Mayo mitotane (lysodren) therapeutic drug level 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

$113.60

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.

$142.00

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.

$26.51 with Sanford Health Plan Align vs $83.70 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 $26.51 ↓ -77%
Ucare Medicare Replacement $28.46 ↓ -75%
Great Plains Medicare Advantage Medicare Replacement $28.74 ↓ -75%
Aetna Medicare Replacement $28.74 ↓ -75%
Blue Cross Blue Shield of North Dakota Medicare Replacement $28.74 ↓ -75%
Health Partners Medicare Replacement $28.74 ↓ -75%
United Healthcare Medicare Replacement $28.74 ↓ -75%
Primewest Medicare Replacement $29.30 ↓ -74%
Wellmark HMO $46.50 ↓ -59%
Wellmark PPO $48.36 ↓ -57%
Sanford Health Plan Group Health/True $49.83 ↓ -56%
Sanford Health Plan SD Exchange True $49.83 ↓ -56%
Security Health Plan Commercial $51.15 ↓ -55%
Sanford Health Plan Commercial/ND Pers $58.62 ↓ -48%
Sanford Health Plan SD Exchange Commercial $58.62 ↓ -48%
Health Partners State Employees $61.38 ↓ -46%
Health Partners Commercial $69.75 ↓ -39%
Medica Choice $76.73 ↓ -32%
United Healthcare Commercial + Top 20 $77.66 ↓ -32%
Aetna Commercial $80.82 ↓ -29%
Ucare Commercial $81.71 ↓ -28%
Medica Elect $82.03 ↓ -28%
Healthez Commercial $83.70 ↓ -26%
First Choice Health Network Commercial $83.70 ↓ -26%
Multiplan Commercial $83.70 ↓ -26%

Visitor-reported prices

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Mayo mitotane (lysodren) therapeutic drug level at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $225.00 $18.64 – $18.64
MercyOne Dubuque Medical Center Dubuque $468.65 $18.06 – $320.00
MercyOne New Hampton Medical Center New Hampton $268.45 $163.51 – $413.00
MercyOne Dyersville Medical Center Dyersville $268.45 $156.11 – $464.87
MercyOne Clinton Medical Center Clinton $468.65 $18.06 – $205.00
MercyOne Oelwein Medical Center Oelwein $268.45 $157.85 – $413.00
MercyOne Cedar Falls Medical Center Cedar Falls $296.40 $18.06 – $456.00
MercyOne Elkader Medical Center Elkader $268.45 $212.57 – $431.67

All Iowa hospitals for this procedure →