Palonosetron hcl 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

$220.48

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.

$275.60

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.

$28.43 with Sanford Health Plan Align vs $89.79 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 $28.43 ↓ -87%
Ucare Medicare Replacement $30.53 ↓ -86%
Great Plains Medicare Advantage Medicare Replacement $30.83 ↓ -86%
Aetna Medicare Replacement $30.83 ↓ -86%
Blue Cross Blue Shield of North Dakota Medicare Replacement $30.83 ↓ -86%
Health Partners Medicare Replacement $30.83 ↓ -86%
United Healthcare Medicare Replacement $30.83 ↓ -86%
Primewest Medicare Replacement $31.43 ↓ -86%
Wellmark HMO $49.89 ↓ -77%
Wellmark PPO $51.88 ↓ -76%
Sanford Health Plan Group Health/True $53.46 ↓ -76%
Sanford Health Plan SD Exchange True $53.46 ↓ -76%
Security Health Plan Commercial $54.87 ↓ -75%
Sanford Health Plan Commercial/ND Pers $62.89 ↓ -71%
Sanford Health Plan SD Exchange Commercial $62.89 ↓ -71%
Health Partners State Employees $65.85 ↓ -70%
Health Partners Commercial $74.83 ↓ -66%
Medica Choice $82.31 ↓ -63%
United Healthcare Commercial + Top 20 $83.31 ↓ -62%
Aetna Commercial $86.70 ↓ -61%
Ucare Commercial $87.66 ↓ -60%
Medica Elect $88.00 ↓ -60%
Healthez Commercial $89.79 ↓ -59%
First Choice Health Network Commercial $89.79 ↓ -59%
Multiplan Commercial $89.79 ↓ -59%

Visitor-reported prices

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Palonosetron hcl at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $366.66 not published
MercyOne Des Moines Medical Center Des Moines $41.40 $8.32 – $41.40
MercyOne Newton Medical Center Newton $161.00 $104.65 – $161.00
MercyOne Genesis Davenport Medical Center Davenport $366.66 not published
MercyOne Genesis DeWitt Medical Center DeWitt $366.66 $25.11 – $53.90
MercyOne Waterloo Medical Center Waterloo $104.30 $24.51 – $104.30
UnityPoint Health - Allen Hospital Waterloo $23.20 $0.41 – $0.98
UnityPoint Health - Finley Hospital Dubuque $23.20 $0.50 – $9.88

All Iowa hospitals for this procedure →