Injection,onabotulinumtoxina at Sanford Sheldon Medical Center
118 N 7th Ave, Sheldon, IA · Sanford Health · · NPI 1841200623
$916.80
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.
$1,146.00
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.
$220.88 with Sanford Health Plan Align vs $697.50 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 →
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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 |
|---|---|---|---|
| Sanford Health Plan Align | Medicare Replacement | $220.88 | ↓ -76% |
| Ucare | Medicare Replacement | $237.15 | ↓ -74% |
| Great Plains Medicare Advantage | Medicare Replacement | $239.48 | ↓ -74% |
| Aetna | Medicare Replacement | $239.48 | ↓ -74% |
| Blue Cross Blue Shield of North Dakota | Medicare Replacement | $239.48 | ↓ -74% |
| Health Partners | Medicare Replacement | $239.48 | ↓ -74% |
| United Healthcare | Medicare Replacement | $239.48 | ↓ -74% |
| Primewest | Medicare Replacement | $244.13 | ↓ -73% |
| Wellmark | HMO | $387.50 | ↓ -58% |
| Wellmark | PPO | $403.00 | ↓ -56% |
| Sanford Health Plan | Group Health/True | $415.25 | ↓ -55% |
| Sanford Health Plan | SD Exchange True | $415.25 | ↓ -55% |
| Security Health Plan | Commercial | $426.25 | ↓ -54% |
| Sanford Health Plan | Commercial/ND Pers | $488.48 | ↓ -47% |
| Sanford Health Plan | SD Exchange Commercial | $488.48 | ↓ -47% |
| Health Partners | State Employees | $511.50 | ↓ -44% |
| Health Partners | Commercial | $581.25 | ↓ -37% |
| Medica | Choice | $639.38 | ↓ -30% |
| United Healthcare | Commercial + Top 20 | $647.13 | ↓ -29% |
| Aetna | Commercial | $673.48 | ↓ -27% |
| Ucare | Commercial | $680.92 | ↓ -26% |
| Medica | Elect | $683.55 | ↓ -25% |
| Healthez | Commercial | $697.50 | ↓ -24% |
| First Choice Health Network | Commercial | $697.50 | ↓ -24% |
| Multiplan | Commercial | $697.50 | ↓ -24% |
Visitor-reported prices
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Injection,onabotulinumtoxina at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $1,872.18 | $6.50 – $9.10 |
| MercyOne Dubuque Medical Center | Dubuque | $3,255.00 | $6.28 – $3,255.00 |
| MercyOne New Hampton Medical Center | New Hampton | $3,255.00 | $1,288.65 – $3,255.00 |
| MercyOne Dyersville Medical Center | Dyersville | $3,255.00 | $1,230.39 – $3,663.83 |
| MercyOne West Des Moines Medical Center | West Des Moines | $3,255.00 | $6.28 – $3,255.00 |
| MercyOne Des Moines Medical Center | Des Moines | $6,021.75 | $5.59 – $3,255.00 |
| MercyOne Centerville Medical Center | Centerville | $3,255.00 | $893.17 – $3,255.00 |
| MercyOne North Iowa Medical Center | Mason City | $6,021.75 | $4.75 – $3,255.00 |