Protein electrophoretic fractionation & quantitation serum at Sanford Sheldon Medical Center
118 N 7th Ave, Sheldon, IA · Sanford Health · · NPI 1841200623
$86.40
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.
?
What you pay up front if you don't use insurance.
$108.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$28.50 with Sanford Health Plan Align vs $90.00 with Multiplan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $28.50 | ↓ -67% |
| Ucare | Medicare Replacement | $30.60 | ↓ -65% |
| Great Plains Medicare Advantage | Medicare Replacement | $30.90 | ↓ -64% |
| Aetna | Medicare Replacement | $30.90 | ↓ -64% |
| Blue Cross Blue Shield of North Dakota | Medicare Replacement | $30.90 | ↓ -64% |
| Health Partners | Medicare Replacement | $30.90 | ↓ -64% |
| United Healthcare | Medicare Replacement | $30.90 | ↓ -64% |
| Primewest | Medicare Replacement | $31.50 | ↓ -64% |
| Wellmark | HMO | $50.00 | ↓ -42% |
| Wellmark | PPO | $52.00 | ↓ -40% |
| Sanford Health Plan | Group Health/True | $53.58 | ↓ -38% |
| Sanford Health Plan | SD Exchange True | $53.58 | ↓ -38% |
| Security Health Plan | Commercial | $55.00 | ↓ -36% |
| Sanford Health Plan | Commercial/ND Pers | $63.03 | ↓ -27% |
| Sanford Health Plan | SD Exchange Commercial | $63.03 | ↓ -27% |
| Health Partners | State Employees | $66.00 | ↓ -24% |
| Health Partners | Commercial | $75.00 | ↓ -13% |
| Medica | Choice | $82.50 | ↓ -5% |
| United Healthcare | Commercial + Top 20 | $83.50 | ↓ -3% |
| Aetna | Commercial | $86.90 | ↑ +1% |
| Ucare | Commercial | $87.86 | ↑ +2% |
| Medica | Elect | $88.20 | ↑ +2% |
| Healthez | Commercial | $90.00 | ↑ +4% |
| First Choice Health Network | Commercial | $90.00 | ↑ +4% |
| Multiplan | Commercial | $90.00 | ↑ +4% |
Visitor-reported prices
Comments
Protein electrophoretic fractionation & quantitation serum at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $155.40 | $10.74 – $10.74 |
| MercyOne Dubuque Medical Center | Dubuque | $138.45 | $8.59 – $213.00 |
| MercyOne New Hampton Medical Center | New Hampton | $74.75 | $45.53 – $115.00 |
| MercyOne Dyersville Medical Center | Dyersville | $74.75 | $43.47 – $129.44 |
| MercyOne Clinton Medical Center | Clinton | $83.20 | $10.40 – $128.00 |
| MercyOne Oelwein Medical Center | Oelwein | $74.75 | $43.95 – $115.00 |
| MercyOne Cedar Falls Medical Center | Cedar Falls | $138.45 | $10.40 – $213.00 |
| MercyOne Elkader Medical Center | Elkader | $74.75 | $59.19 – $120.20 |