Inj., benralizumab, 1 mg at Sanford Sheldon Medical Center
118 N 7th Ave, Sheldon, IA · Sanford Health · · NPI 1841200623
$8,621.41
Cash price 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.
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What you pay up front if you don't use insurance.
$10,776.76
Gross charge 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.
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The hospital's undiscounted list price — almost no one pays this.
$170.48 with Health Partners vs $9,055.42 with Healthez — 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 →
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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 ?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 ?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 |
|---|---|---|---|
| Health Partners | State Employees | $170.48 | ↓ -98% |
| Health Partners | Commercial | $170.48 | ↓ -98% |
| Sanford Health Plan Align | Medicare Replacement | $2,867.55 | ↓ -67% |
| Ucare | Medicare Replacement | $3,078.84 | ↓ -64% |
| United Healthcare | Medicare Replacement | $3,109.03 | ↓ -64% |
| Blue Cross Blue Shield of North Dakota | Medicare Replacement | $3,109.03 | ↓ -64% |
| Great Plains Medicare Advantage | Medicare Replacement | $3,109.03 | ↓ -64% |
| Aetna | Medicare Replacement | $3,109.03 | ↓ -64% |
| Health Partners | Medicare Replacement | $3,109.03 | ↓ -64% |
| Primewest | Medicare Replacement | $3,169.40 | ↓ -63% |
| Wellmark | HMO | $5,030.79 | ↓ -42% |
| Wellmark | PPO | $5,232.02 | ↓ -39% |
| Sanford Health Plan | SD Exchange True | $5,390.99 | ↓ -37% |
| Sanford Health Plan | Group Health/True | $5,390.99 | ↓ -37% |
| Security Health Plan | Commercial | $5,533.87 | ↓ -36% |
| Sanford Health Plan | Commercial/ND Pers | $6,341.81 | ↓ -26% |
| Sanford Health Plan | SD Exchange Commercial | $6,341.81 | ↓ -26% |
| Medica | Choice | $8,300.80 | ↓ -4% |
| United Healthcare | Commercial + Top 20 | $8,401.42 | ↓ -3% |
| Aetna | Commercial | $8,743.51 | ↑ +1% |
| Ucare | Commercial | $8,840.10 | ↑ +3% |
| Medica | Elect | $8,874.31 | ↑ +3% |
| Multiplan | Commercial | $9,055.42 | ↑ +5% |
| First Choice Health Network | Commercial | $9,055.42 | ↑ +5% |
| Healthez | Commercial | $9,055.42 | ↑ +5% |
Visitor-reported prices
Comments
Inj., benralizumab, 1 mg at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $9,774.23 | $168.13 – $235.38 |
| MercyOne Cedar Falls Medical Center | Cedar Falls | $18,067.45 | $189.79 – $18,067.45 |
| MercyOne Des Moines Medical Center | Des Moines | $18,067.45 | $189.79 – $18,067.45 |
| MercyOne Genesis Davenport Medical Center | Davenport | $10,067.08 | $160.94 – $235.38 |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $10,067.08 | $5,704.68 – $12,248.28 |
| MercyOne Waterloo Medical Center | Waterloo | $18,067.45 | $189.79 – $18,067.45 |
| CHI Health Mercy Corning | Corning | $13,624.20 | $165.25 – $25,267.00 |
| CHI Health Missouri Valley | Missouri Valley | $13,908.04 | $165.25 – $25,267.00 |