Mayo paval fluorescent antibody screen agna type 1 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

$115.20

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.

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What you pay up front if you don't use insurance.

$144.00

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.

$18.81 with Sanford Health Plan Align vs $59.40 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 $18.81 ↓ -84%
Ucare Medicare Replacement $20.20 ↓ -82%
Great Plains Medicare Advantage Medicare Replacement $20.39 ↓ -82%
Aetna Medicare Replacement $20.39 ↓ -82%
Blue Cross Blue Shield of North Dakota Medicare Replacement $20.39 ↓ -82%
Health Partners Medicare Replacement $20.39 ↓ -82%
United Healthcare Medicare Replacement $20.39 ↓ -82%
Primewest Medicare Replacement $20.79 ↓ -82%
Wellmark HMO $33.00 ↓ -71%
Wellmark PPO $34.32 ↓ -70%
Sanford Health Plan Group Health/True $35.36 ↓ -69%
Sanford Health Plan SD Exchange True $35.36 ↓ -69%
Security Health Plan Commercial $36.30 ↓ -68%
Sanford Health Plan Commercial/ND Pers $41.60 ↓ -64%
Sanford Health Plan SD Exchange Commercial $41.60 ↓ -64%
Health Partners State Employees $43.56 ↓ -62%
Health Partners Commercial $49.50 ↓ -57%
Medica Choice $54.45 ↓ -53%
United Healthcare Commercial + Top 20 $55.11 ↓ -52%
Aetna Commercial $57.35 ↓ -50%
Ucare Commercial $57.99 ↓ -50%
Medica Elect $58.21 ↓ -49%
Healthez Commercial $59.40 ↓ -48%
First Choice Health Network Commercial $59.40 ↓ -48%
Multiplan Commercial $59.40 ↓ -48%

Visitor-reported prices

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Mayo paval fluorescent antibody screen agna type 1 at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $279.00 $12.05 – $12.05
MercyOne Dubuque Medical Center Dubuque $67.60 $11.68 – $104.00
MercyOne New Hampton Medical Center New Hampton $94.90 $57.80 – $146.00
MercyOne Dyersville Medical Center Dyersville $94.90 $55.19 – $164.34
MercyOne Clinton Medical Center Clinton $111.15 $11.68 – $171.00
MercyOne Oelwein Medical Center Oelwein $94.90 $55.80 – $146.00
MercyOne Cedar Falls Medical Center Cedar Falls $349.05 $11.68 – $326.00
MercyOne Elkader Medical Center Elkader $94.90 $75.15 – $152.60

All Iowa hospitals for this procedure →