Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) 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

$137.87

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.

$172.33

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.

$21.39 with Sanford Health Plan Align vs $67.56 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 $21.39 ↓ -84%
Ucare Medicare Replacement $22.97 ↓ -83%
Great Plains Medicare Advantage Medicare Replacement $23.20 ↓ -83%
Aetna Medicare Replacement $23.20 ↓ -83%
Blue Cross Blue Shield of North Dakota Medicare Replacement $23.20 ↓ -83%
Health Partners Medicare Replacement $23.20 ↓ -83%
United Healthcare Medicare Replacement $23.20 ↓ -83%
Primewest Medicare Replacement $23.65 ↓ -83%
Wellmark HMO $37.54 ↓ -73%
Wellmark PPO $39.04 ↓ -72%
Sanford Health Plan Group Health/True $40.22 ↓ -71%
Sanford Health Plan SD Exchange True $40.22 ↓ -71%
Security Health Plan Commercial $41.29 ↓ -70%
Sanford Health Plan Commercial/ND Pers $47.32 ↓ -66%
Sanford Health Plan SD Exchange Commercial $47.32 ↓ -66%
Health Partners State Employees $49.55 ↓ -64%
Health Partners Commercial $56.30 ↓ -59%
Medica Choice $61.93 ↓ -55%
United Healthcare Commercial + Top 20 $62.68 ↓ -55%
Aetna Commercial $65.24 ↓ -53%
Ucare Commercial $65.96 ↓ -52%
Medica Elect $66.21 ↓ -52%
Healthez Commercial $67.56 ↓ -51%
First Choice Health Network Commercial $67.56 ↓ -51%
Multiplan Commercial $67.56 ↓ -51%

Visitor-reported prices

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Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $71.03 not published
MercyOne New Hampton Medical Center New Hampton $53.25 $1.19 – $3.00
MercyOne Dyersville Medical Center Dyersville $165.00 $1.13 – $3.38
MercyOne Oelwein Medical Center Oelwein $165.00 $1.15 – $3.00
MercyOne Cedar Falls Medical Center Cedar Falls $165.00 $0.71 – $3.00
MercyOne Elkader Medical Center Elkader $53.25 $1.54 – $3.14
MercyOne West Des Moines Medical Center West Des Moines $78.50 $0.60 – $3.00
MercyOne Centerville Medical Center Centerville $53.25 $0.82 – $3.00

All Iowa hospitals for this procedure →