Pentamidine non-comp unit at Sanford Sheldon Medical Center
118 N 7th Ave, Sheldon, IA · Sanford Health · · NPI 1841200623
$90.37
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.
$112.96
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.
$28.71 with Sanford Health Plan Align vs $90.67 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 →
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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 | $28.71 | ↓ -68% |
| Ucare | Medicare Replacement | $30.83 | ↓ -66% |
| Blue Cross Blue Shield of North Dakota | Medicare Replacement | $31.13 | ↓ -66% |
| United Healthcare | Medicare Replacement | $31.13 | ↓ -66% |
| Great Plains Medicare Advantage | Medicare Replacement | $31.13 | ↓ -66% |
| Aetna | Medicare Replacement | $31.13 | ↓ -66% |
| Health Partners | Medicare Replacement | $31.13 | ↓ -66% |
| Primewest | Medicare Replacement | $31.73 | ↓ -65% |
| Wellmark | HMO | $50.37 | ↓ -44% |
| Wellmark | PPO | $52.38 | ↓ -42% |
| Sanford Health Plan | Group Health/True | $53.98 | ↓ -40% |
| Sanford Health Plan | SD Exchange True | $53.98 | ↓ -40% |
| Security Health Plan | Commercial | $55.41 | ↓ -39% |
| Sanford Health Plan | Commercial/ND Pers | $63.50 | ↓ -30% |
| Sanford Health Plan | SD Exchange Commercial | $63.50 | ↓ -30% |
| Health Partners | State Employees | $66.49 | ↓ -26% |
| Health Partners | Commercial | $75.56 | ↓ -16% |
| Medica | Choice | $83.11 | ↓ -8% |
| United Healthcare | Commercial + Top 20 | $84.12 | ↓ -7% |
| Aetna | Commercial | $87.54 | ↓ -3% |
| Ucare | Commercial | $88.51 | ↓ -2% |
| Medica | Elect | $88.85 | ↓ -2% |
| Multiplan | Commercial | $90.67 | ↑ +0% |
| Healthez | Commercial | $90.67 | ↑ +0% |
| First Choice Health Network | Commercial | $90.67 | ↑ +0% |
Visitor-reported prices
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Pentamidine non-comp unit at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Allen Hospital | Waterloo | $161.04 | $22.57 – $85.81 |
| UnityPoint Health - Finley Hospital | Dubuque | $141.60 | $67.89 – $297.09 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell | $141.60 | $67.89 – $135.18 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $175.60 | $12.99 – $85.81 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa | $141.60 | $67.89 – $135.18 |
| UnityPoint Health - Marshalltown | Marshalltown | $141.60 | $38.15 – $80.66 |
| UnityPoint Health - St. Lukes Downtown | Sioux City | $141.60 | $46.02 – $135.18 |
| UnityPoint Health - Trinity Bettendorf | Bettendorf | $161.04 | $47.26 – $87.03 |