Change cystostomy tube simple 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

$701.60

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.

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

$877.00

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.

$249.95 with Sanford Health Plan Align vs $789.30 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 $249.95 ↓ -64%
Ucare Medicare Replacement $268.36 ↓ -62%
Great Plains Medicare Advantage Medicare Replacement $270.99 ↓ -61%
Aetna Medicare Replacement $270.99 ↓ -61%
Blue Cross Blue Shield of North Dakota Medicare Replacement $270.99 ↓ -61%
Health Partners Medicare Replacement $270.99 ↓ -61%
United Healthcare Medicare Replacement $270.99 ↓ -61%
Primewest Medicare Replacement $276.26 ↓ -61%
Wellmark HMO $438.50 ↓ -38%
Wellmark PPO $456.04 ↓ -35%
Sanford Health Plan Group Health/True $469.90 ↓ -33%
Sanford Health Plan SD Exchange True $469.90 ↓ -33%
Security Health Plan Commercial $482.35 ↓ -31%
Sanford Health Plan Commercial/ND Pers $552.77 ↓ -21%
Sanford Health Plan SD Exchange Commercial $552.77 ↓ -21%
Health Partners State Employees $578.82 ↓ -18%
Health Partners Commercial $657.75 ↓ -6%
Medica Choice $723.53 ↑ +3%
United Healthcare Commercial + Top 20 $732.30 ↑ +4%
Aetna Commercial $762.11 ↑ +9%
Ucare Commercial $770.53 ↑ +10%
Medica Elect $773.51 ↑ +10%
Healthez Commercial $789.30 ↑ +13%
First Choice Health Network Commercial $789.30 ↑ +13%
Multiplan Commercial $789.30 ↑ +13%

Visitor-reported prices

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Change cystostomy tube simple at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $238.20 $232.81 – $258.05
MercyOne Clinton Medical Center Clinton $194.00 $13.29 – $534.66
MercyOne Centerville Medical Center Centerville $479.00 $131.44 – $479.00
MercyOne Newton Medical Center Newton $311.35 $236.50 – $485.06
MercyOne North Iowa Medical Center Mason City $471.00 $13.29 – $541.29
MercyOne Genesis Davenport Medical Center Davenport $288.00 $232.81 – $312.00
MercyOne Genesis DeWitt Medical Center DeWitt $288.00 $163.20 – $251.85
MercyOne Waterloo Medical Center Waterloo $539.50 $13.29 – $3,576.15

All Iowa hospitals for this procedure →