Etoposide 20 mg/ml intravenous solution 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

$203.85

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.

$254.81

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.

$72.62 with Sanford Health Plan Align vs $229.33 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 $72.62 ↓ -64%
Ucare Medicare Replacement $77.97 ↓ -62%
Great Plains Medicare Advantage Medicare Replacement $78.74 ↓ -61%
Aetna Medicare Replacement $78.74 ↓ -61%
Blue Cross Blue Shield of North Dakota Medicare Replacement $78.74 ↓ -61%
Health Partners Medicare Replacement $78.74 ↓ -61%
United Healthcare Medicare Replacement $78.74 ↓ -61%
Primewest Medicare Replacement $80.27 ↓ -61%
Wellmark HMO $127.41 ↓ -37%
Wellmark PPO $132.50 ↓ -35%
Sanford Health Plan Group Health/True $136.53 ↓ -33%
Sanford Health Plan SD Exchange True $136.53 ↓ -33%
Security Health Plan Commercial $140.15 ↓ -31%
Sanford Health Plan Commercial/ND Pers $160.61 ↓ -21%
Sanford Health Plan SD Exchange Commercial $160.61 ↓ -21%
Health Partners State Employees $168.17 ↓ -18%
Health Partners Commercial $191.11 ↓ -6%
Medica Choice $210.22 ↑ +3%
United Healthcare Commercial + Top 20 $212.77 ↑ +4%
Aetna Commercial $221.43 ↑ +9%
Ucare Commercial $223.88 ↑ +10%
Medica Elect $224.74 ↑ +10%
Healthez Commercial $229.33 ↑ +12%
First Choice Health Network Commercial $229.33 ↑ +12%
Multiplan Commercial $229.33 ↑ +12%

Visitor-reported prices

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Etoposide 20 mg/ml intravenous solution at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $234.83 not published
MercyOne Dubuque Medical Center Dubuque $174.75 $62.39 – $174.75
MercyOne New Hampton Medical Center New Hampton $174.75 $69.18 – $174.75
MercyOne Dyersville Medical Center Dyersville $174.75 $66.06 – $196.70
MercyOne Clinton Medical Center Clinton $174.75 $14.30 – $57.25
MercyOne Oelwein Medical Center Oelwein $174.75 $66.79 – $174.75
MercyOne Cedar Falls Medical Center Cedar Falls $174.75 $41.07 – $174.75
MercyOne Elkader Medical Center Elkader $174.75 $71.50 – $182.65

All Iowa hospitals for this procedure →