Dextrose 5 % in water (d5w) intravenous solution (non-pvc) 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

$144.00

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.

$180.00

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.

$14.25 with Sanford Health Plan Align vs $45.00 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 $14.25 ↓ -90%
Ucare Medicare Replacement $15.30 ↓ -89%
Great Plains Medicare Advantage Medicare Replacement $15.45 ↓ -89%
Aetna Medicare Replacement $15.45 ↓ -89%
Blue Cross Blue Shield of North Dakota Medicare Replacement $15.45 ↓ -89%
Health Partners Medicare Replacement $15.45 ↓ -89%
United Healthcare Medicare Replacement $15.45 ↓ -89%
Primewest Medicare Replacement $15.75 ↓ -89%
Wellmark HMO $25.00 ↓ -83%
Wellmark PPO $26.00 ↓ -82%
Sanford Health Plan Group Health/True $26.79 ↓ -81%
Sanford Health Plan SD Exchange True $26.79 ↓ -81%
Security Health Plan Commercial $27.50 ↓ -81%
Sanford Health Plan Commercial/ND Pers $31.52 ↓ -78%
Sanford Health Plan SD Exchange Commercial $31.52 ↓ -78%
Health Partners State Employees $33.00 ↓ -77%
Health Partners Commercial $37.50 ↓ -74%
Medica Choice $41.25 ↓ -71%
United Healthcare Commercial + Top 20 $41.75 ↓ -71%
Aetna Commercial $43.45 ↓ -70%
Ucare Commercial $43.93 ↓ -69%
Medica Elect $44.10 ↓ -69%
Healthez Commercial $45.00 ↓ -69%
First Choice Health Network Commercial $45.00 ↓ -69%
Multiplan Commercial $45.00 ↓ -69%

Visitor-reported prices

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Dextrose 5 % in water (d5w) intravenous solution (non-pvc) at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $33.76 not published
MercyOne New Hampton Medical Center New Hampton $35.00 $13.86 – $35.00
MercyOne Clinton Medical Center Clinton $35.00 $9.91 – $35.00
MercyOne Oelwein Medical Center Oelwein $35.00 $13.38 – $35.00
MercyOne Cedar Falls Medical Center Cedar Falls $35.00 $8.23 – $35.00
MercyOne Elkader Medical Center Elkader $35.00 $18.01 – $36.58
MercyOne West Des Moines Medical Center West Des Moines $35.00 $7.04 – $35.00
MercyOne Centerville Medical Center Centerville $35.00 $9.60 – $35.00

All Iowa hospitals for this procedure →