Inj, lidocaine w epinephrine 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

$21.96

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.

$27.45

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.

$6.86 with Sanford Health Plan Align vs $21.67 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 $6.86 ↓ -69%
Ucare Medicare Replacement $7.37 ↓ -66%
Great Plains Medicare Advantage Medicare Replacement $7.44 ↓ -66%
Aetna Medicare Replacement $7.44 ↓ -66%
Blue Cross Blue Shield of North Dakota Medicare Replacement $7.44 ↓ -66%
Health Partners Medicare Replacement $7.44 ↓ -66%
United Healthcare Medicare Replacement $7.44 ↓ -66%
Primewest Medicare Replacement $7.59 ↓ -65%
Wellmark HMO $12.04 ↓ -45%
Wellmark PPO $12.52 ↓ -43%
Sanford Health Plan Group Health/True $12.90 ↓ -41%
Sanford Health Plan SD Exchange True $12.90 ↓ -41%
Security Health Plan Commercial $13.24 ↓ -40%
Sanford Health Plan Commercial/ND Pers $15.18 ↓ -31%
Sanford Health Plan SD Exchange Commercial $15.18 ↓ -31%
Health Partners State Employees $15.89 ↓ -28%
Health Partners Commercial $18.06 ↓ -18%
Medica Choice $19.87 ↓ -10%
United Healthcare Commercial + Top 20 $20.11 ↓ -8%
Aetna Commercial $20.93 ↓ -5%
Ucare Commercial $21.16 ↓ -4%
Medica Elect $21.24 ↓ -3%
Healthez Commercial $21.67 ↓ -1%
First Choice Health Network Commercial $21.67 ↓ -1%
Multiplan Commercial $21.67 ↓ -1%

Visitor-reported prices

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Inj, lidocaine w epinephrine at other Iowa hospitals

Hospital City Cash price Negotiated range
UnityPoint Health - Allen Hospital Waterloo $3.56 $0.01 – $0.03
UnityPoint Health - Iowa Lutheran Hospital Des Moines $3.53 $0.01 – $0.03
UnityPoint Health - Jones Regional Medical Center Anamosa $14.05 $0.01 – $0.21
UnityPoint Health - Marshalltown Marshalltown $3.52 $0.01 – $0.19
UnityPoint Health - St. Lukes Downtown Sioux City $7.03 $0.01 – $0.03
UnityPoint Health - Trinity Bettendorf Bettendorf $7.04 $0.01 – $0.03
UnityPoint Health - St. Luke's Hospital Cedar Rapids $7.09 $0.01 – $0.07

All Iowa hospitals for this procedure →