healthcosts.net
Brain MRI (without contrast) at Sanford Sheldon Medical Center
118 N 7th Ave, Sheldon, IA · Sanford Health · · NPI 1841200623
$3,087.20
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.
?
What you pay up front if you don't use insurance.
$3,859.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$1,099.82 with Sanford Health Plan Align vs $3,473.10 with Multiplan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $1,099.82 | ↓ -64% |
| Ucare | Medicare Replacement | $1,180.85 | ↓ -62% |
| Aetna | Medicare Replacement | $1,192.43 | ↓ -61% |
| Blue Cross Blue Shield of North Dakota | Medicare Replacement | $1,192.43 | ↓ -61% |
| Great Plains Medicare Advantage | Medicare Replacement | $1,192.43 | ↓ -61% |
| Health Partners | Medicare Replacement | $1,192.43 | ↓ -61% |
| United Healthcare | Medicare Replacement | $1,192.43 | ↓ -61% |
| Primewest | Medicare Replacement | $1,215.59 | ↓ -61% |
| Wellmark | HMO | $1,929.50 | ↓ -38% |
| Wellmark | PPO | $2,006.68 | ↓ -35% |
| Sanford Health Plan | Group Health/True | $2,067.65 | ↓ -33% |
| Sanford Health Plan | SD Exchange True | $2,067.65 | ↓ -33% |
| Security Health Plan | Commercial | $2,122.45 | ↓ -31% |
| Sanford Health Plan | Commercial/ND Pers | $2,432.33 | ↓ -21% |
| Sanford Health Plan | SD Exchange Commercial | $2,432.33 | ↓ -21% |
| Health Partners | State Employees | $2,546.94 | ↓ -18% |
| Health Partners | Commercial | $2,894.25 | ↓ -6% |
| Medica | Choice | $3,183.68 | ↑ +3% |
| United Healthcare | Commercial + Top 20 | $3,222.27 | ↑ +4% |
| Aetna | Commercial | $3,353.47 | ↑ +9% |
| Ucare | Commercial | $3,390.52 | ↑ +10% |
| Medica | Elect | $3,403.64 | ↑ +10% |
| First Choice Health Network | Commercial | $3,473.10 | ↑ +13% |
| Healthez | Commercial | $3,473.10 | ↑ +13% |
| Multiplan | Commercial | $3,473.10 | ↑ +13% |
Visitor-reported prices
Comments
Brain MRI (without contrast) at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Clinton Medical Center | Clinton | $1,944.15 | $219.72 – $2,991.00 |
| MercyOne Dubuque Medical Center | Dubuque | $2,860.65 | $214.06 – $4,401.00 |
| MercyOne Des Moines Medical Center | Des Moines | $5,621.00 | $114.07 – $3,780.00 |
| UnityPoint Health - St. Lukes Downtown | Sioux City | $1,370.59 | $56.68 – $990.25 |
| MercyOne Oelwein Medical Center | Oelwein | $2,297.10 | $1,350.69 – $3,534.00 |
| MercyOne Waterloo Medical Center | Waterloo | $2,068.30 | $224.79 – $3,182.00 |
| UnityPoint Health - St. Luke's Hospital | Cedar Rapids | $3,064.97 | $64.56 – $1,436.70 |
| MercyOne Elkader Medical Center | Elkader | $2,297.10 | $1,837.68 – $3,693.74 |