Naloxone 0.4 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

$65.26

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.

$81.57

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.

$21.88 with Sanford Health Plan Align vs $69.09 with First Choice Health Network — 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 $21.88 ↓ -66%
Ucare Medicare Replacement $23.49 ↓ -64%
Blue Cross Blue Shield of North Dakota Medicare Replacement $23.72 ↓ -64%
United Healthcare Medicare Replacement $23.72 ↓ -64%
Great Plains Medicare Advantage Medicare Replacement $23.72 ↓ -64%
Aetna Medicare Replacement $23.72 ↓ -64%
Health Partners Medicare Replacement $23.72 ↓ -64%
Primewest Medicare Replacement $24.18 ↓ -63%
Wellmark HMO $38.39 ↓ -41%
Wellmark PPO $39.92 ↓ -39%
Sanford Health Plan Group Health/True $41.13 ↓ -37%
Sanford Health Plan SD Exchange True $41.13 ↓ -37%
Security Health Plan Commercial $42.22 ↓ -35%
Sanford Health Plan Commercial/ND Pers $48.39 ↓ -26%
Sanford Health Plan SD Exchange Commercial $48.39 ↓ -26%
Health Partners State Employees $50.67 ↓ -22%
Health Partners Commercial $57.58 ↓ -12%
Medica Choice $63.34 ↓ -3%
United Healthcare Commercial + Top 20 $64.10 ↓ -2%
Aetna Commercial $66.71 ↑ +2%
Ucare Commercial $67.45 ↑ +3%
Medica Elect $67.71 ↑ +4%
Multiplan Commercial $69.09 ↑ +6%
Healthez Commercial $69.09 ↑ +6%
First Choice Health Network Commercial $69.09 ↑ +6%

Visitor-reported prices

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Naloxone 0.4 mg/ml injection (wrapper) at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Dubuque Medical Center Dubuque $546.10 $14.00 – $72.85
MercyOne New Hampton Medical Center New Hampton $72.45 $9.11 – $23.00
MercyOne Dyersville Medical Center Dyersville $546.10 $14.00 – $82.00
MercyOne Clinton Medical Center Clinton $144.20 $7.46 – $26.35
MercyOne Oelwein Medical Center Oelwein $144.20 $10.07 – $26.35
MercyOne Cedar Falls Medical Center Cedar Falls $26.35 $6.19 – $26.35
MercyOne Elkader Medical Center Elkader $69.00 $13.56 – $27.54
MercyOne West Des Moines Medical Center West Des Moines $546.10 $3.42 – $17.00

All Iowa hospitals for this procedure →