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Nuclear Stress Test (Heart) at Sanford Sheldon Medical Center
118 N 7th Ave, Sheldon, IA · Sanford Health · · NPI 1841200623
$4,600.00
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.
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What you pay up front if you don't use insurance.
$5,750.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$1,638.75 with Sanford Health Plan Align vs $5,175.00 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 →
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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 ?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 | $1,638.75 | ↓ -64% |
| Ucare | Medicare Replacement | $1,759.50 | ↓ -62% |
| Aetna | Medicare Replacement | $1,776.75 | ↓ -61% |
| Blue Cross Blue Shield of North Dakota | Medicare Replacement | $1,776.75 | ↓ -61% |
| Great Plains Medicare Advantage | Medicare Replacement | $1,776.75 | ↓ -61% |
| Health Partners | Medicare Replacement | $1,776.75 | ↓ -61% |
| United Healthcare | Medicare Replacement | $1,776.75 | ↓ -61% |
| Primewest | Medicare Replacement | $1,811.25 | ↓ -61% |
| Wellmark | HMO | $2,875.00 | ↓ -38% |
| Wellmark | PPO | $2,990.00 | ↓ -35% |
| Sanford Health Plan | Group Health/True | $3,080.85 | ↓ -33% |
| Sanford Health Plan | SD Exchange True | $3,080.85 | ↓ -33% |
| Security Health Plan | Commercial | $3,162.50 | ↓ -31% |
| Sanford Health Plan | Commercial/ND Pers | $3,624.23 | ↓ -21% |
| Sanford Health Plan | SD Exchange Commercial | $3,624.23 | ↓ -21% |
| Health Partners | State Employees | $3,795.00 | ↓ -18% |
| Health Partners | Commercial | $4,312.50 | ↓ -6% |
| Medica | Choice | $4,743.75 | ↑ +3% |
| United Healthcare | Commercial + Top 20 | $4,801.25 | ↑ +4% |
| Aetna | Commercial | $4,996.75 | ↑ +9% |
| Ucare | Commercial | $5,051.95 | ↑ +10% |
| Medica | Elect | $5,071.50 | ↑ +10% |
| First Choice Health Network | Commercial | $5,175.00 | ↑ +13% |
| Healthez | Commercial | $5,175.00 | ↑ +13% |
| Multiplan | Commercial | $5,175.00 | ↑ +13% |
Visitor-reported prices
Comments
Nuclear Stress Test (Heart) at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $3,943.36 | $69.68 – $1,449.18 |
| UnityPoint Health - Allen Hospital | Waterloo | $2,801.31 | $69.68 – $1,845.36 |
| MercyOne Genesis Davenport West Medical Center | Davenport | $2,021.40 | $1,249.63 – $1,749.48 |
| MercyOne New Hampton Medical Center | New Hampton | $2,913.30 | $27.71 – $322.13 |
| MercyOne Clinton Medical Center | Clinton | $3,799.90 | $1,192.19 – $5,846.00 |
| MercyOne West Des Moines Medical Center | West Des Moines | $6,381.00 | $1,222.00 – $6,381.00 |
| MercyOne Des Moines Medical Center | Des Moines | $3,688.10 | $47.50 – $5,674.00 |
| MercyOne Centerville Medical Center | Centerville | $4,482.00 | $19.21 – $209.00 |