | $165.00 | $165.00 – $165.00 |
| 18 | Medica choice percent of total billed charges · outpatientfrom % of charges | $165.00 | $165.00 | $165.00 – $165.00 |
| 19 | UnitedHealthcare commercial + top 20 percent of total billed charges · inpatientfrom % of charges | $167.00 | $167.00 | $167.00 – $167.00 |
| 20 | UnitedHealthcare commercial + top 20 percent of total billed charges · outpatientfrom % of charges | $167.00 | $167.00 | $167.00 – $167.00 |
| 21 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $173.80 | $173.80 | $173.80 – $173.80 |
| 22 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $173.80 | $173.80 | $173.80 – $173.80 |
| 23 | Ucare commercial percent of total billed charges · inpatientfrom % of charges | $175.72 | $175.72 | $175.72 – $175.72 |
| 24 | Ucare commercial percent of total billed charges · outpatientfrom % of charges | $175.72 | $175.72 | $175.72 – $175.72 |
| 25 | Medica elect percent of total billed charges · inpatientfrom % of charges | $176.40 | $176.40 | $176.40 – $176.40 |
Last updated: Mar 4, 2026
See Outpatient office visit, established patient, level 4 pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.