Prolactin at Sanford Sheldon Medical Center
118 N 7th Ave, Sheldon, IA · Sanford Health · · NPI 1841200623
$144.00
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.
$180.00
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.
$17.39 with Sanford Health Plan Align vs $54.90 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 | $17.39 | ↓ -88% |
| Ucare | Medicare Replacement | $18.67 | ↓ -87% |
| Great Plains Medicare Advantage | Medicare Replacement | $18.85 | ↓ -87% |
| Aetna | Medicare Replacement | $18.85 | ↓ -87% |
| Blue Cross Blue Shield of North Dakota | Medicare Replacement | $18.85 | ↓ -87% |
| Health Partners | Medicare Replacement | $18.85 | ↓ -87% |
| United Healthcare | Medicare Replacement | $18.85 | ↓ -87% |
| Primewest | Medicare Replacement | $19.22 | ↓ -87% |
| Wellmark | HMO | $30.50 | ↓ -79% |
| Wellmark | PPO | $31.72 | ↓ -78% |
| Sanford Health Plan | Group Health/True | $32.68 | ↓ -77% |
| Sanford Health Plan | SD Exchange True | $32.68 | ↓ -77% |
| Security Health Plan | Commercial | $33.55 | ↓ -77% |
| Sanford Health Plan | Commercial/ND Pers | $38.45 | ↓ -73% |
| Sanford Health Plan | SD Exchange Commercial | $38.45 | ↓ -73% |
| Health Partners | State Employees | $40.26 | ↓ -72% |
| Health Partners | Commercial | $45.75 | ↓ -68% |
| Medica | Choice | $50.33 | ↓ -65% |
| United Healthcare | Commercial + Top 20 | $50.94 | ↓ -65% |
| Aetna | Commercial | $53.01 | ↓ -63% |
| Ucare | Commercial | $53.59 | ↓ -63% |
| Medica | Elect | $53.80 | ↓ -63% |
| Healthez | Commercial | $54.90 | ↓ -62% |
| First Choice Health Network | Commercial | $54.90 | ↓ -62% |
| Multiplan | Commercial | $54.90 | ↓ -62% |
Visitor-reported prices
Comments
Prolactin at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $125.40 | $19.38 – $19.38 |
| MercyOne Dubuque Medical Center | Dubuque | $210.60 | $18.78 – $324.00 |
| MercyOne New Hampton Medical Center | New Hampton | $149.50 | $91.06 – $230.00 |
| MercyOne Dyersville Medical Center | Dyersville | $149.50 | $86.94 – $258.89 |
| MercyOne Clinton Medical Center | Clinton | $174.85 | $18.78 – $269.00 |
| MercyOne Oelwein Medical Center | Oelwein | $149.50 | $87.91 – $230.00 |
| MercyOne Cedar Falls Medical Center | Cedar Falls | $161.20 | $18.78 – $248.00 |
| MercyOne Elkader Medical Center | Elkader | $149.50 | $118.38 – $240.40 |