Makena, 10 mg at Sanford Sheldon Medical Center
118 N 7th Ave, Sheldon, IA · Sanford Health · · NPI 1841200623
$633.16
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.
$791.44
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.
$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 →
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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 | $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
Comments
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 |