Critical care, first hour of physician time 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 99291 CRITICAL CARE E&M 30-74 MIN

Sheldon, IA

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How this price compares nationally

Sanford Sheldon Medical Center’s median price of $2.3k is 89% above the median hospital's median price ($1.2k), higher than 74% of the 2,559 hospitals reporting CPT 99291. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 99291 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 ppo other · outpatient	$873.78	$873.78	$873.78 – $873.78
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	Wellmark hmo other · outpatient	$1,923	$1,923	$1,923 – $1,923
14	Sanford Health Plan commercial/nd pers percent of total billed charges · inpatientfrom % of charges	$2,253	$2,253	$2,253 – $2,253
15	Sanford Health Plan commercial/nd pers percent of total billed charges · outpatientfrom % of charges	$2,253	$2,253	$2,253 – $2,253
16	Sanford Health Plan sd exchange commercial percent of total billed charges · inpatientfrom % of charges	$2,253	$2,253	$2,253 – $2,253
17	Sanford Health Plan sd exchange commercial percent of total billed charges · outpatientfrom % of charges	$2,253	$2,253	$2,253 – $2,253
18	Medica choice percent of total billed charges · inpatientfrom % of charges	$2,949	$2,949	$2,949 – $2,949
19	Medica choice percent of total billed charges · outpatientfrom % of charges	$2,949	$2,949	$2,949 – $2,949
20	UnitedHealthcare commercial + top 20 percent of total billed charges · inpatientfrom % of charges	$2,984	$2,984	$2,984 – $2,984
21	UnitedHealthcare commercial + top 20 percent of total billed charges · outpatientfrom % of charges	$2,984	$2,984	$2,984 – $2,984
22	Aetna commercial percent of total billed charges · inpatientfrom % of charges	$3,106	$3,106	$3,106 – $3,106
23	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$3,106	$3,106	$3,106 – $3,106
24	Ucare commercial percent of total billed charges · inpatientfrom % of charges	$3,140	$3,140	$3,140 – $3,140
25	Ucare commercial percent of total billed charges · outpatientfrom % of charges	$3,140	$3,140	$3,140 – $3,140

Page 1 of 2 · 29 rates

Last updated: Mar 4, 2026

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