Morphine 4 mg/ml injection (wrapper) 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

$76.60

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.

$95.75

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.

$21.44 with Sanford Health Plan Align vs $67.72 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 $21.44 ↓ -72%
Ucare Medicare Replacement $23.02 ↓ -70%
Great Plains Medicare Advantage Medicare Replacement $23.25 ↓ -70%
Aetna Medicare Replacement $23.25 ↓ -70%
Blue Cross Blue Shield of North Dakota Medicare Replacement $23.25 ↓ -70%
Health Partners Medicare Replacement $23.25 ↓ -70%
United Healthcare Medicare Replacement $23.25 ↓ -70%
Primewest Medicare Replacement $23.70 ↓ -69%
Wellmark HMO $37.62 ↓ -51%
Wellmark PPO $39.12 ↓ -49%
Sanford Health Plan Group Health/True $40.31 ↓ -47%
Sanford Health Plan SD Exchange True $40.31 ↓ -47%
Security Health Plan Commercial $41.38 ↓ -46%
Sanford Health Plan Commercial/ND Pers $47.42 ↓ -38%
Sanford Health Plan SD Exchange Commercial $47.42 ↓ -38%
Health Partners State Employees $49.66 ↓ -35%
Health Partners Commercial $56.43 ↓ -26%
Medica Choice $62.07 ↓ -19%
United Healthcare Commercial + Top 20 $62.83 ↓ -18%
Aetna Commercial $65.38 ↓ -15%
Ucare Commercial $66.11 ↓ -14%
Medica Elect $66.36 ↓ -13%
Healthez Commercial $67.72 ↓ -12%
First Choice Health Network Commercial $67.72 ↓ -12%
Multiplan Commercial $67.72 ↓ -12%

Visitor-reported prices

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Morphine 4 mg/ml injection (wrapper) at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $274.48 not published
MercyOne Dubuque Medical Center Dubuque $207.75 $1.07 – $4.55
MercyOne New Hampton Medical Center New Hampton $207.75 $1.19 – $4.55
MercyOne Dyersville Medical Center Dyersville $207.75 $1.13 – $4.55
MercyOne Clinton Medical Center Clinton $207.75 $0.85 – $30.00
MercyOne Oelwein Medical Center Oelwein $207.75 $1.15 – $4.55
MercyOne Cedar Falls Medical Center Cedar Falls $207.75 $0.71 – $4.55
MercyOne Elkader Medical Center Elkader $207.75 $1.54 – $4.55

All Iowa hospitals for this procedure →