Drug test prsmv instrmnt 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

$103.20

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.

$129.00

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.

$31.35 with Sanford Health Plan Align vs $99.00 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 $31.35 ↓ -70%
Ucare Medicare Replacement $33.66 ↓ -67%
Great Plains Medicare Advantage Medicare Replacement $33.99 ↓ -67%
Aetna Medicare Replacement $33.99 ↓ -67%
Blue Cross Blue Shield of North Dakota Medicare Replacement $33.99 ↓ -67%
Health Partners Medicare Replacement $33.99 ↓ -67%
United Healthcare Medicare Replacement $33.99 ↓ -67%
Primewest Medicare Replacement $34.65 ↓ -66%
Wellmark HMO $55.00 ↓ -47%
Wellmark PPO $57.20 ↓ -45%
Sanford Health Plan Group Health/True $58.94 ↓ -43%
Sanford Health Plan SD Exchange True $58.94 ↓ -43%
Security Health Plan Commercial $60.50 ↓ -41%
Sanford Health Plan Commercial/ND Pers $69.33 ↓ -33%
Sanford Health Plan SD Exchange Commercial $69.33 ↓ -33%
Health Partners State Employees $72.60 ↓ -30%
Health Partners Commercial $82.50 ↓ -20%
Medica Choice $90.75 ↓ -12%
United Healthcare Commercial + Top 20 $91.85 ↓ -11%
Aetna Commercial $95.59 ↓ -7%
Ucare Commercial $96.65 ↓ -6%
Medica Elect $97.02 ↓ -6%
Healthez Commercial $99.00 ↓ -4%
First Choice Health Network Commercial $99.00 ↓ -4%
Multiplan Commercial $99.00 ↓ -4%

Visitor-reported prices

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Drug test prsmv instrmnt at other Iowa hospitals

Hospital City Cash price Negotiated range
UnityPoint Health - Allen Hospital Waterloo $72.14 $10.28 – $47.52
UnityPoint Health - Finley Hospital Dubuque $72.14 $3.50 – $72.14
UnityPoint Health - Grinnell Regional Medical Center Grinnell $72.14 $10.28 – $36.34
UnityPoint Health - Iowa Lutheran Hospital Des Moines $72.14 $10.28 – $26.51
UnityPoint Health - Jones Regional Medical Center Anamosa $72.14 $10.28 – $79.98
UnityPoint Health - Marshalltown Marshalltown $72.14 $10.28 – $43.28
UnityPoint Health - St. Lukes Downtown Sioux City $72.14 $10.28 – $58.61
UnityPoint Health - Trinity Bettendorf Bettendorf $72.14 $10.28 – $35.35

All Iowa hospitals for this procedure →