Boot walker genesis full shell 3-strap s at Sanford Sheldon Medical Center

118 N 7th Ave, Sheldon, IA · Sanford Health · · NPI 1841200623

Source: hospital's published price file ↗ · Published Mar 4, 2026 · Ingested Aug 12, 2026

$180.00

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$225.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$42.75 with Sanford Health Plan Align vs $135.00 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 →

Payer
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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
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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 $42.75 ↓ -76%
Ucare Medicare Replacement $45.90 ↓ -75%
Great Plains Medicare Advantage Medicare Replacement $46.35 ↓ -74%
Aetna Medicare Replacement $46.35 ↓ -74%
Blue Cross Blue Shield of North Dakota Medicare Replacement $46.35 ↓ -74%
Health Partners Medicare Replacement $46.35 ↓ -74%
United Healthcare Medicare Replacement $46.35 ↓ -74%
Primewest Medicare Replacement $47.25 ↓ -74%
Wellmark HMO $75.00 ↓ -58%
Wellmark PPO $78.00 ↓ -57%
Sanford Health Plan Group Health/True $80.37 ↓ -55%
Sanford Health Plan SD Exchange True $80.37 ↓ -55%
Security Health Plan Commercial $82.50 ↓ -54%
Sanford Health Plan Commercial/ND Pers $94.55 ↓ -47%
Sanford Health Plan SD Exchange Commercial $94.55 ↓ -47%
Health Partners State Employees $99.00 ↓ -45%
Health Partners Commercial $112.50 ↓ -38%
Medica Choice $123.75 ↓ -31%
United Healthcare Commercial + Top 20 $125.25 ↓ -30%
Aetna Commercial $130.35 ↓ -28%
Ucare Commercial $131.79 ↓ -27%
Medica Elect $132.30 ↓ -27%
Healthez Commercial $135.00 ↓ -25%
First Choice Health Network Commercial $135.00 ↓ -25%
Multiplan Commercial $135.00 ↓ -25%

Visitor-reported prices

visitor-reported
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Boot walker genesis full shell 3-strap s at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $44.40 not published
MercyOne Dubuque Medical Center Dubuque $81.97 $12.37 – $63.83
MercyOne New Hampton Medical Center New Hampton $97.29 $29.99 – $75.76
MercyOne Dyersville Medical Center Dyersville $81.97 $24.13 – $71.85
MercyOne Clinton Medical Center Clinton $81.97 $12.37 – $63.83
MercyOne Oelwein Medical Center Oelwein $81.97 $24.40 – $63.83
MercyOne Cedar Falls Medical Center Cedar Falls $82.04 $11.04 – $63.66
MercyOne Elkader Medical Center Elkader $81.97 $32.85 – $66.72

All Iowa hospitals for this procedure →