Emergency department visit at Sanford Sheldon Medical Center

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.

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Provider: anthropic
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Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

ED 99285 EMER CASE LEVEL V

Sheldon, IA

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Pricing by billing methodology

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How this price compares nationally

Sanford Sheldon Medical Center’s median price of $1.5k is 69% above the median hospital's median price ($897), higher than 68% of the 2,561 hospitals reporting CPT 99285. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99285 at Sanford Sheldon Medical Center

Negotiated rates from the hospital’s own file: 8 payers, 29 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 hmo other · outpatient	$681.18	$681.18	$681.18 – $681.18
2	Sanford Health Plan medicare replacement percent of total billed charges · outpatientfrom % of charges	$684.00	$684.00	$684.00 – $684.00
3	Wellmark ppo other · outpatient	$702.64	$702.64	$702.64 – $702.64
4	Ucare medicare replacement percent of total billed charges · outpatientfrom % of charges	$734.40	$734.40	$734.40 – $734.40
5	Aetna medicare replacement percent of total billed charges · outpatientfrom % of charges	$741.60	$741.60	$741.60 – $741.60
6	Bcbs Nd medicare replacement percent of total billed charges · outpatientfrom % of charges	$741.60	$741.60	$741.60 – $741.60
7	UnitedHealthcare medicare replacement percent of total billed charges · outpatientfrom % of charges	$741.60	$741.60	$741.60 – $741.60
8	Wellmark hmo percent of total billed charges · inpatientfrom % of charges	$1,200	$1,200	$1,200 – $1,200
9	Wellmark ppo percent of total billed charges · inpatientfrom % of charges	$1,248	$1,248	$1,248 – $1,248
10	Sanford Health Plan group health/true percent of total billed charges · inpatientfrom % of charges	$1,286	$1,286	$1,286 – $1,286
11	Sanford Health Plan group health/true percent of total billed charges · outpatientfrom % of charges	$1,286	$1,286	$1,286 – $1,286
12	Sanford Health Plan sd exchange true percent of total billed charges · inpatientfrom % of charges	$1,286	$1,286	$1,286 – $1,286
13	Sanford Health Plan sd exchange true percent of total billed charges · outpatientfrom % of charges	$1,286	$1,286	$1,286 – $1,286
14	Sanford Health Plan commercial/nd pers percent of total billed charges · inpatientfrom % of charges	$1,513	$1,513	$1,513 – $1,513
15	Sanford Health Plan commercial/nd pers percent of total billed charges · outpatientfrom % of charges	$1,513	$1,513	$1,513 – $1,513
16	Sanford Health Plan sd exchange commercial percent of total billed charges · inpatientfrom % of charges	$1,513	$1,513	$1,513 – $1,513
17	Sanford Health Plan sd exchange commercial percent of total billed charges · outpatientfrom % of charges	$1,513	$1,513	$1,513 – $1,513
18	Medica choice percent of total billed charges · inpatientfrom % of charges	$1,980	$1,980	$1,980 – $1,980
19	Medica choice percent of total billed charges · outpatientfrom % of charges	$1,980	$1,980	$1,980 – $1,980
20	UnitedHealthcare commercial + top 20 percent of total billed charges · inpatientfrom % of charges	$2,004	$2,004	$2,004 – $2,004
21	UnitedHealthcare commercial + top 20 percent of total billed charges · outpatientfrom % of charges	$2,004	$2,004	$2,004 – $2,004
22	Aetna commercial percent of total billed charges · inpatientfrom % of charges	$2,086	$2,086	$2,086 – $2,086
23	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$2,086	$2,086	$2,086 – $2,086
24	Ucare commercial percent of total billed charges · inpatientfrom % of charges	$2,109	$2,109	$2,109 – $2,109
25	Ucare commercial percent of total billed charges · outpatientfrom % of charges	$2,109	$2,109	$2,109 – $2,109

Page 1 of 2 · 29 rates

Last updated: Mar 4, 2026

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