Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap at Sanford Sheldon Medical Center
118 N 7th Ave, Sheldon, IA · Sanford Health · · NPI 1841200623
$4,618.40
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.
$5,773.00
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.
$1,597.14 with Sanford Health Plan Align vs $5,043.60 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 | $1,597.14 | ↓ -65% |
| Ucare | Medicare Replacement | $1,714.82 | ↓ -63% |
| Great Plains Medicare Advantage | Medicare Replacement | $1,731.64 | ↓ -63% |
| Aetna | Medicare Replacement | $1,731.64 | ↓ -63% |
| Blue Cross Blue Shield of North Dakota | Medicare Replacement | $1,731.64 | ↓ -63% |
| Health Partners | Medicare Replacement | $1,731.64 | ↓ -63% |
| United Healthcare | Medicare Replacement | $1,731.64 | ↓ -63% |
| Primewest | Medicare Replacement | $1,765.26 | ↓ -62% |
| Wellmark | HMO | $2,802.00 | ↓ -39% |
| Wellmark | PPO | $2,914.08 | ↓ -37% |
| Sanford Health Plan | Group Health/True | $3,002.62 | ↓ -35% |
| Sanford Health Plan | SD Exchange True | $3,002.62 | ↓ -35% |
| Security Health Plan | Commercial | $3,082.20 | ↓ -33% |
| Sanford Health Plan | Commercial/ND Pers | $3,532.20 | ↓ -24% |
| Sanford Health Plan | SD Exchange Commercial | $3,532.20 | ↓ -24% |
| Health Partners | State Employees | $3,698.64 | ↓ -20% |
| Health Partners | Commercial | $4,203.00 | ↓ -9% |
| Medica | Choice | $4,623.30 | ↑ +0% |
| United Healthcare | Commercial + Top 20 | $4,679.34 | ↑ +1% |
| Aetna | Commercial | $4,869.88 | ↑ +5% |
| Ucare | Commercial | $4,923.67 | ↑ +7% |
| Medica | Elect | $4,942.73 | ↑ +7% |
| Healthez | Commercial | $5,043.60 | ↑ +9% |
| First Choice Health Network | Commercial | $5,043.60 | ↑ +9% |
| Multiplan | Commercial | $5,043.60 | ↑ +9% |
Visitor-reported prices
Comments
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $2,931.60 | $973.87 – $1,363.41 |
| MercyOne Dubuque Medical Center | Dubuque | $3,877.25 | $79.02 – $5,965.00 |
| MercyOne New Hampton Medical Center | New Hampton | $4,024.15 | $79.02 – $6,191.00 |
| MercyOne Clinton Medical Center | Clinton | $4,532.45 | $79.02 – $6,973.00 |
| MercyOne Elkader Medical Center | Elkader | $4,024.15 | $3,186.51 – $6,470.83 |
| MercyOne Des Moines Medical Center | Des Moines | $8,876.00 | $79.02 – $8,876.00 |
| MercyOne Centerville Medical Center | Centerville | $6,191.00 | $1,698.81 – $6,191.00 |
| MercyOne Newton Medical Center | Newton | $4,024.15 | $812.85 – $6,191.00 |