Calcium chloride 100 mg/ml (10 %) intravenous syringe 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

$66.40

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.

$83.00

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.

$22.16 with Sanford Health Plan Align vs $69.97 with First Choice Health Network — 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 $22.16 ↓ -67%
Ucare Medicare Replacement $23.79 ↓ -64%
Blue Cross Blue Shield of North Dakota Medicare Replacement $24.02 ↓ -64%
United Healthcare Medicare Replacement $24.02 ↓ -64%
Great Plains Medicare Advantage Medicare Replacement $24.02 ↓ -64%
Aetna Medicare Replacement $24.02 ↓ -64%
Health Partners Medicare Replacement $24.02 ↓ -64%
Primewest Medicare Replacement $24.49 ↓ -63%
Wellmark HMO $38.87 ↓ -41%
Wellmark PPO $40.42 ↓ -39%
Sanford Health Plan Group Health/True $41.65 ↓ -37%
Sanford Health Plan SD Exchange True $41.65 ↓ -37%
Security Health Plan Commercial $42.76 ↓ -36%
Sanford Health Plan Commercial/ND Pers $49.00 ↓ -26%
Sanford Health Plan SD Exchange Commercial $49.00 ↓ -26%
Health Partners State Employees $51.31 ↓ -23%
Health Partners Commercial $58.31 ↓ -12%
Medica Choice $64.14 ↓ -3%
United Healthcare Commercial + Top 20 $64.91 ↓ -2%
Aetna Commercial $67.56 ↑ +2%
Ucare Commercial $68.30 ↑ +3%
Medica Elect $68.57 ↑ +3%
Multiplan Commercial $69.97 ↑ +5%
Healthez Commercial $69.97 ↑ +5%
First Choice Health Network Commercial $69.97 ↑ +5%

Visitor-reported prices

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Calcium chloride 100 mg/ml (10 %) intravenous syringe at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Dubuque Medical Center Dubuque $36.80 $13.14 – $36.80
MercyOne New Hampton Medical Center New Hampton $44.05 $15.00 – $44.05
MercyOne Dyersville Medical Center Dyersville $36.80 $13.91 – $41.42
MercyOne Clinton Medical Center Clinton $44.05 $12.47 – $44.05
MercyOne Oelwein Medical Center Oelwein $36.80 $14.06 – $36.80
MercyOne Cedar Falls Medical Center Cedar Falls $36.80 $8.65 – $36.80
MercyOne Elkader Medical Center Elkader $36.80 $15.00 – $38.46
MercyOne West Des Moines Medical Center West Des Moines $44.70 $8.85 – $44.05

All Iowa hospitals for this procedure →