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Blood Clotting (PT/INR) Test at Sanford Sheldon Medical Center
118 N 7th Ave, Sheldon, IA · Sanford Health · · NPI 1841200623
$48.80
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.
$61.00
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.
$15.68 with Sanford Health Plan Align vs $49.50 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 | $15.68 | ↓ -68% |
| Ucare | Medicare Replacement | $16.83 | ↓ -66% |
| Aetna | Medicare Replacement | $17.00 | ↓ -65% |
| Blue Cross Blue Shield of North Dakota | Medicare Replacement | $17.00 | ↓ -65% |
| Great Plains Medicare Advantage | Medicare Replacement | $17.00 | ↓ -65% |
| Health Partners | Medicare Replacement | $17.00 | ↓ -65% |
| United Healthcare | Medicare Replacement | $17.00 | ↓ -65% |
| Primewest | Medicare Replacement | $17.33 | ↓ -64% |
| Wellmark | HMO | $27.50 | ↓ -44% |
| Wellmark | PPO | $28.60 | ↓ -41% |
| Sanford Health Plan | Group Health/True | $29.47 | ↓ -40% |
| Sanford Health Plan | SD Exchange True | $29.47 | ↓ -40% |
| Security Health Plan | Commercial | $30.25 | ↓ -38% |
| Sanford Health Plan | Commercial/ND Pers | $34.67 | ↓ -29% |
| Sanford Health Plan | SD Exchange Commercial | $34.67 | ↓ -29% |
| Health Partners | State Employees | $36.30 | ↓ -26% |
| Health Partners | Commercial | $41.25 | ↓ -15% |
| Medica | Choice | $45.38 | ↓ -7% |
| United Healthcare | Commercial + Top 20 | $45.93 | ↓ -6% |
| Aetna | Commercial | $47.80 | ↓ -2% |
| Ucare | Commercial | $48.32 | ↓ -1% |
| Medica | Elect | $48.51 | ↓ -1% |
| First Choice Health Network | Commercial | $49.50 | ↑ +1% |
| Healthez | Commercial | $49.50 | ↑ +1% |
| Multiplan | Commercial | $49.50 | ↑ +1% |
Visitor-reported prices
Comments
Blood Clotting (PT/INR) Test at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $32.85 | $4.29 – $12.07 |
| UnityPoint Health - Allen Hospital | Waterloo | $32.85 | $4.29 – $21.64 |
| MercyOne Genesis Davenport West Medical Center | Davenport | $117.60 | $4.29 – $4.29 |
| MercyOne New Hampton Medical Center | New Hampton | $42.90 | $3.32 – $66.00 |
| MercyOne Dyersville Medical Center | Dyersville | $72.15 | $9.09 – $74.29 |
| MercyOne Clinton Medical Center | Clinton | $65.65 | $3.32 – $65.00 |
| MercyOne Oelwein Medical Center | Oelwein | $111.00 | $9.09 – $66.00 |
| MercyOne Cedar Falls Medical Center | Cedar Falls | $70.00 | $4.16 – $32.66 |