Makena, 10 mg 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

$633.16

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.

$791.44

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.

$91.79 with Sanford Health Plan Align vs $289.85 with First Choice Health Network — 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 $91.79 ↓ -86%
Ucare Medicare Replacement $98.55 ↓ -84%
Blue Cross Blue Shield of North Dakota Medicare Replacement $99.52 ↓ -84%
United Healthcare Medicare Replacement $99.52 ↓ -84%
Great Plains Medicare Advantage Medicare Replacement $99.52 ↓ -84%
Aetna Medicare Replacement $99.52 ↓ -84%
Health Partners Medicare Replacement $99.52 ↓ -84%
Primewest Medicare Replacement $101.45 ↓ -84%
Wellmark HMO $161.03 ↓ -75%
Wellmark PPO $167.47 ↓ -74%
Sanford Health Plan Group Health/True $172.56 ↓ -73%
Sanford Health Plan SD Exchange True $172.56 ↓ -73%
Security Health Plan Commercial $177.13 ↓ -72%
Sanford Health Plan Commercial/ND Pers $202.99 ↓ -68%
Sanford Health Plan SD Exchange Commercial $202.99 ↓ -68%
Health Partners State Employees $212.56 ↓ -66%
Health Partners Commercial $241.55 ↓ -62%
Medica Choice $265.70 ↓ -58%
United Healthcare Commercial + Top 20 $268.92 ↓ -58%
Aetna Commercial $279.87 ↓ -56%
Ucare Commercial $282.96 ↓ -55%
Medica Elect $284.06 ↓ -55%
Multiplan Commercial $289.85 ↓ -54%
Healthez Commercial $289.85 ↓ -54%
First Choice Health Network Commercial $289.85 ↓ -54%

Visitor-reported prices

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Makena, 10 mg at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $6,123.06 not published
MercyOne Genesis Davenport Medical Center Davenport $6,123.06 not published
MercyOne Genesis DeWitt Medical Center DeWitt $6,123.06 $3,469.73 – $7,449.72

All Iowa hospitals for this procedure →