Mayo angiotensin 1 converting enzyme (ace) csf 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

$134.40

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.

$168.00

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.

$47.31 with Sanford Health Plan Align vs $149.40 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 $47.31 ↓ -65%
Ucare Medicare Replacement $50.80 ↓ -62%
Great Plains Medicare Advantage Medicare Replacement $51.29 ↓ -62%
Aetna Medicare Replacement $51.29 ↓ -62%
Blue Cross Blue Shield of North Dakota Medicare Replacement $51.29 ↓ -62%
Health Partners Medicare Replacement $51.29 ↓ -62%
United Healthcare Medicare Replacement $51.29 ↓ -62%
Primewest Medicare Replacement $52.29 ↓ -61%
Wellmark HMO $83.00 ↓ -38%
Wellmark PPO $86.32 ↓ -36%
Sanford Health Plan Group Health/True $88.94 ↓ -34%
Sanford Health Plan SD Exchange True $88.94 ↓ -34%
Security Health Plan Commercial $91.30 ↓ -32%
Sanford Health Plan Commercial/ND Pers $104.63 ↓ -22%
Sanford Health Plan SD Exchange Commercial $104.63 ↓ -22%
Health Partners State Employees $109.56 ↓ -18%
Health Partners Commercial $124.50 ↓ -7%
Medica Choice $136.95 ↑ +2%
United Healthcare Commercial + Top 20 $138.61 ↑ +3%
Aetna Commercial $144.25 ↑ +7%
Ucare Commercial $145.85 ↑ +9%
Medica Elect $146.41 ↑ +9%
Healthez Commercial $149.40 ↑ +11%
First Choice Health Network Commercial $149.40 ↑ +11%
Multiplan Commercial $149.40 ↑ +11%

Visitor-reported prices

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Mayo angiotensin 1 converting enzyme (ace) csf at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $149.40 $14.60 – $14.60
MercyOne Dubuque Medical Center Dubuque $189.80 $14.15 – $292.00
MercyOne New Hampton Medical Center New Hampton $118.95 $72.45 – $183.00
MercyOne Dyersville Medical Center Dyersville $118.95 $69.17 – $205.98
MercyOne Clinton Medical Center Clinton $185.90 $14.15 – $127.00
MercyOne Oelwein Medical Center Oelwein $118.95 $69.94 – $183.00
MercyOne Cedar Falls Medical Center Cedar Falls $152.75 $14.15 – $235.00
MercyOne Elkader Medical Center Elkader $118.95 $94.19 – $191.27

All Iowa hospitals for this procedure →