Mayo ethosuximide therapeutic drug level at Sanford Sheldon Medical Center
118 N 7th Ave, Sheldon, IA · Sanford Health · · NPI 1841200623
$120.80
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.
?
What you pay up front if you don't use insurance.
$151.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$41.90 with Sanford Health Plan Align vs $132.30 with Multiplan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $41.90 | ↓ -65% |
| Ucare | Medicare Replacement | $44.98 | ↓ -63% |
| Great Plains Medicare Advantage | Medicare Replacement | $45.42 | ↓ -62% |
| Aetna | Medicare Replacement | $45.42 | ↓ -62% |
| Blue Cross Blue Shield of North Dakota | Medicare Replacement | $45.42 | ↓ -62% |
| Health Partners | Medicare Replacement | $45.42 | ↓ -62% |
| United Healthcare | Medicare Replacement | $45.42 | ↓ -62% |
| Primewest | Medicare Replacement | $46.31 | ↓ -62% |
| Wellmark | HMO | $73.50 | ↓ -39% |
| Wellmark | PPO | $76.44 | ↓ -37% |
| Sanford Health Plan | Group Health/True | $78.76 | ↓ -35% |
| Sanford Health Plan | SD Exchange True | $78.76 | ↓ -35% |
| Security Health Plan | Commercial | $80.85 | ↓ -33% |
| Sanford Health Plan | Commercial/ND Pers | $92.65 | ↓ -23% |
| Sanford Health Plan | SD Exchange Commercial | $92.65 | ↓ -23% |
| Health Partners | State Employees | $97.02 | ↓ -20% |
| Health Partners | Commercial | $110.25 | ↓ -9% |
| Medica | Choice | $121.28 | ↑ +0% |
| United Healthcare | Commercial + Top 20 | $122.75 | ↑ +2% |
| Aetna | Commercial | $127.74 | ↑ +6% |
| Ucare | Commercial | $129.15 | ↑ +7% |
| Medica | Elect | $129.65 | ↑ +7% |
| Healthez | Commercial | $132.30 | ↑ +10% |
| First Choice Health Network | Commercial | $132.30 | ↑ +10% |
| Multiplan | Commercial | $132.30 | ↑ +10% |
Visitor-reported prices
Comments
Mayo ethosuximide therapeutic drug level at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $118.20 | $16.34 – $16.34 |
| MercyOne Dubuque Medical Center | Dubuque | $48.75 | $15.83 – $75.00 |
| MercyOne New Hampton Medical Center | New Hampton | $68.25 | $16.01 – $105.00 |
| MercyOne Clinton Medical Center | Clinton | $60.45 | $15.83 – $93.00 |
| MercyOne Cedar Falls Medical Center | Cedar Falls | $53.95 | $15.83 – $83.00 |
| MercyOne Des Moines Medical Center | Des Moines | $48.75 | $15.08 – $75.00 |
| MercyOne Centerville Medical Center | Centerville | $105.00 | $16.01 – $105.00 |
| MercyOne Newton Medical Center | Newton | $68.25 | $15.83 – $105.00 |