Biotinidase - quest at Sanford Sheldon Medical Center
118 N 7th Ave, Sheldon, IA · Sanford Health · · NPI 1841200623
$100.00
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$125.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$31.35 with Sanford Health Plan Align vs $99.00 with Multiplan — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Sanford Health Plan Align | Medicare Replacement | $31.35 | ↓ -69% |
| Ucare | Medicare Replacement | $33.66 | ↓ -66% |
| Great Plains Medicare Advantage | Medicare Replacement | $33.99 | ↓ -66% |
| Aetna | Medicare Replacement | $33.99 | ↓ -66% |
| Blue Cross Blue Shield of North Dakota | Medicare Replacement | $33.99 | ↓ -66% |
| Health Partners | Medicare Replacement | $33.99 | ↓ -66% |
| United Healthcare | Medicare Replacement | $33.99 | ↓ -66% |
| Primewest | Medicare Replacement | $34.65 | ↓ -65% |
| Wellmark | HMO | $55.00 | ↓ -45% |
| Wellmark | PPO | $57.20 | ↓ -43% |
| Sanford Health Plan | Group Health/True | $58.94 | ↓ -41% |
| Sanford Health Plan | SD Exchange True | $58.94 | ↓ -41% |
| Security Health Plan | Commercial | $60.50 | ↓ -40% |
| Sanford Health Plan | Commercial/ND Pers | $69.33 | ↓ -31% |
| Sanford Health Plan | SD Exchange Commercial | $69.33 | ↓ -31% |
| Health Partners | State Employees | $72.60 | ↓ -27% |
| Health Partners | Commercial | $82.50 | ↓ -18% |
| Medica | Choice | $90.75 | ↓ -9% |
| United Healthcare | Commercial + Top 20 | $91.85 | ↓ -8% |
| Aetna | Commercial | $95.59 | ↓ -4% |
| Ucare | Commercial | $96.65 | ↓ -3% |
| Medica | Elect | $97.02 | ↓ -3% |
| Healthez | Commercial | $99.00 | ↓ -1% |
| First Choice Health Network | Commercial | $99.00 | ↓ -1% |
| Multiplan | Commercial | $99.00 | ↓ -1% |
Visitor-reported prices
Comments
Biotinidase - quest at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $111.60 | $16.87 – $16.87 |
| MercyOne Des Moines Medical Center | Des Moines | $106.60 | $16.35 – $164.00 |
| MercyOne Genesis Davenport Medical Center | Davenport | $124.20 | not published |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $75.60 | $34.00 – $73.00 |
| UnityPoint Health - Allen Hospital | Waterloo | $64.28 | $10.12 – $42.34 |
| UnityPoint Health - Finley Hospital | Dubuque | $64.28 | $3.50 – $64.28 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell | $64.28 | $10.12 – $32.38 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $64.28 | $10.12 – $26.24 |