IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour at Sanford Sheldon Medical Center
118 N 7th Ave, Sheldon, IA · Sanford Health · · NPI 1841200623
$707.20
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.
$884.00
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.
$151.20 with Health Partners vs $648.00 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 | $151.20 | ↓ -79% |
| Health Partners | Commercial | $151.20 | ↓ -79% |
| Sanford Health Plan Align | Medicare Replacement | $205.20 | ↓ -71% |
| Ucare | Medicare Replacement | $220.32 | ↓ -69% |
| United Healthcare | Medicare Replacement | $222.48 | ↓ -69% |
| Blue Cross Blue Shield of North Dakota | Medicare Replacement | $222.48 | ↓ -69% |
| Great Plains Medicare Advantage | Medicare Replacement | $222.48 | ↓ -69% |
| Aetna | Medicare Replacement | $222.48 | ↓ -69% |
| Health Partners | Medicare Replacement | $222.48 | ↓ -69% |
| Primewest | Medicare Replacement | $226.80 | ↓ -68% |
| Wellmark | HMO | $360.00 | ↓ -49% |
| Wellmark | PPO | $374.40 | ↓ -47% |
| Sanford Health Plan | SD Exchange True | $385.78 | ↓ -45% |
| Sanford Health Plan | Group Health/True | $385.78 | ↓ -45% |
| Security Health Plan | Commercial | $396.00 | ↓ -44% |
| Sanford Health Plan | Commercial/ND Pers | $453.82 | ↓ -36% |
| Sanford Health Plan | SD Exchange Commercial | $453.82 | ↓ -36% |
| Medica | Choice | $594.00 | ↓ -16% |
| United Healthcare | Commercial + Top 20 | $601.20 | ↓ -15% |
| Aetna | Commercial | $625.68 | ↓ -12% |
| Ucare | Commercial | $632.59 | ↓ -11% |
| Medica | Elect | $635.04 | ↓ -10% |
| Multiplan | Commercial | $648.00 | ↓ -8% |
| First Choice Health Network | Commercial | $648.00 | ↓ -8% |
| Healthez | Commercial | $648.00 | ↓ -8% |
Visitor-reported prices
Comments
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $277.80 | $201.68 – $278.20 |
| MercyOne New Hampton Medical Center | New Hampton | $1,434.35 | $158.10 – $445.00 |
| MercyOne Clinton Medical Center | Clinton | $3,301.41 | $9.09 – $736.00 |
| MercyOne Cedar Falls Medical Center | Cedar Falls | $1,209.85 | $113.74 – $923.00 |
| MercyOne Elkader Medical Center | Elkader | $1,260.50 | $9.09 – $465.11 |
| MercyOne Centerville Medical Center | Centerville | $1,915.95 | $0.90 – $445.00 |
| MercyOne Newton Medical Center | Newton | $896.00 | $74.50 – $445.00 |
| MercyOne North Iowa Medical Center | Mason City | $1,634.00 | $8.04 – $660.00 |