Fluorouracil 50 mg/ml intravenous solution (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

$196.77

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.

$245.96

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.

$65.74 with Sanford Health Plan Align vs $207.59 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 $65.74 ↓ -67%
Ucare Medicare Replacement $70.58 ↓ -64%
Great Plains Medicare Advantage Medicare Replacement $71.27 ↓ -64%
Aetna Medicare Replacement $71.27 ↓ -64%
Blue Cross Blue Shield of North Dakota Medicare Replacement $71.27 ↓ -64%
Health Partners Medicare Replacement $71.27 ↓ -64%
United Healthcare Medicare Replacement $71.27 ↓ -64%
Primewest Medicare Replacement $72.65 ↓ -63%
Wellmark HMO $115.33 ↓ -41%
Wellmark PPO $119.94 ↓ -39%
Sanford Health Plan Group Health/True $123.58 ↓ -37%
Sanford Health Plan SD Exchange True $123.58 ↓ -37%
Security Health Plan Commercial $126.86 ↓ -36%
Sanford Health Plan Commercial/ND Pers $145.38 ↓ -26%
Sanford Health Plan SD Exchange Commercial $145.38 ↓ -26%
Health Partners State Employees $152.23 ↓ -23%
Health Partners Commercial $172.99 ↓ -12%
Medica Choice $190.29 ↓ -3%
United Healthcare Commercial + Top 20 $192.59 ↓ -2%
Aetna Commercial $200.43 ↑ +2%
Ucare Commercial $202.65 ↑ +3%
Medica Elect $203.43 ↑ +3%
Healthez Commercial $207.59 ↑ +5%
First Choice Health Network Commercial $207.59 ↑ +5%
Multiplan Commercial $207.59 ↑ +5%

Visitor-reported prices

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Fluorouracil 50 mg/ml intravenous solution (wrapper) at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $43.75 not published
MercyOne Dubuque Medical Center Dubuque $147.00 $1.88 – $48.65
MercyOne New Hampton Medical Center New Hampton $147.00 $1.88 – $48.65
MercyOne Dyersville Medical Center Dyersville $147.00 $1.88 – $54.76
MercyOne Clinton Medical Center Clinton $135.00 $1.88 – $46.00
MercyOne Oelwein Medical Center Oelwein $147.00 $1.88 – $48.65
MercyOne Cedar Falls Medical Center Cedar Falls $147.00 $1.88 – $48.65
MercyOne Elkader Medical Center Elkader $147.00 $1.88 – $50.85

All Iowa hospitals for this procedure →